Koj puas tau mus kuaj qhov muag thiab tus kws kho mob saib sab hauv koj lub qhov muag nrog ib lub cuab yeej tshwj xeeb thiab hais tias, "Kuv pom ib qho me me hauv kuv lub qhov muag"? Nws yog ib qho ib txwm muaj kev ntshai me ntsis thaum koj hnov qhov ntawd. Tab sis tsis txhob txhawj. Cov chaw no, lossis 'Roth Spots', yog cov cim qhia tias peb feem ntau tsis pom los ntawm sab nraud, tab sis tuaj yeem yog cov ntaub ntawv tseem ceeb heev txog peb txoj kev noj qab haus huv. Yog li cia peb tham txog qhov no yooj yim thiab ua siab zoo hnub no.
Roth Spots yog dab tsi tiag?
Hais yooj yim xwb, cov Roth spots yog cov ntshav me me uas tshwm sim hauv daim nyias nyias uas nyob hauv peb lub qhov muag hu ua retina. Xav txog peb lub qhov muag zoo li lub koob yees duab. Ntawm phab ntsa tom qab ntawm lub koob yees duab ntawd yog daim nyias nyias no hu ua retina. Qhov no yog qhov chaw uas cov duab ntawm tej yam uas peb pom raug kaw cia.
Muaj ib txoj hlab ntsha me me uas nthuav dav thoob plaws lub retina zoo li ib daim ntaub kab laug sab. Yog tias muaj qee yam ua rau muaj ib tee ntshav me me tawm ntawm ib qho ntawm cov hlab ntsha no, tus kws kho mob pom tias qhov ntawd yog qhov chaw Roth.
Qhov tseem ceeb yog, koj tsis tuaj yeem pom cov chaw no thaum koj saib hauv daim iav . Thiab tsis muaj leej twg tuaj yeem pom lawv thaum lawv tsuas yog saib koj ob lub qhov muag xwb. Yuav kom pom lawv, koj xav tau lub cuab yeej tshwj xeeb, xws li lub teeb ci lossis lub ophthalmoscope, uas tus kws kho qhov muag siv.
Feem ntau, cov pob no tsis cuam tshuam rau koj qhov pom kev. Txawm li cas los xij, tsis tshua muaj, yog tias cov pob no tshwm sim hauv nruab nrab ntawm retina, qhov hu ua macula, uas pab peb pom ncaj nraim mus tom ntej, koj yuav pom qhov hloov pauv me ntsis hauv koj qhov pom kev.
Cov chaw no zoo li cas?
Thaum tus kws kho mob saib los ntawm cov cuab yeej ntawd, lub retina noj qab nyob zoo feem ntau tshwm sim ua xim txiv kab ntxwv-daj. Ib qho Roth spot sawv tawm tsam keeb kwm yav dhau los no hauv xim tsaus. Nws yog ib qho liab tsaus, xim maroon. Muaj ib lub cim me me dawb nyob hauv nruab nrab ntawm qhov chaw no.
Kev tshawb fawb txog qhov no yooj yim heev. Qhov tsaus ntuj yog cov ntshav uas tau tawm ntawm cov leeg ntshav. Lub cim dawb nyob hauv nruab nrab yog ib qho cim qhia tias qhov chaw los ntshav tau kaw thiab tab tom pib kho vim yog peb lub cev cov ntshav khov (hemostasis). Nws zoo li muab ib daim plaster rau ntawm qhov txhab me me, uas yog qhov uas lub cev ua los ntawm sab hauv.
Vim li cas cov Roth Spots no thiaj tshwm sim?
Yav dhau los, xyoo 1800, cov kws tshawb fawb thawj zaug xav tias Roth spots yog los ntawm ib yam mob hu ua "Infective Endocarditis." Qhov no yog ib qho kev kis kab mob uas tshwm sim hauv lub plawv, tshwj xeeb tshaj yog cov qhov plawv valve. Qhov kev kis kab mob no tuaj yeem tshwm sim los ntawm cov khoom xws li cov kab mob thiab cov kab mob.
Xav txog seb cov ntshav me me uas muaj kab mob uas tsim los ntawm tus kab mob no hauv lub plawv mus ncig thoob plaws lub cev nrog cov ntshav. Thaum lawv mus ncig, cov ntshav no tuaj yeem daig rau hauv cov hlab ntsha me me hauv lub qhov muag. Tom qab ntawd cov hlab ntsha ntawd tawg, los ntshav, thiab tom qab ntawd muaj Roth spot.
Txawm li cas los xij, kev tshawb fawb tshiab tau pom tias 'Infective Endocarditis' tsis yog tib qho ua rau muaj Roth spots xwb. Qhov tseeb, nws tsuas yog suav rau ib feem pua me me ntawm cov neeg mob, kwv yees li 5%. Roth spots tuaj yeem yog ib qho cim ntawm ntau yam mob.
Cia peb saib qee qhov laj thawj ntawd hauv lub rooj hauv qab no.
| Pawg ua rau muaj teeb meem | Piv txwv |
|---|---|
| Cov teeb meem ntshav | Kab mob ntshav tsis txaus, Kab mob ntshav qis |
| Mob qog noj ntshav | Cov mob xws li Leukemia thiab Multiple Myeloma |
| Cov kab mob autoimmune | Cov kab mob xws li Lupus (SLE), Behçet's kab mob |
| Cov kab mob ntawm lub plawv thiab cov kab mob circulatory | Ntshav siab (Tshuaj ntshav siab) |
| Kev kis kab mob | HIV, Toxoplasmosis, Leishmaniasis, kev kis kab mob loj heev ntawm cov hauv paus hniav |
| Cov xwm txheej metabolic | Kab mob ntshav qab zib (Hom 2 Kab mob ntshav qab zib) |
| Cov teeb meem thaum cev xeeb tub | Cov mob xws li Preeclampsia thiab Eclampsia |
| Tsis muaj oxygen txaus (Anoxia) | Kev lom los ntawm cov pa roj carbon monoxide, nyob rau qhov siab siab (saum toj no 12,000 feet) |
| Kev raug mob | Kev Raug Mob Taub Hau (Concussions, Traumatic Brain Injuries - TBIs), kev raug mob qhov muag, Shaken baby syndrome |
Qhov no kho li cas?
Qhov tseem ceeb ntawm no yog tias tsis muaj txoj hauv kev los kho cov Roth spots ncaj qha vim tias nws tsis yog kab mob, tab sis tsuas yog ib qho tsos mob ntawm tus kab mob xwb.
Yog li ntawd, kev kho mob tsis yog rau qhov chaw Roth nws tus kheej, tab sis rau qhov mob hauv qab uas ua rau nws . Piv txwv li, yog tias qhov chaw ntawd yog los ntawm tus kab mob ntshav qab zib uas tsis tswj tau, tus kws kho mob yuav kho tus kab mob ntshav qab zib kom tswj tau nws. Yog tias nws yog los ntawm ntshav siab, nws yuav raug kho. Yog tias nws yog los ntawm kev kis kab mob, yuav muab tshuaj tua kab mob rau tus kab mob ntawd.
Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov teeb meem no li cas. Thaum kho qhov ua rau mob no kom zoo lawm, cov pob no yuav maj mam ploj mus.
Yog tias tsis kho ces yuav ua li cas?
Cov pob Roth zoo li ib lub cim ceeb toom. Txawm hais tias qhov chaw ntawd nws tus kheej yuav tsis ua rau muaj kev phom sij ntau, qhov mob hauv qab uas ua rau lawv feem ntau tuaj yeem ua rau mob hnyav thiab txaus ntshai .
Xav txog seb, yog koj tus kws kho qhov muag pom ib qho chaw zoo li no, nws yuav xa koj mus rau tus kws kho mob thawj zaug. Tom qab ntawd, tus kws kho mob ntawd yuav ua cov kev kuaj mob tsim nyog (xws li kev kuaj ntshav, kev luam theej duab) kom paub seb qhov ua rau muaj cov chaw no yog dab tsi. Thaum pom qhov ua rau muaj qhov no, nws yuav pib kho koj tus kheej lossis xa koj mus rau tus kws tshwj xeeb (piv txwv li, kws kho mob plawv, kws kho mob qog nqaij hlav).
Yog li ntawd, yog tias koj pom ib qho chaw, tsis txhob tsis quav ntsej nws. Nws yog ib qho lus tseem ceeb uas koj lub cev muab rau koj. Yog tias koj mloog cov lus ntawd thiab ua raws li koj tus kws kho mob hais, koj tuaj yeem daws nws ua ntej nws dhau los ua teeb meem loj dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov pob Roth yog ib hom pob uas tshwm sim hauv lub qhov muag. Lawv tsis yog kab mob, tab sis yog ib qho tsos mob ntawm lwm yam kab mob.
- Koj tsis pom lossis kov cov no nrog daim iav. Tsuas yog tus kws kho mob uas siv cov khoom siv tshwj xeeb thiaj li pom tau lawv.
- Yog koj pom cov pob no, nws txhais tau tias tej zaum yuav muaj teeb meem kev noj qab haus huv nyob rau lwm qhov chaw hauv lub cev (piv txwv li, ntshav qab zib, ntshav siab, kev kis kab mob, mob qog noj ntshav).
- Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai, mus ntsib koj tus kws kho mob , nrhiav seb qhov ua rau muaj cov pob no, thiab kho nws.
- Thaum kho tau qhov mob tseem ceeb lawm, cov Roth spots feem ntau yuav ploj mus ntawm lawv tus kheej.
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