yu don eva geht ai chek-ap en di dokta luk insay yu yay wit wan speshal instramehnt en se, "a si likl spot insay mi yay"? Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri dat. Bɔt nɔ wɔri. Dɛn spat ya, ɔr ‘Roth Spots’, na sayn dɛm we wi nɔ kin si frɔm do, bɔt kin bi rili impɔtant infɔmeshɔn bɔt wi wɛlbɔdi. So lɛ wi tɔk bɔt dis simpul ɛn pɔlitiks tide.
Wetin rili na Roth Spots?
Fɔ tɔk am simpul wan, Roth spat na smɔl smɔl blɔd we kin kɔmɔt na di sɛnsitiv mɛmbran we de insay wi yay we dɛn kɔl di retina. Tink bɔt wi yay lɛk kamɛra. Na di bak wɔl na da kamɛra de, dɛn put dis mɛmbran we dɛn kɔl di retina. Na dis say dɛn kin rayt di pikchɔ dɛn fɔ di tin dɛn we wi de si.
wan rili fayn nεtwכk de fכ bכdi vεsul dεm we de spre כlsay na di rεtina lεk spayda in wεb. If fɔ sɔm rizin smɔl drop blɔd lik kɔmɔt na wan pan dɛn blɔd vesel ya, na dat di dɔktɔ si as Roth spat.
Di impɔtant tin na dat, yu nɔ go ebul fɔ si dɛn say dɛn ya we yu luk na di miro . Ɛn nɔbɔdi nɔ go ebul fɔ si dɛn we dɛn jɔs de luk yu yay. Fɔ si dɛn, yu nid spɛshal tin, lɛk slit lamp ɔ ɔftalmoskɔp, we dɔktɔ we de mɛn yu yay kin yuz.
Bɔku tɛm, dɛn spat ya nɔ kin afɛkt di we aw yu de si. Bɔt nɔto ɔltɛm, if dɛn spat ya apin na di sɛntrɔm pan di retina, di pat we dɛn kɔl makula, we de ɛp wi fɔ si stret bifo, yu kin notis smɔl chenj na yu yay.
Aw dɛn spat dɛn ya kin luk?
We di dɔktɔ luk insay da inschrumɛnt de, bɔku tɛm wan wɛlbɔdi retina kin apia lɛk ɔrɛnj-yɔlɔ kɔlɔ. Wan Roth spat de tinap agens dis bakgrɔn wit dak kɔlɔ. Na wan ples we gɛt dak rɛd, we gɛt marun kɔlɔ. Wan smɔl wayt dɔt de rayt na di midul pan dis ples.
Di sayɛns we de biɛn dis rili simpul. Di dak pat na di blɔd we dɔn lik kɔmɔt na di vein. di wayt dכt we de na di midul na sayn fכ se di say we di bכdi de kכlכs εn i de bigin fכ hεl bikoz fכ wi bכdi in nכmal bכdi kכlכt prכsεs (hεmostasis). I tan lɛk se yu put plasta pan smɔl wund, ɛn na dat di bɔdi de du frɔm insay.
Wetin mek dɛn Roth Spot ya kin apin?
trade, insay di 1800s, sayɛnsman dεm bin fכs tink se na wan kכndyushכn we dεn kכl ``Infective Endocarditis.'' Dis na infεkshכn we de apin insay di at, spεshal wan di at valv dεm. Dis infεkshכn kin kam wit tin dεm lεk baktri dεm εn vayrus.
Imajin se smɔl smɔl blɔd we gɛt di sik we de mek bikɔs ɔf dis infɛkshɔn na di at de travul ɔlsay na di bɔdi wit di blɔd. As dɛn de travul, dis blɔd we de klɔt kin stɔp na wan fayn fayn blɔd vesel we de insay di yay. Dɔn da blɔd vesel de bɔs, blɔd de kɔmɔt, dɔn wan Roth spat de fɔm.
Bɔt nyu risach dɔn sho se nɔto `Infective Endocarditis` nɔmɔ kin mek pɔsin gɛt Roth spat. Infakt, na smɔl pasɛnt pan di kes dɛm nɔmɔ i kin gɛt, we na lɛk 5%. Roth spat kin bi sayn fɔ bɔku bɔku mɛrɛsin sik dɛn.
Lɛ wi luk sɔm pan dɛn rizin dɛn de na di tebul we de dɔŋ ya.
| Posisibul kɔz kategori | Ɛgzampul dɛn |
|---|---|
| Blɔd dizayd | Anemia, Trombocytopenia, we de mek pɔsin nɔ gɛt bɛtɛ blɔd |
| Kansa dɛn we gɛt kansa | Kɔndishɔn dɛn lɛk Lukimia ɛn Mɔltipɛl Mayloma |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Sik dɛm lɛk Lupus (SLE), Behçet in sik |
| Sik dɛm na di at ɛn di blɔd sistɛm | Ay blɔd prɛshɔn (Hypertension) . |
| Infεkshכn dεm | HIV, Toxoplasmosis, Leishmaniasis, bad bad baktriyal infεkshכn dεm na di tut rut dεm |
| Di kɔndishɔn dɛn we de na di mɛtabolik | Dayabitis (Tayp 2 Dayabitis) . |
| Kɔmplikɛshɔn dɛn we kin apin we uman gɛt bɛlɛ | Kɔndishɔn dɛn lɛk Preeclampsia ɛn Eclampsia |
| Ɔksijɛn we nɔ de wok fayn (Anoxia) . | Kabon monoksayd pɔyzin, we i de na ay ay ples (we pas 12,000 fit) . |
| Injuri dɛn we pɔsin kin gɛt | Injuri na di ed (Kɔnkushɔn, Traumatik Bren Injuri - TBI), injuri na di yay, Shaken baby syndrome |
Aw dɛn kin trit dis?
Di impɔtant tin ya na dat, no we nɔ de fɔ trit Roth spat dairekt wan bikɔs i nɔto sik, bɔt na jɔs wan sayn fɔ sik.
So, di tritmɛnt nɔto fɔ di Roth spot insɛf, bɔt na fɔ di ɔndalayn kɔndishɔn we mek i kam . Fɔ ɛgzampul, if di spat na bikɔs ɔf dayabitis we dɛn nɔ ebul fɔ kɔntrol, di dɔktɔ go trit di dayabitis fɔ kɔntrol am. If na ay blɔd prɛshɔn mek i kam, dɛn go trit am. If na infɛkshɔn mek am, dɛn go gi am antibayɔtik fɔ da infɛkshɔn de.
Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ dis. We dɛn trit di tin we de mek pɔsin gɛt di sik fayn fayn wan, dɛn spat ya go dɔn smɔl smɔl.
Wetin kin apin if dɛn nɔ trit am?
Roth spat dɛn tan lɛk sayn we de wɔn pɔsin. Pan ɔl we di spat insɛf nɔ kin du bɔku bad tin, bɔku tɛm di ɔndalayn kɔndishɔn we kin mek dɛn gɛt dɛn kin siriɔs ɛn denja .
Imajin, if yu yay dɔktɔ si wan ples lɛk dis, i go rifer yu to pɔsin we de kia fɔ yu. Dɔn, da dɔktɔ de go du di tɛst dɛn we i nid (lɛk fɔ tɛst blɔd, fɔ skan) fɔ no wetin na di rial tin we kin mek dɛn gɛt dɛn spat ya. We dɛn dɔn no di kɔz, i go bigin fɔ trit insɛf ɔ rifer yu to spɛshal dɔktɔ we gɛt fɔ du wit am (e.g., dɔktɔ we de mɛn yu at, dɔktɔ we de mɛn kansa).
So, if yu notis wan ples, nɔ ignore am. Na impɔtant mɛsej we yu bɔdi de gi yu. If yu lisin to da mɛsej de ɛn du wetin yu dɔktɔ se, yu kin sɔlv am bifo i bi big prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Roth spot na wan kayn spat we de sho insay di yay. Dɛn nɔto sik, bɔt na sayn fɔ ɔda sik.
- Yu nɔ go ebul fɔ si ɔ fil dɛn tin ya wit miro. Na dɔktɔ we de yuz spɛshal tin dɛn nɔmɔ go ebul fɔ si dɛn.
- If yu si dɛn spat ya, i min se i kin gɛt wɛlbɔdi prɔblɛm ɔdasay na di bɔdi (e.g. dayabitis, ay blɔd prɛshɔn, infɛkshɔn, kansa).
- Di tin we impɔtant pas ɔl na fɔ nɔ panik, go to yu dɔktɔ , fɔ no di rayt tin we mek dɛn gɛt dɛn spat ya, ɛn trit am.
- Wae dɛn dɔn trit di ɔndalayn kɔndishɔn, di Roth spat dɛn kin go fɔ dɛnsɛf.
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