Doctor chuan i mit a enfiah khan spot a hmu em? Roth Spots chungchang hi i zir dawn nia.

Mit check-up i neih a, doctor chuan i mit chhung chu instrument bik hmangin a en a, "Ka mit chhungah hian hmun tlem ka hmu" a ti ngai em? Chu thu i hriat chuan hlauhna tlem a awm chu thil pangngai a ni. Mahse, lungngai suh. Heng spot te, a nih loh leh ‘Roth Spots’ te hi pawn lam atanga kan hmuh ngai loh chhinchhiahna a ni a, mahse kan hriselna chungchanga hriat tur pawimawh tak a ni thei. Chuvangin vawiin hian he thu hi awlsam tak leh zahawm takin i sawi dawn nia.

Roth Spots hi eng nge ni tak tak?

A awlsam zawngin, Roth spot hi kan mit chhunga sensitive membrane retina an tih, thisen chhuak te tak te a ni. Kan mit hi camera ang maiin han ngaihtuah teh. Chu camera hnunglam wall-ah chuan he membrane retina an tih hi a awm a. Hei hi kan thil hmuhte lem (image) record-na hmun a ni.

Retina pumpuiah hian thisen kalna kawng (network) tha tak tak, rulhut (spider’s web) ang maia darh zau tak a awm a. Eng emaw chhan vanga heng thisen kalna kawng pakhat atang hian thisen tlemte a chhuak a nih chuan chu chu doctor chuan Roth spot anga a hmuh chu a ni.

A pawimawh ber chu, darthlalang i en hian heng hmunte hi i hmu thei lo . Tin, i mit an en mai mai pawhin midang tumahin an hmu thei lo bawk. Anmahni hmuh tur chuan hmanraw bik, slit lamp emaw, mit lam enfiahna emaw, mit lam doctor-in a hman ang chi i mamawh a ni.

Heng spot te hi engtin nge an lan?

Doctor chuan chu hmanrua chu a en chuan, retina hrisel tak chu orange-yellow rawng angin a lang tlangpui. He background-ah hian Roth spot pakhat chu rawng dum takin a langsar hle. A dum dum, maroon rawng a ni. He hmun lai takah hian dot dum te tak te a awm a.

Hemi hnuaia science awm hi a awlsam hle. A thim lam chu thisen thisen chhuak chu a ni. A laiah hian white dot hi kan taksain thisen a insiam dan pangngai (hemostasis) avang hian thisen chhuahna hmun chu a inkhar tawh a, a dam tan tawh tih hriattirna a ni. Hliam te tak te chunga plaster dah ang mai a ni a, chu chu taksa chhungril atanga a tih thin a ni.

Engvangin nge heng Roth Spots te hi a lo awm?

Tun hma kum 1800 chho vel khan scientist-te chuan Roth spot hi ``Infective Endocarditis'' tih natna avanga lo awm niin an ngai hmasa ber a, hei hi thinlung chhunga natna hrik a ni a, a bik takin thinlung valve-ah a awm a ni. He natna hi bacteria leh virus ang chi thil vang a ni thei.

He natna avanga thisen zam te tak te, natna hrik nei, thinlunga lo awm chu thisen nen taksa pum puiah an kal kual ang tih han ngaihtuah teh. An kal lai hian he thisen zam hi mit chhunga thisen kalna kawng tha takah a tang thei a ni. Tichuan chu thisen kalna chu a puak a, thisen a chhuak a, chutah chuan Roth spot a lo awm ta a ni.

Mahse, zirchianna thar chuan `Infective Endocarditis` chauh hi Roth spot awm chhan a ni lo tih hmuhchhuah a ni. Dik tak chuan case tlemte chauh a ni a, 5% vel a ni. Roth spots hi damdawi lam dinhmun zau zawk chhinchhiahna a ni thei.

Chutiang chhan thenkhat chu a hnuaia table-ah hian han en ila.

Hei hi engtin nge enkawl a nih?

Heta thil pawimawh tak chu Roth spots hi direct-a enkawl dan tur a awm lo a, a chhan chu natna a nih loh avangin natna lanchhuahna chauh a ni.

Chuvangin, enkawlna chu Roth spot ngei tan ni lovin, a chhan bulpui (underlying condition) vang a ni . Entirnan, chu spot chu thunun theih loh zunthlum avanga lo awm a nih chuan Doctor chuan a control theih nan zunthlum chu a enkawl ang. Thisen sang avanga lo awm a nih chuan enkawl a ni ang. Infection avanga lo awm a nih chuan chu infection atan chuan antibiotics pek a ni ang.

Enkawl loh chuan eng nge thleng ang?

Roth spot te hi warning sign ang mai a ni. Chu hmun ngei chuan harsatna lian tham a thlen lo mai thei a, mahse, a thlentu dinhmun bulpui chu a nasat leh hlauhawm tak a ni fo .

Ngaihtuah teh, i mit doctor hian hetiang hmun hi a hmuh chuan primary care provider hnenah a refer ang che. Tichuan, chu doctor chuan heng spot awm chhan dik tak chu eng nge ni tih hriat tumin test tul tak tak (thisen test, scan ang chi) a ti ang. A chhan a hriat veleh amah ngeiin enkawlna a tan ang emaw, a kaihhnawih specialist (e.g., cardiologist, oncologist) hnenah a refer ang che.

Chuvangin, spot i hriat chuan ngaihthah suh. I taksain thuchah pawimawh tak a pek che a ni. Chu thuchah chu i ngaithla a, i doctor-in a sawi ang chu i tih chuan, buaina lian zawk a nih hmain i chinfel thei ang.