Kua tirohia tō kanohi e te tākuta, ā, ka titiro ia ki roto i tō kanohi me tētahi taputapu motuhake, ka mea, "Kei te kite ahau i tētahi ira iti i roto i tōku kanohi"? He mea noa te mataku ina rongo koe i tēnā. Kaua e manukanuka. Ko ēnei ira, ko ngā 'Roth Spots' rānei, he tohu kāore e kitea ana i waho, engari he mea nui pea mō tō tātou hauora. Nō reira, me kōrero tātou mō tēnei mea i runga i te ngāwari me te ngākau māhaki i tēnei rā.
He aha tonu ngā Roth Spots?
Ki te whakarapopototanga, ko ngā ira Roth he toto iti e puta ana i roto i te kiriuhi tairongo i roto i ō tātou kanohi e kiia nei ko te retina. Whakaarohia ō tātou kanohi he kāmera. Kei te pakitara o muri o taua kāmera tēnei kiriuhi e kiia nei ko te retina. Koinei te wāhi e tuhia ai ngā whakaahua o ngā mea e kitea ana e tātou.
He whatunga tino angiangi o ngā uaua toto e horapa ana puta noa i te retina, pērā i te tukutuku pungawerewere. Mēnā he take e turuturu ai tētahi pata toto iti mai i tētahi o ēnei uaua toto, koinei te mea e kitea ana e te tākuta he Roth spot.
Ko te mea nui, kāore e taea e koe te kite i ēnei ira ina titiro koe ki te whakaata . Ā, kāore e taea e tētahi atu te kite i a rātou ina titiro noa rātou ki ō kanohi. Hei kite i a rātou, me whakamahi koe i tētahi taputapu motuhake, pērā i te rama kutikuti, i te ophthalmoscope rānei, e whakamahia ana e te tākuta kanohi.
I te nuinga o te wā, kāore ēnei ira e pā ki tō tirohanga. Heoi, he tino onge, ki te puta ēnei ira ki waenganui o te retina, te wāhanga e kiia nei ko te macula, e āwhina ana i a tātou ki te titiro tika ki mua, tera pea ka kite koe i tētahi panoni iti o tō tirohanga.
He pēhea te āhua o ēnei ira?
Ina tirohia e te tākuta mā roto i taua taputapu, ka puta he tae karaka-kōwhai te retina hauora. Ka kitea he ira Roth i tēnei papamuri i roto i te tae pouri. He ira whero pouri, he parauri te tae. He ira mā iti kei waenganui tonu o tēnei ira.
He tino māmā te pūtaiao kei muri i tēnei. Ko te wāhanga pōuri ko te toto kua turuturu mai i te uaua. Ko te ira mā i waenganui he tohu kua kati te wāhi toto, ā, kua tīmata te ora nā te tukanga toto toto tūturu o tō tātou tinana (hemostasis). He rite ki te whakatakoto i te paraikete ki runga i tētahi patunga iti, koinei te mahi a te tinana mai i roto.
He aha i puta ai ēnei Roth Spots?
I ngā tau o mua, i ngā tau 1800, i whakaaro tuatahi ngā kaipūtaiao ko ngā Roth spots i puta mai i tētahi āhuatanga e kiia nei ko te "Infective Endocarditis." He mate tēnei e puta ana i roto i te ngākau, inā koa ko ngā takirere ngākau. Ka taea tēnei mate te puta mai i ngā mea pēnei i te huakita me te huaketo.
Whakaarohia ngā toto iti kua pangia e te mate i roto i te ngākau ka rere puta noa i te tinana me te toto. I a rātou e haere ana, ka mau pea tēnei toto ki roto i tētahi oko toto tino angiangi i roto i te kanohi. Kātahi ka pakaru taua oko toto, ka toto, ā, ka puta he ira Roth.
Heoi, kua kitea e ngā rangahau hou ehara i te mea ko te 'Infective Endocarditis' anake te take o ngā Roth spots. Inaa, he iti noa iho te ōrau o ngā take, tata ki te 5%. Ka taea e ngā Roth spots te tohu i te whānuitanga o ngā mate hauora.
Me titiro tātou ki ētahi o aua take i roto i te ripanga i raro nei.
| Kāwai take pea | Ngā tauira |
|---|---|
| Ngā mate toto | Te kore toto, te thrombocytopenia |
| Ngā mate pukupuku | Ngā āhuatanga pēnei i te Leukemia me te Multiple Myeloma |
| Ngā mate pūnaha ārai mate | Ngā mate pēnei i te Lupus (SLE), te mate a Behçet |
| Ngā mate o te ngakau me te pūnaha tohanga toto | Te toto toto tiketike (hypertension) |
| Ngā mate urutā | HIV, Toxoplasmosis, Leishmaniasis, ngā mate huakita kino o ngā pakiaka niho |
| Ngā āhuatanga pākia | Mate Huka (Momo Mate Huka 2) |
| Ngā raruraru i te wā e hapu ana | Ngā āhuatanga pēnei i te Preeclampsia me te Eclampsia |
| Te korenga o te hāora (Anoxia) | Te paihana waro haukini, te noho i ngā teitei teitei (neke atu i te 12,000 putu) |
| Ngā whara | Ngā whara o te upoko (ngā whara o te roro, ngā whara roro whara - TBI), ngā whara kanohi, te mate pēpi wiri |
Me pēhea te rongoā mō tēnei?
Ko te mea nui i konei, kāore he huarahi hei rongoā tika i ngā ira Roth nā te mea ehara i te mate, engari he tohu noa iho o tētahi mate.
Nō reira, ehara te rongoā i te mea mō te ira Roth tonu, engari mō te mate taketake i puta ai . Hei tauira, mēnā ko te mate huka kāore i te whakahaeretia te take o te ira, ka rongoā te tākuta i te mate huka hei whakahaere. Mēnā ko te toto toto tiketike te take, ka rongoāhia. Mēnā he mate pāwera te take, ka hoatu he paturopi mō taua mate.
Mā tō tākuta e whakatau te rongoā pai rawa atu mō tēnei. Ina rongoātia te pūtake o te mate, ka memeha haere ēnei ira.
Ka aha mēnā ka kore e rongoatia?
He tohu whakatūpato ngā ira Roth. Ahakoa kāore pea te ira tonu e tino kino, he maha ngā wā ka kino, ka morearea hoki te mate e puta ai ēnei ira.
Whakaarohia, ki te kite tō tākuta kanohi i tētahi wāhi pēnei, ka tukuna koe e ia ki tētahi kaiwhakarato ratonga hauora tuatahi. Kātahi ka whakahaerehia e taua tākuta ngā whakamātautau e tika ana (pēnei i ngā whakamātautau toto, ngā matawai) hei rapu i te tino take o ēnei wāhi. Kia kitea te take, ka tīmata ia i te maimoatanga, ka tukuna rānei koe e ia ki tētahi tohunga e tika ana (hei tauira, te tākuta ngakau, te tākuta mate pukupuku).
Nō reira, ki te kite koe i tētahi ira, kaua e warewaretia. He karere nui tēnei e tukuna ana e tō tinana ki a koe. Ki te whakarongo koe ki taua karere, ā, ki te mahi i tā tō tākuta e kī ai, ka taea e koe te whakatau i mua i te nui haere o te raruraru.
Karere Tangohia ki te Kāinga
- Ko ngā ira Roth he momo ira e puta mai ana i roto i te kanohi. Ehara i te mate, engari he tohu nō tētahi atu mate.
- Kāore e taea e koe te kite, te pā atu rānei i ēnei mea ki te whakaata. Ko te tākuta anake e whakamahi ana i ngā taputapu motuhake ka taea te kite.
- Ki te kite koe i ēnei ira, he tohu tērā pea he raruraru hauora kei tētahi atu wāhanga o te tinana (hei tauira, te mate huka, te toto toto tiketike, te mate pāwera, te mate pukupuku).
- Ko te mea nui kia kaua e mataku, me toro atu ki tō tākuta , me kimi te tino pūtake o ēnei ira, ā, me rongoā.
- Kia rongoatia te mate taketake, ka memeha haere ngā ira Roth.
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