Kodi munayamba mwapimidwa maso ndipo dokotala anayang'ana mkati mwa diso lanu ndi chida chapadera nati, "Ndikuona kadontho kakang'ono mkati mwa diso langa"? Ndizachibadwa kumva mantha pang'ono mukamva zimenezo. Koma musadandaule. Madontho awa, kapena 'Madontho a Roth', ndi zizindikiro zomwe nthawi zambiri sitimaziona kuchokera kunja, koma zingakhale zofunikira kwambiri zokhudza thanzi lathu. Choncho tiyeni tikambirane za izi mosavuta komanso mwaulemu lero.
Kodi Roth Spots ndi chiyani kwenikweni?
Mwachidule, madontho a Roth ndi kutuluka magazi pang'ono komwe kumachitika mu nembanemba yomvera mkati mwa maso athu yotchedwa retina. Taganizirani maso athu ngati kamera. Pakhoma lakumbuyo la kamera imeneyo pali nembanemba iyi yotchedwa retina. Apa ndi pomwe zithunzi za zinthu zomwe timaziona zimajambulidwa.
Pali netiweki yabwino kwambiri ya mitsempha yamagazi yomwe imafalikira mu retina yonse ngati ukonde wa kangaude. Ngati pazifukwa zina dontho laling'ono la magazi likutuluka kuchokera mu imodzi mwa mitsempha iyi yamagazi, ndi zomwe dokotala amaona ngati malo a Roth.
Chofunika ndichakuti, simungathe kuwona madontho awa mukayang'ana pagalasi . Ndipo palibe wina amene angawaone akangoyang'ana maso anu. Kuti muwaone, mufunika chipangizo chapadera, monga nyali yotchinga kapena ophthalmoscope, yomwe dokotala wa maso amagwiritsa ntchito.
Kawirikawiri, madontho amenewa sakhudza masomphenya anu. Komabe, nthawi zambiri, ngati madonthowa amapezeka pakati pa retina, gawo lotchedwa macula, lomwe limatithandiza kuwona patsogolo, mungazindikire kusintha pang'ono kwa masomphenya anu.
Kodi madontho awa amawoneka bwanji?
Dokotala akayang'ana pogwiritsa ntchito chipangizocho, retina yathanzi nthawi zambiri imawoneka ngati mtundu wa lalanje-chikasu. Dothi la Roth limaonekera bwino motsutsana ndi maziko awa mu mtundu wakuda. Ndi dothi lofiira lakuda, lofiirira. Pali kadontho kakang'ono koyera pakati pa malowa.
Sayansi yomwe ili kumbuyo kwa izi ndi yosavuta kwambiri. Gawo lakuda ndi magazi omwe atuluka m'mitsempha. Dothi loyera pakati ndi chizindikiro chakuti malo otuluka magazi atsekedwa ndipo akuyamba kuchira chifukwa cha njira yachilengedwe yotsekerera magazi m'thupi lathu (hemostasis). Zili ngati kuyika pulasitala pa bala laling'ono, zomwe thupi limachita kuchokera mkati.
Nchifukwa chiyani ma Roth Spots awa amapezeka?
Kale, m'zaka za m'ma 1800, asayansi ankaganiza kuti mabala a Roth amayamba chifukwa cha matenda otchedwa ``Infective Endocarditis.'' Uwu ndi matenda omwe amapezeka mkati mwa mtima, makamaka ma valve a mtima. Matendawa angayambitsidwe ndi zinthu monga mabakiteriya ndi mavairasi.
Tangoganizani kuti magazi ang'onoang'ono omwe ali ndi kachilomboka omwe amapangidwa chifukwa cha matendawa mumtima amayenda m'thupi lonse ndi magazi. Pamene akuyenda, magazi amenewa amatha kulowa mu mtsempha wamagazi wabwino kwambiri mkati mwa diso. Kenako mtsempha wamagaziwo umaphulika, kutuluka magazi, kenako n’kupanga malo otchedwa Roth spot.
Komabe, kafukufuku watsopano wapeza kuti `Infective Endocarditis` si matenda okhawo omwe amayambitsa mabala a Roth. Ndipotu, ndi ochepa chabe mwa milandu, pafupifupi 5%. Mabala a Roth akhoza kukhala chizindikiro cha matenda osiyanasiyana.
Tiyeni tiwone zina mwa zifukwa zimenezo mu tebulo ili m'munsimu.
| Gulu la zifukwa zomwe zingatheke | Zitsanzo |
|---|---|
| Matenda a magazi | Kuchepa kwa magazi m'thupi, Thrombocytopenia |
| Khansa | Zinthu monga khansa ya m'magazi ndi Multiple Myeloma |
| Matenda a autoimmune | Matenda monga Lupus (SLE), matenda a Behçet |
| Matenda a mtima ndi kayendedwe ka magazi | Kuthamanga kwa magazi (BP) |
| Matenda | HIV, Toxoplasmosis, Leishmaniasis, matenda oopsa a bakiteriya m'mizu ya dzino |
| Matenda a kagayidwe kachakudya | Matenda a Shuga (Mtundu wachiwiri wa Matenda a Shuga) |
| Mavuto omwe angakhalepo panthawi ya mimba | Matenda monga Preeclampsia ndi Eclampsia |
| Kusowa kwa mpweya (Anoxia) | Kuopsa kwa carbon monoxide, komwe kumakhala pamalo okwera kwambiri (oposa mamita 12,000) |
| Kuvulala | Kuvulala mutu (Kugwedezeka kwa mitsempha, Kuvulala kwa ubongo koopsa - TBIs), kuvulala kwa maso, matenda a mwana wogwedezeka |
Kodi izi zimachiritsidwa bwanji?
Chofunika apa ndichakuti palibe njira yochiritsira mwachindunji mabala a Roth chifukwa si matenda, koma chizindikiro cha matenda okha.
Chifukwa chake, chithandizochi sichili cha malo a Roth okha, koma cha vuto lomwe linayambitsa matendawa . Mwachitsanzo, ngati malowo ayambitsidwa ndi matenda a shuga osalamulirika, dokotalayo adzachiza matenda a shuga kuti awathetse. Ngati ayambitsidwa ndi kuthamanga kwa magazi, adzachiritsidwa. Ngati ayambitsidwa ndi matenda, maantibayotiki adzaperekedwa pa matendawo.
Dokotala wanu adzasankha chithandizo chabwino kwambiri pa izi. Ngati chifukwa chake chachiritsidwa bwino, madonthowa amatha pang'onopang'ono.
Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?
Mabala a Roth ali ngati chizindikiro chochenjeza. Ngakhale kuti malowo pawokha sangavulaze kwambiri, vuto lomwe limayambitsa matendawa nthawi zambiri limakhala lalikulu komanso loopsa .
Tangoganizirani, ngati dokotala wanu wa maso awona malo ngati awa, adzakutumizani kwa dokotala wamkulu. Kenako, dokotalayo adzachita mayeso ofunikira (monga kuyeza magazi, kusanthula) kuti adziwe chomwe chimayambitsa malowa. Akapeza chifukwa chake, adzayamba kulandira chithandizo yekha kapena kukutumizani kwa katswiri woyenera (monga dokotala wa mtima, katswiri wa khansa).
Choncho, ngati mwaona malo, musawanyalanyaze. Ndi uthenga wofunika kwambiri womwe thupi lanu likukupatsani. Ngati mumvera uthengawo ndikuchita zomwe dokotala wanu akunena, mutha kuthetsa vutolo lisanakhale vuto lalikulu.
Uthenga Wopita Nawo Kunyumba
- Mabala a Roth ndi mtundu wa banga lomwe limawonekera mkati mwa diso. Si matenda, koma chizindikiro cha matenda ena.
- Simungathe kuona kapena kumva zinthuzi ndi galasi. Dokotala yekha amene amagwiritsa ntchito zipangizo zapadera ndi amene angazione.
- Ngati muwona mawanga awa, zikutanthauza kuti pakhoza kukhala vuto la thanzi kwina m'thupi (monga matenda a shuga, kuthamanga kwa magazi, matenda, khansa).
- Chofunika kwambiri ndichakuti musachite mantha, pitani kwa dokotala wanu , fufuzani chifukwa chenicheni cha mawanga awa, ndikuchiza.
- Matenda oyambawo akachiritsidwa, mabala a Roth nthawi zambiri amatha okha.
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