Ese wigeze ukorerwa isuzuma ry'amaso maze muganga akagusuzuma mu jisho ryawe akoresheje igikoresho cyihariye akakubwira ati "Mbona akantu gato mu jisho ryanjye"? Ni ibisanzwe kumva ufite ubwoba gato iyo ubyumvise. Ariko ntugahangayike. Utu tudomo, cyangwa 'udukoko twa Roth', ni ibimenyetso tudakunze kubona inyuma, ariko bishobora kuba amakuru y'ingenzi cyane ku buzima bwacu. Reka tubiganireho mu buryo bworoshye kandi bw'ikinyabupfura uyu munsi.
Roth Spots ni iki mu by'ukuri?
Mu magambo make, uduce twa Roth ni utuntu duto tuva amaraso tuba mu ruhu rw’amaso rwacu rwitwa retina. Tekereza amaso yacu nk’aho ari kamera. Ku rukuta rw’inyuma rw’iyo kamera hari uru ruhu rwitwa retina. Aha niho amashusho y’ibintu tubona afatwa.
Hari urusobe rwiza cyane rw'imitsi y'amaraso ikwirakwira muri retina nk'urushundura rw'igitagangurirwa. Niba ku mpamvu runaka havuyemo igitonyanga gito cy'amaraso muri imwe muri iyi mitsi, ni cyo muganga abona nk'ahantu hameze nk'aho ari Roth.
Igikuru ni uko udashobora kubona ibi bintu iyo urebye mu ndorerwamo . Kandi nta wundi muntu ushobora kubibona iyo arebye amaso yawe gusa. Kugira ngo ubibone, ukeneye igikoresho cyihariye, nk'itara ry'amaso cyangwa ophthalmoscope, umuhanga mu by'amaso akoresha.
Ubusanzwe, utu duce ntabwo tugira ingaruka ku kureba kwawe. Ariko, ni gake cyane, iyo utu duce tugaragara hagati muri retina, igice cyitwa macula, kidufasha kureba imbere, ushobora kubona impinduka nto mu kureba kwawe.
Utu duce tugaragara gute?
Iyo muganga arebye muri icyo gikoresho, retina nzima ikunze kugaragara nk'umuhondo n'icunga. Akadomo ka Roth kagaragara neza muri ako gace k'ibara ryijimye. Ni agatotsi k'umutuku wijimye, gafite ibara ry'umutuku. Hari akadomo gato k'umweru hagati muri ako gace.
Ubumenyi bw'ibi buri inyuma y'ibi bworoshye cyane. Igice cyijimye ni amaraso yavuye mu mitsi. Akadomo kera hagati ni ikimenyetso cy'uko aho amaraso ava yafunze kandi ko atangiye gukira bitewe n'imikorere y'umubiri wacu yo kuvura amaraso (hemostasis). Ni nko gushyira plaster ku gikomere gito, ari na byo umubiri ukora imbere.
Kuki izi Roth Spots zibaho?
Mu gihe cyashize, mu myaka ya 1800, abahanga mu bya siyansi babanje gutekereza ko uduce twa Roth duterwa n'indwara yitwa "Infective Endocarditis." Iyi ni indwara igaragara mu mutima, cyane cyane mu miyoboro y'umutima. Iyi ndwara ishobora guterwa n'ibintu nka bagiteri na virusi.
Tekereza ko uduce duto tw’amaraso twanduye twatewe n’iyi ndwara mu mutima tugenda mu mubiri wose hamwe n’amaraso. Uko bigenda, iyi ngingo y’amaraso ishobora gufata umutsi muto cyane w’amaraso uri mu jisho. Hanyuma uwo mutsi w’amaraso uraturika, ukava amaraso, hanyuma hakavuka akadomo ka Roth.
Ariko, ubushakashatsi bushya bwagaragaje ko `Infectious Endocarditis` atari yo yonyine itera uduheri twa Roth. Mu by'ukuri, igaragara ku kigero gito cy'abarwayi, hafi 5%. Uduheri twa Roth dushobora kuba ikimenyetso cy'indwara zitandukanye cyane.
Reka turebe zimwe muri izo mpamvu mu mbonerahamwe iri hepfo.
| Icyiciro cy'impamvu zishobora kubaho | Ingero |
|---|---|
| Indwara z'amaraso | Anemia, Thrombocytopenia |
| Kanseri | Indwara nka Leukemia na Multiple Myeloma |
| Indwara z'ubudahangarwa bw'umubiri | Indwara nka Lupus (SLE), indwara ya Behçet |
| Indwara z'umutima n'imiyoboro y'amaraso | Umuvuduko ukabije w'amaraso (Hypertension) |
| Indwara zandurira mu mubiri | VIH, Toxoplasmose, Leishmaniasis, indwara zikomeye zandurira mu mizi y'amenyo |
| Imiterere y'imikorere y'umubiri | Diyabete (Diyabete yo mu bwoko bwa 2) |
| Ingorane mu gihe cyo gutwita | Indwara nka Preeclampsia na Eclampsia |
| Kubura umwuka wa ogisijeni (Anoxia) | Uburozi bwa monoxide ya karuboni, buri ku misozi miremire (hejuru ya metero 12.000) |
| Ibikomere | Ibikomere byo mu mutwe (Kubabara mu bwonko, Ibikomere byo mu bwonko bikomeretsa umutima - Ibikomere byo mu maso, indwara y'uruhinja rwa Shaken |
Ibi bivurwa bite?
Icy'ingenzi hano ni uko nta buryo bwo kuvura ubwandu bwa Roth kuko atari indwara, ahubwo ni ikimenyetso cy'indwara gusa.
Kubwibyo, ubuvuzi si ubwa Roth spot, ahubwo ni indwara y’ibanze yabuteye . Urugero, niba icyo kibazo giterwa na diyabete idakora neza, muganga azavura diyabete kugira ngo ayigenzure. Niba giterwa n’umuvuduko ukabije w’amaraso, kizavurwa. Niba giterwa n’ubwandu, hatangwa imiti yica udukoko kuri ubwo bwandu.
Muganga wawe ni we uzagena uburyo bwiza bwo kuvura ibi. Iyo impamvu nyamukuru ivuwe neza, ibi byatsi bizagenda bishira buhoro buhoro.
Bigenda bite iyo idavuwe?
Udukoko twa Roth ni nk'ikimenyetso cy'umuburo. Nubwo ako gace ubwako gashobora kuba kadafite ingaruka nyinshi, indwara itera iyo ndwara akenshi ishobora kuba ikomeye kandi iteje akaga .
Tekereza, niba umuganga wawe w'amaso abonye ahantu nk'aha, azakujyana kwa muganga w'ibanze. Hanyuma, uwo muganga azakora ibizamini bikenewe (nk'ibipimo by'amaraso, gupima) kugira ngo amenye impamvu nyayo y'aho hantu. Iyo hamaze kuboneka impamvu, azatangira kuvurwa ubwe cyangwa agushyikirize inzobere ibishinzwe (urugero: inzobere mu by'umutima, inzobere mu by'indwara za kanseri).
Rero, niba ubonye ahantu runaka, ntukirengagize. Ni ubutumwa bw'ingenzi umubiri wawe uguha. Iyo wumvirije ubwo butumwa kandi ugakora ibyo muganga akubwira, ushobora kugikemura mbere yuko kiba ikibazo gikomeye.
Ubutumwa bwo kujyana mu rugo
- Uduheri twa Roth ni ubwoko bw'akadomo kagaragara mu jisho. Ntabwo ari indwara, ahubwo ni ikimenyetso cy'indi ndwara.
- Ntabwo ushobora kubona cyangwa kumva ibi bintu ukoresheje indorerwamo. Umuganga ukoresha ibikoresho byihariye ni we wenyine ushobora kubibona.
- Iyo ubonye utu duce, bivuze ko hashobora kuba hari ikibazo cy'ubuzima ahandi mu mubiri (urugero: diyabete, umuvuduko ukabije w'amaraso, ubwandu, kanseri).
- Igikuru ni ukudatinya, kureba muganga wawe , kumenya impamvu nyayo y’ibi byatsi, no kubivura.
- Iyo indwara yavuyeho imaze kuvurwa, ibisebe bya Roth bikunze kugenda ubwabyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment