Mlembi: Gregory Harris
Tsiku La Chilengedwe: 10 Epulo 2021
Sinthani Tsiku: 19 Novembala 2024
Anonim
Kuwona zaumoyo kwa amuna azaka 40 mpaka 64 - Mankhwala
Kuwona zaumoyo kwa amuna azaka 40 mpaka 64 - Mankhwala

Muyenera kupita kwa omwe amakuthandizani azaumoyo pafupipafupi, ngakhale mutakhala athanzi. Cholinga cha maulendo awa ndi:

  • Sewero lazokhudza zamankhwala
  • Unikani ziwopsezo zanu zamtsogolo zamankhwala
  • Limbikitsani moyo wathanzi
  • Sinthani katemera
  • Kukuthandizani kuti mudziwane ndi omwe amakupatsani mwayi wodwala

Ngakhale mukumva bwino, muyenera kumaonana ndi omwe amakupatsani maulendowa nthawi zonse. Maulendowa atha kukuthandizani kupewa mavuto mtsogolo. Mwachitsanzo, njira yokhayo yodziwira ngati muli ndi vuto la kuthamanga magazi ndi kukayezetsa pafupipafupi. Shuga wamagazi ambiri komanso kuchuluka kwama cholesterol mthupi mwina sizingakhale ndi zizindikilo kumayambiliro. Kuyesa magazi kosavuta kumatha kuwunika izi.

Pali nthawi zina zomwe muyenera kuwona omwe amakupatsani. Pansipa pali malangizo owunikira azaka zapakati pa 40 ndi 64.

KUSINTHA KWA MWAZI

  • Onetsetsani kuti magazi anu ayang'ane kamodzi zaka ziwiri zilizonse. Ngati nambala yayikulu (systolic number) ikuchokera 120 mpaka 139 mm Hg, kapena nambala yapansi (diastolic number) ikuchokera 80 mpaka 89 mm Hg, muyenera kuyiyang'ana chaka chilichonse.
  • Ngati nambala yayikulu ndi 130 kapena kupitilira apo kapena nambala yapansi ndi 80 kapena kupitilira apo, konzani nthawi yokumana ndi omwe akukuthandizani kuti muphunzire momwe mungachepetse kuthamanga kwa magazi.
  • Ngati muli ndi matenda a shuga, matenda a mtima, mavuto a impso, kapena mavuto ena, mungafunike kuyezetsa magazi anu pafupipafupi, komabe kamodzi pachaka.
  • Onetsetsani kuyezetsa magazi m'dera lanu. Funsani omwe akukuthandizani ngati mungayime kuti mupimidwe magazi anu.

KUYANG'ANIRA KWA CHOLESTEROL NDI MTIMA KUDZITETEZA


  • Kulimbikitsidwa koyambira zaka zowunika cholesterol ndi zaka 35 kwa amuna omwe alibe zoopsa zomwe zimayambitsa matenda amtima.
  • Mukangoyamba kuyesa khungu la cholesterol, mafuta anu ayenera kuyang'aniridwa zaka zisanu zilizonse.
  • Bwerezerani kuyesa posachedwa ngati pakufunika kusintha ngati moyo wanu (kuphatikizapo kunenepa ndi zakudya).
  • Ngati muli ndi cholesterol, matenda ashuga, matenda amtima, mavuto a impso, kapena zina, mungafunike kuyang'aniridwa pafupipafupi.

KUSINTHA KWA KHANSA YAMAKONO

Ngati simunakwanitse zaka 50, lankhulani ndi omwe amakupatsani mwayi woti ayesedwe. Muyenera kuwunikidwa ngati muli ndi mbiri yolimba ya khansa yam'matumbo kapena tizilombo tating'onoting'ono. Kuwunika kumatha kuganiziridwanso ngati mungakhale pachiwopsezo monga mbiri ya matenda opatsirana kapena ma polyps.

Ngati muli ndi zaka 50 mpaka 75, muyenera kuyesedwa ngati muli ndi khansa yoyipa. Pali mayeso angapo owunikira omwe akupezeka:

  • Kuyesa kwamatsenga kwamagazi (chopondapo) kumachitika chaka chilichonse
  • Kuyezetsa magazi (FIT) chaka chilichonse
  • Kuyesa kwa chopondapo zaka zitatu zilizonse
  • Kusintha sigmoidoscopy zaka zisanu zilizonse
  • Kawiri kawiri kusiyanitsa barium enema zaka zisanu zilizonse
  • CT colonography (pafupifupi colonoscopy) zaka zisanu zilizonse
  • Colonoscopy zaka khumi zilizonse

Mungafunike colonoscopy nthawi zambiri ngati muli pachiwopsezo cha khansa yoyipa, monga:


  • Zilonda zam'mimba
  • Mbiri yaumwini kapena yabanja ya khansa yoyipa
  • Mbiri yakukula komwe kumatchedwa adenomatous polyps

KUYESA KWA MANO

  • Pitani kwa dotolo wamano kamodzi kapena kawiri chaka chilichonse kukayezetsa ndi kuyeretsa. Dokotala wanu wa mano adzawunika ngati mukufunikira kuyendera pafupipafupi.

KUKHALA KWA ASUKU

  • Ngati muli ndi zaka zopitilira 44, muyenera kuwunikidwa zaka zitatu zilizonse.
  • Kukhala ndi BMI yoposa 25 kumatanthauza kuti ndiwe wonenepa kwambiri. Ngati mukulemera kwambiri, funsani omwe akukuthandizani ngati muyenera kuwunika mukadali achichepere. Anthu aku Asia aku America ayenera kuwunikidwa ngati BMI yawo ili yayikulu kuposa 23.
  • Ngati kuthamanga kwa magazi kukuposa 130/80 mm Hg, kapena muli ndi zifukwa zina zoopsa za matenda ashuga, omwe amakupatsani mayeso angayese kuchuluka kwa shuga m'magazi anu.

Mayeso a Diso

  • Muziyezetsa maso pazaka ziwiri kapena zinayi zilizonse zapakati pa 40 mpaka 54 komanso zaka 1 mpaka 3 zilizonse zapakati pa 55 ndi 64. Woperekayo angakulimbikitseni kuyesedwa kwamaso pafupipafupi ngati muli ndi vuto la kuwona kapena khungu la glaucoma.
  • Yesani kuyezetsa maso chaka chilichonse ngati mukudwala matenda ashuga.

MAJOMBO


  • Muyenera kulandira chimfine chaka chilichonse.
  • Funsani omwe akukuthandizani ngati mungapeze katemera kuti muchepetse chiopsezo cha matenda a pneumococcal (chimayambitsa mtundu wa chibayo).
  • Muyenera kukhala ndi katemera wa tetanus-diphtheria ndi acellular pertussis (Tap) kamodzi ngati gawo la katemera wanu wa tetanus-diphtheria ngati simunalandire kale muli achinyamata. Muyenera kukhala ndi chilimbikitso cha tetanus-diphtheria zaka khumi zilizonse.
  • Mutha kupeza katemera wa shingles kapena herpes zoster ali ndi zaka 50.
  • Wothandizira anu akhoza kulimbikitsa katemera wina ngati muli pachiopsezo china.

KUDZIWA KWAMBIRI KWA MATENDA

  • US Preventive Services Task Force ikulimbikitsa kuwunika kwa hepatitis C.
  • Kutengera momwe mumakhalira komanso mbiri yazachipatala, mungafunike kuunikidwa ngati muli ndi chindoko, chlamydia, HIV, komanso matenda ena.

KULIMBIKITSA KHANSA YA MANGU

Muyenera kukhala ndi kafukufuku wapachaka wa khansa yam'mapapo yomwe ili ndi low-computed tomography (LDCT) ngati:

  • Muli ndi zaka zopitilira 55 NDI
  • Muli ndi mbiri ya zaka 30 zosuta fodya NDI
  • Panopa mukusuta kapena mwasiya zaka 15 zapitazi

KUFUNA KWAMBIRI

  • Ngati muli ndi zaka 50 mpaka 70 ndipo muli ndi zoopsa za kufooka kwa mafupa, muyenera kukambirana zowunikira ndi omwe amakupatsani.
  • Zowopsa zitha kuphatikizira kugwiritsa ntchito steroid kwa nthawi yayitali, kuchepa thupi, kusuta, kumwa mowa kwambiri, kuphwanyidwa utakwanitsa zaka 50, kapena mbiri ya banja ya kufooka kwa mafupa.

Mayeso athupi

  • Magazi anu ayenera kuyang'aniridwa osachepera chaka chilichonse.
  • Omwe amakupatsani mwayi angakulimbikitseni kuti muwone cholesterol wanu zaka zisanu zilizonse ngati muli pachiwopsezo cha matenda amtima.
  • Kutalika kwanu, kulemera kwanu, komanso kuchuluka kwa thupi lanu (BMI) kuyenera kuyang'aniridwa pamayeso aliwonse.

Mukamayesa mayeso, omwe amakupatsani akhoza kukufunsani za:

  • Matenda okhumudwa
  • Zakudya ndi masewera olimbitsa thupi
  • Kumwa mowa ndi fodya
  • Chitetezo, monga kugwiritsa ntchito malamba okhala ndi zotsekemera za utsi

KULIMBIKITSA KHANSA YAFUFU

Ngati muli ndi zaka 55 mpaka 69, musanayesedwe, lankhulani ndi omwe amakupatsani mwayi wopeza mayeso a PSA. Funsani za:

  • Kaya kuwunika kumachepetsa mwayi wanu wakufa ndi khansa ya prostate.
  • Kaya pali vuto lililonse kuchokera pakuwunika khansa ya prostate, monga zoyipa zoyesedwa kapena kuchuluka kwa khansa zikapezeka.
  • Kaya muli pachiwopsezo chachikulu cha khansa ya prostate kuposa ena.

Ngati muli ndi zaka 55 kapena zochepa, kuwunika sikulimbikitsidwa. Muyenera kulankhula ndi omwe amakupatsani ngati muli pachiwopsezo chachikulu cha khansa ya prostate. Zowopsa ndi izi:

  • Kukhala ndi mbiri yabanja ya khansa ya prostate (makamaka mchimwene kapena bambo)
  • Kukhala African American
  • Ngati mwasankha kukayezetsa, kuyezetsa magazi kwa PSA kumabwerezedwa pakapita nthawi (pachaka kapena kangapo), ngakhale mayendedwe abwino sakudziwika.
  • Mayeso a Prostate sachitiranso amuna omwe alibe zisonyezo.

KUYESA KWA Khungu

  • Wopereka chithandizo wanu amatha kuwona khungu lanu ngati ali ndi khansa yapakhungu, makamaka ngati muli pachiwopsezo chachikulu. Anthu omwe ali pachiwopsezo chachikulu ndi omwe adakhalapo ndi khansa yapakhungu m'mbuyomu, abale awo apamtima omwe ali ndi khansa yapakhungu, kapena chitetezo chamthupi chofooka.

NTHAWI YOYESA

  • US Prestive Services Task Force (USPSTF) tsopano ikulimbikitsa kuti musadzipime nokha. Kuyesa mayeso a testicular kwawonetsedwa kuti kulibe phindu.

Ulendo wokonzanso zaumoyo - amuna - zaka 40 mpaka 64; Kuyezetsa thupi - amuna - zaka 40 mpaka 64; Mayeso apachaka - amuna - zaka 40 mpaka 64; Kufufuza - amuna - zaka 40 mpaka 64; Thanzi la amuna - zaka 40 mpaka 64; Njira zodzitetezera - amuna - azaka 40 mpaka 64

  • Khansa ya prostate
  • Kufooka kwa mafupa
  • Zotsatira zakubadwa kuthamanga kwa magazi
  • Mayeso amatsenga amatsenga

Komiti Yaupangiri pa Katemera. Ndondomeko yovomerezeka ya katemera kwa akulu azaka zapakati pa 19 kapena kupitilira apo, United States, 2020. www.cdc.gov/vaccines/schedules/index.html. Idasinthidwa pa February 3, 2020. Idapezeka pa Epulo 18, 2020.

Tsamba la American Academy of Ophthalmology. Mawu azachipatala: pafupipafupi mayeso ocular - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Idasinthidwa pa Marichi 2015. Idapezeka pa Epulo 18, 2020.

Tsamba la American Dental Association. Mafunso anu apamwamba 9 okhudza kupita kwa dokotala wa mano - ayankhidwa. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Idapezeka pa Epulo 18, 2020.

Bungwe la American Diabetes Association. 2. Gulu ndi matenda a shuga: miyezo ya chithandizo chamankhwala ashuga - 2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S14-S31. PMID: 31862745 adasankhidwa.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. Kuyesedwa kwanthawi zonse. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 12.

Cosman F, wochokera kwa Beur SJ, LeBoff MS, et al. Upangiri wazachipatala popewa komanso kuchiza matenda a kufooka kwa mafupa. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubed.ncbi.nlm.nih.gov/25182228/.

Grundy SM, Mwala NJ, Bailey AL, et al.2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Malangizo pa kasamalidwe ka cholesterol m'mwazi: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Malangizo [kukonza kofalitsa kumapezeka mu J Am Coll Cardiol. 2019 Juni 25; 73 (24): 3237-3241]. J Ndine Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubed.ncbi.nlm.nih.gov/30423393/.

Mazzone PJ, Silvestri GA, Patel S, ndi al. Kuunikira khansa yamapapu: Ndondomeko ya CHEST ndi Lipoti la Akatswiri. Pachifuwa. 2018; 153 (4): 954-985. (Adasankhidwa) PMID: 29374513 pubed.ncbi.nlm.nih.gov/29374513/.

Meschia JF, Bushnell C, Boden-Albala B, ndi al. Maupangiri othandizira kupewa kupwetekedwa: mawu a akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2014; 45 (12): 3754-3832. (Adasankhidwa) PMID: 25355838 pubed.ncbi.nlm.nih.gov/25355838/.

Moyer VA; Gulu Lankhondo Loteteza ku US. Kuunikira khansa yam'mapapo: Ndemanga za US Preventive Services Task Force. Ann Intern Med. 2014; 160 (5): 330-338. PMID: 24378917 adasankhidwa.ncbi.nlm.nih.gov/24378917/.

Ridker PM, Libby P, Kulipira JE. Zizindikiro zowopsa komanso kupewa koyambirira kwamatenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 45.

Siu AL; Gulu Lankhondo Loteteza ku US. Kuyeza kuthamanga kwa magazi kwa achikulire: Ndemanga yothandizidwa ndi US Preventive Services Task Force. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, ndi al. Kuunika kwa khansa ku United States, 2019: kuwunikanso malangizo apano a American Cancer Society komanso zovuta zaposachedwa pakuwunika khansa. CA Khansa J Clin. 2019; 69 (3): 184-210. (Adasankhidwa) PMID: 30875085 pubed.ncbi.nlm.nih.gov/30875085/.

US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Kuunikira khansa yapakhungu: Ndemanga yothandizidwa ndi US Preventive Services Task Force. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubed.ncbi.nlm.nih.gov/27458948/.

Tsamba la US Preventive Services Task Force. Ndemanga yomaliza. Kuwonetsetsa kwa khansa yoyipa. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Idasindikizidwa pa June 15, 2016. Idapezeka pa Epulo 18, 2020.

Tsamba la US Preventive Services Task Force. Ndemanga yomaliza. Matenda a Hepatitis C mwa achinyamata ndi achikulire: kuwunika. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Idasindikizidwa pa Marichi 2, 2020. Idapezeka pa Epulo 19, 2020.

Tsamba la US Preventive Services Task Force. Ndemanga yomaliza. Khansa ya prostate: kuyezetsa. www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening. Idasindikizidwa pa Meyi 8, 2018. Idapezeka pa Epulo 18, 2020.

Tsamba la US Preventive Services Task Force. Ndemanga yomaliza. Khansara ya testicular: kuwunika. www.uspreventiveservicestaskforce.org/uspstf/recommendation/testicular-cancer-screening. Idasindikizidwa pa Epulo 15, 2011. Idapezeka pa Epulo 19, 2020.

Whelton PK, Carey RM, Aronow WS, ndi al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Malangizo oletsa kupewa, kuzindikira, kuyesa, ndi kuwongolera kuthamanga kwa magazi mwa achikulire: lipoti la American College of Cardiology / American Gulu Lantchito ya Mtima pa Maupangiri Achipatala [kukonzanso kofalitsa kumapezeka mu J Am Coll Cardiol. 2018 Meyi 15; 71 (19): 2275-2279]. J Ndine Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubed.ncbi.nlm.nih.gov/29146535/.

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