Onkọwe Ọkunrin: Mark Sanchez
ỌJọ Ti ẸDa: 27 OṣU Kini 2021
ỌJọ ImudojuiwọN: 21 OṣUṣU 2024
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O yẹ ki o ṣabẹwo si olupese itọju ilera rẹ lati igba de igba, paapaa ti o ba ni ilera. Idi ti awọn abẹwo wọnyi ni lati:

  • Iboju fun awọn ọran iṣoogun
  • Ṣe ayẹwo eewu rẹ fun awọn iṣoro iṣoogun ọjọ iwaju
  • Iwuri fun igbesi aye ilera
  • Ṣe imudojuiwọn awọn ajesara
  • Ṣe iranlọwọ fun ọ lati mọ olupese rẹ ni ọran ti aisan

Paapa ti o ba ni irọrun, o yẹ ki o tun rii olupese rẹ fun awọn ayẹwo nigbagbogbo. Awọn abẹwo wọnyi le ṣe iranlọwọ fun ọ lati yago fun awọn iṣoro ni ọjọ iwaju. Fun apẹẹrẹ, ọna kan lati wa boya o ni titẹ ẹjẹ giga ni lati jẹ ki o ṣayẹwo nigbagbogbo. Suga ẹjẹ giga ati awọn ipele idaabobo awọ giga tun le ma ni awọn aami aisan eyikeyi ni awọn ipele ibẹrẹ. Idanwo ẹjẹ ti o rọrun le ṣayẹwo fun awọn ipo wọnyi.

Awọn akoko kan wa nigbati o yẹ ki o rii olupese rẹ. Ni isalẹ ni awọn itọnisọna waworan fun awọn obinrin ti o wa ni ọdun 65 ati agbalagba.

ẸRẸ IJẸ ẸRẸ

  • Jẹ ki a ṣayẹwo titẹ ẹjẹ rẹ ni o kere ju lẹẹkan ni ọdun kọọkan. Ti nọmba oke (nọmba systolic) wa laarin 120 ati 139 tabi nọmba isalẹ (nọmba diastolic) wa laarin 80 ati 89 mm Hg tabi ga julọ, jẹ ki o ṣayẹwo ni gbogbo ọdun.
  • Ti nọmba oke ba jẹ 130 tabi tobi tabi nọmba isalẹ jẹ 80 tabi ju bẹẹ lọ, ṣeto ipinnu lati pade pẹlu olupese rẹ lati kọ bi o ṣe le dinku titẹ ẹjẹ rẹ.
  • Ti o ba ni àtọgbẹ, aisan ọkan, awọn iṣoro kidinrin, tabi awọn ipo miiran kan, o le nilo lati ṣayẹwo titẹ ẹjẹ rẹ nigbagbogbo, ṣugbọn sibẹ o kere ju lẹẹkan lọdun.
  • Ṣọra fun awọn iṣayẹwo titẹ ẹjẹ ni agbegbe rẹ. Beere lọwọ olupese rẹ ti o ba le duro lati jẹ ki a ṣayẹwo titẹ ẹjẹ rẹ.

IWADI OHUN OYUN


  • Awọn obirin le ṣe idanwo ara-ọsan oṣooṣu kan. Sibẹsibẹ, awọn amoye ko gba nipa awọn anfani ti awọn idanwo ara ẹni igbaya ni wiwa aarun igbaya tabi fifipamọ awọn aye. Sọ fun olupese rẹ nipa ohun ti o dara julọ fun ọ.
  • Olupese rẹ le ṣe idanwo igbaya iwosan nigba idanwo idena rẹ. Awọn amoye ko gba lori anfani ti idanwo igbaya.
  • Awọn obinrin ti o to ọdun 75 yẹ ki o ni mammogram ni gbogbo ọdun 1 si 2, da lori awọn okunfa eewu wọn, lati ṣayẹwo fun aarun igbaya.
  • Awọn amoye ko gba lori awọn anfani ti nini mammogram fun awọn obinrin ti o wa ni ọdun 75 ati agbalagba. Diẹ ninu wọn ko ṣeduro nini mammogram lẹhin ọjọ-ori yii. Awọn miiran ṣeduro mammography fun awọn obinrin ni ilera to dara. Sọ fun olupese rẹ nipa ohun ti o dara julọ fun ọ.

IWADI IWADI OWO

  • Lẹhin ọjọ-ori 65, ọpọlọpọ awọn obinrin ti ko ni ayẹwo pẹlu aarun ọmọ inu tabi precancer le dẹkun nini ayẹwo Pap niwọn igba ti wọn ti ni awọn idanwo odi mẹta laarin ọdun mẹwa sẹhin.

IKILO ETO CHOLESTEROL ATI IDAGBASOKE ỌRUN


  • Ti ipele idaabobo rẹ ba jẹ deede, jẹ ki o tun ṣayẹwo ni o kere ju gbogbo ọdun marun 5.
  • Ti o ba ni idaabobo awọ giga, àtọgbẹ, aisan ọkan, awọn iṣoro kidinrin, tabi awọn ipo miiran kan, o le nilo lati ṣayẹwo ni igbagbogbo.

ÀWỌN ÀFIK CANN ỌRỌ AJC

Titi di ọdun 75, o yẹ ki o ni ibojuwo fun aarun awọ nipa igbagbogbo. Ti o ba jẹ ọmọ ọdun 76 tabi agbalagba, o yẹ ki o beere lọwọ dokita rẹ boya o yẹ ki o gba ayẹwo. Ọpọlọpọ awọn idanwo wa fun wiwa akàn awọ:

  • Ẹjẹ okunkun ti iṣan (orisun otita) ni gbogbo ọdun
  • Ayẹwo imunochemical fecal (FIT) ni gbogbo ọdun
  • Idanwo DNA ti otita ni gbogbo ọdun mẹta
  • Rọ sigmoidoscopy ni gbogbo ọdun marun 5
  • Iyatọ meji meji barium enema ni gbogbo ọdun marun 5
  • CT colonography (colonoscopy foju) ni gbogbo ọdun marun 5
  • Colonoscopy ni gbogbo ọdun mẹwa

O le nilo colonoscopy diẹ sii nigbagbogbo ti o ba ni awọn ifosiwewe eewu fun akàn aarun, pẹlu:

  • Ulcerative colitis
  • Ti ara ẹni tabi itan-akọọlẹ ẹbi ti aarun awọ
  • Itan-akọọlẹ ti awọn idagba ti a pe ni polyps adenomatous

EYONU IMO


  • Lọ si ehin lẹẹkan tabi lẹmeji ni gbogbo ọdun fun idanwo ati imototo. Onimọn rẹ yoo ṣe ayẹwo ti o ba ni iwulo fun awọn abẹwo si igbagbogbo.

SISAN IWADI OWO

  • Ti o ba jẹ ẹni ọdun 65 tabi agbalagba ati ni ilera to dara, o yẹ ki o wa ni ayewo fun àtọgbẹ ni gbogbo ọdun mẹta.
  • Ti o ba iwọn apọju ati pe o ni awọn ifosiwewe eewu miiran fun àtọgbẹ, beere lọwọ olupese rẹ boya o yẹ ki o wa ni ayewo nigbagbogbo.

IWADI OJU

  • Ṣe idanwo oju ni gbogbo ọdun 1 si 2.
  • Ṣe idanwo oju ni o kere ju ni gbogbo ọdun ti o ba ni àtọgbẹ.

Idanwo Gbo

  • Ṣe idanwo idanwo rẹ ti o ba ni awọn aami aiṣan ti pipadanu igbọran.

IRANLỌWỌ

  • Ti o ba ti kọja ọdun 65, gba awọn ajẹsara pneumococcal.
  • Gba abẹrẹ aisan ni gbogbo ọdun.
  • Gba igbelaruge teetanus-diphtheria ni gbogbo ọdun mẹwa.
  • O le gba shingles tabi ajesara aarun ajesara ni ọjọ-ori 50 tabi ju bẹẹ lọ.

IKIRAN AISAN ARA

  • Ẹgbẹ Agbofinro Awọn Iṣẹ Idena AMẸRIKA ṣe iṣeduro ṣiṣe ayẹwo fun jedojedo C. Ti o da lori igbesi aye rẹ ati itan iṣoogun, o le nilo lati wa ni ayewo fun awọn akoran bii syphilis, chlamydia, ati HIV, ati awọn akoran miiran.

SISAN ỌJỌ ỌRUN

O yẹ ki o ni ayewo ọlọdun kan fun aarun ẹdọfóró pẹlu iwọn onitumọ oniṣiro kekere (LDCT) ti o ba:

  • O ti kọja ọdun 55 ATI
  • O ni itan mimu siga ọdun 30 ọdun ATI
  • O mu siga lọwọlọwọ tabi ti dawọ duro laarin ọdun 15 sẹhin

IWADI OSTEOPOROSIS

  • Gbogbo awọn obinrin ti o wa ni ọjọ-ori 64 yẹ ki o ni idanwo iwuwo egungun (ayẹwo DEXA).
  • Beere lọwọ olupese rẹ awọn adaṣe tabi awọn ilowosi miiran ti o le ṣe iranlọwọ idiwọ osteoporosis.

IMO ARA

  • Ṣe idanwo ti ara ọdọọdun.
  • Pẹlu idanwo kọọkan, olupese rẹ yoo ṣayẹwo giga rẹ, iwuwo rẹ, ati itọka ibi-ara (BMI).
  • A ko ṣe iṣeduro awọn idanwo iwadii ni igbagbogbo ayafi ti olupese rẹ ba rii iṣoro kan.

Lakoko idanwo naa, olupese rẹ yoo beere awọn ibeere nipa:

  • Awọn oogun rẹ ati eewu fun awọn ibaraenisepo
  • Ọti ati taba lilo
  • Onje ati idaraya
  • Aabo, gẹgẹ bi lilo igbanu ijoko
  • Boya o ti ṣubu
  • Ibanujẹ

Ayẹwo ASAN

  • Olupese rẹ le ṣayẹwo awọ rẹ fun awọn ami ti akàn awọ-ara, paapaa ti o ba wa ni eewu giga.
  • Awọn eniyan ti o ni eewu giga pẹlu awọn ti o ti ni aarun awọ ara ṣaaju, ni awọn ibatan ti o sunmọ pẹlu akàn awọ-ara, tabi ni eto alaabo ailera.

Ibẹwo itọju ilera - awọn obinrin - ju ọjọ-ori 65 lọ; Ayewo ti ara - awọn obinrin - ju ọjọ-ori 65 lọ; Ayẹwo ọdọọdun - awọn obinrin - ju ọjọ-ori 65 lọ; Ṣayẹwo - awọn obinrin - ju ọjọ-ori 65 lọ; Ilera awọn obinrin - ju ọjọ-ori 65 lọ; Idanwo itọju idena - awọn obinrin - ju ọjọ-ori 65 lọ

  • Idanwo ẹjẹ ẹjẹ
  • Awọn ipa ti ọjọ ori lori titẹ ẹjẹ
  • Osteoporosis

Igbimọ Advisory lori Awọn iṣe Ajesara. Iṣeduro ajesara ti a ṣe iṣeduro fun awọn agbalagba ti o wa ni ọdun 19 tabi ju bẹẹ lọ, Amẹrika, 2020. www.cdc.gov/vaccines/schedules/index.html. Imudojuiwọn ni Kínní 3, 2020. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Ile-ẹkọ giga ti Ile-ẹkọ giga Ophthalmology ti Amẹrika. Gbólóhùn Afihan: igbohunsafẹfẹ ti awọn idanwo ocular - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Imudojuiwọn Oṣu Kẹta Ọjọ 2015. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Oju opo wẹẹbu Cancer Society ti Amẹrika. Iwari ati idanimọ aarun igbaya ọyan igbaya: Awọn iṣeduro Iṣeduro Ara Ilu Amẹrika fun wiwa tete akàn igbaya. www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Imudojuiwọn Oṣu Kẹta Ọjọ 5, 2020. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Ile-iwe ayelujara ti College of Obstetricians and Gynecologists (ACOG). FAQ178: Mammography ati awọn idanwo waworan miiran fun awọn iṣoro ọmu. www.acog.org/patient-resources/faqs/gynecologic-problems/mammography-and-other-screening-tests-for-breast-problems. Imudojuiwọn Kẹsán 2017. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Ile-ẹkọ giga ti Amẹrika ti Obstetricians ati Gynecologists. FAQ163: Aarun ara inu. www.acog.org/patient-resources/faqs/gynecologic-problems/cervical-cancer. Imudojuiwọn Oṣu kejila 2018. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Oju opo wẹẹbu Dental Association ti Amẹrika. Awọn ibeere 9 oke rẹ nipa lilọ si ehin - dahun. www.mouthhealthy.org/en/dental-care-concerns/questions-about-ending-to-the-dentist. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Ẹgbẹ Agbẹgbẹ Arun Ara Amẹrika. 2. Sọri ati ayẹwo ti ọgbẹgbẹ: awọn ajohunše ti itọju iṣoogun ni àtọgbẹ - 2020. Itọju Àtọgbẹ. 2020; 43 (Olupese 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. Iyẹwo ilera igbakọọkan. Ni: Goldman L, Schafer AI, awọn eds. Oogun Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: ori 12.

Brown HL, Warner JJ, Gianos E, et al; American Heart Association ati Ile-ẹkọ giga ti Amẹrika ti Awọn Obstetricians ati Gynecologists. Igbega idanimọ eewu ati idinku arun inu ọkan ati ẹjẹ ninu awọn obinrin nipasẹ ifowosowopo pẹlu awọn alamọ ati awọn onimọran nipa obinrin: imọran ajodun lati ọdọ American Heart Association ati Ile-ẹkọ giga ti Amẹrika ti Obstetricians ati Gynecologists. Iyipo. 2018; 137 (24): e843-e852. PMID: 29748185 pubmed.ncbi.nlm.nih.gov/29748185/.

Grundy SM, Stone NJ, Bailey AL, ati al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Itọsọna lori iṣakoso idaabobo awọ ẹjẹ: ijabọ kan ti Ile-ẹkọ giga ti Ile-ẹkọ giga ti Ẹkọ nipa Ẹkọ nipa Ẹkọ Amẹrika / American Heart Association Agbofinro lori Awọn Itọsọna Ilana Itọju Ile-iwosan [atunse ti a tẹjade han ni J Am Coll Cardiol. 2019 Jun 25; 73 (24): 3237-3241]. J Am Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

Meschia JF, Bushnell C, Boden-Albala B; Igbimọ Ọpọlọ American Association; et al. Awọn itọsọna fun idena akọkọ ti ikọlu: alaye kan fun awọn akosemose ilera lati ọdọ American Heart Association / American Stroke Association. Ọpọlọ. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

Moyer VA; Ẹgbẹ Agbofinro Awọn Iṣẹ US. Ṣiṣayẹwo fun aarun ẹdọfóró: Alaye iṣeduro iṣeduro Awọn iṣẹ Agbofinro AMẸRIKA. Ann Akọṣẹ Med. 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

Ridker PM, Libby P, Buring JE. Awọn ami ami ewu ati idena akọkọ ti arun inu ọkan ati ẹjẹ. Ni: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Arun Okan ti Braunwald: Iwe-kika ti Oogun Ẹkọ inu ọkan ati ẹjẹ. 11th ed. Philadelphia, PA: Elsevier; 2019: ori 45.

Siu AL; Ẹgbẹ Agbofinro Awọn Iṣẹ US. Ṣiṣayẹwo fun aarun igbaya: Alaye iṣeduro iṣeduro Agbofinro Awọn Iṣẹ AMẸRIKA [atunse ti a tẹjade han ni Ann Intern Med. 2016 Oṣu Mar 15; 164 (6): 448]. Ann Akọṣẹ Med. 2016; 164 (4): 279-296. PMID: 26757170 pubmed.ncbi.nlm.nih.gov/26757170/.

Siu AL; Ẹgbẹ Agbofinro Awọn Iṣẹ US. Ṣiṣayẹwo fun titẹ ẹjẹ giga ni awọn agbalagba: Alaye iṣeduro iṣeduro Agbofinro Awọn Iṣẹ AMẸRIKA. Ann Akọṣẹ Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, et al. Ṣiṣayẹwo aarun ni Ilu Amẹrika, 2019: atunyẹwo ti awọn itọsọna Amẹrika Cancer Society lọwọlọwọ ati awọn ọran lọwọlọwọ ninu iṣayẹwo akàn. CA Akàn J Clin. 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/30875085/.

Studenski S, Van Swearingen J. Falls. Ni: Fillit HM, Rockwood K, Young J, eds. Iwe kika Brocklehurst ti Isegun Geriatric ati Gerontology. 8th ed. Philadelphia, PA: Elsevier; 2017: ori 103.

Agbofinro Awọn Iṣẹ Idena AMẸRIKA, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Ṣiṣayẹwo fun aarun ara: Alaye iṣeduro iṣeduro Awọn iṣẹ Agbofinro AMẸRIKA. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

Agbofinro Awọn iṣẹ Idena AMẸRIKA, Curry SJ, Krist AH, et al. Ṣiṣayẹwo fun osteoporosis lati yago fun awọn eegun: Gbólóhùn iṣeduro iṣeduro Agbofinro Awọn Iṣẹ AMẸRIKA. JAMA. 2018; 319 (24): 2521-2531. PMID: 29946735 pubmed.ncbi.nlm.nih.gov/29946735/.

Oju opo wẹẹbu Agbofinro Awọn iṣẹ Amẹrika. Alaye iṣeduro ikẹhin. Ṣiṣayẹwo aarun ara ọgbẹ. www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. Ṣe atẹjade Oṣu Kẹjọ Ọjọ 21, 2018. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Oju opo wẹẹbu Agbofinro Awọn iṣẹ Amẹrika. Alaye iṣeduro ikẹhin. Ṣiṣayẹwo aarun awọ. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Ṣe atẹjade Okudu 15, 2016. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Oju opo wẹẹbu Agbofinro Awọn iṣẹ Amẹrika. Aarun ọlọjẹ Ẹdọwíwú C ni awọn ọdọ ati awọn agbalagba: iṣayẹwo. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c- ibojuwo. Atejade Oṣu Kẹta Ọjọ 2, 2020. Wọle si Oṣu Kẹrin Ọjọ 18, 2020.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Itọsọna fun idena, iṣawari, igbelewọn, ati iṣakoso titẹ ẹjẹ giga ni awọn agbalagba: ijabọ ti Ile-ẹkọ giga ti Ẹkọ nipa ọkan / Amẹrika Ẹgbẹ Agbofinro Ẹgbẹ Ajọ lori Awọn Itọsọna iṣe iṣegun [atunse ti a tẹjade han ni J Am Coll Cardiol. 2018 Ṣe 15; 71 (19): 2275-2279]. J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.

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