Tus Sau: Gregory Harris
Hnub Kev Tsim: 10 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 13 Lub Kaum Ib Hli Ntuj 2024
Anonim
Tswv Yexus lub neej thaum pib txug thaum xaus
Daim Duab: Tswv Yexus lub neej thaum pib txug thaum xaus

Koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua, txawm hais tias koj xav noj qab nyob zoo. Lub hom phiaj ntawm cov kev mus ntsib no yog:

  • Ntsuam xyuas kev muaj mob
  • Ntsuas koj qhov txaus ntshai rau cov teeb meem kho mob tom ntej
  • Txhawb txoj kev noj qab nyob zoo
  • Hloov pauv kev txhaj tshuaj
  • Pab koj kom paub koj tus kws kho mob yog tias muaj mob

Txawm hais tias koj xav tias zoo, koj tseem yuav tsum ntsib koj tus kws kho mob kom kuaj mob tsis tu ncua. Cov kev mus ntsib no tuaj yeem pab koj kom zam dhau cov teeb meem yav tom ntej. Piv txwv li, tib txoj kev kom paub tias koj puas muaj ntshav siab yog kuaj nws tsis tu ncua. Ntshav qab zib siab thiab cov ntshav siab hauv qib siab kuj tseem yuav tsis muaj cov tsos mob tshwm sim thaum ntxov. Kev kuaj ntshav yoojyim tuaj yeem kuaj rau cov mob no.

Muaj qee lub sijhawm tshwj xeeb thaum koj yuav tsum ntsib koj tus kws khomob. Hauv qab no yog kuaj xyuas cov lus qhia rau cov txiv neej hnub nyoog 40 txog 64 xyoo.

NTSHAV SIAB NTSHAV KUAJ

  • Kuaj xyuas koj cov ntshav siab yam tsawg ib zaug nyob rau txhua 2 xyoo. Yog tias tus lej sab saum toj (tus lej systolic) yog li ntawm 120 txog 139 hli Hg, lossis tus lej hauv qab (tus lej hauv qab) yog li 80 txog 89 hli Hg, koj yuav tsum tau kuaj xyuas nws txhua xyoo.
  • Yog tias tus lej sab saum toj yog 130 lossis ntau dua lossis tus lej hauv qab yog 80 lossis siab dua, teem sijhawm nrog koj tus kws khomob kom kawm paub yuav ua li cas koj thiaj li yuav txo koj cov ntshav siab.
  • Yog tias koj muaj ntshav qab zib, mob plawv, mob raum, lossis lwm yam mob, koj yuav tsum kuaj xyuas koj cov ntshav siab ntau dua, tab sis tseem muaj tsawg kawg ib xyoos ib zaug.
  • Saib seb puas muaj ntshav ntsuas nyob hauv cheeb tsam koj nyob. Nug koj tus kws kho mob yog tias koj tuaj yeem nres sab hauv los kuaj xyuas koj cov ntshav siab.

CHOLESTEROL SCREENING THIAB TAWV LUB CEV RAUG CEV


  • Pom zoo pib hnub nyoog rau kev soj ntsuam roj yuav tsum yog hnub nyoog 35 rau cov txiv neej uas tsis paub txog muaj feem yuav muaj kab mob plawv.
  • Thaum kuaj xyuas cov roj (cholesterol) tau pib, koj cov roj (cholesterol) yuav tsum raug kuaj xyuas txhua 5 xyoo.
  • Rov ntsuas dua sai dua qhov xav tau yog tias muaj kev hloov tshwm sim hauv kev ua neej (suav nrog kev hnyav nce thiab kev noj haus).
  • Yog tias koj muaj cov ntshav siab, ntshav qab zib, mob plawv, mob raum, lossis lwm yam mob, koj yuav tsum tau kuaj xyuas ntau zaus.

KUAJ XYUAS KHAWV KOOB VAJ

Yog koj muaj hnub nyoog qis dua 50 xyoo, tham nrog koj tus kws kho mob txog kev kuaj mob. Koj yuav tsum raug txheeb xyuas yog tias koj muaj keeb kwm muaj keeb kwm muaj mob caj dab mob nyuv lossis polyps. Txoj kev kuaj mob no tseem yuav txiav txim siab yog tias koj muaj kev pheej hmoo txaus ntshai xws li muaj keeb kwm muaj mob hnyuv lossis polyps.

Yog koj muaj hnub nyoog 50 txog 75, koj yuav tsum mus kuaj mob qog nqaij hlav cancer. Muaj ntau ntau txoj kev kuaj rau:

  • Kev kuaj quav ib qho quav (kuaj quav) ua txhua xyoo
  • Kuaj tshuaj tiv thaiv kab mob hauv lub xyoo (FIT) txhua xyoo
  • Kev tso quav quav DNA txhua 3 xyoos
  • Hloov kho sigmoidoscopy txhua 5 xyoos
  • Ob chav sib xyaw nrog barium enema txhua 5 xyoos
  • Kev kuaj mob hnyuv tws (mob txoj hnyuv laus) txhua 5 xyoos
  • Kev kuaj mob hnyuv txhua 10 xyoo

Koj yuav tsum tau kuaj txoj hnyuv ntau dua yog tias koj muaj kev pheej hmoo txaus rau mob qog nqaij hlav cancer, xws li:


  • Kev mob caj dab
  • Tus kheej lossis tsev neeg keeb kwm mob caj dab mob hlav
  • Ib qho keeb kwm ntawm kev loj hlob hu ua adenomatous polyps

TUAG LAWM

  • Mus ntsib kws kho hniav ib zaug los ob zaug ib xyoos mus kuaj thiab tu. Koj tus kws kho hniav yuav ntsuas yog tias koj xav tau kev mus ntsib kws kho mob ntau dua.

DIABETES SCREENING

  • Yog koj muaj hnub nyoog tshaj 44 xyoos, koj yuav tsum raug kuaj txhua 3 xyoo.
  • Muaj BMI ntau dua 25 txhais tau tias koj rog dhau. Yog tias koj rog dhau, nug koj tus kws kho mob yog tias koj yuav tsum raug txheeb xyuas thaum tseem yau dua. Cov neeg Asmesliskas Asmeskas yuav tsum raug kuaj xyuas yog tias lawv qhov BMI ntau dua 23.
  • Yog tias koj cov ntshav siab siab dhau 130/80 hli Hg, lossis koj muaj lwm yam kev pheej hmoo rau ntshav qab zib, koj tus kws kho mob yuav kuaj koj cov ntshav qab zib kom ntshav qab zib.

EYE EXAM

  • Kev kuaj qhov muag txhua 2 rau 4 xyoos hnub nyoog 40 txog 54 thiab txhua 1 txog 3 xyoos hnub nyoog 55 txog 64 xyoos
  • Mus kuaj qhov muag qhov tsawg kawg yog ib xyoos yog tias koj muaj ntshav qab zib.

TAM SIM NTAWD


  • Koj yuav tsum txhaj tshuaj tiv thaiv khaub thuas txhua xyoo.
  • Nug koj tus kws kho mob yog tias koj yuav tsum tau txhaj tshuaj tiv thaiv kab mob kom txo tau koj tus mob pneumococcal (ua rau mob ntsws dej).
  • Koj yuav tsum tau txhaj koob tshuaj tiv thaiv mob kab xeb - mob qa foob thiab mob qa foob (Kais) ib zaug uas yog ib feem ntawm kev txhaj tshuaj tiv thaiv kab xeb, mob qa foob yog tias koj tsis tau txais yav tas los ua tub ntxhais hluas. Koj yuav tsum muaj koob tshuaj txhaws qa mob qa foob ntshav txhua txhua 10 xyoo.
  • Koj tuaj yeem txhaj tshuaj mob pob khaus lossis qhov chaw mos herpes zoster txhaj tshuaj thaum lossis tom qab hnub nyoog 50 xyoo.
  • Koj tus kws kho mob yuav pom zoo lwm cov tshuaj tiv thaiv yog tias koj muaj qhov pheej hmoo txaus rau qee yam mob.

TSIS TXAUS SIAB KEV KUAJ SIAB

  • Tsoomfwv Meskas Pabcuam Tiv Thaiv Pab Pawg tau hais kom kuaj xyuas tus kab mob siab C.
  • Nyob ntawm koj txoj kev ua neej thiab keeb kwm kev kho mob, koj yuav tsum raug txheeb xyuas kab mob xws li mob syphilis, mob chlamydia, thiab HIV, thiab lwm yam kev kis mob.

LUNG CANCER SCREENING

Koj yuav tsum muaj kev soj ntsuam kab mob ntsws txhua lub xyoo nrog rau qhov tshuaj tiv thaiv kab mob ntsws qes qes (LDCT) yog tias:

  • Koj muaj hnub nyoog tshaj 55 xyoos THIAB
  • Koj muaj 30 xyoo dhau los Kev haus luam yeeb keeb kwm THIAB
  • Tam sim no koj haus luam yeeb lossis txiav tawm hauv 15 xyoos dhau los

OSTEOPOROSIS KUAJ XYUAS

  • Yog tias koj muaj hnub nyoog 50 txog 70 xyoo thiab muaj feem yuav muaj kab mob pob txha taub hau, koj yuav tsum nrog koj tus kws kho mob tham txog kev kuaj xyuas.
  • Cov teeb meem phom sij tuaj yeem suav nrog kev siv tshuaj steroid mus sij hawm ntev, lub cev nyhav tsawg, haus luam yeeb, haus cawv ntau, muaj kev puas tsuaj tom qab hnub nyoog 50, lossis tsev neeg keeb kwm yav dhau los.

PHYSICAL EXAM

  • Yuav tsum kuaj koj cov ntshav siab txhua xyoo.
  • Koj tus kws kho mob yuav qhia koj kom kuaj xyuas koj cov roj (cholesterol) txhua 5 xyoos yog tias koj muaj teeb meem txaus ntshai rau cov kab mob plawv.
  • Koj qhov siab, qhov hnyav thiab qhov hnyav ntawm lub cev (BMI) yuav tsum kuaj xyuas txhua qhov kev ntsuam xyuas.

Thaum lub sijhawm kuaj xyuas koj, koj tus kws khomob yuav nug koj txog:

  • Kev Nyuaj Siab
  • Kev noj haus thiab kev tawm dag zog
  • Haus dej cawv thiab haus luam yeeb
  • Kev nyab xeeb, xws li siv lub rooj zaum thiab cov pa hluav taws

KEV KUAJ XYUAS CANCER SCREENING

Yog tias koj muaj hnub nyoog 55 txog rau 69 xyoo, ua ntej muaj kev sim siab, nrog koj tus kws kho mob tham txog qhov zoo thiab phem ntawm qhov muaj PSA kuaj. Nug txog:

  • Seb kev kuaj txo koj txoj hmoo tuag los ntawm tus mob prostate.
  • Txawm hais tias muaj ib qho kev raug mob los ntawm kev kuaj kab mob khees xaws prostate, xws li kev phiv los ntawm kev sim lossis dhau kev mob qog nqaij hlav thaum nrhiav pom.
  • Txawm hais tias koj muaj kev pheej hmoo siab ntau ntawm prostate cancer dua li lwm tus.

Yog tias koj muaj hnub nyoog 55 lossis yau dua, kev kuaj mob tsis pom zoo. Koj yuav tsum nrog koj tus kws kho mob tham txog yog tias koj muaj feem yuav ua mob qog ntshav ntau dua prostate. Yam txaus ntshai muaj xws li:

  • Muaj tsev neeg muaj keeb kwm mob prostate (tshwj xeeb yog cov kwv tij los yog leej txiv)
  • Ua Neeg American Ruam
  • Yog tias koj xaiv qhov kev sim, PSA kuaj ntshav dua ib zaug dhau ib xyoos (ib xyoos lossis tsawg dua), txawm hais tias qhov ntau zaus zoo tshaj plaws tsis paub.
  • Kev kuaj tus mob Prostate tsis niaj hnub ua rau tus txiv neej yam tsis muaj tsos mob.

Daim tawv EXAM

  • Koj tus kws kho mob yuav kuaj xyuas koj cov tawv nqaij kom muaj cov tsos mob ntawm daim tawv nqaij, tshwj xeeb yog tias koj muaj qhov pheej hmoo loj. Cov neeg muaj kev pheej hmoo siab suav nrog cov neeg uas muaj mob qog nqaij daim tawv ua ntej, muaj tus txheeb ze nrog mob qog nqaij tawv, lossis lub cev tsis muaj zog tiv thaiv kab mob.

KOOMTEB EXAM

  • Tsoomfwv Meskas Tiv Thaiv Kev Ua Haujlwm Pabcuam Tiv Thaiv (USPSTF) tam sim no pom zoo tawm tsam kev ntsuas tus kheej. Ua qhov kev ntsuas ntawm tus kheej kuaj tau pom tias tsis muaj txiaj ntsig dab tsi.

Kev saib xyuas kev noj qab haus huv - cov txiv neej - hnub nyoog 40 txog 64; Kev kuaj lub cev - cov txiv neej - hnub nyoog 40 txog 64; Kev kuaj xyoo - txiv neej - hnub nyoog 40 txog 64; Kev kuaj mob - txiv neej - hnub nyoog 40 txog 64; Txiv neej kev noj qab haus huv - hnub nyoog 40 txog 64; Cov kev tiv thaiv tiv thaiv - cov txiv neej - hnub nyoog 40 txog 64 xyoo

  • Prostate mob cancer
  • Kab mob hauv
  • Teebmeem ntawm lub hnub nyoog ntawm cov ntshav siab
  • Kev kuaj ntshav tsawg kawg

Pawg Kws Pab Tswv Yim txog Kev Tshuaj Tiv Thaiv. Cov txheej txheem txhaj tshuaj pom zoo rau cov neeg laus hnub nyoog 19 xyoos lossis tshaj saud, Tebchaws Asmeskas, 2020. www.cdc.gov/vaccines/schedules/index.html. Hloov kho Lub Ob Hlis 3, 2020. Nkag mus rau Lub Plaub Hlis 18, 2020.

American Academy of Ophthalmology lub vev xaib. Cov lus txhaj tshuaj: ntau zaus kev kuaj kab mob - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Hloov kho thaum Lub Peb Hlis 2015. Nkag mus Lub Plaub Hlis 18, 2020.

Lub Koom Haum Asmeskas Kev Kho Hniav lub vev xaib. Koj thawj 9 nqe lus nug txog mus cuag kws kho hniav - tau teb. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Nkag mus rau Lub Plaub Hlis 18, 2020.

Koom Haum Asmeskas Mob Ntshav Qab Zib. 2. Kev faib tawm thiab kuaj mob ntshav qab zib: cov txheej txheem kho mob hauv ntshav qab zib - 2020. Ntshav Qab Zib Kho Mob. 2020; 43 (Cov Khoom Muag 1): S14 – S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. Kev kuaj mob raws caij nyoog Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 12.

Cosman F, de Beur SJ, LeBoff MS, li al. Tus kws kho mob cov lus qhia rau kev tiv thaiv thiab kho kab mob hauv. Osteoporos Int. Xyoo 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

Grundy SM, Pob Zeb NJ, Bailey AL, li al.2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Cov Lus Taw Qhia ntawm kev tswj cov ntshav hauv cov ntshav ntshav: ib daim ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm Kev Ntsuas Ua Haujlwm [cov lus qhuab qhia luam tawm tshwm hauv 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/.

Mazzone PJ, Silvestri GA, Patel S, li al. Kev kuaj mob ntsws ntsws: CHEST Kev Taw Qhia thiab Daim Ntawv Tshaj Qhia Kws Tshaj Lij. Hauv siab. 2018; 153 (4): 954-985. PMID: 29374513 pubmed.ncbi.nlm.nih.gov/29374513/.

Meschia JF, Bushnell C, Boden-Albala B, li al. Cov lus qhia rau kev tiv thaiv kev tiv thaiv mob stroke thawj: ib nqe lus rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob stroke. Xyoo 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

Moyer VA; Kev Pabcuam Tiv Thaiv US Pab Pawg. Kev kuaj mob ntsws mob ntsws ntsws: Asmeskas Kev Pabcuam Tiv Thaiv Kev Ua Haujlwm nqe lus pom zoo. Ann Intern Med. Xyoo 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

Ridker PM, Libby P, Buring JE. Cov cim phom sij thiab tiv thaiv kev tiv thaiv kab mob plawv thawj zaug. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawv. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 45.

Siu AL; Kev Pabcuam Tiv Thaiv US Pab Pawg. Kev soj ntsuam ntshav siab rau cov neeg laus: US Cov Kev Pabcuam Tiv Thaiv Cov Haujlwm xav tau kev pom zoo. Ann Intern Med. Xyoo 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, li al. Kev kuaj mob qog noj ntshav hauv tebchaws Asmeskas, 2019: kev tshuaj xyuas cov lus qhia ntawm American Cancer Society tam sim no thiab cov teeb meem hauv kev kuaj mob qog noj ntshav. CA Cancer J Cl. Xyoo 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/30875085/.

Asmeskas Cov Kev Pabcuam Tiv Thaiv Ua Haujlwm, Bibbins-Domingo K, Grossman DC, Curry SJ, li al. Kev soj ntsuam daim tawv nqaij mob cancer: Asmeskas Cov Kev Pabcuam Tiv Thaiv Kev Ua Haujlwm nqe lus pom zoo. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

Kev Pabcuam Tiv Thaiv Pab Pawg Meskas lub vev xaib. Cov lus pom zoo kawg. Kuaj mob hnyuv. www.uspreventiveservicestaskforce.org/uspstf/re អនុសាសន៍ation/colorectal-cancer- tshuaj ntsuam. Tshaj tawm Lub Rau Hli 15, 2016. Nkag mus rau Lub Plaub Hlis 18, 2020.

Kev Pabcuam Tiv Thaiv Pab Pawg Meskas lub vev xaib. Cov lus pom zoo kawg. Kab mob siab C kis rau cov neeg hluas thiab cov laus: kuaj. www.uspreventiveservicestaskforce.org/uspstf/re អនុសាសន៍ation/heem-c- tsom kwm. Luam tawm Lub Peb Hlis 2, 2020. Nkag mus rau Lub Plaub Hlis 19, 2020.

Kev Pabcuam Tiv Thaiv Pab Pawg Meskas lub vev xaib. Cov lus pom zoo kawg. Prostate cancer: kuaj xyuas. www.uspreventiveservicestaskforce.org/uspstf/re អនុសាសន៍ation/prostate-cancer- tshuaj ntsuam. Tshaj tawm Lub Tsib Hlis 8, 2018. Nkag mus rau Lub Plaub Hlis 18, 2020.

Kev Pabcuam Tiv Thaiv Pab Pawg Meskas lub vev xaib. Cov lus pom zoo kawg. Kev Muaj Mob Loj: kev kuaj mob. www.uspreventiveservicestaskforce.org/uspstf/re អនុសាសន៍ation/testicular-cancer- tshuaj pleev ib ce. Tshaj tawm Lub Plaub Hlis 15, 2011. Nkag mus rau Lub Plaub Hlis 19, 2020.

Whelton PK, Carey RM, Aronow WS, li al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Cov lus qhia rau kev tiv thaiv, tshuaj xyuas, ntsuas, thiab tswj cov ntshav siab ntau hauv cov neeg laus: tsab ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology / Asmeskas Lub Koom Haum Ua Haujlwm Pab Pawg Koom Tes ntawm Kev Soj Ntsuam Cov Lus Qhia [kho kom raug kho tawm hauv J Am Coll Cardiol. 2018 Tsib Hlis 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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