ʻO nā loiloi olakino no nā wahine mai 18 a 39
Pono ʻoe e kipa aku i kāu kauka mālama mai kēlā me kēia manawa, ʻoiai inā ʻoe olakino. ʻO ke kumu o kēia kipa ʻana i:
- Ka pale no nā pilikia olakino
- Loiloi i kou makaʻu no nā pilikia olakino e hiki mai ana
- Paipai i kahi nohona olakino
- Hoʻohou i nā lāʻau āpau
- Kōkua iā ʻoe e ʻike i kāu mea lawelawe inā loaʻa ka maʻi
ʻOiai inā ʻoe e ʻoluʻolu, pono ʻoe e ʻike i kāu mea hoʻolako no ka loiloi maʻamau. Hiki i kēia kipa ke kōkua iā ʻoe e hōʻalo i nā pilikia i ka wā e hiki mai ana. ʻO kahi laʻana, ʻo ke ala wale nō e ʻike ai inā loaʻa iā ʻoe ke koko kiʻekiʻe ke nānā pinepine ʻia. ʻO ke kō kiʻekiʻe o ke kō a me nā pae kolesterol kiʻekiʻe ʻaʻole paha i loaʻa nā ʻōuli i nā wā mua. Hiki i kahi hoʻokolohua koko maʻalahi ke nānā no kēia mau ʻano.
Aia kekahi mau manawa kikoʻī ke ʻike ʻoe i kāu mea hāʻawi. Ma lalo iho nei nā lula kānana no nā wahine mai 18 a 39 makahiki.
HUAKAI PAIKU KOKO
- E hōʻoia i kou kahe koko ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 2 mau makahiki. Inā ʻo ka helu kiʻekiʻe (helu systolic) mai 120 a 139, a i ʻole ka helu lalo (helu diastolic) mai 80 a 89 mm Hg, pono ʻoe e nānā i kēlā me kēia makahiki.
- Inā ʻo 130 ka nui o ka helu kiʻekiʻe a ʻo ka helu o lalo he 80 a ʻoi paha, e hoʻolālā i kahi manawa me kāu mea nāna e aʻo pehea e hiki ai iā ʻoe ke hōʻemi i kou kaʻe koko.
- Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, nā pilikia o ka puʻuwai, a i ʻole kekahi mau ʻano ʻē aʻe, pono paha ʻoe e nānā pinepine i kou kahe koko, akā naʻe ma ka liʻiliʻi hoʻokahi manawa i ka makahiki.
- E nānā no ka nānā ʻana i ke kaomi koko i kou wahi.E noi i kāu mea hāʻawi inā hiki iā ʻoe ke kū i loko e nānā i kou kaomi koko.
KA HOLOHOLOLE KOLOHE
- Hōʻike ʻia nā makahiki e hoʻomaka nei no ka kānana kolukala ka makahiki 45 no nā wahine me ka ʻike ʻole ʻia o nā pilikia no ka maʻi puʻuwau coronary a me 20 mau makahiki no nā wahine me nā mea ʻike ʻia no ka maʻi puʻuwau coronary.
- ʻAʻole pono nā wahine me nā pae kolesterol maʻamau e hana hou i ka hōʻike no 5 mau makahiki.
- E hana hou i ka hoʻāʻo ʻana ma mua o ka pono inā hoʻololi ʻia ka nohona (me ka loaʻa ʻana o ke kaupaona a me ka papaʻai).
- Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, nā pilikia o ka puʻuwai, a i ʻole kekahi mau ʻano ʻē aʻe, pono paha ʻoe e kiaʻi pono ʻia.
KA IKAIKA DIABETES
- Inā he 130/80 mm Hg a ʻoi paha kou kiʻekiʻe o ke koko, e hoʻāʻo paha kāu mea hāʻawi i kāu pae kō kō no ka maʻi kō.
- Inā loaʻa iā ʻoe kahi helu helu nui o ke kino (BMI) ʻoi aku ma mua o 25 a loaʻa i nā mea ʻē aʻe no ka maʻi diabetes, pono ʻoe e hoʻopaʻa ʻia. Loaʻa ka loaʻa ʻana o kahi BMI ma luna o 25 ʻoi aku kou kaumaha. Pono e nānā ʻia nā ʻAmelika ʻAsia inā ʻoi aku ka nui o kā lākou BMI ma mua o 23.
- Inā loaʻa iā ʻoe nā kumu ʻē aʻe no ka maʻi diabetes, e like me ke kekelē mua e pili ana i ka maʻi diabetes a i ʻole ka mōʻaukala o nā maʻi puʻuwai, e nānā paha kāu mea hāʻawi iā ʻoe no ka maʻi kō.
- Inā kaumaha nui ʻoe a loaʻa i nā mea ʻē aʻe e like me ke kiʻekiʻe o ke koko a ke hoʻolālā nei ʻoe e hāpai
Hōʻike Niho
- E hele i ka kauka niho hoʻokahi a ʻelua mau manawa paha i kēlā me kēia makahiki no kahi hōʻike a hoʻomaʻemaʻe. E loiloi kāu kauka niho inā pono ʻoe e kipa pinepine hou aku.
Hōʻoia MATA
- Inā loaʻa iā ʻoe nā pilikia o ka hihiʻo, e nānā i ka maka i kēlā me kēia 2 mau makahiki a ʻoi paha inā i ʻōlelo ʻia e kāu mea hāʻawi.
- E nānā i ka maka ma ka liʻiliʻi i kēlā me kēia makahiki inā he diabetes kou.
NA HANA
- Pono ʻoe i ke kīkī flu i kēlā me kēia makahiki.
- Ma a ma hope paha o ka makahiki 19, pono ʻoe e loaʻa i hoʻokahi lāʻau lapaʻau tetanus-diphtheria a me acellular pertussis (Tdap) ma ke ʻano he hoʻokahi o nā lāʻau lapaʻau tetanus-diphtheria inā ʻaʻole ʻoe i loaʻa i ke ʻano ʻōpio. Pono ʻoe i kahi booster tetanus-diphtheria i kēlā me kēia 10 mau makahiki.
- Pono ʻoe e loaʻa i ʻelua mau huina o ka lāʻau hoʻomaʻamaʻa varicella inā ʻaʻole ʻoe i loaʻa i ka paukū a i ʻole ka lāʻau koʻokoʻo varicella.
- E loaʻa iā ʻoe i hoʻokahi a i ʻelua mau kaha o ka lāʻau koʻokoʻo no ka maʻi ʻula, mumps, a me ka rubella (MMR) inā ʻaʻole ʻoe e pale aku iā MMR. Hiki i kāu kauka ke haʻi iā ʻoe inā pale ʻoe.
- Koi paha kāu mea hāʻawi i nā pale pale ʻē aʻe inā pilikia nui ʻoe i kekahi mau ʻano, e like me ka maʻi ʻaʻai.
E nīnau i kāu mea hāʻawi e pili ana i ka lāʻau hoʻomaʻi papilloma kanaka (HPV) inā he 19 a 26 mau makahiki kou a loaʻa iā ʻoe:
- ʻAʻole i loaʻa ka lāʻau lapaʻau HPV i ka wā ma mua
- ʻAʻole i pau ka piha ʻana o ka lāʻau lapaʻau (pono ʻoe e hopu i kēia pana)
ʻImi maʻi maʻi INFECTIOUS
- Pono e nānā ʻia nā wahine e hana moekolohe no ka chlamydia a me ka gonorrhea a hiki i ka makahiki 25. E nānā ʻia nā wahine 25 a ʻoi paha mau makahiki inā pilikia nui.
- Pono nā mākua āpau i nā makahiki 18 a 79 i kahi hōʻoia hoʻokahi manawa no ka maʻi hepitis C.
- Kaukaʻi ʻia i kou nohona a me ka mōʻaukala olakino, pono paha ʻoe e nānā ʻia no nā maʻi e like me syphilis a me HIV, a me nā maʻi ʻē aʻe.
- Pono e nānā i kou kaomi koko ma ka liʻiliʻi ma kēlā me kēia 1 a 2 mau makahiki.
- Pono e hoʻomaka i ka kānana no ka maʻi ʻaʻai cervical i ka makahiki 21.
- Pono e nānā i kou kiʻekiʻe, kaupaona, a me ka BMI i kēlā me kēia hōʻike.
Ma kāu hoʻokolohua, e nīnau paha kāu mea hāʻawi iā ʻoe e pili ana i:
- Kaumaha
- ʻO kaʻai a me ka hoʻoikaika kino
- ʻAlekohola a me ka paka
- Nā pilikia palekana, e like me ka hoʻohana ʻana i nā kāʻei noho a me nā mea ʻike uahi
NĀ KINI CANCER BREAST
- Hana paha nā wahine i ka hōʻoia pilikino umauma i kēlā me kēia mahina. Eia naʻe, ʻaʻole ʻae ka poʻe loea e pili ana i nā pono o ka hoʻāʻo ʻana iā ʻoe iho i ka loaʻa ʻana o ka maʻi ʻaʻai o ka umauma a i ʻole ka mālama ʻana i nā ola. E kamaʻilio i kāu mea hoʻolako e pili ana i nā mea pono loa nāu.
- ʻAʻole koi ʻia ka mammogram loiloi no ka hapa nui o nā wahine ma lalo o 40 mau makahiki.
- Inā loaʻa kou makuahine a kaikuahine paha i loaʻa i ka maʻi ʻaʻai umauma i ka wā ʻōpio, e noʻonoʻo pono i nā mammogram makahiki. E hoʻomaka lākou ma mua o ka makahiki a kahi ʻōpio o ko lākou ʻohana ʻōpio i ʻike ʻia.
- Inā loaʻa iā ʻoe nā kumu ʻē aʻe no ka maʻi ʻaʻai umauma, hiki i kāu mea hāʻawi ke paipai i kahi mammogram, ultrasound umauma, a scan MRI paha.
- Kāhea koke aku i kāu mea hāʻawi inā ʻike ʻoe i kahi loli i kou mau umauma, inā paha ʻaʻole ʻoe e hana i nā hōʻoia pilikino ʻana.
- Inā he mau makahiki 18 a 39 paha ʻoe, e hana paha kāu mea hāʻawi i kahi hoʻokolohua umauma maʻi.
KA PALAPALA O CANCER CERVICAL
Pono e hoʻomaka i ka loiloi ʻana i ka maʻi ʻaʻai cervical i ka makahiki 21. Ma hope o ka hōʻike mua:
- Pono nā wahine i nā makahiki 21 a hiki i ka 29 i kahi hōʻike Pap i kēlā me kēia 3 makahiki. Paipai ʻole ʻia ka hoʻāʻo HPV no kēia pae makahiki.
- Pono e hoʻopaʻa ʻia nā wahine mai 30 a 65 mau makahiki me kahi hōʻike Pap i kēlā me kēia 3 makahiki a i ʻole ka hōʻike HPV i kēlā me kēia 5 mau makahiki.
- Inā he mau hoa hou ʻē aʻe a i ʻole kāu mea moe kolohe, pono ʻoe i kahi hōʻike Pap i kēlā me kēia 3 mau makahiki.
- ʻO nā wahine i mālama ʻia no ka precancer (cerplic dysplasia) pono e hoʻomau i ka loaʻa ʻana o nā hōʻike Pap no 20 mau makahiki ma hope o ka mālama ʻana a i ʻole 65 mau makahiki, ʻoi aku ka lōʻihi.
- Inā ua hemo kou uterus a me kou cervix (huina hysterectomy) a ʻaʻole ʻoe i ʻike ʻia me ka maʻi ʻaʻai cervix ʻaʻole pono ʻoe e loaʻa iā Pap smear.
ʻINLELA KULA KULA
- Hiki i kāu mea hāʻawi ke nānā i kou ʻili no nā hōʻailona o ka maʻi ʻaʻai ʻili, keu hoʻi inā kiʻekiʻe kou makaʻu.
- ʻO ka poʻe i pilikia nui i ka poʻe i loaʻa i ka maʻi ʻaʻai ʻili ma mua, he ʻohana pili loa me ka maʻi ʻaʻai ʻili, a i ʻole he ʻōnaehana pale nawaliwali.
HE PANI HOU
- E kamaʻilio me kāu mea hoʻolako e pili ana i ka loiloi ʻana i ka maʻi ʻaʻai kolona inā he moʻolelo ikaika kou ʻohana o ka maʻi ʻaʻai kolona a i ʻole nā polyps, a i ʻole inā he maʻi maʻi ʻōpala paha nā polyps ponoʻī.
- ʻAʻole koi ʻia ka nānā ʻana i ka iwi i nā wahine ma lalo o 40.
Kipa mālama olakino - wahine - 18 a 39 mau makahiki; ʻIke kino - wahine - 18 a 39 mau makahiki; ʻImi makahiki - wahine - 18 a 39 mau makahiki; Nānā - nā wahine - nā makahiki 18 a 39; Ke olakino wahine - nā makahiki 18 a 39; Mālama Preventive - nā wahine - nā makahiki 18 a 39
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