ʻO nā loiloi olakino no nā kāne mai 18 a 39 makahiki

Pono ʻoe e kipa pinepine i kāu mea mālama ola, ʻoiai inā ʻoe e 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 ka pae kolesterol kiʻekiʻe ʻaʻole paha i loaʻa nā hōʻailona ma nā wā mua. Hiki i nā hoʻokolohua koko maʻalahi ke nānā no kēia mau ʻano.

Aia kekahi mau manawa kikoʻī ke ʻike ʻoe i kāu mea hāʻawi. Ma lalo nā lula kānana no nā kāne 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 kaiāulu a i ʻole kahi hana.E noi i kāu mea hāʻawi inā hiki iā ʻoe ke kū i loko e nānā i kou kaomi koko.

ʻO SCREENING CHOLESTEROL a me ka pale ʻana i ka maʻi puʻuwai

• Hōʻike ʻia nā makahiki e hoʻomaka nei no ka kānana kolukala ka 35 mau makahiki no nā kāne me ka ʻike ʻole ʻia o nā maʻi no ka maʻi puʻuwau coronary a me nā makahiki 20 no nā kāne me nā mea ʻike ʻike ʻia no ka maʻi puʻuwau coronary.
• ʻAʻole pono nā kāne 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 nānā pinepine ʻia.

KA IKAIKA DIABETES

• Inā he 130 / 80mm 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.

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 no nā 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 aku paha inā makemake ʻia e kāu mea hāʻawi.
• E nānā i ka maka ma ka liʻiliʻi i kēlā me kēia makahiki inā he diabetes kou.

NA HANA

• E kiʻi ʻoe i ka maʻi flu i kēlā me kēia makahiki.
• Ma a ma hope paha o ka makahiki 19, pono ʻoe i ka lāʻau lapaʻau tetanus-diphtheria a me acellular pertussis (Tdap) i hoʻokahi manawa ma ke ʻāpana o kāu lāʻau lapaʻau tetanus-diphtheria inā ʻaʻole ʻoe i lawe iā ia ma 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 loaʻa iā ʻoe kekahi ʻano olakino, e like me ka maʻi kō.

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 nā mākua āpau i nā makahiki 18 a 79 i kahi hōʻoia hoʻokahi manawa no ka maʻi hepitis C.
  
• E haʻi aku kāu mea lawelawe iā ʻoe pehea e pale aku ai i nā maʻi i pāhola ʻia ma o ka pili kolohe ʻana. Kāhea ʻia kēia mau maʻi i loaʻa i ka moekolohe (STI).
  
• Kaukaʻi ʻia i kou nohona a me ka mōʻaukala olakino, pono ʻoe e nānā ʻia no nā maʻi e like me syphilis, chlamydia, a me HIV, a me nā maʻi ʻē aʻe.

Hōʻoiaʻiʻo KINO

• 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
• Ka palekana, e like me ka hoʻohana ʻana i nā kāʻei noho a me nā mea ʻike uahi

Hōʻike hōʻike

• Paipai ka US Preventive Services Task Force e kūʻē i ka hana ʻana i kahi hōʻike testicular ponoʻī. Ua hōʻike ʻia ka hana ʻana i nā hoʻokolohua testicular i ka loaʻa ʻole o kahi pōmaikaʻi.

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.

Kipa mālama ola - nā kāne - nā makahiki 18 a 39; ʻIke kino - nā kāne - nā makahiki 18 a 39; ʻImi makahiki - kāne - makahiki 18 a 39 makahiki; Nānā - nā kāne - nā makahiki 18 a 39; Ke olakino o nā kāne - nā makahiki 18 a 39; Hōʻike mālama mālama Preventive - nā kāne - nā makahiki 18 a 39

Kōmike aʻoaʻo no nā hana Immunization. Hōʻoia ʻia ka papa hana hoʻōlaina no nā mākua nona nā makahiki 19 a ʻoi paha, United States, 2020. www.cdc.gov/vaccines/schedules/index.html Hoʻohou i Pepeluali 3, 2020. Loaʻa iā ʻApelila 18, 2020.

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. ʻLelo kūmole: ka pinepine o nā loiloi ocular - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Hoʻohou ʻia Malaki Malaki 2015 Loaʻa iā ʻApelila 18, 2020.

Pūnaewele ʻAhahui Niho ʻAmelika. ʻO kāu mau nīnau 9 kiʻekiʻe e pili ana i ka hele ʻana i ka kauka niho - pane ʻia. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Loaʻa iā ʻApelila 18, 2020.

ʻAhahui Diabetes ʻAmelika. 2. Hoʻokaʻawale a me ka hōʻailona o ka maʻi kō: nā kūlana o ka mālama olakino i ka maʻi kō - 2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

ʻO Atkins D, ʻo Barton M. Ke nānā olakino olakino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 12.

Grundy SM, Pōhaku NJ, Bailey AL, et al. ʻO 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Alakaʻi e pili ana i ka mālama ʻana i ke kōkōkō koko: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Guide. [paʻi ʻia ka hoʻoponopono ma J Am Coll Cardiol. 2019 Jun 25; 73 (24): 3237-3241]. J ʻO Am Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

Meschia JF, Bushnell C, Boden-Albala B; ʻAha ʻAha ʻAha ʻAmelika ʻAmelika, et al. Nā ʻōkuhi no ka pale mua ʻana i ka hahau: kahi ʻōlelo no ka poʻe ʻoihana ola kino mai ka American Heart Association / American Stroke Association. Hahau. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

ʻO Ridker PM, Libby P, Buring JE. ʻO nā māka hōʻailona a me ka pale mua ʻana i ka maʻi maʻi maʻi maʻi. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 45.

Siu AL; ʻO ka Hana Hana Hana Hana Preventive US. ʻO ka loiloi no ke kiʻekiʻe o ke koko i nā mākua: ʻO ka ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

ʻO ka Pūʻali Hana Hana Hana US, Bibbins-Domingo K, Grossman DC, et al. Ke nānā ʻana no ka maʻi ʻaʻai ʻili: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

Pūnaewele Hana Hana Hana Preventive US. ʻ recommendationlelo aʻoaʻo hope loa. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Paʻi ʻia Iune 15, 2016. Loaʻa iā ʻApelila 18, 2020.

Pūnaewele Hana Hana Hana Preventive US. ʻ recommendationlelo aʻoaʻo hope loa. ʻO ka maʻi maʻi Hepatitis C i nā ʻōpio a me nā mākua: kānana. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Paʻi ʻia ma Malaki 2, 2020. Loaʻa iā ʻApelila 19, 2020.

Pūnaewele Hana Hana Hana Preventive US. Ka maʻi ʻaʻai testicular: kānana. www.uspreventiveservicestaskforce.org/uspstf/recommendation/testicular-cancer-screening. Paʻi ʻia ma ʻApelila 15, 2011. Loaʻa iā ʻApelila 19, 2020.

Whelton PK, Carey RM, Aronow WS, et al. ʻO 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Kuhi no ka pale ʻana, ʻike, loiloi, a me ka mālama ʻana i ke kahe kiʻekiʻe i nā mākua Pūʻulu Hana ʻAhahui Puʻuwai e pili ana i nā ʻōkuhi hoʻomaʻamaʻa lapaʻau [paʻi ʻia ka hoʻoponopono ma J Am Coll Cardiol. 2018 Mei 15; 71 (19): 2275-2279]. ʻO J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.