ʻO nā loiloi olakino no nā kāne mai 40 a 64 mau 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 40 a 64 mau 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 mm Hg, 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.
ʻO SCREENING CHOLESTEROL a me ka pale ʻana i ka maʻi puʻuwai
- Hōʻike ʻia i ka makahiki e hoʻomaka ai no ka kānana kolukolo ka makahiki 35 no nā kāne me ka ʻike ʻole ʻia o nā pilikia no ka maʻi puʻuwau coronary.
- I ka manawa e hoʻomaka ai ka kānana kolesterol, pono ke nānā ʻia kāu kolamu i kēlā me kēia 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 iā ʻoe kahi pae kolesterol kiʻekiʻe, diabetes, maʻi puʻuwai, pilikia o nā puʻupaʻa, a i ʻole kekahi mau ʻano ʻē aʻe, pono paha ʻoe e nānā pinepine ʻia.
NĀ KINI CANCER KOLOHE
Inā ʻoe ma lalo o 50 mau makahiki, e kamaʻilio me kāu mea hāʻawi e pili ana i ka nānā ʻana. Pono ʻoe e kānana inā loaʻa iā ʻoe kahi moʻolelo ʻohana ikaika o ka maʻi ʻaʻai kolona a i ʻole nā polyps. E noʻonoʻo ʻia paha ka loiloi inā loaʻa iā ʻoe nā mea weliweli e like me ka mōʻaukala o ka maʻi ʻōpū a me nā polyps.
Inā ʻoe he 50 a 75 mau makahiki, e nānā ʻia ʻoe no ka maʻi ʻaʻai kala. Loaʻa nā hōʻike loiloi he nui:
- ʻO kahi hoʻokolohua hoʻokalakupua fecal (stool-based) i hana ʻia i kēlā me kēia makahiki
- ʻO kahi ho'āʻo immunochemical fecal (FIT) i kēlā me kēia makahiki
- ʻO kahi hōʻike DNA stool i kēlā me kēia makahiki 3
- ʻO ka sigmoidoscopy maʻalahi i kēlā me kēia 5 mau makahiki
- Pālua ka ʻokoʻa barium enema i kēlā me kēia 5 mau makahiki
- CT colonography (colonoscopy virtual) i kēlā me kēia 5 mau makahiki
- ʻO Colonoscopy i kēlā me kēia 10 mau makahiki
Pono ʻoe i kahi koloneko pinepine pinepine inā loaʻa ʻoe i nā kumu pilikia no ka maʻi ʻaʻai kala, e like me:
- Ulcerative colitis
- He moʻolelo pilikino a ʻohana paha o ka maʻi ʻaʻai kala
- ʻO kahi moʻaukala o nā ulu ulu i kapa ʻia adenomatous polyps
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.
KA IKAIKA DIABETES
- Inā ʻoi aku ʻoe i ka makahiki 44, pono ʻoe e hoʻopaʻa ʻia i kēlā me kēia makahiki 3.
- Loaʻa ka loaʻa ʻana o kahi BMI ma luna o 25 ʻoi aku kou kaumaha. Inā kaumaha nui ʻoe, e nīnau i kāu mea hāʻawi inā e nānā ʻia ʻoe i ka wā ʻōpio. Pono e nānā ʻia nā ʻAmelika ʻAsia inā ʻoi aku ka nui o kā lākou BMI ma mua o 23.
- Inā ma luna o 130/80 mm Hg kou kaomi koko, a i ʻole he kumu ʻē aʻe kāu no ka maʻi kō, hiki i kāu mea hāʻawi ke hoʻāʻo i kāu kiʻekiʻe kō kō no ka maʻi kō.
Hōʻoia MATA
- E nānā i ka hoʻokolohua maka i kēlā me kēia 2 a 4 mau makahiki 40 a 54 makahiki a i kēlā me kēia 1 a 3 mau makahiki 55 a 64. E paipai paha kāu mea hāʻawi i nā loiloi pinepine o nā maka inā loaʻa nā pilikia o ka ʻike a glaucoma pilikia paha.
- 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.
- E noi i kāu mea nāna e hāʻawi inā pono ʻoe e loaʻa i kahi lāʻau lapaʻau e hōʻemi ai i kāu makaʻu o ka maʻi pneumococcal (ke kumu o kahi ʻano o ka maʻi ponia).
- Loaʻa iā ʻoe kahi lāʻau lapaʻau tetanus-diphtheria a me acellular pertussis (Tap) i hoʻokahi manawa ma ke ʻāpana o kāu lāʻau lapaʻau tetanus-diphtheria inā ʻaʻole ʻoe i loaʻa ma mua ma ke ʻano he ʻōpio. Pono ʻoe i kahi booster tetanus-diphtheria i kēlā me kēia 10 mau makahiki.
- Loaʻa paha iā ʻoe kahi shingles a i ʻole herpes zoster vaccination ma a ma hope paha o ka makahiki 50.
- Koi paha kāu mea hāʻawi i nā pale pale ʻē aʻe inā pilikia nui ʻoe no kekahi mau ʻano.
ʻImi maʻi maʻi INFECTIOUS
- Paipai ka US Preventive Services Task Force i ka kānana ʻana no ka maʻi hepitis C.
- 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.
NA PALAPALA O CANCER LUNG
Pono ʻoe i kahi kānana makahiki no ka maʻi ʻaʻai puʻupuʻu me ka tomography compute haʻahaʻa (LDCT) inā:
- Ua ʻoi aku ʻoe i ka makahiki 55 AND
- He 30 paka-makahiki mōʻaukala moʻolelo AND
- Ua puhi paha ʻoe a i ʻole ua haʻalele i loko o 15 mau makahiki i hala
NĀ KUMU OSTEOPOROSIS
- Inā 50 a 70 paha kāu mau makahiki a loaʻa iā ʻoe nā pilikia no ka osteoporosis, pono ʻoe e kūkākūkā me ka hāʻawi ʻana me kāu mea hāʻawi.
- Hiki i nā mea pilikia ke hoʻopili i ka hoʻohana steroid lōʻihi, ke kaumaha o ke kino, ka puhi ʻana, ka hoʻohana ʻana i ka wai ʻona, loaʻa ka haki ma hope o ka makahiki 50, a i ʻole ka moʻolelo o ka ʻohana osteoporosis.
Hōʻoiaʻiʻo KINO
- Pono e nānā i kou kaomi koko ma ka liʻiliʻi i kēlā me kēia makahiki.
- Koi paha kāu mea hāʻawi iā ʻoe i ka nānā ʻana i kāu kolesterol i kēlā me kēia 5 mau makahiki inā loaʻa iā ʻoe nā mea pilikia no ka maʻi puʻuwau coronary.
- Pono e nānā i kāu kiʻekiʻe, kaupaona, a me ka papa kuhikuhi nui o ke kino (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
KA PALAPALA CANCER PROSTATE
Inā 55 a 69 mau makahiki kou, ma mua o ka loaʻa ʻana o ka hoʻāʻo, e kamaʻilio me kāu mea hoʻolako e pili ana i nā pōmaikaʻi a me nā maikaʻi ʻole o ka loaʻa ʻana o kahi hōʻike PSA. E nīnau e pili ana:
- Inā hōʻemi ka kānana ʻana i kou manawa e make ai mai ka maʻi ʻaʻai prostate.
- Inā paha he mea ʻino mai ka loiloi ʻana i ka maʻi ʻaʻai prostate, e like me nā hopena ʻaoʻao mai ka hoʻāʻo ʻana a i ʻole ka mālama ʻana i ka maʻi ʻaʻai ke loaʻa.
- Inā paha he ʻoi aku kou maka i ka maʻi ʻaʻai prostate ma mua o nā poʻe ʻē aʻe.
Inā ʻoe he 55 a ʻoi paha makahiki, ʻaʻole koi ʻia ka kānana ʻana. Pono ʻoe e kamaʻilio pū me kāu mea hāʻawi e pili ana inā nui aʻe kāu makaʻu no ka maʻi ʻaʻai prostate. ʻO nā kumu pilikia me:
- Ke loaʻa nei kahi moʻolelo ʻohana o ka maʻi ʻaʻai prostate (ʻo ke kaikaina a makua kāne paha)
- ʻO ʻAmelika ʻAmelika
- Inā koho ʻoe e hoʻāʻo ʻia, hōʻike hou ʻia ka hoʻokolohua koko PSA ma luna o ka manawa (makahiki a ʻoi iki paha), ʻoiai ʻaʻole ʻike ʻia ke alapine ʻoi loa.
- Hana pinepine ʻole ʻia nā hoʻokolohua Prostate ma luna o nā kāne me nā ʻōuli ʻole.
ʻININA ʻININA
- 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.
Hōʻike hōʻike
- Ke paipai nei ka US Preventive Services Task Force (USPSTF) e kūʻē i ka hoʻokō ʻana i nā hoʻokolohua pilikino ponoʻī. Ua hōʻike ʻia ka hana ʻana i nā hoʻāʻo iho testicular i ka loaʻa iki o ka pōmaikaʻi ʻole.
Kipa mālama olakino - kāne - makahiki 40 a 64 paha makahiki; ʻIke kino - kāne - makahiki 40 a 64 makahiki; ʻImi makahiki - kāne - makahiki 40 a 64 makahiki; Nānā - nā kāne - nā makahiki 40 a 64; Ke olakino o nā kāne - nā makahiki 40 a 64; Mālama Preventive - nā kāne - nā makahiki 40 a 64
- Maʻi ʻaʻai Prostate
- Osteoporosis
- Nā hopena o ka makahiki i ke kaomi koko
- Hōʻike koko okekoma fecal
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. ʻ statementlelo kūkākūkā: 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.
ʻO Cosman F, de Beur SJ, LeBoff MS, et al. ʻO ke alakaʻi a ka mea lapaʻau i ka pale a me ka mālama ʻana i ka osteoporosis. ʻO Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.
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]. ʻO J Am Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.
Mazzone PJ, Silvestri GA, Patel S, et al. Nānā ʻia no ka maʻi ʻaʻai puʻupuʻu: Ka Papa Kuhikuhi CHEST a me ka Hōʻike Papa Expert. Umauma 2018; 153 (4): 954-985. PMID: 29374513 pubmed.ncbi.nlm.nih.gov/29374513/.
Meschia JF, Bushnell C, Boden-Albala B, 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 Moyer VA; ʻO ka Hana Hana Hana Hana Preventive US. ʻO ka loiloi no ka maʻi ʻaʻai māmā: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.
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/.
Smith RA, Andrews KS, Brooks D, et al. ʻO ka loiloi ʻana o ka maʻi ʻaʻai ma ʻAmelika Hui Pū ʻIa, 2019: he loiloi i nā alakaʻi o ka ʻAhahui Kanaka ʻAmelika i kēia manawa a me nā pilikia o kēia manawa i ka nānā ʻana i ka maʻi ʻaʻai. ʻO CA Cancer J Clin. 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/30875085/.
ʻO ka Pūʻali Hana Hana Hana US, Bibbins-Domingo K, Grossman DC, Curry SJ, 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. ʻ recommendationlelo aʻoaʻo hope loa. Ka maʻi ʻaʻai Prostate: kānana. www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening. Paʻi ʻia ma Mei 8, 2018. Loaʻa iā ʻApelila 18, 2020.
Pūnaewele Hana Hana Hana Preventive US. ʻ recommendationlelo aʻoaʻo hope loa. 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/.