Mea Kākau: Clyde Lopez
Lā O Ka Hana: 19 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
The wreck of a Lamma IV pleasure craft colliding with a boat in Hong Kong.
Wikiō: The wreck of a Lamma IV pleasure craft colliding with a boat in Hong Kong.

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 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 nā lula kānana no nā kāne 65 a ʻoi paha makahiki.

ʻO SCRENING ANEURYSM AORTIC ABDOMINAL

  • Inā he 65 a 75 mau makahiki kou a ua puhi, pono ʻoe i kahi ultrasound e paʻi no nā aneurysms aortic aortic.
  • Pono nā kāne ʻē e kūkākūkā i kēia kānana me kā lākou mea hāʻawi.

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. Hiki iā ʻoe ke nānā i kou kaomi koko me ka hoʻohana ʻana i nā mīkini automated ma nā hale kūʻai a me nā hale kūʻai lāʻau kūloko.

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

  • Inā maʻamau kāu pae kolesterol, e nānā hou ia ma ka liʻiliʻi i kēlā me kēia 5 mau makahiki.
  • Inā loaʻa iā ʻoe ke kiʻekiʻe o ke kōkōkō, diabetes, maʻi maʻi puʻuwai, nā pilikia pākī, a i ʻole kekahi mau ʻano ʻē aʻe, pono paha ʻoe e hōʻoia pinepine ʻia

NĀ KINI CANCER KOLOHE


A hiki i ka makahiki 75, pono ʻoe e loiloi no ka maʻi ʻaʻai kala i kēlā me kēia manawa. Inā he 76 a ʻoi paha kou mau makahiki, pono ʻoe e nīnau i kāu mea hāʻawi inā pono ʻoe e nānā ʻia. Loaʻa nā hoʻokolohua he nui no ka loiloi ʻana i ka maʻi ʻaʻai colorectal:

  • 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 o ke kolona a i ʻole ka kiko
  • 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 he 65 a ʻoi kou mau makahiki a ma ke olakino maikaʻi, pono ʻoe e loiloi ʻia no ka maʻi kō i kēlā me kēia 3 mau makahiki.
  • Inā kaumaha nui ʻoe a loaʻa i nā mea ʻē aʻe no ka maʻi diabetes, e nīnau i kāu mea hāʻawi inā e nānā pinepine ʻia ʻoe.

Hōʻoia MATA

  • E nānā i ka maka i kēlā me kēia 1 a 2 mau makahiki.
  • E nānā i ka maka ma ka liʻiliʻi i kēlā me kēia makahiki inā he diabetes kou.

HOʻOLOHE ANA

  • E hoʻāʻo i kāu hoʻolohe inā loaʻa nā ʻōuli o ka nalo ʻana o ka lohe.

NA HANA

  • Inā he 65 a ʻoi paha kou mau makahiki, e loaʻa i kahi lāʻau ākea pneumococcal.
  • E kiʻi ʻoe i ka maʻi flu i kēlā me kēia makahiki.
  • E kiʻi i kahi booster tetanus-diphtheria i kēlā me kēia 10 mau makahiki.
  • Loaʻa paha iā ʻoe kahi shingles, a i ʻole herpes zoster, lāʻau lapaʻau i ka makahiki 50 a ʻoi paha.

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

ʻImi maʻi maʻi INFECTIOUS

  • Paipai ka US Preventive Services Task Force i ka loiloi 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.

NĀ KUMU OSTEOPOROSIS

  • Inā loaʻa iā ʻoe nā mea pilikia no ka osteoporosis, pono ʻoe e nānā me kāu mea lawelawe e pili ana i ka kānana. 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, kahi haki ma hope o ka makahiki 50, a i ʻole ka moʻolelo o ka ʻohana osteoporosis.
  • Pono nā kāne makahiki 70 a ʻoi paha e noʻonoʻo i ka hoʻāʻo ʻana i ka mineral mineral density density.

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.

No nā kāne ma mua o ka makahiki 70, kūʻē ka hapa nui o nā ʻōlelo i ka kānana ʻana.

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.

NA HOAINO KINO

  • E loaʻa i kahi hōʻike kino makahiki.
  • E nānā kāu mea hāʻawi i kou kaupaona, kiʻekiʻe, a me ka papa kuhikuhi nui o ke kino (BMI).

I ka wā o ka hoʻokolohua, e nīnau kāu mea hāʻawi iā ʻoe e pili ana i:

  • ʻO kāu mau lāʻau a me ka makaʻu no ka launa pū
  • ʻAlekohola a me ka paka
  • ʻO kaʻai a me ka hoʻoikaika kino
  • Ka palekana, e like me ka hoʻohana ʻana i ke kāʻei noho
  • Inā ua hāʻule ʻoe
  • Kaumaha

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.

Kipa mālama olakino - kāne - ma luna o 65 makahiki; ʻImi kino - kāne - ma luna o 65 makahiki; ʻImi makahiki - kāne - ma luna o 65 makahiki; Nānā - nā kāne - ma luna o nā makahiki 65; Ke olakino o nā kāne - ma luna o 65 mau makahiki; Hōʻike mālama mālama Preventive - nā kāne - ma luna o 65 mau makahiki

  • Hōʻike koko okekoma fecal
  • Nā hopena o ka makahiki i ke kaomi koko
  • Osteoporosis
  • Maʻi ʻaʻai Prostate

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 hōʻoia o ka maʻi diabetes: nā hae o ka mālama olakino ma diabetes-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 e pili ana i ka mālama ʻana i ka Cholesterol Koko: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Alakaʻi [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/.

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/.

Studenski S, Van Swearingen J. Falls. I: Fillit HM, Rockwood K, Young J, eds. ʻO Brocklehurst's Textbook of Geriatric Medicine a me Gerontology. 8th ed. Piladelapia, PA: Elsevier; 2017: chap 103.

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.

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/.

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