Nga tirohanga hauora mo nga taane 40 ki te 64 tau

Me toro atu koe ki to kaiwhakaora hauora i nga wa katoa, ahakoa e hauora ana koe. Ko te kaupapa o enei haerenga ko:

• Mata mo nga take hauora
• Arotakengia to tuponotanga mo nga raru hauora a meake nei
• Whakahaungia te koiora ora
• Whakahoutia nga kano kano mate
• Awhina kia mohio koe ki to kaiwhakarato kei mate koe

Ahakoa he pai ki a koe, me haere tonu ki te tirotiro i to kaiwhakarato mo nga tirotiro i nga waa katoa. Ma enei haerenga ka awhina i a koe ki te karo i nga raru a meake nei. Hei tauira, ko te huarahi noa e kitea ana mena he toto toto tou, ko te tirotiro i nga wa katoa. Ko te nui o te huka toto me te taumata kolesterol teitei kaore pea he tohu i nga wa timatanga. Ka taea e nga whakamatautau toto ngawari te tirotiro mo enei ahuatanga.

He wa motuhake kia kite koe i to kaiwhakarato. Kei raro nei nga aratohu tirotiro mo nga taane 40 ki te 64 tau.

TE TIROHIA PARAU TAI

• Tirohia to pehanga toto neke atu i te 2 tau. Mena ko te tau o runga (nama systolic) mai i 120 ki 139 mm Hg, ko te nama o raro (nama diastolic) mai i te 80 ki te 89 mm Hg, me tirotirohia e koe i ia tau.
• Mena ko te tau o runga 130 neke atu ranei ko te nama raro 80 neke atu ranei, whakaritea he wa ki to kaiwhakarato kia mohio koe me pehea e whakaiti ai i to toto
• Mena he mate huka koe, he mate ngakau, he raru o te whatukuhu, me etahi atu ahuatanga ranei, akene he wa kia tirohia to pēhanga toto, engari kia kotahi neke atu i te tau.
• Kia tupato ki nga tirotirohanga toto i to rohe. Patai ki to kaiwhakarato mena ka taea e koe te kati ki te tarai i to mate toto.

TE HEHEURI KOHAROHI ME TE HEI WHAKARONGO I TE KORERO

• Ko te tau kua tiimata mo te tirotiro i te cholesterol ko te 35 o nga tau mo nga taane kaore e mohiotia nga morearea mo te mate manawa.
• Ka tiimata ana te tirotiro i te cholesterol, kia tirohia to cholesterol i nga tau 5 katoa.
• Tukuruatia ano te whakamatautau i te wa e hiahiatia ana mena ka rereke nga ahuatanga o te noho (tae atu ki te whakapiki i te taumaha me te kai).
• Mena he nui te taumata o te cholesterol, te mate huka, te mate manawa, nga raru o te whatukuhu, me etahi atu ahuatanga ranei, me kaha pea te tirotiro.

TE HEHIAHI POHE KOREWHITARA

Mena kei raro koe i te 50 tau, korero ki to kaiwhakarato kia tirohia te mata o te mata. Me tirotirohia koe mena he kaha te hitori o te whanau o te mate pukupuku koroni, o te polyps ranei. Ka whakaarohia ano hoki te tirotirohia mena kei te raru koe penei i te hitori o te mate pukupuku ngongo, o te polyps ranei.

Mena he 50 ki te 75 ou tau, me tirotirohia koe mo te mate pukupuku mate pukupuku. He maha nga whakamatautau whakamatau e waatea ana:

• He whakamātautau toto tipua (huatau) te whakamātautau i ia tau
• He whakamātautau ārai mate urupare (FIT) ia tau
• He whakamātautau DNA tuumaru ia 3 tau
• Sigmoidoscopy hangai ia 5 tau
• Tuarua rongoa barium enema ia 5 tau
• CT colonography (colonoscopy mariko) ia 5 tau
• Ko te Colonoscopy ia 10 tau

Akene he maha ake pea te hiahia o te koroni ki te mate koe i nga take o te mate pukupuku kakariki, penei i te:

• Colitis koretake
• He hitori, he hitori ranei a te whanau mo te mate pukupuku mate pukupuku
• He hitori o nga tipu e kiia ana ko adenomatous polyps

HE WHAKAMAHI KI TE RUTI

• Haere ki te taote niho kotahi, kia rua ranei ia tau mo te whakamatautau me te horoi. Ka aromatawai to taakuta niho mena kei te hiahia koe mo nga haerenga maha.
  

NGĀ PANUITANGA DIABETES

• Mena kua neke atu i te 44 ou tau, me tirotiro koe ia 3 tau.
• Ko te whiwhi i te BMI neke atu i te 25 te tikanga he nui te taumaha. Mena he nui rawa te taumaha, paatai ​​ki to kaiwhakarato mena ka tirotirohia koe i to tau nohinohi. Me tirotirohia nga Amerikana Ahia mena he nui ake to BMI i te 23.
• Mena he nui ake to toto i te 130/80 mm Hg, he mate raru ke atu ranei koe mo te mate huka, ka whakamatautauria pea e to kaiwhakarato to taumata huka toto mo te mate huka.

HE WHAKAMAHI MATA

• Whakamatauhia te tirotiro kanohi i ia 2 ki te 4 tau 40 ki te 54 me nga 1 ki te 3 tau 55 ki te 64. Akene he taunaki a to kaiwhakarato i nga whakamatamatakitanga o o kanohi mena he raru kite koe he morearea raru ranei.
• Me tirotiro he tirotiro kanohi i te iti rawa ia tau mena e mate huka ana koe.

Tuhinga

• Kia puta koe i te pupuhi rewharewha ia tau.
• Patai ki to kaiwhakarato mena ka whiwhi koe i te kano kano mate ki te whakaiti i te tuukino o te mate pneumococcal (ka puta he momo paukena).
• Me whiwhi koe i te kano kano tetanus-diphtheria me te acellular pertussis (Tap) i te wahanga kotahi o te kano kano tetanus-diphtheria mena kaore koe i whiwhi i a koe i to taiohi. Kia whai koe i te booster tetanus-diphtheria ia 10 tau.
• Akene ka whiwhi koe i te werohanga heringamana herpes zoster ranei i muri i te 50 tau.
• Ka taunakitia pea e to kaiwhakarato etahi atu werohanga mate mena kei te tupono koe ki etahi ahuatanga.

TE MAHI AROHU MAHI

• Ko te whakahau a te US Taskvent Services Task Force kia tirotirohia te mate kakati C.
• Kei i to ahua noho me te hitori o te rongoa, akene ka tirotirohia koe mo nga mate penei i te syphilis, chlamydia, me te HIV, me etahi atu mate.

TE PANUITANGA NGARAU KOREUTU

Me whai tirotirohia ia tau mo te mate pukupuku pukupuku me te tomography iti-inia tatau (LDCT) mena:

• Neke atu i te 55 tau AND
• Kei a koe te hitori mo te momi hikareti mo te 30 tau-AND
• I a koe e momi paipa ana, kua mutu ranei i roto i nga tau 15 kua hipa

PANUITANGA OSTEOPOROSIS

• Mena he 50 ki te 70 ou tau ka raru koe mo te osteoporosis, me korero e koe me to kaiwhakarato.
• Ko nga mea morearea ka uru ki te wa roa te whakamahi i te steroid, te iti o te taumaha o te tinana, te momi momi, te inu waipiro nui, he whati i muri o te tau 50, te hitori ranei o te whanau osteoporosis

Tuhinga o mua

• Me tirotirohia to taumaha toto i te iti rawa ia tau.
• Ka taunaki pea to kaiwhakarato kia tirohia to homa i ia 5 tau mena ka raru koe mo nga mate ngakau tuuturu.
  
• Ko to teitei, to taumaha, me to taurangi papatipu tinana (BMI) me tirotiro i nga whakamatautau katoa.

I te wa o to whakamatautau, ka paatai ​​pea to kaiwhakarato ki a koe mo:

• Pouri
• Te kai me te whakakori tinana
• Te inu waipiro me te tupeka
• Te ahuru, penei i te whakamahi i nga whitiki nohoanga me nga tohu paowa

TE WHAKAMAHI KAUPAPA KOREUTU

Mena he 55 ki te 69 nga tau, i mua i te whakamatautau, korero ki to kaiwhakarato mo nga painga me nga huakore o te whakamatautau PSA. Patai mo:

• Mena ko te tirotiro ka whakaitihia to tupono ka mate koe i te matepukupuku repeure.
  
• Mena he kino mai i te tirotirohanga o te matepukupuku repeure, penei i nga awangawanga mai i te whakamatautauranga, te nui ranei o te mate pukupuku i te wa ka kitea.
  
• Mena he nui ake to mate ki te mate pukupuku repeure i etahi atu.

Mena he 55 ou tau neke atu ranei, kaore i te taunakihia te tirotiro. Me korero koe ki to kaiwhakarato mena ka nui ake te tuponotanga o te mate pukupuku repeure. Ko nga take morearea kei:

• He hitori o te whanau mo te matepukupuku repeure (ina koa he tuakana he papa ranei)
  
• Ko te American American
• Mena ka tohua e koe kia whakamatautauria, ka tukuna ano te whakamatautau toto PSA i te waa (ia tau, iti iho ranei), ahakoa kaore e mohiotia te waahea pai.
  
• Ko nga whakamatautau mo te wairangi kaore ano kia mahia i nga wa katoa ki nga taane kaore he tohu.

WHAKAMAHI KAUPAPA

• Ka tirotirohia e to kaiwhakarato to kiri mo nga tohu o te mate pukupuku kiri, ina koa mena he morearea koe. Ko te hunga e tino morearea ana ko etahi kua pa ki te mate pukupuku kiri i mua atu, he whanaunga tata ki te mate pukupuku kiri, he ngoikore ranei te punaha aarai mate.
  

WHAKAMAHI KAUPAPA

• Ko te US Force Preventive Services Force Force (USPSTF) kei te taunaki inaianei kia kaua e mahi i nga whakamatautau whaiaro. Ko te mahi i nga whakamatautau whaiaro kua kitea he iti hei painga.

Te haerenga hauora - nga taane - 40 ki te 64 tau; Te whakamātautau ā-tinana - tāne - 40 ki te 64 tau; Te whakamātautau ā-tau - taane - 40 ki te 64 tau; Tirohanga - tane - 40 ki te 64 tau; Te hauora o nga taane - 40 ki te 64 nga tau; Te tiaki aukati - tangata - 40 ki te 64 tau

• Matepukupuku repeure
• Osteoporosis
• Nga painga o te tau ki te pehanga toto
• Whakamatautau toto tipua

Komiti Tohutohu mo nga Mahi Whakatutukitanga. Ko te raarangi whakaunaa rongoa mo nga pakeke pakeke 19 tau neke atu ranei, United States, 2020. www.cdc.gov/vaccines/schedules/index.html Whakahoutia Pepuere 3, 2020. Kua uru atu ki a Paenga-whawha 18, 2020.

Paetukutuku American Academy of Ophthalmology. Tauākī haumanu: auau o nga whakamātautau matakite - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Whakahoutia Poutu-te-rangi 2015. He mea totoro i te Paenga-whāwhā 18, 2020.

Paetukutuku American Dental Association. Ko au patai e 9 nui mo te haere ki te taote niho - i whakautua. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Kua uru atu ki a Aperira 18, 2020.

American Diabetes Association. 2. Te whakarōpūtanga me te tohu mate huka: nga tikanga mo te tiaki hauora i te mate huka - 2020. Tiakitanga mate huka. 2020; 43 (Taputapu 1): S14 – S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. Te whakamatautau hauora i ia wa. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 12.

Cosman F, de Beur SJ, LeBoff MS, et al. Ko te aratohu a te Kairangahau mo te aukati me te maimoatanga o te osteoporosis. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

Grundy SM, Kohatu NJ, Bailey AL, et al.2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Aratohu mo te whakahaere i te toto totika: he purongo mo te American College of Cardiology / American Heart Association Task Force mo nga Tohutohu Mahi Haumanu. [puta ana te whakatika i roto i a 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, et al. Te tirotiro mo te mate pukupuku pukupuku: Te Aratohu CHEST me te Ripoata a te Paewhiri Tohunga. Papa. 2018; 153 (4): 954-985. PMID: 29374513 pubmed.ncbi.nlm.nih.gov/29374513/.

Meschia JF, Bushnell C, Boden-Albala B, et al. He Aratohu mo te aukati tuatahi i te whiu: he korero mo nga tohunga ngaio hauora mai i te American Heart Association / American Stroke Association. Pakaru. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

Moyer VA; Te Ope Mahi Mahi a US. Te tirotiro mo te pukupuku pukupuku: Ko te tauākī tūtohutanga a te Ratonga Tūmahi Ratonga a US. Ann Intern Med. 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

Ridker PM, Libby P, Buring JE. Nga tohu morearea me te aukati tuatahi i nga mate pukupuku ngakau. I roto i: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. He Mate Ngakau a Braunwald: He Pukapuka Kupu mo te Maimoatanga Mate Mate. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 45.

Siu AL; Te Ope Mahi Mahi a US. Te tirotiro mo te toto toto tiketike i roto i nga pakeke: Tauākī tūtohutanga a te US Tūmahi Ratonga Tūmahi. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, et al. Te tirotiro mate pukupuku i te United States, 2019: he arotake mo nga aratohu a te Hapori Mate Mate o Amerika me nga take o te tirotiro mate pukupuku. CA Mate Mate J Clin. 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/30875085/.

US Force Preventive Ratonga Mahi, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Te tirotiro mo te mate pukupuku kiri: US Preventive Services Task Force korero korero. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

Paetukutuku Mahi Mahi Whakatupato a US. Tauākī tūtohutanga whakamutunga. Te tirotiro matepukupuku karakara. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. I whakaputahia i te Pipiri 15, 2016. Uru ki a Paenga-whawha 18, 2020.

Paetukutuku Mahi Mahi Whakatupato a US. Tauākī tūtohutanga whakamutunga. Hepatitis C mate huaketo i nga taiohi me nga pakeke: tirotiro. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. I whakaputahia i te Poutu-te-Rangi 2, 2020. Kua uru atu ki a Aperira 19, 2020.

Paetukutuku Mahi Mahi Whakatupato a US. Tauākī tūtohutanga whakamutunga. Matepukupuku repeure: tirotiro. www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening. I whakaputahia i te Mei 8, 2018. Kua uru atu ki a Aperira 18, 2020.

Paetukutuku Mahi Mahi Whakatupato a US. Tauākī tūtohutanga whakamutunga. Mate pukupuku mate pukupuku: tirotiro. www.uspreventiveservicestaskforce.org/uspstf/recommendation/testicular-cancer-screening. I whakaputahia i te Paenga-whawha 15, 2011. Kua uru ki Paenga-whāwhā 19, 2020.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Aratohu mo te aukati, kitenga, arotake, me te whakahaere i te toto toto tiketike i roto i nga pakeke: he purongo mo te American College of Cardiology / American Te Rōpū Mahi Tūmahi Heart i runga i nga Tohutohu Mahi Haumanu [kua puta te whakatika i roto i te J Am Coll Cardiol. 2018 Mei 15; 71 (19): 2275-2279]. J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.