Ukuhlolwa kwezempilo kumadoda aneminyaka engama-65 nangaphezulu

Kufuneka utyelele umboneleli wakho wezempilo rhoqo, nokuba uziva usempilweni. Injongo yolu tyelelo kukuba:

• Iscreen semicimbi yezonyango
• Vavanya umngcipheko weengxaki zonyango ezizayo
• Khuthaza indlela yokuphila esempilweni
• Hlaziya ugonyo
• Ndinceda ukuba wazi umboneleli wakho xa unokugula

Nokuba uziva ulungile, kuya kufuneka ubone umboneleli wakho ngokujonga rhoqo. Olu tyelelo lunokukunceda uphephe iingxaki kwixa elizayo. Umzekelo, ekuphela kwendlela yokufumanisa ukuba unoxinzelelo lwegazi oluphezulu kukuba uhlolwe rhoqo. Iswekile yegazi ephezulu kunye namanqanaba aphezulu e-cholesterol nayo isenokungabi nazimpawu kumanqanaba okuqala. Uvavanyo lwegazi olulula lunokuzijonga ezi meko.

Kukho amaxesha athile apho kuya kufuneka ubone umboneleli wakho. Apha ngezantsi kukho izikhokelo zovavanyo kumadoda aneminyaka engama-65 nangaphezulu.

UKUHLAWULWA KWENKQUBO YOKUPHILA KWI-AORTIC

• Ukuba uneminyaka engama-65 ukuya kuma-75 kwaye utshaye, kuya kufuneka ube ne-ultrasound kwisikrini se-aortic aneurysms.
• Amanye amadoda kufuneka axoxe ngoku kuvavanywa nomnikezeli wabo.

UKUJONGWA KWEGAZI

• Vavanya uxinzelelo lwegazi ubuncinci kube kanye kwiminyaka emibini. Ukuba inani eliphezulu (inani le-systolic) lisuka kwi-120 ukuya kwi-139 mm Hg, okanye inani elisezantsi (inombolo ye-diastolic) lisukela kwi-80 ukuya kwi-89 mm Hg, kuya kufuneka uyitshekishe minyaka le.
• Ukuba inani eliphezulu li-130 okanye ngaphezulu okanye inani elisezantsi liyi-80 okanye ngaphezulu, hlela ixesha lokubonana nomboneleli wakho ukuze ufunde ukuba ungalinciphisa njani uxinzelelo lwegazi.
• Ukuba unesifo seswekile, isifo sentliziyo, iingxaki zezintso, okanye ezinye iimeko, unokufuna ukuba uxinzelelo lwegazi luhlolwe rhoqo, kodwa kube kanye ngonyaka.
• Bukela ukuhlolwa koxinzelelo lwegazi kwindawo yakho. Buza umboneleli wakho ukuba unokuma ngaphakathi ukuze uhlolwe uxinzelelo lwegazi. Ungajonga uxinzelelo lwegazi usebenzisa oomatshini abazenzekelayo kwiivenkile zokutya zasekuhlaleni nakwiikhemesti.

UKUKHUSELWA KWE-CHOLESTEROL NOKUTHINTELA ISIFO SEentliziyo

• Ukuba inqanaba lakho le-cholesterol liqhelekile, liphinde liqwalaselwe ubuncinci yonke iminyaka emihlanu.
• Ukuba une-cholesterol ephezulu, isifo seswekile, isifo sentliziyo, iingxaki zezintso, okanye ezinye iimeko, unokufuna ukukhangelwa rhoqo.
  

UKUHLAZIYWA KOMHLAZIYO WOKHOLO

Kude kube yiminyaka engama-75, kuya kufuneka uhlolo lomhlaza rhoqo. Ukuba uneminyaka engama-76 okanye ngaphezulu, kuya kufuneka ubuze umboneleli wakho ukuba ufuna ukujongwa. Iimvavanyo ezininzi ziyafumaneka kuvavanyo lomhlaza:

• Uvavanyo lwe-fecal occult lwegazi (olusekwe estool) olwenziwa minyaka le
• Uvavanyo lwe-fecal immunochemical (FIT) minyaka le
• Uvavanyo lwe-DNA lwelindle rhoqo kwiminyaka emi-3.
• I-sigmoidoscopy eguqukayo rhoqo kwiminyaka emi-5
• Umahluko phakathi kwe-enema ye-barium rhoqo kwiminyaka emi-5
  
• I-CT colonography (i-colonoscopy ebonakalayo) rhoqo kwiminyaka emi-5
  
• Colonoscopy qho kwiminyaka eli-10

Unokufuna i-colonoscopy rhoqo xa unemingcipheko yomhlaza wesifo somhlaza, njenge:

• Ukudumba okwenziwa sisilonda sikabhobhosi
• Imbali yobuqu okanye yosapho yomhlaza kwikholon okanye kwi-rectum
• Imbali yokukhula ebizwa ngokuba yi-adenomatous polyps

Uviwo lwamazinyo

• Yiya kugqirha wamazinyo kube kanye okanye kabini ngonyaka uvavanyo kunye nokucoca. Ugqirha wakho wamazinyo uza kuvavanya ukuba ngaba ufuna utyelelo rhoqo.

UKUHLAZIYWA KWESIKHULA

• Ukuba uneminyaka engama-65 okanye ngaphezulu kwaye usempilweni, kuya kufuneka uhlolwe isifo seswekile qho emva kweminyaka emi-3.
• Ukuba ukhuluphele kwaye uneminye imingcipheko yesifo seswekile, buza umboneleli wakho ukuba kuya kufuneka uhlolwe rhoqo.

UVIWO LWEEMEHLO

• Yenza uvavanyo lwamehlo rhoqo kwiminyaka emi-1 ukuya kwezi-2.
• Yenza uvavanyo lwamehlo ubuncinci minyaka le ukuba unesifo seswekile.

UVAVANYO LOKUVA

• Vavanyelwa iindlebe zakho ukuba unempawu zokuphulukana nendlebe.

UGONYO

• Ukuba uneminyaka engama-65 okanye ngaphezulu, fumana isitofu sokugonya se-pneumococcal.
• Kufuneka ufumane umkhuhlane unyaka nonyaka.
• Fumana i-tetanus-diphtheria booster rhoqo kwiminyaka eli-10.
• Unokufumana i-shingles, okanye i-herpes zoster, isitofu sokugonya xa uneminyaka engama-50 okanye ngaphezulu.

UKUHLAZIYWA KOMHLAZA WEMLUNGE

Kuya kufuneka ube novavanyo lonyaka lomhlaza wemiphunga kunye nedosi esezantsi yecomputer tomography (LDCT) ukuba:

• Uneminyaka engaphezu kwama-55 ubudala
• Unembali yokutshaya yeminyaka engama-30 KANYE
• Ngoku uyatshaya okanye uyekile kwiminyaka eli-15 edlulileyo

UKUHLAWULWA KWEZIFO EZIYINGCACISO

• I-US Preventive Services Task Force icebisa ukuba kuhlolwe i-hepatitis C. Kuxhomekeka kwindlela ophila ngayo nakwimbali yakho yezonyango, kusenokufuneka uhlolwe usulelo olufana negcushuwa, i-chlamydia, ne-HIV kunye nezinye izifo.
  

UKUHLAWULWA KWE-OSTEOPOROSIS

• Ukuba unemingcipheko ye-osteoporosis, kufuneka ujonge umboneleli wakho malunga nokuhlola. Imiba yomngcipheko inokubandakanya ukusetyenziswa kwe-steroid yexesha elide, ukuthoba umzimba, ukutshaya, ukusebenzisa kakhulu utywala, ukwaphuka emva kweminyaka engama-50, okanye imbali yosapho ye-osteoporosis.
• Amadoda aneminyaka engama-70 nangaphezulu kufuneka acinge ngokufumana uvavanyo lokuxinana kwethambo.

UKUHLAWULWA KOMGAQO-PROSTATE

Ukuba uneminyaka engama-55 ukuya kwengama-69 ubudala, ngaphambi kokuvavanywa, thetha nomboneleli wakho malunga neenzuzo kunye neengxaki zokufumana uvavanyo lwe-PSA. Buza malunga:

• Nokuba ukuvavanywa kunciphisa ithuba lakho lokufa ngenxa yomhlaza webele.
• Nokuba kukho nasiphi na isenzakaliso esivela ekuvavanyweni komhlaza wedlala lobudoda, ezinje ngeziphumo ebezingalindelekanga kuvavanyo okanye kunyango lomhlaza xa ufunyenwe.
• Nokuba unomngcipheko ophezulu womhlaza wedlala lobudoda kunabanye.

Kumadoda amadala kuneminyaka yobudala engama-70, uninzi lweengcebiso zichasene nokuhlolwa.

Ukuba ukhetha ukuvavanywa, uvavanyo lwegazi lwePSA luphindaphindwa ngokuhamba kwexesha (minyaka le okanye rhoqo), nangona elona qondo lihle lingaziwa.

• Uviwo lweprostate alusenziwa rhoqo kumadoda angenazo iimpawu.
  

IIMVIWO ZOMZIMBA

• Yenza uvavanyo lomzimba minyaka le.
• Umboneleli wakho uya kujonga ubunzima bakho, ubude, kunye nesalathiso sobunzima bomzimba (BMI).

Ngexesha loviwo, umboneleli wakho uya kukubuza malunga:

• Amayeza akho kunye nomngcipheko wonxibelelwano
• Utywala kunye nokusetyenziswa kwecuba
• Ukutya kunye nokuzilolonga
• Ukhuseleko, njengokusebenzisa ibhanti yesihlalo
• Nokuba ukhe wawa
  
• Uxinzelelo

UVIWO LOLusu

• Umboneleli wakho unokujonga ulusu lwakho iimpawu zomhlaza wolusu, ngakumbi ukuba usemngciphekweni omkhulu.
• Abantu abasemngciphekweni omkhulu babandakanya abo babekhe banomhlaza wolusu ngaphambili, banezihlobo ezisondeleyo ezinomhlaza wolusu, okanye amajoni omzimba abuthathaka.

Ukutyelelwa kwezempilo - amadoda angaphezulu kweminyaka engama-65; Uvavanyo lomzimba-amadoda angaphezulu kweminyaka yobudala engama-65; Uvavanyo lonyaka-amadoda angaphezulu kweminyaka engama-65; Ukuhlolwa - amadoda angaphezulu kweminyaka engama-65; Impilo yamadoda - ngaphezulu kweminyaka yobudala engama-65; Uvavanyo lothintelo-lwamadoda-ngaphezulu kweminyaka yobudala engama-65

• Uvavanyo lwegazi lokungcola kwegazi
• Iziphumo zobudala kuxinzelelo lwegazi
• Unyango
• Umhlaza wedlala lobudoda

IKomiti yeNgcebiso ngeZenzo zoGonyo. Ishedyuli ekhuthazwayo yokugonya abantu abadala abaneminyaka eyi-19 okanye ngaphezulu, eUnited States, 2020. www.cdc.gov/vaccines/schedules/index.html. Ukuhlaziywa ngoFebruwari 3, 2020. Ifikeleleke ngo-Epreli 18, 2020.

Iwebhusayithi yaseAmerican Academy yeOphthalmology. Inkcazo yezonyango: Ukuhamba rhoqo kweemviwo zeoyile-2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Ukuhlaziywa ngo-Matshi 2015. Ifikeleleke ngo-Epreli 18, 2020.

Umbutho waseMelika wamazinyo. Imibuzo yakho ephezulu ye-9 malunga nokuya kugqirha wamazinyo-iphenduliwe. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Kufumaneka ngo-Apreli 18, 2020.

Umbutho weSwekile yaseMelika. 2. Ukwahlulahlula kunye nokuchonga isifo seswekile: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S14 – S31. IINKCUKACHA: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

U-Atkins D, uBarton M. Uvavanyo lwempilo lwamaxesha ngamaxesha. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl 12.

I-Grundy SM, iLitye NJ, iBaleyy AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Isikhokelo kuLawulo lweCholesterol yeGazi: Ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zoKwenziwa kweKlinikhi [ulungiso olupapashiweyo lubonakala kuJ Am Coll Cardiol. 2019 ngoJuni 25; 73 (24): 3237-3241]. J NdinguColl Cardiol. Ngo-2019; 73 (24): e285-e350. IINKCUKACHA: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

UMeschia JF, uBushnell C, uBoden-Albala B, et al. Izikhokelo zothintelo lokuqala lwe-stroke: ingxelo yabasebenzi bezempilo kwi-American Heart Association / American Association. Ukubetha. Ngo-2014; 45 (12): 3754-3832. IINKCUKACHA: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

UMoyer VA; Umsebenzi woKhuseleko kwi-US. Ukuvavanywa komhlaza wemiphunga: I-US Preventive Services Task Force statement. UAnn Intern Med. Ngo-2014; 160 (5): 330-338. IINKCUKACHA: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

Ridker PM, Libby P, Buring JE. Iimpawu zomngcipheko kunye nothintelo lokuqala lwezifo zentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 45.

Siu AL; Umsebenzi woKhuseleko kwi-US. Ukuvavanywa koxinzelelo lwegazi oluphezulu kubantu abadala: I-US Preventive Services Task Force statement. UAnn Intern Med. Ngo-2015; 163 (10): 778-786. IINKCUKACHA: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

USmith RA, uAndrews KS, uBrooks D, et al. Ukuvavanywa komhlaza e-United States, i-2019: uphononongo lwezikhokelo zangoku zeAmerican Cancer Society kunye nemicimbi yangoku ekuhlolweni komhlaza. Umhlaza kwi-CA. Ngo-2019; 69 (3): 184-210. IINKCUKACHA: 30875085.

UFudenski S, uVan Swearingen J. Falls. Ku: Gcwalisa i-HM, i-Rockwood K, i-Young J, ii-eds. Incwadi ka-Brocklehurst ye-Geriatric Medicine kunye neGerontology. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2017: isahl. 103.

Umsebenzi we-US Preventive Services Task Force, ii-Bibbins-Domingo K, iGrossman DC, iCurry SJ, et al. Ukuvavanywa komhlaza wolusu: I-US Preventive Services Task Force statement. JAMA. Ngo-2016; 316 (4): 429-435. IINKCUKACHA: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

Iinkonzo zoThintelo lweeNkonzo zoMsebenzi wase-US. Isiteyitimenti sokugqibela sengcebiso. Ukuvavanywa komhlaza ocacileyo, www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Ipapashwe ngoJuni 15, 2016. Ifikeleleke ngo-Epreli 18, 2020.

Iinkonzo zoThintelo lweeNkonzo zoMsebenzi wase-US. Isiteyitimenti sokugqibela sengcebiso. Usulelo lwentsholongwane ye-Hepatitis C kulutsha nakubantu abadala: ukuhlolwa. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Ipapashwe ngoMatshi 2, 2020. Ifikeleleke ngo-Epreli 19, 2020.

Iinkonzo zoThintelo lweeNkonzo zoMsebenzi wase-US. Isiteyitimenti sokugqibela sengcebiso. Umhlaza wesibeletho: ukuhlolwa. www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening. Ipapashwe ngoMeyi 8, 2018. Ifikeleleke ngo-Epreli 18, 2020.

UWhelton PK, uCarey RM, uAronow WS, et al. I-2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Isikhokelo sothintelo, ukufumanisa, ukuvavanya, kunye nokulawula uxinzelelo lwegazi kubantu abadala: ingxelo yeAmerican College of Cardiology / American Umsebenzi weQela loMbutho weNtliziyo kwiZikhokelo zeNkqubo yokuziQhelanisa neKlinikhi [ukulungiswa okupapashiweyo kuvela ku-J Am Coll Cardiol. 2018 ngoMeyi 15; 71 (19): 2275-2279]. J NdinguColl Cardiol. 2018; 71 (19): e127-e248. IINKCUKACHA: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.