Hutano kuongororwa kwevakadzi vane makore makumi mana kusvika makumi matanhatu nemana

Iwe unofanirwa kushanyira wako wekuchengeta hutano nguva nenguva, kunyangwe iwe uine hutano. Chinangwa chekushanya uku ndechekuti:

• Screen yezvekurapa nyaya
• Ongorora njodzi yako kumatambudziko ekurapa mune ramangwana
• Kurudzira mararamiro ane hutano
• Gadziridza majekiseni
• Batsira iwe kuti uzive wako mupi kana mune chirwere

Kunyangwe iwe uchinzwa zvakanaka, iwe unofanirwa kuona mupi wako wekutarisa nguva dzese. Uku kushanya kunogona kukubatsira kudzivirira matambudziko mune ramangwana. Semuenzaniso, nzira chete yekuziva kana uine BP uye kugara uchiongorora. Yakakwira shuga yeropa uye yakakwira cholesterol mazinga zvakare anogona kunge asina chero zviratidzo mumatanho ekutanga. Ongororo yeropa yakapusa inogona kutarisa aya mamiriro.

Pane dzimwe nguva chaipo paunofanira kuona mupi wako. Pazasi pane mirayiridzo yekuongorora yevakadzi vane makore makumi mana kusvika makumi matanhatu nemana.

KUDZIDZWA KWEROPA KUFUNGWA

• Ita kuti BP yako iongororwe kanokwana kamwe pamakore maviri. Kana iyo yepamusoro nhamba (systolic nhamba) ichibva pa120 kusvika 139 mm Hg, kana iyo yepazasi nhamba (diastolic nhamba) ichibva pa80 kusvika 89 mm Hg, unofanirwa kunge uchitariswa gore rega rega.
• Kana iyo yepamusoro nhamba iri zana nemakumi matatu kana kupfuura kana iyo yepazasi iri makumi masere kana kupfuura, ronga musangano pamwe nemupi wako kuti udzidze maitiro aunogona kudzikisa yako BP.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, matambudziko eitsvo, kana mamwe mamiriro ezvinhu, ungangoda kuongororwa ropa rako kakawanda, asi zvakadaro kamwe chete pagore.
• Tarisa kuongororwa kweropa munzvimbo yako. Kumbira mupiki wako kana iwe uchigona kumira mukati kuti utarise ropa rako.

CHEMAZANYA CANCERER KUWONESA

• Vakadzi vanogona kuita zamu remwedzi wega kuzviongorora. Nekudaro, nyanzvi hadzibvumirani nezve zvakanakira kuzviongorora mazamu mukutsvaga gomarara repazamu kana kuchengetedza hupenyu. Taura nemupi wako nezve izvo zvakakunakira iwe.
• Wako mupi anogona kuita kiriniki yemazamu bvunzo sechikamu chekudzivirira kwako bvunzo.
• Vakadzi vane makore makumi mana kusvika makumi mana nematanhatu vanogona kunge vaine mammogram gore rimwe nerimwe kusvika kumakore maviri. Nekudaro, havazi vese nyanzvi dzinobvumirana nezve zvakanakira kuita mammogram kana vakadzi vari muma40s. Taura nemupi wako nezve izvo zvakakunakira iwe.
• Vakadzi vane makore makumi mashanu kusvika makumi manomwe nemashanu vanofanirwa kuve nemammogram gore rimwe nerimwe kusvika kumakore maviri, zvinoenderana nenjodzi yavo, kutarisa gomarara repazamu.
• Vakadzi vane amai kana hanzvadzi vane kenza yemazamu pazera diki vanofanira kufunga mammograms egore. Vanofanira kutanga kutanga pane zera rakawanikwa nhengo yavo yemhuri yekupedzisira.
• Kana iwe uine zvimwe zvinenjodzi zvecancer yemazamu, mupi wako anogona kukurudzira mammogram, zamu ultrasound, kana MRI scan.

CERVICAL CANCER KUDZIDZA

Kuongorora gomarara remuromo wechibereko kunofanira kutanga pazera remakore makumi maviri nerimwe. Mushure mekuedzwa kwekutanga:

• Vakadzi vane makore makumi matatu kusvika makumi matanhatu nematanhatu vanofanirwa kuongororwa pamwe nePap bvunzo makore ese matatu kana iyo HPV bvunzo makore ese mashanu.
• Kana iwe kana wawakaroorana naye uine vamwe vatsva, iwe unofanirwa kuita bvunzo dzePap makore ese matatu.
• Vakadzi vane makore makumi matanhatu nemashanu kusvika makumi manomwe vanokwanisa kumira kuita bvunzo dzePap sekureba sekunge vanga vaine bvunzo nhatu mukati memakore gumi apfuura.
• Vakadzi vakamborapwa precancer (cervical dysplasia) vanofanirwa kuramba vaine bvunzo dzePap kwemakore makumi maviri mushure mekurapwa kana kusvika makore makumi matanhatu nemashanu, chero iri yakareba.
• Kana iwe wakabvisa chibereko chako uye chibereko chechibereko (yakazara hysterectomy), uye usati waonekwa kuti une gomarara remuchibereko, haufanire kunge uine Pap smears.

CHOLESTEROL KUEDZA

• Yakakurudzirwa zera rekutanga kwecholesterol kuongororwa ndeye makore makumi mana nemashanu evakadzi vasina ngozi dzinozivikanwa dzecoronary chirwere chemoyo.
• Kamwe kuongorora kwecholesterol kwatanga, cholesterol yako inofanira kuongororwa makore mashanu ese.
• Dzokorora kuyedza munguva pfupi pane inodiwa kana shanduko ikaitika mumararamiro (kusanganisira kuwedzera uremu uye chikafu).
• Kana uine cholesterol yakawanda, chirwere cheshuga, chirwere chemwoyo, matambudziko eitsvo, kana mamwe mamiriro, ungangoda kuongororwa kazhinji.

COLORECTAL CANCER KUDZIDZA

Kana iwe uri pasi pemakore makumi mashanu, taura nemupi wako nezve kuongororwa. Iwe unofanirwa kuongororwa kana uine yakasimba mhuri nhoroondo yekenza yekoloni kana polyps. Kuongorora kunogona zvakare kutariswa kana iwe uine njodzi zvinhu senge nhoroondo yehutachiona hwehutachiona chirwere kana polyps.

Kana iwe uine zera makumi mashanu kusvika makumi manomwe neshanu, unofanirwa kuongororwa kenza yakajeka. Pane bvunzo dzinoverengeka dzekuongorora dziripo:

• Iyo fecal yemashiripiti ropa (stool-based) bvunzo inoitwa gore rega rega
• Iyo fecal immunochemical test (FIT) gore rega
• Chituru cheDNA bvunzo makore ese matatu
• Inochinjika sigmoidoscopy makore ese mashanu
• Kaviri kusiyanisa barium enema makore ese mashanu
• CT colonography (chaiyo colonoscopy) makore ese mashanu
• Colonoscopy makore gumi ese

Iwe ungangoda colonoscopy kazhinji kana uine njodzi njodzi yekenza yakajeka, senge:

• Ulcerative colitis
• Nhoroondo yemunhu kana yemhuri yekenza yakajeka
• Nhoroondo yekukura mukoloni inonzi adenomatous polyps

Bvunzo remazino

• Enda kuna chiremba wemazino kamwe kana kaviri pagore kubvunzo nekuchenesa. Chiremba wako wemazino anoongorora kana iwe uine chaunoda chekushanyirwa kazhinji.

KUSVIRA KWESUWARI

• Kana iwe uri pamusoro pemakore makumi mana nemana, unofanirwa kuongororwa makore ese matatu.
• Kuva neBMI inopfuura makumi maviri neshanu zvinoreva kuti wakanyanya kufuta. Kana iwe uri kufuta, bvunza mupi wako kana iwe uchifanira kuongororwa pazera diki. VaAsia vokuAmerica vanofanirwa kuongororwa kana BMI yavo iri huru kudarika makumi maviri nematatu.
• Kana kuwedzerwa kweropa rako kuri pamusoro pe130 / 80 mm Hg, kana uine zvimwe zvinenjodzi zvechirwere cheshuga, mupi wako anogona kuyedza huwandu hweshuga yeropa kune chirwere cheshuga.

Bvunzo dzeziso

• Iva nekuongororwa kweziso makore maviri kusvika mana ekuberekwa makore makumi mana kusvika makumi mashanu nemashanu uye makore ese matatu kusvika matatu ane makore makumi mashanu nemashanu kusvika makumi matanhatu nematanhatu.Mupi wako anogona kukurudzira kuwongorora kwakawanda kwemaziso kana uine matambudziko ekuona kana glaucoma njodzi.
• Iva nekuongororwa kweziso kanenge gore rega kana uine chirwere cheshuga.

KUDHEMA

• Iwe unofanirwa kuwana furuu inopfurwa gore rega.
• Kumbira mupi wako kana iwe uchifanira kuwana jekiseni kuti uderedze njodzi yako yehutachiona hwehutachiona (hunokonzeresa mhando yemabayo).
• Iwe unofanirwa kuve neyekudzivirira tetanus-diphtheria uye acellular pertussis (Tdap) kamwe sechikamu chemishonga yako ye tetanus-diphtheria kana iwe usina kuigamuchira kare uchiri kuyaruka. Iwe unofanirwa kuve neetetanus-diphtheria booster makore ese gumi.
• Iwe unogona kuwana shingles kana herpes zoster vaccine panguva kana mushure memakore makumi mashanu.
• Mupiki wako anogona kukurudzira mamwe majekiseni kana iwe uri panjodzi huru yemamwe mamiriro.

ZVINOGONESESA CHIRWERE CHINOGONESA

• US Preventive Services Task Force inokurudzira kuongororwa kwehepatitis C. Zvichienderana nemararamiro ako uye nhoroondo yezvekurapa, ungangoda kuongororwa hutachiona hwakadai sesyphilis, chlamydia, uye HIV, pamwe nezvimwewo hutachiona.

LUNG CANCER KUDZIDZA

Iwe unofanirwa kuve nekuongororwa kwegore negore kwekenza yemapapu ine yakaderera-dose computed tomography (LDCT) kana zvese zvinotevera zviripo:

• Iwe uri pamusoro pemakore 55 AND
• Iwe une 30 pack-gore rekusvuta nhoroondo uye
• Iwe parizvino unoputa kana kurega mukati memakore gumi nemashanu apfuura

OSTEOPOROSIS KUEDZA

• Vakadzi vese vanopfuura makore makumi mashanu vane mafurea vanofanirwa kuve neiyo pfupa test (DEXA scan).
• Kana iwe uri pasi pemakore makumi matanhatu nemashanu uye uine zvinhu zvine njodzi ye osteoporosis, iwe unofanirwa kuongororwa.

Bvunzo dzepanyama

• Kuwedzerwa kweropa rako kunofanira kutariswa kanokwana gore rega.
• Wako mupi anogona kukurudzira kutarisa cholesterol yako makore ese mashanu kana iwe uine njodzi dzecoronary chirwere chemoyo.
• Kureba kwako, huremu, uye nemuviri mashoma index (BMI) inofanirwa kuongororwa pane bvunzo yega yega.

Pakati pekuongorora kwako, mupi wako anogona kukubvunza nezve:

• Kushungurudzika
• Kudya uye kurovedza muviri
• Doro uye fodya
• Nyaya dzekuchengetedza, senge kushandisa mabhandi epachigaro uye chiutsi cheutsi

GANDA Bvunzo

• Mupi wako anogona kutarisa ganda rako kuti aone zviratidzo zvegomarara reganda, kunyanya kana uri panjodzi huru. Vanhu vari panjodzi huru vanosanganisira avo vakamboita gomarara reganda kare, vane hama dzepedyo nekenza yeganda, kana vane immune system isina kusimba.

Kushanya kwekuchengetedza kwehutano - vakadzi - makore makumi mana kusvika makumi matanhatu nemana; Kuongorora kwepanyama - vakadzi - makore makumi mana kusvika makumi matanhatu nemana; Bvunzo dzegore - vakadzi - makore makumi mana kusvika makumi matanhatu nemana; Kuongorora - vakadzi - makore makumi mana kusvika makumi matanhatu nemana; Hutano hwevakadzi - makore makumi mana kusvika makumi matanhatu nemana; Kuchengetedza - vakadzi - makore makumi mana kusvika makumi matanhatu nemana

• Fecal zvemashiripiti kuongorora ropa
• Migumisiro yezera pakudzvinyirira kweropa
• Osteoporosis

Komiti Inopa Mazano Yezvekudzivirira. Yakakurudzirwa chirongwa chekudzivirira chevakuru vane makore 19 makore kana kupfuura, United States, 2020. www.cdc.gov/vaccines/schedules/index.html. Yakagadziridzwa Kukadzi 3, 2020. Yakasvika muna Kubvumbi 18, 2020.

American Academy yeOphthalmology webhusaiti. Chirevo chekiriniki: kuwanda kweongororo dzemaziso - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Yakagadziridzwa Kurume 2015. Yakasvika muna Kubvumbi 18, 2020.

American Cancer Society webhusaiti. Gomarara repazamu rekutanga kuona uye kuongororwa: American Cancer Society kurudziro yekuonekwa kwekutanga kwekenza yemazamu.www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Yakagadziridzwa Kurume 5, 2020. Yakasvika muna Kubvumbi 18, 2020.

American College yeVadzvinyiriri uye Gynecologists (ACOG) webhusaiti. FAQ178: Mammography uye kumwe kuongorora kwekutarisa kwemazamu matambudziko. www.acog.org/patient-resource/faqs/gynecologic-problems/mammography-and-other-screening- miedzo-for-breast-problems. Yakagadziridzwa Nyamavhuvhu 2017. Yakasvika muna Kubvumbi 18, 2020.

American College yeVadzvinyiriri uye Gynecologists. FAQ163: Gomarara remuromo wechibereko. www.acog.org/patient-resource/faqs/gynecologic-problems/cervical-cancer. Yakagadziridzwa Zvita 2018. Yakasvika muna Kubvumbi 18, 2020.

American College yeVadzvinyiriri uye Gynecologists. FAQ191: Yevapillomavirus yekudzivirira. www.acog.org/patient-resource/faqs/womens-health/hpv-vaccination. Yakagadziridzwa munaJune 2017. Yakasvika muna Kubvumbi 18, 2020.

American Dental Association webhusaiti. Yako yepamusoro mibvunzo 9 nezvekuenda kuna chiremba wemazino - yakapindurwa. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Yakasvika Kubvumbi 18, 2020.

American Chirwere cheshuga Association. 2. Kupatsanura uye kuongororwa kwechirwere cheshuga: zviyero zvekurapwa mune cheshuga - 2020. Chirwere cheshuga. 2020; 43 (Chinyorwa 1): S14 – S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. Kuongororwa kwehutano nguva nenguva. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 12.

Brown HL, Warner JJ, Gianos E, et al; American Heart Association uye iyo American College yeVadzvinyiriri uye Gynecologists. Kukurudzira kuzivikanwa kwenjodzi uye kudzikiswa kwechirwere chemoyo muvakadzi kuburikidza nekubatana nevanoona nezvekurapa uye gynecologists: chipangamazano chehutungamiriri kubva kuAmerican Heart Association uye neAmerican College yeVadzvanyiriri neGynecologists. Kutenderera. 2018; 137 (24): e843-e852. PMID: 29748185 pubmed.ncbi.nlm.nih.gov/29748185/.

Grundy SM, Dombo NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA nhungamiro pane manejimendi yeropa: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro [kururamisa kwakaburitswa kunoonekwa muna J Am Coll Cardiol. 2019 Jun 25; 73 (24): 3237-3241]. J Ndiri Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubed.ncbi.nlm.nih.gov/30423393/.

Mazzone PJ, Silvestri GA, Patel S, et al. Kuongororwa kweCancer Lung: CHEST Guideline uye Nyanzvi Panel mushumo. Chest. 2018; 153 (4): 954-985. PMID: 29374513 pubmed.ncbi.nlm.nih.gov/29374513/.

Meschia JF, Bushnell C, Boden-Albala B; American Heart Association Stroke Kanzuru, et al. Nongedzo dzekudzivirira kwekutanga sitiroko: chirevo chevashandi vezvehutano kubva kuAmerican Heart Association / American Stroke Association. Kurohwa. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

Moyer VA; US Yekudzivirira Services Task Force. Kuongorora kenza yemapapu: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

National Cancer Institute webhusaiti. Kenza yemazamu yekuongorora (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/breast/hp/breast-screening-pdq. Yakagadziridzwa Kubvumbi 29, 2020. Yakasvika June 9, 2020.

Ridker PM, Libby P, Kurapa JE. Zviratidzo zvengozi uye chekutanga kudzivirira chirwere chemwoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 45.

Siu AL; US Yekudzivirira Services Task Force. Kuongororwa kenza yemazamu: US Preventive Services Task Force kukurudzira chirevo [kururamisa kwakaburitswa kunowanikwa muna Ann Intern Med.2016 Kurume 15; 164 (6): 448]. Ann Mukati Med. 2016; 164 (4): 279-296. PMID: 26757170 pubmed.ncbi.nlm.nih.gov/26757170/.

Siu AL; US Yekudzivirira Services Task Force. Kuongororwa kweropa rakakwira muvanhu vakuru: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, uye al. Kenza kuongorora muUnited States, 2019: kuongororwa kweanhasi maAmerican Cancer Society nhungamiro uye zvazvino nyaya mukuongorora gomarara. CA Kanzera J Clin. 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/30875085/.

US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Kuongorora kenza yeganda: US Preventive Services Task Force kukurudzira chirevo. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

US Preventive Services Task Force, Curry SJ, Krist AH, et al. Kuongorora osteoporosis kudzivirira kutsemuka: US Preventive Services Task Force chirevo chekukurudzira. JAMA. 2018; 319 (24): 2521-2531. PMID: 29946735 pubmed.ncbi.nlm.nih.gov/29946735/.

US Yekudzivirira Services Task Force webhusaiti. Chirevo chekupedzisira chekukurudzira. Kenza yemuromo wechibereko. www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. Yakabudiswa Nyamavhuvhu 21, 2018. Yakasvika muna Kubvumbi 18, 2020.

US Yekudzivirira Services Task Force webhusaiti. Chirevo chekupedzisira chekukurudzira. Colorectal cancer kuongorora. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Yakabudiswa munaJune 15, 2016. Yakasvika muna Kubvumbi 18, 2020.

US Yekudzivirira Services Task Force webhusaiti. Chirevo chekupedzisira chekukurudzira. Hepatitis C hutachiona hutachiona muvachiri kuyaruka nevakuru: kuongorora. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Yakabudiswa munaKurume 2, 2020. Yakasvika muna Kubvumbi 18, 2020.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA nhungamiro yekudzivirira, kuona, kuongorora, uye manejimendi yeropa rakakwira muvakuru: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Nhungamiro [yakaburitswa gadziriso inowanikwa muna J Am Coll Cardiol. 2018 Chivabvu 15; 71 (19): 2275-2279]. J Ndiri Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubed.ncbi.nlm.nih.gov/29146535/.