Gwajin lafiyar mata masu shekaru 65 zuwa sama

Ya kamata ku ziyarci likitan lafiyar ku lokaci-lokaci, koda kuwa kuna cikin koshin lafiya. Dalilin waɗannan ziyarar shine:

• Allon don batun kiwon lafiya
• Kimanta haɗarinku don matsalolin likita na gaba
• Karfafa rayuwa mai kyau
• Sabunta rigakafin
• Taimaka maka ka san mai samar maka idan rashin lafiya

Ko da kun ji daɗi, yakamata ku ga mai ba ku sabis don bincika yau da kullun. Waɗannan ziyarar na iya taimaka maka ka guji matsaloli a nan gaba. Misali, hanya daya tak da zaka gano ko kana da cutar hawan jini ita ce a duba shi a kai a kai. Hawan jini mai yawa da matakan cholesterol suma ba su da alamun bayyanar a farkon matakan. Gwajin jini mai sauƙi na iya bincika waɗannan sharuɗɗan.

Akwai takamaiman lokuta lokacin da ya kamata ka ga mai ba ka. A ƙasa akwai jagororin tantancewa don mata masu shekaru 65 zuwa sama.

YADDA AKE BUDE JINI

• Yi gwajin jini aƙalla sau ɗaya a kowace shekara. Idan lambar ta sama (lambar systolic) tsakanin 120 ne da 139 ko kuma lambar kasa (lambar diastolic) tsakanin 80 zuwa 89 mm Hg ne ko sama da haka, sai a duba kowace shekara.
• Idan lambar ta sama itace 130 ko sama da haka ko kuma kasan lambar 80 ko sama da haka, sanya alƙawari tare da mai baka domin koyon yadda zaka rage hawan jininka.
• Idan kana da ciwon sukari, cututtukan zuciya, matsalolin koda, ko wasu yanayi, mai yiwuwa ka buƙaci a gwada karfin jininka sau da yawa, amma har yanzu aƙalla sau ɗaya a shekara.
• Kalli gwajin jini a yankinku. Tambayi mai ba ku sabis idan za ku iya tsayawa don a duba cutar hawan jini.

GYARAN NONO

• Mata na iya yin gwajin kansu na kowane wata. Koyaya, masana basu yarda ba game da fa'idodin gwajin kai na nono wajen gano kansar mama ko ceton rayuka. Yi magana da mai ba ka sabis game da abin da ya fi dacewa a gare ka.
• Mai ba ku sabis na iya yin gwajin nono na asibiti yayin gwajin ku na rigakafi. Masana basu yarda da fa'idar binciken nono ba.
• Mata har zuwa shekaru 75 yakamata su yiwa mammogram kowace shekara 1 zuwa 2, ya danganta da halayen haɗarin su, don bincika kansar mama.
• Masana ba su yarda a kan fa'idar yin mammogram ga mata masu shekaru 75 zuwa sama ba. Wasu ba sa ba da shawarar yin mammogram bayan wannan shekarun. Sauran suna ba da shawarar mammography ga mata cikin ƙoshin lafiya. Yi magana da mai ba ka sabis game da abin da ya fi dacewa a gare ka.

BAYYANA LAFIYAR CIWON KIRJI

• Bayan shekara 65, yawancin matan da ba a gano cutar sankara a mahaifa ba ko kuma masu sihiri na iya dakatar da yin gwajin jini idan dai sun yi gwaji mara kyau sau uku a cikin shekaru 10 da suka gabata.

YADDA AKA HANA CIKIN KOLE COLETEROL DA CUTAR CUTAR ZUCIYA

• Idan matakin cholesterol naka na al'ada ne, ka sake duba shi akalla duk shekaru 5.
• Idan kana da babban cholesterol, ciwon sukari, cututtukan zuciya, matsalolin koda, ko wasu yanayi, kanada bukatar a duba ka sau da yawa.

GYARAN GYARAN COLORECTAL

Har zuwa shekara 75, yakamata a ringa yin gwajin cutar kansa da kai tsaye akai-akai. Idan ka kai shekara 76 ko sama da haka, ya kamata ka tambayi likitanka idan ya kamata ka karɓi gwajin. Akwai gwaje-gwaje da yawa don binciken kansar kansa:

• Jarabawar ɓoyayyiyar jini (tushen-ɗora-shara) kowace shekara
• Gwajin gwajin rigakafin rigakafi (FIT) kowace shekara
• Jarabawar DNA a kowace shekara 3
• M sigmoidoscopy kowane shekara 5
• Sau biyu sau biyu barium enema kowane shekara 5
• CT colonigraphy (colonoscopy na kamala) kowane shekara 5
• Ciwon bayan gida kowace shekara 10

Kuna iya buƙatar yaduwar cutar sau da yawa idan kuna da abubuwan haɗari na ciwon kansa, gami da:

• Ciwan ulcer
• Tarihin mutum ko na iyali na ciwon kansa kai tsaye
• Tarihin girma wanda ake kira adenomatous polyps

JARABAWAR HAKORI

• Je zuwa likitan hakora sau ɗaya ko sau biyu a kowace shekara don gwaji da tsaftacewa. Likitan hakoranku zai kimanta idan kuna da buƙata don yawan ziyarta.

YADDA AKE YIN CUTAR SARA

• Idan ka kai shekara 65 ko sama da haka kuma kana cikin koshin lafiya, ya kamata a rika bincika ka domin kamuwa da ciwon suga duk bayan shekaru 3.
• Idan ka yi kiba kuma kana da wasu abubuwan da ke haifar da cutar sikari, ka tambayi mai baka yadda ya kamata a yi maka gwaji sau da yawa.

GANIN IDO

• Yi gwajin ido kowace shekara 1 zuwa 2.
• Yi gwajin ido a kalla kowace shekara idan kuna da ciwon sukari.

JARABAWAR JI

• A gwada jinka idan kana da alamun rashin jin magana.

GASKIYA

• Idan ka wuce shekaru 65, yi rigakafin cutar sankarau.
• Yi allurar mura a kowace shekara.
• Nemi maganin kara kuzari na tetanus-diphtheria duk bayan shekaru 10.
• Kuna iya samun rigakafin shingles ko allurar rigakafin cututtukan yara a shekaru 50 ko sama da haka.

BUDURWAR CUTAR KWANA

• Servicesungiyar Servicesungiyar Ayyuka na Rigakafin Amurka ta ba da shawarar duba cutar hepatitis C. Dangane da salon rayuwar ku da tarihin lafiyar ku, kuna iya buƙatar a bincika ku don kamuwa da cututtuka kamar syphilis, chlamydia, da HIV, da sauran cututtuka.
  

NUNA CUTUTTUKAN KUNGUNAN

Ya kamata ku sami nazarin shekara-shekara don cutar sankarar huhu tare da ƙarancin kyan gani na lissafi (LDCT) idan:

• Shekarunka sun wuce 55 DA
  
• Kuna da tarihin shan shekaru 30 na shan sigari DA
  
• A halin yanzu kuna shan sigari ko sun daina a cikin shekaru 15 da suka gabata
  

GASKIYAR LOKACI

• Duk matan da suka wuce shekaru 64 yakamata su yi gwajin ƙashin kashi (DEXA scan).
  
• Tambayi mai ba ku sabis wanne darasi ko wasu tsoma baki na iya taimakawa wajen hana cutar sanyin kashi.
  

JARABAWAR JIKI

• Yi gwajin jiki na shekara-shekara.
• Tare da kowane jarrabawa, mai ba da sabis ɗinku zai duba tsayinku, nauyinku, da ma'aunin jikinku (BMI).
• Ba a ba da shawarar gwaje-gwajen binciken yau da kullun sai dai idan mai ba da sabis ya sami matsala.

Yayin gwajin, mai ba ku sabis zai yi tambayoyi game da:

• Magungunan ku da haɗarin ma'amala
• Shan barasa da shan taba
• Abinci da motsa jiki
• Tsaro, kamar amfani da bel
• Ko kun sami faduwa
  
• Bacin rai

JARABAWAR FATA

• Mai ba ku sabis na iya bincika fata don alamun kansar fata, musamman ma idan kuna cikin haɗari sosai.
• Mutanen da ke cikin haɗarin haɗari sun haɗa da waɗanda suka kamu da cutar kansa a da, suna da dangi na kusa da cutar kansa, ko kuma suna da rauni a garkuwar jiki.

Ziyartar kula da lafiya - mata - sama da shekaru 65; Gwajin jiki - mata - sama da shekaru 65; Gwajin shekara - mata - sama da shekaru 65; Bincike - mata - sama da shekaru 65; Kiwan lafiyar mata - sama da shekaru 65; Nazarin kulawa na rigakafin - mata - sama da shekaru 65

• Gwajin jini na hanji
• Illar shekaru akan hawan jini
• Osteoporosis

Kwamitin Ba da Shawara kan Aiwatar da rigakafin. Jadawalin tsarin rigakafi ga manya masu shekaru 19 ko sama da haka, Amurka, 2020. www.cdc.gov/vaccines/schedules/index.html. An sabunta Fabrairu 3, 2020. An shiga 18 ga Afrilu, 2020.

Cibiyar Nazarin Ilimin Lafiya ta Amurka. Bayanin manufofi: yawan gwajin ocular - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. An sabunta Maris 2015. An shiga Afrilu 18, 2020.

Tashar yanar gizon Cibiyar Cancer ta Amurka. Gano cutar sankarar nono da ganewar asali: Shawarwarin Canungiyar Ciwon Cancer ta Amurka don ganowar kansar nono da wuri. www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. An sabunta Maris 5, 2020. An shiga 18 ga Afrilu, 2020.

Kwalejin Kwalejin Obstetricians da Likitan Mata ta Amurka (ACOG). FAQ178: Mammography da sauran gwajin gwaji don matsalolin nono. www.acog.org/patient-resources/faqs/gynecologic-problems/mammography-and-other-screening-test-for-breast-problems. An sabunta Satumba 2017. An shiga 18 ga Afrilu, 2020.

Kwalejin likitan haihuwa ta Amurka da na mata. FAQ163: Ciwon sankarar mahaifa. www.acog.org/patient-resources/faqs/gynecologic-problems/cervical-cancer. An sabunta Disamba 2018. An shiga Afrilu 18, 2020.

Yanar gizo Associationungiyar entalwararrun entalwararrun Amurka. Manyan tambayoyin ku 9 game da zuwa likitan hakora - an amsa. www.mouthhealthy.org/en/dental-care-concerns/questions-about-ending-to-the-dentist. An shiga Afrilu 18, 2020.

Diungiyar Ciwon Suga ta Amurka. 2. Rabawa da ganewar asali na ciwon sukari: mizanin kiwon lafiya a ciwon suga - 2020. Ciwon suga. 2020; 43 (Sanya 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. Binciken lafiyar lokaci-lokaci. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 12.

Brown HL, Warner JJ, Gianos E, et al; Bayanin HL Heartungiyar Zuciya ta Amurka da Kwalejin ofwararrun stwararrun andwararrun ynewararrun Mata. Inganta gano haɗari da rage cututtukan zuciya da jijiyoyin jini a cikin mata ta hanyar haɗin gwiwa tare da likitocin haihuwa da likitocin mata: shawarar shugaban ƙasa daga Heartungiyar Zuciya ta Amurka da Kwalejin Obstetricians da Gynecologists na Amurka. Kewaya. 2018; 137 (24): e843-e852. PMID: 29748185 pubmed.ncbi.nlm.nih.gov/29748185/.

Grundy SM, Dutse NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Shawarwarin kula da ƙwayar cholesterol na jini: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Associationungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Ayyukan Clinical [gyaran da aka buga ya bayyana a cikin 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/.

Meschia JF, Bushnell C, Boden-Albala B; Heartungiyar Heartungiyar Zuciya ta Amurka; et al. Sharuɗɗa don rigakafin farko na bugun jini: sanarwa ga ƙwararrun likitocin kiwon lafiya daga Heartungiyar Zuciya ta Amurka / Stungiyar Baƙin Amurka. Buguwa 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

Moyer VA; Tasungiyar Ayyuka na Rigakafin Amurka. Nunawa game da cutar kansa ta huhu: Sanarwar shawarar Tasungiyar Servicesungiyar Ayyuka ta Amurka. Ann Intern Med. 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

Ridker PM, Libby P, Buring JE. Alamar haɗari da rigakafin farko na cututtukan zuciya da jijiyoyin jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald ta Cutar Cutar: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 45.

Siu AL; Tasungiyar Ayyuka na Rigakafin Amurka. Nunawa game da cutar sankarar mama: Sanarwar shawarar Servicesungiyar kungiyar Ayyuka ta Rigakafin Amurka [gyaran da aka buga ya bayyana a cikin Ann Intern Med. 2016 Mar 15; 164 (6): 448]. Ann Intern Med. 2016; 164 (4): 279-296. PMID: 26757170 pubmed.ncbi.nlm.nih.gov/26757170/.

Siu AL; Tasungiyar Ayyuka na Rigakafin Amurka. Nunawa game da hawan jini a cikin manya: Bayanin shawarwarin Tasungiyar kungiyar Ayyuka na Amurka. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, et al. Binciken kansar a Amurka, 2019: nazari kan jagororin Kungiyar Cancer ta Amurka na yanzu da kuma al'amuran yau da kullun game da binciken kansar. CA Ciwon daji J Clin. 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/30875085/.

Studenski S, Van Swearingen J. Falls. A cikin: Fillit HM, Rockwood K, Young J, eds. Littafin karatun Brocklehurst na Magungunan Geriatric da Gerontology. 8th ed. Philadelphia, PA: Elsevier; 2017: babi na 103.

Servicesungiyar Ayyuka na Rigakafin Amurka, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Nunawa don cutar kansa ta fata: Sanarwar shawarar Tasungiyar Servicesungiyar Ayyuka ta Amurka. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

Tasungiyar Ayyukan Rigakafin Amurka, Curry SJ, Krist AH, et al. Nunawa don osteoporosis don hana ɓarkewa: Sanarwar shawarar Tasungiyar Servicesungiyar Ayyuka ta Rigakafin Amurka. JAMA. 2018; 319 (24): 2521-2531. PMID: 29946735 pubmed.ncbi.nlm.nih.gov/29946735/.

Yanar gizo Task Force na Rigakafin Ayyukan Amurka. Bayanin shawarar ƙarshe. Binciken mahaifa www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. An buga Agusta 21, 2018. An shiga Afrilu 18, 2020.

Yanar gizo Task Force na Rigakafin Ayyukan Amurka. Bayanin shawarar ƙarshe. Gano cutar kansa www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. An buga Yuni 15, 2016. Iso ga Afrilu 18, 2020.

Yanar gizo Task Force na Rigakafin Ayyukan Amurka. Cutar cutar hepatitis C a cikin samari da manya: bincike. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. An buga Maris 2, 2020. An shiga Afrilu 18, 2020.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Guideline don rigakafin, ganowa, kimantawa, da kuma kula da cutar hawan jini a cikin manya: rahoto na Kwalejin Lafiya ta Amurka / Amurka Associationungiyar Associationungiyar Heartungiyar Zuciya a kan Ka'idodin Aiwatar da Clinical [gyaran da aka buga ya bayyana a cikin J Am Coll Cardiol. 2018 Mayu 15; 71 (19): 2275-2279]. J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.