Imibuzo okufanele uyibuze udokotela wakho lapho uhlolwa minyaka yonke

Imfundo Yezempilo

Okwenyama. Ukuhlolwa kwaminyaka yonke. Ukuhlolwa konyaka. Lokhu kuvakasha okuvamile nomhlinzeki wakho wezokunakekelwa kwempilo kuhamba ngamagama amaningi — futhi wonke lawo angadala umuzwa wokwesaba. Abantu abaningi bayakugwema ukubhuka i-aphoyintimenti minyaka yonke ngoba bamatasa kakhulu, abanalutho olungalungile, noma abaqiniseki ukuthi benzeni kubuza udokotela . Kepha wonke umuntu kufanele ahlolwe ngokomzimba minyaka yonke, ngisho nabantu abaphilile.

Cabanga ngalezi zikhathi zokuqokwa zomzimba wakho. [Banikeza] isiguli isikhathi sokukhuluma nodokotela waso, babize amagama noma yikuphi ukukhathazeka abangase babe nakho mayelana nempilo yabo, bese bezibekela futhi babheke imigomo yezempilo, kusho uGabrielle Samuels, DO, udokotela Summit Medical Group eNew Jersey.

Imibuzo engu-8 ongayibuza udokotela ekuhlolweni

Ngilahlekelwe ukuthi ngibuze ini? Lezi eziyisisekelo zingakusiza ukuthi uqalise, futhi zikwenze ubone ukuthi ukuvakasha kwakho minyaka yonke kubaluleke kakhulu kunalokho obukucabanga.

1. Ingabe lokhu kujwayelekile?
2. Ngabe ngidinga noma yikuphi ukuhlolwa okwengeziwe noma izivivinyo?
3. Ngabe ngidinga ukubona uchwepheshe?
4. Ngabe ngidinga noma yimiphi imigomo?
5. Ngabe imiyalelo yami isalungile?
6. Kufanele ngikhathazeke kangakanani?
7. Yini engingayenza ukuze ngihlale ngiphilile esikhathini esizayo?
8. Kufanele ngibuye nini ukuvakasha okusha?

Vele uqiniseke ukuthi uyibhalile phansi imibuzo yakho ngaphambi kokuya ekuqokweni kwakho. Sonke siye sangena egumbini lokuhlolwa futhi izingqondo zethu zaphela. Kulula ukukhohlwa obukade ufuna ukukusho uma usuhleli etafuleni, ngakho-ke ukuba nohlu ozolubhekisa kuzokugcina usendleleni.

Uma use-aphoyintimenti yakho, bhala phansi noma yini oyodinga ukuyikhumbula ngokuhamba kwesikhathi, njengezincomo zamavithamini noma izinsuku zokuqokwa kokulandelwa.

1. Ngabe lokhu kujwayelekile?

Ukuhlolwa komzimba kwakho kwaminyaka yonke kuyithuba lakho lokuthola ukuthi ngabe leso sibonakaliso esisha kuyinto okufanele ukhathazeke ngayo, noma nje ingxenye ejwayelekile yobudala bakho noma indlela ophila ngayo — noma ngabe imvukuzane, imizwa emisha yokukhathazeka, noma ushintsho emaphethini akho okulala. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza isivivinyo ukukala izimpawu eziyisisekelo ezibalulekile: ukuphakama, isisindo, umfutho wegazi, nokushaya kwenhliziyo. Bese ubuza imibuzo eyengeziwe ukuthola ukuthi yiziphi ezinye izinto ezingaba nomthelela empilweni yakho, njenge: umlando wakho wezokwelapha, umlando wezokwelapha womndeni, indlela yakho yokuphila nemikhuba yakho, izingcindezi zomuntu siqu, kanye nokusebenzisa kwakho izidakamizwa, utshwala, nogwayi. Izimpendulo zakho zingasiza ekwaziseni uma ngabe inkinga yezempilo ekhathazayo yinto okufanele ukhathazeke ngayo, noma cha.

Iziguli kufanele zilindele isikhathi nodokotela wazo ukuxoxa ngempilo yabo yonke nokuphila kahle kwabo kubandakanya ukugula kwakamuva selokhu bafika okokugcina, imikhuba yokudla / yokuzivocavoca, kanye nezinyathelo zokuvimbela ezifana nemigomo kanye nokuhlolwa kokuhlolwa, kusho uDkt Samuels.

Isikhathi sokuthi uvuselele irekhodi lakho lezokwelashwa kanye nemininingwane yokuxhumana, uphinde ugcwalise imiyalo, ngokusho kukaNatalie Ikeman, umsizi kadokotela IHennepin Healthcare’s Golden Valley Clinic eMinneapolis. Lokhu kuqokwa kuyithuba lokuvuselela imininingwane ezinhlangothini zombili zethebula lezivivinyo. Inikeza udokotela ithuba lokuhlanganyela nemihlahlandlela ebuyekeziwe nesiguli sabo, kusho uDkt Samuels.

2. Ngabe ngidinga noma yikuphi ukuhlolwa okwengeziwe kokuhlolwa?

Ukuhlolwa ngokomzimba kuyithuba lokuthi umhlinzeki wakho wezokunakekelwa kwempilo akuhlole, asebenzise izivivinyo ezithile zaselabhoratri, aphendule imibuzo, futhi ngokuvamile aqiniseke ukuthi konke kuhamba ngendlela. Ukuhlolwa ngokomzimba minyaka yonke kungabamba izinkinga ezisanda kuqala ngaphambi kokuba ziqhubeke, noma isiguli esingahle singazi ngesikhathi sisekhona isikhathi sezinsizakalo zokuvimbela. Ngeshwa izimo ezintathu ezihlala njalo ezingalapheki esizibonayo umfutho wegazi ophakeme, i-cholesterol ephezulu, [kanye] nesifo sikashukela, futhi iningi alinazo izimpawu ngakho abantu bacabanga ukuthi zilungile, kusho uJeffrey Gold, MD, umnakekeli oyinhloko Ukunakekelwa Kwegolide Okuqondile eMassachusetts.

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa okwengeziwe kwegazi noma ukuhlolwa ngokuya ngeminyaka nobungozi bezimo ezithile. Ngokuya ngeminyaka, ubulili, ukugula okungamahlalakhona, kanye namalebhu asanda kuqedwa, udokotela anga-oda izivivinyo ezilandelayo, kusho u-Ikeman:

• Ukuhlolwa kwe-lipid ye-cholesterol
• Isikrini se-hemoglobin A1c sikashukela
• I-colonoscopy yokuhlola umdlavuza wamathumbu
• Ukuhlolwa kwe-Pap smear yomdlavuza womlomo wesibeletho
• Ukuhlolwa kwe-PSA komdlavuza wendlala yabesilisa
• I-mammogram yokuhlolwa umdlavuza webele
• Isikrini se-TSH sezinkinga ze-thyroid
• Isikrini sokushoda kukavithamini D
• I-CBC yokubalwa kwegazi okuyisisekelo
• I-BMP yama-electrolyte nephaneli yemethabolic

Lezi ezinye zezivivinyo ezivame kakhulu, kepha zonke iziguli zehlukile.

3. Ngabe ngidinga ukubona uchwepheshe? Ingabe umlando womndeni wami ungibeka engcupheni?

Udokotela wakho womndeni anganaka kakhulu izimpawu ezithile, noma enze izivivinyo ezithile uma unomlando wesimo somndeni. Isibonelo, uma unomlando womndeni we-high blood pressure noma i-cholesterol ephezulu, udokotela wakho angakuhlola kaningi noma anikeze iseluleko sokunakekelwa kokuvimbela. Ezinye izimo zingaba nengxenye yezakhi zofuzo, njengomdlavuza othile, ongashukumisa udokotela wakho ukuthi akuqaphe kakhulu.

Kwesinye isikhathi udokotela wakho angakhomba okuthile okudinga ukuhlolwa noma ukwelashwa okuqhubekayo. Kulesi simo, udokotela wakho oyinhloko angakudlulisela kuchwepheshe. Ezinye izibonelo zalokhu zingafaka: Ukuhlolwa okungajwayelekile kwePap noma ukuhlolwa kwebele; izimo ezidinga ukuhlinzwa njengamatshe enyongo; izimo ezidinga udokotela onolwazi olunzulu nezinsizakusebenza njenge-oncologist yomdlavuza noma i-cardiologist yenkinga yenhliziyo efana nesifo senhliziyo.

4. Ngabe ngidinga noma yimiphi imigomo?

Udokotela wakho kufanele abe nomlando wakho wokugoma efayeleni. Uma ungaqiniseki ukuthi imiphi imigomo oyitholile esikhathini esidlule, udokotela wakho anganquma ukwenza umsebenzi wegazi noma ukukunikeza imigomo futhi.

Eminye imithi yokugoma kudinga izithuthukisi , njenge-tetanus ne-diphtheria. Ezinye ziqondene nezimo ezithile. Abantu abakhulelwe kufanele bathole umuthi wokugoma we-Tdap ngokukhulelwa ngakunye, isibonelo. Imithi yokugoma ehlobene nokuhamba ingadinga imigomo ehlukene ngokususelwa lapho uya khona.

Njengoba nje izingane zathola imithi yokugoma ngokweminyaka ethile, kunemigomo yokugoma yabantu abadala ngezigaba ezahlukahlukene. Umuthi wokugomela i-HPV uvame ukunikezwa intsha kanye nabantu abadala, kanti umuthi wokugomela ama-shingles kanye neminye imigomo ye-pneumococcal kuphakanyiselwa abadala. Ukugonywa kwe-pneumococcal kunikezwa neziguli ezinokuphazamiseka okuthile okuzenzakalelayo / okungamahlalakhona, yingakho ukwabelana ngomlando wakho wezokwelapha nodokotela wakho kubalulekile.

Umkhuhlane udutshulwe umuthi wokugoma obalulekile waminyaka yonke kuwo wonke umuntu onezinyanga eziyisithupha nangaphezulu.

5. Ngabe imiyalelo yami isalungile?

Leli yithuba lokubuyekeza imiyalo yamanje futhi wenze noma yiziphi izinguquko ezidingekayo. Xoxa nodokotela wakho ukuthi umuthi wakho usebenza kanjani, uma uhlangabezana nanoma yimiphi imiphumela emibi, uma unezinguquko empilweni ezingathinta le ndlela yokwelashwa, futhi uma usadinga ukuthatha lo muthi nhlobo. Isibonelo, uma uhlela ukukhulelwa, udokotela wakho angafuna ukushintsha noma ukumisa imithi ethile. Uma wenze izinguquko zokuphila njengokuzilolonga umzimba, ukwehlisa isisindo somzimba, noma ukudla okunempilo, ungakwazi ukwehlisa noma ukuyeka ukusebenzisa imishanguzo yegazi noma i-cholesterol.

Eminye imithi, njenge-anti-depressants, ingadinga ukulungiswa komthamo ngokuhamba kwesikhathi, noma ungadinga ukushintshela kuhlobo oluhlukile. Ungalokothi umise umuthi noma ushintshe isilinganiso ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho uzokwazi ukukusiza ukuthi unqume ukuthi kudingeka ushintsho yini, futhi angakunika imiyalo yokuthi ungawushintsha kanjani umthamo noma uphume uphephile emithini.

Uma udokotela wakho ephakamisa umuthi omusha, ungesabi ukucela udokotela imininingwane engaphezulu yokuthi umuthi usebenza kanjani, imiphumela emibi engaba khona, nezingozi ezihambisana nalo muthi. Kubalulekile futhi ukutshela udokotela wakho ukuthi imiphi eminye imishanguzo — okubandakanya imishanguzo ongayithola e-counter, izithasiselo, kanye izidakamizwa zasemgwaqweni Uthatha ukugwema noma ikuphi ukuhlangana. Udokotela wakho angakubuza imibuzo yakho mayelana nezinto ezinjengokusetshenziswa kotshwala. Phendula ngokuthembeka. Lolu lwazi lubalulekile kudokotela wakho ukuze aqiniseke ukuthi bakunikeza ukwelashwa okuphephile nokusebenzayo.

6. Kufanele ngikhathazeke kangakanani?

Ukuxilongwa kwakho okusha kungaba yinto edinga ukuqashelwa ngokucophelela nokwelashwa ukuze kulawulwe. Noma, kungaba yisimo esizwakala sesabisa, kepha sivame kakhulu. Yabelana ngezinkinga zakho zezempilo nodokotela wakho. Uma uthembekile ngokwesaba inkinga entsha yezempilo okulethayo, umhlinzeki wakho wezokunakekelwa kwezempilo angakusiza ukukuqinisekisa, noma ahlinzeke ngamasu okunciphisa ubungozi bakho. Ungahle ungakhathazeki ngalutho.

7. Yini engingayenza ukuze ngihlale ngiphilile esikhathini esizayo?

Ukuhlolwa komzimba kwakho minyaka yonke kuyisikhathi esihle sokuzibekela imigomo yezempilo, ukuxoxa ngokuphatha izifo ezingamahlalakhona nezimo zezokwelapha, nokwenza izinhlelo zokulandelela.

Buza udokotela ukuthi ngabe kukhona yini izinto ongazenza ukuvimbela izimo noma izifo ongaba sengozini yazo, njengesifo sikashukela, umfutho wegazi ophakeme, i-cholesterol ephezulu, i-arthritis, i-osteoporosis, njll. Xoxa nodokotela wakho ngempilo yakho yamanje bese ubona ukuthi zikhona yini. kukhona noma yiziphi izindawo lapho ungenza khona izinguquko ezinhle — isibonelo ukuthi udokotela wakho angakusiza kanjani ukuthi uyeke ukubhema. Uma ukusebenza kwegazi noma izimpawu zakho kubonisa ukuntuleka kwamavithamini, udokotela wakho angase asikisele ukudla okuthile okungeziwe ekudleni kwakho noma kuhlobo lwemithi yokwengeza ivithamini.

Kwezinye izimo, izivivinyo ezithile zingasiza. Isibonelo, ukubhukuda kungaba ngcono kunokugijima uma unamadolo abuhlungu. Ukuzivocavoca okuqinile kungasiza ngezinkinga zangemuva. Ukubona i-physiotherapist noma i-massage Therapist njalo kungasiza ngobuhlungu nokuhamba.

8. Kufanele ngibuye nini ukuze ngivakashele futhi?

Impendulo yalokhu izohluka ngodokotela. Umuntu omdala kufanele ahlole unyaka nonyaka nodokotela wabo ukuze ahlolwe futhi ahlolwe ngokomzimba, kusho u-Ikeman. UDkt Samuels, uDkt. Gold, nabanye odokotela abaningi bayavuma, futhi bangeze ngokuthi kuya ngemiphumela ejwayelekile yempilo nemiphumela yokuhlolwa, ukuvakasha okuningana kungadingeka.

Olunye ucwaningo lusikisela kunenzuzo ukulinda isikhathi eside phakathi kokuvakashelwa. Isifundo esisodwa uphetha ngokuthi abantu abadala abangavezwa izimpawu zomzimba abadingi izivivinyo zomzimba eziphelele zonyaka, futhi kufanele babe nokuhlolwa okujwayelekile njengokucindezelwa kwegazi, inkomba yomzimba, kanye nePap smears iminyaka eyo-1 ukuya kwemithathu ngokuya ngesiguli.

Noma ngabe uyelulekwa ukuthi uhlolwe minyaka yonke noma ulinde isikhathi eside phakathi kwama-aphoyintimenti kuzoya ngokuncamelayo komhlinzeki wakho wezempilo, izimo zakho, kanye nempilo yakho. Kungcono ukubuza udokotela imininingwane ethile ngempilo yakho.

Yize ukuhlolwa minyaka yonke kungahle kungabi ngaphezu kohlu lwemisebenzi ejabulisayo, kuyithuluzi elibalulekile lokukugcina usempilweni enhle. Uma ungakenzi kanjalo, shayela udokotela wakho bese ubhuka lokho kuqokwa.