Ukuhlolwa kwezempilo kwabesilisa abaneminyaka engama-65 nangaphezulu

Kufanele uvakashele umhlinzeki wakho wezokunakekelwa kwempilo njalo, noma ngabe uzizwa uphilile. Inhloso yalokhu kuvakasha uku:

• Isikrini sezinkinga zezokwelapha
• Hlola ubungozi bakho ezinkingeni zezokwelapha zesikhathi esizayo
• Khuthaza indlela yokuphila enempilo
• Buyekeza imigomo
• Kukusiza ukuthi wazi umhlinzeki wakho uma kwenzeka ukugula

Noma uzizwa ukahle, kusamele ubone umhlinzeki wakho ukuze ahlolwe njalo. Lokhu kuvakasha kungakusiza ugweme izinkinga ngokuzayo. Isibonelo, okuwukuphela kwendlela yokuthola ukuthi une-high blood pressure yini ukuthi ihlolwe njalo. Ushukela wegazi ophakeme namazinga aphezulu e-cholesterol nawo kungenzeka angabi nazimpawu ezigabeni zokuqala. Ukuhlolwa kwegazi okulula kungabheka lezi zimo.

Kunezikhathi ezithile lapho kufanele ubone umhlinzeki wakho. Ngezansi imihlahlandlela yokuhlola yamadoda aneminyaka yobudala engama-65 nangaphezulu.

UKUHLOLWA KWE-AORTIC ANEURYSM

• Uma uneminyaka yobudala engama-65 kuya kwengama-75 futhi ubhemile, kufanele ube ne-ultrasound ukuhlola ama-aneurysms esiswini esiswini.
• Amanye amadoda kufanele axoxe ngalokhu kuhlolwa nomhlinzeki wabo.

UKUGCINWA KWEGAZI

• Yenza ukuhlolwa kwengcindezi yakho okungenani kanye njalo eminyakeni emibili. Uma inombolo ephezulu (i-systolic number) isuka ku-120 kuye ku-139 mm Hg, noma inombolo engezansi (inombolo ye-diastolic) isuka ku-80 kuye ku-89 mm Hg, kufanele uyihlole minyaka yonke.
• Uma inombolo ephezulu ingu-130 noma ngaphezulu noma inombolo engezansi ingama-80 noma ngaphezulu, hlela i-aphoyintimenti nomhlinzeki wakho ukuze ufunde ukuthi unganciphisa kanjani umfutho wegazi.
• Uma unesifo sikashukela, isifo senhliziyo, izinkinga zezinso, noma ezinye izimo ezithile, kungadingeka ukuthi uhlolwe umfutho wegazi lakho kaningi, kepha okungenani kanye ngonyaka.
• Buka ukuhlolwa kwegazi endaweni yakho. Buza umhlinzeki wakho ukuthi ungangena yini ukuze kuhlolwe umfutho wegazi. Ungahlola futhi umfutho wegazi lakho usebenzisa imishini ezenzakalelayo ezitolo zokudla zasendaweni nasemakhemisi.

UKUVALWA KWE-CHOLESTEROL NOKUVIMBELA ISIFO SENHLIZIYO

• Uma izinga lakho le-cholesterol livamile, liphinde lihlolwe okungenani njalo eminyakeni emihlanu.
• Uma une-cholesterol ephezulu, isifo sikashukela, isifo senhliziyo, izinkinga zezinso, noma ezinye izimo ezithile, kungadingeka ukuthi uhlolwe kaningi.
  

UKUHLELWA KOMDLAVUZA WEKHOLARI

Kuze kube yiminyaka engama-75, kufanele ube uhlola umdlavuza obala njalo. Uma uneminyaka yobudala engama-76 noma ngaphezulu, kufanele ubuze umhlinzeki wakho uma udinga ukuhlolwa. Ukuhlolwa okuningana kuyatholakala ekuhloleni umdlavuza obala:

• Ukuhlolwa kwegazi lokungcola (okususelwe esitokisini) okwenziwa minyaka yonke
• Ukuhlolwa kwe-fecal immunochemical (FIT) minyaka yonke
• Ukuhlolwa kwe-stool DNA njalo eminyakeni emithathu.
• I-sigmoidoscopy eguquguqukayo njalo eminyakeni engu-5
• I-enema ye-barium ehluke kabili njalo eminyakeni emihlanu
  
• I-CT colonography (i-colonoscopy ebonakalayo) njalo eminyakeni engu-5
  
• Colonoscopy njalo eminyakeni eyi-10

Ungadinga i-colonoscopy kaningi uma unezinto ezinobungozi zomdlavuza obala, njenge:

• I-ulcerative colitis
• Umlando womuntu siqu noma womndeni womdlavuza wekoloni noma i-rectum
• Umlando wokukhula okuthiwa ama-polyp adenomatous

ISIVIVINYO SAMazinyo

• Iya kudokotela wamazinyo kanye noma kabili ngonyaka ukuze uhlolwe futhi uhlanzwe. Udokotela wamazinyo uzohlola uma unesidingo sokuvakashelwa kaningi.

UKUKHULULEKA KAShukela

• Uma uneminyaka engama-65 noma ngaphezulu futhi unempilo enhle, kufanele uhlolwe isifo sikashukela njalo eminyakeni emithathu.
• Uma ukhuluphele kakhulu futhi unezinye izinto ezinobungozi besifo sikashukela, cela umhlinzeki wakho ukuthi ngabe kufanele ahlolwe kaningi.

ISIVIVINYO SESO

• Yenza ukuhlolwa kwamehlo njalo eminyakeni engu-1 kuya kwengu-2.
• Yenza ukuhlolwa kwamehlo okungenani njalo ngonyaka uma unesifo sikashukela.

ISIVIVINYO SOKUZWA

• Yenza izindlebe zakho zihlolwe uma unezimpawu zokulahlekelwa ukuzwa.

UKUGONYA

• Uma uneminyaka engama-65 noma ngaphezulu, thola umuthi wokugoma we-pneumococcal.
• Kufanele uthole umkhuhlane unyaka nonyaka.
• Thola i-tetanus-diphtheria booster njalo eminyakeni eyi-10.
• Ungathola ama-shingles, noma i-herpes zoster, umuthi wokugoma lapho uneminyaka engama-50 noma ngaphezulu.

UKUHLAWULWA KOMDLAVUZA WAMLUNGU

Kufanele ube nokuhlolwa minyaka yonke komdlavuza wamaphaphu nge-low-computed tomography (LDCT) yedosi uma:

• Uneminyaka engaphezu kwengu-55 KANYE
• Unomlando wokubhema oneminyaka engama-30 KANYE
• Njengamanje uyabhema noma uyekile eminyakeni eyi-15 edlule

UKUKHULULELA ISIFO ESITHILE

• I-US Preventive Services Task Force incoma ukuhlolwa kwesifo sokusha kwesibindi kohlobo C. Ngokuya ngempilo yakho nomlando wakho wezokwelapha, kungadingeka ukuthi uhlolwe izifo ezinjenge-syphilis, i-chlamydia, ne-HIV, kanye nezinye izifo.
  

UKUQHAWULWA KWE-OSTEOPOROSIS

• Uma unezici zobungozi be-osteoporosis, kufanele ubuze nomhlinzeki wakho mayelana nokuhlolwa. Izici zobungozi zingafaka ukusetshenziswa kwesikhathi eside kwe-steroid, isisindo somzimba esiphansi, ukubhema, ukusetshenziswa kotshwala obunzima, ukuphuka ngemuva kweminyaka yobudala engama-50, noma umlando womndeni we-osteoporosis.
• Abesilisa abaneminyaka engama-70 nangaphezulu kufanele bacabangele ukuthola ukuhlolwa kwamaminerali amathambo.

UKUHLOLWA KOMDLAZI WESIFUNDA

Uma uneminyaka engama-55 kuya kwengama-69 ubudala, ngaphambi kokuhlolwa, khuluma nomhlinzeki wakho mayelana nobuhle nobubi bokuba nokuhlolwa kwe-PSA. Buza mayelana:

• Ukuthi ukuhlolwa kunciphisa amathuba akho okubulawa ngumdlavuza wendlala yesinye.
• Noma ngabe kukhona yini ukulimala ekuhlolweni komdlavuza wesinye, njengemiphumela emibi evela ekuhlolweni noma ekwelashweni komdlavuza lapho kutholakala.
• Ukuthi unengozi enkulu yomdlavuza wesinye kunabanye.

Kumadoda amadala kuneminyaka yobudala engama-70, izincomo eziningi ziphikisana nokuhlolwa.

Uma ukhetha ukuhlolwa, ukuhlolwa kwegazi kwe-PSA kuyaphindwa ngokuhamba kwesikhathi (minyaka yonke noma ngaphansi kaningi), noma imvamisa engcono kakhulu ingaziwa.

• Ukuhlolwa kwendlala yesinye akusenziwa njalo emadodeni angenazimpawu.
  

IZIVIVINYO ZOKWenyama

• Yiba nokuhlolwa ngokomzimba minyaka yonke.
• Umhlinzeki wakho uzohlola isisindo sakho, ubude, kanye nenkomba yesisindo somzimba (BMI).

Ngesikhathi sokuhlolwa, umhlinzeki wakho uzokubuza mayelana:

• Imithi yakho kanye nobungozi bokuxhumana
• Ukusetshenziswa kotshwala nogwayi
• Ukudla nokuvivinya umzimba
• Ukuphepha, njengokusebenzisa ibhande lesihlalo
• Ukuthi uke wawa yini
  
• Ukucindezeleka

ISIVIVINYO SESIKhumba

• Umhlinzeki wakho angahlola isikhumba sakho ukuthola izimpawu zomdlavuza wesikhumba, ikakhulukazi uma usengozini enkulu.
• Abantu abasengozini enkulu bahlanganisa labo abake baba nomdlavuza wesikhumba phambilini, banezihlobo eziseduze ezinomdlavuza wesikhumba, noma abanamasosha omzimba abuthakathaka.

Ukuvakashelwa kokunakekelwa kwempilo - amadoda - angaphezu kweminyaka yobudala engama-65; Ukuhlolwa ngokomzimba - amadoda - angaphezu kweminyaka yobudala engama-65; Ukuhlolwa konyaka - amadoda - angaphezu kweminyaka yobudala engama-65; Ukuhlolwa - amadoda - angaphezu kweminyaka yobudala engama-65; Impilo yabesilisa - engaphezu kweminyaka engama-65; Ukuhlolwa kokuvikela ukunakekelwa - amadoda - angaphezu kweminyaka yobudala engama-65

• Ukuhlolwa kwegazi lomlingo we-Fecal
• Imiphumela yobudala ekucindezelekeni kwegazi
• I-osteoporosis
• Umdlavuza wendlala yesinye

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