Ho hlahlojoa ka bophelo bo botle bakeng sa banna ba lilemo li 18 ho isa ho 39
U lokela ho etela mofani oa tlhokomelo ea bophelo khafetsa, leha o ikutloa o phetse hantle. Morero oa maeto ana ke ho:
- Screen bakeng sa litaba tsa bongaka
- Lekola kotsi ea hau ea mathata a bongaka a kamoso
- Khothaletsa mokhoa oa bophelo o phetseng hantle
- Nchafatsa liente
- Ho u thusa ho tseba mofani oa hau haeba ho ka etsahala hore u kule
Le ha o ikutloa o phetse hantle, o ntse o lokela ho bona mofani oa hau bakeng sa ho hlahlojoa khafetsa. Liketelo tsena li ka u thusa ho qoba mathata nakong e tlang. Mohlala, tsela feela ea ho tseba hore na o na le khatello e phahameng ea mali ke ho e hlahloba khafetsa. Tsoekere e phahameng maling le cholesterol e phahameng le eona e kanna ea se be le matšoao matsatsing a pele. Liteko tse bonolo tsa mali li ka lekola maemo ana.
Ho na le linako tse ikhethang tseo u lokelang ho bona mofani oa hau oa litšebeletso. Ka tlase ke litataiso tsa tlhahlobo ea banna ba lilemo li 18 ho isa ho 39.
LITLHAKISO TSA MALI
- Etsa hore khatello ea mali ea hau e hlahlojoe bonyane hanngoe ka mor'a lilemo tse peli. Haeba nomoro e holimo (systolic number) e tsoa ho 120 ho isa ho 139, kapa palo e ka tlase (diastolic number) e tsoa ho 80 ho isa ho 89 mm Hg, o lokela ho e hlahloba selemo se seng le se seng.
- Haeba nomoro e holimo e le 130 kapa ho feta kapa ea tlase e le 80 kapa ho feta, hlophisa kopano le mofani oa hau ho ithuta hore na u ka fokotsa khatello ea mali joang.
- Haeba u na le lefu la tsoekere, lefu la pelo, mathata a liphio, kapa maemo a mang, ho ka hlokahala hore u hlahlojoe khatello ea mali khafetsa, empa bonyane hang ka selemo.
- Shebella tlhahlobo ea khatello ea mali sebakeng sa heno kapa mosebetsing.Botsa mofani oa hau hore na u ka emisa ho hlahloba khatello ea mali ea hau.
HO SIRELETSA CHOLESTEROL LE HO Thibela Mafu a Pelo
- Ho khothalletsoa lilemo tsa ho qala tlhahlobo ea k'holeseterole ke lilemo tse 35 bakeng sa banna ba se nang lisosa tsa kotsi tsa lefu la pelo le lilemo tse 20 bakeng sa banna ba nang le lisosa tse tsebahalang tsa kotsi ea lefu la pelo.
- Banna ba nang le maemo a tloaelehileng a k'holeseterole ha ba hloke ho hlahlojoa makhetlo a 5.
- Pheta liteko kapele ho feta kamoo ho hlokehang haeba ho na le liphetoho tseleng eo u phelang ka eona (ho kenyeletsoa le boima le boima ba 'mele).
- Haeba u na le lefu la tsoekere, lefu la pelo, mathata a liphio, kapa maemo a mang, ho ka hlokahala hore u hlahlojoe khafetsa.
HO HLOKA LEFU LA SETSOANE
- Haeba khatello ea mali ea hau e le 130 / 80mm Hg kapa ho feta, mofani oa hau a ka leka boemo ba tsoekere ea mali bakeng sa lefu la tsoekere.
- Haeba u na le index ea boima ba 'mele (BMI) e fetang 25' me u na le mabaka a mang a kotsi a lefu la tsoekere, u lokela ho hlahlojoa. Ho ba le BMI ho feta 25 ho bolela hore o nonne haholo. Ma-Amerika a Asia a lokela ho hlahlojoa haeba BMI ea bona e feta 23.
- Haeba u na le mabaka a mang a kotsi a lefu la tsoekere, joalo ka degree ea pele e amanang le lefu la tsoekere kapa nalane ea lefu la pelo, mofani oa hau o tla u hlahlobela lefu la tsoekere.
TLHAHLO YA MENO
- E-ea ho ngaka ea meno hang kapa habeli selemo se seng le se seng bakeng sa tlhahlobo le tlhoekiso. Ngaka ea meno ea hau e tla hlahloba haeba u hloka ho eteloa khafetsa.
TEKO YA LEIHLO
- Haeba u e-na le mathata a pono, etsa tlhahlobo ea mahlo lilemo tse ling le tse ling tse peli, kapa khafetsa haeba u khothaletsoa ke mofani oa hau.
- Etsa tlhahlobo ea mahlo bonyane selemo se seng le se seng haeba u na le lefu la tsoekere.
LIEKETSO LIPOLELO
- U lokela ho tšoaroa ke ntaramane selemo se seng le se seng.
- Ha u le lilemo li 19 kapa kamora moo, u lokela ho ba le ente ea tetanus-diphtheria le acellular pertussis (Tdap) hang e le karolo ea liente tsa hau tsa tetanus-diphtheria haeba u sa li amohela ha u le lilemong tsa bocha. U lokela ho ba le tetanus-diphtheria booster lilemo tse ling le tse ling tse 10.
- U lokela ho fumana litekanyo tse peli tsa ente ea varicella haeba u e-s'o ka u e-ba le kokoana-hloko kapa ente ea varicella.
- U lokela ho fuoa tekanyetso e le 'ngoe ho isa ho tse peli ea ente ea mmaselese, mumps le rubella (MMR) haeba u se u ntse u se na' mele oa hau oa MMR. Ngaka ea hau e ka u joetsa haeba u sa itšireletse mafung.
- Mofani oa hau a ka khothaletsa liente tse ling haeba u na le maemo a itseng a bongaka, a kang lefu la tsoekere.
Botsa mofani oa hau ka vaksine ea motho ea papilloma virus (HPV) haeba u le lilemo li 19 ho isa 26 'me u na le:
- Ha a fumana ente ea HPV nakong e fetileng
- Ha o qete letoto la liente tse felletseng (o lokela ho fumana sethunya sena)
HO HLOKAHALA MAFU
- Batho bohle ba baholo ba lilemo li 18 ho isa ho 79 ba lokela ho fumana teko ea nako e le 'ngoe bakeng sa lefu la sebete la mofuta oa C.
- Mofani oa hau o tla u joetsa hore na u ka thibela tšoaetso joang ka thobalano. Tsena li bitsoa mafu a tšoaetsanoang ka thobalano.
- Ho ipapisitse le mokhoa oa hau oa bophelo le nalane ea bongaka, u kanna oa hloka ho hlahlojoa mafu a kang syphilis, chlamydia, HIV le mafu a mang.
TLHALOSO YA NAMA
- Bolelele ba hau, boima ba hau, le BMI li lokela ho hlahlojoa litekong tsohle.
Nakong ea tlhahlobo ea hau, mofani oa hau a ka u botsa ka:
- Ho tepella maikutlo
- Lijo le boikoetliso
- Tšebeliso ea joala le koae
- Polokeho, joalo ka ts'ebeliso ea mabanta a setulo le li-detectors tsa mosi
TLHATSO MOLEKO
- Sesole sa Ts'ireletso sa US se buella khahlanong le ho itlhahloba ha testicular. Ho etsa liteko tsa testicular ho bonts'itsoe hore ha ho na molemo oa letho.
BOITLALO SEKAU
- Mofani oa hau a ka hlahloba letlalo la hau bakeng sa matšoao a mofets'e oa letlalo, haholo haeba o le kotsing e kholo.
- Batho ba kotsing e kholo ba kenyelletsa ba kileng ba tšoaroa ke mofetše oa letlalo pele, ba na le beng ka bona ba haufi ba nang le mofetše oa letlalo kapa ba nang le boits'ireletso ba mmele bo fokolang.
LITLHAKISO TSE LING
- Bua le mofani oa hau ka ho hlahloba kankere ea colon haeba u na le nalane e matla ea lelapa ea mofets'e oa colon kapa li-polyps, kapa haeba u kile ua ba le mafu a ho ruruha kapa li-polyp.
Ketelo ea tlhokomelo ea bophelo bo botle - banna - ba lilemo li 18 ho isa ho 39; Tlhahlobo ea 'mele - banna - ba lilemo li 18 ho isa ho 39; Tlhahlobo ea selemo le selemo - banna - ba lilemo li 18 ho isa ho 39; Ho hlahlojoa - banna - ba lilemo li 18 ho isa ho 39; Bophelo ba banna - ba lilemo li 18 ho ea ho 39; Teko ea thibelo ea thibelo - banna - ba lilemo li 18 ho isa ho 39
Komiti ea Boeletsi ea Mekhoa ea Thibelo. Lenaneo le khothalletsoang la ente bakeng sa batho ba baholo ba lilemo li 19 kapa ho feta, United States, 2020. www.cdc.gov/vaccines/schedules/index.html. E ntlafalitsoe ka la 3 Hlakola 2020. E fihlile ka la 18 Mmesa, 2020.
Webosaete ea American Academy of Ophthalmology. Polelo ea leano: makhetlo a liteko tsa mahlo - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. E ntlafalitsoe ka Hlakubele 2015. E fihlile ka la 18 Mmesa, 2020.
Webosaete ea American Dental Association. Lipotso tsa hau tse 9 tse holimo mabapi le ho ea ngakeng ea meno li arabiloe. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. E fihlile ka la 18 Mmesa, 2020.
Mokhatlo oa Amerika oa lefu la tsoekere. 2. Kemiso le tlhahlobo ea lefu la tsoekere: litekanyetso tsa kalafo ea lefu la tsoekere - 2020. Tlhokomelo ea lefu la tsoekere. 2020; 43 (Tlatsetso ea 1): S14-S31. PMID: 31862745 phatlalalitsoe.ncbi.nlm.nih.gov/31862745/.
Atkins D, Barton M. Tlhahlobo ea bophelo bo botle nako le nako. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 12.
Grundy SM, Lejoe NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Tataiso mabapi le taolo ea k'holeseterole ea mali: tlaleho ea American College of Cardiology / American Heart Association Task Force mabapi le Litataiso tsa Tloaelo ea Bongaka [khalemelo e phatlalalitsoeng e hlaha ho J Am Coll Cardiol. Selemong sa 2019 Jun 25; 73 (24): 3237-3241]. J Ke Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 e fetotsoe.ncbi.nlm.nih.gov/30423393/.
Meschia JF, Bushnell C, Boden-Albala B; Lekhotla la American Heart Association Stroke, et al. Litaelo tsa thibelo ea mantlha ea stroke: polelo bakeng sa litsebi tsa tlhokomelo ea bophelo bo botle ho tsoa ho American Heart Association / American Stroke Association. Leqeba. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.
Tonakholo ea Ridker, Libby P, Buring JE. Matšoao a kotsi le thibelo ea mantlha ea lefu la pelo. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 45.
Siu AL; Sesole sa Ts'ireletso sa US. Ho hlahloba khatello ea mali e phahameng ho batho ba baholo: Polelo ea khothaletso ea Sesole sa Ts'ireletso ea US. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 e fetotsoe.ncbi.nlm.nih.gov/26458123/.
Sesole sa Ts'ireletso sa US, Bibbins-Domingo K, Grossman DC, et al. Ho hlahloba kankere ea letlalo: Polelo ea khothaletso ea Sesole sa Ts'ireletso ea US. JAMA. 2016; 316 (4): 429-435. PMID: 27458948 phatlalatsoa.ncbi.nlm.nih.gov/27458948/.
Webosaete ea Sesole sa Ts'ireletso ea US. Polelo ea khothaletso ea hoqetela. Ho hlahlojoa kankere e hlakileng. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. E phatlalalitsoe ka la 15 Phuptjane, 2016. E fihlile ka la 18 Mmesa, 2020.
Webosaete ea Sesole sa Ts'ireletso ea US. Polelo ea khothaletso ea hoqetela. Tšoaetso ea kokoana-hloko ea Hepatitis C ho bacha le ho batho ba baholo: ho hlahloba. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. E phatlalalitsoe ka la 2 Hlakubele 2020. E fihlile ka la 19 Mmesa, 2020.
Webosaete ea Sesole sa Ts'ireletso ea US. Kankere ea testicular: ho hlahloba. www.uspreventiveservicestaskforce.org/uspstf/recommendation/testicular-cancer-screening. E phatlalalitsoe ka la 15 Mmesa, 2011. E fihlile ka la 19 Mmesa, 2020.
Whelton PK, Carey RM, Aronow WS, le al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Tataiso ea thibelo, tlhahlobo, tlhahlobo le taolo ea khatello e phahameng ea mali ho batho ba baholo: tlaleho ea American College of Cardiology / American Basebetsi ba Heart Association mabapi le Tataiso ea Tloaelo ea Bongaka [tokiso e phatlalalitsoeng e hlaha ho J Am Coll Cardiol. 2018 Mots'eanong 15; 71 (19): 2275-2279]. J Ke Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 phatlalalitsoe.ncbi.nlm.nih.gov/29146535/.