了解医学检查的意义

读者: 2746    发布时间: 2007

原文: Making Sense of Medical Tests

Most women wouldn’t dream of skipping their annual pelvic, Pap, and breast exams. But when was the last time you had a head-to-toe checkup—or took stock of other tests you probably need but can’t find time for? “For most women, a checkup just isn’t on any to-do list,” says cardiologist Nieca Goldberg, MD, chief of women’s cardiac care at Lenox Hill Hospital in New York. “We have to take the kids to the pediatrician, our moms are sick, our husbands need to go to the cardiologist.” The irony, of course, is that you can’t do all that unless you’re taking care of yourself, too.

Here’s a quick rundown of 20-plus tests that experts recommend for women—don’t worry, you don’t need them all at once. But get to know them, and your body will thank you.

Eyes
Musts:
Annual screenings, preferably by an ophthalmologist, although you should feel free to see an optometrist. Also, a glaucoma and cataract screening at age 50 and beyond, or earlier if you’re diabetic or if you’re experiencing double vision, blurriness, or headaches. (African-American women should begin glaucoma screening at age 40 because their risk is higher.)
Maybe: Glaucoma screening in your 30s if you have a family history of early glaucoma.

Ears
Musts:
At age 40, a baseline audiogram (which measures your ability to hear sounds at different pitches) done by a licensed audiologist.
Maybe: An audiogram at any age if you’re experiencing hearing loss—if you ask people to repeat themselves, for instance, or if you feel as if your ears are always plugged.

Brain
Musts:
Annual screening for depression by your primary care physician. It could be a simple two-question test: 1) In the past two weeks, have you been feeling down, depressed, or hopeless? 2) Have you lost interest in things you used to enjoy? Answer yes to either or both, and depression is a possibility.

Neck
Musts:
At age 50, a thyroid test every five years. The screening checks for an underactive or overactive thyroid.
Maybe: The same test when you’re younger if you have inconsistent periods, unexplained weight gain or loss, heart palpitations, difficulty getting pregnant, or a sluggish postpartum feeling.

Teeth
Musts:
Twice-a-year checkups by a dentist to screen for cavities and gum disease, and a visual check for oral cancer. If you have red or white lesions that aren’t canker sores, then there’s a chance you’ll be referred to an oral surgeon for an inner-cheek-swab cancer test.

Skin
Musts:
Annual full-body visual scan by your primary care physician to check for skin cancer—or by a dermatologist if you have fair skin or a family history of skin cancer.

Bones
Musts:
Baseline bone density scan, or DEXA, at age 65 to see if you’re at risk for bone loss (it’s OK to be tested in your 40s or 50s if you or your doctor is concerned). Do it at age 35 if you weigh less than 127 pounds, have a family history of osteoporosis, take corticosteroids for a condition like asthma, or have a history of unexplained fractures.

Breasts
Musts:
Annual breast exam by a doctor beginning at age 18 and annual mammograms beginning at age 40. Formal self-exams? Experts don’t agree about their value. Many recommend just touching your breasts regularly so you’re familiar with any changes.
Maybe: If you have first-degree relatives who had or have breast cancer, talk to your doctor about starting screening earlier than normal, and about MRI and gene tests, too.

Heart
Musts:
Yearly blood pressure check and physical exam, including checks for murmurs (sounds that may indicate a narrow or leaky valve) or for an irregular heartbeat. Cholesterol tests (including HDL, LDL, total triglycerides, and total cholesterol) beginning at age 20 (if normal, repeat every five years). And a blood-glucose test to screen for diabetes at age 45, repeated every three years.

Abdomen
Musts:
At age 50, a colonoscopy (a full examination of the colon) to screen for colorectal cancer; if normal, repeat exam in 10 years.
Maybe: An upper endoscopy (in which a video camera looks inside your esophagus) if you suffer from chronic heartburn (or if food routinely feels stuck after you’ve swallowed it) to screen for Barrett’s esophagus, a precursor to cancer.

Pelvis
Musts:
An annual pelvic exam, including manual tests of the uterus and ovaries. If you’re 30 or older, a Pap smear with a human papillomavirus (HPV) test to screen for cervical cancer; if normal, repeat in three years if you don’t change sexual partners or haven’t had any abnormal Paps in previous years. Also, a digital rectal exam every five to 10 years beginning at age 50.

译文: 了解医学检查的意义

 
大部分女人都不会梦想逃过每年一次的骨盆,臀部和胸部的检查。但是你最后一次从头到脚的检查是什么时候?或者说你需要对这些检查结果作出相应措施但是你能找到时间吗?“对大多数女人来说,任何检查项目都不是在待做的”心脏病专家 ,医学博士Nieca Goldberg, 说。她是纽约Lenox Hill医院的心脏病医生。我们得带小孩去看病,妈妈身体不好,丈夫需要去看心脏病。出乎意料的是,除非你能很好的照顾你自己,否则是什么也帮不上忙。 这里有个专家有关20多岁的年轻人保持健康建议的简要概述。

不要着急,你一下子可能用不到他们, 但是知道他们, 对你的身体有好处,它们会感谢你

眼睛

必做

年度检查, 最好找一个眼科医生,虽然你会感觉直接去验光更自在一些。此外,在50岁的时候做青光眼和白内障检查。但是如果你患糖尿病或如果你眼睛有重影,视力模糊,或者经常头痛就得更早去看。(非洲裔美国妇女应该在40岁开始青光眼检查,,因为其风险较高)

选做:如果你有青光眼的家族病史,那你30岁时候就应开始做青光眼检查,

耳朵
必做:四十多岁时到正规的耳科医院做一个基准听力图(检测你能听到不同程度声音的能力)

选做:如果你感觉听力在丧失,-比如你总是让别人重复,或者感觉耳朵堵塞,那么你随时要去做基准听力图


必做:让你的初级医疗师每年对你进行抑郁症测试。它可以是一个到两个简单问题的测试: 1 )在过去两个星期里,你是否已感到失落,沮丧,或无望? 2 ) ,你对以前感兴趣的东西失去了兴趣?如果你有一个问题回答是或者两个都是的话那么你可能有抑郁,

颈部
必做: 50多岁时,每5年一次做一次甲状腺测试。检查甲状腺激素水平是不是过高或者过低.
选做:当你更年轻一些的时候,如果一段时间内出现原因不明的体重增加或损失,心悸,受孕困难或产后抑郁的感觉,就要去做甲状腺测试.

牙齿
必做:一年两次去牙医那里检查蛀牙及牙周病,并光学检查是否有口腔癌。如果你有红色或白色病而它们不是由溃疡引起的,那就有可能会被转到到口腔外科那,做内颊拭测试是否有癌症。

皮肤
必做:每年你的初级医师对你进行光学扫描检查皮肤癌,如果你有皮肤发白或家族病有皮肤癌病史可由皮肤科医生来对你进行检查。

骨头
必做:在65岁做基准骨质密度扫描,或地塞米松,看看是否你有骨质疏松的危险(如果你或你的医生关心的话,在你40多岁或50多岁做更好)。如果在35岁以前,你体重不足127磅,或有家族病史的骨质疏松症,或皮质类固醇有问题,如哮喘,或具有历史的原因不明骨折。

乳房
必做:从十八岁开始由医生为你做每年乳房检查,40岁开始每年做乳腺检查。定期的自我检查?专家们并不认同他们的价值。许多建议只是定期触碰你的乳房来熟悉任何变化。
选做:如果您有任何直系亲属曾经患有乳腺癌,告诉您的医生,以便更早的开始检查.核磁共振测试及基因测试。

心脏病
必做:20岁以前开始做每年(如果正常的,每5年做一次)血压检查和身体检查,包括检查杂音(听起来可能显示一个狭窄或漏阀)或作不规则的心跳。胆固醇测试(包括高密度脂蛋白胆固醇,低密度脂蛋白胆固醇,总三酸甘油脂,总胆固醇)。45岁开始做血糖测试检查糖尿病,每3年一次。

腹部
必做:50岁时做肠镜检查(全面检查结肠)检查大肠癌;如果正常的,每十年一次。

选做:上内窥镜(其中一台摄像机检查你的内食道) ,如果你患有慢性心痛(或者吞东西经常噎着)检查巴雷特食管,可检查出早期癌症。

骨盆
必做:每年骨盆腔检查,包括子宫和卵巢的人工测试。如果你已30或年纪更大一些,做子宫颈抹片与人类乳头状瘤病毒( hpv )的测试,检查是否有子宫颈癌;如果结果正常,且你不改变性伴侣或以前乳头无任何异常,在接下来的三年里每年都得做。此外,50岁开始做直肠检查,每5到十年做一次。