Check-Up: Jàmmalukaayu Yitteel ci Yeneeni Yitteel yu Wér ak Ndawtalam
Lu tax ñuy wara def ay jëfandikukat ci wér-gu-yaram?
Ay xel yu bare, ci ndaje bu bés, man nañu dox ci ndank ndank ba taxul ñu am ay laaj yu gëna am solo. Ndax loolu la tax, xam-xam ci jafe-jafe yu wér-gu-yaram ci jamono ju jëm ci kanam, loolu man na am ci jëfandikukat yu wér-gu-yaram yu ñuy def ci jamono ju mujj. Ngir man a dund ci wér-gu-yaram ak xam ay risk yu man a am ci jamono ju jëm ci kanam, ñépp, su fekkee amul ñu laaj, dañuy wara def ay jëfandikukat yu wér-gu-yaram ci jamono ju mujj — maanaam check-up — ci jamono ju mujj.
Lu check-up mooy te kan lañu koy def?
Check-up mooy jëfandikukat yu ñuy def ngir xam xaalis bu nit am, su fekkee am na laaj walla amul, ngir xam xaalis bu nit am ci wér-gu-yaram. Ci wàllu nit, ndaje, askan wi, xam-xam ci njaboot, xam-xam ci njaxlaf, ak yeneen risk yu man a am lañu jëfandikoo ngir def check-up bu nit. Noonu lañuy xam xaalis bu nit ci wér-gu-yaram ci seen bopp, te su soxla am, man nañu def ay jëfandikukat yu jàmm.
Loolu, check-up, ci jamono jii, ci àdduna sépp, mooy benn ci ay jëfandikukat yu wér-gu-yaram. Ndax loolu, ci njaboot, su amee xel bu am xel ci xol, suukar, xel bu am xel ci yaram walla cancer, xam-xam ci jamono ju jëm ci kanam man na tax nit dund ak wér-gu-yaram ak dund bu gëna yàgg.
Ban laaj lañu ci check-up?
Ci check-up, ay laaj yu am solo ni:
Xam xaalis bu nit ci wér-gu-yaram ci seen bopp
Xam risk yu nit ci jafe-jafe yu wér-gu-yaram
Xam xel yu man a am walla yu amul laaj ci jamono ju jëm ci kanam
Def ay jëfandikukat yu wér-gu-yaram ak dund bu baax ci nit
Lu tax xam-xam ci jamono ju jëm ci kanam am solo?
Ci ay xel yu mel ni suukar, xel bu am xel ci yaram, xel bu am xel ci xol, walla cancer, ci ndaje bu bés, amul laaj yu gëna am solo. Ndax loolu la check-up man a tax xam xaalis bu nit ci jamono ju jëm ci kanam, te man na tax ñu jàppale ci jafe-jafe yu gëna am solo ci jamono ju mujj. Ndax loolu, ci ñi am njaxlaf ci njaboot, def ay jëfandikukat ak xam risk, mooy lu am solo ci wér-gu-yaram.
Ban test ak jëfandikukat lañu def ci check-up?
Ci check-up, ay laaj yu mel ni:
1. Testu deret:
Jëfandikukat bu deret (hemogram)
Féerri, ferritin, ak xam-xam ci féerri
B12 ak folik asit
Suukar ci deret (glukoz ci jamono ju mujj), HBA1c, insulin
Lipid (kolesterol, HDL, LDL, trigliserid)
Testu tiroid (TSH, FT3, FT4)
Enzim bu karaséér (ALT, AST, GGT, ALP)
Testu bu bopp (uré, kreatinin, eGFR)
Vitamin D3 ak yeneen vitamin/mineral bu soxla
2. Analiz bu ndox:
Jëfandikukat bu ndox, xam xaalis bu bopp ak ndox ci yaram
3. Testu hormon ak infeksyon:
Hepatit B ak C (HBsAg, Anti-HBs, Anti-HCV)
HIV, sifilis (VDRL), Prostat (PSA), ci jigéen ñi smear
4. Marker bu cancer:
CEA, CA 125, CA 15-3, CA 19-9 ci cancer yu am solo
5. Jëfandikukat bu xool ak testu fonksyonel:
Xool bu xol
Ultrasound bu ndox
Ultrasound bu tiroid walla meme, mamografi
EKG, ekokardiyografi, testu efor, testu fonksyon bu xol
Testu bu doole bu yéene, su soxla am MR bu xel walla doppler ultrasound
6. Muayene bu wàllu:
Wàllu wér-gu-yaram, wàllu xol, wàllu jigéen/góor, wàllu bët, wàllu nopp ak yeneen wàllu yu soxla
Lu tax check-up yu bari am ay faral di wone?
Ndax nit bu nekk am na boppam ci ndaje, askan wi, xam-xam ci njaxlaf ak xaalis bu wér-gu-yaram, check-up yu bari lañu def ci boppam. Ay check-up yu mel ni testu deret ak ndox lañu am, waaye ci program yu gëna am solo, am na ay testu xool ak xam risk yu gëna am solo. Ndax jigéen ak góor am nañu boppam ci check-up, ni xam xaalis bu meme, jëfandikukat bu jigéen walla testu prostat. Ci xale, mag, jigéen ci ndaje, walla ñi am jafe-jafe yu wér-gu-yaram, am na program bu boppam.
Lu war a def ci jamono ju mujj ci check-up: Naka lañu wone nat?
Bu check-up jeexee, ay test ak muayene yépp lañu xool ci detail ci wàllu wér-gu-yaram. Bu nat yépp nekk ci diggante bu baax, lañu jox ndigël ngir topp ci jamono ju mujj; waaye bu amee jafe-jafe ci nat, man nañu def test yu gëna am solo walla soppi dund. Man nañu def ay soppi ci lekk, topp kilo, def sport, walla def garab bu soxla. Loolu man na tax ñu jàppale ci jafe-jafe yu wér-gu-yaram ak dund bu baax.
Kan lañu wara def check-up ak ban yoon?
Ay boroom xam-xam ci wér-gu-yaram ak jamono jii, dañuy jox ndigël ngir mag ñi def check-up benn yoon ci at. Waaye ñi am risk bu gëna am solo (ñi am njaboot ci jafe-jafe yu wér-gu-yaram, ñi am 35-40 at ak gëna, ñi am jafe-jafe ci wér-gu-yaram walla ñi am stress ak liggéey bu bari) man nañu def check-up ci yoon yu gëna gàtt ci ndigël bu wàllu wér-gu-yaram. Ci xale ak mag yu ndaw, jigéen ci ndaje walla ñi am xaalis bu wér-gu-yaram bu boppam, man nañu def program bu boppam.
Jàmm ak check-up ci wér-gu-yaram bu nit ak askan wi
Ci topp wér-gu-yaram bu nit, jafe-jafe yu wér-gu-yaram walla xel yu man a am ci ndank ndank man nañu xam ci jamono ju jëm ci kanam. Noonu la jàmm ci jafe-jafe man na tax ñu def garab ci jamono ju gëna gàtt, ak risk bu gëna néew, te man nañu am jàmm bu gëna am solo. Ci loolu;
Nit man na def wér-gu-yaram bu boppam ci jamono ju jëm ci kanam.
Man na gëna yàgg ak dund bu baax.
Ci askan wi, xam-xam ci wér-gu-yaram ak xam-xam ci jafe-jafe gëna am solo.
Xool ci check-up yu bari
Ay wàllu wér-gu-yaram dañuy jox check-up yu bari ngir jàppale ñi am soxla yu gëna am solo. Ci check-up yu bari lañu xam:
Check-up bu mag, jigéen ak góor
Check-up bu xale ak mag yu ndaw
Program bu ñi liggéey bu bari ak boroom liggéey
Check-up bu cancer, xol, doole walla jafe-jafe ci metabolism
Program bu xam xaalis bu ndox, bopp, karaséér walla xol
Check-up bu ñi nekk ci kër, ñi am jafe-jafe ci doxal
Program bu xam risk ci njaxlaf
Ci check-up bu nekk, test ak muayene man nañu wone faral di wone. Ngir xam program bu gëna baax ci nit, lañu wara laaj xam-xam bu wér-gu-yaram.
Xam-xam bu test yu am solo ci check-up
CEA: Jëfandikukat bu cancer ci xam marker bu cancer.
CA 125, CA 15-3, CA 19-9: Marker bu cancer yu mel ni meme, jigéen, walla xol, jàppale ci xam ak topp cancer.
CRP ak sedimentasyon: Wone infeksyon walla xel ci yaram.
Hemogram: Jëfandikukat bu deret ak xam anemia.
Vitamin ak mineral (B12, D3, folik asit, féerri, ferritin, njl): Jàppale ci wér-gu-yaram, doole ak metabolism; bu amul, man nañu def jëfandikukat bu boppam.
Testu tiroid ak hormon: Jàppale ci xam xel bu tiroid ci jamono ju jëm ci kanam.
Testu bu bopp (kreatinin, uré, eGFR): Xam xaalis bu bopp ak doole bu bopp.
Enzim bu karaséér (ALT, AST, ALP, GGT): Xam xaalis bu karaséér ak xam bu am jafe-jafe.
Lipid: Jëfandikukat bu risk ci xel bu am xel ci xol.
Mamografi/USG bu meme/Smear/PSA: Jëfandikukat bu cancer ci jigéen ak góor ci jamono ju jëm ci kanam.
Jëfandikukat bu xool (USG, MR, doppler): Jàppale ci xam xaalis bu wàllu yaram ak doole.
Jëfandikukat yu ñu sol ci yaram: Moom la ñuy jëfandikoo ngir xool ndamli ak dooleb yaram.
Jëfandikukat yu ñu sol ci ndox ak ndoxu yaram: Moom la ñuy jëfandikoo ngir xool ndamli ak dooleb yaram ak ndoxu yaram.
Jëfandikukat yu am solo (hormoon, panel bu alergi, ay marke yu tumor): Ñuy jëfandikoo ngir xool risk yu am solo ci nit.
Naka la check-up di dox?
Check-up day tàmbalee ci jàngat bu yomb ci boppu nit, ci wàllu dundam ak riskam. Ñuy jëfandikoo ndox ak ndoxu yaram, ba noppi, ci soxla, ñuy def ay xool ak jëfandikukat yu am solo. Jàngat yu ñuy def ci jigéen ak góor, ci wàllu cancer, ñuy teg ci program bi, ndax ay nit yu am agsi ak agsi. Bokk na ci, jëfandikukat yépp ñuy def ci wàllu dogalug dogal, ba noppi, ñuy defal nit ki toppandoo ak dogalug jàmm.
Loolu la war a def ginnaaw check-up
Bi jëfandikukat yépp ak xool yépp jeexee, dogalug dogal dina la xamle ci jawwu. Bu jawwu yépp amee ci diggante, ñuy la jox ndigalu toppandoo; bu amee ay jawwu yu am solo walla yu am solo, ñuy jëfandikoo ay xool yu gën, dogal ak soppi ci dund. Ginnaaw check-up, ñuy la jox ndigalu lekk bu baax, planu sport walla, bu soxla, dogalug dogal ngir yokk sa dund bu baax. Check-up mooy benn ci boppam ci jàmmu jàmm.
Laaj yu ñu laaj ak yoon
1. Lu tax check-up am solo?
Check-up mooy jox ndigalu xam-xam ci jàngat yu am solo ci yaram; mooy jox ndigalu jëfandikoo ak soppi ci dund ngir taxawal jàmmu yaram.
2. Naka la war a def check-up?
Ñuy la jox ndigalu def check-up benn yoon ci at; waaye, ci wàllu agsi, askan wi ak ndamli, loolu lepp dina soppi. War nga laaj sa dogal ngir xam bu baax.
3. War naa lekkul bu ma bëgg a def check-up?
Ci ay jëfandikukat yu ndox (mel ni ndoxu glukoz, profil bu lipid), war nga lekkul. War nga laaj ci jàmmu yaram ba noppi.
4. Ci ban agsi la war a tàmbalee check-up?
Ci ndaw lañuy jëfandikoo ay xool ci yaram; ci mag ñuy jox ndigalu check-up ci agsi 20. Ndax agsi 35-40, ñuy def ay xool yu gën.
5. Ndax check-up dina taxul nit amul jàmm?
Check-up du taxul nit amul jàmm, waaye dina tax nit xam jàmm bu baax ci boppam.
6. Ndax check-up dafa yàgg?
Ndax check-up dina soppi ci lu ñuy def, jëfandikukat ak jàmmu yaram. War nga laaj sa dogal ngir plan bu baax.
7. Ndax check-up dina xam cancer?
Check-up dina jox ndigalu xam cancer ci boppam, waaye ngir xam bu baax, war nga def ay xool yu gën.
8. Ndax war naa xam check-up bu ma amul jàmm?
Déedéet. Check-up mooy jox ndigalu xam-xam ci yaram, ndax amul jàmm.
9. Ndax bu check-up jeexee, jawwu yépp du baax, lu ma war a def?
Bul mer, war nga xam jawwu yi ak sa dogal, topp ndigalu dogal ak soppi. Jàmm bu yàgg dina taxul lu bon am.
10. Ndax check-up am solo ci nit yu am jàmmu yaram?
Waaw, ci nit yu am jàmmu yaram, check-up mooy jox ndigalu xam-xam ci yaram ak soppi ci jàmm.
11. Ndax check-up am solo ci ndaw?
Ci ndaw lañuy jëfandikoo ay xool ngir xam ndaw, vaksang ak risk yu am solo.
12. Ci check-up, ban dogal lañuy def?
Ñuy def ci dogal bu diggante, bu soxla, cardiologie, jigéen, urologie, bët ak nopp ak baat.
13. Ndax jëfandikukat yépp lañuy def ci nit yépp?
Jëfandikukat dina soppi ci risk ak soxla. Dogal dina jox ndigalu jëfandikukat ak program bu baax.
14. Ndax ci check-up lañuy xam jàmmu yaram yu am solo?
Ci ay jëfandikukat yu am solo (mel ni hepatit, HIV), lañuy def ci check-up.
15. Ndax bu jawwu yépp baax, war naa def check-up ci kanam?
Waaw, check-up bu def ci yoon, dina jox ndigalu xam-xam ci yaram; risk dina soppi ci jamono, loolu mooy tax check-up am solo.
Melooy xam-xam
World Health Organization (WHO), "Screening and early diagnosis", www.who.int
U.S. Centers for Disease Control and Prevention (CDC), "Regular Check-Ups Are Important", www.cdc.gov
American Heart Association (AHA), "Know When and How Often to Get Screened"
American Cancer Society (ACS), "Cancer Screening Guidelines"
European Society of Cardiology (ESC), "Prevention and Screening in Cardiovascular Disease"
Peer-reviewed medical journals (The Lancet, New England Journal of Medicine)