Three key groups, one medical checkup per year

“A year’s plan is in spring”, busy you, you should also give yourself a physical examination, to understand how their health status. So, what do you need to pay attention to the health checkup? How to correctly look at this matter of medical examination? Health checkups are one of the most effective means of preventing diseases. Through health checkups, you can understand your own health status, find some early diseases that are not easy to detect, in order to intervene in a timely manner, to terminate the development of diseases, and receive twice the result with half the effort. Three types of key populations, an annual physical examination: “In terms of the overall physical examination, the ‘three highs’ problem is very prominent. There is a large proportion of the population have blood pressure, blood sugar, blood fat exceeded the standard phenomenon.” Nowadays, the urban population has more work pressure and socializing, and the sub-health situation has become more prominent, requiring people to pay more targeted attention to their health status and adjust their lifestyles. Long-term unhealthy lifestyle and behavior will lead to an imbalance in the body’s nutrient metabolism, decreased immune function, neuroendocrine disorders, biological clock “malfunction”, bringing serious harm to health. In the health checkup, there are three key groups of people in particular to pay attention to, must be done once a year medical checkup: 1, is “7 ~ 11 tribe”. This type of people in the morning before 7:00 a.m. to carry a briefcase out, began a day of fighting. Their cell phones keep ringing, there are meals waiting for them, the time to go home is about 11 p.m., and sometimes even after the next morning. They always enter the door smelling of alcohol and fatigue, and do not even bother to speak half a sentence, straight to the bedroom, fell asleep. They are called “7 ~ 11 tribe”. The incidence of fatty liver in these people is as high as 12.9%, the prevalence of obesity is 31.6%, the prevalence of hyperlipidemia is 12.8%, and the prevalence of coronary heart disease is 3.1%. Among the cases of sudden death, the proportion of men under 35 has doubled compared with that of 10 years ago. 2. It is middle-aged people over 40 years old. Humans over 40 years of age, the proportion of latent disease states climb steeply, before and after 55 years of age, there are more and more obvious symptoms of disease, sliding into the rapid acceleration of the pace of disease. 3, is already chronic disease. Chronic patients refer to some have suffered from cardiovascular and cerebrovascular, diabetes, hepatitis, asthma, gastric diseases and other diseases, they may be in the doctor’s treatment of the condition of temporary relief. Therefore, these patients should still have regular follow-ups and checkups for their diseases. Physical examination dilemma stems from the misunderstanding: physical examination more and more public attention, however, “taboo medicine” also exists in the hearts of many citizens. Often medical checkups complain to the doctor, “Whenever you see the gynecological examination of the bed, the heart can not help but creepy,” “Every time the medical checkups want to avoid gynecological examination, feel uncomfortable.” “Blood draws always make me break out in a cold sweat, and I want to faint at the sight of blood.” …… Dilemmas in medical checkups happen all the time. In fact, there are often different tests for the same checkup. “Some women who feel uncomfortable performing a pubic ultrasound may choose to have an abdominal ultrasound to monitor the uterus and ovaries. If they can’t tolerate a traditional gastroscopy, they can choose to have a capsule gastroscopy, which can be swallowed to monitor the stomach. The reason why you have trouble with medical checkups is that you have some misconceptions about them. Misunderstanding #1: “If you are healthy, you don’t need to have a physical exam every year.” This is very wrong. Because some diseases develop very quickly, and the symptoms are not obvious, so it is very difficult to notice, to be noticed may have missed the best time for treatment. Special reminder that we must insist on regular medical checkups. Myth 2: “Physical examination found that small diseases do not need to pay too much attention.” This is even more wrong. In general, after the physical examination, the doctor has to prompt certain abnormal items on the physical examination report need to be reviewed, or 3 to 6 months later to do targeted checks. Some diseases in the latent period or the initial period may not be detected, or may check the indicators of slight changes but not yet reached the degree of diagnosis, some insignificant changes may be the precursor of large lesions, and review is the tracking of abnormal indicators, so as to achieve early detection of the diagnosis and early treatment of the purpose. Myth 3: “Physical examination cannot detect tumor.” At present, only breast cancer, colorectal cancer, cervical cancer, prostate cancer, etc. may be detected early through routine health checkups and censuses without symptoms. For example, lung cancer, pancreatic cancer, brain tumors, etc., it is often difficult to find lesions during physical examination, but once the disease develops, it has already reached the middle and late stages. However, it does not mean that the tumor cannot be detected. Tumor marker test can regularly and dynamically monitor the activity of tumors in the body. Especially for patients who have undergone tumor surgery, the screening process of tumor markers, if found that carcinoembryonic antigen (CEA) index suddenly increased, will become an important evidence of tumor recurrence. Do a good job of health checkup out of the five taboos: found in the work, there are a lot of examinees due to the physical examination of some key aspects of the lack of attention, or knowledge bias, there are all sorts of omissions, he reminded to prepare for the physical examination: 1, taboo blood collection time is too late. Physical examination laboratory requirements 7:30 ~ 8:30 am fasting blood, the latest should not be more than 9:00, the examinee should be as early as possible blood, do not easily miss the time. 2, avoid medical examination before hastily stopping medication. Blood collection requires fasting, but patients with chronic diseases should be treated differently for medication. Such as hypertensive disease patients take antihypertensive drugs early in the morning every day, is necessary to maintain blood pressure stabilization, hastily stop or delay the medication will cause a sudden rise in blood pressure, dangerous. 3, avoid arbitrarily discard the inspection program. Some tests have special significance for the early detection of disease, some of the examinee for fear of trouble or shyness, automatically give up the test, if the examinee really have lesions, will miss the best time for treatment. 4, avoid ignoring the important history statement. Some examinees hold a “test” a medical examination of the doctor’s level of psychology, that the disease can only be checked out, not by talking out, but do not know that the results are often contrary to their wishes. 5, avoid belittling the conclusion of the medical examination. Some examinees pay more attention to the physical examination process, but ignored the conclusion of the physical examination, did not carefully read and carefully implemented, so that the health examination has lost its significance. Many people take the physical examination report, but simply from the “healthy” and “unhealthy”, “sick” and “not ill “This is a misinterpretation. This is a misunderstanding. In fact, this report card is a very detailed “health analysis report”, every data of the physical examination results can be analyzed in depth: it not only allows you to predict in advance the chances of suffering from a certain chronic disease in the next 5 to 10 years, but also puts forward a variety of practical improvements, interventions, preventive and therapeutic measures, including diet, psychology, exercise, Diet, psychology, exercise, rest and relaxation, and so on. This makes the physical examination not just superficial, but really in-depth and practical, to achieve the purpose of “early detection of sudden illnesses”. Therefore, more important than the physical examination is the health assessment, which requires a professional doctor to interpret and analyze. Physical examination is only the first step to understand a person’s real health status, and health assessment after the physical examination, according to the specific circumstances of the intervention life, in order to really let the physical examination to play a “preventive” role. Health checkups should be “personalized” focus: “Physical examination plan should also be based on age, gender, individual circumstances and personalized development, blindly casting a wide net is not desirable.” “Each person’s age, health status is different, health checkup program must be different from person to person. On top of the basic medical checkup program, different groups should have different checkup programs, targeted checkups, in order to bring out the true significance of medical checkups.” Some people think that choosing a medical checkup program is like going to a Western restaurant to eat, the easiest way is to choose a certain medical checkup package, if you have enough money, choose an expensive one, if you have a pain in the wallet, choose a cheaper one, and the medical checkup grade, as well as the menu, the more expensive it is, the better it is. This is actually a misunderstanding, the key to physical examination is to choose the right one for yourself, otherwise the more expensive examination is just a waste. Like people with a family history of genetic diseases, in addition to the basic program, you can also do some targeted checks. Such as diabetes family history check fasting blood sugar, 2 hours after meals blood sugar, blood glycated red hemoglobin, urine microalbumin; breast cancer family history check breast ultrasound, breast molybdenum target examination, blood test for breast cancer tumor markers; lung cancer family history check chest X-ray, chest low-dose CT, blood test for lung cancer tumor markers. In addition, people who often socialize and drink alcohol need to pay attention to liver lesions, do liver ultrasound, alcohol gene test, and evaluate alcohol tolerance; people who have smoking habit need to pay attention to lungs, do chest radiograph test, blood draw for lung cancer tumor marker, and sputum cytochemistry; people who often work in front of computers and have neck and shoulder pain and lumbar pain at the same time can choose cervical intervertebral disk CT, lumbar intervertebral disk CT, and so on.