Siaki le soifua maloloina mo fafine tausaga 18 i le 39

E tatau ona e asiasi ile tausi soifua maloloina mai lea taimi i lea taimi, tusa pe e te maloloina. O le autu o nei asiasiga ia:

• Vaʻai mo faʻafitauli tau soifua maloloina
• Iloilo lou tulaga lamatia mo lumanaʻi faʻafitauli faʻafomaʻi
• Faʻamalosi se soifua maloloina
• Faʻafou tui
• Fesoasoani ia e faʻamasani i lau tautua i le tulaga o se maʻi

Tusa lava pe o lelei sau lagona, e tatau lava ona e vaʻai i lau tautua mo siaki masani. O nei asiasiga e mafai ona fesoasoani ia te oe e aloese ai mai faʻafitauli i le lumanaʻi. Mo se faʻataʻitaʻiga, pau lava le auala e iloa ai pe o iai sou toto maualuga o le siakiina e le aunoa. Ole toto maualuga ole suka ma le maualuga ole tulaga ole suka e ono leai foi ni faʻailoga ile amataga. O se suʻega toto faigofie e mafai ona siakiina ai ia tulaga.

E i ai taimi faʻapitoa e tatau ai ona e vaʻai i lau tautua. Lalo o taʻiala faʻataʻitaʻi mo fafine tausaga 18 i le 39.

FAI O LE TISI O LE TOTO

• Vaʻai lou toto maualuga siaki ia le itiiti ifo i le tasi i le 2 tausaga. Afai o le numera pito i luga (systolic number) e amata mai le 120 i le 139, poʻo le numera pito i lalo (numera diastolic) e mai le 80 i le 89 mm Hg, e tatau ona e siakiina i tausaga uma.
• Afai o le numera i luga e 130 pe sili atu pe o le numera pito i lalo e 80 pe sili atu, faʻatulaga se taimi ma lau tautua e aʻoaʻo ai pe faʻafefea ona faʻaititia lou toto.
• Afai e maua oe ile maʻisuka, maʻi fatu, faʻafitauli o fatugaʻo, poʻo ni isi lava tulaga, oe ono manaʻomia le siaki soʻo o lou toto, ae tusa a ma le tasi i le tausaga.
• Matamata mo le siakiina o le toto i lau eria.Fesili i lau tautua pe mafai ona e tu i totonu e siaki lou toto maualuga.

FAʻAALIGA KOLESTEROLE

• Fautuaina amata tausaga mo le siakiina o le kolesterol o tausaga 45 mo fafine e leai se mautinoa lamatiaga mafuaʻaga mo coronary fatu faamaʻi ma tausaga 20 mo fafine ma iloa tulaga lamatia mo coronary fatu faamaʻi.
• Tamaʻitaʻi e masani ona maua i le suka tulaga e le manaʻomia le toe faia o le suʻega mo le 5 tausaga.
• Toe fai le suʻesuʻe vave ae le manaʻomia pe a fai e iai suiga i le olaga (e aofia ai le faʻatupulaia o le mamafa ma meaʻai).
• Afai e maua oe ile maʻi suka, maʻi fatu, faʻamaʻi fatu, poʻo nisi lava tulaga, oe ono manaʻomia le vaʻavaʻaia totoʻa.

DIABETES SCREENING

• A faʻapea o lau toto maualuga e 130/80 mm Hg pe o luga atu, e ono faʻataʻitaʻia e lau tausimaʻi le maualuga ole suka i lou toto mo le maʻi suka.
• Afai e i ai sau faʻasino vaega tele (BMI) sili atu i le 25 ma i ai isi lamatiaga mafuaʻaga mo le maʻisuka, oe tatau ona siakiina. O le i ai o se BMI sili atu i le 25 o lona uiga ua ova lou mamafa. Asia Amerika e tatau ona siaki pe a fai o la latou BMI e sili atu nai lo le 23.
• Afai e i ai isi mea lamatia mo le maʻisuka, pei o le muamua tikeri fesoʻotaʻi ma maʻisuka poʻo talaʻaga o faʻamaʻi fatu, o le a siaki oe e lau tautua mo le maʻi suka.
• A faʻapea ua e lapoʻa ma ua i ai isi tulaga faʻafitauli e pei o le toto maualuga ma o loʻo e fuafua e te maitaga, e fautuaina le siakiina
  

NIFIGA Tofotofoga

• Alu i le fomai nifo tasi pe lua i tausaga uma mo se suʻega ma le faʻamamaina. O lau fomaʻi nifo o le a iloiloina pe a fai e te manaʻomia le tele o asiasiga masani.

SUʻESUʻEGA MATA

• Afai e iai sau faʻafitauli tau vaʻai, fai lau suʻega ile 2 tausaga pe sili atu pe a fautuaina e lau tautua.
• Fai se suʻega o ou mata ia le itiiti ifo ma le taʻi tausaga, pe a e maʻi suka.

FAʻATASIINA

• Oe tatau ona maua i se fulū fulū i tausaga uma.
• I le pe i le maeʻa o le 19 tausaga, e tatau ona tasi lau tui tetanus-diphtheria ma acellular pertussis (Tdap) o se tasi o au tui tetanus-diphtheria pe afai e te leʻi mauaina a o avea ma se talavou. Oe tatau ona i ai se tetanus-diphtheria booster taʻitasi 10 tausaga.
• E tatau ona e mauaina ni tui se lua o le tui puipuia ole varicella pe a fai e te leʻi tuiina i le tanesusu poʻo le tui ole varicella.
• E tatau ona e maua le tasi ile lua tui ole tui ole misela, mumps, ma le rubella (MMR) peʻa e te leʻi aʻafia ile MMR. E mafai e lau fomaʻi ona taʻu atu ia te oe pe a e teteʻe.
  
• Atonu e fautuaina e lau tautua isi tuipuipui pe a fai o e iai i se tulaga lamatia mo nisi tulaga, pei o le niumonia.

Fesili i lau tautua e uiga i le vailaʻau o le tagata papilloma virus (HPV) peʻa e 19 i le 26 tausaga ma o loʻo ia te oe:

• E leʻi mauaina le tui puipui ole HPV i aso ua tuanaʻi
• Le maeʻa atoa le tui tipi (e tatau ona e puʻeina lenei tui)

SILI FAI O MAʻi

• Tamaʻitaʻi o loʻo faia feusuaʻiga tatau ona siakiina mo chlamydia ma gonorrhea luga seʻia oʻo i le tausaga 25. Tamaʻita 25 tausaga pe sili atu e tatau ona suʻesuʻe pe a fai o i se tulaga lamatia tele.
  
• Uma tagata matutua matutua 18 i le 79 tatau ona faia se tasi le taimi faʻamaonia mo hepatitis C.
  
• Faʻamoemoeina i lou olaga ma lau talaʻaga faʻafomai, oe ono manaʻomia foi ona siaki mo faʻamaʻi pipisi pei o syphilis ma HIV, faʻapea foi ma isi faʻamaʻi.
  

• Lou toto maualuga tatau ona siaki ia le itiiti ifo ma le tasi i le 2 tausaga.
• Ole suʻega mo le kanesa ole faʻaʻautagata e tatau ona amata ile 21 tausaga.
• Lou maualuga, mamafa, ma le BMI tatau ona siaki i suʻega uma.

I le taimi o lau suʻega, e ono fesili atu lau kamupani ia te oe e uiga i:

• Faʻanoanoa
• Meaʻai ma faamalositino
• Ava malosi ma tapaa
• Mataupu tau le saogalemu, pei ole faʻaaogaina o fusipau ma mea asu e asu ai

FAʻAFEAUTIINA O TUPU CANCER

• E mafai e fafine ona faia suʻesuʻega o latou lava susu i masina taʻitasi. Peitai, e le malilie tagata atamamai e uiga i aoga o suʻesuʻega o oe lava i le sailia o le kanesa o le susu poʻo le faasaoina o ola. Talanoa i lau tautua e uiga i le mea sili mo oe.
• E le fautuaina le suʻesuʻe mammogram mo le tele o fafine i lalo ole 40 tausaga.
• Afai e i ai sou tina poʻo sou tuafafine na maua i le kanesa o le susu a o e talavou, mafaufau i tausaga uma mammograms. E tatau ona latou amata muamua atu nai lo le tausaga lea na faʻamaonia ai le latou uii o le aiga.
• A faʻapea e i ai ni isi mea e ono aʻafia ai oe ile kanesa o le susu, e ono fautuaina oe e lau tautua se mammogram, susu ultrasound, poʻo le MRI scan.
• Faʻafesoʻotaʻi lau kamupani i le taimi lava pe a e maitauina se suiga i ou fatafata, pe e te faia pe leai foi suʻega o oe.
• A faʻapea e 18 i le 39 ou tausaga, e ono faia se suʻesuʻega o le susu e lau tautua.

FAʻASAʻOGA O TUPE CERVICAL

Ole kanesa ole kanesa ole faʻaʻautagata e tatau ona amata ile tausaga 21. A uma le suʻega muamua:

• Tamaʻitaʻi tausaga 21 i le 29 tatau ona faia se suʻega Pap taʻitasi 3 tausaga. E le fautuaina le suʻega ole HPV mo lenei vaega tausaga.
  
• Tamaʻitaʻi tausaga 30 i le 65 tatau ona siakiina a le o se Pap faʻataʻitaʻiga uma 3 tausaga poʻo le HPV suʻega i 5 tausaga.
  
• A faʻapea o oe poʻo lau paʻaga feusuaʻi e iai isi paʻaga fou, e tatau ona fai sau suʻega Pap i le 3 tausaga.
  
• Tamaʻitaʻi na togafitia mo precancer (cerplus dysplasia) tatau ona faʻaauau pea suʻega Pap mo 20 tausaga pe a maeʻa togafitiga pe oʻo i le 65 tausaga, poʻo le a le umi.
  
• Afai na e toʻesea lou toʻafu ma le faʻaʻautagata (total hysterectomy) ma e leʻi maua oe i le kanesa o le faʻaʻautagata atonu e te le tau manaʻomia e Pap smear.

SUʻESUGA ESEESEGA O TEAI

• Atonu e siaki e lou faʻapaʻaga lou paʻu mo faʻailoga o le kanesa o le paʻu, aemaise pe a fai o oe o i se tulaga maualuga.
• O tagata e tele le aʻafiaga e aofia ai i latou na maua muamua ile kanesa ole paʻu, e iai aiga vavalalata ma le kanesa ole paʻu, pe maua foi le faʻavaivaia o le tino.

ISI FAʻAPITOA

• Talanoa ma lau tautua e uiga i le kanesa o le kanesa pe a e iai sau talaʻaga malosi o le aiga i le kanesa o le kolone poʻo le polyps, pe na maua foi oe i le faʻamaʻi o lou manava poʻo lou polyps.
• Ole fautuaina ole lapoʻa ole ponaivi o fafine i lalo ole 40 tausaga.

Asiasiga tausi soifua maloloina - fafine - tausaga 18 i le 39; Suʻega faʻaletino - fafine - tausaga 18 i le 39; Taʻitaʻiga faaletausaga - fafine - tausaga 18 i le 39; Siakiina - fafine - tausaga 18 i le 39; Soifua maloloina a fafine - tausaga 18 i le 39; Tausiga puipuia - fafine - tausaga 18 i le 39

Komiti Faufautua i Faiga Tui Puipuia. Fautuaina le tuʻuina atu o tuipuipui mo tagata matutua e 19 tausaga pe sili atu, United States, 2020. www.cdc.gov/vaccines/schedules/index.html Faʻafouina Fepuari 3, 2020. Avanoa ia Aperila 18, 2020.

'Upega tafaʻilagi a le American Academy of Ophthalmology. Faʻamatalaga tau falemaʻi: taimi masani o suʻega faʻataʻavalevale - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Faʻafouina Mati 2015. Avanoa ia Aperila 18, 2020.

'Upega Tafaʻilagi a le Sosaiete o Kanesa. Fomaʻi o le kanesa o le kanesa vave mauaina ma faʻamaonia: American Cancer Society faʻutuaina mo le vave mauaina o le susu kanesa. www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Faʻafouina Mati 5, 2020. Avanoa ia Aperila 18, 2020.

American College of Obstetricians and Gynecologists (ACOG) 'upega tafaʻilagi. FAQ178: Mammography ma isi suʻega suʻega mo faʻafitauli ole susu. www.acog.org/patient-resource/faqs/gynecologic-problems/mammography-and-other-screening-tests-for-breast-problems. Faʻafou Setema 2017. Avanoa ia Aperila 18, 2020.

American College of Obstetricians ma Gynecologists. FAQ163: Kanesa o le faʻaʻautagata. www.acog.org/patient-resource/faqs/gynecologic-problems/cervical-cancer. Faʻafouina Tesema 2018. Avanoa ia Aperila 18, 2020.

American College of Obstetricians ma Gynecologists. FAQ191: Tui o tagata papillomavirus. www.acog.org/patient-resource/faqs/womens-health/hpv-vaccination. Faʻafouina ia Iuni 2017. Avanoa ia Aperila 18, 2020.

'Upega tafaʻilagi a le American Dental Association. O lau pito 9 fesili e uiga i le alu i le fomai nifo - tali. www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Avanoa ia Aperila 18, 2020.

American Diabetes Association. 2. Faʻavasegaina ma faʻamaoniga o maʻisuka: tulaga masani o fomaʻi i maʻisuka - 2020. Maʻi suka. 2020; 43 (Faʻaopopo 1): S14 – S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkins D, Barton M. O suʻesuʻega faʻasoifua maloloina faʻavaitaimi. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 12.

Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Faʻasinoala i luga o le faʻatautaia o le toto suka: o se lipoti a le American College of Cardiology / American Heart Association Task Force on Clinical Practice Guide. [lomia faasalalau foliga mai i le J Am Coll Cardiol. 2019 Jun 25; 73 (24): 3237-3241]. J Am Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

Meschia JF, Bushnell C, Boden-Albala B; American Heart Association Stroke Council; et al. Taʻiala mo le puipuiga muamua o le faʻamaʻi: o se faʻamatalaga mo fomaʻi polofesa mai le American Heart Association / American Stroke Association. Pa. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

'Upega Tafaʻilagi a le National Cancer Institute. Suʻesuʻega ole kanesa ole susu (PDQ) - faʻafomaʻi polofesa. www.cancer.gov/types/breast/hp/breast-screening-pdq. Faʻafouina Aperila 29, 2020. Avanoa Iuni 9, 2020.

Ridker PM, Libby P, Buring JE. Faʻailoga lamatiaga ma le muamua puipuia o faʻamaʻi fatu. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 45.

Siu AL; US Puipuiga Tautua Faʻamalosi Force. Suʻega mo le kanesa o le susu: US Preventive Services Task Force faʻamatalaga fautuaina [lomia faʻasaʻoga foliga mai i Ann Intern Med. 2016 Mati 15; 164 (6): 448]. Ann Intern Med. 2016; 164 (4): 279-296. PMID: 26757170 pubmed.ncbi.nlm.nih.gov/26757170/.

Siu AL; US Puipuiga Tautua Faʻamalosi Force. Suʻesuʻega mo le toto maualuga i tagata matutua: US Preventive Services Task Force faʻamatalaga fautuaina. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Smith RA, Andrews KS, Brooks D, et al. Siakiina o kanesa i le Iunaite Setete, 2019: o se toe iloiloga o taʻiala nei a le American Cancer Society ma faʻafitauli o loʻo i ai nei ile siakiina o le kanesa CA Kanesa J Clin. 2019; 69 (3): 184-210. PMID: 30875085 pubmed.ncbi.nlm.nih.gov/pubmed/30875085.

US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, et al. Suʻega mo le kanesa o le paʻu: US Preventive Services Task Force faʻamatalaga fautuaina. IAMA. 2016; 316 (4): 429-435. PMID: 27458948 pubmed.ncbi.nlm.nih.gov/27458948/.

'Upega Tafaʻilagi a le US Preventive Services Task Force. Faʻamatalaga mulimuli. Siakiina o le kanesa o le faʻaʻautagata. www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. Lolomiina Aukuso 21, 2018. Avanoa ia Aperila 18, 2020.

'Upega Tafaʻilagi a le US Preventive Services Task Force. Faʻamatalaga mulimuli. Suʻega ole kanesa ole Colorectal. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Lolomiina Iuni 15, 2016. Avanoa ia Aperila 18, 2020.

US Puipuiga Tautua Malosiaga Galuega, Curry SJ, Krist AH, et al. Suʻesuʻega mo le osteoporosis e puipuia ai malepe: US Preventive Services Task Force faʻamatalaga fautuaina. IAMA. 2018; 319 (24): 2521-2531. PMID: pubmed.ncbi.nlm.nih.gov/29946735/.

'Upega Tafaʻilagi a le US Preventive Services Task Force. Faʻamatalaga mulimuli. Hepatitis C siama siama i talavou ma tagata matutua: siakiina. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Lolomiina Mati 2, 2020. Avanoa ia Aperila 18, 2020.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA taiala mo le puipuia, mauaina, iloiloina, ma le puleaina o le toto maualuga i tagata matutua: o se lipoti a le American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines [lomia faasalalau foliga mai i J Am Coll Cardiol. 2018 Me 15; 71 (19): 2275-2279]. J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.