Siaki le soifua maloloina mo aliʻi 18 i le 39 tausaga

E tatau ona e asiasi i lau fomaʻi, e tusa lava 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 le maua ai ni faʻailoga ile amataga. O suʻega faigofie ile toto e mafai ona siaki ai ia tulaga.

E i ai taimi faʻapitoa e tatau ai ona e vaʻai i lau tautua. Lalo o loʻo faʻatonutonuina taiala mo aliʻi 18 i le 39 tausaga.

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 lou vaiaai poʻo fale faigaluega.Fesili i lau tautua pe mafai ona e tu i totonu e siaki lou toto maualuga.

SAUNIGA I LE KOLISTEROLE MA LE PULI I LE LOTO

• Fautuaina amata tausaga mo le siakiina o le kolesterol o tausaga 35 mo tamaloloa e le iloa lamatiaga mafuaʻaga mo coronary fatu faamaʻi ma tausaga 20 mo tamaloloa ma iloa tulaga lamatia mo coronary fatu faamaʻi.
• O tamaloloa 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, e ono manaʻomia ona siaki soo oe.

DIABETES SCREENING

• A faʻapea o lau toto maualuga e 130 / 80mm Hg pe maualuga 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.

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 mo le tele o taimi asiasi.

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 taʻitasi.
• I le pe i le mavae ai o le 19 tausaga, e tatau ona fai sau tui-diphtheria ma acellular pertussis (Tdap) tui tasi taimi o se vaega o lou tetanus-diphtheria tui pe a fai e te leʻi mauaina o 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 iai ni tulaga faʻafomaʻi, pei o le maʻisuka.

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

• Uma tagata matutua matutua 18 i le 79 tatau ona faia se tasi le taimi faʻamaonia mo hepatitis C.
  
• O le a taʻu atu e lau tautua ia oe pe faʻafefea ona puipuia faʻamaʻi pipisi e ala i feusuaiga. O ia mea e taʻua o faʻamaʻi pipisi mai feusuaiga (STIs).
  
• Faʻamoemoeina i lou olaga ma talaʻaga faʻafomaʻi, oe ono manaʻomia e siaki mo faʻamaʻi pipisi pei o syphilis, chlamydia, ma HIV, faʻapea foi ma isi faʻamaʻi pipisi.

SUʻEGA FAʻALELAGI

• 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
• Saogalēmū, pei o le faʻaaogaina o fusipau ma mea asu e asu ai

SUʻEGA FAʻAMASINOGA

• Ua fautuaina e le US Preventive Services Task Force le tetee atu i le faia o se lava suʻega. O le faia o suʻega suʻega ua faʻaalia e leai se aoga.

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.

Asiasiga tausi soifua maloloina - tamaloloa - tausaga 18 i le 39; Suʻega faʻaletino - aliʻi - tausaga 18 i le 39; Taʻitaʻiga taʻitasi - tamaloloa - tausaga 18 i le 39; Siakiina - aliʻi - tausaga 18 i le 39; Soifua Maloloina o aliʻi - tausaga 18 i le 39; Suʻega mo le puipuiga o le puipuiga - aliʻi - mai le 18 i le 39 tausaga

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 faʻavae: taimi masani o suʻega vaʻai - 2015. www.aao.org/clinical-statement/frequency-of-ocular-examinations. Faʻafouina Mati 2015. 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, ma isi. 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/.

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. 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/.

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. Suʻega ole kanesa ole Colorectal. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Lolomiina Iuni 15, 2016. Avanoa ia Aperila 18, 2020.

'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 19, 2020.

'Upega Tafaʻilagi a le US Preventive Services Task Force. Kanesa faʻapitoa: siakiina www.uspreventiveservicestaskforce.org/uspstf/recommendation/testicular-cancer-screening. Lolomiina Aperila 15, 2011. Avanoa ia Aperila 19, 2020.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Faʻataʻitaʻiga 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/.