Siaki le soifua maloloina mo aliʻi e 40 i le 64 tausaga le matutua

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 e 40 i le 64 tausaga le matutua.

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 mm Hg, poʻo le numera 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.

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 leai se mautinoa lamatiaga mafuaʻaga mo coronary fatu faamaʻi.
• O le taimi lava e amata ai le suʻesuʻega o le suka, e tatau ona siaki lau kolisi i 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).
• A faʻapea e maualuga lou maualuga ile suka, maʻi suka, maʻi fatu, faʻamaʻi fatu, poʻo nisi lava tulaga, e ono manaʻomia ona siaki oe i taimi uma.

FAʻAFEAUTIINA O TAGATA CANCER

Afai o oe i lalo o le 50 tausaga, talanoa i lau tautua e uiga i le mauaina o suʻega. E tatau ona suʻesuʻeina oe pe a fai o iai sau talaʻaga aiga malosi o le kanesa o le kolone poʻo le polyps. E mafai foʻi ona iloiloina le suʻega pe a iai ni au faʻalavelave e pei o le talaʻaga o le faʻamaʻi o le manava poʻo le polyps.

Afai o oe o 50 i le 75 tausaga, oe tatau ona siakiina mo colorectal kanesa. E tele suʻega suʻega e avanoa:

• O se faʻataʻitaʻiga toto (faʻavae faʻavae) faʻataʻitaʻiga faia i tausaga uma
• Suʻega ole tui puipuia ole tama (FIT) i tausaga uma
• O se faʻataʻitaʻiga DNA faʻataʻitaʻi i le 3 tausaga
• Fetuutuunai sigmoidoscopy uma 5 tausaga
• Faʻalua faʻatusatusaga barium enema i le 5 tausaga
• CT kolonefaʻilagi (virtual colonoscopy) taʻitasi 5 tausaga
• Koluse Kanesa ile 10 tausaga

Atonu e te manaʻomia se kolose tele i taimi uma pe a i ai ni tulaga lamatia mo kanesa lanu, e pei o le:

• Ulcerative colitis
• O se oe lava pe aiga talaʻaga o le colorectal kanesa
• O se talaʻaga o tuputupu aʻe taʻua o adenomatous polyps

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.
  

DIABETES SCREENING

• Afai ua sili atu ma le matua i le 44, e tatau ona siakiina oe i le 3 tausaga.
• O le i ai o se BMI sili atu i le 25 o lona uiga ua ova lou mamafa. Afai ua sili atu lou mamafa, fesili i lau tautua pe tatau ona suʻea au i se tausaga talavou. Asia Amerika e tatau ona siaki pe a fai o la latou BMI e sili atu nai lo le 23.
• A faʻapea e maualuga le toto i luga ole 130/80 mm Hg, pe i ai isi mea e ono aʻafia ai oe ile maʻi suka, e ono faʻataʻitaʻia e lau tausimaʻi le maualuga ole suka i lou toto mo le maʻi suka.

SUʻESUʻEGA MATA

• Fai se suʻega o mata ile 2 i le 4 tausaga tausaga 40 i le 54 ma taʻi 1 i le 3 tausaga 55 i le 64. Atonu e fautuaina e lau tautua le tele o taimi e fai ai suʻega o mata peʻa iai sau faʻafitauli tau vaʻai poʻo le glaucoma lamatia.
• 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.
• Fesili i lau tautua pe tatau ona fai sau tui e faʻaititia ai lou ono maua ile siama ole pneumococcal (mafua ai se ituaiga o papala).
• E tatau ona fai se tui puipui ole tetanus-diphtheria ma acellular pertussis (Tap) e avea ma vaega ole tui o le tetanus-diphtheria pe a fai e te leʻi mauaina muamua a o talavou. Oe tatau ona i ai se tetanus-diphtheria booster taʻitasi 10 tausaga.
• E te ono maua se tui puipui o le shingles poʻo le herpes zoster pe i le maeʻa o le 50 tausaga.
• Atonu e fautuaina e lau tautua isi tuipuipui pe a fai e te i ai i se tulaga lamatia mo nisi tulaga.

SILI FAI O MAʻi

• Ua fautuaina e le US Preventive Services Task Force le siakiina o le hepatitis C.
• 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.

LUNG CANCER SCREENING

E tatau ona iai sau suʻega faʻaletausaga mo le kanesa o le mama ma le maualalo o tui faʻatulagaina tomography (LDCT) pe a fai:

• Ua silia ma le 55 ou tausaga
• E i ai sau 30 afifi-tausaga ulaula talaʻaga MA
• O loʻo e ulaula pe faʻamuta i totonu o le 15 tausaga ua tuanaʻi

FAʻAPITOA OSTEOPOROSIS

• Afai o oe o 50 i le 70 tausaga ma i ai lamatiaga mafuaʻaga mo osteoporosis, oe tatau ona talanoaina le suʻega ma lau tautua.
• O mea e ono aʻafia ai e mafai ona aofia ai le faʻaaogaina o vailaʻau tumau, laʻititi le mamafa o le tino, ulaula, faʻaaogaina malosi o le 'ava malosi, o le gagau i le maeʻa ai o le 50 tausaga, poʻo se talaʻaga a le aiga o le osteoporosis.

SUʻEGA FAʻALELAGI

• Lou toto maualuga tatau ona siaki ia le itiiti ifo ma le taʻi tausaga.
• Atonu e fautuaina e lau tautua le siakiina o lau kolisi i le 5 tausaga pe a iai ni faʻafitauli e ono aliaʻe mai i le fatu fatu.
  
• Lou maualuga, mamafa, ma le tino vaega tele (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

FAʻAFEAUTIINA O TUPE O LE PROSTATE

Afai e 55 i le 69 tausaga le matua, ae e te leʻi faia le suʻega, talanoa i lau tautua e uiga i mea lelei ma mea le lelei o le faia o se suʻega PSA. Fesili atu e uiga:

• Pe o le suʻesuʻeina e faʻaititia ai lou avanoa e te oti ai mai le kanesa prostate.
  
• Pe iai se afaina mai le siakiina o le kanesa o le prostate, pei o aʻafiaga mai le suʻesuʻeina poʻo le soʻona togafitia o kanesa pe a maua.
  
• Pe o iai sau faʻamaʻi maualuga i le kanesa prostate nai lo isi.

A faʻapea ua 55 ou tausaga pe lalo ifo, e le masani ona fautuaina le suʻega. E tatau ona e talanoa ma lau tautua e uiga pe a maualuga le aʻafiaga o oe ile kanesa ole prostate. Mea lamatia aofia ai:

• Mauaina o se aiga talaʻaga o le prostate kanesa (aemaise lava o se uso poʻo se tama)
  
• Avea ma Aferika Amerika
• Afai e te filifili e faʻataʻitaʻia, o le suʻega ole toto o le PSA e toe faia faʻasolosolo taimi (taʻi tausaga pe itiiti ifo i le tele o taimi), e ui e le o iloa le taimi e sili ona lelei.
  
• O suʻesuʻega i le prostate e leʻo masani ona faia i aliʻi e leai ni faʻailoga.

SUʻESUʻEGA OGA

• 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.
  

SUʻEGA FAʻAMASINOGA

• Ua fautuaina nei e le US Preventive Services Task Force (USPSTF) le tetee atu i le faia o suʻega o le tagata lava ia. O le faia o suʻega o suʻega o oe lava, ua faʻaalia mai e leai se aoga.

Asiasiga tausi soifua maloloina - tamaloloa - tausaga 40 i le 64; Suʻega faʻaletino - tamaloloa - tausaga 40 i le 64; Taʻitaʻiga taʻitasi - tamaloloa - tausaga 40 i le 64; Siakiina - tamaloloa - tausaga 40 i le 64; Soifua Maloloina o aliʻi - tausaga 40 i le 64; Tausiga puipuia - tamaloloa - tausaga 40 i le 64

• Kanesa o le Prostate
• Osteoporosis
• Aʻafiaga o le matua i le toto maualuga
• Suʻesuʻega faʻataulaitu toto

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 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.

Cosman F, de Beur SJ, LeBoff MS, et al. Taʻiala a le falemaʻi i le puipuia ma le togafitia o le osteoporosis. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

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/.

Mazzone PJ, Silvestri GA, Patel S, et al. Suʻesuʻega mo le kanesa o le mama: CHEST Tusitusiga ma Lipoti vaega faʻapitoa. Fatafata 2018; 153 (4): 954-985. PMID: 29374513 pubmed.ncbi.nlm.nih.gov/29374513/.

Meschia JF, Bushnell C, Boden-Albala B, 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/.

Moyer VA; US Puipuiga Tautua Faʻamalosi Force. Suʻega mo le kanesa o le mama: Faʻamatalaga fautuaina a le US Preventive Services Task Force. Ann Intern Med. 2014; 160 (5): 330-338. PMID: 24378917 pubmed.ncbi.nlm.nih.gov/24378917/.

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/.

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/30875085/.

US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, Curry SJ, 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. Faʻamatalaga mulimuli. Kanesa o le Prostate: siakiina www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening. Lolomiina Me 8, 2018. Avanoa i le aso 18 Aperila, 2020.

'Upega Tafaʻilagi a le US Preventive Services Task Force. Faʻamatalaga mulimuli. 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/.