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醫(yī)養(yǎng)體檢包的設(shè)計(jì)講究 “因人而異”,主要分為以下幾類:
The design of medical and elderly care examination kits emphasizes "individual differences" and is mainly divided into the following categories:
1. 基礎(chǔ)通用型:適合健康人群的常規(guī)篩查
1. Basic universal type: suitable for routine screening of healthy individuals
基礎(chǔ)檢查:身高體重、血壓、血常規(guī)(看紅細(xì)胞、白細(xì)胞等是否正常)、尿常規(guī)(排查腎臟和泌尿系統(tǒng)問題)、肝功能(檢測(cè)肝臟代謝功能)、腎功能(查看肌酐、尿素氮等指標(biāo))、空腹血糖(評(píng)估血糖水平)。
Basic examination: height and weight, blood pressure, blood routine (check whether red blood cells, white blood cells, etc. are normal), urine routine (check for kidney and urinary system problems), liver function (test liver metabolic function), kidney function (check indicators such as creatinine and urea nitrogen), fasting blood glucose (evaluate blood glucose levels).
基礎(chǔ)影像學(xué):胸部 X 光片(檢查肺部和心臟輪廓)、腹部超聲(查看肝、膽、胰、脾、腎是否有占位或結(jié)石)。
Basic imaging: chest X-ray (to examine the contours of the lungs and heart), abdominal ultrasound (to check for masses or stones in the liver, gallbladder, pancreas, spleen, and kidneys).
養(yǎng)護(hù)建議:根據(jù)檢查結(jié)果,給出飲食、運(yùn)動(dòng)的基礎(chǔ)指導(dǎo),比如 “血脂偏高,建議減少油炸食品,每周三次快走”。
Maintenance advice: Based on the examination results, provide basic guidance on diet and exercise, such as "If blood lipids are high, it is recommended to reduce fried foods and walk fast three times a week".
2. 中老年專屬型:聚焦慢性病與機(jī)能衰退
2. Middle aged and elderly exclusive type: focusing on chronic diseases and functional decline
重點(diǎn)篩查:
Key screening:
心腦血管:心電圖(檢測(cè)心臟電活動(dòng))、心臟彩超(評(píng)估心臟結(jié)構(gòu)和功能)、動(dòng)脈硬化檢測(cè)(看血管彈性)、同型半胱氨酸(與心腦血管疾病風(fēng)險(xiǎn)相關(guān))。
Cardiovascular and cerebrovascular diseases: electrocardiogram (detecting cardiac electrical activity), cardiac ultrasound (evaluating cardiac structure and function), arteriosclerosis testing (examining vascular elasticity), homocysteine (associated with cardiovascular and cerebrovascular disease risk).
代謝疾?。翰秃?2 小時(shí)血糖(排查糖尿病)、糖化血紅蛋白(反映近 3 個(gè)月血糖控制情況)、尿酸(預(yù)防痛風(fēng))。
Metabolic diseases: blood sugar 2 hours after meal (check diabetes), glycosylated hemoglobin (reflect blood sugar control in recent 3 months), uric acid (prevent gout).
腫瘤篩查:腫瘤標(biāo)志物(如 CEA、AFP 等,需結(jié)合臨床判斷)、胃腸鏡(建議 45 歲以上常規(guī)檢查,發(fā)現(xiàn)早期消化道病變)。
Tumor screening: tumor markers (such as CEA, AFP, etc., which need to be combined with clinical judgment), gastroscopy (recommended for routine examination for those over 45 years old to detect early gastrointestinal lesions).
機(jī)能評(píng)估:骨密度檢測(cè)(女性更年期后、男性 60 歲以上重點(diǎn)查)、肺功能檢測(cè)(長(zhǎng)期吸煙者或有呼吸系統(tǒng)疾病史者必查)、認(rèn)知功能測(cè)試(簡(jiǎn)易智力問卷,排查早期阿爾茨海默?。?。
Functional assessment: Bone density testing (key for women after menopause and men over 60 years old), lung function testing (mandatory for long-term smokers or those with a history of respiratory diseases), cognitive function testing (simple intelligence questionnaire to screen for early Alzheimer's disease).
養(yǎng)護(hù)方案:針對(duì)高血壓、糖尿病等慢性病,提供用藥指導(dǎo)、飲食清單(如 “高血壓患者每日鹽攝入不超過 5 克”)、家庭血壓監(jiān)測(cè)方法;針對(duì)關(guān)節(jié)退化,推薦適合的理療方式和護(hù)具使用。
Maintenance plan: for chronic diseases such as hypertension and diabetes, provide medication guidance, diet list (such as "the daily salt intake of hypertension patients does not exceed 5g"), and family blood pressure monitoring methods; Recommend suitable physical therapy methods and protective equipment for joint degeneration.
3. 職場(chǎng)人群型:應(yīng)對(duì)壓力與不良習(xí)慣
3. Workplace demographic: Coping with stress and bad habits
久坐危害篩查:頸椎 / 腰椎 MRI(檢查椎間盤突出、椎管狹窄)、甲狀腺超聲(長(zhǎng)期壓力可能導(dǎo)致甲狀腺結(jié)節(jié))、幽門螺桿菌檢測(cè)(常在外就餐易感染,與胃炎、胃潰瘍相關(guān))。
Sedentary hazard screening: cervical/lumbar MRI (examination for disc herniation and spinal stenosis), thyroid ultrasound (long-term pressure may lead to thyroid nodules), Helicobacter pylori testing (often prone to infection when dining out, associated with gastritis and gastric ulcers).
代謝與免疫:血脂四項(xiàng)(高甘油三酯常見于應(yīng)酬多、運(yùn)動(dòng)少的人群)、免疫功能檢測(cè)(淋巴細(xì)胞亞群分析,評(píng)估免疫力)。
Metabolism and immunity: four aspects of blood lipids (high triglycerides are common in people who socialize more and exercise less), immune function testing (lymphocyte subset analysis to evaluate immunity).
健康干預(yù):針對(duì)熬夜、飲食不規(guī)律,給出 “23 點(diǎn)前入睡”“每周 2 次瑜伽放松” 等具體建議;針對(duì)用眼過度,推薦葉黃素補(bǔ)充和眼保健操頻率。
Health intervention: Provide specific suggestions such as "falling asleep before 23:00" and "relaxing with yoga twice a week" for staying up late and irregular eating habits; For excessive eye use, it is recommended to supplement with lutein and increase the frequency of eye exercises.
4. 女性專屬型:關(guān)注生殖與內(nèi)分泌
4. Female Exclusive Type: Focus on Reproduction and Endocrinology
婦科專項(xiàng):婦科檢查(白帶常規(guī)、宮頸涂片 / TCT)、HPV 分型檢測(cè)(排查宮頸癌高危型別)、乳腺超聲 / 鉬靶(40 歲以上建議鉬靶,年輕女性首選超聲)、卵巢超聲(查看囊腫或肌瘤)。
Gynecological specialties: gynecological examination (routine vaginal discharge, cervical smear/TCT), HPV typing test (to identify high-risk types of cervical cancer), breast ultrasound/mammography (mammography is recommended for women over 40 years old, and ultrasound is preferred for young women), ovarian ultrasound (to check cysts or fibroids).
內(nèi)分泌調(diào)節(jié):性激素六項(xiàng)(月經(jīng)不調(diào)、備孕女性必查)、AMH(抗繆勒氏管激素,評(píng)估卵巢儲(chǔ)備功能)。
Endocrine regulation: six types of sex hormones (menstrual disorders, must check for pregnant women), AMH (anti Mullerian hormone, evaluate ovarian reserve function).
養(yǎng)護(hù)重點(diǎn):針對(duì)乳腺增生,指導(dǎo)自查方法和復(fù)查周期;針對(duì)更年期癥狀,提供激素替代治療的咨詢建議和中醫(yī)調(diào)理方案。
Maintenance focus: For breast hyperplasia, guide self-examination methods and follow-up cycles; Provide consultation and advice on hormone replacement therapy and traditional Chinese medicine conditioning plans for menopausal symptoms.
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