regular physical examination is necessary. Data on various organs of the body are constantly changing. Even if there is no problem with the indicators for one check, it cannot be guaranteed that the indicators will remain normal in 2 to 3 years.
For example, blood lipid and blood sugar tests may have major changes in two or three months. Moreover, many tumor patients do not have any symptoms in the early stage, and when they are discovered, they are already in the middle and late stages, and the treatment effect will be reduced.
Therefore, it is very important to track and follow up the changes in the disease through regular physical examinations. Physical examinations should be conducted regularly according to your own physical condition. The seven physical examination items of
are spent in vain, and there is really no need to do it!
【1】Does of cancers found in one drop of blood
"99.99% of gene detection accuracy, one drop of blood can detect dozens of cancers, and more than 1,000 genetic diseases can be found..." This kind of "Does of cancers found in one drop of blood" examination has been packaged by many medical institutions and physical examination centers as a gene sequencing project with advanced detection technology.
was jointly stopped by the former State Food and Drug Administration and the former National Health and Family Planning Commission in 2014, on the grounds that the gene sequencers used in China, as well as related reagents and software, have not received the national review and approval of medical devices, and are considered "illegal medical use".
【2】"Fore Color" check Prostate cancer
In many physical examinations, one of the abdominal color ultrasound, men over 40 years old will add an "fore Color" during the physical examination - prostate color ultrasound, to screen for prostate cancer through color ultrasound. If this examination is added, the cost of physical examination will suddenly rise a lot.
Zhang Guangyin, chief physician of the Department of Urology of Beijing Tongren Hospital, pointed out in an article in Health Times in 2013: Prostate color ultrasound is indeed often used to check the condition of prostate cancer. However, for healthy people, the most important thing is to screen for early cancer, but color ultrasound cannot detect early prostate cancer at all, and there is no even a confirmation effect!
【3】Use X-rays to check lung cancer
The most direct way to check lung cancer in most physical examination packages is X-rays. Some physical examination centers even ask you to add another X-ray alone to screen for lung cancer. Chief physician of the Department of Oncology, Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences Yang Yufei in an article in Health Times in 2013:
X-rays detect lung cancer. Due to its low resolution and low detection rate, if chest X-rays can be used to diagnose lung cancer, the clinical stage is often at the late stage, and early screening is not very meaningful. It is recommended that middle-aged and elderly people after the age of 50 or people with a family history of lung cancer should replace X-rays with low-dose CT during the physical examination.
【4】T, infrared examination Breast cancer
Medical examination of women is necessary for routine breast examination, but breast ultrasound or mammography is enough. There is really no need to do "CT, infrared breast cancer examination" recommended by many physical examination centers.
Chief physician of the Department of Integrated Traditional Chinese and Western Medicine Oncology at China-Japan Friendship Hospital ,000 Donggui in an article in the Health Times in 2013 pointed out that when CT is used for breast cancer detection, it has the disadvantage of low sensitivity and not strong specificity for breast .
There are also some places where infrared will be used to detect the breasts. This is very unrecommended, because infrared detection does not follow international standards for poor performance, low sensitivity, large errors, and strong subjective judgments of doctors. This method is no longer used in large hospitals.
【5】Test indicators for test Gastric cancer
"Do you do a test for test for test for gastric cancer metrics?" Many physical examination institutions will recommend you to do this project, but in fact they can't find it out at all.
Wu Yongdong, chief physician of the Department of Gastroenterology in Beijing Friendship Hospital, introduced in an article in the Health Times in 2013 that laboratory test indicators are OK for the initial screening of gastric diseases, but if these indicators are used to screen gastric cancer, it is a bit overwhelming because the accuracy is not enough.
Wu Yongdong recommends that gastroscopy is the most standard and accurate, and is the first choice for screening and confirming gastric cancer. When going to the hospital for a physical examination, you must choose a regular hospital. If it is , private hospital , most of them are profit-oriented, which may cause you to do some useless examinations.
There is no need for the above types of examinations for hospitals. However, after the age of 60, although every item is not required to be done, some examinations cannot be accepted, especially the following types. I hope you can pay attention to them.
years old and after 60 years, you don’t need to do every examination item. The doctor admitted that 8 tests cannot save
, cardiovascular and cerebrovascular examination
blood pressure and electrocardiogram examination. You can understand the body’s blood pressure, myocardial blood supply, arrhythmia , etc., for older people, build It is recommended to do cardiac ultrasound and carotid artery B-ultrasound to check whether the blood vessel has undergone lesions;
, imaging auxiliary examination
liver and gallbladder ultrasound can detect the body in advance, whether there are liver and gallbladder parenchymal lesions such as gallbladder stones or liver and gallbladder tumors. Chest X-ray can detect tuberculosis and lung cancer in the early stage. For asymptomatic early lung tumors, chest X-ray is the best initial screening method;
, ophthalmic examination
can not only check vision problems, but also infer the progress of systemic arteriosclerosis by observing the degree of retinal arteriosclerosis in the fundus. ;
, blood biochemical examination
1 blood test routine items include blood routine , liver function , renal function, electrolyte, coagulation, eight infections, blood sugar, blood lipids, etc., which are routine items for physical examinations. People over 40 years old, with a family history of diabetes , obesity, hypertension , in addition to checking fasting blood sugar, they should also undergo postprandial blood sugar tests and take preventive measures;
, gastroenteroscopy
, gastroenteroscopy
0 years old, gastroenteroscopy can detect precancerous lesions, such as large intestinal polyps , etc., so as to clear as soon as possible. In addition, through the stool occult blood test, digestive tract diseases and cancer can also be detected early;
, gynecological examination
Elderly women even if they have menopausal , they cannot ignore the annual comprehensive gynecological examination. Women need to undergo gynecological examinations, cervical smear examinations, and screen cervical cancer ;
, tumor marker examination
The older the person is, the more likely he is to come into contact with carcinogens, and the greater the possibility of cancer. Data show that the cancer mortality rate in the age group aged 35 to 50 has ranked first among the deaths of various diseases in this age group. People over 50 years old, if conditions permit, it is best to have a cancer test every year;
, cardiac examination
The routine physical examination currently used, and the heart is generally tested by electrocardiogram. Nowadays, many people have high work pressure and tight life rhythm, so their hearts are burdened with a lot of heartbeat. During physical examinations, they will find problems such as arrhythmia and myocardial fatigue.
However, it is difficult to detect early cardiovascular diseases such as invisible coronary heart disease and early myocardial infarction, and other examinations must be used. People with symptoms such as arrhythmia and myocardial fatigue should go to the hospital for further examination.
Precautions for daily physical examination
. Pay attention to the best time for blood collection and be on an empty stomach
The best time for blood collection test is between 7:30 and 8:30 in the morning. Blood collection requires an empty stomach, and patients should fast for 12 to 14 hours. After completing the required fasting examination, you can eat and take medication according to your daily habits before performing other examinations.
. Note that before physical examination, it is not advisable to stop the medication rashly
Blood collection requires an empty stomach, but patients with chronic diseases should treat it differently. For example, patients with hypertension should also take medication normally during physical examinations, and explain the medication to the doctor. For patients with diabetes or other chronic diseases, they should also eat and take medicine in time after blood collection.
. Be careful not to abandon the examination items at will
Some examination items set in the physical examination table, such as anal finger examination, are particularly important for the discovery of rectal tumors in subjects over 40 years old. Some of the examined subjects automatically give up the examination because they are afraid of trouble or shy. If the examined subjects are really sick, they will naturally lose the best time for treatment, and the consequences are self-evident.
. Pay attention to the statement of important medical history
Medical history is an important reference for physical examination doctors to judge the health status of the subject. Therefore, do not deliberately conceal it but the doctor misses or misdiagnose it. The medical history statement should be objective and accurate, and important diseases should not be missed.
. Pay attention to physical examination report
physical examination report is very important for physical examination candidates, but many people cannot understand the indicators of physical examination reports. Experts from the People's Medical Examination Center will evaluate the health status of the examinees based on the results of the physical examination report, providing an effective and reliable basis for future health information management and health promotion plans.
Do the elderly have to undergo premature cancer screening?
For the elderly, they may think that cancer screening is a waste of money and even feels unnecessary. However, after the age of 60, it is very necessary to conduct early cancer screening, because elderly people of this age are more likely to suffer from various types of cancer.
Due to the bad living habits and eating habits all year round, one's own health is damaged. Some injuries are slowly accumulated in the body for a long time, and the lesions will break out and have serious consequences.
The elderly must undergo early cancer screening. Early cancer generally refers to carcinoma in situ or cancer that occurs in the mucosa or mucosa. The clinical stage is mostly in the first stage without distant metastasis. Early cancer can be understood as the early stage of cancer. A series of examinations are conducted for early cancer, which is called early cancer screening. In the data, it is sometimes inaccurate to call early cancer screening.
The screening for premature cancer must have clear examination significance, and general examinations or ordinary physical examinations are of little significance. If cancer can be found in the early stage of cancer, the treatment effect and prognosis will be very good.
For example, taking digestive tract tumors as an example, early gastric cancer, colorectal cancer, etc. can all be detected through gastroscopy or colonoscopy. Most of them can be removed under microscopy, with a high cure rate and a high treatment cost. If the average survival period of advanced gastric cancer is about 1 year, the treatment cost and prognosis results are very poor.
