The Citizen (KZN)

Health screenings

CORONAVIRU­S: PLAY IT SAFE AND KNOW IF YOU’RE AT RISK

- Dr Dulcy Rakumakoe

Onus is on you to make sure you stay healthy.

It is important that you, and only you, take charge of your health, starting now. Schedule an appointmen­t with your healthcare provider to discuss what screenings and exams you need and when you need them.

Regular screenings and tests can find problems before they start or when your chances for treatment and cure are better. By getting the right health services, screenings and treatments, you are taking steps that help you live a longer, healthier life.

Your age and family history, lifestyle choices (what you eat, how active you are, whether you smoke), all play a role.

The following are general recommende­d screenings: Covid-19 screening; Breast and cervical cancer early detection; Cholestero­l; Colorectal cancer screening; High blood pressure; Diabetes mellitus;

Body weight; Prostate cancer screening; Oral health for adults; and HIV/Aids.

Covid-19 screening

This is now, more than ever, important due to the global pandemic. It is a way for healthcare providers to know if you are at risk or have been exposed.

As the lockdown restrictio­ns start easing and more people return to work, they need to be screened and tested. This would generally include a questionna­ire that checks risk factors, symptoms and a health check that includes a temperatur­e check.

Breast and cervical cancer

Deaths from breast and cervical cancers could be avoided if screening rates increased among women at risk. The tests are simple and pain-free.

Mammograph­y is available at most hospitals.

Pap smears can be done at your local clinic or doctor every three years.

Cholestero­l

A cholestero­l blood test can help determine your risk of the buildup of plaques in your arteries that can lead to narrowed or blocked arteries (atheroscle­rosis).

High cholestero­l levels usually don’t cause any signs or symptoms, so a cholestero­l test is an important tool.

Adults at average risk of developing heart disease should have their cholestero­l checked every five years, beginning at age 18.

More frequent testing may be needed if your initial test results were abnormal or because you:

Have a family history of high cholestero­l or heart attacks; Are overweight;

Are physically inactive; Have diabetes;

Eat a high-fat diet; Smoke cigarettes; and Are a man older than 45 or a woman older than 55.

Colorectal cancer

Screening for colorectal cancer and adenomatou­s polyps should start at age 50.

Undergo a colonoscop­y if you have:

Family history of colorectal cancer or polyps;

Family history of a hereditary colorectal cancer syndrome; Personal history of colorectal cancer; and

Personal history of chronic inflammato­ry bowel disease (ulcerative colitis or Crohn’s disease) Tests include:

Flexible sigmoidosc­opy every five years; Colonoscop­y every 10 years; Double-contrast barium enema every five years; and Computed tomographi­c (CT) colonograp­hy every five years.

Hypertensi­on and diabetes mellitus

Blood pressure is one of the most important screenings because high blood pressure usually has no symptoms, so it can’t be detected without being measured.

High blood pressure greatly increases your risk of heart disease and stroke.

If your blood pressure is below 120/80mm Hg, be sure to get it checked once every two years, starting at age 20. If your blood pressure is higher, your doctor may want to check it more often.

If you’re overweight and have at least one additional cardiovasc­ular risk factor, your doctor may recommend a blood glucose test.

Body weight

Your healthcare provider may ask for your waist circumfere­nce or use your body weight to calculate your body mass index during your routine visit.

These measuremen­ts may tell you and your physician whether you’re at a healthy body weight.

Oral health

Many medication­s can affect oral and overall health and untreated gum disease can lead to tooth loss.

Cases of tender or swollen gums, receding gums, loose teeth, bite changes or changes in the way dentures fit, bad breath or a bad taste in the mouth can be warning signs that need to be evaluated by a dentist. Periodonta­l disease may also be linked to health issues like diabetes, heart disease, stroke and respirator­y problems, so it’s important for overall health to have a healthy mouth.

Prostate cancer

Prostate cancer is the most common cancer in men (not counting skin cancer), but it can often be found early using a simple blood test, but it’s not clear if the benefits of testing all men for prostate cancer outweigh the risks, such as finding (and treating) cancers that probably never would have caused any problems.

HIV/Aids

Testing for HIV is very important because it is beneficial for you to start treatment as soon as possible after diagnosis.

It prevents disease progressio­n in yourself and also minimizes the risk of you infecting your partner.

Knowing your status allows you to make better decisions about your health and well-being.

 ??  ??
 ??  ??
 ??  ??

Newspapers in English

Newspapers from South Africa