Monday , May 17 2021

Lack of time, the main reason why Argentines do not get a medical examination



Most people who consulted for the survey considered it very important to have medical examinations. However, almost 10% of the analyzed sample did not routinely conduct routine control. And of them, 30.5% said they did not do so because of "lack of time".

The same cause – lack of time – was used by 30% of respondents as a reason for non-occurrence.

The research conducted by the Inter-American Open University on occasion World Health Day, which is being celebrated today, has also revealed that 50% of people think it is under stress and that almost 40% sleep less than six hours a day.

The figures served as a trigger for a subject that, though well-known to the well-known basis of good health, rarely takes the real importance of its implementation: prevention.

Some more, and some less, most women are clear that annual gynecological control should be performed. But what about the rest of the body? And men? Which routine reviews should not be overlooked?

Infobae consulted various experts to know which controls to monitor regularly and which diseases are prevented.

Coronary events and cardiovascular diseases in men and women

Periodic examinations allow detection of life threats that prevent any sporting activity or practice.

Not only can you know the health status of people, whether it is healthy or not; but also to assess the level of effort they are able to do. It is indispensable, at the moment of physical activity or sport, to require the organism, putting it at risk.

"Physical ability is an opportunity to check the health and use of preventive medicine," said cardiologist Jorge Tartaglione (MN 67502), president of the Argentine Cardiology Foundation (FCA).

For him, "it is essential that you go to the nearest doctor or health center to have a professional exam, learn family history, and depending on the subject, provide the studies necessary for a serious and comprehensive assessment of our physical fitness"

"Performing physical abilities before sports exercise, regardless of whether coronary or cardiovascular history is present, can prevent sudden death in the sport," said Tartaglione. "Physical Ability Should Include: Examination, Physical Examination, and Electrocardiogram In Idle." An expert and updated yearly. "

Although the incidence of heart attacks in men is still greater, the fact is that in the event of a coronary event usually occurs more often in women. "In many cases, women neglect cardiovascular disease and are usually consulted with the cardiologist later, and when diagnosed, they are in a more advanced state," he added. "For whom, in terms of symptoms, same. "A woman, apart from typical pain, may have muscle fatigue, dizziness, unspecific pain in her back and upper extremities," she explained.

Gynecological controls throughout life

There is no exclusive age for the first time consult a gynecologist. Generally, many aspects of puberty development are checked in pediatric counseling by weight control, size, and sex marking. Therefore, if any change is recognized in that development, this is a good opportunity for the first consultation. Also for more frequent issues such as the occurrence of flow and vulvitation, as well as the presence of irregularities in menstruation, something very common in the early stages after meningeal.

According to the gynecologist and pediatric and adolescent gynecologist Mariji Elisi Moltoni (MN 114737 / MP 451757), "The first gynecological consultation also has a role in health education and prevention, explores risk behavior, feeding patterns, vaccines, etc. And it is ideally to start building a relationship between a professional and adolescent. "

What is being taken into account? The rhythm of growth, the way they eat, the sleep they are connected to (especially in the social networks), is the appearance of vaginal discharge and protrusions in the stomach area (very frequent cycling, dropping out of a bathtub, etc.). "Whether it's a pediatrician or a gynecologist, the HPV vaccine has to be taken into consideration at this stage," said a specialist at the Halitus Medical Institute, which is already needed by an adolescent "gynecologist for children and adolescents," he will make estimates of antecedents , if there is some hereditary pathology but talking about sexual relationships, contraceptive methods, etc. It is therefore important to know and follow the patient.

Between 20 and 40, the scientific director of the Halitus Medical Institute, Sergio Pasqualini (MN 39914), recommended annual gynecological control to detect and prevent the disease.

"The basic overview of a woman without pathology or family history of any kind and reproductive age that has already started sexual activity – or older than 21 years – consists of cervical cytology – papanicolaus, colposcopy – is visualized with colposcopy, which allows neck and vagina, palpitations and gynecologic ultrasound for ovarian assessment, breast imaging is performed every two years.

It also works with contraceptive methods and thinking of motherhood, carrying out all the specific blood tests for assessing the patient's condition.

"If she did not have children up to 30 years, the gynecologist should inquire about the intention of that patient to suggest or inform about the planning of reproduction, and if the patient has any doubt, it's time to ask the doctor," she said. It is an ideal time to start thinking about egg freezing. If there is a family history of early menopause or early ovarian failure, or if there is endometriosis or some other pathology, evaluate this possibility more rapidly.

"At age 35, the first mammogram has been indicated with breast ultrasound and up to 40 will be performed every two years, and then annually," he added.

From 40 to 50 years, "annual control is monitored and they are being evaluated when there are symptoms associated with menopause." Routine hormone replacement therapy is no longer indicated, but each case is treated. according to the symptoms that the patient presents, "explained Pasqualini, who suggested that" after 50 years of bone loss densitometry was used to estimate the level of calcium in the bones and work on the prevention and eventual treatment of osteoporosis. "

"From now on up to the age, we will continue as long as possible with routine controls and cure by age-related pathologies," he concluded.

"Large cow man is a prostate cancer," said Urologist Guillermo Gueglio (MN 57811), who stated that "according to international guidelines, 50 should be checked, except in the case of family history, that controls must begin before that age."

As described in detail by Assistant Professor of Urology at the University of Buenos Aires and the head of the Urology Service of the Italian Hospital, "the examination consists of a blood test that measures prostate-specific antigen (PSA), a protein that is usually increased when prostate pathology exists." "The review is supplemented by a digital rectal examination, which, however annoying, does not replace the analysis," he added.

In addition, if a patient has symptoms such as urination more than usual, rising to night to urinate, urinary urgency, all symptoms of prostate hypertrophy, "it is advisable to add urinary ultrasonography to the routine before and after urination and flow of water.

This routine should be repeated once a year, except in the family history of this type of pathology, in which case it is advisable to start control at the age of 45.

Gueglio provided information on the "wrongly named andropause". "Starting at 40, testosterone production begins to decline, but only 35% of men show signs of symptoms," the physician described. "Muscle loss, loss of hair on the body, lack of sexual desire, erectile dysfunction, insomnia, irritability are some of the a manifestation that some men can present from that age, and stressed: "It is very important for men over the age of 50 who are consulted with these symptoms to assess whether this hypogonadic (low level of testosterone) is because there is a cure for the patient to" more that hormone or it may be indicative therapy. replacement ".

Testosterone is a protective factor against cardiovascular diseases and osteoporosis, among other pathologies, so it is important not to remain with the idea that there are symptoms that are "normal" for age.

From 50, to gastroenterologists

"All individuals of both sexes should start screening (early detection) of 50-year-old colon cancer unless there is a family history (colorectal cancer, genetic syndromes that predispose to CRC) or personal diseases (inflammatory bowel disease) that predispose CRC "Leandro Di Paola's Specialist for Gastroenterology (MN 117508) explained that it was made of faecal occult blood test or ideally with video colonoscopy (VCC). "

A specialist at the Neuroscience Institute in Buenos Aires (Ineba) emphasized that "in a population with a common risk, a hidden blood test if negative, should be repeated once a year, and if positive, it is mandatory to execute a VCC". Meanwhile, the VCC interval will depend on the findings of the study. "If it is normal (polyps are not found), it is recommended to repeat for 10 years, and if the polyps are discovered, they will depend on factors such as the number of polyps, size, result biopsy of these polyps and other variables to be performed with quality performed studies, while in an increased risk population you should consult your trusted physician to determine the appropriate screening program.

"Argentina is a country with a high incidence of colorectal cancer and therefore it is necessary to raise the awareness of the general population about research," Di Paola said, adding that "besides these studies it is important to emphasize the relationship between the CLC and the hygienic eating habits". "It is well known that diet rich in animal fats and poorer fibers can increase the risk of colon cancer, and also the sedentary life, alcohol and tobacco consumption is beneficial to its appearance. cases of hereditary syndromes are a good practice for families to provide genetic counseling, early detection of any genomic changes that predispose the development of the disease, he concluded.


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