What is the female medical examination?These three individual inspection projects spend money on money, there is no need to do it

Recently, Xiao Zhao’s unit organized an annual medical examination for employees. In the inspection, Xiao Zhao found that her ovaries had a small mass, so the doctor at the medical examination center suggested that Xiao Zhao did PET-CT.

PET-CT is a high-end medical imaging diagnostic device of the medical examination center. It can detect minimally lesions without any clinical symptoms. It has greater advantages than ordinary CT and nuclear magnetic resonance.

At first Xiao Zhao heard it very excited, but after hearing the price, Xiao Zhao was a little discouraged. The original medical examination center PET-CT quoted more than 10,000.

After that, Xiao Zhao decided to go to the three-way hospital near the house to ask a professional gynecologist if he needs to do a PET-CT examination. Gynecologists carefully asked Xiao Zhao’s physical condition after asking Xiao Zhao.After the B -ultrasound, the diagnosis of Xiao Zhao was due to chronic inflammation stimulation, which caused a cystic nodule to have a cystic nodule, which was not much harmful to health.

And the doctor told Xiao Zhao that although PET-CT is used in tumor diagnosis, it is not the most suitable way for many diseases. On the one hand, PET-CT is more used to diagnose tumors with unknown sources and confirm the diagnosis of recurrent tumors orOn the other hand, it will cause waste of medical resources and the pressure of patients with excessive economic pressure. Like Xiao Zhao, there is no need to spend this injustice.

1. Trace element detection

In reality, many women will be recommended to do trace elements during physical examination, because women are prone to suffering from iron deficiency anemia or osteoporosis when they reach a certain age, so some medical examination centers will inform women who do medical examinations to do the medical examination.This examination.

However, in fact, when the clinical trace element examination is usually when patients have symptoms such as slow growth and development, low intelligence, low immunity, decreased immunity, decreased digestive function, and differentiated foods, doctors will request patients to determine as appropriate.

Under normal circumstances, ordinary people do not need to do trace elements at all, because trace element examination has certain limitations.

The test results are only a reference value, and it is easy to error due to various internal and external factors such as internal and external factors, such as improper blood collection operations, recent health status, and dietary diet that day.

Therefore, as early as 2013, our country had eliminated this inspection from the list of ordinary inspection items.

2. Gene screening cancer

At present, some medical examination centers on the market will also use the banner of "a drop of saliva/one drop of blood to screen cancer" to sell the project to the people who come to the medical examination.

However, this project is "not true" because gene screening cancer is only suitable for high -risk people with family genetic history.If ordinary people want to screen cancer through this method, this money is really wrong.

And the so -called tumor indicators in the blood do not necessarily mean that the detector has cancer, and sometimes "false positive".For example: When suffering from benign liver (biliary stones, hepatitis), nail protein (AFP), carcinoma antigen (CEA), sugar antigen (CA199) and other indicators will increase; during pregnancy, nail protein (AFP), Sugar antigen (CA125) will rise.

3. PET-CT examination, breast CT/infrared examination

Many medical examination institutions often use PET-CT as a promotional project because PET-CT is expensive and profitable.

But in fact, I believe that everyone who read the story above should have learned the role of PET-CT. It is mainly used for cancer treatment assessment, not for normal people to screen tumors.

And the PET-CT examination is a whole body scan, the radiation volume is greater than the CT scan of the ordinary single part, and the enhanced contrast agent that needs to be injected also contains radiation, which will have a certain impact on the health of normal people.

The medical examination items that women of different ages must do are slightly different. In general, the female medical examination items should increase with their age. We can choose the medical examination item according to the principle of "1+X". "1"It refers to the basic conventional inspection items that must be done, and" X "refers to special screening based on different ages and chronic risks, which are superimposed on basic conventional projects.

1. Basic conventional inspection items for women must do

① General examination: Including measuring height, weight, measurement, blood pressure, etc.

② Internal examination: Check the heart, liver, spleen, lung, kidney and nervous system.

③ Surgical examination: Check the superficial lymph nodes, thyroid, limbs, cervical spine, spine, skin, etc.

④ Oral examination: Check the teeth, periodontal tissue, oral mucosa, temporal mandibular joint, etc.

⑥ Ophthalmology examination: Check the eyes, conjunctiva, vision, color blindness, eye pressure, etc.

⑦ Check the facial features: Check whether there are inflammation and nodules in the superficial parts of the head and neck; check whether the nasal cavity, ear, and throat are inflammatory, polyps, etc.

⑧ Urine routine and stool routine: check whether there are urinary system infections; gastrointestinal bacteria, viruses, parasitic infections; gastroenteritis; liver disease; digestive tract tumors, etc.

常 Biochemical examination: Blood routine, liver merit, kidney skills, and blood lipids.

光 ECG and X -ray: Check the lung tuberculosis, lung nodule, pneumonia, thoracic effusion, skeletal deformity, myocardial infarction, arrhythmia, myocardial ischemia, etc.

2.20 ~ 30 -year -old female medical examination item

Women of this age are at birth, and they need to avoid contagious diseases as much as possible and pay attention to changes in biochemical indicators. Therefore, in addition to the basic conventional examination items that must be done, they should be added to the breast color Doppler ultrasound, thyroid color Doppler ultrasound, abdominal color Doppler ultrasound, uterine attachment color Doppler ultrasound, cervical cervical, cervical cervixCancer TCT screening, sexual transmission disease examination (HIV, chlamydia, syphilis, gonorrhea, AIDS and other examinations).

If there is a need to prepare for pregnancy or other necessary situations, it can also perform six endocrine tests, herpes simplex virus screening, giant cell virus screening, and rubella virus screening.

3.30 ~ 40 -year -old female medical examination item

Most women of this age are married and have been nurtured. They need to be alert to various gynecological diseases and pay attention to screening of cervical cancer. Therefore, in addition to the basic conventional examination items that must be done, blood glucose examination, breast color Doppler ultrasound, abdominal color Doppler ultrasound, vaginal color Doppler ultrasound, TCT screening of cervical cancer, HPV screening, leucorrhea routine, thyroid color Doppler ultrasound, thyroid function three items, cervical spine X -ray, sex hormone, sexual transmission disease examination.

4.40 ~ 50 -year -old female medical examination item

The women’s ovarian function of this age has begun to decline, prone to menopausal, osteoporosis and other conditions, and it is a period of high incidence of female tumors. Therefore, in addition to the basic conventional examination items that must be done, blood glucose examination, breast color Doppler ultrasound, abdominal color Doppler, vagina, vaginaDoppler ultrasound, thyroid color Doppler ultrasound, breast cancer screening, cervical cancer TCT screening, HPV screening, ovarian cancer screening, leucorrhea routine, thyroid function three, bone density detection, sex hormone six, gastroscopy.

Female medical examination items over 50 years old

Women of this age need to be alert to the occurrence of malignant tumors and cardiovascular and cerebrovascular diseases. Therefore, in addition to the basic conventional examination items that must be done, they should be added for blood sugar examination, cardiac ultrasound, Cranisal Doppler TCD, carotid ultrasound, breast color Doppler, and color ultrasound.Doppler ultrasound, vaginal color Doppler ultrasound, thyroid color Doppler ultrasound, breast cancer screening, cervical cancer TCT screening, HPV screening, leucorrhea routine, six sex hormones, three thyroid function, bone density test, gastroscopy examination, gastric cancer screening, screening, screening, screening, screening, screening, screening, screening, screening, screening, screening, screening, screening, screening, and gastric cancer screening, screening, and gastric cancer screening, screening, screening, screening, screening, screening, screening, screening, and gastric cancer screening, screening, and gastric cancer,, screening, screening, screening, screening, screening, screening, screening, screening, and gastric cancer screening, screening, screening, screening, and gastric cancer screening, screening, and gastric cancer,Intestinal cancer screening, lung cancer screening, liver cancer screening.

Finally, women should avoid menstrual periods as much as possible to avoid infections.Keep a light diet a few days before the medical examination. Do not eat spicy and greasy foods, and do not drink.Fasting for banning water after 10 pm the next day of the medical examination. Do not eat breakfast and drinking water the next morning.On the day of the medical examination, the clothes are loose, easy to wear and take off, and do not wear metal underwear and accessories.

Women who want to prepare for pregnancy and women who are pregnant and breastfeeding must inform the doctors of their own situation, and do not do radiation examinations such as X -ray and CT.For gynecological examination items such as leucorrhea sampling, cervical cancer HPV, TCT screening, etc., do not perform sexual life or vaginal irrigation, medicine and other treatment within three days before the sampling.

Pay attention to the order during inspection, first do the pelvic color Doppler ultrasound, because this examination requires urination, and then the bladder is scheduled for gynecological examination and yin super.

[1] Yang Ju. The medical examination items must be done at all ages of women.

[2] Yi Fan. Female medical examination items should increase with age. Modern health [J] .2015, (11)

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