Medical Guidance/Professor Wang Fangjun from the First Affiliated Hospital of Guangzhou University of Chinese Medicine
No matter on the Internet or in real life, I can always hear people asking similar questions angrily and helplessly: one of my relatives and friends has a physical examination every year, and no problems have been found. Who knows that lung cancer has been found recently, or it is in the advanced stage! Therefore, people often ask bluntly: What is the use of physical examination? Why are some diseases still undetected? The reporter interviewed Professor Wang Fangjun from the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine.
Text, Figure/Guangzhou Daily All-Media Reporter Weng Shuxian Correspondent Fang Ning and Zhang Qiuxia
Don’t wait for the body to "hold on" before doing the examination.
"Physical examination is of course useful! The use is not small! " Wang Fangjun explained that the so-called physical examination is the abbreviation of "physical examination", which is a process in which doctors use their own senses, auxiliary examination instruments and experimental equipment to collect objective information on the health of patients or normal people and conduct health assessment.
In the past, many people went to the hospital after they felt obvious symptoms of the disease, or even "unbearable". As everyone knows, many diseases have no discomfort in the early or even the middle stage, especially cancer. When the symptoms are obvious, they often have developed to a serious stage, and the treatment effect is difficult to guarantee, even for life. Physical examination is a process in which people take the initiative to evaluate the health status of their bodies. Without waiting for the body to send out an obvious "unbearable" signal, they can find hidden dangers of diseases as early as possible and block the progress of diseases in time.
Why didn’t the physical examination find early lesions?
Why do you insist on physical examination every year, or are some early lesions not found in time? What do you think about this problem that puzzles many people?
"We should be clear about the fact that the health examination of normal people is not the same as the disease examination of patients who go to the hospital to see a doctor!" Wang Fangjun said that the examination of diseases is clear-cut, targeted, accurate and meticulous, and will make a relatively accurate diagnosis of diseases in a "positioning, quantitative, qualitative and regular" manner; The physical examination is only a screening process, and we don’t know whether the body is sick or not, which is equivalent to "casting a net". Therefore, we usually only choose some simple and cheap items that can reflect important organ functions.
If we sort out these "casting a net" health examination items, he thinks they can be roughly divided into three categories:
1. General examination: It belongs to the most basic examination items, and usually includes blood pressure measurement, heart and lung examination, electrocardiogram examination, palpation of liver, gallbladder, spleen and lymph nodes, etc., so as to roughly judge whether there are diseases of organs such as hypertension, heart disease, lung disease and liver and gallbladder.
2. Laboratory examination: generally including blood analysis (blood routine), urine routine, liver and kidney function, blood lipid analysis, tumor markers and thyroid function, to judge whether there are anemia, infection, hepatitis, nephritis, hyperlipidemia, tumor, leukemia and hyperthyroidism.
3. Imaging examination: it is essential in the current physical examination, which usually includes chest X-ray photos, B-ultrasound (liver, gallbladder, spleen, kidney, thyroid, etc.) and other items.
"Whether you apply for a medical examination on your own initiative or a medical examination organized by your work unit, you only choose a few inspection items to do." Wang Fangjun said that even "people who are not poor in money" have designed an expensive "luxury medical examination package" according to their own requirements, and in fact it is impossible to include all kinds of examination items in the hospital. Therefore, in theory, it is impossible for physical examination to "exhaust all items", and there will always be some early lesions that will be missed. Some people only check a few small items, and they are not necessarily targeted. Therefore, some early lesions have failed to be detected.
Tips: Optimize physical examination items to improve inspection efficiency.
So, how to improve the effect of physical examination more pertinently?
"In fact, the physical examination is also ‘ Technical work ’ , also need to have ‘ Sense of design ’ 。” Wang Fangjun analyzed that the above-mentioned physical examination items can be regarded as the preferred basic items, and it is recommended that all the subjects can be seriously examined. In addition, some targeted projects should be optimized according to the characteristics of age, gender and occupation, so as to improve the inspection efficiency. And how to choose the best, it is suggested that we can communicate with the doctor appropriately and design the best physical examination plan with the help of the doctor.
For example, he said that people over the age of 40 should appropriately increase items such as bladder, prostate, uterus and accessories when doing basic B-ultrasound (liver, gallbladder, spleen, kidney, thyroid, etc.) during physical examination; Women at risk of breast cancer should increase mammography and breast ultrasound; People at risk of heart disease can add items such as cardiac color Doppler ultrasound on the basis of ECG. If you are an older "smoker" or a patient with other high-risk factors of lung cancer, you should "upgrade" the chest X-ray photos to a low-dose CT examination of the chest to avoid missing the diagnosis of early lung cancer.
If some parts of the body are obviously uncomfortable, that is to say, some symptoms or signs have appeared, then the goal of the examination is more clear. Wang Fangjun reminded that the physical examination at this time may wish to refer to the contents of "disease examination" and ask the specialist to "tailor-made" the examination items, so as not to miss the early or even middle and late lesions.
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The free physical examination at home is coming!
Online booking service is open now.
Guangzhou Daily News (all-media reporter Wu Shen) Is your figure healthy or invisible obesity? How about cardiopulmonary endurance, physical flexibility and balance ability? If you want to know more about your body shape, function and quality, you should pay attention to this free welfare! Guangzhou Daily’s all-media reporter learned from Guangzhou Sports Science Research Institute that from today, residents of all districts in Guangzhou can make an APPointment to receive free physical fitness tests at national physical fitness monitoring sites all over 11 districts through the mobile phone app "Grouplink", and get a deep understanding of their physical function and physical quality through the tests of 11 projects, and get a personalized "exercise prescription".
"I have a physical examination every year. Is there any difference in this physical examination?" The importance of routine physical examination has been popular, but physical fitness test is still a new thing for most people. Experts explained that the annual routine physical examination is to check whether there is any disease in the body, and all kinds of diseases and abnormalities can be detected; The purpose of physical fitness test is to fully understand the physical condition, and to find problems at the "sub-health" stage when physical function and physical quality begin to decline, so as to prevent the occurrence of diseases.
For people who want to lose fat and gain muscle through exercise, for example, people who want to get rid of mild fatty liver through exercise can have a physical fitness test every three months to observe the exercise effect and adjust the exercise plan in time. For the general population who usually have good exercise habits, it is also necessary to have a physical fitness test every six months to one year.
The National Physical Fitness Monitoring Center under the Guangzhou Sports Science Research Institute conducts physical fitness monitoring for specific people every year. In order to help the public fully understand their physical condition, prevent the occurrence of diseases, provide the residents with the basis for scientific sports and improve their physical and mental health, from September 20, the function of making an APPointment for physical fitness test will be launched on the "Qunshitong" app. Residents aged 19-69 can choose the nearest national physical fitness testing site and have a free physical fitness test within the scheduled time. Through 11 items such as body composition test, bone density test, step test, vital capacity test and grip strength test, you can get comprehensive evaluation electronic report and personalized exercise suggestion, which is a good opportunity to deeply understand your body shape, body function and physical quality.
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