These physical examination items need attention, don't miss them.
2020-07-17
What is the last item you don’t want to check during the physical examination?
Many people will blurt out: anal finger examination, stool examination, gastrointestinal endoscopy... But in fact, these very "unwelcome" physical examination items can find out many serious diseases, and really can not easily give up, otherwise they will lose money. Now!
1. Finger anal examination-rectal cancer, prostate cancer
For many people, anal finger examination is simply synonymous with "shame". Therefore, many people will choose to abandon the medical examination. Many people feel that such a private place is really embarrassing to let a stranger see, let alone reach out and touch it, but in fact, anal finger examination is very important, this is the most basic and effective means of screening for anorectal diseases. Because a healthy rectum appears smooth and soft, an unhealthy rectum will show lumps, stiffness, hyperemia, and even inflammation. Through anorectal finger examination, you can find anal and perianal related diseases, such as hemorrhoids, anal fistula, anal fissure disease, rectal cancer and other anorectal diseases.
In fact, not only in the anorectal department, anal finger examination plays an important role in gynecology or urology. In gynecology, anal digital examination can be used to examine women's uterus and pelvic problems; in urology and male department, anal digital examination is often used to determine whether there is prostate hyperplasia, disease, inflammation or tumor.
2. Fecal examination-bowel cancer
Blood routine, urine routine and fecal routine are the "three routine" items in physical examination. However, many people often give up fecal examination during physical examination because they feel "too dirty", too troublesome or have no inconvenience at that time, and they themselves Usually, going to the toilet is normal and regular, and I feel that there will be no major problems. According to the 2015 China Cancer Registry Annual Report, about 120 million people in China's 40-74-year-old population are at high risk of colorectal cancer, and at least 6 million people have bowel cancer or early precancerous lesions in the intestine.
3. Gastroscopy-gastric cancer
If you say that most people refuse to do any inspection items, then endoscopy must be one of them. Many people are less than a last resort, absolutely do not endoscopy, even when the doctor asked to do it, they will refuse as much as possible. The thought of pushing a tube from the mouth into the stomach felt uncomfortable and frightening. However, according to the "National Cancer Statistics" released by the National Cancer Center in 2019, there are more than 400,000 new cases of gastric cancer each year, and the number of deaths due to gastric cancer exceeds 200,000. Statistics from the Clinical Cancer Collaborative Center of the China Anti-Cancer Association in 2018 show that the prevalence and mortality of gastric cancer in my country are more than double the world average.
The main reason is that compared with foreign countries, the "gold standard" of gastric cancer screening in my country-the popularity of gastroscopy is very low, resulting in more than 90% of gastric cancer patients found that the late stage, the five-year survival rate is less than 20%. The five-year survival rate of advanced gastric cancer is less than 20%, and 90% of early gastric cancer can be cured. It is distressing that 90% of gastric cancers in my country are in the middle and late stages when they are discovered. Gastroscopy is the first-line method for the diagnosis of stomach diseases. Through gastroscopy screening, gastric cancer can actually be prevented. Therefore, we must carry out gastroscopy in time according to the specific condition and doctor's recommendation, and never consider waiting for gastroscopy until the condition deteriorates.
In fact, in addition to ordinary gastroscopes, there are painless gastroscopes. In addition to conventional gastroscopes, there are comfortable gastroscopes, painless gastroscopes, and capsule gastroscopes. Specifically, the comfort gastroscope is a gastroscope technology that is intubated from the nose, and the observation effect is no different from the ordinary gastroscope; the painless gastroscope is to perform gastroscopy under general anesthesia; the capsule gastroscope only needs to swallow a capsule. But which one to use depends on the subject's condition and wishes.
4. Colonoscopy-bowel cancer
In the same situation, there is a colonoscopy, and the public's rejection and resistance to colonoscopy is not lower than that of gastroscope.
The academician recounted a patient he had encountered: "Because of the risk of bowel cancer, I suggest him to have a colonoscopy. He said that it is too uncomfortable to do colonoscopy and he will not do it. I propose that he join our study In the project, the hospital sent a car to pick him up for a free check, and also provided a free breakfast, but he refused all at once, and finally we asked for it before he went for a colonoscopy. At that time, my heart was actually very sad. This is also the common people It is too difficult for people without gastrointestinal symptoms to have an examination. But this is a misunderstanding. Many gastrointestinal cancers are asymptomatic at the beginning, and when symptoms such as anemia appear, they are often advanced. , It’s too late to save."
Therefore, the experts emphasized that if you have not had a colonoscopy before the age of 45, you must do a colonoscopy.
