https://vaccine.org.ua/vakczynacziya-v-ukrayini/rekomendovani-shheplennya/
It is very important that you take care to protect yourself from diphtheria and tetanus. You can get the next dose from your family doctor free of charge every 10 years, starting from the age of 16. According to the recommendations of the CDC (Centers for Disease Control and Prevention), adapted to Ukraine, it is important for all adults, regardless of their occupation, to receive the following vaccinations
You are recommended to receive the diphtheria and tetanus vaccine (DPT-M), with a booster once every 10 years. According to the recommendations of the CDC (Centers for Disease Control and Prevention), adapted to Ukraine, it is important for all adults, regardless of their occupation, to receive the following vaccinations
You are recommended to be vaccinated with at least 1 dose of pneumococcal vaccine, as well as annual vaccination against influenza and COVID-19*. *For current recommendations on Covid-19, please contact your family doctor level of evidence A
You are recommended to get an annual flu and COVID-19 vaccination*. *For current recommendations on Covid-19, please contact your family doctor level of evidence A Since you work in the healthcare sector, according to the CDC recommendations of the Centers for Disease Control and Prevention in the United States (CDC), adapted to Ukraine, you are recommended to be vaccinated against: pertussis (one dose of the Aacdap-M (Boostrix) vaccine), meningococcal infection (for laboratory workers who come into contact with N. meningitidis) - one dose of Menactra or Nimenrix vaccine (booster dose every 5 years if the risk of infection persists), and, in the absence of vaccinations or data on vaccination or past disease: polio, hepatitis B, rubella, mumps and chickenpox. According to the recommendations of the CDC (Centers for Disease Control and Prevention), adapted to Ukraine, education workers should be vaccinated against the following infections: pertussis (one dose of the AaDPT-M vaccine (Boostrix), meningococcal infection (for laboratory workers who come into contact with N. meningitidis) - for post-exposure prophylaxis in case of an outbreak of a vaccine-controlled strain in a children's group - one dose of Menactra or Nimenrix Menactra or Nimenrix and, in the absence of vaccinations or data on vaccinations or past illness: polio, hepatitis B, rubella, mumps and varicella.
You can get vaccinated against human papillomavirus: 3-dose series.
You need to be vaccinated against measles, rubella, mumps 2 doses with a minimum interval of 1 month.
You can receive 2 doses of hepatitis A vaccination with a minimum interval of 5 months.
You are recommended to be vaccinated against hepatitis B with 3 doses according to the 1-1 month or 1-5 month schedule.
You are recommended to be vaccinated against chickenpox with 2 doses with a minimum interval of 6 weeks (according to the instructions for the drug).
Even if you don't smoke, secondhand smoke is also harmful to your health: It can shorten your life expectancy and increase your susceptibility to diseases that are most common in smokers (cancer, chronic lung disease, heart disease, stroke, diabetes, sexual dysfunction, etc.) Therefore, try to avoid being around someone who smokes. If possible, recommend that they seek medical help to quit smoking.
Ex-smokers have an increased risk of developing various types of cancer, including lung cancer. Even after quitting smoking, the risk remains higher than for people who have never smoked.
This is not a simple and very important decision, and with the support of a doctor who will support you with proven modern methods, quitting smoking will be much easier Recommendations:
It is important for you to quit smoking now and your doctor will be able to help you if you need it.
You are not ready to quit smoking now, most likely you have some prerequisites or certain factors that do not allow you to make this decision, and you may be concerned about such factors as
There is a solution! With the help of modern methods that have helped hundreds of thousands of people quit smoking, contact your family doctor for advice on this issue.
Obviously, you have certain obstacles at this stage, such as
If you want to get rid of these factors, there is an effective method that has already helped thousands of people with nicotine addiction to quit smoking. Contact your family doctor to discuss it.
Try to continue not to drink alcohol, as any dose of alcohol is harmful to your health.
Be careful, as any dose of alcohol is harmful to your health.
You are not at risk of alcohol dependence. Try to reduce the amount of alcohol you drink, as any dose of alcohol is harmful to your health.
There is a risk that you have an alcohol addiction. This is a threat to your health. See a doctor as soon as possible.
Based on your information, you are underweight. This may be a symptom of a serious medical condition. Contact your doctor for advice and consultation as soon as possible.
Based on your data, you are at a normal weight. Keep it at this level. - Eat a healthy diet: consume less salt, saturated fat, trans fats, and include fruits, vegetables, and bran in your diet. Consume more dairy products, almonds, sardines, and broccoli to prevent the risk of fractures. - Physical activity: do aerobic exercise for at least 30 minutes (5-7 times a week), for a total of at least 150 minutes a week. Perform strength training 2-3 times a week, develop flexibility. Keep an eye on your body mass index Even if your body mass index is normal, if you are a man and your waist circumference is more than 94, or if your waist circumference is more than 80 cm, this may indicate certain changes and require a visit to a doctor.
Based on your information, you are overweight. This may be due to a serious medical condition. Please contact your doctor for advice and consultation as soon as possible.
Based on your information, you are obese. This may be due to a serious medical condition. Contact your doctor immediately for advice and consultation. Patients with abdominal obesity (also called central obesity, visceral obesity, android obesity, or male obesity) are at increased risk of heart disease, diabetes, hypertension, dyslipidemia, and steatotic liver disease associated with metabolic dysfunction[38-42] and have higher overall mortality rates.
Ukraine belongs to the region with a high prevalence of Hepatitis B. We recommend that you consult your family doctor to decide on vaccination and screening for Hepatitis B.
Based on your answers, you have risk factors for hepatitis B, the United States Preventive Services Task Force (USPTSF) recommends a rapid hepatitis B test. Contact your family doctor for details. Level of evidence B
If you have been diagnosed with hepatitis B or hepatitis C, it is important to see your doctor regularly to monitor your liver function and avoid factors that can damage your liver, such as alcohol and certain medications. Patients with hepatitis B are often prescribed antiviral therapy to control the infection, but the virus remains in the body. It is important to know that there are modern antiviral medications that can cure hepatitis C and that hepatitis B vaccination is available in Ukraine. Therefore, seeing a doctor to discuss treatment is a key step to improving health and preventing complications.
Ukraine is a region with a high prevalence of Hepatitis C. We recommend that you consult your family doctor to decide whether to screen for this disease.
According to your answers, you have risk factors for hepatitis C. It is recommended that you take a rapid hepatitis C test. Contact your family doctor for details. Level of evidence B
Ukraine is at high risk for pulmonary tuberculosis. You are recommended to have a Mantoux or quantiferon test, either once or, if you are at high risk, regularly. Consult your doctor to decide whether to screen for tuberculosis. Level of evidence B
You have been diagnosed with tuberculosis.Go to the doctor and do not self-treat. There are programs to fight TB and effective medicines. Treatment for TB should be started as early as possible to get the best results. Warn people around you, because TB does not discriminate between social status and is equally dangerous for everyone.
It is important to follow certain medical recommendations when you come into contact with people with TB. Get regular TB screening, especially if you have been in close contact with infected people. This may include TB tests such as the Mantoux test or the quantiferon test. You should also pay attention to symptoms such as a prolonged cough, night sweats, and weight loss. If you suspect an infection, contact your doctor immediately for further examination and possible treatment.
For people who travel frequently to South Asia and Africa, it is important to follow certain medical recommendations. It is recommended to be vaccinated against hepatitis A and B, typhoid, yellow fever, and meningococcal infection, depending on the country. It is also necessary to be screened for malaria and tuberculosis upon return if you have had contact with potentially dangerous regions. Keep a close eye on symptoms such as fever, cough, or rash, and seek medical attention if they occur.
For people planning to travel to South Asia and Africa, it is important to follow certain medical guidelines. It is recommended that you schedule vaccinations to protect yourself from deadly diseases. Please contact your family doctor to schedule your vaccination.
According to your answers, you have risk factors for HIV infection. The United States Preventive Services Task Force (USPTF) recommends regular HIV testing. And more often if you have new partners or additional risk factors. Talk to your doctor about the frequency of testing and possible additional tests based on your personal risk factors. This will allow you to choose the best prevention and diagnostic program. Regular testing is an important step in the timely detection and treatment of HIV, which significantly reduces the risk of complications and transmission to others. Level of evidence A
Судячи з Ваших відповідей, у Вас є фактори ризику інфікування ВІЛ. Робоча група з питань профілактичних послуг США (USPTF) рекомендує регулярно проходити тестування на ВІЛ. І частіше, якщо у вас з'явилися нові партнери або додаткові фактори ризику. Поговоріть зі своїм лікарем про частоту тестування та можливі додаткові аналізи, виходячи з ваших особистих факторів ризику. Це дозволить підібрати оптимальну програму профілактики та діагностики. Регулярне тестування – важливий крок у своєчасному виявленні та лікуванні ВІЛ-інфекції, що значно знижує ризик ускладнень та передачі інфекції іншим людям.
Рівень доказовості A
For patients with HIV/AIDS, it is important to adhere to antiretroviral therapy to control the virus and maintain a quality of life. Be sure to inform your sexual partner about the presence of HIV to ensure safety for both. Modern treatment can significantly reduce the viral load, and with proper treatment, HIV-positive people can live a long and fulfilling life.
According to your answers, you have risk factors for sexually transmitted infections. The United States Preventive Services Task Force (USPSTF) recommends that you be tested for syphilis. Level of evidence A
Based on your answers, you have risk factors for sexually transmitted infections. The United States Preventive Services Task Force (USPSTF) recommends that you get tested for sexually transmitted infections (chlamydia, gonorrhea).
For people aged 18 to 40 years, for early detection of hypertension, it is recommended to measure blood pressure every 3-5 years, depending on the results of the last measurement. If you find high readings (140/90 and above), consult a doctor to choose the strategy that will be best for you. Level of evidence A
You are recommended to have your blood pressure measured once a year for early detection of hypertension. If you find high readings (140/90 and above), consult your doctor to choose the best strategy for you. Level of evidence A
People over the age of 40 are recommended to have their blood pressure measured once a year for early detection of hypertension. If you find high readings (140/90 and above), consult your doctor to choose the strategy that is best for you. Level of evidence A
If you have hypertension, it is important to have your blood pressure measured regularly and to follow your doctor's prescriptions for treatment and lifestyle changes. Control your salt intake, quit bad habits such as smoking and excessive alcohol consumption, and try to maintain a normal weight. Regular physical activity, a balanced diet, and avoiding stress can help you control your blood pressure more effectively and reduce the risk of complications such as stroke or heart attack. See your doctor to assess your risk of cardiovascular events.
Згідно з ваших відповідей, вам рекомендовано скринінг дисліпідемії (ліпідограма). Обговоріть із вашим лікарем частоту тестувань і можливі додаткові обстеження на основі ваших особистих факторів ризику. Це дозволить підібрати оптимальну програму профілактики та діагностики. Регулярне тестування є важливим кроком для своєчасного виявлення та лікування, що значно знижує ризик ускладнень. Зверніться до лікаря для оцінки вашого ризику серцево-судинних катастроф.
Рівень доказовості С
Based on your answers, dyslipidemia screening (lipid profile) is recommended. Discuss with your doctor the frequency of testing and possible additional tests based on your personal risk factors. This will allow you to choose the optimal prevention and diagnostic program. Regular testing is an important step for timely detection and treatment, which significantly reduces the risk of complications. Consult your doctor to assess your risk of cardiovascular disasters. Evidence level C
According to your answers, you are at high risk for dyslipidemia (fat metabolism disorder). You are recommended to have screening from age 18 onward. Discuss with your doctor the frequency of testing and possible additional tests based on your personal risk factors. This will allow you to choose the optimal prevention and diagnostic program. Regular testing is an important step for timely detection and treatment, which significantly reduces the risk of complications. Consult your doctor to assess your risk of cardiovascular events. Level of evidence C
Patients with high cholesterol are likely to need special medications. Contact your doctor to discuss a treatment plan. It is also important to include more fruits, vegetables, whole grains, healthy fats such as omega-3 and regular physical activity (30 minutes a day) in your diet.It is recommended to stop smoking and limit alcohol consumption. Consult your doctor to assess your risk of cardiovascular events. (Systematic Coronary Risk Evaluation 2 (SCORE2) (mdcalc.com)
Systematic Coronary Risk Evaluation 2 (SCORE2)
Systematic Coronary Risk Evaluation 2-Older Persons (SCORE2-OP)
Systematic Coronary Risk Evaluation 2-Diabetes (SCORE2-Diabetes)
According to your answers, it is recommended that you have a type 2 diabetes screening (blood sugar test, or glucose tolerance test, or glycosylated hemoglobin test) once every 3 years, provided the test result is normal. Ask your doctor for recommendations.
Based on your answers, you are at high risk for type 2 diabetes. You are recommended to be screened from 35 to 70 years of age, using any test (blood sugar test, glucose tolerance test, or glycosylated hemoglobin test), more often than once every 3 years. Discuss with your doctor the frequency of testing and possible additional tests based on your personal risk factors. This will allow you to choose the optimal program of prevention and early diagnosis. Regular testing is an important step for timely detection and treatment, which significantly reduces the risk of complications. level of evidence B
If you have diabetes, it is important to regularly monitor your blood glucose levels and follow your doctor's recommendations regarding diet, physical activity, and medications. You should avoid skipping meals and medications, and seek medical attention for any complications or unusual symptoms. Regular visits to the doctor will help to effectively monitor the condition and prevent complications.
All smokers and ex-smokers have an increased risk of developing an aortic aneurysm, so to exclude this pathology, you are recommended to undergo a single abdominal aortic ultrasound. Level of evidence: B
All smokers and ex-smokers have an increased risk of developing an aortic aneurysm, so starting from the age of 65, such people are recommended to undergo a single ultrasound of the abdominal aorta. After reaching this age, consult your doctor about this issue.
You are recommended to undergo a bone density test. Please contact your family doctor. Level of evidence B
It is recommended that you start screening for osteoporosis if you have gone through menopause. Also, to determine the risk of hip fracture in your case in the next 10 years, we recommend taking the FRAX survey https://frax.shef.ac.uk/FRAX/tool.aspx?lang=uk Contact your doctor for a questionnaire and examination. Level of evidence B
People with first-line relatives with spine or hip fractures may be at risk for osteoporosis. Women under the age of 65 who have gone through menopause are recommended to be screened for osteoporosis. It is important to maintain a balanced diet with sufficient calcium and vitamin D, as well as to engage in regular physical activity, including endurance exercises, to strengthen bones. To avoid falls in the home, measures should be taken, such as eliminating dangerous objects and wearing comfortable shoes. It is recommended to use tools such as the FRAX (Fracture Risk Assessment Tool) to assess the risk of fractures. Regular medical check-ups will help to detect bone mass problems in a timely manner and take the necessary measures.
Рішення про проведення скринінгу остеопорозу для чоловіків повинно бути прийняте спільно з лікарем. Важливо дотримуватися збалансованого харчування з достатньою кількістю кальцію та вітаміну D, а також регулярно займатися фізичною активністю, зокрема вправами на витривалість, щоб зміцнити кістки. Для уникнення падінь у побуті слід вжити заходів, таких як усунення небезпечних предметів і використання зручного взуття. Рекомендується використовувати інструменти, такі як FRAX (Fracture Risk Assessment Tool) https://frax.shef.ac.uk/FRAX/tool.aspx?lang=uk, для оцінки ризику переломів. Регулярні медичні огляди допоможуть своєчасно виявити проблеми з кістковою масою та вжити необхідних заходів.
A vegetarian diet increases the need for certain nutrients that require special attention when planning your diet. These include iron, zinc, iodine and vitamin B12, calcium, vitamin D, and protein. It is important to ensure their adequate intake by including a variety of plant sources in your diet. Postmenopausal women and men over 70 should undergo densitometry to assess their risk of osteoporosis. Contact your doctor to schedule screening examinations and their regularity.
Based on the results of the questionnaire, you are at high risk for depression (your PHQ score = -- points). Depression is a very common disorder that can happen to anyone. Being depressed does not mean that a person is weak or lazy. Negative attitudes from others (e.g., "you should be stronger," "pull yourself together") may be due to the fact that depression is not a visible disorder like a fracture or wound. There is also a misconception that people with depression can easily control their symptoms through willpower. People with depression often have an unrealistically negative attitude toward themselves, their lives, and their future. Their current situation may be very difficult, but depression can lead to unjustified thoughts of helplessness and worthlessness. Such views usually change for the better as depression symptoms ease. Thoughts of self-harm or suicide are common. If you notice such thoughts, you should not be guided by them, but rather tell a trusted person about them and immediately seek help from a doctor or call 7333 (the hotline is open around the clock). For a final diagnosis and to choose the method of care that is best for you, seek medical help. Level of evidence B.
За результатами анкетування у Вас виявлено високий ризик депресії.
Депресія – це дуже поширений розлад, який може трапитися у будь-кого. Наявність депресії не означає, що людина слабка або ледача.
Негативне ставлення інших (напр., «тобі слід бути сильнішим(-ою)», «зберися») може бути пов'язано з тим, що депресія – це не такий видимий розлад, як перелом або рана. Також існує помилкове уявлення про те, що люди з депресією з легкістю можуть контролювати свої симптоми силою волі.
Люди з депресією часто мають нереалістично негативне ставлення до себе, свого життя та майбутнього. Їхня поточна ситуація може бути дуже складною, але депресія здатна спричинити невиправдані думки про безпорадність та нікчемність. Такі погляди зазвичай змінюються на кращі із полегшенням симптомів депресії.
При депресії поширеними є думки про самоушкодження або суїцид. Якщо ви помічаєте за собою такі думки, то не слід керуватися ними, а негайно треба звернутися за допомогою до члена родини, якому ви довіряєте, друга або медичного працівника.
Говорити про суїцид нормально. Розмови про суїцид не провокують суїцид.
Суїциди можна попереджати.
Наявність епізоду самоушкодження/суїциду є ознакою важкого емоційного дистресу. Людина не бачить альтернативи або рішення. Саме тому важливо негайно надати такій людині підтримку для подолання її емоційних проблем і стресогенних чинників.
Засоби, за допомогою яких можна здійснити самоушкодження (напр., зброя та медикаменти), слід прибрати з дому.
Соціальна мережа, яка включає родину та інших людей, є важливою для надання соціальної підтримки.
Якщо у вас немає людей, до яких можна було б звернутися за підтримкою, можна дзвонити за номером 7333 (гаряча лінія, яка працює цілодобово).
Для остаточного встановлення діагнозу та вибору методу допомоги, який буде найкращим саме для вас, зверніться за допомогою до лікаря.
Рівень доказовості В
If you are having thoughts of self-harm/suicide, you should seek help immediately from a trusted family member, friend, or health care provider. It is okay to talk about suicide. Talking about suicide does not cause suicide. Suicide can be prevented. Having a self-harm/suicidal episode is a sign of severe emotional distress. The person sees no alternative or solution. That is why it is important to immediately provide such a person with support to overcome their emotional problems and stressors. Tools that can be used to self-harm (e.g., weapons and medications) should be removed from the home. A social network that includes family and others is important for social support. If you do not have people to turn to for support, you can call 7333 (a 24-hour hotline).
За результатами анкетування депресія у вас є малоймовірною.
Деякі факти про депресію:
При депресії поширеними є думки про самоушкодження або суїцид. Крім депресії, їх причиною можуть бути різні стани, як от сильний стрес, хронічний біль тощо. Якщо Ви помічаєте за собою такі думки, то не слід керуватися ними, а негайно треба звернутися за допомогою до члена родини, якому ви довіряєте, друга або медичного працівника.
За результатами анкетування депресія у Вас є малоймовірною.
При депресії поширеними є думки про самоушкодження або суїцид. Якщо ви помічаєте за собою такі думки, то не слід керуватися ними, а потрібно сказати про них особі, якій ви довіряєте, та одразу звернутися за допомогою. Якщо у вас немає людей, до яких можна було б звернутися за підтримкою, можна дзвонити за номером 7333 (гаряча лінія, яка працює цілодобово).
Згідно з міжнародними рекомендаціями людині варто пройти оцінку на депресію, якщо у неї наявні:
Якщо у вас наявні деякі з вищевказаних симптомів – зверніться до лікаря для точного встановлення діагнозу.
You are at risk of developing colorectal cancer. It is recommended to undergo regular screening examinations even if you have no symptoms. This will allow you to detect possible changes in time and start treatment at an early stage. For people aged 45-75 years, one or more of the following examinations are recommended for early diagnosis of bowel cancer:
To choose the tactics that are best for you, consult your doctor. Level of evidence A, B.
You are at risk of developing colorectal cancer. It is recommended to undergo regular screening examinations even if you have no symptoms. This will allow you to detect possible changes in time and start treatment at an early stage. To determine the feasibility of early diagnosis of colorectal cancer in your case, consult your doctor. Evidence level C
You have an increased risk of developing colorectal cancer. It is recommended to undergo regular screening examinations even if you have no symptoms. This will allow you to detect possible changes in time and start treatment at an early stage. For early diagnosis of bowel cancer in your case, we recommend one of the following examinations:
Consult your doctor to choose the optimal examination plan that takes into account your family history and is best suited for you. Level of evidence B
People with inflammatory bowel disease (ulcerative colitis, Crohn's disease) are at a higher risk of developing colorectal cancer. Therefore, for most patients, colonoscopy is recommended once every 1-3 years, starting from the 8th year after the onset of the disease, for early detection of this pathology. To choose the tactics that are best for you, consult your doctor.
You should have a low-dose CT scan for lung cancer. Talk to your doctor. Level of evidence B
You have an increased risk of developing lung cancer in the future. It is recommended that you undergo regular screening examinations (low-dose CT scan of the lungs) even if you have no symptoms. This will allow you to detect possible changes in time and start treatment at an early stage. Also, smoking cessation is one of the most effective strategies to reduce the risk of the disease. Discuss with your doctor the optimal examination plan, taking into account your family history.
Пацієнти які палять тривало, більше ніж 20 пачко- років або кинули палити менше ніж 15 років тому мають підвищений ризир розвитку раку легень. Будь ласка, зверністься за консультацією до свого сімейного лікаря для обговорення старту скинінгу даного захворювання
Жінкам до 40 років рутинний скринінг раку молочної залози не рекомендований. З іншого боку, якщо у вас наявні хоча б один з перелічених факторів ризику, обговоріть потребу у проходженні скринінгу з вашим сімейним лікарем.
Фактори ризику:
It is important for women with polycystic ovary syndrome (PCOS) to consult a doctor regularly, as this disease is a risk factor for other serious conditions. It is recommended that you undergo a diabetes screening (blood glucose control). It is also necessary to regularly measure blood pressure to detect hypertension and screen for dyslipidemia. It is important to control your weight, engage in regular physical activity, and eat a balanced diet low in simple carbohydrates and high in fiber. Remember, by choosing long-term healthy lifestyle strategies, you stay healthy.
Якщо у близьких родичів був діагностований рак молочної залози, то рекомендовано розпочинати щорічний скринінг на 10 років раніше стандартних рекомендацій, тобто з 30 років.
The United States Preventive Services Task Force (USPSTF) recommends that the decision to screen for prostate cancer for all men aged 55-69 years should be made in consultation with a physician. Level of evidence C
Для рутинного скринінгу РШМ, за інформованої згоди пацієнтки, рекомендовано проводити ко-тестування (тестування на ВПЛ у поєднанні з ЦДШМ) у жінок віком 25-65 років кожні 5 років.
Оперативна група з профілактичних послуг Сполучених Штатів (USPSTF) рекомендує, що рішення про проведення скринінгу раку передміхурової залози всім чоловікам віком 55-69 років повинне бути прийняте разом із лікарем.
You have an increased risk of developing colorectal cancer. It is recommended to undergo regular screening examinations even if you have no symptoms. This will allow you to detect possible changes in time and start treatment at an early stage. Discuss with your doctor the optimal screening plan, taking into account your family history. Level of evidence C
You have an increased risk of developing prostate cancer in the future. It is recommended to undergo regular screening examinations even if you have no symptoms. This will allow you to detect possible changes in time and start treatment at an early stage. Discuss with your doctor the optimal examination plan, taking into account your family history.
It is important for patients with cancer to follow their treatment plan under the close supervision of a doctor. Currently, modern therapies, such as chemotherapy, immunotherapy, and targeted treatments, are quite effective. In addition, cancer can be a risk factor for other diseases, such as cardiovascular, pulmonary, or infectious diseases. Therefore, you should pay special attention to your overall health. It is also important to undergo regular screenings for other types of cancer, as the risk of developing new cancers may be increased.
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