Let's receive specific medical examination, identification health guidance
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What is specific medical examination?
It is medical examination to pick person needing health guidance for the lifestyle-related disease prevention that paid its attention to the internal organs fat type obesity. It is in the following inspection item that measurement of girth of the abdomen is included in medical examination item to see accumulation state of the internal organs fat and extracts eligible people of specific health guidance precisely.
Eligible people apply to person insured, dependent of under 40 years or older 75 years old (including person reaching 75 years old in the middle of the year).
Specific medical examination consultation rate of citizens of Saga is lower still more than the whole country of thing rising year by year, and half of eligible people or more is the situation that cannot receive medical examination.
In municipalities National Health Insurance, consultation rate of man in his prime particularly in his 40s and 50s and man after retirement in 60s seems to be low.
※Person during going to hospital treatment is object of specific medical examination.
By periodical consultation (once a year) of specific medical examination, we grasp own health condition and are a chance to work on improvement being conscious of lifestyles such as meal or exercise, sleep even if under treatment. We prevent that disease treated with improvement of lifestyle now is aggravated and becomes myocardial infarction or cerebral infarction and can prevent that we suffer other diseases.
★Inspection item of specific medical examination
| Question vote (taking medicine career, smoking history)|
| Physical measurement (height, the weight, BMI, girth of the abdomen)|
| Blood pressure measurement|
| Physical examination (medical examination)|
| Urinalysis (urine sugar, urine protein)|
- Examination for lipid (neutral fat, HDL cholesterol, LDL cholesterol ※ 1)
- Examination for blood sugar (when fasting blood sugar or hemoglobin A1c(HbA1c) is unavoidable occasional blood sugar ※ 2)
- Liver function test (AST, ALT, γ - GTP)
| Item of detailed medical examination
※When doctor admits that it is necessary under the constant standard, we carry out
Examination of electrocardiography, examination of the fundus, examination of anemia (red count, quantity of Hb, hematocrit level), examination for serum creatinine
※When 1 neutral fat is 400 mg/dl or more or and, in the case of blood sugar, exchange with LDL cholesterol after a meal; Non-HDL cholesterol (from total cholesterol
You may evaluate in thing) except HDL cholesterol.
※When 2 is unavoidable and collects blood other than the fasting and does not measure HbA1c, we steal that we inspect blood sugar by blood sugar at any time except just after the meal if possible.
In addition, it is said that it is within 3.5 hours just after meal from meal start time more than fast ten hours with fasting.
What is specific health guidance?
From result of specific medical checkup, we do support that doctor, health nurse, administrative dietitian put together in the body situation of eligible people and review lifestyle for lifestyle-related disease with high onset risk.
We motivate, and specific health guidance includes support and active support depending on degree of risk. (it is higher-risk and becomes active support)
<< incentive support >>…We can receive support of one time of principle to promote improvement of lifestyle.
Eligible people notice refinement, action that they should increase of own lifestyle, and they make action plan under the direction of doctor, health nurse, administrative dietitian and others, and they practice action plan of contents which they set oneself aim and can move to action.
Three months later, evaluation is carried out using interview or communication.
<< active support >>…In addition to "motivate support", and, more than three months, periodical; can receive support continuously.
We perform periodical continuation-like pressure with three months or more expert to make action plan under the direction of doctor, health nurse, administrative dietitians, and to be able to work on lifestyle improvement.
We confirm your health condition every year, and it is important to connect with health promotion. We receive specific medical examination once a year, and person needing improvement of lifestyle will receive specific health guidance.
"Metabolic syndrome" and the prevention
Each disease does not move lifestyle-related diseases such as diabetes separately, and the internal organs fat type obesity which fat accumulated is greatly concerned with the internal organs of the stomach circumference.
In addition to these internal organs fat type obesity, we say state that had both two either or more among hyperglycosemia, high blood pressure, lipid abnormality with metabolic syndrome (metabolic syndrome).
When excessive fat collects in the internal organs, we develop diabetes and high blood pressure, lifestyle-related disease such as hyperlipidemia. In addition, even if there is, we cause arteriosclerosis by developing and the ill risk to be concerned with life such as heart disease and stroke increases and is dangerous at all to state of spare group where "blood sugar level is slightly high" that does not still have a diagnosis of disease, "it has slightly rather high blood pressure".
In addition, the risk of the onset caused by metabolic syndrome of illness is greatly concerned with the number of risk factors, and degree of risk increases so that numbers of risk factor increase. For example, when risk factor assumes degree of risk of person whom there is not 1 in the case of heart disease, degree of risk rapidly rises when we have 5.8 times, 3-4 when we have 5.1 times, two when we have one risk factor, and 35.8 increases twice as much how.
As the biggest cause of metabolic syndrome is the internal organs fat type obesity that the internal organs have fat, at first, it improves unhealthy lifestyles such as overeating or lack of exercise, and it is important to reduce the internal organs fat.
Where can you receive specific medical examination, identification health guidance?
We will go in conduct place that medical care insurer guides with consultation ticket (the use ticket) and identification of person insured as soon as it reaches in one of (mail or delivery by hand) that consultation ticket (as for the health guidance "the use ticket") and consultation guide reach eligible people from medical insurer (as for the National Health Insurance house ino municipalities office). You confirm conduct time beforehand in medical examination, health guidance organization (conduct organization), and please reserve the date and time as needed.
In addition, in venue of specific medical checkup, there is what fixing the system which can receive cancer screening at the same time. We confirm detailed consultation methods about detailed contents in medical insurer and municipalities of address place joining, and let's receive medical examination at place that is easy to have a medical examination.