Check-up
Each person’s lifestyle, substance habits, genetic risk factors, environmental factors, level of daily or physical activity, and stress management skills are determining factors for maintaining a healthy and quality life. The impact of all these factors on health varies in different body systems and at different levels for each individual. Therefore, when planning a health risk analysis, it is crucial to determine the scope and content of the check-up on an individual basis. In this context, while check-up packages are standardized according to age and gender, they are offered in various alternatives ranging from basic programs to more extensive screenings based on the individual's risk factors.
Are all tests done in a check-up?
Check-ups are often chosen by individuals with no complaints to gain information about their health status or to investigate potential risk factors.
Laboratory and radiological tests required for health screenings have been determined through scientific research. Unnecessary tests can lead to increased costs and can also harm the patient. Particularly in radiological examinations, the goal is to expose the patient to the minimum possible dose of radiation. Additionally, some tests are performed to monitor an existing disease or to investigate underlying causes of symptoms when present. Therefore, specific disease markers or radiological examinations are often not included in standard check-up tests. However, individuals with chronic diseases or specific complaints can also undergo check-ups. In such cases, additional tests related to the individual's complaints or existing chronic conditions can be added to the check-up program, and the patient can be referred to specialists for further evaluation.
Which tests are included in a check-up package?
All check-up packages vary in scope depending on the selected package. However, they generally include:
- biochemical analyses,
- cardiological examinations,
- radiological imaging,
- diabetes screening tests,
- blood lipids,
- liver functions,
- kidney functions,
- thyroid tests,
- basic vitamins,
- minerals,
- some cancer screening tests
Biochemical analyses include:
- complete blood count (hemogram),
- complete urine analysis,
- rheumatic and inflammatory markers (such as sedimentation and CRP),
- body protein status,
- cholesterol,
- triglyceride levels,
- kidney and liver function tests,
- diabetes screening tests,
- essential minerals and vitamins,
Radiological imaging in all check-up packages includes:
- chest X-ray,
- abdominal ultrasound,
- thyroid ultrasound,
Other package contents include:
- In check-up programs for individuals under 40, cardiological examinations are performed using echocardiography (EKO Doppler) and ECG tests.
- For individuals over 40, executive and exclusive check-up packages include EKO Doppler along with exercise ECG (cardiovascular stress test).
- In executive male check-up programs, chest tomography is used instead of chest X-ray and is done together with coronary calcium scoring. Additionally, carotid Doppler examination is included in this package.
- The exclusive check-up package includes, in addition to basic tests, chronic infection screening tests, chest tomography, coronary CT angiography, and carotid Doppler ultrasound.
- In geriatric (over 65 years) check-up programs, bone density is also assessed.
What are the options in check-up packages?
The content of check-up programs is determined based on age and gender. For adults aged 18-40 with no genetic risk factors, known chronic diseases, or habits like smoking, standard check-up programs for individuals under 40 are sufficient. For individuals aged 40-65, check-up programs for over 40 are applied. If a person has genetic risk factors or a history of substance use, executive or exclusive check-up programs are recommended. These programs are designed to investigate risk factors for potential cardiological or other chronic diseases more comprehensively. For individuals aged 65 and above, geriatric check-up programs are available and include specific tests for this age group.
Regardless of age, additional check-up panels can be added to check-up packages. These include: heart disease screening panel, cancer screening panel, allergy and food intolerance panel, infectious disease screening panel, tobacco users screening panel, women's health screening panel (including gynecological and breast imaging), and men's health screening panel (including urological evaluations).
Who should decide on the check-up package selection?
The selection of check-up packages should be made by considering individual risk factors. These risk factors include family history, substance use, lifestyle, age, gender, and presence of any chronic diseases. Choosing the right check-up program is crucial for accurate health assessments and early detection of potential health issues.
Who evaluates check-up results?
Check-up results are evaluated by medical specialists. Generally, results are reviewed by a family doctor or a primary care physician, who then refers the patient to a relevant specialist if necessary. If the results indicate any abnormal findings or require further investigation, specialists in cardiology, endocrinology, oncology, or other relevant fields will conduct more detailed examinations and provide necessary recommendations.
When should one start having check-ups?
It is advisable to start having check-ups in early adulthood, around the age of 20-25, especially for those with no significant health issues. Regular check-ups become increasingly important as one ages, particularly after the age of 40, due to the increased risk of chronic diseases. The frequency of check-ups should be adjusted based on age, personal health status, and family history.
How often should a check-up be done?
The frequency of check-ups depends on individual health conditions, age, and risk factors. For generally healthy individuals under 40, annual or bi-annual check-ups are typically sufficient. For those over 40 or with known risk factors, more frequent check-ups are recommended. Individuals with chronic conditions or specific health concerns should follow their healthcare provider's recommendations regarding the frequency of check-ups.
What tests are conducted to investigate heart diseases during a check-up?
To investigate heart diseases during a check-up, various tests are conducted:
- Electrocardiogram (ECG),
- Stress test (exercise ECG),
- Echocardiography (EKO),
- Chest X-ray,
- Coronary CT angiography (in comprehensive check-ups),
- Coronary calcium scoring (in some check-up programs),
- Carotid Doppler ultrasound.
What is the role of gynecologists and obstetricians in the check-up procedure?
Gynecologists and obstetricians play a significant role in check-up procedures for women. They are responsible for performing gynecological examinations, breast examinations, and ordering related tests such as Pap smears, breast ultrasounds, and mammograms. They also assess reproductive health, manage hormonal imbalances, and provide guidance on preventive measures for women's health.
Breast Health Center
The Breast Health Center is dedicated to providing comprehensive care for breast health. It offers various services including screenings, diagnostic imaging, and consultations for both preventive care and treatment of breast conditions. The center focuses on early detection of breast cancer and other breast-related issues through regular check-ups and advanced diagnostic techniques.
What is the role of urologists in the check-up procedure?
Urologists are involved in check-ups for men, especially in evaluating urinary and reproductive health. They conduct examinations for conditions such as prostate issues, kidney stones, and bladder problems. Urologists also perform tests like prostate-specific antigen (PSA) screening and may use imaging techniques to diagnose and manage urological conditions.
Check-up and thyroid diseases
Thyroid diseases are assessed during check-ups through thyroid function tests and ultrasound examinations. These tests help in diagnosing conditions such as hypothyroidism, hyperthyroidism, and thyroid nodules. Regular monitoring of thyroid health is essential for early detection and management of thyroid disorders.
Do tobacco users need a more detailed check-up?
Yes, tobacco users are generally advised to undergo more detailed check-ups due to the increased risk of developing various health issues such as cardiovascular diseases, lung diseases, and cancers. Additional tests and screenings may be recommended to monitor the effects of tobacco use on overall health and to detect any early signs of disease.
Nutrition and Diet Services in Check-up
Nutrition and diet services are integral to check-ups as they help in assessing and managing dietary habits and nutritional status. This may include evaluating current eating patterns, recommending dietary changes, and providing personalized nutrition plans to support overall health and address specific concerns.
What is done in check-ups for anti-aging and immune system evaluation?
In check-ups focused on anti-aging and immune system evaluation, tests may include assessments of various biomarkers related to aging, immune function tests, and screenings for age-related conditions. These evaluations help in identifying factors that contribute to aging and immune system health, guiding preventive measures and treatments.