30th anniversary “Golden Age Clinic Chulalongkorn Hospital, Thai Red Cross Society” organized a seminar on “A New Corner of the Golden Age. Perspectives of Important Threats”
- Observe yourself .. Have you already entered the golden age?
with Assoc. Prof. Dr. Annop Jaisamran, specialist in the care of women over the age of 30, physician at Chulalongkorn Hospital, at the Thai Red Cross Society and president of the Menopause Association of Thailand said that women will enter the golden age When the average age is around 49-50, however, every woman enters the golden age differently, depending on other factors, hence the preparation to enter in the golden age is taking care of your health and staying healthy before your period ends and the age of 45 or older should see a doctor
foreasily noticeable symptoms is
- menopause Or changes in the menstrual cycle, for example, someone who has regular periods each month may show up more frequently, more frequently and several months apart. until the end of the menstrual period
- having hot flashes night sweats
- Dry skin, hair thin, dry and easy to fall out.
- The vagina is dry, causing itching, itching, and infections.
- Difficulty falling asleep, waking up early
- Mood fluctuations such as irritability and stress
- Difficulty controlling one’s emotions, boredom, depression
- Urinary system, cough, sneezing, urinary incontinence, etc.
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- when you enter the golden age .. How do you take care of yourself?
30 years ago when fertility was over Most women tend not to take care of themselves. And they will take care of themselves again when they enter old age, so in the neglected 15 years is the day when women do their jobs well. and success in work But they face the change of life.
Prof. Assoc. Dr. Annop If found to have the above symptoms Even if you are not 49-60 years old, you should see a doctor.
- Women over the age of 45 should consult a doctor. Your doctor will do a medical history and physical exam, such as a breast cancer check. cervical cancer blood lipid levels and bone density
- He should prepare a medical history before going to see a doctor. for accuracy in diagnosis and proper management of drugs or hormones
- nutritious food such as the low-fat diet foods rich in calcium to prevent bone loss or foods rich in fiber To help the digestive system which often worsens in menopause
- exercise regularly Helps prevent osteoporosis It also makes the lungs and heart strong. However, vigorous sports or activities should be avoided.
- hormone therapy In some cases, the doctor may prescribe hormones to treat abnormalities that occur according to indications and contraindications.
- avoiding medications or inappropriate behavior such as smoking, drinking alcohol, etc.
- Symptom monitoring is required. to tailor care to suit each individual
- Warning … diseases that accompany menopause.
“Clinic for menopause or clinic for menopauseIt has occurred to care for women between the ages of 45 and 60 with estrogen changes. and greatly reducedgolden age clinic That is, the nursing team will listen to problems, give advice and transfer knowledge to a group of menopausal women. and invite each person to share their experiences. learn together
butthe golden age Not just the above symptoms. but they also lead to other diseases that can occur, such as osteoporosis cardiovascular disease amnesia which can modify behavior and reduce risk OR treat the disease in the early stages without symptoms. It is therefore more important to see a doctor for a checkup.
Assoc. Prof. Dr. Annop He goes on to say that women entering menopause are deficient in estrogen, which in the first 1-2 years will affect the autonomic nervous system. It causes hot flashes, sweating, irritability, depression, but other symptoms will appear after the first 1-2 years. and other diseases such as skin atrophy The urinary system and reproductive organs present burning, pain, urinary incontinence, urinary incontinence, muscle atrophy. and bone loss, thin bone, osteoporosis and higher blood lipids More likely to have diabetes, while brain, memory, concentration are conditions caused by menopause.
Osteoporosis in menopause The rate has increased significantly. It is necessary to take care of the elderly woman both in family terms and in preventive terms. slow the decline and promote the health of women at this age The medical team must play a role in screening. Prevent and treat bone loss including osteoporosis fracture prevention
- Golden Age risk factors causing “osteoporosis”
Dr. Chottawan Tanawalee, Orthopedic Surgeon Chulalongkorn Hospital, Thai Red Cross Society called osteoporosis which is a change in bone structure as you age Your bone mass will naturally begin to thin out. and the more porous the force decreases. When it first strikes, it is easy to break. what osteoporosis is bone The joint surface and bone tissue are close to each other. Walking and daily use If the bone is very osteoporotic Take a break
Dr Nalina Orprayoon, obstetrician-gynecologist, Chulalongkorn Hospital, Thai Red Cross Society said the nature of bone.It is an organ that breaks old things and creates new things all the time. which is the process that makes bones strong.In women and men, there is no difference in estrogen. but among menopausal women Estrogen from the ovaries is reduced. When there is no estrogen, which serves to protect It will be more decay than creation. And if left untreated, it will cause strong bones to thin. and osteoporosis
“Women entering menopause will lose bone mass rapidly 1-2 years before menopause. And bones will decay rapidly in the 10 years after menopause, hence the pre-menopausal period. It is an important time to change your lifestyle. o take care to slow bone breakdown to prevent thin bones or osteoporosis in the future “Dr. Nalina said
For those who go through menopause before the age of 49-50 or have to undergo ovarian surgery. This decreases ovarian function and estrogen is also reduced. increased risk of bone disease
- who are at risk of developing osteoporosis
Assoc. Prof. Dr. Lalita Wattanachanya, Endocrinologist Chulalongkorn Hospital, Thai Red Cross Society said that osteoporosis and thin bones can occur at any age It depends on many factors such as the menopause group, the elderly are naturally osteoporosis. But there are also osteoporosis with causes such as congenital diseases. receive certain medications, such as patients with rheumatoid arthritis, diabetes or untreated thyroid disease or very thin people cannot absorb endocrine disease food or receive steroid drugs or have breast cancer and must receive hormone lowering drugs, etc.
However For those at risk of osteoporosis that means
- Family members have a history of bone fractures or frequent fractures in menopause.
- Our story of having a small accident and easily broken bones, such as falling and leaning on a fractured hand and wrist, is considered an abnormal condition. Serious accidents are road accidents and falls from a height, which can cause fractures due to violence. Fractures due to severe accidents are considered normal.
- lack of female hormones If someone has a history of ovaries and / or hysterectomy before natural menopause. Bone mass will continue to decrease. can cause osteoporosis
- History of drug use, for example, those who use steroids are at greater risk for osteoporosis.
- People who are very thin, underweight and with a low BMI are at risk for osteoporosis.
- People who smoke and drink alcohol are at risk for osteoporosis
- Exercise People who exercise regularly have a lower risk of developing osteoporosis.
- How to prevent and treat osteoporosis
For methods of prevention and treatment of osteoporosis without drugs.
- Get enough calcium (1000 mg / day) .Natural calcium is A small fish that can eat bones, milk and dairy products. In older people, choose skim or low-fat milk, tofu, green leafy vegetables, nuts, and whole grains.
- Get Enough Vitamin D The body is able to naturally produce Vitamin D through sunlight with ultraviolet radiation which reacts with the cholesterol and cholesterol in our skin and produces Vitamin D which is beneficial for our bones.
- stop drinking, stop smoking
- exercise regularly
- the most important is Prevention Be careful not to fall. No matter how thin the bone is, it’s not a problem. But when they fall, there will be a lot of problems. should be careful Do not squat in the toilet, do not squat.
Human bones will grow with age until the age of 20-30 stops (except people with bone disorders will not stop growing), so in childhood, if by eating thoroughly and hygienically, it will cause people’s bones have fully grown After the bone has stopped growing, it remains stagnant until the age of 40, after which time the bone mass naturally begins to thin.
if severe osteoporosis Be careful of bending, twisting, or excessive weight, and be careful not to fall when lifting objects from the floor. should be shortened Including other behavioral changes, so if anyone has symptoms and is entering the golden age Ask your doctor for advice and treatment. to overcome the golden age in balance
