How are you prepared? when entering the golden age

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 entered the golden age yet?

with Assoc. Prof. Dr. Annop Jaisamran, a specialist in caring for women over 30 years old, a physician at Chulalongkorn Hospital, the Thai Red Cross Society and the president of the Menopause Association of Thailand said that women will enter the golden age When the average age is about 49-50 years, however, each woman enters the golden age differently, depending on other factors. Therefore, the preparation when entering the golden age is to take care of their own health and keep good health before it runs out. menstruation and age 45 years or older should see a doctor

foreasily noticeable symptoms is

• menopause Or changes in the menstrual cycle, for example, someone who has regular periods every month may come on more frequent, more frequent and several months away. until the end of the menstrual period
• have hot flashes night sweats
• Dry skin, thin hair, dry and easy to fall out.
• The vagina is dry, causing itching, itching and infection.
• Difficulty falling asleep, waking up early
• Mood fluctuations such as irritability and stress
• Difficulty controlling one’s emotions, boredom, depression
• Urinary system, cough, sneeze, urinary incontinence, etc.

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• when entering the golden age ..How do you take care of yourself?

30 years ago, when the fertility was over Most women tend to not take care of themselves. And will take care of themselves again when entering old age, so in the neglected 15 years is the day of women doing their job well. and success in work But they have to face the change of life.

Assoc. Prof. Dr. Annop continued that If found to have the above symptoms Even if you are not 49-60 years old, you should see a medical professional.

• Women over the age of 45 must see a doctor. The doctor will take a history and physical examination, such as a breast cancer check. cervical cancer blood lipid levels and bone density
• 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 low-fat diet foods high in calcium to prevent bone loss or high fiber foods To help the digestive system that is often worse 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.
• avoid medication or inappropriate behavior such as smoking, drinking alcohol, etc.
• Symptom monitoring is required. to adjust the care to suit each individual

• Be careful.. diseases that come with menopause.

“Menopausal Clinic or menopause clinicOccurred to take care of women aged 45-60 years with estrogen changes. and greatly reduced. Important ingolden age clinic That is, the nursing team will listen to problems, give advice and transfer knowledge to a group of women in their menopause. and have each person share their experiences. make learning together

butgolden age Not just the above symptoms. but also lead to other diseases that can occur, such as osteoporosis cardiovascular disease amnesia which can modify behavior and reduce the 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 It goes on to say that women who enter the menopause are deficient in estrogen, which in the first 1-2 years will affect the autonomic nervous system. Cause hot flashes, sweating, irritability, depression, but after the first 1-2 years, other symptoms will appear. and other diseases such as atrophy of the skin Urinary system and reproductive organs have burning, pain, urinary incontinence, urinary incontinence, muscle atrophy. and loss of bone, thin bones, osteoporosis and higher blood lipids More likely to have diabetes, while the brain, memory, concentration are the conditions caused by the menopause.

Osteoporosis in the menopause The rate has increased greatly. It is necessary to take care of the elderly woman for the family both in preventive terms. slow down the decline and promote health for women in this age The medical team must play a role in screening. Prevent and treat bone loss including preventing fractures from osteoporosis

• golden age risk factors cause “osteoporosis”

Dr. Chottawan Tanawalee, orthopedic surgeon Chulalongkorn Hospital, Thai Red Cross Society said osteoporosis which is a change in bone structure when getting older Bone mass will naturally begin to thin. and more porous strength decreases When it first hits, it’s easy to break. which osteoporosis is the bone The joint surface and the bone tissue are close to each other. Walking and daily use If the bone is very osteoporosis make a break

Dr. Nalina Orprayoon, obstetrician-gynecologist, Chulalongkorn Hospital, Thai Red Cross Society said the nature of the bone It is an organ that breaks out 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 women in their menopause Estrogen from the ovaries is reduced. When there is no estrogen, which serves to protect It will be more decay than creation. And if not taken care of, it will cause strong bones to thin bones. and osteoporosis

“Women entering menopause It will lose bone mass quickly 1-2 years before menopause. And the bones will decay rapidly in the 10 years after menopause, so the pre-menopausal period. It’s an important time to change your lifestyle. or take care of slowing down the breakdown of bone 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 Depends on many factors such as the menopause group, the elderly are naturally osteoporosis. But there are also osteoporosis with causes such as congenital disease. receiving certain medications, such as patients with rheumatoid arthritis, diabetes, or untreated thyroid disease or very skinny people can’t absorb food endocrine disease or receiving steroid medication or having breast cancer and must receive hormone-lowering drugs, etc.

However For those who are at risk of osteoporosis namely

1. Family members have a history of bone fractures or frequent fractures at menopause.
2. Our own history that we have had a minor accident and broken bones easily, such as falling and leaning on the hand and fractured wrist is considered an abnormal condition. Severe accidents are car crashes and falls from heights, which can cause fractures due to violence. Fractures from severe accidents are considered normal.
3. lack of female hormones If someone has a history of ovarian and/or hysterectomy before natural menopause. Bone mass will continue to decline. can cause osteoporosis
4. History of drug use, for example, those who use steroids are at greater risk of osteoporosis.
5. People who are very thin, underweight and have a low BMI are at risk for osteoporosis.
6. People who smoke and drink alcohol are at risk for osteoporosis
7. 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 medication.

• Get enough calcium (1000 mg/day). Natural calcium is A small fish that can eat bones, milk and dairy products. In older people, choose nonfat or low-fat milk, tofu, green leafy vegetables, nuts and whole grains.
• Get Enough Vit D The body is able to naturally produce vitamin D through sunlight with ultraviolet radiation that reacts with the cholesterol cholesterol in our skin and produces Vit D that is beneficial to our bones.
• stop drinking, stop smoking
• exercise regularly
• most important is Prevention Be careful not to fall. No matter how thin the bone is, it’s not a problem. But when falling, there will be many problems. should be careful Not squatting down the toilet, not squatting.

Human bones will grow with age until the age of 20-30 will stop (except people with bone disorders will not stop growing), so in childhood, if eating fully and hygienic, it will cause the bones of people is fully grown After the bone stops growing, it stays stagnant until the age of 40, after which bone mass naturally begins to thin.

if severe osteoporosis Be careful of bending, twisting, or excessive weight, and be careful of falling when lifting things off the floor. should be shortened Including other behavioral modifications, so if anyone has symptoms and is entering the golden age Ask your doctor for advice and treatment. in order to get through the golden age in balance