Taking Control: A Guide to Women’s Health and Wellness

2023-08-17 04:05:26

Women are the pillars of the family. They often face the dilemma of raising children, raising parents, and busy work. Therefore, they often neglect their own health. For modern women, busyness and worries will never disappear, so no matter what stage they are in, taking care of their health is still the most important thing.

Unspeakable secrets of urinary tract infection

According to statistics, half of women will have at least one urinary tract or vaginal infection in their lifetime, which is 8 times that of men, and once infected, they will be infected repeatedly. The so-called “repeated infection” refers to 2 times within half a year or 3 times within 1 year, or even re-infection after treatment, and the probability of re-infection will increase with the number of infections and the interval time.

Urinary Tract Infection Causes and Symptoms

Luo Qiwen, attending urologist at Tzu Chi Hospital in Taipei, pointed out that because the distance between the perineum, urethra, and anus of women is quite close, and the urethra is shorter than that of men, it is easy for bacteria to enter the urethra due to holding back urine, sexual behavior, improper hygiene habits, or menopausal hormone reduction. and bladder inflammation.

The most common symptoms of a urinary tract infection include frequent urination, urgency, stinging urination, burning sensation when urinating, bloody urine, smelly urine, cloudy urine, feeling that urine is not clean, fever, chills, and lower abdominal pain, severe Sometimes, it may develop into pyelonephritis, or even shock and sepsis, which may be life-threatening.

Urinary tract infection should do these checks

Luo Qiwen said that for patients with urinary tract infection, routine urine examination will be arranged to determine whether there is inflammation and bacterial infection according to the white blood cells, white blood cell reaction, and nitrite reaction in the urine, and then prescribe empiric antibiotic treatment and relieve symptoms.

Elderly women or those with repeated infections will be further cultured for urine bacteria. After the type of bacteria is identified, appropriate antibiotics or combined injections will be given. He said: “75 to 90% of urinary tract infections are E. coli, so if you have symptoms such as fever and chills, you must do a blood test.”

The onset of urinary tract infection is painful and affects the quality of life. Luo Qiwen suggested that women should take good care of themselves to prevent it effectively. If you have symptoms of urinary tract infection, and you have symptoms such as fever and chills, you should seek medical treatment as soon as possible to avoid delaying the treatment.

7 ways to prevent urinary tract infection

1. Drink more than 2000c.c. of water every day to increase the urge to urinate.
2. Go to the toilet more, don’t hold back your urine, let the urine take away the bacteria.
3. After going to the toilet, wipe from front to back.
4. Avoid wearing tight underwear or trousers.
5. Take a shower and avoid soaking in the bath.
6. Drink water and empty your bladder before and after sex.

Falls, fractures in women with osteoporosis

According to statistics, 16% of the population over the age of 60 suffer from osteoporosis, and 80% of them are women. Osteoporosis has become the most important health issue for postmenopausal women. A survey by domestic physicians found that nearly 50% of women have osteoporosis after 25 years of menopause.

Reasons for the high proportion of osteoporosis in women

The main reason why women are prone to osteoporosis is that women’s bone quality is originally worse than that of men, and women’s estrogen decreases after menopause, which will cause rapid bone loss. In women around the age of 35, the bone mass has been gradually lost. At menopause, the bone mass loss is more serious, and the bone capital is gradually consumed, leading to osteoporosis.

Yu Guanghui, Director of the Department of Rheumatology, Allergy and Immunology, Linkou Chang Gung Hospital, said that osteoporosis can be divided into primary and secondary. Primary ones are related to menopause and aging, while secondary ones are related to long-term use of drugs, endocrine disorders, and poor living habits, such as insufficient calcium intake, lack of sun exposure, and exercise.

3 things to do to prevent osteoporosis

Preventing osteoporosis is very simple. Ye Guangting said that as long as you do it every day: stand up to the sky, stand on the ground, and have high calcium, you will have a chance to prevent the occurrence of osteoporosis.

sky-high

Moderate exposure to the sun can increase the conversion of vitamin D in the body, which is the source of 90% of vitamin D in the human body. It is recommended to take at least 3 times a week for 15 to 30 minutes each time.

Location

To increase bone density through weight-bearing exercises, it is recommended to engage in weight-bearing exercises that resist gravity, such as walking, jogging, dancing, rope skipping, mountain climbing, stair climbing, or lifting dumbbells. However, if you have joint pain or degenerative problems, it is recommended to avoid climbing stairs or bouncing.

high calcium

Increase calcium food intake, increase calcium intake in daily diet, such as milk, cheese, tofu, amaranth, black sesame and other calcium-rich foods.

Osteoporosis asymptomatic beware of fracture

Ye Guangting, deputy director of the Orthopedics Department of Hualien Tzu Chi Hospital, said that osteoporosis has no obvious symptoms, and it is not easy to notice its existence. Some middle-aged and elderly patients may only feel that their height has become shorter and the appearance of a hunched back has changed, but as long as a slight fall, Or if it is suddenly subjected to excessive force, it may fracture.

What is worrying is that the severe pain, inability to move, disability and other conditions caused by the fracture seriously affect the quality of life and even cause death. The World Osteoporosis Foundation pointed out that increasing bone density by 10% at a young age can delay the occurrence of osteoporosis for 13 years, which shows that “bone storage” should start at a young age.

Osteoporosis Diagnostic Criteria

Osteoporosis is usually diagnosed by “T-score”

T value ifGreater than 1: Normal T value of bone massbetween -1 and -2.5: Insufficient bone mass T value ifless than -2.5: Osteoporosis

Early detection and early treatment

If you are unfortunate enough to suffer from osteoporosis, it can be treated. Huang Junfeng, Director of the Family Medicine Department of Enzhugong Hospital, said that the current treatment methods are becoming more and more perfect, and those who use drug treatment can reduce the incidence of fractures. There are 2 effects of therapeutic drugs, which are divided into “anti-bone loss” and “promote bone formation”.

He further explained that anti-bone loss drugs mainly inhibit the activity of osteoclasts and reduce bone erosion; bone-promoting drugs mainly stimulate osteoblasts to achieve bone hyperplasia. Huang Junfeng reminded that women should use bone density testing to grasp the opportunities for osteoporosis treatment and reduce the risk of fractures.

Depression Take Care of Your Emotions

According to epidemiological data, the proportion of women with depression is higher than that of men, and the probability is twice that of men! Why are more women than men suffering from depression? Experts said that it may be related to social culture, family education, gender and other factors.

Psychiatrist Yang Congcai pointed out that from a social and cultural point of view, girls are raised differently from boys. They are often asked to be obedient, passive, and unable to express their feelings, which makes women less confident and tends to hide thoughts, feelings, and emotions in their hearts. It is easy to be depressed when you are too depressed.

In addition, adult women often need to play multiple roles. In addition to playing passive and introverted roles, such as daughter-in-law and wife, they also need to play strong and dominant mothers and career women. Such variable and conflicting role-playing makes women prone to depression.

Some people also believe that, in the traditional concept, less attention is paid to women’s education, and the workplace is unfriendly to women’s salaries, which makes women’s economic status worse; Financial independence is also one of the causes of depression.

However, women’s innate ability to perceive and feel, and their willingness to seek medical help are also higher than men’s. This may lead to the high rate of female depression patients seeking medical treatment, and the number of people diagnosed with depression is also higher than that of men.

From a biological point of view, currently known neurotransmitters, genetics, etc. have an important impact on depression. For example, insufficient neurotransmitters such as serotonin, dopamine, and norepinephrine can also lead to depression.

Women are responsible for childbearing. During the monthly menstrual cycle, during pregnancy and childbirth, and during menopause, there will be great changes in female hormones in the body, which will also affect hormones such as thyroxine, growth hormone, and adrenaline stimulating hormone. , these substances are also thought to be associated with depression in women.

8 Ways to Ease Your Mood

In the case of congenital deficiencies and acquired disorders, women need to take good care of themselves emotionally in order to reduce the occurrence of depression. 1. Establish a healthy lifestyle, use the Mediterranean diet to fight depression, exercise regularly333, get enough sleep for 6-8 hours a day, etc.
2. Cultivate good stress-relieving habits, such as meditation, abdominal breathing, muscle relaxation, and writing a gratitude journal.
3. Establish a support system, connect more with family and friends, try to learn to pour out the inner pressure, and reduce loneliness through social activities.
4. Make good use of social media, such as LINE, FB, IG, etc., to establish connections with others and maintain close relationships.
5. Eat more foods containing dopamine, such as fresh milk, bananas, nuts, etc.
6. Cultivate dynamic and static interests and hobbies, such as reading, listening to music, writing calligraphy, doing volunteer work, planting flowers, singing, etc.
7. You can seek the support of a professional psychological counseling system, and let a psychological counselor help you deal with stress, improve emotional distress and other problems.
8. Take good care of yourself and be aware of your emotional changes. If you have symptoms of depression for more than 2 weeks, you should seek medical attention immediately and let professional medical care take care of you. Underpants and panty liners should be changed frequently to keep them dry and clean.


Among the silver-haired people over the age of 65, the rate of women suffering from dementia is about 8.1%, which is higher than that of men (5.4%), and the male to female ratio is about 2:3.

Progressive degeneration of the brain in dementia

According to the statistics of the World Health Organization, there are currently 55 million people suffering from dementia in the world, and it is estimated that the number will increase to 78 million by 2030; by 2050, the number will reach 139 million. About 1 person develops dementia every 3 seconds, and 10% of those affected are under the age of 65.

Among the silver-haired people over the age of 65, the rate of women suffering from dementia is about 8.1%, which is higher than that of men (5.4%), and the male to female ratio is about 2:3. Why are women more likely to suffer from dementia? Lin Zhihao, an attending physician at the Neurology Department of Wurilin New Hospital, speculated that it might be caused by these five reasons.

1. The average life expectancy of the female population is longer, and the attack rate of dementia after the age of 65 will double the risk for every 5 years, which makes the attack rate of women higher.
2. Affected by female hormones, women will lack the effect of estrogen after menopause, and are more likely to suffer from dementia.
3. Genetic influence. As far as we know, the ApoE4 gene may be a risk factor for dementia, because the ApoE4 gene can cause amyloid to accumulate in brain cells, and women have an increased risk due to early menopause or hormone therapy. high.
4. The level of education at a young age is directly proportional to the level of dementia in old age. If the older generation of women has a low level of education and less knowledge and ability savings, they are more likely to suffer from Alzheimer’s disease.
5. Clinical studies have shown that people with depression or sleep disorders are more likely to suffer from dementia than the general population, and women are twice as likely to suffer from depression than men because of their social and family roles.

Yang Shengxiang, chief physician of the Department of Neurology at Chi Mei Medical Center, said that dementia is not simply normal aging or memory loss, but a disease of progressive brain function degeneration. Patients will experience memory loss, cognitive decline, and a gradual loss of thinking ability. Interfering behaviors such as emotions, delusions, and hallucinations may also appear at the same time. He further explained that patients will gradually lose the ability to take care of themselves, and life needs the assistance of others to carry on. There is currently no cure for dementia, but if it can be detected early, it is possible to delay and improve the deterioration of symptoms through drug and non-drug treatment.

Early symptoms of dementia

Dementia is the number one culprit that causes the quality of life of the elderly to decline, and even face an early death. Please make more use of the early symptoms of dementia to detect the condition of the elders in the family. If you have more than 2 symptoms, you must be vigilant and accompany you to see a doctor or seek assistance from the dementia mutual care center as soon as possible without delay.

1. Difficulties in judgment.
2. Decreased interest in activities and hobbies.
3. Repeat the same questions, stories and statements.
4. Difficulty learning how to use tools, equipment, and gadgets.
5. Forgetting the correct month and year.
6. Difficulties in handling complicated belongings.
7. Trouble remembering when appointments are made.
8. Have persistent thinking and memory problems.

Cardiovascular Disease: The Deadly Crisis After Menopause

According to the Ministry of Health and Welfare’s statistics on the top ten causes of death in 110 years, heart disease is the second among the top ten causes of death among women, taking a total of 9,213 precious lives; if diabetes, high blood pressure, cerebrovascular disease, and kidney disease disease, resulting in the death of 26,590 women.

Epidemiological studies have found that men under the age of 50 have a much higher rate of coronary heart disease and myocardial infarction than women; however, women over the age of 60 have a higher rate of cardiovascular-related diseases than men .

Professor Li Qilong of the Department of Obstetrics and Gynecology of Chang Gung Hospital said that premenopausal women are protected by estrogen, so they are less likely to suffer from cardiovascular diseases; postmenopausal estrogen decreases, which is not enough to protect the cardiovascular system, and after 10 to 15 years, ischemic disease occurs. The rate of heart disease is as high as that of men.

The American and European Heart Associations also pointed out that menopause is due to the degeneration of ovarian function, which leads to the decrease of estrogen secretion. In addition to menopausal syndrome, there will also be problems such as visceral fat accumulation and enlarged waist circumference due to the slowdown of overall metabolism, and then suffering from three highs, Obesity, etc., affect women’s cardiovascular health.

According to the 2010 National Health Interview Survey data, the incidence of hypertension and diabetes among women aged 46-55 is about three times that of women aged 40-45, and hyperlipidemia also tends to increase with age; Data show that people with three highs have a future risk of cardiovascular disease that is 1 to 2 times that of normal people.

Li Qilong reminded that after women enter menopause, they should pay more attention to the health of the heart and blood vessels. It is recommended to use the “5 ways to protect the heart”, starting from the control of risk factors and regular health checks, so as to stay away from the threat of cardiovascular diseases during menopause.

Balanced diet

Menopausal women are prone to gain weight. It is recommended to adopt a balanced diet, such as reducing the intake of sugar, salt and trans fat, eating more vegetables, fruits and whole grains, replacing sugary drinks with plain water, steaming, boiling and blanching Replace fried food etc.

regular exercise

The World Health Organization recommends that adults should accumulate 150 minutes of moderate-intensity physical activity every week, such as brisk walking, jogging, cycling, etc., to increase bone density, strengthen muscles, prevent osteoporosis, increase basal metabolic rate, and achieve weight control and BMI The goal is also to avoid visceral fat gain.

relax

In the busy work and life, moderately arrange reading, travel and other leisure activities and sports. You can also talk more with family and friends to relieve stress in a timely manner, and your mood will also be cheerful.

say no to smoke

Nicotine and other substances in tobacco can accelerate arteriosclerosis, make blood thicker, blood vessels lack elasticity, and cause the risk of stroke or myocardial infarction.

regular health check

The National Health Service provides free adult preventive health care services for people aged 40 to 64 once every three years, and people over 65 years old once a year. If there are any abnormalities in the three highs, please follow up regularly and follow the doctor’s prescription. Do not adjust according to symptoms dosage or withdrawal.

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arts/Unspoken secret!Five common problems for women Pamper yourself and start with your health
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further reading

Summer is the season for UTIs!Often “holding back urine” may lead to infection

. Repeated urethritis, cystitis?Medical warning: Quick self-examination, fear of something growing in the “front end of the urethra”

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