Look! Three Generations of Mothers' "Health Tips"

Medical guidance

Lin Xian, Sun Yat-Sen University

Dr. Lu Zhengqi, Director of Department of Neurology, Third Affiliated Hospital of Sun Yat-sen University

The First Affiliated Hospital of Guangzhou Medical University

Wei Qinling, Deputy Chief Physician, Department of Psychology, Third Affiliated Hospital of Sun Yat-sen University

Today is Mother's Day. What is the best gift for mom? health! According to experts, different ages of mothers have different health risks.

One of the major health risks faced by elderly mothers is Alzheimer's disease. How to prevent Alzheimer's disease, how to make the old mother "don't forget us"?

Middle-aged mothers, due to the decline in estrogen levels, will most likely encounter menopausal syndrome. How to care for menopausal mothers, menopausal women how to deal with menopausal syndrome?

Young mothers, how many will have various gynecological diseases, especially the risk of gynecological tumors. How to prevent gynecological tumors? Can young mothers have normal sexual life after oncological surgery?

Let's take a look at the “Health Tips” recommended by experts for three generations of mothers. Of course, don't forget to take your mother regularly for an individual check.

Older mother

With my mother to do "memory exercises" so that my mother "do not forget me"

Until the white hair is full, there is still mother can be attached to her side, which is a great happiness in the world. However, if Mom's memory is stolen by the disease and the child is no longer remembered, happiness will fade.

“There are more and more Alzheimer's patients appearing in outpatient clinics, often accounting for 60% to 70%.” Dr. Lu Zhengqi, director of neurology at the Third Affiliated Hospital of Sun Yat-sen University, pointed out that Alzheimer's disease is the most common type of dementia. Patients with dementia show a decrease in their ability to think, remember, comprehend, calculate, language, judgment, orientation, and learning when they are awake, and are partially accompanied by changes in their personality.

Many people think that if they have Alzheimer's disease, they will immediately become "demented". This is not the case. From a very mild cognitive dysfunction to a dementia stage, there are often years of “time windows” that vary from person to person. Recent memory deficits are the earliest clinical manifestations. Occasionally forgotten at first, the patient also has anxiety, depression and other emotional changes, manifested as insomnia. As the condition worsens, the elderly will have frequent recent forgetfulness, mainly because they can't remember appointments or tasks, they can't remember what happened recently, and even what they just said will be forgotten. When the condition develops further, A considerable number of patients will experience delusions.

As there is a "time window" for the development of Alzheimer's disease, as long as it is grasped and active treatment measures are taken, there is hope to retain as much memory as possible for mothers, so that mothers "do not forget me", Lu Zhengqi suggested that spouses, children, etc. The companionship of the closest people is the most welcoming "drug." Companionship is not to be quietly with the elderly, but rather to talk to the elderly about the shortness of parents and urge the elderly to mobilize their memory.

Many people love to be quiet in their old age. However, to prevent Alzheimer's disease and delay the progression of the disease, we must let the old people move and use both brain and body movements to help stimulate the brain and maintain memory. For example, the elderly love playing mahjong, playing chess, playing cards, dancing and swimming, and the results are good. Women may wish to cook and cook their meals frequently because cooking well requires brains and follow certain procedures, which is equivalent to "memory exercises."

Lu Zhengqi suggested that the elderly must avoid tobacco, do not drink too much, three meals should pay attention to reduce salt, sugar intake, food mainly cereals beans, while intake of high-quality protein such as fish, lean meat, eat more fruits and vegetables, also To control weight. Tableware kitchenware does not use aluminum products to reduce the risk of intelligence due to aluminum poisoning. Daily supplementation of 1000 international units of vitamin D3, 50 mg of coenzyme Q10, and 1000 mg of omega-3 can also be used as a preventive measure.

Middle-aged mother

Mitigating menopausal syndrome, hormone supplementation is most effective

“The menopause, the life stage that every woman will experience.” Shi Xiujie, the chief gynecologist of the Third Affiliated Hospital of Guangzhou Medical University, introduced the medical term menopause as “perimenopausal syndrome” and “menopausal syndrome” (MPS). .

Women under 60 may consider hormone supplementation

"The menopause is not a certain age point, but refers to the decline of ovarian function until a period of one year after menopause." She said that age is the most important cause of menopause. When women reach a certain age, ovarian function gradually declines, and menopause will gradually occur. A small proportion of women who have experienced ovariectomy, radiotherapy, or chemotherapy can also affect premature ovarian failure, leading to menopause. This is "artificial menopause." The average age of menopause in Chinese women is 49.5 years old. In fact, in the years before this, women had already entered the “perimenopause period”.

Sheng Xiujie introduced that the use of hormone supplementation by women is not a life requirement, but a need to improve the quality of life. Menopause does not harm women’s lives, but it directly affects women’s quality of life. Therefore, women under the age of 60 can consider hormone supplementation therapy under the guidance of a doctor for the purpose of improving quality of life, while excluding the contraindications to hormone use.

"Menopause because ovarian function decline, follicular development stopped, leading to a downward trend in estrogen, there are symptoms of menopause." Shengxiu Jie said, including hot flashes, sweating, fatigue, insomnia, irritability, anxiety, suspicious, depressed In addition, some women also experience knee pain, headaches, dry or itchy vagina, difficulty in sexual intercourse, low sexual desire, urinary incontinence, and prolapsed uterus.

Menopausal hormone supplementation is currently the treatment for menopausal symptoms. Hormone replacement therapy can regulate the menstrual cycle, reduce the number of daily hot flashes, reduce the degree of hot flashes, reduce night sweats, reduce vaginal dryness and pain during intercourse, improve mental status and physical health; use hormone supplements for longer treatment, there will be long-term Benefits: Increase bone mineral density, reduce osteoporosis or fractures, lower blood pressure, regulate blood lipids, and reduce the risk of cardiovascular disease.

Hormone replacement therapy does not significantly increase breast cancer risk for 3 to 5 years

Sheng Xiujie said that there are some health products for menopause in the market, because their composition and effect cannot be evaluated and their therapeutic effects on menopausal symptoms cannot be determined. In current medicine, menopausal hormone supplementation is an effective way to improve menopausal symptoms. For women with menopausal hormone supplementation, some women have such concerns. For example, if hormone supplementation is used, will it be fat? Will there be a risk of breast cancer? In this regard, she believes that estrogen and progesterone is not the usual glucocorticoid, but the female hormone, is to maintain the physiological function of female hormones. Different hormone supplements also have different effects on the body's overall fat and fat distribution. Under the guidance of a doctor, selecting the appropriate combination of estrogen and progesterone can not only avoid weight gain, but also reduce weight.

As for whether the use of hormone supplementation will lead to breast cancer, Sheng Xiujie said that the Chinese menopause guidelines indicate that hormone supplementation for 3 to 5 years will not significantly increase the risk of breast cancer in patients. Foreign clinical studies have shown that after 5 years of follow-up observation of postmenopausal women using hormone supplementation, the use of different estrogen and progesterone will have different risk of breast cancer. The key lies in the selection of hormones. Hormone replacement therapy Do not self-medicate or discontinue

Sheng Xiujie reminded that menopausal hormone supplementation must be administered under the guidance of doctors and pharmacists. At the same time, do not use your own medicine or stop the medicine.

She said that after starting hormone supplementation therapy, it is recommended that follow-up consultations should be conducted at 1, 3, 6, and 12 months after treatment. It is advisable to follow up at least once a year after one year of treatment. If you have abnormal vaginal bleeding or other adverse reactions, you should return to the clinic at any time. Each visit must be carefully informed of the doctor's medication and comorbid conditions. Unexpected vaginal bleeding sometimes occurs after starting hormone supplementation. If it is a bit of bleeding can continue to observe medication; if the amount of bleeding close to the amount of menstruation, you need to immediately return to the diagnosis; the use of hormone therapy within the first 3 months of breast pain is more common, generally continue to reduce hormone therapy. It is recommended that breast examinations be performed at least once a year (B ultrasonography or group target photography etc.); a small number of patients will have milder gastrointestinal symptoms after hormone therapy and may be relieved in the short term; long periods of gastrointestinal symptoms are present. If you do not ease, you need to return to the clinic.

Young mother

Can gynecologic cancer be sexualized after surgery? After the body recovers!

Sheng Xiujie introduced that the Guangzhou Municipal Center for Disease Control and Prevention announced the 2013-2014 Guangzhou Cancer Registry Annual Report. The report shows that the top five female cancers in Guangzhou are breast cancer, lung cancer, rectal cancer, thyroid cancer, and cervical cancer. .

In gynecological diseases, gynecological tumors are the major threat to women's health. Common gynecological tumors include vulvar tumors, vaginal tumors, uterine tumors, ovarian tumors, fallopian tube tumors, and cervical cancer. Therefore, regular and regular physical examination is very important for women to prevent gynecological tumors.

“Whether gynecological cancer patients can have sex after surgery is a concern for many young mothers.” Sheng Xiujie said that gynecologic cancer has a greater negative impact on the quality of life of women. Can I still have sex?

Sheng Xiujie describes that in women undergoing gynecological oncology surgery, women of almost every age will ask whether sex can be performed after surgery. This worry comes from the fact that some gynecologic tumors have a certain influence on sex before surgery. For example, the main symptom of cervical cancer is contact bleeding; endometrial cancer often has irregular vaginal bleeding; these have certain effects on sexual life. Ovarian cancer has no symptoms in the early stages and does not affect sexual life. However, discomfort may occur in the late stages of ovary cancer and affect sexual life. On the other hand, some gynecological oncological surgery will remove female genitalia, and many women worry that this will affect postoperative sexual life.

Sheng Xiujie describes the effects of postoperative sex on several aspects:

1. After a certain period of time, women are weak and in the recovery period of the body, it will certainly affect sexual life.

2. The vaginal incision needs to be restored. Surgery such as excision of the uterus will result in a vaginal incision. Ovariectomy will also result in an incision, which is not suitable for sexual activity until the guide incision has healed.

3. After oophorectomy, changes in hormone levels in the body. Ovariectomy results in the loss of female estrogen and causes a series of symptoms that are similar to menopause and affect sexual life.

4. Emotional factors. Poor mood, worry about worry or physical weakness, etc. will affect postoperative sexual life.

Shengxiu Jie said that with the recovery of the body of gynecological cancer patients, sex life can fully return to normal. For patients undergoing hysterectomy, complete vaginal healing takes 2 to 3 months. After the broken ends of the vagina have healed, sexual life can begin. For patients who have undergone ovarian resection, low estrogen performance may occur, and some patients may be given supplemental drugs to control symptoms under the guidance of a doctor to improve the quality of life. In addition, the family's understanding and emotional support are the key to helping gynecologic cancer patients rebuild their confidence in life. Some patients also worry that there is no relationship between postoperative sexual life and tumor recurrence. Sheng Xiujie said that there is no research to prove that sex can cause recurrence of gynecological tumors, so there is no need to worry about this.

(Text/Guangzhou Daily reporter Huang Rongfang, Ren Shanshan correspondent Bai Yi, Jiang Ye (other than signing))

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