Menopause health management PPT

The core of menopausal health management has never been to "suffer through it" or to copy a unified health strategy, but to focus on individual symptoms and physical foundation, give priority to solving the problems that most affect the current quality of life, and make flexible adjustments in multiple dimensions. There is no standard answer that suits everyone.

Last week I met 48-year-old Sister Zhang in the outpatient clinic. The first thing she said when she entered the door was "Am I going crazy?" She said that in the past six months, she always wakes up sweating all over her body in the middle of the night, as if there is a little sun in her chest, and she often gets angry with her husband and children. I watched short videos and saw people saying that taking soy isoflavones during menopause is enough. I bought the highest dose and took it for three months. My symptoms didn’t get better. Last month’s physical examination revealed that the original grade 3 breast nodules were 2mm longer. I was so scared that I quickly stopped going to see a doctor. In fact, this is also the biggest misunderstanding that many people have about menopausal management: they always think that there is a universal "magic prescription", and others can copy it if they use it well. However, based on many years of clinical experience, even two people who are the same 49 years old and have exactly the same symptoms of hot flashes and night sweats may have completely different intervention plans.

At present, there are actually different directions for menopausal intervention in the industry, and there is no absolute right or wrong: the consensus in the field of Western gynecological endocrinology is that if you have no history of estrogen- and progesterone-dependent tumors, normal liver and kidney function, menopause within 10 years, moderate to severe hot flashes, For symptoms such as sleep disorders and vaginal dryness, the effectiveness of low-dose estrogen and progesterone supplementation can reach more than 90%. It is currently the fastest-acting solution. There is really no need to talk about hormone discoloration. Many people are afraid of getting fat and getting cancer. In fact, if used in a standardized way, the risk is lower than staying up late for a long time and eating takeout. However, the traditional Chinese medicine system is more focused on overall conditioning. Many people's menopausal symptoms are actually caused by liver and kidney yin deficiency, liver stagnation and spleen deficiency. There is no need to supplement hormones. Taking Zhibai Dihuang Pills and Xiaoyao Powder according to the syndrome type, combined with moxibustion or Baduanjin 2-3 times a week, the improvement rate of mild to moderate symptoms can reach about 70%, which is more suitable for people who do not want to take hormones. There are also colleagues who practice naturopathy. They have many cases in their hands. They just adjusted their diet, increased resistance exercise, and practiced mindfulness to reduce stress. They survived menopause smoothly without taking any medicine, and there were no long-term risks such as osteoporosis and cardiovascular problems.

I was particularly impressed by a 52-year-old university teacher who was here to prescribe sleeping pills last year. She had grade 4 breast nodules and was afraid to touch anything containing hormones. She also didn’t want to take Chinese medicine that would be bitter. So I gave her a few suggestions: do Tai Chi for 40 minutes every morning, eat a handful of flaxseeds in the afternoon, replace the white rice and flour at home with one-third of whole grains such as oats and quinoa, and avoid high-sugar and oil-rich foods. She really followed the instructions strictly. After three months of follow-up consultation, the night sweats that used to wake her up more than ten times a week have basically disappeared. She used to be unable to control her anger with students. Now her colleagues in the teaching and research office ask her if she has taken some "Qingxin Pills".

Oh, by the way, there are a few pitfalls that everyone often steps into. I have to mention that many people take calcium tablets as soon as they reach menopause. Last time, an aunt took 3 calcium tablets a day, but her legs still cramped. When I checked, the vitamin D was only 12ng/ml. No matter how much calcium you supplement, there is no D to help absorb it, and it is all excreted with the feces. It is a complete waste of money. There are also people who drink soy milk every day, saying that it can replenish estrogen. Don’t be silly. The activity of isoflavones in soybeans is only one thousandth of human estrogen. To reach the effective dose, you have to drink 10 pounds of soy milk every day, and it will be useless even if you drink it until you have flatulence. If you really want to use phytoestrogens to regulate, it is better to choose purified low-dose soy isoflavone preparations. Of course, the premise is that you have no risk of breast or endometrium-related diseases.

Another controversial point is that it is said on the Internet that menopause cannot drink coffee or milk tea. In fact, this is not absolute. I have read foreign studies and found that people who drink no more than 2 cups of black coffee a day have about 15% lower frequency of hot flashes than people who do not drink at all. However, if you have problems with palpitations and poor sleep, and your heart beats faster after drinking coffee and you cannot sleep, then you must stop. All taboos depend on your own body's reaction. There is no one-size-fits-all "fasting list."

I have been in women's health management for almost 13 years, and I have seen too many people treat menopause as something shameful. They either carry it hard until they are depressed or have a fracture, or they make up for it randomly and only regret it when problems arise. In fact, to put it bluntly, menopause is just a normal stage of life like puberty and pregnancy and childbirth. You don’t need to force yourself to “suffer it and get over it.” You don’t need to be overly anxious and look for magic medicine everywhere. Find a reliable doctor to evaluate your physical condition and choose a plan that you can stick to and do whatever makes you feel comfortable. That’s enough.