medical care, and, in, north, america, emergency, health, diabetes, urgent, clinics, walk, health, » Women’s Health

Osteoporosis

admin — Wed, 11 Nov 2009 13:24:23 +0000

Osteoporosis

Risk of bone loss in postmenopausal women with faces, but with early diagnosis can help protect your future. After menopause, many women with osteoporosis can result in bone loss develops. However, relatively very small number of women diagnosed with osteoporosis or treatment was applied. Many symptoms of bone loss is very important to know the quiet. Therefore, to guarantee a healthier future for a moment before you can do everything you should do. In this section of our Web site, bone loss and includes basic facts about osteoporozla. Before talking with other health professional doctor this section, please start by reading. After reading this chapter in the fight against bone loss is hope and help you learn.

Osteoporosis, bones become more porous and that leads to increasingly weak and fragile, is a disease ( “osteo” bones, “porous” means that the porous). Healthy Bones Osteoporotic Bone Healthy bone is dense and strong and can withstand large amounts of pressure. However, the development of osteoporosis, bones become fragile and are viewed that this increases the possibility of bone fracture. Osteoporosis Causes Our body, on the one hand the old bone destruction, while the formation of new bone was on the other hand is such a balance. In this balance, bone destruction is very much depending on which is enough to renew or imbalance, osteoporosis causes. The most important factor contributing to this imbalance is menopause. Years until the mid-30s, most women lose more bone than it wins. Then, this balance usually varies with the amount of bone and lost roughly equals the amount of bone replacement. However, hormonal changes during menopause, so estrogen (female hormone) levels decrease bone loss accelerates. This bone loss reaches a serious level, that person will develop osteoporosis. What are the effects Osteoporoz’un may lead? In the early stages of osteoporosis, can be the difference in quality can lead to very few physical changes. However, the disease progresses, especially the spine, wrist and hip bone fractures can occur with the simple trauma. Bone loss in people with pain, to shorten the length, or limitation of motion of the spine to bend even ( “humpbacked crone as” also known) may lead. These physical symptoms of a person’s self-confidence and strength may decrease. At the same time, healthy, active life, including the ability to maintain a person’s status, even someone else may remain dependent. There are several ways to fight Osteoporozla. The most important, early detection of osteoporosis, the other is the treatment.

Who is under the RISK?

Those most at risk are women in menopause. Menopause usually starts around 50 years old, but any reason ovaries taken earlier age in women can begin. Postmenopausal women at risk than women in other groups are. Bone loss tends to most women, those who have family history of osteoporosis, the white race and Asian women, thin, small bone built are women. Other factors that may contribute to the risk of osteoporosis: Non Too much alcohol consumption Little exercise Little calcium intake (now or in childhood) Had a small bone fracture accident Steroids (often used in the treatment of asthma and arthritis) and thyroid hormone (very high doses) such as the use of certain drugs Early menopause (45 years ago) If you think you are faced with the risk of osteoporosis if you: Talk to your doctor your doctor of certain signs and symptoms can tell you whether or not osteoporosis. X-ray, bone loss is more advanced in the period helps to diagnose osteoporosis. Bone density test, keep in mind It is difficult to detect osteoporosis, a bone density test, your doctor may ask. This is precisely the intensity of investigation of the bone is the easiest way to measure, especially in the early period, your doctor may help in disease diagnosis. Repeated in the future examined, your doctor may also help in monitoring your rate of bone loss. Various types of bone density tests are available. These reliable, test is painless and does not disrupt the integrity of the body. It also takes a short time and most of them only a few minutes. To do this test your doctor to determine whether you have osteoporosis the most reliable way to help. If you think you are at risk, bone density test, ask your doctor whether you need to do. Take care of your bones Slow bone loss that may occur in the future about methods dokturunuzla talk. Although osteoporosis importance of calcium intake, calcium bone loss after menopause can not completely prevent bone or re-construction can not provide. Regularly walk, run, do sports and light aerobic exercise may help in increasing your bone strength. Ask your doctor to meet your needs is an exercise program to help prepare ask. If you diagnosed with osteoporosis if Act Nothing can make the mistake of thinking do not. Or calcium intake and regular exercise to improve the osteoporosis do not believe enough. There are many things you can do. Treatment options with your doctor and your bones healthy and strong as possible to keep talking about ways to get started. Be careful Existing information concerning the treatment of try. Medical science is constantly discovering new treatment options, and you need to know all the options. Discuss them with your doctor again. Relax If a diagnosis of osteoporosis if you are not alone. Over 200 million women have osteoporosis in the world. Yourself as one of the lucky ones, try to think, because now you know what you can do to fight osteoporozla.

What is Menopause

admin — Wed, 11 Nov 2009 13:07:57 +0000

What is Menopause ?

Women, on average, one third of his life in the period through menopause. Age of menopause and all over the world since ancient times did not show much change and the average is around 45-55. To 40 years before menopause, “early menopause” is defined as. Menopause usually regarded as a stage of life is natural. Indeed, menopause, women’s life after the end of the spawning function is a natural step. However, some changes which POSTMENOPAUSAL women’s lives and so deeply negative impact that the situation to the emergence of many diseases and causes of reduced quality of life of women. These days before the negative effects of menopause and to be treated like a disease is considered to be attempted. A natural part of life for women Menapozun do anything from monitoring because of no longer remains. Laboratory conditions, particularly women of ovarian hormones are produced and used in further processed this concept has come to the fore. The replacement of ovarian hormones POSTMENOPAUSAL decreasing the negative changes and menapoza all diseases can be easily pre or minimize.

The female hormone estrogen ovulation Menapozdaki fundamental changes as a result of the decrease stops. Thus, in women,

Hot flushes, sweating, palpitations
Insomnia, nervousness, (mental depression) depression, forgetfulness, fatigue, short temper
Sometimes in sexual desire (libido) decrease
Osteoporosis (osteoporosis)
Hardening of the arteries (atherosclerosis) tends to develop
Withdrawal of sexual organs (atrophy), dryness, painful relationship
To urinary incontinence in up to atrophy
arises.

Women wake up one morning, they find themselves do not have menopause. 20 years in the middle of menopause is the period of changes. After 40 years in women before ovulation, depending on the reduced irregular menstruation, intermittent hot flushes and sweats, psychological changes begin to emerge. Then gradually increases, and complaints unit is disconnected completely. 1 year in this period piece is sufficient for the diagnosis of menopause lack of bleeding. One of more than 6 months delay to investigate whether the blood that stimulate ovulation and estrogen hormone (FSH) levels were measured and precise diagnosis is. However, irregular periods or irregular bleeding menopause thought I should not be against the normal patient of these changes by contacting your doctor pregnancy and genital cancer in women can be seen from these diseases can be kept in mind should be investigated carefully.

POSTMENOPAUSAL HEART AND VASCULAR DISEASES
The reduction of estrogen hormone in women with POSTMENOPAUSAL of these hormones in cardiovascular disease protective effect disappeared because of hardening of the arteries and heart attack risk 60% increase. As a result of work done outside of the hormone estrogen reduce the risk at a rate of 25-50% was found. Hormone estrogen in the blood while reducing harmful fats increases the useful oils. Estrogen directly on the vascular relaxant also, has a positive effect. Fibrinogen in the blood clotting factors and also found to be less than those who used estrogen and vascular bed of a heart attack within the protective effect of reduced risk of clot formation has been reported to be also connected.

POSTMENOPAUSAL osteoporosis (OSTEOPOROSIS)
Approximately 25 million women in the United States with the problems of osteoporosis after menopause main mineral of bone tissue which is roughly the calcium deficiency as a result of aging and estrogen menapozdaki is permanently lost. The mean bone loss in the first 5-8 years, 4-8% per year while the women and then partially reduced each year approximately 1% of bone tissue and 75 years old when it loses, on average, 30% of the 35-year-old bone tissue is lost. Accordingly osteoporosis menapozla results with the rapidly growing pains with silent spine fractures, length contraction and kamburluk revealed. 65 years until a woman POSTMENOPAUSAL average 4 cm in length, 9 cm up to 75 years shorter. Depending on bone fractures in the spine collapse and rib cage emerged kamburluk result of the deterioration of the bone structure in patients with respiratory distress may develop. Impact of falling POSTMENOPAUSAL women hip, wrist and other bone fractures also can be exposed more easily. One of the most serious of these fractures are hip fractures and hip fractures after the 12-20% of patients are lost within 2 years. Patients undergoing hip fracture a portion of the rest are in need of constant care. Therefore, treatment and rehabilitation in the United States the annual expenditures amount to 20 billion dollars and this figure is increasing every year. Protection in this respect the most economical, easiest and most humane method stands out as our opposite. Ground for the risk factors for osteoporosis:

Multi childbirth
Smoking, alcohol use
Nutritional disorders (calcium-poor diet)
The absence of sun bathing habits
Sports do not have the habit of
Bound to the bed for a long time causing diseases
Some endocrine (hormonal) disorders (hyperparathyroidism, hyperthyroidism (goiter), adrenal gland, or excessive work as a medicine long-term intake of steroid hormones, etc.).
Connective tissue diseases (rheumatoid arthritis, sarcoidosis), liver cirrhosis, kidney disease, premature menopause
Genetic factors (presence of osteoporosis in family)

POSTMENOPAUSAL URINARY CHANGES ROADS

Lack of the hormone estrogen and feminine organs of neighborhood togetherness because of physiological functions that affect the urinary tract and bladder. Vaginal and urinary hole (urethra) support tissues are weak, the bladder function impairment may increase or if the urinary incontinence may occur. During this period, bladder hernia healing, uterine atrophy due (uterus) or urinary incontinence and vaginal prolapse of the reason may be. However, the most common cause of urinary incontinence is common POSTMENOPAUSAL bladder over-activity which is due to the untimely contractions (detrusor instability). These patients often miss out on the urine in the door jam, they are the toilet could not grow. 10% of pre-menopausal women in the period after the 20% in 30 common POSTMENOPAUSAL this situation is encountered. Applied to vaginal or oral estrogen hormone reduces or corrects complaints.

Menopause DIAGNOSIS AND TREATMENT

Minimize the negative effects Menapozun most important pre-condition recognize the earliest stage is to be started whether early treatment. In the first year because most are menapozdaki losses. Menopause as a basis to stop ovulation (natural) or the receipt of the ovaries (surgery) or not work depending on the damage occurs. After 40 years of age and do not menstruate for a period of 1 year or a woman with complaints without further research POSTMENOPAUSAL is acceptable. Menapoza transition period, pregnancy and malignant diseases that cause irregular bleeding should be distinguished. For this, see rare pieces that, flushing, palpitations, sweating and psychological changes a woman’s piece of the 3 on the blood taken, the ovaries that stimulate hormone (FSH, LH) levels has increased and more accurate diagnosis and treatment would have been early can be started immediately. Irregular (usually rare) piece on a woman with FSH at 40 pg / ml is placed strictly on the diagnosis of the menopause. FSH values 25-40 pg / ml in the case of the accession process began in menapoza, albeit infrequently, but ovulation and pregnancy are also thought to be. But in all cases of pregnancy and other diseases that cause irregular bleeding pregnancy test, ultrasonography and endometrial biopsy (abortion), etc. and should be investigated.

HORMONE THERAPY with

Disorder or lack of the hormone estrogen decline in the major is the basic treatment is to give the hormone estrogen. If the patient does not have not been diagnosed for the inconvenience;

Oral
Or a lot of bands with the gel skin pasted
Vaginal
estrogen replacement therapy is essential to begin.

Creates barriers to the use of hormone status:

New heart attack (myocardial infarction) who had
Transient ischemic attack
Been spent stroke (cerebrovascular accident), brain vessel blockages
Of liver function is corrupted
Presence of advanced tumors with estrogen (breast, uterus)
Thromboembolism (blockage of blood vessels with clotting damariçi)

Careful and controlled to be used when:

Ischemic heart disease (hardening of the arteries due to malnutrition)
Hypertension (high blood pressure)
Gall bladder diseases and stones
Diabetes Mellitus (Diabetes)
Hiperlipemi (blood fat, cholesterol, the rate is higher)
Migraine headaches
Million (in uterine tumors)

Before starting hormone therapy, possible side effects of these drugs used for many years and circumstances that may arise due to be known by the patient, preparation should be made. Preliminary research:

General body and gynecological examination, blood pressure, weight, weight measurement
Liver functions (liver enzymes in blood, fats, cholesterol is measured)
Blood and urine tests (general controls)
Cervical smear (cervical cancer to investigate the smear taken)
Mammography (breast cancer screening)
Endometrial biopsy and / or vaginal ultrasound and endometrial thickness measurement (the cervical cancer screening)
Fasting Blood Sugar (Diabetes investigation)
Electrocardiography (heart attack or malnutrition in the investigation)
If you need bone density measurements (to prevent fractures and to investigate the requirements for other drugs)
This tests the patient according to the state for at least 1 year intervals is repeated.

Hormone-free Treatment
Usually not directly against menapoza, created diseases (osteoporosis, etc.) and methods used against the drug contains.

Calcium Support
Bisphosphonates
Vitamin D
Diet
Calcium-rich diet is essential. Milk, yogurt, cheese, etc. try to pre-diet is bone loss.

Exercise
Simple 30-minute walk every day and lifting weights, muscle strengthening movements, is as important as medication. In the summer sunlight (ultra-violet) to benefit from regular sunbathing is useful.

TREATMENT OF DISEASES THAT

Although the prevention of disease could not be objective when the front is the appropriate treatment.

Melting of bone
Appropriate treatment is fracture occurred with physical therapy and rehabilitation will be provided. Arise due to fracture caused kamburluk physical therapy for pain and respiratory distress and is trying to help patients atellerle appropriate. For the prevention of the formation of a broken home, patients should be rearranged according to. Stair edges, bathroom and toilet to hold onto the arms are made. Power failure may occur immediately to avoid collision and fall special battery or stairs can be placed jenaratörlü lamps. Slippery in places covering materials (carpets, rugs, etc..) Can be made stable.

Urine Abduction
Bladder neck or bladder to sag to be increased activity (detrusor instability) depends. Bladder neck surgery in cases where the floating art; incontinence due to bladder muscle contractions untimely medicine, physical therapy and / or bladder treatment is appropriate based on the electrical simulasyonuna. What to do about treatment by a physician’s expert examination, laboratory and Urodynamic (bladder filling, micturition pressure and kidnapping with a computer record) should be decided in such studies. Well-chosen patients to treat urinary incontinence may lead to improved growth as.

PSYCHOLOGICAL PROBLEMS

Especially in the first year to be cut from pieces for women, hot flashes, sweating, loss of ability to bear children, such as missing woman disorders, isolation, depression, inner-closing, insomnia, excessive irritability and aggression may cause. In this case, get a psychiatric treatment recommendations and are needed. Exercises to try to make a deep problem.

Sexual Problems

POSTMENOPAUSAL sexual desire is not affected. Female sexuality is a behavior that can be learned. In general, pregnancy, fear elimination, professional life (career, earning money etc.) caused concern to reduce their child has grown up with a decreasing dependence on physical, year formed by experiences, spouses each other more well-known result of women’s sexual menapozdaki life even more color to be very natural. Menopause may occur when the period of depression and adjustment of sexual desire (libido) an amount panic without knowing the reduction would be appropriate to refer to counseling and treatment is the most rational way. Otherwise, the missing woman, worthlessness, feeling of being diseased may take longer to reduce their sexual desire, or may be permanent. Decreased sexual desire and vaginal entrance in the withdrawal from vaginal POSTMENOPAUSAL (atrophy) due to dryness and painful relationship and the related reluctance may occur. In such cases, a local hormone or lubricant gel applications, problems are solved. Do not forget “Life begins at forty”.

Menopause and Family

Menopausal women alone is a problem difficult to overcome. Spouses and children must be considerate and help women in this period. Support and suggestions of a woman with close menapozu easiest meet. This psychological support and suggestions, information, or to provide continued treatment may take the form.

Is also a period in your life naturally Menapozun without forgetting, by taking necessary measures to wish happy life to spend!

Breast Cancer

admin — Mon, 09 Nov 2009 14:59:26 +0000

WHAT IS BREAST CANCER?

Breast milk glands and breast milk produced here is a collection of channels per carry. This milk glands and ducts of the cells spread, in the way defined above, multiply out of control as to various parts of the body to continue to gradually increase breast cancer is called.

WHAT IS BREAST CANCER RISK FACTORS?

Some characteristics in women with breast cancer is more common know. These features are also risk factors. These risk factors for breast cancer from people who absolutely can not be said staff will be caught. Only these factors compared to non-move, the more the likelihood of breast cancer as we know. These factors in breast cancer can be people who do not carry. Half of the women develop breast cancer, it does not carry any risk factors. Therefore, the risk factors in people who do not carry the usual checks done.

Increase breast cancer risk factors can be considered briefly in the following way;
Age: Advanced age is an important risk factor. New breast cancer diagnosed 70% of women, is over 50 years. In other words, age over 50 years the prevalence of breast cancer in women, who are under age the age of 50 is 4 times more than women. Therefore, every woman over age 50, certainly once a year per physician and mammography at the breast should be examined by shooting the film should take.

Personal history of breast cancer: breast cancer had previously been treated in women, and others likely to develop breast cancer compared to normal women is 3-4 times more.
A family history of breast cancer: breast cancer among relatives caught up in the family of women, the likelihood of breast cancer, compared to other women is greater. For example, a sister or mother, a woman will develop breast cancer, breast cancer risk of other women from 2 to 5 times higher than. These women should be monitored more frequently and carefully. In this way, problems with women, breast cancer genetic counseling is done to calculate the risk shot clinics per need. If families with high risk of transition is found, genetic testing. Our Foundation provides these services in outpatient clinics.
Be made before the breast biopsy: a mass in the breast biopsy because of a benign tumor has been made and can be pegged. The existence of some non-cancerous benign tumors, cancer may increase the risk of developing at different rates. This depends on the cellular structure of the tumor. For example, an biopside, imposed as a result of pathological examination of the masses diagnosed in women with atypical hyperplasia (a benign tumor that is completely), developed breast cancer rate is higher than normal women.

Fertile age period: Early start to see the Count, later entering menepoza fertile age is extended. In the meantime, women longer under the influence of the hormone estrogen to stay, the risk of developing breast cancer is increasing. Hormone therapy in early menopause in women are not entering the breast cancer risk is significantly reduced. Fifty years later continued in women who are menstruating, the risk of breast cancer has been increasing slightly.
Fertility history: age at first child birth is important. First child after age 30 The incidence of breast cancer in women giving birth before the age of 20, according to doğuranlar is 2 times more. Slight increase in the risk of women without children have no birth

The height of socio-economic status: the wealthy, socioeconomic level in women with high breast cancer rate is higher than seen. Daughters of these families for better nutrition earlier developing and menstruating at an early age begin. In addition, when these children grow because of education and work later and later to have children are married. Therefore depending on the fertile age to start early, late birth can be considered as a reason for such reasons. In addition, other factors also play a role of which is outside.

Treated with estrogen hormone: Menopause because of long-term estrogen therapy (more than 10 years) seen in women, breast cancer rate is increasing. However, in women not taking hormone therapy, heart disease and osteoporosis increase in such problems is emerging. Therefore, with the aim of reducing complaints of menopause, estrogen is not recommended, but it certainly should be done in a physician controlled.
Birth control pill use: different opinions on this subject, although a slight increase in risk is suggested. Ten years ago who had left the birth control pill for women is that risk is completely eliminated.

Alcohol use: More alcohol field for women, is increasing relative risk compared to women without. 3 cups per day of high-grade alcohol drinking risk of a woman’s breast cancer, no non-smoking women are more than 2 times. Limiting alcohol intake to a glass a day is recommended.

Smoking: a clear effect of smoking could not be displayed. However, because overall health impact is recommended to leave. Fat diet and obesity: obesity in some studies, especially for women over age 50 increases the risk of breast cancer was observed. In particular, the saturated fat that fatty meat dishes and found that over-fat dairy products increases the risk of more claimed to have been taken.

CAN RISK OF BREAST CANCER BE DECREASE ?

Exercise: Intense exercise and breast cancer risk in women who are in gymnastics that the decrease was observed. Therefore, it is recommended to all women. Nutrition: Breast cancer and diet are important relationships. Vegetables and fruit rich diet, the heavy emphasis away from fatty foods is recommended. Daily food intake of vitamin C, the addition of the protective effect of antioxidants such as betakaroten is suggested.
Short,
reducing obesity,
alcohol is received be left.
Light exercise canceled (4 hours per week brisk walking),
Plenty of vegetables and fruit consumption,
with simple measures such as breast cancer risk can be reduced at a rate of 30-40%.

CAN BE BREAST CANCER PREVENT?

Yet breast cancer is not yet a way to prevent the final. Today, the only known method is early diagnosis. With early diagnosis of breast cancer largely brought the problem can be solved. In this way, the disease that damages can be minimized in the society, life expectancy and quality can be increased significantly.
Best known for the early diagnosis and effective solution to women’s risk status was determined by the implementation of the examination and inspection protocols.

HOW EARLY CAN BREAST CANCER DETECTION ?

Breast cancer early detection methods, risk factors varies according to the patient move. Among these risk factors age comes first and foremost. Occur in younger age, despite advancing age groups, this risk is increasing. Therefore, advancing age groups for early detection measures should be taken, according to the earlier age groups varies.
Twenty years on the women themselves in a certain period each month should be examined. During this examination of whether differences in breast tissue is investigated. If it is determined that a change should be an instant hit per physician. Identify a change, even once in three years should be examined by a physician.
The age of forty women, their own in addition to periodic inspection once each year should be examined by the doctor. In addition, every year or two years with mamogrofiyi take is required.
Fifty years later, women and their periodic inspection once each year, physicians must continue the examination and mammography film meme that we should take each year.

Cancer can spread from mother to baby

admin — Mon, 09 Nov 2009 11:07:43 +0000

The baby in the mother’s stomach cancer to the “spread-turn” as possible whether the scientists had their minds occupied a century.

. In theory, cancer cells, even though they managed to cross the placenta, the baby’s immune system was thought to prevent the spread of the disease. However, the mother and baby to the same cancer (usually leukemia, and melanoma) are the cases that they have. Proceedings of the National Academy of Sciences new research published in the journal, both on the child with leukemia who was a Japanese woman. 28-year-old woman shortly after birth than are diagnosed with leukemia, cancer of the baby was 11 months after the same has been agreed. Baby’s blood cells in the genetic testing, cancer cells were found to come naturally. Researchers, the source of leukemia cells in the baby’s mother to determine whether a genetic fingerprinting technique to advanced. As a result, both the patient’s leukemia cells, they carry the mutated genes were identified as cancer.

Besides this, children have inherited this gene from the mother did not receive, so this kind of leukemia, without any external factors can not be captured were identified. After that scientists, the baby’s immune system of cancer cells could be investigated how they were neutralized. Scientists, cancer cells, themselves, given their key role in specific molecular identity of the DNA to determine that they are not. Without this molecular signal, the baby’s immune system does not detect cancer cells as foreign cells and were found not to act to repel them.

President of Cancer Research Center, who is Professor. Mel Greaves said that, “This is a long time to have solved the puzzle the puzzle are very pleased. We would like to emphasize however that pass from mother to baby are very rare cancer,”