10217760
Descripción
Mapa Mental por Ilana Kovach, actualizado hace más de 1 año
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Creado por Ilana Kovach
hace casi 7 años
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Menopause
- Causes
- High levels of pituitary
& low levels of ovarian
hormones
- Chemotherapy
& Radiation
- surgical
intervention-
hystrectomy
- High levels of pituitary
& low levels of ovarian
hormones
- Clinical
Manifestations
- No periods for 1 year
- 48-55yrs of age
- Climateric, Perimenopausal
Nota:
- Overian Function begins to decline
- Irregular Periods
- Wake up during the night
- Increase in irritability
- Migraines
- Fatigue (often urinate durning the night)
- Poor Concentration
- loss of libido
- Inability to multitask
- Vaginal Dryness
- Postmenopausal
- No periods for 1 year
- Complications
- Osteoporosis
- Vaginal Dryness
- Heart Disease
- Poor Bladder &
Bowel Function
- Poor Muscle
tone or loss
of muscle
- Deterioration of Vision
- Psychosocial - 1) sense
of loss 2) decrease of
self esteem 3)
depression
- Osteoporosis
- Interventions
- HRT- estrogen &
Progesterone
Nota:
- Hormone Replacement Therapy
- Prevent Uterine
Cancer (Combination
Therapy)
- Esterogen only
more at risk for
blood clotting, cancer & strokes
Nota:
- Hystrectomy only needs estrogen.
- Contraindications: uncontrolled hypertension,
unexplained vaginal bleeding, impaired liver
function, active thromboembolic disease,
prophyria, breast cancer
- Estrogen- Naseau,
fluid retention,
headache, & breast
enlargement
- Progesterone- increased
appetite, weight gain,
irritability, depression,
spotting, breast tenderness
- Report immediately of sudden loss of vision,
severe headache, chest pain, hemoptysis, pain in
the calves (especially swelling/redness), numbness
in arm or leg, abd. pain or tenderness
- Report immediately of sudden loss of vision,
severe headache, chest pain, hemoptysis, pain in
the calves (especially swelling/redness), numbness
in arm or leg, abd. pain or tenderness
- Pill, Transdermal Patch or injection
- Weight Bearing
Excercise, Calcium,
Biphosponates
Nota:
- Biphosphonate suppress reabsorption.
- Breast exam,
Pap smear
- Premature Ovarian
Insufficiency
- Selective
estrogen
Receptor
Modulator
Nota:
- Competes with estrogen for estrogen receptor sites. *It decreases bone loss & decrease serum cholestrol with minimal effects on breast & uterine tissue
- Non
hormonal
therapy
- Exercise & increase
sleep & decrease
alcohol/caeffine
- SSRI
- Clonadine/Gabapentin
(hotflashes)
- Keep Cool
Environment
- Relaxation
Techniques
- Increase air
circulation in the
room & avoid
heavy bedding
- Exercise & increase
sleep & decrease
alcohol/caeffine
- Alternative
- Bio-identical
- Massage
- Ask if they
are on Herbs
- Bio-identical
- HRT- estrogen &
Progesterone
- Labs
- may still have
increased FSH
& LH
- Drop in
Progesterone &
Esterogen
- may still have
increased FSH
& LH
Recursos multimedia adjuntos
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