40 + ...ஒவ்வொரு பெண்ணும் தெரிந்து கொள்ள வேண்டியது | Dr.Pavithra | HTT
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00:00 Hindu Tamil Designers, Namaste to everyone.
00:02 Today we are going to see 40+ girls.
00:08 What we are going to see is,
00:09 the 40+ girls,
00:11 that is 35+ to 40,
00:13 40, 45+,
00:15 then 50, then 60.
00:17 We are going to see these girls.
00:18 Menopause is differentiated into 3 types.
00:21 Perimenopause, Menopause, Postmenopause.
00:24 So, how is it in Perimenopause?
00:26 35 to 45 is called Perimenopause.
00:30 The period that comes,
00:32 it will keep altering.
00:34 For 40+ girls,
00:36 their physical or mental status will change a lot.
00:41 So, suddenly they will get tensed,
00:43 their anxiety will keep increasing.
00:47 And their body itself,
00:49 there are so many changes,
00:50 from top to bottom, there are many changes.
00:52 First, there will be a lot of hair fall,
00:55 which is called alopecia.
00:56 It is the graying of the hair,
00:58 which is called alopecia.
01:00 Then, the eyes will look like a skull,
01:02 which is called scattered form.
01:04 Similarly, in the mouth,
01:05 there will be dental problems,
01:07 teeth will fall off,
01:08 or there will be a lot of dandruff,
01:10 sometimes tooth decay.
01:11 Similarly, if you come near the neck,
01:14 due to obesity,
01:16 double chin will start to appear.
01:17 Their look will change,
01:19 that is, the face will change,
01:20 their look will change.
01:22 Their skin will become dry,
01:24 completely dry.
01:26 The nape of the neck,
01:27 that is, the place behind the neck,
01:29 is called the nape of the neck.
01:30 It will become a little dark.
01:32 Deposits of androgen,
01:33 when there are a lot of androgen secretions,
01:35 it will keep forming a dark form.
01:38 It will become dark.
01:39 That is, there will be a little dark spots on the face.
01:42 After that,
01:43 the thyroid will increase a little.
01:45 You will ask a doctor what is the increase
01:47 of thyroid that never happened before.
01:49 Definitely, there will be a lot of hormonal disorders.
01:52 Similarly, there will be hernia.
01:54 I was telling you from top to bottom.
01:57 So, in the face,
01:58 what will happen in the face is,
02:00 cancer related problems,
02:02 or small lumps,
02:03 there are chances of such things.
02:06 And also, hair growth,
02:08 near the chin or on the moustache,
02:11 hair growth will start to grow a lot.
02:13 Because you have menopause.
02:16 Okay?
02:17 Similarly, you will have hernia below.
02:19 You will not do core exercises for a long time.
02:24 You will be stress free.
02:26 Suddenly, you will have a tight stomach.
02:28 Some people will tie a thread.
02:30 Some people will loose it.
02:31 Or after two babies are born,
02:33 we will not exercise.
02:36 Some people have said that.
02:37 Many people have said that it is false.
02:40 So, they will have hernia.
02:41 Sometimes, it will grow.
02:43 The intestine will come down.
02:44 It will come like that.
02:45 Similarly, below the vagina.
02:46 There will be a lot of dryness in the vagina.
02:48 Below that,
02:49 it will be like being in a furnace.
02:53 Some people will have hot flushes.
02:55 It will come in the night time.
02:56 Sweating will come.
02:57 If you walk a little,
02:58 you will have shortness of breath.
02:59 Legs, hands, knees, knees will hurt.
03:02 So, we will just say,
03:04 "What is the diagnosis?"
03:06 When we ask,
03:07 we will say KKK syndrome.
03:08 We will say, "Kaikal Podachal Syndrome".
03:10 Actually, these are very common
03:12 during the 40 years of age.
03:14 Whether it is perimenopause or menopause.
03:18 So, like this,
03:19 the density of the bones will be very high.
03:23 It is called osteoporosis.
03:25 So, we are going to see about all these.
03:28 And we are going to see in this series,
03:30 how to come over it.
03:32 Menopause means,
03:44 when you are not getting menopause for 12 months,
03:48 it is called menopause.
03:50 That is, after 12 months,
03:51 one year completely cessation of your periods.
03:54 After one year,
03:56 probably, you don't get menopause for 1-1/2 years.
03:58 Some people say,
03:59 "Doctor, I got menopause only 6 months ago,
04:01 8 months ago."
04:03 But still, you are in menopausal period.
04:06 So, if you don't get menopause for a year,
04:11 then it means you have attained menopause.
04:14 So, if you get menopause after 2 years,
04:17 then you have to go and meet a gynaecologist.
04:20 Because they will do certain investigations,
04:23 why you got this period completely,
04:25 without getting menopause for 1-2 years,
04:27 suddenly your hormone level increased.
04:29 Some people, before getting menopause,
04:32 they will get regularized.
04:34 That is, for so many years,
04:36 when you got periods in your childhood,
04:38 you will take bath within 28 days,
04:41 within 20 days, you will get periods.
04:43 Some people will get extra periods.
04:45 That is very common.
04:46 That is nearing menopause.
04:47 That is, you can start from 40.
04:50 There are chances of such changes
04:52 from 40 to 48.
04:54 Your mother, your aunt, your sister,
04:59 your grandmother,
05:01 you can check when they got menopause.
05:06 Or, if you look at your father's side,
05:08 your aunt, her sister,
05:11 if they are like that,
05:13 you can check when they got menopause.
05:15 In case they are in 42 or 43,
05:18 or sometimes in the fast moving life,
05:22 in 35 or 36, many people got pre-menopause.
05:26 There are many such changes.
05:28 There are such things.
05:30 So, you have to have an account.
05:32 That is, you have to check.
05:34 You have to take an investigation.
05:36 If you go to a doctor,
05:38 they will give you some hormone tests.
05:40 Don't say that.
05:41 These will definitely be useful.
05:43 Suddenly, you will have a DUB,
05:45 that is, Dysfunctional Uterine Bleeding.
05:47 Suddenly, there will be an outburst.
05:49 Without coming for 3 months,
05:51 suddenly there will be a bleeding.
05:53 It will hurt a lot.
05:55 If it stops, it will never come.
05:57 If it comes, it will not stop.
05:58 This is the most of the problem.
06:00 So, after it comes,
06:02 you will take it continuously for 10 days.
06:04 You will change a packet.
06:05 You will change a packet for 2 days.
06:07 That is, not to be afraid.
06:09 This is a symptom.
06:11 So, DUB is Dysfunctional Uterine Bleeding.
06:13 You go to a gynecologist,
06:15 scan it,
06:17 take a correct blood test,
06:19 and come to a conclusion
06:21 based on medical research.
06:23 You don't go to a pharmacy
06:25 and put a medicine to stop bleeding
06:27 and say, "I have left it."
06:29 There is a possibility of even turning into cancer.
06:31 Because some people say hyperplasia.
06:33 Hyperplasia with or without ATP.
06:35 So, hyperplasia is
06:37 hyperplasia is
06:39 hyperplasia is over secreted.
06:41 Endometrium, that is,
06:43 there is a uterus in the shape of a papaya.
06:45 There are three layers in it.
06:47 Endometrium, Myometrium,
06:49 and Perimetrium. There are three layers.
06:51 Every month, when the endometrium
06:53 is shed like this,
06:55 a bloody crying of a uterus
06:57 is called
06:59 a bloody crying of a uterus
07:01 is called Menstruation.
07:03 It is a period of blood,
07:05 that is called your periods.
07:07 So, when the endometrium
07:09 is shed every month,
07:11 we call it periods.
07:13 Sometimes, for some girls,
07:15 the endometrium becomes very thick
07:17 before the menopause.
07:19 That is called the perimenopausal period.
07:21 From 42 to
07:23 48, you are
07:25 perimenopausal.
07:27 That is, the time when menopause
07:29 stops.
07:31 At that time, hyperplasia is
07:33 a very vital diagnosis.
07:35 If it is needed,
07:37 the doctor will do a DNA test.
07:39 If not, there is a
07:41 Pupil Endometrial Biopsy. It is an OB procedure.
07:43 You will go to the doctor
07:45 and they will not do anything.
07:47 They will just check your vaginal
07:49 examination.
07:51 They will just put a speculum
07:53 and take out the inner layer
07:55 like a straw.
07:57 They will take out the inner layer
07:59 and take it out.
08:01 They will check it under a microscope.
08:03 The next day, you may have periods
08:05 or not.
08:07 This is called endometrial biopsy.
08:09 Biopsy means,
08:11 they will take out the tissue,
08:13 look under the microscope
08:15 and check if it has grown or not.
08:17 They will check if it has cancer
08:19 growth or not.
08:21 There are two phases.
08:23 There is a proliferative phase and a secretory phase.
08:25 If there is no of these two,
08:27 and if it is a WIT ATP,
08:29 it may be cancer related.
08:31 So,
08:33 there is a possibility of WIT or WIT ATP.
08:35 Now,
08:37 some people, after menstruation,
08:39 means, between the two periods,
08:41 during the ovulation period,
08:43 there will be a
08:45 Rheumatoid Arthritis.
08:47 That is also included in menopause.
08:49 So, Intermenstrual Bleeding,
08:51 which is called Metrorhegia,
08:53 Intermenstrual Bleeding is also very common.
08:55 Especially, for these ladies,
08:57 it is called Dysmenorrhea.
08:59 Dysmenorrhea means, they will have extreme pain.
09:01 The pain will not be tolerable.
09:03 They will cry a lot.
09:05 They will have a lot of back pain.
09:07 They will feel like they are jumping 10-15 times.
09:09 Similarly, the mother will also
09:11 have a lot of pain.
09:13 Even more than 10 rupees,
09:15 she will have a lot of pain.
09:17 These are the symptoms of
09:19 Perimenopausal Period.
09:21 Symptoms of DUB,
09:23 Dysfunctional Uterine Bleeding.
09:25 Some people have fibroid,
09:27 some people have ovarian tumor,
09:29 or ovarian cyst.
09:31 Fibroid Complicating DUB
09:33 is called AUB.
09:35 Abnormal Uterine Bleeding.
09:37 So, Abnormal Uterine Bleeding
09:39 has a solution for all these.
09:41 If you don't have a solution,
09:43 you should remove it from your mind.
09:45 Why do I have this problem?
09:47 Because, you should eat normally.
09:49 That is,
09:51 junk food, fast food,
09:53 you should start changing
09:55 your food habits from 35.
09:57 Some people say,
09:59 life starts only after 40.
10:01 Correct.
10:03 Even my life will start only after 40.
10:05 Because, my kids will be small,
10:07 my kids will be small,
10:09 they will be busy with
10:11 their activities.
10:13 After 40, my kids will grow up,
10:15 you will also reach maturity level.
10:17 After that, you will know
10:19 what activities you should do.
10:21 scientific activities.
10:24 [BLANK_AUDIO]