menopausal arthritis
Introduction
Introduction to menopausal arthritis Menopausal arthritis is one of the manifestations of female climacteric syndrome. Menopausal syndrome (menonpausalsyndrome) refers to female degenerative changes due to gonads, including the destruction of bilateral ovaries after surgical removal of bilateral ovaries or radiation therapy. The balance between the hypothalamic-pituitary-gonadal axis is disordered, leading to a series of systemic pathological changes. The clinical manifestations include psychiatric symptoms, autonomic dysfunction, and sexual dysfunction. Some people have mild symptoms. It does not affect life, study and work, but more than one third of women may have severe symptoms. Some people have shorter symptoms and can control themselves. Some people have repeated symptoms for more than 10 years. basic knowledge Probability ratio: female incidence rate is about 3%-5% Susceptible population: menopausal women Mode of infection: non-infectious Complications: high blood pressure, insomnia, diabetes
Cause
Causes of menopausal arthritis
(1) Causes of the disease
The pathological changes of menopause mainly include two aspects: ovarian function decline, changes caused by estrogen deficiency; changes in body aging, the two often intersect.
Chinese medicine believes that before and after menstruation, women will gradually decline, the scorpion will be exhausted, the pulse will be ruined, the reproductive function will gradually decline and the loss will be realized, and the function of the viscera will gradually decline, causing the body to lose balance and cause the disease. Kidney deficiency is caused. The root of the disease.
(two) pathogenesis
As the level of estrogen in the body can cause the following pathological and physiological changes, women reach the menopause, the body ages, the ovarian function declines, and the estrogen deficiency. Before and after the menopause, the following pathological and physiological changes can be caused by the decrease of estrogen levels in the body:
1. The stimulation of epithelial cells, smooth muscle and connective tissue growth is reduced, resulting in the degradation of the reproductive tract, urinary tract, mammary duct and body hair.
2. The autonomic nervous system is unstable, causing vasomotor dyskinesia.
3. The function of the cerebral cortex can be affected, and it is prone to mood fluctuations and so on.
4. Increased bone resorption can cause clinically significant osteoporosis.
5. Some people think that estrogen deficiency can promote coronary heart disease, high blood pressure, cerebrovascular accident, or senile psychosis or make the existing condition worse.
Prevention
Menopausal arthritis prevention
Because the disease occurs more often in women after menopause, autonomic dysfunction symptoms, combined with joint swelling and pain, repeated more severe neuropsychiatric discomfort, it is suggested that patients should do psychological care, stability, avoid bad mental stimulation, reasonable Arrange life, strengthen physical exercise, plan to carry out recreational activities and joint function movements, take anti-inflammatory and anti-inflammatory drugs under the guidance of doctors, and use traditional Chinese medicine to establish confidence in fighting disease.
Complication
Menopausal arthritis complications Complications, hypertension, insomnia, diabetes
In the flexion contracture of the metacarpophalangeal joint, it may be prolonged for several years or decades. If the pathological changes continue to develop, the metacarpophalangeal joint may have structural damage or deformity. Others may also have hypertension, paroxysmal tachycardia or slowness. Insomnia, etc., the incidence of diabetes has also increased.
Symptom
Menopausal arthritis symptoms common symptoms edema fatigue dizziness blood sugar high blood pressure chills menstrual period shorten skin dry itching insomnia
1. Osteoarticular symptoms
Women can develop at any age, but they are common in menopause. Any surrounding joints can be violated, and the wrists, fingers, elbows and ankles are the most affected. The tendency to swim and time is very significant, and mental stimulation. Anemia and general unhealthy conditions can aggravate the symptoms of arthritis. When elderly women suffer from this disease, their affected joints are mostly metacarpophalangeal joints and wrist joints. The metacarpophalangeal joints are flexed and contracted, and the ulnar side is biased. More restricted, the extension function may disappear completely, the soft tissue around the joint has chronic swelling, the range of joint activity is reduced, the local pain is light and heavy, the patient's feelings are fluctuating or slightly tired, or occasionally there is a cold, it can also be aggravated Local symptoms may extend for years or decades, during which pathological changes continue to develop, resulting in structural damage or deformity.
2. Other symptoms
(1) Changes in menstruation: the period is prolonged, the menstrual period is shortened, the menstrual volume is gradually reduced and stopped or the cycle is disordered, the menstrual period is prolonged, and the menstrual volume is increased.
(2) Cardiovascular symptoms: flushing, hot flashes, this is the most prominent symptom of this disease, accompanied by dizziness, sweating, chills; some have high blood pressure, especially systolic blood pressure, fluctuating; palpitations and "Pseudo-angina", can not be alleviated with nitroglycerin; effective with estrogen, and some paroxysmal tachycardia or slow.
(3) Mental and neurological symptoms: loss of appetite and memory, depression, insomnia or irritability, even moodiness, lack of concentration, irritability, similar psychotic attacks, and the worst mood in the morning, getting better in the afternoon to late evening.
(4) metabolic disorders: elevated blood sugar, increased incidence of diabetes; elevated blood lipids, body obesity; edema; prone to fracture; frequent urination, urgency; oropharyngeal dryness, burning; vaginal dryness, sexual pain, prone to vaginal infection Dry skin, anthill, itching; muscle soreness, fatigue, and increased incidence of skin diseases.
Examine
Examination of menopausal arthritis
Increased levels of blood gonadotropin, decreased estrogen levels, low vaginal smear hormone levels, excessive pituitary gonadotropin, blood estrogen immunoassay, pre-menopausal E2 greater than estrone, and postmenopausal estrone greater than E2, estrone was 122 pmol/L, and E2 was 47.71 pmol/L, both suggesting extremely low.
X-ray examination: the joint surface (the metacarpophalangeal joint, the wrist joint surface and the tibial articular surface, etc.) are all damaged, and the damage is difficult to distinguish from the tuberculosis.
Diagnosis
Diagnostic diagnosis of menopausal arthritis
Women with menopausal symptoms, combined with the clinical manifestations of bone and joint, exclude other bone and joint diseases, can be diagnosed as menopausal arthritis.
Should be distinguished from other bone and joint diseases.
