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Climaterio
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Climaterio

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Qué se entiende por climaterio?

El climaterio es un periodo en la vida de la mujer, que abarca de los 45 a los 59 años de edad, durante el cual su función reproductiva disminuye gradualmente hasta desaparecer. En esta etapa se presenta la "menopausia", que sólo marca la fecha de la última menstruación. Se considera que una mujer llegó a la menopausia cuando ha dejado de presentar el sangrado menstrual por lo menos un año.

En el hombre también ocurre una etapa de transición, más tardía y menos ostensible, que igualmente se designa como climaterio masculino.

¿Qué características clínicas tiene?

Las manifestaciones clínicas las podemos dividir en: fisiológicas, biológicas y psíquicas.

Estas manifestaciones son individuales y la rapidez con que se presentan están en relación directa con la disminución hormonal.

CLIMATERIO

CAMBIOS EN EL ORGANISMO: FISIOLOGICOS, BIOLOGICOS Y PSIQUICOS
 

TEMPRANOS

INTERMEDIOS

TARDIOS

  • Trastornos en la menstruación que varíaa en el ritmo, cantidad y duración
  • Bochornos.
  • Sudoración
  • Irritabilidad.
  • Depresión
  • Atrofia vaginal.
  • Caída del vello púbico.
  • Disminución del tamaño de la glándula mamaria y útero.
  • Dolor durante las relaciones sexuales (Dispareunia).
  • Aumento de Peso.
  • Síntomas urogenitales.
  • Alteraciones osteomusculares: dolor en las articulaciones y Osteoporosis.
  • Hipertensión Arterial.
  • Insuficiencia vascular periférica.
  • Alteraciones en la piel como: manchas obscuras y verrugas.
  • Disminuye la agudeza visual
  •   

    DEPRESION
     
     
     

     
    ¿A qué enfermedades predispone?

    Estas enfermedades, aunadas a las mencionadas en las manifestaciones clínicas, se presentan con mayor frecuencia durante este periodo de la vida de la mujer:

    Afecciones cardiovasculares.
    Insuficiencia coronaria
    Infarto al miocardio.
    Diabetes Mellitus
    Neoplasias.
    Trastornos de personalidad.
     
    ¿Hay cambios psicológicos y socioeconómicos?

    Sí, los cambios psicológicos se presentan a través del llamado "síndrome psico-emocional del climaterio", lo conforman una serie de síntomas de tipo psicológico que se inicia cuando la mujer se percata de la ausencia del ciclo menstrual, posteriormente se presenta la aceptación mental (acondicionamiento), que puede durar de semanas a meses y, por último, el reacondicionamiento en el que influyen el ambiente, la familia, el trabajo y la autoestima.

    Los síntomas que se presentan son:

    Depresión
    Irritabilidad
    Llanto fácil
    Ansiedad
    Angustia
    Aislamiento
    Falta de comunicación
    Disminución de la líbido
    Sentimiento de minusvalía y devaluación.
    Estrés
    Enfermedades psico-somáticas
     
    Los cambios socio-económicos más ostensibles a los que la mujer se enfrenta en el periodo del climaterio son:

    Falta de adaptación social
    Segregación laboral
    Jubilación
    Viudez
    Separación de la pareja
    Abandono económico
     
    Se ha demostrado que alrededor de los 30 años el requerimiento calórico empieza a descender, por lo que el problema de la obesidad es frecuente en la mujer de esta edad.

    ¿Qué medidas preventivas son recomendables?

    Medidas preventivas recomendables

    1.- Llevar una dieta equilibrada, reduciendo el consumo de carbohidratos, lípidos y proteínas.

    2.- Incrementar el consumo de alimentos ricos en calcio.

    3.- ealizar ejercicio diariamente, acorde a las condiciones de salud y edad.

    4.- Evitar el aislamiento, propiciando la integración a grupos voluntarios o sociales cuya actividad sea afín a sus intereses.

    Es indispensable que esta etapa de la vida de la mujer se le dé la importancia que realmente tiene, que ella misma y la familia están enteradas de los cambios que se van a presentar y puedan, la mujer y el varín , enfrentarlos con serenidad y sobre todo con dignidad. mediks
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