I'm not good at air conditioning, but is it something like this?

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October 1 Night Paper

"Temperature difference fatigue" increasing in autumn Why and how to deal with many women asking doctors

Mainichi Newspaper Getty

These days, I can finally feel the signs of autumn. The severe heat has eased and it has become much easier to spend during the day, but I feel chilly in the morning and evening and depending on the weather of the day.

Temperature difference fatigue is likely to occur at this time.

At the Setagaya Neurology Clinic in Setagaya Ward, Tokyo, there is a specialized outpatient clinic that deals with temperature difference fatigue. About 80% of patients are women, and there are many cases where people with menopausal symptoms invite a chain of disorders.

I asked the director of the clinic, Kudeken, about how to deal with it.

Temperature differences of more than 7 degrees are likely to occur

Temperature difference What kind of situation does fatigue occur?

◆ It is more likely to occur in environments where the temperature difference between indoors and outdoors is generally 7 degrees or more during the day or day by day. The number of patients at the clinic began to increase from the end of September.

The human body has a function of trying to keep the body temperature constant. Autonomic nerves work to lower the body temperature by sweating when it is hot, and reduce the blood flow in the skin so that the body heat does not escape when it is cold.

However, when the temperature wave becomes large, too much energy is consumed to maintain body temperature, and fatigue accumulates.

Then, symptoms such as coldness and fatigue will appear.

Many Japanese people love Hawaii. I often hear that it is the most comfortable place to spend. It is because of the mild climate and the small annual temperature change, and there is a good reason.

Malaise, chills, headaches, stiff shoulders, dizziness...

There is also "temperature difference allergy," but is it the same mechanism?

◆ It is easy to get out at the same time due to the temperature difference, but the mechanism is different from the temperature difference fatigue.

Formally, it is called "vasomotor rhinitis," and the sudden temperature difference is irritating, and the same symptoms as rhinitis such as sneezing, runny nose, and nasal congestion appear.

Hay fever caused by ragweed increases in autumn, so it may be difficult to distinguish.

It's hard to tell if the symptoms of temperature fatigue are caused by temperature fatigue.

◆ That's right. Symptoms such as fatigue, chills, headaches, stiff shoulders, and dizziness are particularly easy to come out, so I think it's okay to pay attention to that area.

In addition, the clinic has created a "temperature difference check sheet."

"The face is easy to get hot, the whole body is easy to get hot," "I have had heat stroke, I have been in a state close to (heat stroke)," "The time when the temperature is in a constant environment is long (in the office, at home There are items such as turning on the air conditioner all day)," and have them refer to health management.

80% of patients in specialist outpatient clinics are women

Temperature difference Are there any characteristics of people who are prone to fatigue?

About 80% of the patients who visit the department are women, and there is a reason for that.

First of all, women have fewer muscles that produce heat in their bodies than men, so they tend to get cold easily due to poor blood flow.

When the temperature difference is added there, the body temperature adjustment can not keep up, the symptoms of cold get worse and malfunction occurs.

Temperature difference check sheet created by Setagaya Internal Medicine / Neurology Clinic = Provided by Dr. Kenji Kude

Originally, women's hormonal balance fluctuates greatly due to menstrual cycles and menopause, and the autonomic nervous system is easily disturbed. Especially in menopause, female hormones decrease, so the autonomic nervous system that activates the organ becomes dominant to supplement it.

As a result, hot flashes (such as sweat and hot flashes) and irritation occur.

Even if malaise due to the temperature difference overlaps with menopausal symptoms, they do not cancel each other, and both do bad things like pulling "Yoisho."

There are many cases where people who originally have menopausal symptoms complain that they suddenly have cold sensitivity and continue to feel sick at this time and visit the clinic.

It is not difficult to reduce the pain

How should I deal with it?

It is often said that it can not be helped because it is menopause, but it is not so difficult to reduce pain.

Once you have a proper examination at the gynecology department, we will correspond to the temperature difference together. It is not okay if you take medicine, but there are measures that will be effective if you do it.

In this season, it is important to take measures against the cold.

When you go out, it is good to have a feather fabric to adjust the temperature. If you soak in lukewarm water slowly up to your neck, the blood circulation of the whole body will improve and the disorder will be relieved.

If you go to bed an hour and a half to two hours after bathing, you can sleep soundly and reset your body. Be careful as your neck gets cold easily when you are sleeping.

There are also precautions in life using computers and smartphones. The human head is 4 to 5 kilograms even for women, and if the posture tilts forward during computer work, the neck that supports it will be burdened. Autonomic nerves pass from the head through the neck, so it is easy to affect body temperature adjustment.

If you have a lot of desk work, it is recommended that you take your eyes off the screen for 1 or 2 minutes every hour or do gymnastics or stretching.

Also, when you have a problem, it is important to spend a little less time looking at your smartphone in your bedroom and sleep properly. [Interviewer: Atsuko Ota] (Reprint / End)