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aria-label="Lisää artikkeleita aiheesta Terveys" class="aw-l7odld jXfkxq">Terveys</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Ensin tulivat uniongelmat, sitten Kaisa, 51, mietti itsemurhaa – vaihdevuodet ovat naisen elämän vaarallisinta aikaa</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Kansainvälisten tutkimusten mukaan vaihdevuosi-ikäisten naisten riski itsemurha-ajatuksiin kasvaa. Vaihdevuosioireet jäävät yhä usein terveydenhuollossa tunnistamatta.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20080738","@context":"https://web.archive.org/web/20240402060352/https://schema.org","image":{"@type":"ImageObject","description":"Kaisa sai elämänilonsa takaisin, kun hän hakeutui hormonikorvaushoitoon. Hän haluaa jakaa tarinansa, jotta muutkin ymmärtäisivät hakea apua, jos kärsivät samanlaisista oireista.","copyrightHolder":"Miia Anttila / Yle","url":"https://web.archive.org/web/20240402060352/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1262475660191babee7b","keywords":"vaihdevuodet,terveys,oireet,diagnoosi"}}</script><div class="aw-1a00tic jZEjMr"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1080,w_1920,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711379078/39-1262475660191babee7b 2x, https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1080,w_1920,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711379078/39-1262475660191babee7b 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1080,w_1920,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_357,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711379078/39-1262475660191babee7b 2x, https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1080,w_1920,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_357,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711379078/39-1262475660191babee7b 1x"/><img alt="Piirroskuva henkilöstä, joka kokee pahoja vaihdevuosi oireita. Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. Läikissä on pahaanmieleen, ahdistukseen ja kiukkuun viittaavia symboleita" src="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1080,w_1920,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711379078/39-1262475660191babee7b" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Kaisa sai elämänilonsa takaisin, kun hän hakeutui hormonikorvaushoitoon. Hän haluaa jakaa tarinansa, jotta muutkin ymmärtäisivät hakea apua, jos kärsivät samanlaisista oireista.</span><span> Kuva: Miia Anttila / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Titta Puurunen</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-04-02T05:10:36+03:00">5:10</time><span aria-hidden="true" class="aw-131q90r bsXkQk">•</span><time class="aw-lsqctp jPSFYl yle__article__date--modified" datetime="2024-04-02T06:36:02+03:00">Päivitetty 6:36</time></div></div><a href="https://web.archive.org/web/20240402060352/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20080738" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kaisa, 51, on ollut aina hyvä nukkumaan. Kun hänellä alkoi reilu puolitoista vuotta sitten unihäiriöt, ongelmat alkoivat nopeasti kasaantua.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Mieliala laski, pinna kiristyi, puolison naamakin ärsytti. Kaisalle tuli keskittymisvaikeuksia ja hän oli jatkuvasti huolissaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Muutaman kuukauden sinnittelyn jälkeen tuli todellinen pysähdys.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Havahduin siihen, etten näe elämässäni enää mitään värejä. Mietin, mitä jos en vain olisi enää täällä, kertoo Kaisa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kahden teini-ikäisen lapsen äiti ei esiinny omalla nimellään asian arkaluonteisuuden vuoksi.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20080738","@context":"https://web.archive.org/web/20240402060352/https://schema.org","image":{"@type":"ImageObject","description":"Kaisa uskoo, että moni kärsii tietämättään vaihdevuosioireista. Hänelle pahinta oli, kun mikään ei tuntunut enää miltään. Kuva: Kaisan kotialbumi.","copyrightHolder":"\"Kaisa\"","url":"https://web.archive.org/web/20240402060352/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-12634116603edad67fc7","keywords":"vaihdevuodet"}}</script><div class="aw-1a00tic dhejIQ"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1031,w_1031,x_0,y_0/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711533985/39-12634116603edad67fc7 2x, https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1031,w_1031,x_0,y_0/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711533985/39-12634116603edad67fc7 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1031,w_1031,x_0,y_0/ar_1.0,c_fill,g_faces,h_636,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711533985/39-12634116603edad67fc7 2x, https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1031,w_1031,x_0,y_0/ar_1.0,c_fill,g_faces,h_636,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711533985/39-12634116603edad67fc7 1x"/><img alt=""Kaisa" katsoo ikkunasta ulos. Kuvan päälle on lisätty tummia läiskiä. " src="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_579,w_1031,x_0,y_257/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711533985/39-12634116603edad67fc7" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Kaisa uskoo, että moni kärsii tietämättään vaihdevuosioireista. Hänelle pahinta oli, kun mikään ei tuntunut enää miltään. Kuva: Kaisan kotialbumi.</span><span> Kuva: "Kaisa"</span></figcaption></figure><figure class="aw-d7wn69 dMVdkR yle__article__figure"><script type="application/ld+json">{"@id":"74-20080738","@context":"https://web.archive.org/web/20240402060352/https://schema.org","audio":{"@type":"AudioObject","description":"Kaisa kertoo, kuinka vaihdevuosioireet alkoivat haitata hänen elämäänsä. Hänen äänensä on muutettu."}}</script><div class="aw-1fe49d7 gMIksm"><div class="aw-1io1lyd kPRuwh"><div class="aw-1txqavw hPwGAI"><strong class="aw-1bgq5a3 cIiQSU">Kaisa vaipui synkkyyteen vaihdevuosi-ikäisenä </strong></div></div><div class="aw-1wtbyt7 fGbgLq"><div></div></div></div><figcaption class="aw-kr26k0 dGzWNq"><span>Kaisa kertoo, kuinka vaihdevuosioireet alkoivat haitata hänen elämäänsä. Hänen äänensä on muutettu.</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vaihdevuodet voivat<a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240402060352/https://www.sciencedirect.com/science/article/pii/S0165032723010340" role="link"> tuoreen tutkimustiedon </a>mukaan altistaa jopa itsemurha-ajatuksille.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Myös gynekologi <strong class="aw-ak79eh hgoSon yle__article__strong">Maija Kajanin</strong> kokemuksen mukaan vaihdevuosi-iässä riski itsetuhoisuuteen on suurimmillaan naisen elämässä. Ainakin osittain se liittyy estrogeenin vähyyden vaikutuksiin aivojen välittäjäaineissa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Masentuneisuus, ahdistuneisuus, saamattomuus ja itkuherkkyys ovat hyvin tyypillisiä vaihdevuosioireita.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Jotkut potilaani ovat kertoneet olleensa itsemurhan partaalla ennen hormonikorvaushoidon aloittamista, sanoo Kajan.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Naisten itsemurhat</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Samaan aikaan, kun naisten tekemien itsemurhien määrä on Suomessa pysynyt samana, miesten on vähentynyt.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Itsemurhia tehdään Suomessa edelleen eniten verrattuna muihin Pohjoismaihin, reilu 700 vuosittain.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Valtaosassa, noin 70 prosentissa, tekijänä on mies, mutta naisilla on yrityksiä moninkertaisesti enemmän kuin miehillä. Itsetuhoisin aika naisilla on keski-iässä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Suomessa vaihdevuosien ja itsetuhoisten ajatusten välistä suhdetta ei ole vielä juurikaan tutkittu.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Mieli ry:n ylläpitämän Itsemurhien ehkäisykeskuksen päällikön <strong class="aw-ak79eh hgoSon yle__article__strong">Marena</strong> <strong class="aw-ak79eh hgoSon yle__article__strong">Kukkosen</strong> mukaan vaihdevuosien alkaminen osuu usein samaan aikaan muiden elämän stressitekijöiden, kuten vanhempien vanhenemisen, lasten itsenäistymisen ja oman terveydentilan muutosten kanssa.</p><div class="aw-10591cb EIlsL"><div></div></div><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Itsemurhien taustalla on usein pitkään kertyneitä ongelmia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Masennus ja unettomuus liitetään usein vaihdevuosioireisiin. Siksi terveyttä kuormittavien oireiden tunnistaminen ja erottaminen olisi tärkeää, jotta oikea hoito voidaan turvata, sanoo Kukkonen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kukkonen toivoo lisää tutkimustietoa aiheesta, jotta vaihdevuosi-ikään tulevat naiset saisivat asianmukaista hoitoa ja tukea.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Osaamiskeskuksesta apua naisille</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vaihdevuosioireet jäävät Kajanin mukaan yhä edelleen usein tunnistamatta terveydenhuollossa. Varsinkin, jos ne alkavat, kun kuukautiskierto ei ole vielä loppunut.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ensimmäiset oireet voivat alkaa jo alle 40-vuotiaana.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Monet potilaat ovat kertoneet, että he ovat jo aiemmin käyneet useilla lääkäreillä turhaan unettomuuden, masennuksen, rytmihäiriöiden ja esimerkiksi nivelkipujen vuoksi, kertoo Kajan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Naisille on usein tehty jo monia eri laboratorio- ja kuvantamistutkimuksia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Vaihdevuosioireet sotketaan helposti esimerkiksi uupumukseen. Yhteiskunnalta tuhlaantuu rahaa turhiin kokeisiin, kun ei osata epäillä estrogeenin vähyyttä. Sen voisi todeta verikokeella.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20080738","@context":"https://web.archive.org/web/20240402060352/https://schema.org","image":{"@type":"ImageObject","description":"Kajanin mielestä moni nainen läheisineen kärsii suotta hoitamattomista vaihdevuosien aiheuttamista haitoista, kuten ärtyneisyydestä.","copyrightHolder":"Riikka Vaahtera / Maija Kajanin kotiarkisto","url":"https://web.archive.org/web/20240402060352/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-12634676603fc397edb8","keywords":"Maija Kajan,gynekologi,gynekologia,gynekologit,naistentaudit"}}</script><div class="aw-1a00tic dhejIQ"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_683,w_683,x_0,y_0/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711537316/39-12634676603fc397edb8 2x, https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_683,w_683,x_0,y_0/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711537316/39-12634676603fc397edb8 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_683,w_683,x_0,y_0/ar_1.0,c_fill,g_faces,h_636,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711537316/39-12634676603fc397edb8 2x, https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_683,w_683,x_0,y_0/ar_1.0,c_fill,g_faces,h_636,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711537316/39-12634676603fc397edb8 1x"/><img alt="Maija Kajan nojaa kuusen runkoon." src="https://web.archive.org/web/20240402060352im_/https://images.cdn.yle.fi/image/upload/c_crop,h_384,w_683,x_0,y_164/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711537316/39-12634676603fc397edb8" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Kajanin mielestä moni nainen läheisineen kärsii suotta hoitamattomista vaihdevuosien aiheuttamista haitoista, kuten ärtyneisyydestä.</span><span> Kuva: Riikka Vaahtera / Maija Kajanin kotiarkisto</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kajanin mukaan monen potilaan vaihdevuosi- ja mielialaoireet helpottaisivat oikeamääräisellä hormonikorvaushoidolla. Häntä harmittaa, ettei estrogeenihoidon terveyshyödyistä useinkaan puhuta, vaan keskitytään rintasyöpäriskiin, jota se voi kohottaa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Tutkimusten mukaan hoito vähentää selvästi muun muassa sepelvaltimotaudin, sydän- ja aivoinfarktin riskiä.</p><figure class="aw-d7wn69 dMVdkR yle__article__figure"><script type="application/ld+json">{"@id":"74-20080738","@context":"https://web.archive.org/web/20240402060352/https://schema.org","audio":{"@type":"AudioObject","description":"Gynekologi Maija Kajan kertoo, miten estrogeenin vähyys laskee mielialaa ja mihin kaikkeen se voi pahimmillaan johtaa."}}</script><div class="aw-1fe49d7 gMIksm"><div class="aw-1io1lyd kPRuwh"><div class="aw-1txqavw hPwGAI"><strong class="aw-1bgq5a3 cIiQSU">Vaihdevuodet voivat lisätä itsemurhan riskiä</strong></div></div><div class="aw-1wtbyt7 fGbgLq"><div></div></div></div><figcaption class="aw-kr26k0 dGzWNq"><span>Gynekologi Maija Kajan kertoo, miten estrogeenin vähyys laskee mielialaa ja mihin kaikkeen se voi pahimmillaan johtaa.</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kajan on mukana <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240402060352/https://www.kansalaisaloite.fi/fi/aloite/13142" role="link">tuoreessa kansalaisaloitteessa</a>. Siinä esitetään, että hyvinvointialueille perustettaisiin vaihdevuosiin erikoistuneita osaamiskeskuksia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Osa hänen potilaistaan on ollut pitkään työkyvyttömyyseläkkeellä sellaisten oireiden takia, mitkä olisi saatu helpottumaan oikealla hormonikorvaushoidolla.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Se on inhimillinen tragedia sille ihmiselle, mutta se on myös suuri taloudellinen menetys yhteiskunnalle.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Värit takaisin elämään</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kaisa hakeutui loppusyksystä 2022 terveyskeskukseen lääkäriin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Mielialaongelmien lisäksi hänen muistinsa pätki, olo oli aikaisempaa kömpelömpi ja uusien asioiden sisäistäminen oli vaikeaa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hän ajatteli, että kaikki johtuu vain stressistä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– En osannut ensin yhdistää asioita vaihdevuosiin, vaan ajattelin, että kyse on vain jostain ohimenevästä. Hormonit eivät ole aikaisemmin minua juuri vaivanneet, Kaisa sanoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lääkäri oli ensin epäillyt työuupumusta. Kaisa oli kuitenkin keskustellut samanlaisista oireista samanikäisten ystäviensä kanssa ja nosti itse esiin vaihdevuodet.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kaisa hakeutui nopeamman hoidon saamiseksi yksityiselle gynekologin vastaanotolle. Hän sai sieltä hormonikorvaushoidon suihkeena. Mielialalääkityksen hän oli saanut terveyskeskuslääkäriltä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Aiemmin hän oli suhtautunut varauksella hormonihoitoihin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Oloni parani heti todella paljon. Nukun taas hyvin ja mieliala on kohonnut. Lääkkeet ovat olleet ihan pelastus. Harmittaa, etten hakenut apua aiemmin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><em class="aw-18vh2pl bZqHKZ yle__article__emphasis">Voit keskustella aiheesta tiistaihin 2. huhtikuuta kello: 23.00 saakka.</em></p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 1 linkki</h2><h2 class="sc-eqUAAy dUJkWc yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240402060352/https://yle.fi/t/18-209306/fi" aria-label="Lisää artikkeleita aiheesta Terveys" class="aw-l7odld jXfkxq">Terveys</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240402060352/https://yle.fi/a/74-20076942" class="aw-3ocnud 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Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. Läikissä on pahaanmieleen, ahdistukseen ja kiukkuun viittaavia symboleita","source":"Miia Anttila \u002F Yle","aspect":1.7777777777777777,"caption":"Kaisa sai elämänilonsa takaisin, kun hän hakeutui hormonikorvaushoitoon. Hän haluaa jakaa tarinansa, jotta muutkin ymmärtäisivät hakea apua, jos kärsivät samanlaisista oireista.","id":"39-1262475660191babee7b","type":"image","alts":[{"language":"fin","value":"Piirroskuva henkilöstä, joka kokee pahoja vaihdevuosi oireita. Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. Läikissä on pahaanmieleen, ahdistukseen ja kiukkuun viittaavia symboleita"}],"blurhash":"L69t=:Mu0K-r}3bFE.s.0dxa}sI:","tags":[{"label":[{"language":"fin","value":"vaihdevuodet"},{"language":"swe","value":"klimakteriet"}],"extId":"18-219044"},{"label":[{"language":"eng","value":"health"},{"language":"fin","value":"terveys"},{"language":"rus","value":"здоровье"},{"language":"sme","value":"dearvvasvuohta"},{"language":"swe","value":"hälsa"}],"extId":"18-209306"},{"label":[{"language":"fin","value":"oireet"},{"language":"swe","value":"symtom"}],"extId":"18-215741"},{"label":[{"language":"fin","value":"diagnoosi"},{"language":"swe","value":"diagnos"}],"extId":"18-214317"}],"copyright":[{"language":"und","value":"Miia Anttila \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":0,"width":1920,"height":1080}},{"name":"2:3","aspect":0.67,"coordinates":{"x":609,"y":0,"width":720,"height":1080}},{"name":"1:1","aspect":1,"coordinates":{"x":432,"y":0,"width":1080,"height":1080}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":0,"width":1919,"height":767}}],"height":1080,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1711379078","width":1920,"recommendedFormat":"png"},"full":"Ensin tulivat uniongelmat, sitten Kaisa, 51, mietti itsemurhaa – vaihdevuodet ovat naisen elämän vaarallisinta aikaa"},"lead":"Kansainvälisten tutkimusten mukaan vaihdevuosi-ikäisten naisten riski itsemurha-ajatuksiin kasvaa. Vaihdevuosioireet jäävät yhä usein terveydenhuollossa tunnistamatta.","mainMedia":[{"alt":"Piirroskuva henkilöstä, joka kokee pahoja vaihdevuosi oireita. Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. Läikissä on pahaanmieleen, ahdistukseen ja kiukkuun viittaavia symboleita","source":"Miia Anttila \u002F Yle","aspect":1.7777777777777777,"caption":"Kaisa sai elämänilonsa takaisin, kun hän hakeutui hormonikorvaushoitoon. Hän haluaa jakaa tarinansa, jotta muutkin ymmärtäisivät hakea apua, jos kärsivät samanlaisista oireista.","id":"39-1262475660191babee7b","type":"image","alts":[{"language":"fin","value":"Piirroskuva henkilöstä, joka kokee pahoja vaihdevuosi oireita. Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. 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Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. Läikissä on pahaanmieleen, ahdistukseen ja kiukkuun viittaavia symboleita","source":"Miia Anttila \u002F Yle","aspect":1.7777777777777777,"caption":"Kaisa sai elämänilonsa takaisin, kun hän hakeutui hormonikorvaushoitoon. Hän haluaa jakaa tarinansa, jotta muutkin ymmärtäisivät hakea apua, jos kärsivät samanlaisista oireista.","id":"39-1262475660191babee7b","type":"image","alts":[{"language":"fin","value":"Piirroskuva henkilöstä, joka kokee pahoja vaihdevuosi oireita. Hahmon ympärillä on läikkiä, jotka värjäävät maisemaa mustavalkoiseksi. 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Vaihdevuosioireet jäävät yhä usein terveydenhuollossa tunnistamatta.","type":"text"},{"text":"Kaisa, 51, on ollut aina hyvä nukkumaan. Kun hänellä alkoi reilu puolitoista vuotta sitten unihäiriöt, ongelmat alkoivat nopeasti kasaantua.","type":"text"},{"text":"Mieliala laski, pinna kiristyi, puolison naamakin ärsytti. Kaisalle tuli keskittymisvaikeuksia ja hän oli jatkuvasti huolissaan.","type":"text"},{"text":"Muutaman kuukauden sinnittelyn jälkeen tuli todellinen pysähdys.","type":"text"},{"text":"– Havahduin siihen, etten näe elämässäni enää mitään värejä. Mietin, mitä jos en vain olisi enää täällä, kertoo Kaisa.","type":"text"},{"text":"Kahden teini-ikäisen lapsen äiti ei esiinny omalla nimellään asian arkaluonteisuuden vuoksi.","type":"text"},{"displayStyle":"normal","alt":"\"Kaisa\" katsoo ikkunasta ulos. Kuvan päälle on lisätty tummia läiskiä. ","source":"\"Kaisa\"","aspect":1,"caption":"Kaisa uskoo, että moni kärsii tietämättään vaihdevuosioireista. Hänelle pahinta oli, kun mikään ei tuntunut enää miltään. Kuva: Kaisan kotialbumi.","id":"39-12634116603edad67fc7","type":"image","alts":[{"language":"fin","value":"\"Kaisa\" katsoo ikkunasta ulos. Kuvan päälle on lisätty tummia läiskiä. "}],"blurhash":"L7FYcE0N00rB9ZnhD*%M00$y~W?v","tags":[{"label":[{"language":"fin","value":"vaihdevuodet"},{"language":"swe","value":"klimakteriet"}],"extId":"18-219044"}],"copyright":[{"language":"und","value":"\"Kaisa\""}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":257,"width":1031,"height":579}},{"name":"2:3","aspect":0.67,"coordinates":{"x":255,"y":0,"width":687,"height":1031}},{"name":"1:1","aspect":1,"coordinates":{"x":0,"y":0,"width":1031,"height":1031}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":313,"width":1031,"height":412}}],"height":1031,"licence":{"id":"7","name":[{"language":"eng","value":"Single use license"},{"language":"fin","value":"Kertakäyttösopimus"},{"language":"swe","value":"Engångslicens"}],"properties":[]},"version":"1711533985","width":1031,"recommendedFormat":"jpg"},{"caption":"Kaisa kertoo, kuinka vaihdevuosioireet alkoivat haitata hänen elämäänsä. Hänen äänensä on muutettu.","type":"audio","id":"1-68931142","programResponse":{"publications":[{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-areena"},"startTime":"2024-03-27T12:30:00+02:00","geoRestriction":"None","type":"Publication","id":"4-68931143","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"downloadable":false,"type":"Audio","duration":"PT305S","audioTracks":[{"format":"mono","type":"AudioTrack","duration":"PT305S","language":"fin"},{"format":"stereo","type":"AudioTrack","duration":"PT305S","language":"fin"}],"id":"78-1babef2a142e4581aa4743f5ab03d249","available":true}}],"title":{"main":{"fin":"Kaisa vaipui synkkyyteen vaihdevuosi-ikäisenä "}},"id":"1-68931142"}},{"text":"Vaihdevuodet voivat[ tuoreen tutkimustiedon ](https:\u002F\u002Fwww.sciencedirect.com\u002Fscience\u002Farticle\u002Fpii\u002FS0165032723010340)mukaan altistaa jopa itsemurha-ajatuksille.","type":"text"},{"text":"Myös gynekologi **Maija Kajanin** kokemuksen mukaan vaihdevuosi-iässä riski itsetuhoisuuteen on suurimmillaan naisen elämässä. Ainakin osittain se liittyy estrogeenin vähyyden vaikutuksiin aivojen välittäjäaineissa.","type":"text"},{"text":"Masentuneisuus, ahdistuneisuus, saamattomuus ja itkuherkkyys ovat hyvin tyypillisiä vaihdevuosioireita.","type":"text"},{"text":"– Jotkut potilaani ovat kertoneet olleensa itsemurhan partaalla ennen hormonikorvaushoidon aloittamista, sanoo Kajan.","type":"text"},{"text":"Naisten itsemurhat","level":2,"type":"heading"},{"text":"Samaan aikaan, kun naisten tekemien itsemurhien määrä on Suomessa pysynyt samana, miesten on vähentynyt.","type":"text"},{"text":"Itsemurhia tehdään Suomessa edelleen eniten verrattuna muihin Pohjoismaihin, reilu 700 vuosittain.","type":"text"},{"text":"Valtaosassa, noin 70 prosentissa, tekijänä on mies, mutta naisilla on yrityksiä moninkertaisesti enemmän kuin miehillä. Itsetuhoisin aika naisilla on keski-iässä.","type":"text"},{"text":"Suomessa vaihdevuosien ja itsetuhoisten ajatusten välistä suhdetta ei ole vielä juurikaan tutkittu.","type":"text"},{"text":"Mieli ry:n ylläpitämän Itsemurhien ehkäisykeskuksen päällikön **Marena** **Kukkosen** mukaan vaihdevuosien alkaminen osuu usein samaan aikaan muiden elämän stressitekijöiden, kuten vanhempien vanhenemisen, lasten itsenäistymisen ja oman terveydentilan muutosten kanssa.","type":"text"},{"id":"47-2147d03a-dd10-40ad-9c32-4928aeed03d2","type":"tehtava-exam"},{"text":"Itsemurhien taustalla on usein pitkään kertyneitä ongelmia.","type":"text"},{"text":"– Masennus ja unettomuus liitetään usein vaihdevuosioireisiin. Siksi terveyttä kuormittavien oireiden tunnistaminen ja erottaminen olisi tärkeää, jotta oikea hoito voidaan turvata, sanoo Kukkonen.","type":"text"},{"text":"Kukkonen toivoo lisää tutkimustietoa aiheesta, jotta vaihdevuosi-ikään tulevat naiset saisivat asianmukaista hoitoa ja tukea.","type":"text"},{"text":"Osaamiskeskuksesta apua naisille","level":2,"type":"heading"},{"text":"Vaihdevuosioireet jäävät Kajanin mukaan yhä edelleen usein tunnistamatta terveydenhuollossa. Varsinkin, jos ne alkavat, kun kuukautiskierto ei ole vielä loppunut.","type":"text"},{"text":"Ensimmäiset oireet voivat alkaa jo alle 40-vuotiaana.","type":"text"},{"text":"– Monet potilaat ovat kertoneet, että he ovat jo aiemmin käyneet useilla lääkäreillä turhaan unettomuuden, masennuksen, rytmihäiriöiden ja esimerkiksi nivelkipujen vuoksi, kertoo Kajan.","type":"text"},{"text":"Naisille on usein tehty jo monia eri laboratorio- ja kuvantamistutkimuksia.","type":"text"},{"text":"– Vaihdevuosioireet sotketaan helposti esimerkiksi uupumukseen. Yhteiskunnalta tuhlaantuu rahaa turhiin kokeisiin, kun ei osata epäillä estrogeenin vähyyttä. Sen voisi todeta verikokeella.","type":"text"},{"displayStyle":"normal","alt":"Maija Kajan nojaa kuusen runkoon.","source":"Riikka Vaahtera \u002F Maija Kajanin kotiarkisto","aspect":1,"caption":"Kajanin mielestä moni nainen läheisineen kärsii suotta hoitamattomista vaihdevuosien aiheuttamista haitoista, kuten ärtyneisyydestä.","id":"39-12634676603fc397edb8","type":"image","alts":[{"language":"fin","value":"Maija Kajan nojaa kuusen runkoon."}],"blurhash":"LHF~dG~oD$9F-:oeM|M|9vIVMxRP","tags":[{"label":[{"language":"fin","value":"Maija Kajan"},{"language":"swe","value":"Maija Kajan"}],"extId":"18-287368"},{"label":[{"language":"fin","value":"gynekologi"},{"language":"swe","value":"gynekolog"}],"extId":"18-226317"},{"label":[{"language":"fin","value":"gynekologia"},{"language":"swe","value":"gynekologi"}],"extId":"18-206307"},{"label":[{"language":"fin","value":"gynekologit"},{"language":"swe","value":"gynekologer"}],"extId":"18-205459"},{"label":[{"language":"fin","value":"naistentaudit"},{"language":"swe","value":"kvinnosjukdomar"}],"extId":"18-76944"}],"copyright":[{"language":"und","value":"Riikka Vaahtera \u002F Maija Kajanin kotiarkisto"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":164,"width":683,"height":384}},{"name":"2:3","aspect":0.67,"coordinates":{"x":72,"y":0,"width":455,"height":683}},{"name":"1:1","aspect":1,"coordinates":{"x":0,"y":0,"width":683,"height":683}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":200,"width":683,"height":273}}],"height":683,"licence":{"id":"4","name":[{"language":"eng","value":"Other external source"},{"language":"fin","value":"Muu ulkoinen lähde"},{"language":"swe","value":"Annan extern källa"}],"properties":[]},"version":"1711537316","width":683,"recommendedFormat":"jpg"},{"text":"Kajanin mukaan monen potilaan vaihdevuosi- ja mielialaoireet helpottaisivat oikeamääräisellä hormonikorvaushoidolla. Häntä harmittaa, ettei estrogeenihoidon terveyshyödyistä useinkaan puhuta, vaan keskitytään rintasyöpäriskiin, jota se voi kohottaa.","type":"text"},{"text":"Tutkimusten mukaan hoito vähentää selvästi muun muassa sepelvaltimotaudin, sydän- ja aivoinfarktin riskiä.","type":"text"},{"caption":"Gynekologi Maija Kajan kertoo, miten estrogeenin vähyys laskee mielialaa ja mihin kaikkeen se voi pahimmillaan johtaa.","type":"audio","id":"1-68926744","programResponse":{"publications":[{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-areena"},"startTime":"2024-03-27T12:30:00+02:00","geoRestriction":"None","type":"Publication","id":"4-68926759","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"downloadable":false,"type":"Audio","duration":"PT262S","audioTracks":[{"format":"mono","type":"AudioTrack","duration":"PT262S","language":"fin"},{"format":"stereo","type":"AudioTrack","duration":"PT262S","language":"fin"}],"id":"78-efa9ea80684944ea8928bd4187b8f9b9","available":true}}],"title":{"main":{"fin":"Vaihdevuodet voivat lisätä itsemurhan riskiä"}},"id":"1-68926744"}},{"text":"Kajan on mukana [tuoreessa kansalaisaloitteessa](https:\u002F\u002Fwww.kansalaisaloite.fi\u002Ffi\u002Faloite\u002F13142). Siinä esitetään, että hyvinvointialueille perustettaisiin vaihdevuosiin erikoistuneita osaamiskeskuksia.","type":"text"},{"text":"Osa hänen potilaistaan on ollut pitkään työkyvyttömyyseläkkeellä sellaisten oireiden takia, mitkä olisi saatu helpottumaan oikealla hormonikorvaushoidolla.","type":"text"},{"text":"– Se on inhimillinen tragedia sille ihmiselle, mutta se on myös suuri taloudellinen menetys yhteiskunnalle.","type":"text"},{"text":"Värit takaisin elämään","level":2,"type":"heading"},{"text":"Kaisa hakeutui loppusyksystä 2022 terveyskeskukseen lääkäriin.","type":"text"},{"text":"Mielialaongelmien lisäksi hänen muistinsa pätki, olo oli aikaisempaa kömpelömpi ja uusien asioiden sisäistäminen oli vaikeaa.","type":"text"},{"text":"Hän ajatteli, että kaikki johtuu vain stressistä.","type":"text"},{"text":"– En osannut ensin yhdistää asioita vaihdevuosiin, vaan ajattelin, että kyse on vain jostain ohimenevästä. Hormonit eivät ole aikaisemmin minua juuri vaivanneet, Kaisa sanoo.","type":"text"},{"text":"Lääkäri oli ensin epäillyt työuupumusta. Kaisa oli kuitenkin keskustellut samanlaisista oireista samanikäisten ystäviensä kanssa ja nosti itse esiin vaihdevuodet.","type":"text"},{"text":"Kaisa hakeutui nopeamman hoidon saamiseksi yksityiselle gynekologin vastaanotolle. Hän sai sieltä hormonikorvaushoidon suihkeena. Mielialalääkityksen hän oli saanut terveyskeskuslääkäriltä.","type":"text"},{"text":"Aiemmin hän oli suhtautunut varauksella hormonihoitoihin.","type":"text"},{"text":"– Oloni parani heti todella paljon. Nukun taas hyvin ja mieliala on kohonnut. Lääkkeet ovat olleet ihan pelastus. 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