Blood pressure mein tabdeeli

Blood pressure woh zor hai jis se khoon, khoon ki naliyon ki deewaron par dabao dalta hai. NHS ki website kehti hai ke jab yeh zyada der tak bohat ooncha rahe to khoon ki naliyon, dil aur doosre aaza par izafi bojh parta hai, jin mein dimagh, gurde aur aankhein bhi shamil hain.

Doctor ise hypertension kehte hain. Ghar mein yeh bas BP hai.

NHS ka high blood pressure wala safha menopause ko is ki wajoohaat mein nahin ginta. Darmiyani umar mein jo badalta hai woh yeh hai ke khatre wale awamil jama hone lagte hain, aur isi liye menopause ki hidayat baar baar is ki taraf lautti hain.

Aam taur par kuch bhi nahin. NHS ki website kehti hai ke kabhi kabhaar is se sar dard, dhundla nazar aana ya seene mein dard ho sakta hai. Perimenopause (mahwari band hone ke aas paas ka waqt) mein sar dard ki bohat si wajhein ho sakti hain, aur tez dharakta dil hot flush bhi ho sakta hai ya dil ki dharkan tez hona bhi. Asal baat sirf BP ki machine bata sakti hai.

NHS ki website un baaton ki fehrist deti hai jo imkaan barhati hain: barhti umar, qareebi rishtedaron ko high blood pressure hona, zyada namak wala khana, wazan zyada hona, cigarette, zyada sharaab, aur lambe arse tak rehne wala zehni dabao. Aap ki nasl bhi is fehrist mein hai. NHS junoobi Asiai pas-e-manzar ko, siyah faam Africi aur siyah faam Caribbean pas-e-manzar ke saath, zyada khatre wala batata hai.

Menopause ki hidayat bhi yehi kehti hain. Pakistan Menopause Society batati hai ke Pakistan mein auraton ka menopause ausatan safed faam auraton se pehle hota hai, aur European Menopause and Andropause Society (EMAS) kehti hai ke qudrati menopause jaldi ho to high blood pressure ka khatra barh sakta hai. British Menopause Society kehti hai ke menopause ki tabdeeli ke daur mein junoobi Asiai auraton mein dil aur khoon ki gardish ke khatre wale awamil zyada milte hain, aur high blood pressure in mein se aik hai.

Is sab ka yeh matlab nahin ke aap ka blood pressure high hai. Matlab yeh hai ke chalees ki dahai mein aik reading aap ki soch se zyada qeemti hai.

• NHS ki website sehatmand, mutawazin khana, baqaida warzish, wazan zyada ho to kam karna, namak kam karna, cigarette na peena aur zyada sharaab na peena ginwati hai. Woh zyada caffeine ka bhi naam leti hai, aur chai ko zyada caffeine wale mashroobaat mein ginti hai. Agar din mein paanch baar ketli charhti hai to chai aur caffeine dekhein.
• Pakistan Menopause Society doctoron se kehti hai ke menopause ki mulaqat ko bachao ka mauqa banayen: blood pressure, wazan, sugar, cholesterol aur tambaku ka istemaal, saath mein rehen sehen ke baare mein mashwara (Table 1).

NHS ki website kehti hai ke GP aam taur par dawa us waqt likhte hain jab blood pressure bohat zyada ho, dil ke daure ya faalij ka khatra zyada ho, ya rehen sehen badalne ke baad bhi blood pressure high rahe. Kaun si dawa, yeh is par munhasir hai ke reading kitni oonchi hai, aap ki umar kya hai aur aap ki nasl kya hai, aur yeh faisla usi doctor ka hai jo ise naapta hai.

Agar aap HRT (hormone ki dawa) ke baare mein soch rahi hain to blood pressure isi baat cheet ka hissa hai. Pakistan Menopause Society ki sifarishaat doctoron se kehti hain ke high blood pressure ki jaanch karein aur aage bhejein, aur systemic ilaaj shuru karne se pehle lambe arse ki kisi bhi beemari ko qaboo mein layen (Table 4). HRT aap ke liye theek hai ya nahin, aur kis shakal mein, yeh aap ke doctor ka faisla hai.

NHS ki website mashwara deti hai ke agar aap ko lage ke aap ko khatra ho sakta hai, ya aap ki umar 40 saal ya is se zyada hai aur 5 saal se zyada arse se blood pressure check nahin hua, to kisi pharmacy ya GP ke clinic par check karwayen. England mein bohat si pharmacies 40 saal se oopar walon ka muft check karti hain. Baqi jagahon par pharmacy ya clinic ki reading apne doctor ko dikhane ki cheez hai.

NHS ki website kehti hai ke agar aap ko aksar sar dard hota ho ya dhundla nazar aata ho, ya seene mein aisa dard ho jo aata jata rahe, to jald mashwara lein.

In soorton mein foran emergency madad lein: seene mein achanak dard ya dabao jo khatam na ho, dard jo baazu, gardan, jabre, pait ya kamar tak phaile, ya seene mein dard ke saath paseena, matli, sar halka hona ya saans phoolna. NHS ki website inhein dil ke daure ki mumkina nishaniyan batati hai.

Bohat se gharon mein BP ki machine ghar ki kisi buzurg khatoon ki hoti hai, aur reading hamesha unhi ki hoti hai, kabhi aap ki nahin. Apne liye machine maangna ajeeb lag sakta hai. Chhoti si baat hai, par bohat kuch bata deti hai.

Ramzan mein auratein poochti hain ke roza aur dawa ka waqt saath kaise chalein. Roze ke baare mein sawal mustanad ulama se poochne ke hain; blood pressure ki goli kab leni hai, yeh sawal usi se poochein jis ne dawa likhi hai, aur yeh tabdeeli akele karne ki nahin.