Aap ki sehat

Chhaati ki sehat

Apne liye kya normal hai yeh jaanna, aur jab screening mile to karwana. Pakistan Menopause Society, NHS aur British Menopause Society kya kehte hain, aur HRT chhaati ke cancer ke khatre par kya asar daalti hai aur kya nahin.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kaisa mehsoos ho sakta hai
  4. Hidayat mein kya likha hai
  5. Ilaaj ke baare mein hidayat kya kehti hain
  6. Doctor ko kab dikhayen
  7. Doctor se poochne ke sawal
  8. Deen aur ghar wale
  9. Is par nazar rakhein
  10. Aam sawal
  11. Milte julte mauzuaat
  12. Hawale

Darmiyani umar mein chhaati ki sehat do aadaton par aa kar thehrti hai jin ki taraf hidayat baar baar lautti hain: yeh jaanna ke aap ke apne jism ke liye kya normal hai, aur jab screening mile to karwana. Donon mein bahaduri nahin chahiye. Donon mein bas yeh jaanna hai ke aap kya maangne ka haq rakhti hain.

Lafz aur hidayat

English
Breast health
In naamon se bhi dhoonda jata hai
mammogram, breast screening, breast cancer screening
Urdu
چھاتی کی صحت
Roman Urdu
chhaati ki sehat
  • Pakistan Menopause Society ki 2026 ki sifarishaat doctoron se kehti hain ke aurat ki umar aur khatre ke mutabiq chhaati ke baare mein aagahi aur screening ko farogh dein, jis mein 50 saal ki umar ke baad har teen saal mein mammogram (chhaati ka x-ray) shamil hai (Table 4).
  • Yehi sifarishaat chhaati mein gilti, nipple se ratoobat aane ya jild mein tabdeeli ko un khatre ki nishaniyon mein ginti hain jin ki jaanch ya aage bhejna zaroori hai, aur kehti hain ke mashkook alamaat ko intezaar nahin karwana chahiye (section 2.3; Table 4).
  • Women's Health Concern, jo British Menopause Society ka mareezon ke liye bana hissa hai, kehta hai ke chhaati ka cancer aam taur par ya to chhaati ki aagahi se pakra jata hai ya screening se, aur jitni jaldi cancer pakra jaye aur us ka ilaaj ho, bachne ke imkaan utne behtar hote hain.
  • British Menopause Society kehti hai ke zyada tar auraton mein HRT lene ke nateeje mein chhaati ke cancer ki tashkhees nahin hogi, aur sirf estrogen wali HRT se khatre mein bohat kam ya koi tabdeeli nahin aati.

Yeh kya hai

In saalon mein chhaati ka khayal rakhne ka matlab teen baatein hain. Tabdeeliyon par nazar rakhna. Hidayat mein di gayi umar par screening. Aur agar aap HRT (hormone ki dawa) ke baare mein soch rahi hain, to yeh samajhna ke yeh chhaati ke cancer ke khatre par kya asar daalti hai aur kya nahin.

Chhaati ki aagahi koi aisa tareeqa nahin jise theek se seekhna pare. Yeh bas yeh jaanna hai ke aap ki chhaati aam taur par kaisi dikhti aur mehsoos hoti hai, taake koi tabdeeli aaye to nazar aa jaye.

Yeh kaisa mehsoos ho sakta hai

Kuch tabdeeliyan perimenopause (mahwari band hone ke aas paas ka waqt) ka hissa hain. Pakistan Menopause Society chhaati mein dard ko is ki shuru ki alamaat mein ginti hai, hot flush, pait phoolne aur neend ki kharabi ke saath.

Kuch tabdeeliyon ko doctor ka dekhna zaroori hai. Yehi sifarishaat chhaati mein gilti, nipple se ratoobat aane, aur chhaati ya nipple ki jild mein tabdeeli ko un khatre ki nishaniyon mein ginti hain jin ki jaanch honi chahiye (section 2.3).

Hidayat mein kya likha hai

  • Pakistan mein screening. Pakistan Menopause Society doctoron se kehti hai ke darmiyani umar ki mulaqaton mein sehat ki aagahi aur aisi screening ko farogh dein jo aurat ki umar aur khatre ke mutabiq ho. Baqi auraton ki tarah, yeh 50 saal ki umar ke baad har teen saal mein mammogram batati hai (Table 4).
  • England mein screening. NHS un auraton ko jo kisi GP ke paas registered hon, 50 saal se un ki 71veen saalgirah tak bulata hai. Pehla bulawa 50 se 53 saal ki umar ke beech aata hai, phir har teen saal baad.
  • Muaina. Pakistan Menopause Society kehti hai ke chhaati ka muaina us waqt hona chahiye jab alamaat, khatre ki wajoohaat ya screening is ka taqaza karein, na ke har aurat ka maamool ke taur par (Table 2).
  • Khandan ki tareekh. Yehi sifarishaat doctoron se kehti hain ke chhaati ki screening ki soorat-e-haal aur khandan mein cancer ki tareekh likhein, aur jin auraton ko khandani wajah se zyada khatra ho, unhein chhaati ke muaine ke liye aage bhejein (Table 2 aur 4).
  • HRT ke dauran screening. European Menopause and Andropause Society (EMAS) kehti hai ke HRT ki wajah se zyada mammogram ki zaroorat nahin. The Menopause Society likhti hai ke HRT ki kuch qismon se mammogram par chhaati zyada ghani dikh sakti hai, jis se ise parhna mushkil ho sakta hai aur dobara bulaye jane ka imkaan barh sakta hai.

Ilaaj ke baare mein hidayat kya kehti hain

Agar HRT ka zikr aate hi sab se pehle chhaati ka cancer zehan mein aata hai, to British Menopause Society ki fast facts sheet yeh batati hai:

  • Kam buniyadi khatre wali auraton ke liye, jo us ke mutabiq zyada tar auratein hain, paanch saal tak HRT se alamaat mein milne wala faida mumkina nuqsaan se zyada hai.
  • Sirf estrogen wali HRT se khatre mein bohat kam ya koi tabdeeli nahin aati. Mushtarka HRT ke saath khatra barh sakta hai jo jitna lamba istemaal ho utna barhta hai, aur sheet ise kam batati hai.
  • Usi jagah lagane wala estrogen (vaginal estrogen) khatra nahin barhata.
  • Jin auraton ko alamaat hon aur chhaati ke cancer ka khatra zyada ho, ya jinhein yeh ho chuka ho, unhein mashware ke liye menopause ke specialist ke paas bheja jana chahiye.

Pakistan Menopause Society chhaati ke cancer ko un wajoohaat mein ginti hai jin mein MHT, yani HRT ke liye us ka lafz, istemaal nahin karni chahiye (5.2). Menopause ki alamaat wali un auraton ke liye jinhein chhaati ka cancer raha ho ya us ka zyada khatra ho, NICE NG23 doctoron se kehta hai ke unhein har raaste ki maloomat dein aur aise maahir ke paas bhejein jo menopause ko samajhta ho (1.5.31). Adaad-o-shumaar HRT ke faide aur khatre mein hain, aur aap ke liye in ka kya matlab hai, yeh baat aap ke doctor se karne ki hai.

Doctor ko kab dikhayen

Agar aap ko gilti mehsoos ho, nipple se ratoobat aaye, ya chhaati ya nipple ki jild mein tabdeeli dikhe to jald doctor ko dikhayen. Pakistan Menopause Society kehti hai ke mashkook alamaat ki jaanch mein der nahin honi chahiye (Table 4).

NHS ki website screening ke baare mein yehi baat kehti hai: agar aap alamaat ki wajah se pareshan hain to GP se milein, chahe haal hi mein mammogram hua ho, aur agli screening ka intezaar na karein.

Agar aap ki ammi, behen ya khala ko chhaati ka cancer hua tha, to menopause ki kisi bhi mulaqat mein yeh batayen.

Doctor se poochne ke sawal

  1. Aap kis umar se, aur kitni baar, mammogram ka mashwara dete hain, aur yeh kahan ho sakta hai?
  2. Kya meri chhaati ka muaina koi lady doctor ya khatoon radiographer kar sakti hai?
  3. Mere khandan ki tareekh dekhte hue, kya mera khatra zyada hai, aur kya is se meri screening ka tareeqa badalta hai?
  4. Meri apni sehat ki tareekh ke saath, HRT mere chhaati ke cancer ke khatre ko kaise badlegi?
  5. Main HRT leti hoon. Kya mujhe screening walon ko batana chahiye, ke kahin is se meri chhaati zyada ghani na dikhe?

Deen aur ghar wale

British Menopause Society batati hai ke bohat si Asiai auraton ki zindagi ka riwayati aur qadamat pasand andaaz madad lene mein rukawat ban sakta hai. Haya aik haqeeqi fikr hai, aur is ka jawab lecture nahin, amli hona chahiye.

Appointment lete waqt aap pooch sakti hain ke kya koi lady doctor mil sakti hai, aur poochna koi hungama khara karna nahin. England mein NHS kehta hai ke chhaati ki screening aik khatoon mammographer karti hai aur kapre utaarna aur pehnna alag jagah par akele hota hai. Pakistan Menopause Society doctoron se kehti hai ke hassas alamaat ki baat izzat ke saath aur akele mein karein (2.2). Auratein yeh bhi poochti hain ke muaina un ke deen ke saath kaise chalta hai. Yeh sawal mustanad ulama se poochne ka hai.

Jin khandanon mein cancer ki baat sargoshiyon mein hoti hai, ya bilkul nahin hoti, wahan khandan ki tareekh maloom karna sab se mushkil hissa ho sakta hai. Kisi buzurg rishtedaar se yeh poochna ke khala ka inteqaal asal mein kis beemari se hua tha, jitna lagta hai us se zyada aham ho sakta hai.

Is par nazar rakhein

  • Roshara ka alamaat ka score chand minute mein 27 alamaat ko number deta hai, account ke baghair. Kul number apni appointment par saath le jayen. Alamaat ka score shuru karein
  • “Main kahan hoon?” us mor ko naam deta hai jis par aap shayad hain. Chhe sawal. Main kahan hoon? Shuru karein
  • Tracker mein roz ka haal likhein, aur yeh bhi ke us se zara pehle kya hua tha. Is ke liye muft account chahiye. Tracker kholein

Aam sawal

Kya HRT se chhaati ka cancer hota hai?
British Menopause Society kehti hai ke zyada tar auraton mein HRT ki wajah se chhaati ke cancer ki tashkhees nahin hogi. Khatra kaise badalta hai, yeh HRT ki qism aur aap ke apne khatre par munhasir hai, aur yeh baat aap ke doctor se karne ki hai. (Hawala: British Menopause Society, Tool for Clinicians: Fast facts, HRT and breast cancer risk (updated September 2025))
Mujhe mammogram kab karwana chahiye, aur kya HRT par zyada baar?
Pakistan Menopause Society ki sifarishaat 50 saal ki umar ke baad har teen saal mein mammogram batati hain, aur England mein NHS auraton ko 50 saal se un ki 71veen saalgirah tak bulata hai. EMAS kehti hai ke HRT lene wali auraton ko zyada baar mammogram ki zaroorat nahin, aur na hi mammogram se pehle HRT band karne ki. (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))
Kya chhaati mein dard cancer ki nishani hai?
Pakistan Menopause Society chhaati mein dard ko perimenopause ki shuru ki alamaat mein ginti hai. Gilti, nipple se ratoobat ya jild mein tabdeeli ko woh khatre ki un nishaniyon mein ginti hai jin ki jaanch doctor ko karni chahiye. (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))

Milte julte mauzuaat

Hawale

  1. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: Table 1; 2.2; 2.3 Red flags; Table 2 baseline examination; Table 4 breast; 5.2 · 1 October 2026 ko khola gaya
  2. Women's Health Concern, Breast care and self-examination (published 27 March 2024)Hissa: Breast care and self-examination · 1 October 2026 ko khola gaya
  3. British Menopause Society, Tool for Clinicians: Fast facts, HRT and breast cancer risk (updated September 2025)Hissa: HRT and the risk of being diagnosed with breast cancer; HRT and women at increased risk · 1 October 2026 ko khola gaya
  4. NHS website, Breast screening (mammogram): who breast screening is for (reviewed 9 October 2025)Hissa: Who breast screening is for and when you'll be invited · 1 October 2026 ko khola gaya
  5. NHS website, Breast screening (mammogram): what happens at your appointment (reviewed 9 October 2025)Hissa: How breast screening is done · 1 October 2026 ko khola gaya
  6. British Menopause Society, Tool for Clinicians: Menopause in ethnic minority women (published June 2023, review was due June 2026)Hissa: Differences in knowledge and attitudes towards menopause and ageing · 1 October 2026 ko khola gaya
  7. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.5.31 · 10 October 2026 ko khola gaya
  8. European Menopause and Andropause Society, Menopause Essentials 2026: Breast and cervical cancer screening (July 2026)Hissa: Breast cancer screening of women at average risk · 15 October 2026 ko khola gaya
  9. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Breast cancer: mammographic breast density and hormone therapy · 15 October 2026 ko khola gaya