Cholesterol

Cholesterol khoon mein maujood aik chikna maadda hai. NHS ki website kehti hai ke jab yeh bohat zyada ho to khoon ki naliyon ko band kar sakta hai aur dil ke masle ya faalij ka imkaan barha sakta hai.

High cholesterol koi aisi beemari nahin jo aap ko mehsoos ho. Yeh aik khatra hai jo lab ki report par milta hai. Doctor test ko lipid profile keh sakte hain, aur masle ko dyslipidaemia, yani cholesterol aur us ke saath naapi jaane wali khoon ki baqi chiknaiyon ki garbar.

Kuch bhi nahin. NHS ki website kehti hai ke high cholesterol se aam taur par koi alamat nahin hoti. Aap bilkul theek mehsoos kar sakti hain, bazaar tak paidal ja sakti hain, seerhiyan charh sakti hain, aur phir bhi reading zyada ho sakti hai.

Agar yeh nikalna hai, to behtar hai us test mein nikle jo aap ne khud maanga ho.

NHS ki website batati hai ke high cholesterol ka imkaan kin mein zyada hai: 50 saal se zyada umar ke log, mard, menopause se guzar chuki auratein, aur junoobi Asiai ya Sahara ke junoob ki Africi nasl ke log. Yeh khandanon mein bhi chalta hai. Phir woh baatein hain jo aap badal sakti hain: chiknai wala khana, kam warzish, zyada wazan, cigarette aur sharaab.

Pakistan Menopause Society ki sifarishaat khoon ki ghair sehatmand chiknaiyon ko un lambe arse ki tabdeeliyon mein rakhti hain jo menopause ke baad aa sakti hain, saath mein pait ke gird wazan aur insulin resistance, yani jism par apni hi insulin ka asar kam hone lagna (Table 1). European Menopause and Andropause Society (EMAS) is ka andaza deti hai: is ke adaad ke mutabiq high cholesterol 33 se 44 saal ki 37% auraton mein, 45 se 55 saal ki 59% mein aur 55 se 64 saal ki 66% mein milta hai.

Yehi sifarishaat aik ehtiyaat bhi saath rakhti hain jo sunne ke qaabil hai: darmiyani umar ka har masla estrogen kam hone ki wajah se nahin hota. Umar, rehen sehen aur doosri beemariyan sab apna hissa daalti hain (Table 1).

• NHS ki website kehti hai ke sehatmand khana kha kar aur zyada warzish kar ke aap apna cholesterol kam kar sakti hain, aur kuch logon ko dawa ki bhi zaroorat hoti hai.
• Pakistan Menopause Society meethe mashroobaat aur cola ko aisi cheezein batati hai jo pait ke gird wazan aur metabolism ka khatra barhati hain, aur doctoron se kehti hai ke Pakistani khane ki aadaton ko saamne rakh kar khane par baat karein (Table 5). Yeh saabit anaaj, daalein aur doosri phaliyan, machhli, ande, meve, beej aur sehatmand tel tajweez karti hai, aur kehti hai ke Mediterranean andaaz ka khana Pakistani zaiqe ke saath chalta hai. Safed chawal aur safed double roti ke baare mein Women's Health Concern kehta hai ke sehatmand khane mein un ki bhi jagah hai aur unhein chhorne ki zaroorat nahin, albatta nishasta daar cheezon mein zyada hissa saabit anaaj ka hona chahiye. Mazeed khana peena mein.
• Yehi sifarishaat doctoron se kehti hain ke menopause ki mulaqat mein blood pressure, sugar, wazan aur tambaku ke istemaal ke saath khoon ki chiknaiyan bhi check karein (Table 1).

NHS ki website kehti hai ke agar aap ka cholesterol zyada hai to doctor ya nurse aap se ise kam karne ki baat karenge, jis ka matlab khana badalna ya dawa lena ho sakta hai, aur ho sakta hai woh agle das saal mein dil ke daure ya faalij ke aap ke khatre ka andaza lagayen. Kaun si dawa, agar koi, yeh usi doctor ka kaam hai jo aap ke nataij dekhta hai.

Agar aap HRT (hormone ki dawa) ke baare mein soch rahi hain, to Pakistan Menopause Society doctoron se kehti hai ke systemic ilaaj shuru karne se pehle high cholesterol jaisi beemariyon ko qaboo mein layen (Table 4).

NHS ki website mashwara deti hai ke agar aap ne kabhi cholesterol ka test nahin karwaya aur aap ki umar 40 se zyada hai, wazan zyada hai, ya khandan mein high cholesterol ya dil ke masle chalte hain, to apne GP ke clinic se test ka kahein. England mein 40 saal se zyada umar walon ke NHS Health Check mein bhi yeh test ho sakta hai. EMAS kehti hai ke menopause ke baad ya 50 saal ki umar se auraton ke test par ghaur kiya jaye, aur un auraton ke bhi jin ka menopause jaldi hua ho, ya jinhein hamal ke dauran high blood pressure ya pre-eclampsia (hamal mein blood pressure ke saath hone wali aik sangeen haalat) hua ho.

Baqi jagahon par apne doctor ya kisi lab se poochein. Pakistan Menopause Society maanti hai ke test umar, khatre aur istitaat par munhasir hai. Agar kharch ka sawal hai, to doctor se poochein ke kya yeh aap ke doosre zaroori khoon ke teston ke saath hi ho sakta hai.

Auratein poochti hain ke kya cholesterol ke test ke liye khaali pait rehna hota hai, aur yeh Ramzan ke saath kaise chalega. NHS ki website kehti hai ke zyada tar logon ko is ke liye khaali pait rehne ki zaroorat hi nahin hoti. Lab ya apne doctor se pooch lein ke unhein kya chahiye.

Zyada tar junoobi Asiai gharon mein khana poore ghar ka maamla hota hai, aur khane ka tel ya chawal badalna aisa lag sakta hai jaise poora ghar badla ja raha ho. Pakistan Menopause Society mil kar apnayi gayi sehatmand aadaton ko un tareeqon mein ginti hai jin se shohar aur khandan menopause mein aurat ka saath de sakte hain (4.2.6). Agar sab aik hi handi se khate hain, to shuruaat wahin se hoti hai.