Dimagh ki sehat

Dimagh ki sehat ka matlab hai aap kitni achhi tarah soch paati hain: yaaddasht, tawajjo, lafz dhoondna, baaton ka hisaab rakhna. British Menopause Society kehti hai ke perimenopause (mahwari band hone ke aas paas ka waqt) mein auraton ka aik bara hissa naye ya barhte hue masle batata hai. NHS ki website yaaddasht aur tawajjo ke maslon ko alamaat mein ginti hai, aur kehti hai ke neend poori na ho to yeh badtar mehsoos ho sakte hain.

Pakistan Menopause Society isi cheez ko yaaddasht aur tawajjo ki woh mushkil batati hai jise aam taur par dimaghi dhund kaha jata hai (1.5.4). British Menopause Society ki guide ise aisa masla batati hai jo aap khud mehsoos karti hain, yaaddasht, tawajjo ya lafz dhoondne mein, magar test mein koi bari kami nazar nahin aati, aur yeh aata jata reh sakta hai.

British Menopause Society menopause ki dimaghi dhund ko yun bayan karti hai: lafz yaad aane mein mushkil, cheezein rakh kar bhool jana, tawajjo jamane mein mushkil, appointment bhool jana, aur baat ka sira kho dena. Aam taur par aap khud hi ise note karti hain. Yeh aksar sab se masroof waqton mein saamne aati hai, jab kaam aur ghar donon sambhal rahi hon, aur aap ki mahwari ke chakkar, neend aur mood ke saath oopar neeche ho sakti hai.

Isi guide ke mutabiq dementia (bhoolne ki beemari) mukhtalif dikhta hai. Yeh aam taur par bari umar mein shuru hota hai, zyada tar 65 saal ke baad. Mushkil yaaddasht se aage barh kar zabaan, faisle aur roz ke kaam sambhalne tak jaati hai, musalsal barhti jaati hai, aur aksar doosre log pehle note karte hain. Paise, dawaein ya zyada pecheeda kaam khud sambhalne ki salahiyat kho dena, yeh woh lakeer hai jo guide kheenchti hai.

British Menopause Society kehti hai ke dimaghi dhund hamesha hormone ki wajah se nahin hoti. Neend ki kami aur thakawat aam wajhein hain, aur udaasi, bechaini, ghizai kamiyan aur thyroid jaisi beemariyan bhi ise barha sakti hain. European Menopause and Andropause Society (EMAS) mazeed kehti hai ke kuch dawaein bhi dimaghi dhund se juri ho sakti hain. To jo raat ke paseene aap ki neend torte hain, woh aap ki yaaddasht par shayad kisi bhi aur cheez jitna asar daal rahe hon.

Is ka aik lambe arse wala pehlu bhi hai. British Menopause Society ki aqalliyati naslon ki auraton wali sheet kehti hai ke jo junoobi Asiai auratein bohat jaldi menopause se guzarti hain, woh shayad madad na lein, aur is ka asar baad ki sehat par par sakta hai, dementia samet. NICE ki hidayat NG23 doctoron se kehti hain ke yeh zehan mein rakhein ke kuch aqalliyati naslon ki auraton ka menopause kam umar mein ho sakta hai (1.3.3).

• Neend, mood aur hot flush. British Menopause Society doctoron se kehti hai ke inhein sambhalein, kyunke in mein se har aik soch ko bigaar sakta hai, aur baat cheet ki therapy jaise CBT ko options mein ginti hai.
• Dil ki sehat. Yehi guide doctoron se kehti hai ke high blood pressure, cholesterol aur sugar ko jaanchein aur in ka ilaaj karein. NHS ki website vascular dementia, yani dimagh tak khoon ki gardish ki kharabi se hone wale dementia, ko baghair ilaaj ke high blood pressure ke khatraat mein ginti hai.
• Roz ki zindagi. Guide ke dimagh ki sehat wale mashwaron mein jismani sargarmi, cigarette na peena, zyada sharaab se bachna, logon se milte julte rehna aur kuch naya seekhna shamil hain.
• Kaam. Yeh kaam ki jagah par madad tajweez karti hai, jaise pursukoon jagah, digital madad, baqaida waqfe aur lachakdaar auqaat.

British Menopause Society kehti hai ke HRT (hormone ki dawa) ke soch par asraat par achhi tarah research nahin hui. Ab tak ke nataij perimenopause aur menopause ke foran baad ke saalon mein musbat ya ghair janibdaar asar ki taraf ishara karte hain, aur kai tehqeeqon ke aik haaliya ikatthe jaize (meta-analysis) mein is ka koi saboot nahin mila ke menopause ke baad HRT dementia ka khatra barhati ya ghatati hai. Yeh bhi kehti hai ke dimaghi dhund ke liye testosterone tajweez karne ka kaafi saboot nahin hai.

Jahan HRT madad karti hai, wahan guide ke mutabiq yeh wajoohaat mein aasani la kar karti hai, jaise neend ki kami aur thakawat.

Mushtarka HRT ko 65 saal ya is se zyada umar mein shuru karne par NICE ki hidayat NG23 ki baat is safhe ke shuru mein hai. HRT aap ke liye theek hai ya nahin, yeh faisla aap ka doctor aap ke saath mil kar karega.

Agar bhoolna kaam ya ghar mein rukawat ban raha hai to appointment lein. Kya hota hai aur kab hota hai, is ka note saath le jana madad karta hai.

British Menopause Society un nishaniyon ki fehrist deti hai jinhein qareeb se dekhne ki zaroorat hai: yaaddasht ke masle jo musalsal barh rahe hon ya kaam, rishton ya roz ki zindagi mein rukawat daal rahe hon; bari ya achanak kami; jhatkon wale daure ya asaab ki doosri nishaniyan; aur khandan mein 65 saal se pehle shuru hone wala dementia. Pakistan Menopause Society sochne samajhne ki salahiyat mein wazeh kami ko apni khatre ki nishaniyon mein ginti hai (section 2.3).

Auratein batati hain ke namaz mein ginti bhool jaati hain, ya yaad nahin rehta ke namaz parh li hai ya nahin, aur is se kitni fikr hoti hai. Namaz mein ise kaise sambhalna hai, yeh sawal mustanad ulama se poochne ka hai. Bhoolna apne aap mein aik alamat hai jo doctor ko batane ke qaabil hai.

Agar aap dementia wale ammi ya abbu ki dekh bhaal kar rahi hain aur saath hi apni yaaddasht phisalti mehsoos ho rahi hai, to dar bohat qareeb lag sakta hai. Mulaqat mein yeh baat khul kar kahein. Khandan ki tareekh un baaton mein hai jo guide doctoron ko check karne ko kehti hai.