Munh ki sehat

NHS ki website daanton ke hassas hone, masoorhon mein dard aur munh ke doosre maslon ko menopause aur perimenopause (mahwari band hone ke aas paas ka waqt) ki alamaat mein ginti hai. Aik lambe safhe par yeh aik satar hai, aur aasani se nazar se reh jaati hai.

Is satar ke peeche ki research abhi kam hai, magar barh rahi hai. Labunet aur saathiyon ke 2025 ke scoping review ne menopause ke aas paas munh par 30 tehqeeqon ko ikattha kiya. Is mein munh ka khushk hona aur zaiqe mein tabdeeli sab se aam tabdeeliyan niklin, un ke baad masoorhon ki beemari, aur menopause ke baad ki auraton mein masoorhon ki beemari, daant girne aur jabre ki haddi ghatne ka khatra zyada paya gaya.

Is sab ke beech mein thook hai. Jaize ka nateeja hai ke menopause ke baad thook kam banta hai aur zaiqa kam mehsoos hota hai. Is mein shamil aik tehqeeq, Ojo aur saathiyon ki, ko menopause ke baad ki 14.3% auraton mein bohat kam thook mila, jabke menopause se pehle ki auraton mein 5.7% mein, aur purani masoorhon ki beemari 54.3% ke muqable mein 37.1% mein.

Khushk ya chipchipa munh, hont jo phatein, khane ka zaiqa badla hua lagna, pyaas jo paani se poori na bujhe. Daant jin mein garam, thande, meethe ya khatte se tees uthe. Masoorhe jin se brush karte, floss karte ya koi sakht cheez kaat-te waqt khoon aaye, ya jo laal aur suje hue dikhein. Munh ki bu ya bura zaiqa jo jaye hi nahin.

Masoorhon wali nishaniyan NHS ki website ginti hai; khushki aur zaiqe ki tabdeeli ki baat jaiza karta hai. Oral Health Foundation, Bartania ka daanton ka khairati idara jis ki taraf NHS hassas daanton ke liye bhejta hai, is chubhan ko aik chhota, tez dard ya der tak rehne wali dukhan batati hai, jo garam, thande, meethe ya khatte khane peene se uthti hai.

Kuch auraton ko munh ya zabaan par jalan bhi mehsoos hoti hai, jis ka apna safha hai: munh mein jalan.

Jaiza in tabdeeliyon ko hormone kam hone se jorta hai, jis ka asar thook banne par parta hai, aur menopause ke baad haddiyon ki tabdeeliyon se, jo daanton ko thaamne wali haddi tak pahunch sakti hain. Yeh munh ki khushki mein umar, dawaon aur menopause ki alamaat ke ilaaj ko bhi wajoohaat mein ginta hai, aur ise yeh bhi mila ke munh ki safai ke baare mein adhoori maloomat aur dentist ke paas kam jana haalaat ko badtar karta hai.

Thook daanton ki hifazat karta hai, isi liye munh ki khushki sirf be-aarami ki baat nahin. NHS ka munh ki khushki wala safha kehta hai ke munh khushk ho to daanton mein keera lagne ka imkaan zyada hota hai. Yeh rozmarra ki wajoohaat bhi ginwata hai: kam paani peena ya bohat paseena aana, dawaein, raat ko munh se saans lena, aur bechaini. Woh kehta hai ke jo munh ki khushki na jaye, us ka taalluq sugar ya Sjögren's syndrome se ho sakta hai.

NHS ki website kehti hai ke masoorhon ki beemari daanton par plaque (mail ki teh) jamne se hoti hai, jo masoorhon ko tang karta hai. Oral Health Foundation kehti hai ke daant tab hassas hote hain jab oopar ki sakht teh ghis jaye ya masoorhe peeche hat jayen aur neeche ki teh khul jaye. Woh wajoohaat mein bohat zor se brush karna, masoorhon ka peeche hatna, fizzy drinks, juice aur khatte phalon ki tezabiyat, masoorhon ki beemari aur daant peesna ginti hai, aur kehti hai ke umar ke saath masoorhe peeche hatne se hassasiyat zyada aam ho jaati hai.

Munh ki khushki ke liye NHS ka safha yeh ginwata hai:

• Baqaida paani peeti rahein aur bistar ke paas bhi rakhein; baraf choosein, ya thande, baghair cheeni ke mashroob ghoont ghoont piyen
• Baghair cheeni ki chewing gum chabayen ya baghair cheeni ki toffee choosein, aur hont khushk hon to lip balm lagayen
• Din mein do baar brush karein aur baghair alcohol wala mouthwash istemaal karein
• Zyada sharaab, caffeine (woh chai aur coffee ka naam leta hai) ya fizzy drinks na piyen
• Khatta (woh lemon ka naam leta hai), mirch masale wala, namkeen ya meetha khana na khayen
• Cigarette na piyen, aur masnooi daant laga kar na soyen
• Doctor ke mashware ke baghair koi tajweez ki hui dawa band na karein, chahe aap ko lage ke wajah wohi hai

Woh kehta hai ke pharmacist munh ko nam rakhne ke liye gel, spray ya goliyan bata sakta hai. Agar aap ka din chai par chalta hai to chai, coffee aur caffeine mein hai ke hidayat chai ke baare mein kya kehti hain, aur paani peena mein paani ki baat hai.

Daanton aur masoorhon ke liye:

• NHS ki website fluoride wale toothpaste se brush karna, har roz floss ya daanton ke beech wale chhote brush se daanton ke beech safai karna, aur dentist aur hygienist se baqaida checkup ginwati hai, khaas taur par type 2 sugar wale logon ke liye. Sugar ka khatra dekhein.
• Yeh masoorhon ki beemari se bachne ke liye cigarette na peene ko bhi ginti hai. Pakistan Menopause Society batati hai ke Khyber Pakhtunkhwa mein naswar aam hai aur shishe ko aksar kam nuqsaan deh samjha jata hai, aur doctoron se donon par baat karne ko kehti hai (Table 7). Cigarette, naswar aur shisha dekhein.
• Jaiza likhne wale kehte hain ke dentist ke paas baqaida jana aur munh ki achhi safai in mein se bohat si tabdeeliyon ko qaboo mein rakh sakti hai, aur haddiyon ki sehat par nazar rakhna banta hai. Haddiyon ki sehat dekhein.

NHS ki website kehti hai ke agar brush karte ya sakht cheez khate waqt masoorhon se khoon aaye, masoorhon mein dard aur soojan ho, ya munh se bu aati ho to dentist ko dikhayen. Agar masoorhe bohat dukh rahe aur suje hue hon, koi daant hil raha ho ya gir raha ho, ya munh mein ya hont par chhale, laal nishaan ya gilti ho, to jaldi ki appointment maangein.

Oral Health Foundation kehti hai ke hassas daanton ke liye dentist ko dikhayen agar dard shadeed ho, chand hafton se zyada rahe, sirf aik daant mein ho ya achanak shuru ho, kyunke yeh daant mein keere, toote daant ya masoorhon ki kharabi ki nishani ho sakti hai.

NHS ka munh ki khushki wala safha kehta hai ke GP ko dikhayen agar munh ki khushki se bolna ya khana mushkil ho, agar ghar par ya pharmacy ki cheezon se chand hafton mein theek na ho, agar zaiqe ka masla chalta rahe, agar munh mein dard, laali, soojan ya khoon ho ya dukhte safed dhabbe hon, agar aap ko lage ke wajah koi dawa hai, ya agar saath doosri alamaat hon jaise aankhon ka khushk hona ya baar baar peshab aana.

Koi masla na bhi ho to NHS baqaida checkup ka mashwara deta hai, aur kehta hai ke agar pichhle checkup ko do saal ho gaye hain to dentist ke paas jayen.

Kuch khandanon mein khane ke baad aur mehfilon mein paan, chhaliya ya naswar nikal aati hai. Agar aap in mein se kuch bhi istemaal karti hain to apne dentist ko batayen. Jo baat unhein maloom nahin, us mein woh madad nahin kar sakte.

Ramzan mein roze ke dauran munh khushk hona to mutawaqqa hai, aur paani peene aur baraf choosne wale NHS ke mashware iftar tak intezar karte hain. Auratein roze mein miswak, toothpaste aur mouthwash ke baare mein poochti hain. Yeh sawal mustanad ulama se poochne ke hain. Iftar ke baad bhi khushk rehne wala munh aap ke dentist ya GP ka sawal hai.