Sugar ka khatra

Type 2 ziabetes tab hoti hai jab insulin hormone theek se kaam nahin karta ya kaafi nahin hota, is liye khoon mein sugar bohat oopar chali jaati hai. NHS ki website ka taarufi safha ise yun bayan karta hai. Ghar mein hum mein se zyada tar ise bas sugar kehte hain.

Ziabetes se pehle aksar insulin resistance hoti hai, yani jism par apni hi insulin ka asar kam hone lagta hai. Pakistan Menopause Society ise aur metabolic syndrome ko un lambe arse ki tabdeeliyon mein ginti hai jo menopause ke baad aa sakti hain, saath mein pait ke gird wazan aur khoon ki ghair sehatmand chiknaiyan (Table 1).

Aksar kuch bhi nahin: NHS ki website kehti hai ke type 2 ziabetes wale har shakhs ko alamaat nahin hotin. Jab hoti hain, to woh yeh ginwati hai: bohat thakawat, maamool se zyada peshaab aana, har waqt pyaas lagna aur baghair koshish ke wazan kam hona, aur saath hi dhundla nazar aana, der se bharne wale zakhm, aur andaam nihani ke aas paas kharish ya baar baar thrush, yani fungal infection.

In mein se kuch perimenopause (mahwari band hone ke aas paas ka waqt) se milti julti hain: thakawat, raat ko bathroom ke chakkar, kharish. Yehi milta julta pan sugar ka test maangne ki wajah hai, bajaye is ke ke sab kuch menopause ke khaate mein daal diya jaye.

NHS ki website woh baatein ginti hai jo khatra barhati hain: umar, khandan ki tareekh, zyada wazan aur kam chalna phirna, high blood pressure jaisi beemariyan, aur nasli pas-e-manzar. Woh kehti hai ke junoobi Asiai pas-e-manzar ke logon mein khatra 25 saal ki umar se zyada ho sakta hai, jabke safed faam logon mein yeh umar 40 saal hai.

European Menopause and Andropause Society (EMAS) is fehrist mein do cheezein aur jorti hai: hamal ke dauran sugar ho chuki ho, aur polycystic ovary syndrome (PCOS). NHS ki website kehti hai ke hamal ke dauran sugar hone se aage chal kar type 2 ziabetes ka khatra barh jata hai.

Menopause ki hidayat bhi isi taraf ishara karti hain, jaisa ke is safhe ke shuru mein British Menopause Society ki baat dikhati hai.

NHS ki website yeh bhi kehti hai ke perimenopause aur menopause mein wazan barhna aam hai, aksar pait aur jism ke oopri hisse par. Yeh wohi wazan hai jis ki fikr ziabetes ki hidayat karti hain. Mazeed wazan barhna mein.

• Khana. Pakistan Menopause Society meethe mashroobaat aur cola ko pait ke gird wazan aur metabolism ka khatra barhane wala batati hai, aur doctoron se kehti hai ke Pakistani khane ki aadaton ko saamne rakh kar khane par baat karein (Table 5). 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.
• Harkat. Yehi sifarishaat tez chehal qadmi jaisi aerobic warzish, aur wazan uthane aur aisi warzish ko jis mein jism apna wazan khud uthaye, ginwati hain, aur kehti hain ke baqaida warzish dil ki hifazat mein madad karti hai (Table 6). Cardio warzish dekhein.
• Wazan. Yeh kehti hain ke jism ka thora sa wazan kam karna insulin resistance se jure bohat se maslon ko behtar karne ke liye kaafi hai (Table 6). Wazan sambhalna dekhein.

Ziabetes ka ilaaj aap ke apne doctor ka kaam hai. Menopause ki hidayat yeh batati hain ke ziabetes aur HRT (hormone ki dawa) saath kaise chalte hain.

NICE ki hidayat NG23 doctoron se kehti hain ke type 2 ziabetes wale logon mein menopause se juri alamaat ke liye HRT par ghaur karein, doosri beemariyon ko dekhne ke baad aur zaroorat ho to specialist ka mashwara le kar (1.5.27). HRT ke asraat wali is ki table yeh bhi batati hai ke aam taur par khoon mein sugar ke control par koi bura asar report nahin hota, aur type 2 ziabetes hone ka khatra aik jaisa hai, chahe HRT munh se li jaye ya jild ke zariye.

Pakistan Menopause Society doctoron se kehti hai ke ziabetes wali auraton ki jaanch karein aur unhein aage bhejein, aur systemic ilaaj shuru karne se pehle ise qaboo mein layen (Table 4).

NHS ki website kehti hai ke agar aap ko lage ke aap ko type 2 ziabetes ho sakti hai, ya aap ka khatra zyada hai, to GP se milein. Woh 25 saal se zyada umar mein junoobi Asiai pas-e-manzar, aur maan baap ya behen bhai ko type 2 ziabetes hone ko khatra barhane wali baaton mein ginti hai.

Menopause ki mulaqat mein sugar ka test maangein. Pakistan Menopause Society khaali pait sugar ke test ya HbA1c khoon ke test ko aise option batati hai jin par doctor ghaur karein (Table 4). England mein 40 se 74 saal ke un logon ke liye jinhein pehle se koi beemari na ho, NHS Health Check zyada khatre ki nishandehi kar sakta hai.

Ziabetes ke saath Ramzan asal sawal uthata hai. Auratein poochti hain ke roza rakhein ya nahin, dawa ka waqt kaise rakhein, aur agar Maghrib se pehle sugar gir jaye to kya karein. Roza rakhne ka sawal mustanad ulama se poochne ka hai, apni sehat ke baare mein doctor ki raaye saath le kar. Dawa ka waqt usi ka maamla hai jo dawa likhta hai. Mazeed Ramzan aur roze mein.

Ghar mein mithaas mehmaan nawazi hai. Meethi chai ka doosra cup ya mithai ki plate thukrana badtameezi lag sakta hai. Kisi aur ke dastarkhwan par bhi apni sehat ka khayal rakhna aap ka haq hai.