Aankhon ki sehat

Yeh safha darmiyani umar mein aankhon ka khayal rakhne ke baare mein hai: farq ko pehchanna, aur yeh jaanna ke kaun se muaine aham hain. Na NICE ki, na NHS ki aur na Pakistan Menopause Society ki, menopause ki kisi hidayat mein aankhon par koi hissa hai. Aage woh hai jo auratein batati hain, jo research mein saamne aaya hai, aur woh aik taalluq jo hidayat saaf batati hain, jo sugar se ho kar guzarta hai.

Khushk, chubhti ya dukhti aankhon ki alamat ke liye aankhein khushk hona dekhein.

Darmiyani umar mein auratein jo batati hain, woh umooman chand qismon mein aata hai:

• Aankhein jo khushk, chubhti, thaki ya dukhti mehsoos hon, khaas taur par screen, AC ya lambe din ke baad.
• Contact lens jo pehle aaraam se lagte the aur ab nahin.
• Bareek likhai jo qareeb se parhna mushkil ho gaya hai, is liye phone ya Quran ko aur door pakarna parta hai.
• Aankhon se paani zyada aana, ya aankhon ka jaldi surkh ho jana.

Yeh auraton ke tajurbe hain, menopause ki alamaat ki fehrist nahin. In mein se kuch ki wajah ka hormone se koi taalluq nahin.

Khushk aankhon par Tear Film and Ocular Surface Society ki aik bari bain-ul-aqwami report, TFOS DEWS II, ke mutabiq khushk aankhon ki beemari mardon ke muqable mein auraton mein zyada hai, aur aurat hona is ka aik aham khatra hai. Report is farq ki bari wajah hormone, jin mein estrogen aur androgen shamil hain, aur jeneyati farq ko batati hai. Yeh research ka jaiza hai, menopause ki hidayat nahin.

Qareeb ki nazar par, NHS ki website kehti hai ke qareeb ki cheezein dhundli dikhna (long-sightedness) aksar 40 saal se zyada umar ke logon ko hota hai, aur is ki aik wajah aankh ke lens ka sakht ho jana hai, aam taur par umar ke saath. Yeh umar ka asar hai, menopause ka nahin, agarche donon aik hi dahai mein aate hain.

Darmiyani umar aur aankhon ki sehat ka sab se saaf taalluq sugar se ho kar guzarta hai.

British Menopause Society kehti hai ke tabdeeli ke daur mein Junoobi Asiai auraton mein insulin ka asar kam hona (insulin resistance) aur sugar zyada dekhi jati hai. Pakistan Menopause Society ki sifarishaat doctoron se kehti hain ke umar, khatre aur kharch ki gunjaish ko dekh kar khali pait sugar ya HbA1c ke test par ghaur karein (Table 4). Sugar ka khatra dekhein.

Sugar aankhon ke liye is liye aham hai ke, jaisa NHS ki website batati hai, khoon mein zyada sugar aankh ke pichhle hisse ko nuqsan pahuncha sakti hai. Woh ise diabetic retinopathy kehti hai aur batati hai ke shuru mein aam taur par is ki koi alamat nahin hoti. Isi liye England mein sugar walon ko baqaida aankhon ki screening ke liye bulaya jata hai, jahan aankh ke pichhle hisse ki tasweerein li jati hain.

England mein NHS sugar ya kala motia (glaucoma) walon ko, 60 saal ya zyada umar ke har shakhs ko, aur 40 saal ya zyada umar ke un logon ko bhi muft aankhon ka test deta hai jin ke maan baap, behan bhai ya bachche ko kala motia ho. England se baahar, apne optician ya clinic se poochein ke wahan kya milta hai. Sehat ke test mein darmiyani umar ke baqi muaine hain jin ke baare mein poochna faida mand hai.

Agar aap ki nazar badal gayi hai, ya khushk ya dukhti aankhein baar baar tang karti hain, to optician ko dikhayen. Agar aap ko sugar hai to aankhon ki screening ki har appointment par jayen, chahe nazar theek lag rahi ho.

NHS ki website kehti hai ke dhundla ya dohra nazar aana, roshni ki chamak ya shaklein nazar aana, nazar ke aage se kala saya guzarna, aik ya donon aankhon mein dard, ya surkh aur dukhti aankh jaisi tabdeeliyon par fauri mashwara lein, England mein GP se ya NHS 111 se. Woh kehti hai ke agar achanak aik ya donon aankhon se nazar aana band ho jaye, ya achanak aankh mein shadeed dard ho, to A&E jayen ya 999 par call karein.

Agar khandan mein sugar ya aankhon ki beemari hai to apni aankhon ya sugar ke muaine ke waqt yeh zaroor batayen. Maan baap ya kisi khala phuphi ki beemari bhi is ka hissa hai ke doctor aap ka khatra kaise jaanchta hai.

Aankhon mein drops daalne wali auratein kabhi kabhi poochti hain ke kya is se Ramzan ke roze par asar parta hai. Yeh sawal auratein har saal uthati hain, aur yeh kisi mustanad aalim se poochne ka hai. Sehri aur iftar ke aas paas doctor ke likhe hue drops kab daalein, yeh us se poochein jis ne woh likhe hain.