Aap ki sehat

Fibroids

Bachedani mein aisi barhotri jo cancer nahin hoti, aur bohat si auraton mein hoti hai magar unhein pata nahin hota. Bhaari mahwari is ki aik nishani hai. Scan, ilaaj, menopause aur HRT par hidayat kya kehti hain.

Aap ki mahwari bhaari ho gayi hai, aisi ke saara din ghusl khane ke hisaab se tarteeb dena parta hai. Shayad kisi aur wajah se hue scan mein chalte chalte fibroid ka zikr aaya, aur kisi ne kuch samjhaya nahin. Fibroids (bachedani ki rasoliyan) aam hain, yeh cancer nahin hote, aur menopause ke aas paas ke saal inhein badal dete hain.

Lafz aur hidayat

English
Fibroids
In naamon se bhi dhoonda jata hai
uterine fibroids, womb fibroids, fibroid, myoma, leiomyoma
Urdu
فائبرائڈز
Roman Urdu
fibroids

Auratein asal mein kya kehti hain

  • بچہ دانی میں رسولی (bachedani mein rasoli)Bachedani mein aik barhotri. Urdu mein auratein aur doctor fibroid ko rozmarra mein aise hi bayan karte hain.
  • NHS ki website ke mutabiq fibroids se hamesha alamaat nahin hotin, is liye ho sakta hai aap ko pata hi na ho ke aap ko yeh hain. Woh kehti hai ke yeh zyada tar un auraton ko hote hain jin ka abhi menopause nahin hua.
  • NHS ki website kehti hai ke fibroids ka imkaan zyada hai agar aap siyah faam ya Asiai pas-e-manzar se hain, kisi qareebi rishtedar ko yeh hain, wazan zyada hai, ya high blood pressure ya sugar hai.
  • Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke menopause ke baad estrogen kam hone par fibroids aksar sukar jate hain, aur yeh ke fibroids hona HRT se inkaar karne ya ise band karne ki wajah nahin.

Yeh kya hai

Fibroids bachedani ke andar ya us ke aas paas patthon se bani barhotri hain. NHS ki website inhein aam batati hai, kehti hai ke yeh cancer nahin hote, aur yeh ke in ka hamesha ilaaj zaroori nahin hota. Doctor report par myoma ya leiomyoma likh sakte hain. Matlab wohi hai.

Women's Health Concern kehta hai ke yeh matar ke daane jitne chhote se le kar kharbooze jitne bare tak ho sakte hain, aur yeh ke alamaat is par munhasir hain ke yeh kitne hain, kitne bare hain aur kahan hain. Isi liye "fibroids" wali do auraton ke maheene bilkul alag guzar sakte hain.

Yeh kaisa mehsoos ho sakta hai

Kabhi kabhi kuch bhi nahin. NHS ki website kehti hai ke fibroids se hamesha alamaat nahin hotin, aur kabhi yeh kisi aur cheez ke scan mein mil jate hain, jaise hamal ke scan mein.

Jab alamaat hon, to NHS ki website yeh ginwati hai:

Maheena dar maheena bhaari khoon aane se khoon ki kami ho sakti hai. NHS ki website iron ki kami se hone wali khoon ki kami (iron deficiency anaemia) ko aik pecheedgi ke taur par ginti hai, aur yeh bohat had tak us thakawat jaisi lagti hai jise sab perimenopause ke khaate mein daal dete hain.

Yeh kyun hota hai

Koi theek se nahin janta ke fibroids kyun bante hain. Women's Health Concern kehta hai ke yeh estrogen aur progesterone ka asar lete hain, aur sab se zyada un auraton mein hote hain jin ki umar 30 aur 40 ke pete mein ho.

NHS ki website woh baatein ginti hai jin se in ka imkaan barhta hai: abhi menopause na hona, kabhi poore dinon ka hamal na hona, wazan zyada hona, high blood pressure ya sugar, kisi qareebi rishtedar ko fibroids hona, aur siyah faam ya Asiai pas-e-manzar.

Chunke fibroids par estrogen ka asar hota hai, is liye menopause se soorat badal jati hai. Women's Health Concern kehta hai ke mahwari band hone ke baad yeh aksar sukar jate hain. Aksar, hamesha nahin.

Hidayat mein kya likha hai

  • NHS ki website kehti hai ke agar GP ko fibroids ka shak ho to woh umooman aap ko ultrasound scan ke liye bheje ga, jis se pata chalta hai ke yeh kitne hain, kahan hain aur kitne bare hain.
  • Pakistan Menopause Society doctoron se kehti hai ke ghair mamooli khoon ko menopause ke khaate mein daalne ke bajaye us ki jaanch karein (Table 1), aur achanak bohat zyada ya lambe arse tak khoon aane, do mahwariyon ke beech khoon aane, jinsi taalluq ke baad khoon aane aur menopause ke baad kisi bhi khoon ko khatre ki nishaniyon mein ginti hai (2.3).
  • British Menopause Society ki, HRT ke dauran ghair mutawaqqa khoon wali hidayat batati hain ke fibroids ultrasound ko bachedani ki poori androoni teh dekhne se rok sakte hain, aur jab poori teh nazar na aaye to mazeed jaanch ka kehti hain.

Ilaaj ke baare mein hidayat kya kehti hain

NHS ki website kehti hai ke jin fibroids se koi alamat na ho, un ka hamesha ilaaj zaroori nahin hota. Dard ya bhaari khoon ke liye woh dard ki dawaein, tranexamic acid, aur hormone wali dawaein, jaise mushtarka goli (combined pill), ginwati hai. Agar in se faida na ho, to woh operation ginwati hai: fibroids nikalne ka (myomectomy), bachedani nikalne ka (hysterectomy) ya bachedani ki androoni teh hatane ka, aur aik tareeqa jis mein fibroid tak khoon ki supply band kar di jati hai taake woh sukar jaye (uterine artery embolisation). Kaun sa, yeh aap ke fibroids ke size, tadaad aur jagah par munhasir hai.

HRT (hormone ki dawa) par, Women's Health Concern kehta hai ke fibroids hona is se inkaar karne ya ise band karne ki wajah nahin, aur yeh ke HRT in ke sukarne ko thora sust kar sakti hai, agarche shayad bohat zyada nahin. Agar aap ko fibroids hain aur aap HRT ke baare mein soch rahi hain, to apne doctor ko in ke baare mein batayen.

Agar hysterectomy (bachedani nikalne ka operation) ki baat chal rahi hai, to bachedani nikalwana aur menopause wala safha batata hai ke aap ke hormones ke liye is ka kya matlab hai.

Doctor ko kab dikhayen

NHS ki website kehti hai ke GP ko dikhayen agar aap ko fibroids ki alamaat hain, agar yeh aap ki roz ki zindagi, kaam ya rishton par asar daal rahi hain, ya agar dard ki dawaon se faida nahin ho raha.

Menopause ke baad khoon aana ho to intezaar na karein. Aik baar mahwari ke baghair aik saal guzar jaye, to us ke baad koi bhi khoon check karwana zaroori hai, fibroids hon ya na hon. Pakistan Menopause Society ise khatre ki aisi nishani maanti hai jis ki fauri jaanch zaroori hai (2.3, 7.3).

Doctor se poochne ke sawal

  1. Kya meri bhaari mahwari fibroids ki wajah se ho sakti hai, aur kya pata lagane ke liye mujhe scan karwana hoga?
  2. Agar mujhe fibroids hain, to kya un ka ilaaj zaroori hai, ya hum inhein dekhte reh sakte hain?
  3. Kya mera fibroid us qism ka hai jis ki wajah se main HRT nahin le sakti?
  4. Khoon aane se mujhe thakawat rehne lagi hai. Kya hum mera iron check kar sakte hain?

Deen aur ghar wale

Bhaari aur beqaida khoon seedha namaz aur roze se takrata hai. Auratein poochti hain ke jab khoon thamne ka naam hi na le to din kaise ginein, aur namaz ya roze ke liye is ka kya matlab hai. Yeh sawal kisi mustanad aalim se poochne ke hain. Khoon kyun aa raha hai, yeh sawal aap ke doctor ka hai, aur donon ka jawab aap ka haq hai.

Bohat si auratein barson sailaab jaisa khoon bardasht karti rehti hain, kyunke un ki maan ne bhi yehi kiya tha. Bhaari mahwari aam hai. Yeh woh cheez nahin jise aap ko bas sehte rehna hai.

Is par nazar rakhein

  • Roshara ka alamaat ka score chand minute mein 27 alamaat ko number deta hai, account ke baghair. Kul number apni appointment par saath le jayen. Alamaat ka score shuru karein
  • “Main kahan hoon?” us mor ko naam deta hai jis par aap shayad hain. Chhe sawal. Main kahan hoon? Shuru karein
  • Tracker mein roz ka haal likhein, aur yeh bhi ke us se zara pehle kya hua tha. Is ke liye muft account chahiye. Tracker kholein

Aam sawal

Kya menopause ke baad fibroids khatam ho jate hain?
Aksar yeh chhote ho jate hain. Women's Health Concern kehta hai ke menopause ke baad estrogen kam hone ki wajah se fibroids aksar sukar jate hain, aur yeh ke HRT is sukarne ko thora sust kar sakti hai, agarche shayad bohat zyada nahin. (Hawala: Women's Health Concern, Fibroids (factsheet, reviewed March 2026))
Kya fibroids hon to main HRT le sakti hoon?
Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke fibroids hona HRT se inkaar karne ya ise band karne ki wajah nahin. HRT aap ke liye theek hai ya nahin, yeh aap ki sehat ki baqi tareekh ke saath tol kar dekhna aap ke doctor ka kaam hai. (Hawala: Women's Health Concern, Fibroids (factsheet, reviewed March 2026))
Kya HRT se mera fibroid barhe ga?
Kuch arse ke liye barh sakta hai. European Menopause and Andropause Society (EMAS) kehti hai ke HRT se fibroids zyada tar istemaal ke pehle do saalon mein barhte lagte hain, aur ultrasound scan in par nazar rakhne mein madad kar sakta hai. Women's Health Concern ki tarah woh bhi kehti hai ke fibroids HRT na lene ki wajah nahin. (Hawala: European Menopause and Andropause Society, Menopause Essentials 2026: Fibroids (July 2026))
Kya fibroids cancer hain?
Nahin. NHS ki website fibroids ko bachedani ke andar ya us ke aas paas banne wali aam barhotri batati hai jo cancer nahin hoti. (Hawala: NHS website, Fibroids (reviewed 17 March 2026))

Hawale

  1. NHS website, Fibroids (reviewed 17 March 2026)Hissa: Symptoms of fibroids; See a GP if; How fibroids are diagnosed; Treatments for fibroids; Complications of fibroids; Causes of fibroids · 10 October 2026 ko khola gaya
  2. Women's Health Concern, Fibroids (factsheet, reviewed March 2026)Hissa: What are fibroids?; How do you diagnose fibroids?; What effect would the menopause and hormone replacement therapy (HRT) have on fibroids? · 10 October 2026 ko khola gaya
  3. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: 2.3; Table 1; 7.3 · 10 October 2026 ko khola gaya
  4. British Menopause Society, Management of unscheduled bleeding on hormone replacement therapy (reviewed May 2026, amended September 2026)Hissa: Section 4, incomplete visualisation of the endometrium · 10 October 2026 ko khola gaya
  5. European Menopause and Andropause Society, Menopause Essentials 2026: Fibroids (July 2026)Hissa: Menopausal hormone therapy in women with fibroids · 15 October 2026 ko khola gaya