Aap ki sehat

Sarcopenia

Woh barni ka dhakkan jo ab aap kisi aur ko kholne deti hain. Woh seerhiyan jo pichhle saal se zyada oonchi lagti hain. Sarcopenia umar ke saath patthon aur taaqat ke kam hone ka tibbi naam hai, aur estrogen ka kam hona is kahani ka hissa hai. Hidayat kya kehti hain.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kaisa mehsoos ho sakta hai
  4. Yeh kyun hota hai
  5. Hidayat mein kya likha hai
  6. Ilaaj ke baare mein hidayat kya kehti hain
  7. Doctor ko kab dikhayen
  8. Doctor se poochne ke sawal
  9. Deen aur ghar wale
  10. Is par nazar rakhein
  11. Aam sawal
  12. Milte julte mauzuaat
  13. Hawale

Pressure cooker ka dhakkan jo ab aap beti ko pakra deti hain. Aate ki bori jo ab uthane ke bajaye farsh par ghaseetti hain. Seerhiyan jin par ab jangla pakarna parta hai. Zyada tar auratein ise kamzori kehti hain, umar ya chhoote hue khanon ke khate mein daalti hain, aur chalti rehti hain. Umar ke saath patthon aur taaqat ke kam hone ka aik tibbi naam hai, aur menopause ke aas paas ke saal is ka hissa hain.

Lafz aur hidayat

English
Sarcopenia
In naamon se bhi dhoonda jata hai
muscle loss, loss of muscle mass, muscle weakness, losing strength, sarcopenic obesity, frailty
Urdu
سارکوپینیا
Roman Urdu
sarcopenia

Auratein asal mein kya kehti hain

  • کمزوری (kamzori)Rozmarra ka lafz, jise umooman umar ya theek se na khane ke khate mein daal diya jata hai.
  • جسم میں جان نہیں رہی (jism mein jaan nahin rahi)Bohat si auratein ise aise hi bayan karti hain, is se bohat pehle ke koi ise naam de.
  • NICE NG23, menopause ki woh hidayat jin par England ke doctor chalte hain, doctors se kehti hai ke menopause se guzarne walon ko samjhayen ke jismani sargarmi ke zariye patthon ki miqdaar aur taaqat qaim rakhna kitna aham hai (1.2.5).
  • Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke menopause ke dauran estrogen kam hone se patthe kam hote hain, aur taaqat ki warzish ko naye patthe banane ka sab se achha tareeqa kehta hai.
  • Pakistan Menopause Society ki 2026 ki sifarishaat doctors se kehti hain ke auraton se joron aur patthon ke dard, taaqat kam hone aur kam chalne phirne ke baare mein poochein, aur taaqat ki warzish, jism ka wazan uthane wali sargarmi aur munasib protein ka hausla dein (Table 2).
  • European Menopause and Andropause Society (EMAS) sarcopenia sambhalne ke do tareeqe batati hai: taaqat ki warzish, aur khana peena theek rakhna.

Yeh kya hai

Sarcopenia (umar ke saath patthon ka kam hona) ka matlab hai patthon ki miqdaar aur taaqat ka aik saath kam hona. Yeh woh tareef hai jis par duniya bhar ki bari sarcopenia tanzeemon ke mahireen ne 2024 mein, Global Leadership Initiative in Sarcopenia ke zariye, ittefaq kiya, aur yeh bhi kaha ke yeh poore jism ke patthon par asar daalta hai aur ho sakta hai ke wapas theek ho jaye. European Working Group on Sarcopenia in Older People (EWGSOP2) ise girne, haddi tootne, mazoori aur jald maut se jorta hai, aur kehta hai ke yeh bari umar mein aam hai magar is se pehle bhi shuru ho sakta hai.

European Menopause and Andropause Society (EMAS) kehti hai ke yeh 60 saal se oopar ke 10 feesad tak logon ko hota hai. Jab patthe kam hon aur saath jism ki charbi barh jaye, to doctor ise sarcopenic obesity kehte hain. Charbi wala hissa pait ke andar ki charbi mein hai.

Humein Pakistan ke liye koi qabil-e-bharosa adaad-o-shumaar nahin mile. Maghribi Bharat mein Pune ke qareeb 2024 ki aik tehqeeq ne 745 baalighon ko jaancha, jin ki ausat umar 53 saal thi, aur 8 feesad auraton mein sarcopenia paya: dehaat ki taqreeban 12 feesad auraton mein, aur shehar ki 3 feesad mein.

Yeh kaisa mehsoos ho sakta hai

Yeh dabe paaon aata hai. EWGSOP2 kehta hai ke jab koi gire, kamzori mehsoos kare, aahista chale, use kursi se uthne mein mushkil ho, ya us ka wazan ya patthe kam hon, to mazeed jaanch ki jaye. Is ka paanch sawalon wala jaiza, SARC-F, taaqat, chalne, kursi se uthne, seerhiyan charhne aur girne ke baare mein poochta hai.

Ghar mein yeh madad ki shakal mein nazar aata hai. Bhaari degchi beti ko, sauda bete ko, gas ka cylinder jo bhi paas ho use. Yeh madad aik nemat hai. Magar yeh is baat ko bhi chhupa sakti hai ke kitna kuch badal chuka hai.

Yeh kyun hota hai

Umar aik hissa hai. Hormone doosra. The Menopause Society kehti hai ke sarcopenia, osteoporosis ki tarah, barhti umar, estrogen ke kam hone aur menopause ki taraf barhne ke barson se jura hai, aur in shawahid ko mehdood ya mile jule (Level II) maanti hai. Women's Health Concern kehta hai ke menopause ke dauran estrogen kam hone se patthe kam hote hain, jis se jism ke tawanai jalane ki raftaar sust ho jati hai.

EMAS khatra barhane wali baatein ginwati hai: aurat hona, bari umar, kam jismani sargarmi, kam protein, aur kam BMI (body mass index). Pune wali tehqeeq mein bari umar, gaon mein rehna, kam aamdani aur kam protein, har aik ka sarcopenia se taalluq nikla, aur sirf 29 feesad baaligh Bharati hidayat ke hisaab se kaafi protein kha rahe the.

Hidayat mein kya likha hai

  • Asian Working Group for Sarcopenia apni 2025 ki taaza sifarishaat mein ab sirf bari umar ke logon ko nahin, 50 saal ki umar se baalighon ko jaanchta hai, haath ki pakar ki taaqat aur patthon ki miqdaar se, aur pehli saada jaanchon mein pindli ki paimaish bhi shamil hai.
  • Pakistan Menopause Society kehti hai ke baqaida jismani sargarmi patthon ki taaqat aur lachak behtar karti hai aur sarcopenia kam karti hai, aur apne jism ke wazan, dumbbell jaise wazan ya rubber band ke saath taaqat ki warzish ko warzish ki alag qisam ke taur par likhti hai (Table 6). Tafseel, aur ghar par shuru karne ka tareeqa, wazan uthana mein hai.
  • Yahi Pakistani sifarishaat doctors se kehti hain ke menopause ki mulaqat mein patthon ki taaqat aur chalne phirne par baat karein (Table 1), aur munasib protein ka hausla dein (Table 2). Woh koi miqdaar nahin batatin. Khane mein protein ki baat khana peena mein hai.
  • Woh baar baar girne ko bhi un wajuhaat mein ginti hain jin par haddi tootne ka khatra jaancha jaye aur, jahan dastiyab ho, haddiyon ki kasafat ka scan socha jaye (Table 4). Kamzor patthe aur kamzor haddiyan bura jor hain. Haddiyon wala hissa osteoporosis mein hai.

Ilaaj ke baare mein hidayat kya kehti hain

EMAS ki sarcopenia sambhalne ke tareeqon ki fehrist mein do cheezein hain, taaqat ki warzish aur khana peena theek rakhna, aur koi dawa nahin.

HRT (hormone ki dawa) par, na NICE patthon ke liye koi waada karti hai na The Menopause Society (dekhein: Kya HRT patthon ka kam hona rokti hai?).

Doctor ko kab dikhayen

EMAS ka 2026 ka darmiyani umar ki dekh bhaal ka khaka kehta hai ke in barson ki maamool ki dekh bhaal mein dil ke khatre aur haddiyon ki sehat ke saath saath patthon ki taaqat aur jismani karkardagi ki jaanch bhi honi chahiye. Jaanch maangna munasib baat hai, nakhra nahin.

Girne ka, ya girte girte bachne ka, zikr zaroor karein, chahe kuch na toota ho. Sarcopenia barson mein banta hai. Jo kamzori dinon ya hafton mein aaye, woh kuch aur hai aur us ke liye jald doctor ko dikhana chahiye.

Doctor se poochne ke sawal

  1. Pichhle aik do saal mein meri taaqat kam hui hai. Kya aap mere haath ki pakar ki taaqat jaanch sakte hain ya meri pindli naap sakte hain?
  2. Kya mere joron, dil ya haddiyon ki koi baat aisi hai jo tay kare ke main taaqat ki kaun si warzish se shuru karoon?
  3. Kya main apni umar ke hisaab se kaafi protein kha rahi hoon, aur kya mere gurdon ki koi baat ise badalti hai?
  4. Kya kisi physiotherapist se milna mere liye faida mand hoga?

Deen aur ghar wale

Din mein paanch baar, baar baar sajde se uthna apne aap mein roz ka taaqat ka imtehan hai, aur auratein mehsoos karti hain jab yeh mushkil hone lage. Baith kar namaz kab aur kaise parhi jaye, yeh sawal kisi mustanad aalim ka hai. Taangon ko itna mazboot rakhna ke aap khari ho sakein, yeh sawal aap ke doctor ka hai, aur achha hai ke yeh mushkil barhne se pehle poocha jaye.

Is par nazar rakhein

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Aam sawal

Kya patthon ka kam hona bas barhti umar ka hissa hai?
Kuch had tak. European Working Group on Sarcopenia in Older People kehta hai ke patthon ki miqdaar aur taaqat jawani mein sab se zyada hoti hai, darmiyani umar mein qaim rehti hai, aur phir kam hone lagti hai. 50 saal ke baad, tehqeeq mein har saal taangon ke patthon mein 1 se 2 feesad aur taaqat mein 1.5 se 5 feesad kami dekhi gayi hai. Sarcopenia tab hai jab taaqat aur patthe, donon naapne par kam niklein. (Hawala: Cruz-Jentoft AJ, Bahat G, Bauer J et al. Sarcopenia: revised European consensus on definition and diagnosis (EWGSOP2). Age Ageing 2019;48(1):16-31)
Kya HRT patthon ka kam hona rokti hai?
NICE NG23 kehti hai ke is baat ke mehdood shawahid hain ke HRT patthon ki miqdaar aur taaqat behtar kar sakti hai. The Menopause Society kehti hai ke jaizon mein HRT se patthon ki miqdaar ko na faida mila na nuqsan, aur warzish ke saath aik mumkina faida, jo laboratory ki tehqeeq mein nazar aaya, baqaida tajurbaat (trials) mein saabit nahin hua. Aap ki baaqi alamaat ke liye HRT aap ke liye theek hai ya nahin, yeh sawal aap ke doctor ka hai. (Hawala: NICE NG23, Menopause: identification and management (last updated 15 April 2026))

Milte julte mauzuaat

Hawale

  1. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.2.5; 1.6.2 and 1.6.3 (muscle mass and strength) · 15 October 2026 ko khola gaya
  2. Women's Health Concern, Exercise in menopause (factsheet, reviewed September 2026)Hissa: What types of exercise should I be doing?; What are the benefits of exercise? · 15 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: 2.1, Table 1; 2.2.1, Table 2; 3.3, Table 4; 4.2.2, Table 6 · 15 October 2026 ko khola gaya
  4. European Menopause and Andropause Society, Menopause Essentials 2026: Sarcopenia and sarcopenic obesity (July 2026)Hissa: Risk factors; Effects on health; Management strategies · 15 October 2026 ko khola gaya
  5. Stute P, Pavicic E, Armeni E et al. 'Healthy menopause': The European Menopause and Andropause Society (EMAS) 2026 framework for precision, digital, and interdisciplinary midlife health. Maturitas 2026;212:109060Hissa: 4.4, Cardiometabolic and musculoskeletal health · 15 October 2026 ko khola gaya
  6. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Sarcopenia, and its key points · 15 October 2026 ko khola gaya
  7. Kirk B, Cawthon PM, Arai H et al. The conceptual definition of sarcopenia: Delphi consensus from the Global Leadership Initiative in Sarcopenia (GLIS). Age Ageing 2024;53(3):afae052Hissa: Findings; Results; Conclusion · 15 October 2026 ko khola gaya
  8. Cruz-Jentoft AJ, Bahat G, Bauer J et al. Sarcopenia: revised European consensus on definition and diagnosis (EWGSOP2). Age Ageing 2019;48(1):16-31Hissa: Sarcopenia: a new operational definition; Case finding; Muscle strength; Muscle mass and strength across a lifetime · 15 October 2026 ko khola gaya
  9. Chen LK, Hsiao FY, Akishita M et al. A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update. Nat Aging 2025;5(11):2164-2175Hissa: Abstract; Table 1 as reproduced in Bi J, Li J, Kang L, Aging Med 2026;9(2):89-98 (PMC13163934) · 15 October 2026 ko khola gaya
  10. Bhat G, Ireland A, Shah N et al. Prevalence and factors associated with sarcopenia among urban and rural Indian adults in middle age: a cross-sectional study from Western India. PLOS Glob Public Health 2024;4(10):e0003553Hissa: Abstract; Results · 15 October 2026 ko khola gaya