Aap ki sehat

Pait ke andar ki charbi

Tarazu bamushkil hilta hai, magar kamar badal jati hai. Estrogen kam hone ke saath jism pait ki gehrai mein zyada charbi jama karta hai, woh charbi jo khoon mein sugar, cholesterol aur blood pressure ki tabdeeliyon se juri hai. Hidayat kya kehti hain, aur kaise check karein.

Wahi roti, wahi sair, aur tarazu bamushkil hila hai. Magar qameez pait par tang ho gayi hai aur shalwar ko naya izarband chahiye. Shakal ki yeh tabdeeli dikhawe ki baat nahin, aur sirf kapron ki baat bhi nahin.

Lafz aur hidayat

English
Visceral fat
In naamon se bhi dhoonda jata hai
belly fat, tummy fat, fat around the middle, central adiposity, central obesity, abdominal fat, menopause belly
Urdu
پیٹ کے اندر کی چربی
Roman Urdu
pait ke andar ki charbi

Auratein asal mein kya kehti hain

  • پیٹ نکل آیا ہے (pait nikal aaya hai)Mera pait nikal aaya hai. Auratein kamar ke mote hone ko yun hi bayan karti hain, aksar hans kar, doctor ke saamne kam hi.
  • Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke estrogen kam hone ke saath jism mein pait ke andar ki charbi, yani pait ke andar aaza ke gird jamne wali charbi, jama karne ka rujhan barh jata hai, jabke pehle wazan zyada barabar phailta tha.
  • Women's Health Concern kehta hai ke pait ke gird charbi koolhon ke gird charbi se zyada sehat par asar daal sakti hai: jism par insulin ka asar kam ho sakta hai, aur khoon mein sugar, cholesterol aur blood pressure mein nuqsan deh tabdeeliyon ka imkaan barh jata hai.
  • NHS ki website kehti hai ke junoobi Asiai pas-e-manzar ke logon ko thore kam BMI par hi sehat ke maslon ka khatra hota hai, aur aik aasan sa tareeqa tajweez karti hai: koshish karein ke aap ki kamar ka naap aap ke qad ke aadhe se kam rahe.
  • Pakistan Menopause Society ki 2026 ki sifarishaat pait ke gird charbi, insulin resistance aur dil ke khatre ko menopause ke lambi muddat ke asraat mein ginti hain, aur doctoron se kehti hain ke menopause ki mulaqat mein wazan aur, ho sake to, kamar ka naap likhein (Tables 1 aur 2).

Yeh kya hai

Pait ke andar ki charbi woh charbi hai jo pait ki gehrai mein jama hoti hai, jigar, aanton aur baqi aaza ke gird.

Doctor visceral kam hi kehte hain. Woh central adiposity, central obesity ya pait ke gird wazan kehte hain.

Yeh kaisa mehsoos ho sakta hai

Pait ke andar ki charbi khud mehsoos nahin hoti. Yeh us kamar mein nazar aati hai jo moti hoti jati hai jabke baqi jism waisa hi rehta hai, aur un kapron mein jo har jagah band ho jate hain siwaye pait ke.

British Menopause Society mashwara deti hai ke sirf tarazu par na rahein, seena, kamar aur koolhe naapein aur dekhein ke kapre kaise aa rahe hain.

Yeh kyun hota hai

Women's Health Concern kehta hai ke perimenopause (mahwari band hone ke aas paas ka waqt) se pehle barhne wala wazan aam taur par zyada barabar phailta hai, aur jaise jaise estrogen kam hota hai, jism mein pait ke andar charbi jama karne ka rujhan barh jata hai. British Menopause Society ka doctoron ke liye tool ise numberon mein batata hai: estrogen girne ke saath pait ke andar ki charbi jism ke wazan ke 5 se 8% se barh kar 10 se 15% ho jati hai.

Patthe bhi jate hain. Women's Health Concern aur British Menopause Society donon kehte hain ke umar ke saath patthe kam hote hain, aur un ke saath jism ke tawanai jalane ki raftaar bhi sust ho jati hai.

Phir woh baat aati hai jo hamare liye aham hai. NHS ki website kehti hai ke junoobi Asiai pas-e-manzar ke logon ko thore kam BMI par hi sehat ke maslon ka khatra hota hai. British Menopause Society likhti hai ke menopause ki tabdeeli ke daur mein junoobi Asiai auraton mein pait ke gird wazan, insulin resistance (insulin ka asar kam ho jana), sugar aur high blood pressure zyada paye jate hain. Jo aurat chart ke hisaab se moti nahin, us ke jism mein bhi woh charbi ho sakti hai jo asal mein aham hai.

Hidayat mein kya likha hai

  • NHS ki website kehti hai ke koshish karein ke aap ki kamar ka naap aap ke qad ke aadhe se kam rahe. Agar aap ka BMI 35 se kam hai to woh NHS ka kamar aur qad ka calculator istemaal karne ka mashwara deti hai.
  • Pakistan Menopause Society doctoron se kehti hai ke menopause ki mulaqat mein wazan aur, ho sake to, kamar ka naap likhein (Table 2), aur umar, khatre aur kharch ke hisaab se sugar aur cholesterol ke test par ghaur karein (Table 4).
  • Khane ke liye, yeh meethe mashroobaat aur cola ko pait ke gird wazan ki wajuhaat batati hai, aur daalon, doosri phaliyon, machhli, andon, saag, methi aur makai ki roti ki hausla afzai karti hai (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.
  • Chalne phirne ke liye, yeh tez chehal qadmi jaisi baqaida aerobic warzish, aur saath apne jism ke wazan, dumbbell jaise wazan ya rubber band ke saath taaqat ki warzish likhti hai (Table 6).

Ilaaj ke baare mein hidayat kya kehti hain

British Menopause Society kehti hai ke kam calories khane ke saath zyada warzish, taaqat ki warzish samet, ke haq mein aala meyaar ke saboot maujood hain, jis se perimenopause aur menopause wali auraton mein kamar ka naap aur jism ki charbi kam hui. Woh un auraton ke liye jo apne jism ki shakal badalna chahti hain, taaqat ki warzish ko taqreeban laazmi kehti hai. Wazan uthana mein hai ke kaise shuru karein.

HRT ke baare mein Women's Health Concern kehta hai ke is ka koi saboot nahin ke is se wazan barhta hai. The Menopause Society kehti hai ke HRT menopause ki tabdeeli ke daur mein jama hone wali charbi aur wazan ko kuch kam karne mein madad kar sakti hai, magar woh is ke saboot ko mehdood aur asar ko thora batati hai. Wazan sambhalna mein diet, fasting aur NHS ke wazan ke programme shamil hain. Wazan kam karne ki dawaon ki baat apne doctor se karein.

Doctor ko kab dikhayen

NHS ki website mashwara deti hai ke agar aap ka BMI zyada wazan wali had mein hai aur aap ki kamar aap ke qad ke aadhe se zyada hai to GP se milein. Junoobi Asiai logon ke liye BMI ki kam haddon ke saath, is mein woh aurat bhi aa sakti hai jise koi zyada wazan wali nahin kahega.

Agar aap ki kamar barh gayi hai to blood pressure, sugar aur cholesterol check karwane ka kahein, khaas taur par agar khandan mein ziabetes ya dil ki beemari ho. NHS ki website bohat zyada wazan ke sehat ke khatron mein fatty liver ki beemari bhi ginti hai.

Doctor se poochne ke sawal

  1. Kya hum wazan ke saath meri kamar bhi naap sakte hain, aur is number ka mere liye kya matlab hai?
  2. Mera wazan bamushkil badla hai, magar kamar badal gayi hai. Kya mujhe khoon mein sugar aur cholesterol ka test karwana chahiye?
  3. Mere khandan mein ziabetes chalti hai. Kya is se yeh farq parta hai ke hamein is par kitni qareeb se nazar rakhni chahiye?
  4. Mere pait ke gird charbi ke liye kis tarah ki warzish sab se zyada madad karegi?

Deen aur ghar wale

Barhte pait par tabsire har khandani mehfil mein muft milte hain, aur zyada tar mein wajah ghalat hoti hai. Yeh is baat mein tabdeeli hai ke aap ka jism charbi kahan jama karta hai, quwwat-e-iradi ki nakami nahin.

Women's Health Concern menopause mein wazan barhne ke liye fasting wali diets ki sifarish nahin karta, magar yeh baat diet ki hai, ibadat ki nahin. Ramzan aur roza is daur mein roze rakhne ki baat karta hai, aur khud roze ke baare mein sawal kisi mustanad aalim se poochne ke hain.

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
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Aam sawal

Pait ke andar ki charbi aur us charbi mein kya farq hai jise main chutki mein pakar sakti hoon?
Jo charbi aap chutki mein pakar sakti hain woh jild ke neeche hoti hai. Pait ke andar ki charbi aur gehrai mein, pait ke andar aaza ke gird hoti hai. Women's Health Concern ise androoni charbi kehta hai, aur kehta hai ke estrogen kam hone ke saath jism is mein se zyada jama karta hai. (Hawala: Women's Health Concern, Weight gain and menopause (factsheet, reviewed September 2026))
Mera BMI normal hai. Kya phir bhi mere pait ke andar bohat zyada charbi ho sakti hai?
Ho sakta hai. NHS ki website kehti hai ke BMI patthon aur charbi mein farq nahin kar sakta, aur yeh ke junoobi Asiai logon ko thore kam BMI par hi sehat ke khatre hote hain. Woh saath mein yeh dekhne ka mashwara bhi deti hai ke aap ki kamar aap ke qad ke aadhe se kam ho. (Hawala: NHS website, Overweight and obesity in adults (reviewed 29 April 2026))
Kya HRT se pait ki charbi barhti hai?
Women's Health Concern kehta hai ke is ka koi saboot nahin ke HRT se wazan barhta hai, albatta kuch auratein kuch qismon ke saath pait phoolna ya jism mein paani rukna mehsoos karti hain, jo aam taur par theek ho jata hai. The Menopause Society kehti hai ke menopause ki tabdeeli ke daur mein HRT pait par charbi jama hone ko kuch kam karne mein madad kar sakti hai, magar is ka asar thora hai. (Hawala: Women's Health Concern, Weight gain and menopause (factsheet, reviewed September 2026))

Hawale

  1. Women's Health Concern, Weight gain and menopause (factsheet, reviewed September 2026)Hissa: Why does menopause weight gain happen?; Does HRT cause weight gain?; Should I be concerned about menopause weight gain?; How do I measure success? · 10 October 2026 ko khola gaya
  2. British Menopause Society, Tool for Clinicians: Menopause: nutrition and weight gain (reviewed September 2026)Hissa: Weight gain, body composition and fat deposition; Resistance or strength exercise · 10 October 2026 ko khola gaya
  3. NHS website, Overweight and obesity in adults (reviewed 29 April 2026)Hissa: Body mass index (BMI); Waist to height ratio; See a GP if · 10 October 2026 ko khola gaya
  4. British Menopause Society, Tool for Clinicians: Menopause in ethnic minority women (published June 2023, review was due June 2026)Hissa: South Asian women · 10 October 2026 ko khola gaya
  5. NHS website, Calculate your waist to height ratio (reviewed 25 February 2025)Hissa: Using this calculator; Who should not use this calculator · 10 October 2026 ko khola gaya
  6. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: Introduction; Table 1; Table 2; Table 4; Tables 5 and 6 · 10 October 2026 ko khola gaya
  7. Women's Health Concern, Nutrition in menopause (factsheet, reviewed September 2026)Hissa: Should I avoid starchy carbohydrates? · 10 October 2026 ko khola gaya
  8. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Diabetes mellitus, metabolic syndrome, and body composition: key points · 15 October 2026 ko khola gaya