Darmiyani umar mein sehat ke test

Screening ka matlab hai kisi masle ka test is se pehle karna ke woh alamaat de, taake woh jaldi pakra jaye. Darmiyani umar mein yeh list zyada tar dil aur khoon ki naaliyon, khoon mein sugar, haddiyon, aur chhaati aur bachedani ke munh ke cancer ke baare mein hai.

Pakistan Menopause Society ki sifarishaat likhti hain ke menopause ke waqt auratein doctor ke paas mahwari ki takleef, alamaat ya aam check up ke liye aa sakti hain, aur is mulaqat ko screening ka mauqa kehti hain. Sifarishaat ki Table 1 saaf likhti hai: menopause ki mulaqat ko bachao ke liye istemal karein, aur blood pressure, jism ka wazan, haddi tootne ka khatra, khoon mein sugar, cholesterol aur tambaku ka istemal dekhein.

Darmiyani umar mein kai khatre aik saath barhne lagte hain, aur hidayat dhyan rakhti hain ke saara ilzaam hormone par na daalein. PMS ki sifarishaat doctoron se kehti hain ke yeh taassur na dein ke darmiyani umar ki har beemari girte hue estrogen ki wajah se hai: umar, tarz-e-zindagi aur doosri beemariyon ka bhi hissa hota hai.

Junoobi Asiai auraton ke liye yeh zyada aham hai. NICE ki hidayat NG246 kehti hain ke Junoobi Asiai pas manzar ke logon mein pait ke gird charbi jama hone ka rujhan hota hai, aur un mein dil ki beemari aur sugar ki beemari ka khatra kam BMI par hi barhne lagta hai (1.9.11). Pakistan Menopause Society Pakistan ke masail mein vitamin D ki aam kami aur haddiyon ki kamzori ke bare bojh ko bhi ginti hai (section 4.1).

Pakistan Menopause Society ki sifarishaat mein

Sifarishaat ki Table 4 har hisse ke liye test aur screening ki tafseel deti hai. Apne lafzon mein:

• Dil aur metabolism ke liye, khaali pait sugar ya HbA1c ka test aur cholesterol ka test umar, khatre aur kharch uthane ki gunjaish ke hisaab se socha ja sakta hai. High blood pressure, sugar ki beemari, barha hua cholesterol ya seene mein dard ho to us ki jaanch honi chahiye aur refer kiya jana chahiye.
• Haddiyon ke liye, doctoron se kaha gaya hai ke girne, haddi tootne aur qad kam hone ke baare mein poochein, aur zyada khatre wali auraton ke liye, jahan ho sake, DXA scan, yani haddiyon ki mazbooti ka scan, sochein. Zyada khatra jaise: pehle kabhi mamooli chot se haddi tooti ho (fragility fracture), jaldi menopause, lambe arse se steroid ka istemal, ya baar baar girna.
• Chhaati aur bachedani ke munh ke liye, umar aur khatre ke mutabiq screening, aur 50 saal ke baad har teen saal mammogram. Chhaati mein gilti, nipple se rutoobat aana ya jild mein tabdeeli ho to jaldi muayina zaroori hai, agli screening ka intezar nahin.
• Mood ke liye, menopause ki mulaqaton par depression aur bechaini jaanchne ke liye parkhe hue sawalname (section 4.2.4.6).

Pehli mulaqat par yeh sifarishaat blood pressure, BMI aur, agar ho sake, kamar ka naap maangti hain. Chhaati aur androoni muayina tab hota hai jab alamaat, khatra ya screening is ka taqaza karein, har aurat ka mamool ke taur par nahin.

Bartania mein

NICE ki hidayat NG23 doctoron se kehti hain ke mulk ki screening mein waqt par rehne ki baat karein (1.9.1). England mein NHS ki website NHS Health Check ki tafseel deti hai, 40 se 74 saal ke un logon ke liye jinhein dil ki beemari, sugar ki beemari, faalij ya kuch aur khaas beemariyan pehle se na hon. Is mein qad, wazan aur kamar, blood pressure aur cholesterol dekhe jate hain, kabhi kabhi sugar bhi, aur khandan ki beemariyon aur tarz-e-zindagi ke baare mein sawal hote hain. NHS kehta hai ke aap ka GP ya muqami council har paanch saal baad aap ko bulaye, aur agar nahin bulaya gaya aur aap ko lagta hai ke aap is ki haqdar hain to apni GP practice se rabta kar sakti hain. Cervical screening (bachedani ke munh ka test) ke liye NHS England mein 25 se 64 saal ki auraton ko har paanch saal baad bulata hai, aur us ka test sab se pehle HPV dekhta hai, aik virus jo bachedani ke munh ke khaliyon (cells) mein tabdeeliyan la sakta hai. Test alag alag hote hain, is liye apne doctor se poochein ke aap ko kaun sa test diya ja raha hai aur use kitne arse baad dohrana chahiye.

Khaleeji mulkon ke apne screening programme hain, apni umron aur kharch ke saath. Aap jahan rehti hain wahan kaun sa laagu hota hai, yeh aap ka doctor jaanta ho ga.

Agar aap ko yaad nahin ke pichhli baar blood pressure kab dekha gaya, cervical screening ya mammogram kab hua, to agli appointment par poochne ke liye yehi kaafi hai. Apne khandan ke baare mein jo maloom ho woh saath le jayen: dil ke daure aur faalij, khoon ke lothre, kulhe ki haddi tootna ya haddiyon ki kamzori, aur chhaati ya ande dani jaise cancer, aur har aik kis umar mein hua. PMS ki sifarishaat khandan mein dil ki beemari, khoon ke lothron, haddiyon ki kamzori aur cancer ko un baaton mein ginti hain jo doctor ko poochni chahiyen (Table 2).

HRT le rahi hain? The Menopause Society kehti hai ke HRT ki kuch qismein mammogram par chhaati ko zyada ghana dikha sakti hain, jis se tasveer parhna mushkil ho sakta hai aur mazeed mammogram ya biopsy, yani tissue ka chhota sa namoona lena, karna par sakta hai.

Kuch baaton ko kabhi screening ka intezar nahin karna chahiye. Chhaati mein gilti, menopause ke baad khoon aana, seene mein dard ya achanak saans phoolna ho to jaldi doctor ko dikhayen, screening ki tareekhein jo bhi kahein.

Bohat se gharon mein aurat ka apna check up hi woh hai jo talta rehta hai: pehle bacchon ki appointment, phir shohar ki, phir maan baap ki. Screening ka test jaldi ho jata hai, aur sab ka khayal rakhte rehna aasaan hota hai agar kisi ne aap ka khayal bhi rakha ho.