NHS par menopause ka ilaaj

NHS par menopause (mahwari ka band hona) ka ilaaj aap ki GP practice se shuru hota hai. Koi alag darwaza nahin. NHS ki website kehti hai ke agar aap ko lagta hai ke aap ko perimenopause (mahwari band hone ke aas paas ka waqt) ya menopause ki alamaat hain aur aap apne raaste jaanna chahti hain to apne GP se rabta karein, aur is ka ilaaj wala safha kehta hai ke doctor, nurse ya pharmacist aap ko HRT aur us ke mutabadil samjha sakte hain.

Is ilaaj ke peeche NICE ki hidayat NG23 hain, jo England ke NHS ke liye bani hain. Yeh batati hain ke GP perimenopause kaise pehchane, kya pesh kare, kab jaiza le aur kab refer kare. Roshara par madad ke zyada tar safhe inhi ka hawala dete hain, taake aap yeh jaan kar jayen ke aap ka doctor kis cheez par chal raha hai.

NHS ilaaj mein kya ginwata hai

NHS ki website ka ilaaj wala safha HRT (hormone ki dawa) ko un ke liye buniyadi ilaaj kehta hai jinhein is ki zaroorat ho. Estrogen goliyon, patch, spray ya gel ki shakal mein aata hai, aur jis aurat ki bachedani hai aur woh ise leti hai, use bachedani ki hifazat ke liye saath progestogen bhi chahiye. Safha kehta hai ke jinsi khwahish mein kami ke liye testosterone koi menopause specialist likh sakta hai. Jo auratein HRT nahin le saktin ya lena nahin chahtin, un ke liye yeh hot flush (achanak garmi lagna) aur raat ke paseenon ke liye CBT, yani baat cheet ki therapy, ginwata hai, aur doosri dawaein jin par GP baat kar sakta hai. Yeh bhi kehta hai ke jari bootiyon wali dawaein kitna asar karti hain aur kitni mehfooz hain, is par bohat kam saboot hai.

Jaiza aur refer karna

NICE ki hidayat NG23 har ilaaj ka teen maheene par jaiza lene ka kehti hain, phir har saal, aur agar faida na ho ya takleef de to jaldi (1.9.2). Yeh menopause ki khaas maharat rakhne wale kisi maahir ke paas refer karne ka kehti hain jab HRT aap ke liye theek na ho, jab behtar raasta saaf na ho (1.5.26), ya jab ilaaj se faida na ho ya side effects khatam na hon (1.9.3). England mein yeh referral aam taur par aap ke GP ke zariye hota hai. British Menopause Society apne maane hue specialiston ki aik list rakhti hai, jis mein post code se dhoonda ja sakta hai. Menopause specialist se milna batata hai ke woh kya karte hain.

HRT ke paise

Agar aap nuskhon ke paise deti hain to NHS Business Services Authority aik HRT prescription prepayment certificate bechti hai, jise HRT PPC kehte hain. Aik baar ki adaigi 12 maheene ke liye HRT ki kuch dawaein cover karti hai, chahe jitne bhi nuskhe chahiyen. Yeh HRT ki har dawa cover nahin karta, is liye NHSBSA kehti hai ke pehle dekh lein ke aap ki dawa is ki list mein hai, aur yeh bhi ke kahin aap ko nuskhe pehle se muft to nahin milte. Yeh online ya kuch pharmacies se khareeda ja sakta hai. Qeemat badalti rehti hai, is liye hum ise chhapne ke bajaye NHSBSA ke safhe ka link dete hain.

GP ke clinic se bahar madad

NHS ki website ka madad wala safha maloomat aur saath ke liye teen idaron ka zikr karta hai, jin mein Women's Health Concern bhi hai, jise woh British Menopause Society ki website batata hai. NHS inform, Scotland ki sehat ki website, menopause ke apne kai safhe Urdu mein bhi deti hai.

NHS ki website GP se rabte ki wajoohat batati hai: aisi alamaat jin mein aap ko madad chahiye, dil ki dharkan tez rehna, mahwari ka halka hone ke bajaye bhaari ho jana, aur 12 maheene mahwari na aane ke baad kisi bhi tarah khoon aana. Yeh kehti hai ke menopause ke baad khoon aaye to use dikhana chahiye, chahe aik hi baar aaya ho, bas dhabbe hon, ya saath koi aur alamat na ho. Agar aap HRT le rahi hain aur chhe maheene baad bhi beqaida ya zyada khoon aa raha hai to NHS kehta hai ke apne GP se baat karein.

Agar aap Ramzan ke roze rakhti hain to dawa ka waqt aap ke GP ya pharmacist se poochne ka sawal hai, jo bata sakte hain ke koi goli sehri ya iftar par li ja sakti hai ya nahin. Roze ke baare mein sawal kisi mustanad aalim se pooche jayen. Aur agar aap apni Ammi ke liye appointment le rahi hain, jo Urdu mein baat karna pasand karein gi, to practice se poochein ke woh zabaan ke maamle mein kya madad deti hai.