Menopause specialist se milna

NICE ki hidayat NG23 ke alfaz hain healthcare professional with expertise in menopause, yani menopause ki khaas maharat rakhne wala maahir. Un ke mutabiq yeh woh hai jis ke paas khaas ilm, hunar aur tarbiyat ho aur jo menopause ke pecheeda maamle khud sambhal sake, ya sambhalne wale saathiyon ko mashwara de sake. Is mein aisi pecheeda beemariyan bhi shamil hain jo menopause ke ilaaj par asar daal sakein, aur un auraton ki alamaat bhi jinhein chhaati ya ande dani ke cancer ka zyada khatra ho ya jinhein pehle hormone se jura cancer ho chuka ho. NICE kehta hai ke un ki tarbiyat British Menopause Society jaise kisi peshawar idare se maani hui honi chahiye.

Amali taur par specialist koi gynae doctor ho sakta hai, menopause ki izafi tarbiyat wala koi GP, ya menopause ke alag clinic ka koi doctor ya nurse. Asal baat tajurba hai, ohda nahin.

Pakistan Menopause Society ki sifarishaat gynae doctoron aur aam doctoron se kehti hain ke aise menopause specialist dhoond kar rakhein jin ke paas pecheeda maamle bhej sakein: pehle se sanjeeda beemariyan, ilaaj ke mushkil faisle, na jane wali alamaat ya ghair mamooli haalaat.

Hidayat kab refer karne ka kehti hain

NICE ki hidayat NG23 kehti hain ke referral par ghaur kiya jaye jab:

• aap ko menopause ki alamaat hon aur koi aisi wajah ho ke HRT aap ke liye theek na ho
• yeh saaf na ho ke aap ki alamaat sambhalne ka behtareen tareeqa kya hai (1.5.26)
• ilaaj se aap ki alamaat behtar na ho rahi hon, ya side effects khatam na hon (1.9.3).

Pakistan Menopause Society ki list lambi hai (section 3.4). Is mein yeh bhi hain: shadeed ya na jane wali alamaat, khatron aur faidon ka pecheeda hisaab, waqt se pehle menopause, yani waqt se pehle menopause, ya ande dani ka waqt se pehle kaam chhor dena (POI), yani ande dani ka waqt se pehle kaam chhor dena, ka shak, khoon ke lothron, dil ki beemari ya chhaati ke cancer ka zyada khatra, aur aisa ghair mamooli khoon aana jis ki jaanch zaroori ho.

Yeh kahan milte hain

Pakistan mein PMS ki sifarishaat menopause ke alag clinicon ki kami ko aik bara masla kehti hain (section 4.1). Yeh sifarishaat aam doctoron ke saath gynae doctoron ke liye bhi likhi gayi hain, is liye kaam ka sawal yeh hai ke aap ke qareeb kaun sa gynae doctor is umar ki bohat si auraton ko dekhta hai. Bartania mein British Menopause Society maane hue specialiston ki aik list rakhti hai, jo is ke maujooda member hain aur apni khaas maharat dikha chuke hain. BMS kehti hai ke list mein naam hone ka matlab us ki sifarish nahin. Khaleeji mulkon aur Pakistan ke liye menopause ka ilaaj kahan mile mein woh hai jo hum ne ab tak jaancha hai.

Specialist kya de sakta hai

Specialist aise raaste tol sakta hai jin ke liye zyada tajurba chahiye: jab HRT na ho sake to ilaaj, doosri beemariyon ke saath HRT, ya cancer ke baad ka plan. Misaal ke taur par NHS ki website kehti hai ke jinsi khwahish mein kami ke liye testosterone koi menopause specialist likh sakta hai. Specialist bhi inhi hidayat par chalta hai jin par aap ka apna doctor, bas us ke paas inhein laagu karne ke liye zyada waqt aur tajurba hota hai.

Agar oopar ki koi baat aap par laagu lagti hai to apne doctor se poochein ke kya referral faida de ga. Yeh baat aap khud chhed sakti hain, peshkash ka intezar zaroori nahin. Jo kuch aazmaya, kitne arse, aur kya hua, is ka record saath le jayen, aur apna alamaat ka score pehle ka bhi aur baad ka bhi.

Khatre ki nishaniyan specialist ka intezar nahin kartin. PMS ki sifarishaat menopause ke baad khoon aana, chhaati mein gilti, seene mein dard, achanak saans phoolna, shadeed depression aur khudkushi ke khayalat ko un khatre ki nishaniyon mein ginti hain jin ka muayina ya refer karna zaroori hai (section 2.3).

Referral ka matlab safar bhi ho sakta hai: kahin aur rehti hon to Lahore ya Karachi ka koi clinic, ya shehar ke doosre kone ka koi hospital. Ghar wale aksar mil kar tay karte hain ke kaun saath jaye ga aur kharch kaun uthaye ga. Yeh samjha sakna ke hidayat specialist ka kyun kehti hain, apne lafzon ke bajaye un ke lafzon mein, yeh baat cheet aasaan kar sakta hai.