Alamaat

Peshaab aur masane ki takleef

Chheenk aaye to peshaab nikal jaye, ghusl khane ki taraf daur, aisa infection jo baar baar laut aaye. Is umar mein masane ki tabdeeliyan aam hain aur in par baat kam hoti hai. Hidayat kya kehti hain, aur kya madad kar sakta hai.

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

Chheenk aane se pehle aap taangein jor leti hain. Ghar se bazaar tak har ghusl khana aap ko maloom hai. Poton nawason ke saath uchhal kood aap ne chupke se chhor di hai. Masane ki tabdeeliyan dabe paon aati hain, aur chunke in par koi baat nahin karta, zyada tar auratein samajhti hain ke bas in ke saath jeena hai.

Lafz aur hidayat

English
Bladder problems
In naamon se bhi dhoonda jata hai
urinary incontinence, stress incontinence, leaking urine, overactive bladder, urinary tract infections, UTI
Urdu
پیشاب کی تکلیف
Roman Urdu
peshaab ki takleef

Auratein asal mein kya kehti hain

  • پیشاب نکل جانا (peshaab nikal jana)Peshaab ka khud hi nikal jana. Peshaab leak hone ko bayan karne ka seedha, rozmarra ka tareeqa.
  • بار بار پیشاب آنا (baar baar peshaab aana)Baar baar jane ki hajat. Hajat ko oonchi awaaz mein aise hi kaha jata hai, aur har doctor yeh alfaaz pehchanta hai.
  • NHS ki website kehti hai ke menopause aur perimenopause mein peshaab ke infection zyada ho sakte hain, ya aisi alamaat jo infection jaisi lagein, jaise peshaab karte hue dard ya jalan aur zyada baar peshaab aana, raat ko bhi. Woh peshaab par qaboo na rehne ko bhi alamaat mein ginti hai.
  • Pakistan Menopause Society ki 2026 ki sifarishaat baar baar ya achanak peshaab aane, peshaab karte hue dard, baar baar infection aur zor parne par peshaab nikal jane ko menopause ke baad ke pehle saalon ki alamaat mein ginti hain (Table 1). Woh likhti hain ke ho sakta hai bohat si Pakistani auratein peshaab ki takleef ka zikr tab tak na karein jab tak un se izzat ke saath aur akele mein na poocha jaye (section 2.2).
  • NICE NG23 peshaab karte hue be aaraami ya dard ko menopause ki genitourinary symptoms mein ginta hai, yani andaam nihani ki khushki aur peshaab mein tabdeeli wali alamaat. Jin auraton ko saath overactive bladder ya baar baar peshaab ke infection bhi hon, un ke liye usi jagah lagane wale estrogen (vaginal estrogen) ke istemaal par woh doctoron ko unhi beemariyon par NICE ki hidayat ki taraf bhejta hai (sifarishaat 1.5.12 aur 1.5.13).

Yeh kya hai

Masane ke bartao mein kai tabdeeliyon ka majmua. Din raat zyada baar jana parna. Achanak aisi hajat jo roki na jaye. Khaansi, hansi ya kuch uthate hue thora peshaab nikal jana. Peshaab mein jalan, ya peshaab ke infection jo baar baar laut aayen.

Women's Health Concern kehta hai ke baligh auraton ke aik bare hisse ko peshaab par qaboo ka masla hota hai, aur do bari qismein batata hai. NHS inform, yani Scotland ki health service ki website, inhein yun bayan karti hai: stress incontinence, yani jab masane par zor parne se peshaab nikal jaye, jaise khaansi ya hansi mein, aur urge incontinence, yani jab achanak bohat shadeed hajat ho aur aap use rok na sakein. Kuch auraton ko donon hoti hain.

Yeh kaisa mehsoos ho sakta hai

Chheenk par chand qatre. Raat ko do teen baar uthna. Ghar pahunchte hi ghusl khane ki taraf daur. Har waqt ki halki si fikr ke kahin nazar to nahin aa raha. Bohat si auraton ke liye sab se bura hissa peshaab nikalna nahin, balke har bahar jane ka programme isi ke hisaab se banana hai.

Yeh kyun hota hai

Pakistan Menopause Society in alamaat ko menopause ke baad ke saalon ki genitourinary tabdeeliyon ke saath rakhti hai (Table 1), jinhein woh girte hue estrogen aur doosre hormonon se jorti hai jo andaam nihani, peshaab ki naali aur masane par asar daalte hain (section 1.5.2). Doctor is poore majmue ko GSM kehte hain.

Doosri cheezein bhi apna kirdar ada karti hain. NHS inform hamal aur normal delivery, wazan zyada hona, khandaan mein yeh masla hona aur umar barhne ko un cheezon mein ginta hai jin se peshaab par qaboo na rehne ka imkaan barhta hai. NHS ki website kamzor peshaab rokne wale patthon (pelvic floor) ka izafa karti hai, jo aksar bachon ki paidaish ke baad kamzor hote hain, aur caffeine, sharaab, qabz aur peshaab ke infection ko overactive bladder ki mumkina wajuhaat mein ginti hai.

Hidayat mein kya likha hai

NHS inform kehta hai ke umooman pehle dawa ya operation ke baghair wale ilaaj aate hain, aur peshaab nikalne ka imkaan kam karne ke yeh tareeqe likhti hai:

  • peshaab rokne wale patthon ki warzish, yani inhein sikor kar mazboot karna jo peshaab ko roke rakhte hain
  • masane ki tarbiyat, yani hajat mehsoos hone aur jane ke beech zyada der rukna seekhna
  • wazan theek rakhna
  • caffeine aur sharaab kam karna

Caffeine ke baare mein chai aur caffeine dekhein. NHS inform chai, coffee aur cola jaise kuch bulbule daar mashroobat ka naam leta hai. Woh yeh bhi kehti hai ke doctor, nurse ya physiotherapist aap se masane ki diary rakhne ko keh sakte hain.

Ilaaj ke baare mein hidayat kya kehti hain

Agar saada tareeqe kaafi na hon, to NHS inform kehta hai ke wajah aur qism ke hisaab se doctor dawa ya operation ka keh sakta hai.

Jin auraton ki masane ki alamaat menopause mein andaam nihani ki tabdeeliyon ke saath aati hain, un ke liye NICE NG23 doctoron ko overactive bladder aur baar baar hone wale peshaab ke infection par NICE ki hidayat ki taraf bhejta hai, aur donon mein usi jagah lagane wale estrogen (vaginal estrogen) ki baat hai (1.5.12 aur 1.5.13).

The Menopause Society estrogen ki donon qismon mein farq karti hai. Woh kehti hai ke poore jism ke liye HRT, chahe goli ho, patch ho ya gel, peshaab nikalne mein madad nahin karti aur zor parne par peshaab nikalne (stress incontinence) ka imkaan barha sakti hai, aur woh in shawahid ko achha darja deti hai. Usi jagah lagane wala estrogen baar baar ke infection se bachane, overactive bladder aur achanak zor se peshaab aa kar nikal jane (urge incontinence) mein madad kar sakta hai, agarche is par shawahid kam hain. European Menopause and Andropause Society (EMAS) bhi usi jagah lagane wale estrogen ko peshaab ke infection se bachne ke tareeqon mein ginti hai, aur poore jism ke liye HRT ko un cheezon mein jo peshaab nikalne ka imkaan barhati hain. Aap ke liye kaun sa option theek hai, yeh aap aur aap ka doctor mil kar tay karein ge.

Doctor ko kab dikhayen

NHS inform kehta hai ke peshaab par qaboo na rehne ki koi bhi alamat ho to apne doctor ke clinic se baat karein, aur yeh ke agarche yeh aam hai, ise normal nahin samajhna chahiye. NHS ki website kehti hai ke is par baat karne mein sharminda na hon.

Pakistan Menopause Society doctoron se kehti hai ke un auraton ko aage refer karein jin ke peshaab ke infection ilaaj ke bawajood laut aate hon, peshaab mein khoon ho, prolapse (yani bachedani ya masane ka apni jagah se neeche khisak aana) ki alamaat hon, ya peshaab par qaboo na rehna un ki zindagi par asar daal raha ho (Table 4). Is liye agar peshaab mein khoon nazar aaye, to check karwayen.

Doctor se poochne ke sawal

  1. Khaansi aaye ya ghusl khane ki taraf bhagoon to peshaab pehle se zyada nikal jata hai. Kya is ka taalluq perimenopause se ho sakta hai?
  2. Kya yeh stress incontinence hai, urge incontinence hai, ya donon?
  3. Kya aap mujhe kisi ke paas bhej sakte hain jo peshaab rokne wale patthon ki warzish sikhaye?
  4. Mujhe baar baar peshaab ka infection hota hai. Kya usi jagah lagane wala estrogen mere liye aik option hai?
  5. HRT shuru karne ke baad mera peshaab nikalne laga. Kya in donon ka aapas mein taalluq ho sakta hai?
  6. Kya mujhe chai kam karni chahiye?

Deen aur ghar wale

Peshaab nikalne se aik aisa sawal uthta hai jo namaz se jura hai: jab peshaab nikal jaye, ya baar baar nikalta rahe, to wuzu ka kya ho, aur namaz ke liye kapron ka kya? Auratein yeh chupke se poochti hain, aur aksar itni sharminda hoti hain ke kisi se poochti hi nahin. Yeh sawal kisi mustanad aalim se poochne ka hai, aur Roshara is par koi faisla nahin deta.

Hum itna keh sakte hain ke Pakistan Menopause Society doctoron se tawaqqo rakhti hai ke woh masane ki alamaat ke baare mein akele mein poochein (section 2.2). Agar aap ka doctor na pooche, to baat shuru karne ke liye peshaab ki takleef keh dena kaafi hai.

Is par nazar rakhein

  • Yeh Roshara ke alamaat ke score ki 27 alamaat mein se aik hai. Chand minute mein sab ko number dein, account ke baghair, aur kul number apni appointment par le jayen. Alamaat ka score shuru karein
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Aam sawal

Kya khaansi ya hansi par peshaab nikal jana menopause ka hissa hai?
Ho sakta hai. Pakistan Menopause Society zor parne par peshaab nikal jane ko, jise stress incontinence kehte hain, menopause ke baad ke saalon ki alamaat mein ginti hai. NHS inform kehta hai ke umar barhne se is ka imkaan barhta hai lekin yeh burhape ka laazmi hissa nahin, aur koi bhi alamat ho to apne doctor ke clinic se baat karein. (Hawala: NHS inform, Urinary incontinence in women (last updated 8 May 2026))
Kya chai se masane ki takleef barh sakti hai?
NHS inform peshaab par qaboo na rehne ke liye rehan sehan ki tabdeeliyon mein caffeine kam karna ginta hai, kyunke caffeine se jism zyada peshaab bana sakta hai, aur chai, coffee aur cola jaise bulbule daar mashroobat ka naam leta hai. NHS ki website yeh bhi kehti hai ke caffeine masane ko chher sakti hai. (Hawala: NHS inform, Urinary incontinence in women (last updated 8 May 2026))
Ab mujhe baar baar peshaab ka infection kyun hota hai?
NHS ki website zyada baar peshaab ke infection ko menopause aur perimenopause ki alamaat mein ginti hai. NICE NG23 doctoron ko baar baar hone wale infection par apni hidayat ki taraf bhejta hai, jin mein usi jagah lagane wale estrogen ki baat hai, aur Pakistan Menopause Society doctoron se kehti hai ke jo infection ilaaj ke bawajood laut aayen, unhein aage refer karein (Table 4). The Menopause Society infection ko baar baar hone wala tab ginti hai jab chhe maheene mein do hon, peshaab ke test se pakke, ya aik saal mein teen. (Hawala: NHS website, Symptoms of menopause and perimenopause (reviewed 19 May 2026))

Milte julte mauzuaat

Hawale

  1. NHS website, Symptoms of menopause and perimenopause (reviewed 19 May 2026)Hissa: UTIs; Other symptoms of menopause and perimenopause · 1 October 2026 ko khola gaya
  2. NHS website, Urinary incontinence (reviewed 15 June 2023, review was due 15 June 2026)Hissa: When to seek medical advice; Causes; Drinking habits · 1 October 2026 ko khola gaya
  3. NHS inform, Urinary incontinence in women (last updated 8 May 2026)Hissa: How to prevent urinary incontinence; Types of urinary incontinence; When to speak to your GP practice; Diagnosing urinary incontinence; Treatment for urinary incontinence · 1 October 2026 ko khola gaya
  4. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.5.12 to 1.5.13; Terms used in this guideline (genitourinary symptoms) · 1 October 2026 ko khola gaya
  5. Women's Health Concern, Female incontinenceHissa: Introduction · 1 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: 2.1, Table 1; 2.2 and Table 2; 3.3, Table 4 · 1 October 2026 ko khola gaya
  7. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Menopause symptoms: urinary tract symptoms (including pelvic floor disorders) · 15 October 2026 ko khola gaya
  8. The Menopause Society (then The North American Menopause Society), The 2020 genitourinary syndrome of menopause position statement, Menopause 2020;27(9):976-992Hissa: Recurrent urinary tract infection · 15 October 2026 ko khola gaya
  9. European Menopause and Andropause Society, Menopause Essentials 2026: Urinary incontinence (July 2026)Hissa: Risk factors; Conservative management · 15 October 2026 ko khola gaya
  10. European Menopause and Andropause Society, Menopause Essentials 2026: Urinary tract infections (July 2026)Hissa: Prevention · 15 October 2026 ko khola gaya