Chhaati mein dard

Aik ya donon chhaatiyon mein dard, dukhan ya chhoone se takleef.

Pakistan Menopause Society chhaati mein dard ko shuru ke perimenopause (mahwari band hone ke aas paas ka waqt) ki jismani alamaat mein ginti hai, sar dard, joron aur patthon ke dard aur pait phoolne ke saath (Table 1). NHS ki website chhaati mein dard ki wajuhaat mein menopause ke dauran hormone ki tabdeeli ko ginti hai.

NHS ki website mahwari se jure chhaati ke dard ko halka, bhaari ya dukhta hua bayan karti hai, aksar donon chhaatiyon mein, kabhi baghal tak phailta hua. Chhoone se dard. Pait ke bal letein to takleef. Mamool se bhaari pan.

Yeh HRT (hormone ki dawa) ke saath bhi aa sakta hai. NHS inform, yani Scotland ki health service ki website, kehti hai ke HRT ke donon hormone side effects kar sakte hain, aur in mein chhaati mein dard ya soojan ginti hai.

NHS ki website menopause ke dauran hormone ki tabdeeli ki taraf ishara karti hai, aur Pakistan Menopause Society chhaati mein dard ko shuru ke perimenopause ki alamaat mein ginti hai. Donon mein se koi is se aage nahin batata ke aisa kyun hota hai.

Chhaati mein dard ki aur wajuhaat bhi ho sakti hain. NHS ki website ginwati hai: gardan, kandhe ya kamar ki chot ya moch jo chhaati ke dard ki tarah mehsoos ho, kuch dawaein jaise mana-e-hamal goli aur depression ki kuch dawaein, mastitis ya chhaati mein phora jaisi beemariyan, aur hamal.

NHS inform yeh likhta hai:

• dard ki dawa jaise paracetamol ya ibuprofen, ya dard wali jagah par malne wala dard ka gel
• theek naap ka, sahara dene wala bra, aur agar faida ho to raat ko bhi theek naap ka bra

NHS ki website likhti hai ke is baat ka saboot bohat kam hai ke vitamin E ki goliyan ya evening primrose oil madad karte hain.

Agar dard HRT ke saath shuru hua, to NHS inform kehta hai ke side effects umooman waqt ke saath kam ho jate hain, aur agar 3 maheene baad bhi rahein to GP ko dikhayen. NHS ki website yeh bhi kehti hai ke agar shadeed hon to GP se baat karein. Pakistan Menopause Society chhaati mein dard ko estrogen ke un side effects mein ginti hai jinhein kam se kam kaargar dose par dawa dene ka maqsad kam karna hai (section 5.12). Dose, qism ya lene ka tareeqa badalna aap ke saath mil kar nuskha likhne wale doctor ka faisla hai, aur HRT ke faide aur khatre mein poori tasveer hai.

NHS ki website kehti hai ke GP ko dikhayen agar chhaati ka dard behtar nahin ho raha ya dard ki dawaein kaam nahin kar rahin, ya agar aap ke khandaan mein chhaati ka cancer raha hai.

Woh kehti hai ke foran appointment lein agar:

• chhaati mein aisi sakht gilti ho jo hilti na ho
• nipple se risao ho, jis mein khoon ho sakta hai
• aik ya donon chhaatiyon ki shakal badal jaye
• jild mein santre ke chhilke jaise garhe se par jayen
• nipple par ya us ke aas paas daane hon, ya nipple andar ki taraf mur gaya ho
• chhaati ka koi hissa laal, garam ya sooja hua ho, ya dard ke saath bukhar ho

Pakistan Menopause Society bhi chhaati mein gilti, nipple se risao ya jild mein tabdeeli ko khatre ki nishaniyon mein ginti hai, aur doctoron se kehti hai ke mashkook alamaat ki jaanch mein der na karein (section 2.3 aur Table 4).

Bohat si auraton ke liye sab se mushkil hissa dard nahin balke muaina hota hai. Kisi ajnabi ke saamne hona, clinic mein kapra hatana, shohar ko samjhana. Yeh asal wajuhaat hain jin ki wajah se auratein checkup taalti rehti hain, aur inhein nazar andaaz karne ke bajaye in ke hisaab se intezaam kar lena behtar hai. Kya koi lady doctor mil sakti hai, aur kya aap kisi ko saath la sakti hain, yeh appointment lete waqt poochne ke bilkul theek sawal hain.

Pakistan Menopause Society kehti hai ke chhaati ka muaina tab hona chahiye jab alamaat, khatre ki wajuhaat ya screening is ka taqaza karein, har aurat ka mamool ke taur par nahin (Table 2). Woh doctoron se yeh bhi kehti hai ke aurat ki umar aur khatre ke hisaab se chhaati ki screening ki hausla afzai karein (Table 4). Chhaati ki sehat mein screening ki baat hai.