Depression

NHS ki website depression ko chand din nakhush ya bezaar rehne se barh kar bayan karti hai. Yeh hafton ya maheenon tak musalsal ghamgeen rehna hai. Jo alamaat woh likhti hai, woh lambi nakhushi aur na umeedi se le kar un cheezon mein dilchaspi khatam hone tak hain jin mein pehle maza aata tha, aur bohat zyada rona aana, aur bohat se logon ko saath bechaini bhi hoti hai. Jism bhi is ka hissa hai: har waqt thakawat, kharab neend, na bhook na jinsi khwahish, dard aur teesein.

NICE NG23 menopause ke aas paas depression jaisi alamaat, jo depression ki tashkhees ke meyar tak nahin pahunchtin, aur khud depression ke beech lakeer kheenchta hai. Udaasi pehli cheez ka safha hai. Yeh safha doosri cheez ka hai. Aap ko kaun si hai, yeh koi safha nahin bata sakta: is ke liye aisa doctor chahiye jis ne aap ki baat suni ho.

Zameen par paon rakhne se pehle hi dil mein khauf ke saath jaagna. Din jo aik doosre mein ghul jayen. Khana jis mein koi zaiqa nahin. Namaz jo bas aadat se parhi jaye. Jin se pyar hai woh door lagein, aur un tak pahunchne ki himmat na ho. Yeh ehsaas ke ab aap bas aisi hi hain.

Yeh hamesha gham jaisa nahin dikhta. Yeh chirchirapan, thakawat ya aisa jism bhi lag sakta hai jo har jagah dukhta ho.

NHS ki website kehti hai ke depression zindagi badal dene wale kisi waqiye ke baad aa sakta hai, jaise kisi apne ki maut ya naukri chhoot jana, kuch khandaanon mein chalta hai, aur baghair kisi wazeh wajah ke bhi aa sakta hai.

Menopause ke aas paas, do hawale aur baatein jorte hain. British Menopause Society ka neend wala tool batata hai ke menopause ki tabdeeli ke daur mein depression do se chaar guna barh jata hai, aur kehta hai ke jo auratein theek se nahin sotin un mein is ka imkaan zyada hai. Pakistan Menopause Society kehti hai ke jin auraton ko pehle depression ya bechaini reh chuki ho, un mein tabdeeli ke is daur mein is ke barhne ka khatra zyada hai.

• Pakistan Menopause Society doctoron se kehti hai ke menopause ki appointment par depression aur bechaini ki jaanch ke liye chhote, parkhe hue sawal naame istemal karein (section 4.2.4.6). Agar kisi ne aap se yeh sawal nahin pooche, to aap khud keh sakti hain.
• NHS ki website warzish, sharab kam karna, cigarette chhorna aur sehatmand khana aisi tabdeeliyon mein ginti hai jin se depression wale bohat se logon ko faida hota hai, aur saath apni madad aap ki kitabein aur support group.

NHS ki website kehti hai ke depression ke ilaaj mein tarz-e-zindagi ki tabdeeliyan, baat cheet ki therapy aur dawa milayi ja sakti hain, yeh dekh kar ke depression kitna shadeed hai. Halke depression mein doctor intezaar kar ke dekhne, warzish, rehnumai ke saath apni madad aap, ya CBT jaisi baat cheet ki therapy ka mashwara de sakta hai. Darmiyane se shadeed depression mein aksar baat cheet ki therapy ke saath depression ki dawa tajweez ki jati hai, aur shadeed depression mein zehni sehat ki kisi specialist team ki zaroorat par sakti hai.

Menopause se guzarne wali auraton ke liye NICE NG23 doctoron se kehta hai ke apni menopause ki sifarishaat ko NICE ki depression ki hidayat ke saath mila kar chalein, taake donon ki mansooba bandi aik saath ho. PMS ki sifarishaat CBT (baat cheet ki therapy), stress sambhalne ke tareeqe, support group aur menopause ke baare mein maloomat likhti hain, aur depression ki dawaein darmiyane se shadeed mood ki beemariyon ke liye, specialist ke jaize ke baad (section 7.2).

Pakistan ki aik baat kamre mein saath le jane ke laiq hai. Rawalpindi ke Benazir Bhutto Hospital mein depression ki tashkhees wali 45 se 55 saal ki 250 auraton ke aik audit ne, jo 2024 mein aik conference mein pesh hua, paya ke un mein se 78% mein perimenopause (mahwari band hone ke aas paas ka waqt) ki numayan alamaat theen jo shuru mein nazar andaaz ho gayi theen (Gul, 2024). Yeh poochna ke kya perimenopause ko bhi dekha gaya hai, doctor ko poori tasveer deta hai.

NHS ki website kehti hai ke agar aap ko lage ke aap ko depression ho sakta hai to GP ko dikhayen, aur intezaar na karein: bohat se log der kar dete hain, aur jitni jaldi dikhayen gi, utni jaldi theek hona shuru ho sakta hai.

Pakistan Menopause Society shadeed depression, khudkushi ke khayalat aur aisi alamaat ko, jo aap ka rozmarra ka kaam rok dein, un khatre ki alamaat mein ginti hai jin ki jaanch ya referral zaroori hai (section 2.3).

British Menopause Society batati hai ke Junoobi Asiai communities mein zehni sehat par kam hi baat hoti hai, aur PMS kehti hai ke Pakistan mein zehni sehat ke masail aksar badnami ke dar se nazar andaaz ho jate hain. Yeh khamoshi depression ko taal dena aasaan bana deti hai, ghar mein bhi aur aap ke apne dil mein bhi.

Auratein poochti hain ke kya depression aik aazmaish hai, ya is baat ki nishani ke un ke imaan mein kami hai. Yeh sawal kisi mustanad aalim se poochne ke hain. Yeh doctor se chhupane ki wajah nahin, aur NHS saaf kehta hai ke depression aik beemari hai, kamzori nahin. Agar achha lage, to kisi bharose wale ko appointment par saath le jayen.