Dil ki dharkan tez hona

Dharkan tez hone ka matlab hai ke aap ko apne dil ki dharkan mehsoos hone lage. NHS ki website bayan karti hai ke dil daurne lage, aik dharkan chhor de ya aik zyada maar de, zor se dhamke, dhar dhar kare ya pharpharaye, aur yeh seene, gardan ya halaq mein chand second ya chand minute ke liye mehsoos ho.

NHS mumkina wajoohaat mein menopause ko bhi ginta hai. Pakistan Menopause Society ki sifarishaat perimenopause (mahwari band hone ke aas paas ka waqt) ke baare mein aur aage jati hain: woh bayan karti hain ke hot flush ke saath aksar chehre ki surkhi, paseena aur tez dharkan aati hai, aur tez dharkan ko shuru ki alamaat mein ginti hain, jo mahwari aate aate bhi shuru ho sakti hain.

Aap baithi hain aur seene mein achanak daur shuru ho jati hai. Aik pharpharahat, phir aik bhaari dharkan, jaise dil ko thokar lagi ho. Raat ko takiye par apni dharkan sunai deti hai. Kabhi baad mein garmi aati hai, kabhi pehle ghabrahat, aur kehna mushkil hota hai ke pehle kaun aaya. NHS ka menopause ki alamaat wala safha kehta hai ke hot flush se dharkan tez ho sakti hai ya bechaini ho sakti hai.

Zyada tar auratein kehti hain: dil ki dharkan tez ho jati hai. Kuch kehti hain: dil ghabrata hai, jis ka matlab ghabrahat bhi ho sakta hai aur dharkan bhi, is liye doctor ko saaf saaf batana madad karta hai.

Jab tez dharkan hot flush ke saath aaye, to PMS ki sifarishaat ise isi cheez se jorti hain: estrogen badalne se dimagh ke garmi sardi sambhalne wale nizaam ka tawazun bigar jana.

Lekin tez dharkan ki bohat si wajoohaat hain, aur perimenopause un mein se sirf aik hai. NHS ki website sakht warzish, neend ki kami, stress aur bechaini, kuch dawaein, sharab, caffeine, nicotine aur nasha aawar cheezein likhti hai. Woh aisi beemariyan bhi likhti hai jinhein doctor dekhna chahe ga: iron ki kami se khoon ki kami (anaemia), zyada tez chalne wala thyroid, dil ki dharkan ki be tarteebi aur dil ke valve ki beemari. Check hone se pehle kisi ko, aap ko bhi, yeh nahin kehna chahiye ke bas hormone hain.

• NHS ki website kehti hai ke jab tez dharkan kisi beemari ki wajah se na ho, to stress, cigarette, caffeine aur sharab jaisi cheezon se bachna madad kar sakta hai.
• Chai par, PMS ki sifarishaat kehti hain ke Pakistan mein chai bohat pi jati hai, aur doctoron se kehti hain ke aap ke saath baat karein ke kitni peeti hain aur kab (Table 7). Chai aur caffeine par mazeed hai.
• PMS ki sifarishaat doctoron se kehti hain ke tez dharkan ko hot flush ke saath likhein, yani woh kitni baar aate hain, kitne shadeed hain aur kis cheez se shuru hote hain (Table 2). Apni dharkan kab tez hoti hai, yeh likh rakhna doctor ko yehi record deta hai. Trigger ka record rakhna batata hai kaise.

NHS ki website kehti hai ke ilaaj wajah par munhasir hai, aur aksar tez dharkan ko kisi ilaaj ki zaroorat hi nahin hoti. Doctor ECG karwa sakta hai, yani aik test jo dil ke barqi ishare check karta hai, aur dil ke kisi specialist ko refer kar sakta hai.

Jab tez dharkan hot flush ka hissa ho, to PMS ki sifarishaat ise vasomotor symptoms (yani hot flush aur raat ke paseene) ke saath rakhti hain, jin ke liye woh HRT (hormone ki dawa) ko pehle darje ka ilaaj likhti hain, un auraton ke liye jo ise le sakti hon (section 7.1). Yeh aap par laagu hota hai ya nahin, yeh faisla doctor ka hai, dil check hone ke baad.

Abhi emergency madad lein agar dharkan theek na ho, ya saath seene mein dard, saans phoolna, ya behoshi jaisa lagna ya behosh ho jana ho. NHS ki website kehti hai ke khud gaari chala kar na jayen: kisi se kahein ke le jaye, ya ambulance bulayen. PMS ki sifarishaat bhi seene mein dard aur achanak saans phoolne ko un khatre ki alamaat mein ginti hain jin ki jaanch ya referral zaroori hai (section 2.3).

Jald doctor ko dikhayen, emergency mein nahin, agar tez dharkan baar baar laut aati hai ya zyada baar hone lagi hai, chand minute se zyada rehti hai, ya aap ko dil ki koi beemari hai ya khandaan mein dil ki beemariyan rahi hain. GP ko dikhane ki yehi wajoohaat NHS ki website likhti hai.

British Menopause Society batati hai ke menopause ki tabdeeli ke daur mein junoobi Asiai auraton mein dil ke khatre ki wajuhaat zyada payi jati hain, jin mein high blood pressure, insulin resistance aur sugar ki beemari shamil hain. PMS ki sifarishaat doctoron se kehti hain ke menopause wali appointment par blood pressure, khoon mein shakar aur cholesterol check karein. Dil ki sehat par mazeed hai.

Tez dharkan un logon ko bhi darati hai jo aap se pyar karte hain. Unhein yeh bata dena ke aap check karwa rahi hain, chhupane se behtar hai.

Roze ke lambe din mein tez dharkan aise sawal uthati hai jin ka seedha jawab auraton ko kam hi milta hai. Roze ke baare mein sawal kisi mustanad aalim se poochein. Ramzan mein dawa kab lein, yeh sawal us doctor se poochein jis ne dawa likhi hai.