Bhaari mahwari

Mahwari jo pehle se zyada bhaari ho gayi ho, ya itni bhaari ke aaraam se sambhali na jaye. Doctor ise heavy menstrual bleeding ya menorrhagia kehte hain.

Perimenopause (mahwari band hone ke aas paas ka waqt) mein, yani aakhri mahwari se pehle ke saalon mein, mahwari badalti hai. NHS ki website kehti hai ke yeh pehle se zyada ya kam baar aa sakti hai aur khoon zyada ya kam ho sakta hai.

NHS ki website nishaniyan ginwati hai. Ho sakta hai aap ko har aik do ghante baad pad badalna par raha ho. Aap ko pad ke saath kuch aur bhi lagana parta hai. Mahwari aik hafte se zyada chalti hai. Khoon ke lothre aate hain. Khoon kapron ya bistar tak aa jata hai. Aap mahwari ki wajah se cheezein chhor deti hain, koi shaadi, koi daawat, kaam ka koi din. Aap ko aksar thakawat rehti hai ya saans phoolti hai.

Urdu mein auratein aksar ise pad se naapti hain: aik ghante mein pad bhar jaye. Yahi baat, ke pad kitni jaldi bharta hai, bilkul woh hai jo doctor ko sunni chahiye.

NHS ki website kehti hai ke zindagi ke kuch hisson mein mahwari bhaari ho sakti hai, menopause se pehle ke waqt mein bhi, aur yeh ke kuch auraton ke liye bhaari mahwari bas aam baat ho sakti hai.

Woh kuch aur wajuhaat bhi ginti hai jinhein dekh lena chahiye: fibroids, endometriosis, adenomyosis, polyendocrine metabolic ovarian syndrome (jo PCOS ka naya naam hai), pelvic inflammatory disease, aisi beemariyan jin mein khoon aasaani se behta hai, aur kuch dawaein, khoon patla karne wali kuch dawaon samet. NHS kehta hai ke kabhi kabhaar bhaari mahwari bachedani ke cancer ki nishani ho sakti hai.

Isi fehrist ki wajah se Pakistan Menopause Society doctoron se kehti hai ke ghair mamooli khoon ko menopause samajh lene ke bajaye us ki jaanch karein. Perimenopause bhaari mahwari ki wajah ho sakta hai. Har bhaari mahwari ki wajah nahin.

• NHS ki website kehti hai ke bhaari mahwari ka hamesha ilaaj zaroori nahin hota, aur yeh ke kisi androoni masle, jaise khoon ki kami (iron deficiency anaemia), ko dekhne ke liye khoon ke test ho sakte hain.
• Pakistan Menopause Society doctoron se kehti hai ke pehli appointment par aur baad ki appointment par khoon aane ka andaaz likhein (Tables 1 aur 4). Agar aap ne khud alamaat ka record rakha ho, to yeh baat bohat aasaan ho jati hai.

NHS ki website woh ilaaj ginwati hai jo GP de sakta hai: family planning ke kuch tareeqe, jaise hormone wali coil (IUS) ya mushtarka goli (combined pill); tranexamic acid, aik dawa jo khoon kam karti hai; aur nuskhe wali sozish kam karne wali dard ki dawaein. Agar in se kaam na bane, ya peeche koi beemari ho sakti ho, to GP teston ke liye ya specialist ke paas bhejta hai. Specialist ke options mein bachedani ki androoni teh hatana, fibroids nikalna, ya hysterectomy (bachedani nikalne ka operation) shamil hain.

NHS ke menopause wale safhe ki aik baat is umar mein aham hai: 50 saal ki umar se mushtarka goli ki sifarish nahin ki jati, kyunke umooman is ke khatre faidon se zyada hote hain. Aap ke liye kaun sa option theek hai, yeh aap ki umar, sehat aur aage ke iradon ko dekh kar doctor ka faisla hai.

NHS ki website kehti hai ke GP ko dikhayen agar bhaari mahwari aap ki zindagi par asar daal rahi hai, agar kaafi arse se hai, agar mahwari mein shadeed dard hota hai, agar do mahwariyon ke beech ya jinsi taalluq ke baad khoon aata hai, ya agar bhaari mahwari ke saath peshaab, pakhane ya jinsi taalluq ke dauran dard hota hai.

Doctor ko jaldi dikhayen agar khoon achanak aur bohat zyada aaye, ya mamool se bohat zyada der chale. Pakistan Menopause Society donon ko khatre ki nishaniyon mein ginti hai (section 2.3).

Jab mahwari bhaari aur beqaida ho jaye, to sawal sirf tibbi nahin rehte. Kaun se din mahwari mein gine jayen? Namaz dobara kab shuru ho? Rozon ka kya, aur jab khoon ruke hi nahin to wuzu ka kya? Auratein yeh sawal poochti hain aur unhein seedha jawab kam hi milta hai. Yeh sawal kisi mustanad aalim se poochne ke hain, aur Roshara in par koi faisla nahin deta.

Ghar mein bhaari khoon aksar chhupaya jata hai: ghusl khane ka aik izafi chakkar, gehre rang ki shalwar, yeh keh dena ke thaki hui hoon. Agar har maheene aap ko mahwari ke hisaab se sab kuch tarteeb dena parta hai, to yeh doctor se theek se baat karne ke qabil hai.