Chirchirapan ya ghussa

Chirchirapan aik fuse hai jo chhota ho gaya hai: shor, bikhra hua ghar ya do baar poocha gaya sawal aap ko bharka deta hai, jo pehle kabhi nahin hota tha. Ghussa tab hai jab yeh cheekhne, darwaze patakhne, ya aise taish mein badal jaye jis par aap khud hairan reh jayen.

Pakistan Menopause Society ki sifarishaat chirchirapan ko udaasi aur bechaini ke saath perimenopause (mahwari band hone ke aas paas ka waqt) ki shuru ki alamaat mein ginti hain, aur NHS inform ise menopause ki aam alamaat mein ginti hai. NHS ki website mood ke utaar charhao likhti hai.

Auratein apne baare mein umooman chirchirapan kehti hain. Ghussa jhunjhlahat se le kar taish tak sab kuch samet leta hai. Sehat ke jitne sarkari Urdu pamphlet Roshara ne parhe hain, un mein se kisi mein bhi taish ko aik alamat ke taur par koi lafz nahin diya gaya, aur shayad isi liye ise itni baar aadat ki kharabi keh diya jata hai.

Sab aik saath bol rahe hain aur aap ki jild mein suiyan si chubhti hain. TV bohat ooncha, WhatsApp group bohat zyada, bachon ka wohi sawal chauthi baar. Seene mein garmi ka aik jhonka jo ghussa hai, hot flush nahin, ya donon aik saath. Phir baad ki khamoshi, jab aap sochti hain ke woh kaun thi.

Pakistan Menopause Society mood ki tabdeeliyon ko yaaddasht, tawajjo aur neend ke masail ke saath menopause ki zehni aur asabi alamaat mein rakhti hai (section 1.5.4).

Neend ka is mein bara haath hai. NHS ki website kehti hai ke tooti neend aap ko chirchira, dabao mein aur bechain kar sakti hai, aur British Menopause Society lambe arse ki be khwabi ke din ke asraat mein chirchirapan ginti hai. Raat mein kai baar raat ke paseenon se jaagna kisi ka bhi fuse chhota kar de. Neend ki kami par mazeed hai.

Is sab ka matlab yeh nahin ke hormone auraton ko na maqool bana dete hain. Matlab yeh hai ke dabao mein pare jism ke paas rozmarra ka stress jazb karne ki jagah kam reh jati hai.

• NHS ki website menopause ke aas paas mood ki tabdeeliyon ke liye aaram, baqaida warzish aur sukoon dene wali cheezein likhti hai.
• Pakistan Menopause Society kehti hai ke stress kam karne, behtar neend aur dhiyan ki mashqon se zehni sehat behtar ho sakti hai, aur mindfulness, yani is lamhe par dhiyan dene ki mashq, ko amli aur kam kharch kehti hai (section 4.2.4). Zehni dabao ko sambhalna par mazeed hai.
• Yehi sifarishaat kehti hain ke shohar aur ghar walon ka saath aham kirdar ada karta hai, aur likhti hain ke kya madad karta hai: hormone ki tabdeeliyon par khul kar baat, apni jagah ki izzat, mil kar stress sambhalna, aur badnami ke dar ke baghair maahir se madad lena (section 4.2.6).

Jin hidayat par Roshara chalta hai, un mein se kisi mein bhi sirf chirchirapan ka alag ilaaj nahin hai. PMS ki sifarishaat ise mood ki alamaat ke saath rakhti hain, jin ke liye woh CBT (baat cheet ki therapy), stress sambhalne ke tareeqe, support group aur menopause ke baare mein maloomat likhti hain. Woh yeh bhi kehti hain ke MHT, jo HRT (hormone ki dawa) ka hi un ka naam hai, mood, neend aur zindagi ke meyar ko behtar kar sakti hai, khaas taur par jab hot flush bhi hon (section 7.2). In mein se kuch aap ke liye theek hai ya nahin, yeh doctor ke saath baat karne ki cheez hai.

Doctor ko dikhayen agar aap ka ghussa naya hai aur aap ke rishton, aap ke kaam ya aap ke apne baare mein ehsaas ko nuqsaan pahuncha raha hai, ya agar saath udaasi, ghabrahat ke daure ya aise khayalat hain jo jaan nahin chhorte.

Aur agar ghar mein ghussa aap ki taraf se nahin balke aap par aa raha hai, aur aap khud ko mehfooz mehsoos nahin kartin, to apne doctor ko batayen. PMS ki sifarishaat doctoron se kehti hain ke tahaffuz se jure khadshaat par nazar rakhein (Table 4).

Sab se mushkil hissa aksar label hota hai. Jab ghar wale tay kar lein ke aap mushkil ho gayi hain, ya ke Ammi ab har waqt ghusse mein rehti hain, to un ki baat maan lena aasaan hai. Unhein yeh safha dikhana, aur perimenopause ke lafz ke saath chirchirapan ka lafz, baat ka rukh badal sakta hai. Shohar aur ghar walon ka saath par mazeed hai.

Auratein poochti hain ke jo ghussa un ke qaboo mein nahin, us ka un ke sabr aur imaan ke liye kya matlab hai. Yeh sawal kisi mustanad aalim se poochne ke hain. Yeh doctor ke saamne chup rehne ki wajah nahin.