Udaasi

Aik bhaari pan jo aa kar tik jata hai. NHS ki website kehti hai ke udaasi mein aap ghamgeen, bechain ya ghabrayi hui, ghusse ya jhunjhlahat mein, aur khud par kam bharose wali mehsoos kar sakti hain, aur thaki reh sakti hain ya theek se so nahin patin. Yeh aksar chand din ya chand hafton mein chhat jati hai.

NHS udaasi ko menopause aur perimenopause (mahwari band hone ke aas paas ka waqt) ki alamaat mein ginta hai. NICE NG23 us udaasi ke liye, jo depression ki tashkhees ke meyar tak nahin pahunchti, depressive symptoms, yani depression jaisi alamaat, ka lafz istemal karta hai, aur donon ke liye alag sifarishaat rakhta hai. Yeh safha pehli cheez ke baare mein hai. Aap ko kaun si hai, yeh sirf doctor bata sakta hai.

Pheeka pan. Bhaari pan. Jin cheezon ka kabhi intezaar rehta tha, woh kaam lagne lagti hain: aik shaadi, behen ka phone, Eid ka khana pakana. Aap sahi waqt par hansti hain aur andar kuch mehsoos nahin hota. Kisi din yeh aansuon mein badal jata hai, kisi din sab par jhunjhlane mein.

Bohat si auratein kehti hain: dil nahin lagta. Yeh kam hi koi tibbi baat lagti hai, aur isi liye nazar se reh jati hai.

European Menopause and Andropause Society (EMAS) kehti hai ke depression jaisi alamaat perimenopause mein is se pehle ke saalon ke muqable mein zyada aam hain: perimenopause mein yeh 45 se 68% auraton ko hoti hain, jabke is se pehle 28 se 31% ko.

Pakistan Menopause Society ki sifarishaat mood ki tabdeeliyon ko, yaaddasht aur tawajjo ke masail aur kharab neend ke saath, menopause ki zehni aur asabi alamaat kehti hain. Woh yeh bhi batati hain ke jin auraton ko pehle depression ya bechaini reh chuki ho, un mein tabdeeli ke is daur mein in alamaat ke barhne ka khatra zyada hota hai (section 7.2).

Neend bhi is ka hissa hai. NHS ki website kehti hai ke jab aap so na pa rahi hon aur bohat thaki hon to mood ki alamaat aur barhi hui lag sakti hain, is liye neend ki kami aur udaasi aksar saath saath chalti hain.

Zindagi bhi is ka hissa hai. NHS ka udaasi wala safha wajoohaat mein kaam ka dabao, ghar aur rishton ki mushkilaat, kisi ki dekh bhaal, paise ki fikr, beemari aur kisi apne ki maut likhta hai. NHS kehta hai ke kabhi kabhi koi wazeh wajah hoti hi nahin.

• NHS ki website kisi bharose wale se baat karne, aise logon ka saath jo isi se guzar rahe hon, baqaida warzish, waqt par khane aur mindfulness, yani is lamhe par dhiyan dene ki mashq, ka mashwara deti hai. Woh chhote chhote hadaf banane, aur mood behtar karne ke liye sharab, cigarette ya kisi nashe ka sahara na lene ka bhi kehti hai.
• Pakistan Menopause Society kehti hai ke Pakistan mein zehni sehat ke masail aksar badnami ke dar se nazar andaaz ho jate hain. Woh mindfulness ko amli, kam kharch aur hamari saqafat mein dhal jane wala kehti hai, aur doctoron se kehti hai ke counselling mein ghar walon ko shamil karein, kyunke ghar ka saath is par asar daalta hai ke auratein apni sehat ka kitna khayal rakhti hain (section 4.2.4).

NICE NG23 doctoron se kehta hai ke depression jaisi un alamaat ke liye HRT (hormone ki dawa) par ghaur karein jo menopause ki doosri alamaat ke saath hi shuru hui hon, aur jab udaasi hot flush ya raat ke paseenon ke saath aaye to CBT (baat cheet ki therapy) par ghaur karein (1.5.21 aur 1.5.22). PMS ki sifarishaat kehti hain ke MHT, jo HRT ka hi un ka naam hai, mood, neend aur zindagi ke meyar ko behtar kar sakti hai, khaas taur par hot flush ke saath, aur CBT, stress sambhalne ke tareeqe, support group aur menopause ke baare mein maloomat likhti hain. Depression ki dawaein woh darmiyane se shadeed mood ki beemariyon ke liye rakhti hain, specialist ke jaize ke baad (section 7.2).

Yeh tarteeb aham hai. Rawalpindi ke is audit ne, jo depression ka ilaaj paane wali auraton par tha aur 2024 mein aik conference mein pesh hua, paya ke ilaaj zyada tar depression ki dawaein theen, jo 82% le rahi theen, aur 8% ko nafsiyati counselling mili thi, jabke 78% mein perimenopause ki woh alamaat theen jinhein kisi ne nahin pehchana (Gul, 2024). Agar depression ki dawa di jaye, to yeh poochna bilkul theek hai ke yeh kis liye hai.

NHS ki website kehti hai ke GP ko dikhayen agar udaasi 2 hafte se zyada rahi hai, aap sambhal nahin pa rahin, ya jo kuch aazma rahi hain us se faida nahin ho raha.

Pakistan Menopause Society shadeed depression aur khudkushi ke khayalat ko un khatre ki alamaat mein ginti hai jin ki jaanch ya referral zaroori hai (section 2.3).

PMS ki sifarishaat khud namaz, zikr aur dua ko aisi rozana ki aadatein kehti hain jo jazbaat sambhalne mein madad karti hain (section 4.2.4.7). Phir bhi kuch auratein poochti hain ke kya itni udaasi ka matlab hai ke un ke imaan mein koi kami hai. Yeh sawal kisi mustanad aalim se poochne ka hai, aur yeh apna mood doctor se chhupane ki wajah nahin.

Ghar mein udaasi ko nashukri ya zid samajh lena aasaan hai. Is ka aik naam, aur ghar walon ko dikhane ke liye aik safha, madad kar sakta hai.