Raat ke paseene

NHS ki website raat ke paseenon ko itna zyada paseena kehti hai ke sone ke kapre aur bistar bheeg jayen, halanke jahan aap soti hain woh jagah thandi ho. Yeh December mein bhaari razai ke neeche garmi se jaagne se alag cheez hai.

Pakistan Menopause Society ki sifarishaat us hot flush ko, jo neend mein paseene ke saath aaye, raat ka paseena kehti hain. Doctor donon ko mila kar vasomotor symptoms kehte hain. Raat ke paseene perimenopause (mahwari band hone ke aas paas ka waqt) mein shuru ho sakte hain, jab mahwari abhi aa rahi ho.

Neend mein garmi charhti hai, phir aap bheegi hui jaagti hain. Raat ke teen baje kapre badalna, takiye ka sookha rukh oopar karna, thand lagne par chadar wapas kheenchna.

Phir agla din sust, aur baat baat par ghussa. NHS ki website kehti hai ke jab saath raat ke paseene hon to neend ke masail aur barh sakte hain. Agar tooti hui raatein hi aap ko thaka rahi hain, to neend ki kami ka apna safha hai.

Yeh un chand alamaat mein se hai jin ke liye Urdu mein pehle se lafz maujood hain. Raat ke paseene, yehi lafz aap doctor se waise ke waise keh sakti hain.

Pakistan Menopause Society ki sifarishaat bayan karti hain ke hot flush aur raat ke paseene is liye hote hain ke estrogen badalne se dimagh ka garmi sardi sambhalne wala nizaam tawazun kho baithta hai. Jism samajhta hai ke woh zyada garam ho raha hai, halanke aisa nahin, aur paseena chaloo kar deta hai.

Yeh menopause wali wazahat hai, akeli wazahat nahin. NHS ki website bechaini, depression ki kuch dawaein, steroid aur dard ki dawaein, khoon mein shakar kam hona, sharab ya nasha, aur aik be zarar haalat bhi likhti hai jis mein kuch logon ko har waqt bohat paseena aata hai. Is liye paseenon ko perimenopause ke khaate mein daalne se pehle doctor aik se zyada sawal poochega. Jo dawaein aap leti hain, un ke naam saath le jayen.

• Pakistan Menopause Society halke aur paseena jazb karne wale sone ke kapre, thandak dene wali cheezein jaise chehre par paani ka spray ya thanda takiya, garam mashroobat aur temperature ki achanak tabdeeli se bachna, teh dar teh kapre jo kam zyada kiye ja sakein, aur thanda, khamosh aur maddham roshni wala kamra likhti hai (section 4.2.3).
• NHS ki website halke kapre, raat ko thanda kamra, thande paani se nahana, pankha ya thanda mashroob, stress kam karne ke tareeqe, baqaida warzish aur sehatmand wazan likhti hai. Jin cheezon se bachne ya unhein kam karne ko kehti hai, un mein mirch masale wala khana, caffeine, garam mashroobat, cigarette aur sharab shamil hain.
• European Menopause and Andropause Society (EMAS) kehti hai ke warzish se hot flush aur raat ke paseene kam hote hain ya nahin, is par shawahid mile jule hain. Woh phir bhi mazboot haddiyon aur girne ka khatra kam karne ke liye warzish ka mashwara deti hai. Bas is se yeh umeed na rakhein ke paseene ruk jayenge.
• British Menopause Society kehti hai ke caffeine hot flush barha sakti hai aur neend kharab kar sakti hai. Chai par, PMS ki sifarishaat kehti hain ke Pakistan mein chai bohat pi jati hai aur zaroorat se zyada caffeine neend tor sakti hai, aur doctoron se kehti hain ke aap ke saath is par baat karein, kab peeti hain aur kitni (Table 7). Chai aur caffeine par mazeed hai.

NICE NG23 aur PMS ki sifarishaat, donon HRT (hormone ki dawa) ko hot flush aur raat ke paseenon ke liye pehle darje ka option likhti hain, un auraton ke liye jo ise le sakti hon. Aap le sakti hain ya nahin, yeh faisla doctor aap ke saath mil kar kare ga. NHS ki website kehti hai ke ho sakta hai HRT un auraton ke liye theek na ho jinhein chhaati, ande dani ya bachedani ka cancer raha ho, jin ka high blood pressure baghair ilaaj ke ho, ya jinhein jigar ki beemari ho, aur NICE NG23 doctoron se kehta hai ke jis aurat ko koi aisi beemari ho jis par HRT ka asar par sakta ho, us ke liye kisi maahir se mashwara lene par ghaur karein (1.8.2).

NICE NG23 doctoron se yeh bhi kehta hai ke HRT ke saath ya us ki jagah menopause ke liye khaas CBT (baat cheet ki therapy) par ghaur karein, aur fezolinetant ko, jo baghair hormone ki dawa hai, darmiyani se shadeed alamaat ke liye aik option kehti hai jab HRT munasib na ho. Jab sirf hot flush aur paseene hi masla hon, to woh SSRIs jaisi depression ki dawaon ko mamool ke taur par pehle dene se mana karti hai.

Agar raat ke paseene aap ko baqaidagi se jagate hain ya pareshan karte hain, to NHS ki website kehti hai ke GP ko dikhane ke liye yehi kaafi wajah hai.

Jaldi jayen agar paseenon ke saath bohat tez bukhar ho, ya garmi, thand aur kapkapi, khansi ya pait chalna ho, ya wazan baghair koshish ke kam ho raha ho. NHS ki website inhein aisi nishaniyan kehti hai jinhein doctor ko dekhna chahiye, kyunke yeh menopause ke ilawa kisi aur cheez ki taraf ishara kar sakti hain. England se bahar hon to yehi fehrist apne doctor ke paas le jayen.

The Menopause Society aik baat aur kehti hai: jo paseene mahwari band hone ke kai saal baad shuru hon, unhein check karwana chahiye. Woh un ki wajah banne wali beemariyon mein thyroid ka zyada kaam karna aur TB ginti hai, aur kuch dawaein bhi.

Bheega hua bistar shohar se chhupana mushkil hai, aur samjhana aur bhi mushkil jab donon mein se kisi ke paas is ka lafz hi na ho. Ab donon ke paas hai.

Ramzan mein sehri ka alarm aisi raat par bajta hai jo pehle hi toot chuki ho. 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.