Andaam nihani ki khushki

Andaam nihani ke andar aur aas paas khushki, dukhan ya jalan, jo aksar perimenopause (mahwari band hone ke aas paas ka waqt) mein shuru hoti hai aur menopause ke baad bhi rehti hai.

Doctor in tabdeeliyon ke poore majmue ka aik lamba naam rakhte hain: genitourinary syndrome of menopause, ya GSM. NICE NG23 in alamaat ko yun bayan karta hai: khushki, jinsi taalluq mein dard, be aaraami ya jalan, aur peshaab karte hue be aaraami ya dard. Pakistan Menopause Society likhti hai ke GSM ne vulvovaginal atrophy jaise purane naamon ki jagah li hai.

NHS ki website ginwati hai: andaam nihani ke andar aur aas paas dukhan ya kharish, dard ya be aaraami, jinsi taalluq ke dauran bhi, zyada baar peshaab aana, baar baar peshaab ka infection, aur ghair mamooli ratoobat, dhabbe ya khoon.

Women's Health Concern woh batata hai jo yeh fehristein chhor deti hain. Baithna, khara hona, warzish karna, yahan tak ke kaam karna bhi takleef deh ho sakta hai. Smear test, yani bachedani ke munh ka test, mushkil ho sakta hai. Ratoobat badal sakti hai aur halki jalan de sakti hai, aur bohat si auratein ise thrush, yani fungal infection, samajh kar dukaan se koi dawa le aati hain, aur takleef aur barha leti hain.

Women's Health Concern samjhata hai ke menopause ke baad ande daniyan estrogen banana band kar deti hain, aur is ke baghair farj (zanana sharam gaah) aur andaam nihani ki jild patli, kam lachakdaar aur zyada khushk ho jati hai. Jinsi taalluq ke dauran qudrati nami kam hona is ki shuru ki nishaniyon mein se hai.

NHS ki website aur wajuhaat bhi ginti hai: bachche ko doodh pilana, kuch dawaein, jin mein hormone wali family planning aur depression ki dawaein shamil hain, hysterectomy (bachedani nikalne ka operation), cancer ka ilaaj, khushboo wale sabun aur wash, aur ziabetus jaisi beemariyan.

NHS ki website yeh likhti hai:

• jinsi taalluq se pehle paani wale lubricant
• andaam nihani ke moisturiser, jo andar lagaye jate hain taake nami rahe
• andaam nihani ke aas paas baghair khushboo wala sabun aur wash, aur andar dhone wali cheezein (douche) nahin

Pakistan Menopause Society kehti hai ke moisturiser sirf jinsi taalluq ke waqt nahin, baqaidagi se, roz ya hafte mein kai baar, lagaye ja sakte hain, taake asar zyada der rahe, kyunke yeh jild ko dobara nami dete hain (section 6.2).

The Menopause Society mashwara deti hai ke naya lubricant ya moisturiser pehle jild ke aik chhote se hisse par aazma lein. Agar jild par theek rahe magar andar phir bhi chubhe, to woh silicone wali cheez, ya aisi cheez par jane ka mashwara deti hai jis par iso-osmolar ya propylene glycol-free likha ho. Woh yeh bhi kehti hai ke jari bootiyon wali cheezein andaam nihani ki khushki mein faida karti nazar nahin aatin.

NICE NG23 aur British Menopause Society donon do tarah ke option deti hain: usi jagah lagane wala estrogen, aur moisturiser ya lubricant.

NICE NG23 usi jagah lagane wala estrogen (vaginal estrogen) dene ki sifarish karta hai, cream, gel, goli, pessary ya ring ki shakal mein, baqaida jaize ke saath. Woh doctoron se kehti hai ke samjhayen ke sangeen side effects bohat hi kam hote hain, aur yeh ke band karne par alamaat aksar laut aati hain, agarche ise dobara shuru kiya ja sakta hai (1.5.5 se 1.5.7). Agar usi jagah lagane wale estrogen ya moisturiser se kaam na bana ho ya woh mauzoon na hon to woh vaginal prasterone likhti hai, aur jo auratein usi jagah lagane wala ilaaj aasaani se istemaal na kar sakein, un ke liye ospemifene, jo aik goli hai (1.5.10 aur 1.5.11).

British Menopause Society ka GSM par bayan mazeed kehta hai ke lubricant aur moisturiser usi jagah lagane wale estrogen ke saath istemaal ho sakte hain, aur un auraton ke liye sab se zyada aham hain jo ise istemaal nahin kar saktin.

Jin auraton ko chhaati ka cancer ho chuka hai, un ke liye NICE NG23 pehle baghair hormone wale moisturiser ya lubricant ki sifarish karta hai (1.5.14). Aap ke liye kaun sa raasta theek hai, yeh faisla aap aur aap ka doctor mil kar karein ge.

NHS ki website kehti hai ke GP ko dikhayen agar khushki ko kuch hafte ho gaye hain aur jo aap ne aazmaya woh kaam nahin kar raha, agar yeh aap ki rozmarra zindagi par asar daal rahi hai, agar ghair mamooli ratoobat hai, ya agar jinsi taalluq ke baad, do mahwariyon ke beech ya menopause ke baad khoon aata hai. Yeh aakhri baat hamesha check karwani hai: menopause ke baad khoon aana dekhein.

Agar sab se bari takleef kharish hai, to yeh batayen. European Menopause and Andropause Society (EMAS) lichen sclerosus ka zikr karti hai, jo farj ki jild ki aik lambi chalne wali beemari hai, jis mein sab se zyada kharish hoti hai aur jo jinsi taalluq ko takleef deh bana sakti hai. EMAS kehti hai ke is ke liye hormone wali creamein, estrogen samet, tajweez nahin ki jatin, is liye ise khushki se alag pehchanna zaroori hai.

Pakistan Menopause Society likhti hai ke ho sakta hai bohat si Pakistani auratein jinsi ya peshaab ki alamaat ka zikr tab tak na karein jab tak doctor izzat ke saath aur akele mein na pooche (section 2.2). Is liye ho sakta hai yeh baat aap ko khud shuru karni pare. Women's Health Concern kehta hai ke agar kehna na mumkin lage to likh kar parchi doctor ko de dein. Shuru karne ke liye lafz takleef kaafi hai.

Women's Health Concern is dabao ka bhi zikr karta hai jo khushki rishte par daal sakti hai, jab aurat apne shohar ko nahin bata pati ke us ka jinsi taalluq mein dil kyun nahin lag raha. Use yeh batana ke yeh menopause hai, woh nahin, aksar sab se mushkil jumla hota hai, aur sab se kaam ka bhi.