Vertigo

NHS vertigo ko yeh ehsaas batata hai ke aap, ya aap ke aas paas sab kuch, ghoom raha hai, itna ke tawazun bigar jaye. Woh kehta hai ke vertigo sirf chakkar aane se barh kar hai. Aik daura chand second se kai ghante tak reh sakta hai, aur shadeed vertigo kai din ya maheene chal sakta hai.

Chakkar aana zyada waseeh lafz hai. NHS ka chakkar wala safha sar halka lagne, behoshi si mehsoos hone ya dagmagane ko bhi chakkar ginta hai. Vertigo woh hai jis mein koi cheez ghoomti lagti hai jo ghoom nahin rahi.

Yeh pehchaan wala safha hai. NHS ke menopause wale safhe hot flush (achanak garmi lagna) ke saath chakkar aane ka zikr karte hain, magar jo guidelines hum ne dekhin, un mein se koi vertigo ko menopause ki alamat nahin kehti. Donon ko jorne wali cheez research hai, jo neeche likhi hai.

• Lette, karwat badalte ya uth kar baithte waqt kamra ghoomna
• Oonche shelf ki taraf dekhte ya sar peeche karte waqt jhatka sa lagna
• Neeche jhukte waqt farsh terha hota lagna
• Jab tak rahe, matli, aur baad mein kapkapahat
• Sar hilane se hi dar lagne lagna

NHS kehta hai ke is ki aik qism, benign paroxysmal positional vertigo ya BPPV, yani sar ki harkat se aane wala vertigo, sar ki khaas harkaton se shuru hoti hai. Letna, karwat badalna aur uth kar baithna, sab inhi mein aate hain.

Urdu mein Roshara woh lafz istemaal karta hai jo Pakistan mein doctor likhte hain, vertigo, aur chakkar aana aam chakkar ke liye rakhta hai. Auratein ise seedhe lafzon mein kehti hain: sab kuch ghoomta hua lagta hai, ya sar ghoomna. Is ka baqaida tibbi lafz dawaar hai.

NHS kehta hai ke andaruni kaan ke masle, jo tawazun par asar daalte hain, vertigo ki sab se aam wajah hain. Woh BPPV ginwata hai; labyrinthitis, yani andaruni kaan ka infection jo nazle ya flu ke virus ke baad hota hai; vestibular neuritis, yani tawazun ki nas ki soojan; aur Ménière's disease, andaruni kaan ki aik kam payi jane wali beemari jis ke saath kaan mein aawazein ya sunne mein kami ho sakti hai. Migraine aur kuch dawaein bhi is ki wajah ban sakti hain, aur kabhi wajah milti hi nahin.

Menopause se taalluq BPPV ka hai, aur yeh research se aata hai, hidayat se nahin.

Ogun aur saathiyon ki 2014 ki aik tehqeeq, jo Menopause naam ke journal mein chhapi, ne America ke aik tawazun clinic mein das saal mein BPPV ka ilaaj karwane wale 1,377 logon ko dekha. Yeh BPPV ko is tarah samjhati hai jaise aam taur par mana jata hai: andaruni kaan mein calcium ke nanhe zarre apni jagah se dheele ho kar us hisse mein ja girte hain jo sar ke ghoomne ko mehsoos karta hai. Kul mila kar auratein mardon se do guna theen, aur chaalees se unchaas saal ki umar mein teen guna se zyada. Baad ke survey ka jawab dene wali 168 auraton mein se taqreeban aadhi ne kaha ke un ka pehla daura menopause ke baad hua. Likhne walon ka khayal hai ke hormone ki tabdeeliyan, khaas taur par menopause ke aas paas, BPPV ka imkaan barha sakti hain. Woh haddein bhi batate hain: aik hi hospital, aur paanch mein se aik aurat se bhi kam ne survey ka jawab diya.

Jeong ka 2020 ka aik jaiza, Frontiers in Neurology mein, BPPV ko baar baar aane wale vertigo ki sab se aam wajah kehta hai. Is ka khayal hai ke menopause par estrogen ka tezi se girna is par asar daal sakta hai ke jism yeh zarre kaise banata aur apni jagah rakhta hai, jis ki buniyad zyada tar jaanwaron par tehqeeq hai, aur yeh bhi kehta hai ke abhi poori tarah samajh nahin aaya ke menopause ke baad auraton mein BPPV zyada kyun hota hai.

Chen aur saathiyon ka 2020 ka 19 tehqeeqon ka tajziya, woh bhi Frontiers in Neurology mein, BPPV ko aurat hone, osteoporosis, vitamin D ki kami, migraine, sar ki chot aur zyada cholesterol se jura hua paya. Is ne khud menopause ko nahin dekha. Agar aap ki haddiyan ya aap ki migraine pehle se doctor ki nazar mein hain, to yeh fehrist saath le jana banta hai.

Yeh tehqeeq karne walon ke nataij hain. In mein se koi nahin batata ke aap apne vertigo ke liye kya karein.

NHS ka vertigo wala safha daure ko halka karne aur ise kam baar aane ke liye yeh ginwata hai:

• Ghoomna kam hone tak kisi pursukoon, andhere kamre mein saakit leti rahein, aur chakkar mehsoos hote hi foran baith jayen
• Din bhar sar ehtiyaat se aur aahista hilayen
• Raat ko uthein to battiyan jala lein, aur agar girne ka khatra ho to chhari istemaal karein
• Sar ko do ya zyada takiyon par thora ooncha rakh kar soyen
• Bistar se aahista uthein, aur khare hone se pehle kuch der kinare par baithein
• Kuch uthane ke liye jhukne ke bajaye panjon ke bal baithein, aur oonche shelf tak pahunchne ke liye gardan na khenchein
• Pursukoon rehne ki koshish karein, kyunke bechaini vertigo ko barha sakti hai

NHS kehta hai ke vertigo wale zyada tar log baghair ilaaj ke theek ho jate hain, aur ilaaj wajah par munhasir hai. GP infection ke liye antibiotic de sakta hai, tawazun theek karne ke liye warzishein de sakta hai, ya antihistamines tajweez kar sakta hai, jin ke baare mein NHS kehta hai ke woh kabhi kabhi madad karti hain.

NHS kehta hai ke agar vertigo jaye nahin ya baar baar aaye to GP ko dikhayen. GP aap ki alamaat poochega aur tawazun ka aik saada test kar sakta hai jis mein aap ko tezi se baithne se letne ki haalat mein laya jata hai. NHS khabardar karta hai ke is se ghoomna shuru ho sakta hai, to yeh pehle se jaan lena achha hai. Aap ko kisi specialist ke paas bhi bheja ja sakta hai.

Agar vertigo ke saath shadeed sar dard ho, ulti ho rahi ho ya bohat matli ho, ya bohat tez bukhar ho ya garmi, sardi ya kapkapi mehsoos ho, to GP se jaldi ki appointment maangein ya NHS 111 ko call karein.

Agar vertigo ke saath dohra dikhayi de ya nazar chali jaye, sunna band ho jaye, bolne mein mushkil ho, ya kisi baazu ya taang mein kamzori, sun pan ya sansanahat ho, to 999 ko call karein ya A&E jayen. NHS kehta hai ke khud gaari na chalayen: kisi se kahein ke aap ko le jaye, ya ambulance bulayen, aur apni dawaein saath le jayen.

Namaz mein sar din mein kai baar zameen tak jata hai aur phir uthta hai. Jis aurat ko BPPV ho, us ke liye sajda aur us se uthna ain wohi harkatein ho sakti hain jin se ghoomna shuru ho jaye. Auratein poochti hain ke jab yeh ho to kya woh baith kar namaz parh sakti hain, ya harkatein aahista kar sakti hain. Yeh sawal mustanad ulama se poochne ke hain, aur bohat si auratein yeh poochti hain.

Aahista uthne, bistar ke kinare baithne aur batti jalane ki NHS ki baat Fajr se pehle ke waqt par poori utarti hai, jab ghar mein andhera ho aur aap sab se pehle uthi hon. Agar ghar mein koi kahe ke aap bas thaki hui hain, to yeh likh lena ke ghoomna kab hota hai, lette waqt, karwat badalte waqt, oopar dekhte waqt, aap ke doctor ko thakawat se zyada batata hai.