Estrogen gel

Estrogen gel mein estradiol hota hai, jo estrogen ki un shaklon mein se aik hai jo menopause se pehle aap ki ande dani banati thi. Ise jild par mala jata hai aur wahan se yeh khoon mein jata hai. NHS ki website kehti hai ke zyada tar estrogen wali dawaein paudon se bana estradiol istemal karti hain, jo bilkul jism ke apne jaisa hai, aur Pakistan Menopause Society estradiol ko jism ke apne jaise hormone mein ginti hai (section 5.10).

Yeh pump mein aata hai ya sachet mein. Akela yeh sirf estrogen wali HRT hai. Agar aap ki bachedani abhi hai to Women's Health Concern kehta hai ke bachedani ki androoni teh ki hifazat ke liye alag se progestogen bhi chahiye, jaise micronised progesterone ya hormone wali coil.

Yeh usi jagah lagane wale estrogen jaisa nahin, jis ke baare mein NHS ki website kehti hai ke woh andaam nihani ki khushki mein madad karta hai magar hot flush (achanak garmi lagna) ka ilaaj nahin karta. Jild par lagne wala gel poore jism ki HRT hai.

Tareeqa mukhtasir hai. NHS ki website ise yun bayan karti hai: bazuon ya jism ke nichle hisse ki saaf, khushk jild par, jaisa dawa ke pamphlet mein likha ho; gel ko bari jagah par phaila kar malein; kapre pehenne se pehle ise sookhne dein; pamphlet mein jitna waqt likha ho, utni der woh jagah na dhoyen; haath dho lein. Har baar jild ki alag jagah istemal karein, aur ise chhaatiyon aur sharamgah se door rakhein.

Aaram fauran nahin aata. NHS ki website kehti hai ke HRT ko poori tarah kaam karne mein teen maheene tak lag sakte hain. Shuru ke jo side effects woh ginti hai un mein sar dard, chhaati mein dard aur kuch dhabbe shamil hain, jo aksar theek ho jate hain. Agar sirf usi jagah daane ya kharish ho jahan aap gel lagati hain to yeh doctor ko batane ki baat hai.

Goliyon se kaise alag hai

Estrogen wohi hai. Raasta alag hai, aur hidayat ise sirf sahulat se barh kar dekhti hain. NICE NG23 kehta hai ke jild ke raaste HRT se VTE, yani nas mein khoon ke lothre, ka khatra nahin barhta. Woh yeh bhi kehti hai ke jild ke raaste estrogen se faalij (stroke) ka khatra barhne ka imkaan kam hai, jabke goliyan ise barhati hain.

BMS ki HRT guide woh wajoohaat ginti hai jin par doctor jild ka raasta chun sakta hai: aap ki apni pasand, goliyon se poora aaram na milna, maide ya aanton ki koi aisi beemari jo dawa ke jazb hone par asar dale, aap ke ya aap ke khandan mein khoon ke lothre ki tareekh, zyada BMI, aisa blood pressure jo mushkil se qaabu mein aaye, migraine, pitte ki beemari, aur kuch doosri dawaein.

Junoobi Asiyai auraton ke liye yeh kyun aham hai

BMS likhti hai ke menopause ke aas paas junoobi Asiyai auraton mein metabolic syndrome, insulin ka asar kam hona, sugar (diabetes), pait ke gird wazan barhna aur high blood pressure zyada milte hain. In mein se kai cheezein PMS ki us fehrist mein hain jin ki wajah se jild ka raasta behtar kaha gaya hai (section 7.1.1).

NICE NG23 hot flush aur raat ke paseenon ke liye HRT pesh karne ki sifarish karti hai (1.5.1), aur PMS ki sifarishaat ise un auraton ke liye, jo ise le sakti hain, in alamaat ki sab se moassar pehle darje ki dawa kehti hain (section 7.1.1). Gel estrogen wala hissa lene ka aik tareeqa hai. Gel, patch ya goli, yeh aap ke doctor ka faisla hai, jo aap ki poori kahani saamne rakh kar kiya jata hai.

Agar teen maheene baad bhi behtar mehsoos na ho to NHS ki website kehti hai ke doctor dose ya qisam badal sakta hai.

Agar teen maheene baad kuch na badle, gel wali jagah par daane nikal aayen, ya pehle chhe maheenon ke baad bhaari ya ghair mutawaqqa khoon aane lage to doctor se dobara milein. NHS ki website kehti hai ke aik taang mein, aam taur par pindli mein, dard, laali ya soojan ho to fauran doctor ka mashwara chahiye, aur chhaati mein gilti ya koi aur tabdeeli ho to GP ki appointment chahiye. Saans phoolne ke saath seene mein dard, ya chehre, bazu ya taang mein achanak kamzori ho to emergency mein madad chahiye.

Bazuon par gel aik sawal uthata hai jo bohat si auratein chupke se poochti hain: wuzu ka kya ho ga? NHS ki website kehti hai ke lagane ke baad kuch der woh jagah na dhoyen, aur wuzu mein bazu dhoye jate hain. Jild par laga gel wuzu par asar dalta hai ya nahin, yeh kisi mustanad aalim se poochne ka sawal hai. Kaun si jagah istemal karein, aur namaz ke auqaat ke hisaab se ise kab lagayen, yeh amli sawal hai jo dawa likhne wale se poochna chahiye, aur khul kar poochna chahiye.