Estrogen patch

Estrogen patch aik chhota, patla, chipakne wala tukra hai jo estradiol, yani estrogen ki aik shakal, ko jild ke raaste khoon mein pahunchata hai. Yeh HRT lene ke tareeqon mein se aik hai, goliyon, gel aur spray ke saath.

BMS ki HRT ki tayyariyon wali guide do qismein ginti hai. Sirf estradiol wale patch un auraton ke liye hain jin ki bachedani nikalwai hui hai, ya un ke liye jin ki bachedani hai aur jo alag se progestogen leti hain. Mushtarka patch mein saath progestogen bhi hota hai, baari baari wale ya roz wale tareeqe mein. Patch muqarrara dinon par badla jata hai, aur kitni baar, yeh brand par hai.

Zyada tar kaam yeh hai ke ise kahan lagayen. NHS ki website kehti hai ke ise kamar se neeche, raan ya koolhe par lagayen, aur batati hai ke kahan nahin: chhaatiyon ke qareeb, kati hui, daanon wali ya jalan wali jild par, tang kamarband ke neeche, jild ki teh mein, aisi jild par jis par abhi cream ya powder laga ho, ya seedhi dhoop mein. Naya patch lagate waqt purana utaar dein, aur har baar alag jagah istemal karein.

Paseena patch ka sab se bara dushman hai. NHS ki website kehti hai ke lagane ke baad kuch der paseena lane wale kisi kaam se rukein. Karachi ki garmiyon mein yeh pehle se soch kar rakhne ki baat hai.

Kuch auraton ko patch ke neeche kharish ya laal jild ho jati hai. NHS ki website kehti hai ke agar daane ya kharish sirf usi jagah hon jahan aap estrogen lagati hain to doctor se baat karein, kyunke ho sakta hai aap ko koi aur ilaaj chahiye.

Goliyon se kaise alag hai

NICE NG23 kehta hai ke VTE, yani nas mein khoon ke lothre, ka khatra munh se khayi jane wali HRT mein jild ke raaste wali HRT se zyada hai. NHS ki website bhi seedhi baat karti hai: HRT ke patch, spray aur gel khoon ke lothre ka khatra nahin barhate.

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.

PMS patch ke baare mein kya kehti hai

Pakistan Menopause Society ki sifarishaat patch par baat karti hain. Woh likhti hain ke jild ke raaste estradiol se, patch samet, report ke mutabiq khoon ke lothre ka khatra kam hua hai (section 5.5), aur yeh ke jahan 60 ke baad HRT par socha jaye, wahan bohat kam dose wale tareeqe, aur behtar ho to jild ke raaste, istemal hone chahiyen (section 5.12). Lekin Pakistan mein is waqt milne wali cheezon ki is ki table mein koi estradiol patch darj nahin.

NICE NG23 hot flush (achanak garmi lagna) 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). Patch, gel ya goli, yeh aap ke doctor ka faisla hai. Pakistan mein, agar aap ko jild ka raasta chahiye to PMS ki table gel ki taraf ishara karti hai.

Agar patch ke neeche ki jild musalsal dukhti rahe ya kharish rahe, patch baar baar utar jayen, ya pehle chhe maheenon ke baad bhaari ya ghair mutawaqqa khoon aane lage to doctor ko dikhayen. 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.

Patch nahate hue bhi laga rehta hai, aur is se ghusl aur wuzu ka aik sawal uthta hai: kya paani ka neeche ki jild tak pahunchna zaroori hai? Auratein yeh poochti hain, aksar akele mein. Yeh sawal kisi mustanad aalim ka hai. Patch kahan lagayen, aur kya koi aur raasta ise aasan bana de ga, yeh dawa likhne wale se poochne ka bilkul theek sawal hai.

Aik chhoti si aasani: kamar se neeche laga patch aap ke siwa kisi ka maamla nahin.