Menopause ki umar

Menopause (mahwari ka band hona) aik din hai: aap ki aakhri mahwari. Pakistan Menopause Society kehti hai ke is ki tasdeeq tabhi ho sakti hai jab is ke baad 12 mahine koi aur mahwari na aaye (section 1.2.1 aur 1.2.2). Menopause ki umar woh umar hai jab aakhri mahwari aayi, yani yeh peeche mur kar dekhne par hi pata chalti hai.

Is se pehle ke saal perimenopause hain (mahwari band hone ke aas paas ka waqt), jab mahwari badalne lagti hai aur aksar alamaat shuru hoti hain. Pakistan Menopause Society kehti hai ke perimenopause aam taur par chaar se saat saal ke qareeb rehta hai (section 1.2.4). To agar Pakistan mein menopause ki ausat 45 aur 49 ke beech kahin hai, to tabdeeliyan chalees ke shuru mein, aur kabhi is se bhi pehle, shuru ho sakti hain.

Adaad, aur yeh kahan se aate hain

• Pakistan mein: Pakistan Menopause Society ki 2026 ki sifarishaat ausat 45 se 49 ke darmiyan batati hain, aur kehti hain ke yeh safaid faam auraton se kam hai.
• Pakistani auraton ke liye: British Menopause Society ki, aqliyati naslon ki auraton wali hidayat ausat 47.16 saal batati hain, jo 2006 mein Hyderabad, Pakistan ki shehri auraton par hone wali aik tehqeeq se hai. Yehi hidayat Bharat mein rehne wali Bharti auraton ke liye 46.7 aur maghribi mulkon ke liye 51 batati hain.
• Bartania mein: NHS ki website aam taur par 45 se 55 ke darmiyan batati hai, aur British Menopause Society ki kaam ki jagah wali hidayat ausat 51 batati hain.

Pakistan ka adad chand hi tehqeeqat par khara hai, aur aik shehar poora mulk nahin hota. Lekin hum ne jo bhi zariya dekha, sab aik hi taraf ishara karte hain: Bartania ki ausat se kam umar.

Aap ka estrogen hamesha ke liye kab kam hota hai, yeh kuch aisi cheezon par munhasir hai jo aap nahin badal saktin, aur kuch aisi cheezon par jo badal sakti hain.

NHS ki website kehti hai ke early menopause ka imkaan zyada hota hai agar yeh aap ke khandaan mein chalta ho, agar aap ki mahwari jaldi shuru hui thi, agar aap cigarette peeti hain, ya agar aap ka wazan kam hai. Kuch ilaaj ise seedha le aate hain: chemotherapy, radiotherapy, kuch hormone wali dawaein, aur ande daniyan nikalne ka operation.

Nasli pas manzar bhi is ka hissa hai. NICE NG23 England ke doctoron se kehta hai ke woh yaad rakhein ke kuch aqliyati naslon ki auraton ko menopause kam umar mein ho sakta hai (1.3.3), lekin yeh nahin batata ke kin ko. British Menopause Society ki kaam ki jagah wali hidayat zyada saaf baat karti hain: un ke mutabiq kuch nasli girohon mein ausat umar kam hai, aur in mein woh Junoobi Asiai auraton ka naam leti hain.

Chand saal ka farq maani rakhta hai. British Menopause Society is daur mein Junoobi Asiai auraton mein dil ke khatre wali cheezein zyada hone ka zikr karti hai, jin mein insulin ka asar kam hona (insulin resistance), sugar, pait ke gird wazan aur high blood pressure shamil hain.

Isi liye Pakistan Menopause Society doctoron se kehti hai ke menopause wali mulaqat ko bachao ke liye istemaal karein. Is ki Table 1 mein yeh likha hai:

• blood pressure aur BMI
• haddi tootne ka khatra
• khoon mein shakar, glucose ya HbA1c ke test se
• cholesterol
• tambaku ka istemaal
• tarz-e-zindagi, patthon ki taaqat aur chalne phirne par aik nazar

Agar aap ka menopause Bartania ki ausat se pehle aata hai, to yeh check bhi pehle aate hain. Apna adad jaanne ki amali wajah yehi hai.

Kisi khaas saalgirah ka intezar karne ki zaroorat nahin. Agar mahwari badal rahi hai aur alamaat aap ki zindagi ke aare aa rahi hain, to appointment lene ke liye yehi kaafi wajah hai.

Kuch umron ki apni hidayat hain:

• 40 se kam umar mein, aisi alamaat jo ande dani ka waqt se pehle kaam chhor dena (POI), ki taraf ishara karein, Pakistan Menopause Society ki khatre ki un nishaniyon ki list mein hain jinhein check karwana zaroori hai (section 2.3).
• 40 se 44 ke darmiyan menopause ko waqt se pehle menopause (early menopause) kehte hain. Isi list mein aisa early menopause bhi hai jis ke saath zehni pareshani ho ya bachche hone ki fikr, aur NICE kehta hai ke 40 se 45 ki umar mein, jab alamaat hon aur mahwari ka chakkar badla ho, doctor FSH ke khoon ke test par ghaur kar sakta hai (1.3.6).
• 45 aur is se zyada umar mein, NICE aur Pakistan Menopause Society donon kehte hain ke perimenopause aam taur par aap ki alamaat aur mahwari se pehchana jata hai, khoon ke test ke baghair. Mazeed kya menopause ka koi test hai? mein.

12 mahine mahwari na aane ke baad phir se khoon aana aisi baat nahin jis par intezar kiya jaye. Pakistan Menopause Society ise khatre ki nishani likhti hai (section 2.3).

NHS kehta hai ke agar early menopause khandaan mein chalta ho to is ka imkaan zyada hota hai. Is lihaz se aap ki ammi, aap ki khala aur aap ki bari behnein asal maloomat ka zariya hain, agar aap un se pooch sakein. Is nasl ki bohat si auraton ne kabhi is par baat nahin ki, aur kuch bas itna hi kahein gi ke band ho gayi, aur baat khatam.

Phir bhi poochna banta hai. Aap ki mahwari kab band hui thi? Kya jaldi hui thi? Aik andazan umar, ya koi khandaani mauqa jis ke aas paas yeh hua, aisi cheez hai jo aap apni appointment mein saath le ja sakti hain.