Andropause (mardon ka menopause)

Andropause, ya mardon ka menopause, is khayal ka aam naam hai ke auraton ki tarah mard bhi darmiyani umar mein hormone ki aik tabdeeli se guzarte hain. Hidayat is naam ke baare mein mohtaat hain.

Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke behtar naam androgen deficiency in the ageing male hai, mukhtasar mein ADAM. NHS ki website is se aage jati hai aur mardon ke menopause ko aik ghair madadgar naam kehti hai, jo kabhi kabhi media mein istemaal hota hai.

Farq raftar ka hai. Menopause par aurat ki ande daniyan kaam chhor deti hain aur us ka estrogen kai saalon mein girta hai. Mard ka testosterone bhi umar ke saath kam hota hai, lekin NHS kehta hai ke yeh tees ya chalees ki umar ke aas paas se aahista aahista aur aik raftar se kam hota hai, aur is kami se akele masle paida hon, is ka imkaan kam hai.

Kuch cases ke peeche aik asal beemari hoti hai. NHS ise late-onset hypogonadism kehta hai, jab khusye bohat kam hormone banate hain ya bilkul nahin banate. Is ke mutabiq yeh aam nahin aur barhti umar ka aam hissa nahin, aur yeh un mardon ko ho sakta hai jin ka wazan bohat zyada ho ya jinhein type 2 sugar ho.

NHS ki website woh baatein likhti hai jo chalees ke aakhir aur pachas ke shuru ke mard aksar batate hain: udaasi, jinsi khwahish mein kami, uzu mein sakhti ke masail, mood ka oopar neeche hona aur chirchirapan, patthon ka kam hona, pait ke gird charbi barhna, tawanai kam hona, kharab neend aur tawajjo jamane mein mushkil.

Is list ki kuch baatein jaani pehchani lagein gi. Mood, neend, tawanai, khwahish: yeh us se milti julti hain jo auratein perimenopause mein batati hain. Aik ghar mein do thake hue log, donon aik saath badalte hue, yeh mushkil hai, aur aap donon mein se koi weham nahin kar raha.

British Association of Urological Surgeons kehti hai ke ADAM ki alamaat ke peeche aam wajah yeh hai ke umar ke saath mardon ke khoon mein kaam karne wala testosterone kam ho jata hai.

NHS doosra aadha hissa batata hai. Woh kehta hai ke darmiyani umar mein mardon ki alamaat aksar stress, depression ya bechaini ki wajah se hoti hain, ya tarz-e-zindagi ki wajah se: kam neend, kharab khana, bohat kam warzish, sharaab aur cigarette. Woh kaam ya rishton ke masail, paise ki fikr, aur boorhe maan baap ki fikr ka naam bhi leta hai. Doosre lafzon mein, un ki thakan ka hormone se shayad itna taalluq na ho jitna mazaaq mein kaha jata hai.

GP ke saath alamaat par baat karne ke baad, NHS ki website aur British Association of Urological Surgeons yeh batati hain:

• khoon ke test, jin mein testosterone aur aam check shamil hain, jinhein British Association of Urological Surgeons jismani muaine ke saath likhti hai
• pehle tarz-e-zindagi mein tabdeeli, jise urologiston ki hidayat sab se oopar rakhti hain
• baat cheet ki therapy ya dawa, agar peeche stress, bechaini ya depression ho, jo NHS ke mutabiq GP tajweez kar sakta hai
• testosterone dena, jo NHS ke mutabiq specialist pesh kar sakta hai agar woh hormone ki kami ki tasdeeq kare

European Menopause and Andropause Society (EMAS) bhi, bari umar ke mardon ke liye testosterone par apne 2023 ke bayan mein, yehi baat kehti hai. Woh kehti hai ke jin mardon ka wazan zyada ho, unhein warzish karne aur wazan kam karne ki targheeb di jaye, jis se un ka apna testosterone barh sakta hai, aur yeh ke testosterone ka ilaaj sirf un mardon ko pesh kiya jaye jinhein alamaat hon aur jin mein testosterone ki kami ki tasdeeq ho chuki ho, woh bhi tab jab unhein samjha diya jaye ke lambe arse mein is ki hifazat ke baare mein abhi shak hain.

In mein se kya un par laagu hota hai, yeh un ke apne doctor ka faisla hai.

Agar unhein kuch arse se udaasi, khwahish mein kami ya uzu mein sakhti ke masail hain, to NHS ki website kehti hai ke shuruaat GP se karein. NHS kehta hai ke GP un ke kaam aur zaati zindagi ke baare mein pooche ga, yeh dekhne ke liye ke kya peeche stress ya bechaini ho sakti hai.

Bohat se gharon mein shohar woh aakhri shakhs hota hai jise aurat apni alamaat ke baare mein batati hai. Aur mardon ko zindagi ke is daur ke baare mein shayad hi kuch bataya jata hai, na un ke apne daur ke baare mein, na aap ke.

Pakistan Menopause Society doctoron se kehti hai ke mashware mein shohar aur ghar walon ko shamil karein, kyunke jis muashre mein khandaan markaz ho, wahan aurat ko ghar se milne wala sahara tay karta hai ke woh apni sehat ka khayal kaise rakhti hai (4.2.4.4). Woh likhti hai ke ghar mein kya madad karta hai: hormone ki tabdeeliyon par khuli baat, jinsi sehat aur zaati jagah ka ehtiraam, sehatmand aadatein mil kar apnana, stress ko mil kar sambhalna, aur baghair sharm ke maahir se madad maangna (4.2.6). NICE NG23 bhi England ke doctoron se kehta hai ke jahan munasib ho, menopause ki maloomat ghar walon ko bhi dein (1.2.1).

To baat donon taraf ja sakti hai. Aap unhein apni appointment par saath la sakti hain. Woh apne doctor se apni baat pooch sakte hain. Un ki darmiyani umar aur aap ki darmiyani umar ka farq jaanna baat shuru karne ki achhi jagah hai.