Chemotherapy ke baad menopause

Cancer ke kuch ilaaj ande daniyon ka kaam rok dete hain. Jab aisa hota hai to menopause aa sakta hai, kabhi apne aap aane se saalon, balke dahaiyon pehle.

Pakistan Menopause Society ise induced menopause kehti hai, yani ilaaj se laya gaya menopause, aur is ki wajoohat mein chemotherapy aur shuaon ka ilaaj likhti hai, saath donon ande daniyan nikalne ka operation bhi. NHS ki website is list mein kuch hormone wali dawaein bhi shamil karti hai. Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, cancer ke hormone wale ilaaj ko bhi un ilaajon mein ginta hai jin se tabdeeliyan aa sakti hain.

Us waqt aap ki umar tay karti hai ke ise kya kaha jaye ga. 40 se pehle yeh ande dani ka waqt se pehle kaam chhor dena (POI) hai. 40 se 44 ke darmiyan yeh waqt se pehle menopause (early menopause) hai. Donon ki apni apni hidayat hain.

NHS ki website early menopause ki alamaat likhti hai: hot flush aur raat ke paseene, andaam nihani ki khushki, neend mein mushkil, udaasi ya bechaini, jinsi khwahish mein kami, aur yaaddasht ya tawajjo ke masail.

Cancer ke ilaaj ke baad yeh sab aik aise jism par aata hai jo pehle hi nidhaal hai. Yeh batana mushkil ho sakta hai ke kaun si thakawat ilaaj ki hai aur kaun si menopause ki. Har alamat kab shuru hui, yeh likh rakhna aap ke doctoron ko yeh gutthi suljhane mein madad de sakta hai.

Women's Health Concern batata hai ke bachche paida karne ki umar mein aap ki ande daniyan estrogen banati hain. Pakistan Menopause Society ilaaj se laye gaye menopause ko ilaaj ki wajah se ande daniyon ka kaam khatam hona kehti hai: dawa ya shuaein ande daniyon ko un ka kaam karne se rok deti hain, aur jo estrogen woh banati thin, woh bhi un ke saath gir jata hai.

Yeh specialist ka maidan hai, aur hidayat bhi yehi kehti hain.

NHS ki website kehti hai ke jin auraton ka menopause jaldi aata hai, un mein se zyada tar ke liye aam tareeqa kami wale hormone ko poora karna hai, combined pill ya HRT (hormone ki dawa) se, kyunke jaldi menopause se haddiyon aur dil ke masail ka imkaan barh jata hai. Lekin yehi safha kehta hai ke jin auraton ko kuch khaas qisam ka chhaati ka cancer ho chuka ho, woh shayad hormone wala ilaaj na le sakein. NICE NG23 doctoron se kehta hai ke jin auraton mein chhaati ke cancer ki tashkhees ho, un ki poore jism ke liye li jane wali HRT band kar dein (1.8.8). Pakistan Menopause Society kehti hai ke hormone se barhne wale cancer wali auraton ko alag alag, specialist ki dekh bhaal chahiye.

NICE NG23 batata hai ke England mein jin auraton ko chhaati ka cancer ho chuka ho, unhein kya pesh kiya jana chahiye:

• un ke liye khule har raaste ki maloomat, aur aise maahir ke paas bhejna jo menopause ko samajhta ho (1.5.31)
• andaam nihani ki khushki aur baqi genitourinary symptoms, yani andaam nihani aur peshaab se juri alamaat, ke liye pehle baghair hormone wale moisturiser ya lubricant (1.5.14)

Aap ke liye kya theek hai, yeh aap ke cancer, aap ke ilaaj aur aap ki history par munhasir hai. Yeh faisla aap ke cancer ke doctoron ki team aur menopause ke specialist ka mil kar hai, kisi website ka nahin.

Behtar yeh hai ke ilaaj shuru hone se pehle. NICE kehta hai ke menopause aur bachche paida karne ki salahiyat par baat ilaaj se pehle bhi honi chahiye aur baad mein bhi (1.2.6), aur yeh ke aap ko fertility specialist aur menopause ko samajhne wale kisi maahir ke saath waqt milna chahiye (1.5.33 aur 1.5.34). Agar kisi ne yeh baat nahin chheri, to aap chher sakti hain.

Ilaaj ke baad, agar menopause ki alamaat aap ki neend, mood ya roz ki zindagi par asar daal rahi hain to doctor ko dikhayen, aur apni haddiyon aur dil ke baare mein poochein. Pakistan Menopause Society shadeed depression aur khudkushi ke khayalat ko khatre ki un nishaniyon mein likhti hai jinhein jaanch ya specialist ke paas bhejne ki zaroorat hai (section 2.3).

Agar aap cancer ke ilaaj ke saath menopause ki dekh bhaal bhi dhoond rahi hain, to menopause ka ilaaj kahan mile batata hai ke Pakistan aur Khaleeji mulkon mein kahan se shuru karein.

Cancer ki tashkhees aksar poore khandaan ko kamre mein le aati hai. Yeh tasalli bhi ho sakti hai, aur is ka matlab yeh bhi ho sakta hai ke dabe hue sawal, bachchon ke baare mein, miyan biwi ke taalluq ke baare mein, aap ka jism ab kaisa mehsoos karta hai is ke baare mein, kabhi pooche hi na jayen. In ke liye aap doctor ke saath chand minute akele maang sakti hain.

Bachchon ka sawal aur bhi bhaari ho sakta hai. Agar aap ko, ya aap ke ghar walon ko, abhi bhi bachchon ki umeed hai, to ilaaj se pehle ande freeze karwane ki baat uth sakti hai, aur is ke saath deen ke sawal bhi. Auratein poochti hain ke kya yeh ijazat hai aur kin sharton par, aur clinic mein unhein shayad hi saaf jawab milta hai. Yeh sawal kisi aise mustanad aalim ka hai jin par aap ko bharosa ho. Doctori sawal, ke ilaaj shuru hone se pehle waqt hai ya nahin, aap ki cancer ki team ka hai, aur ise jaldi poochna banta hai.