Waqt se pehle menopause (early menopause)

Early menopause, yani waqt se pehle menopause, woh menopause hai jo 45 se pehle aaye. Pakistan Menopause Society ise 40 se 44 ke darmiyan rakhti hai. 40 se pehle is ka naam alag hai, ande dani ka waqt se pehle kaam chhor dena (POI), aur is ki apni hidayat hain.

Pakistani auraton ke liye 45 ki lakeer ausat ke qareeb hi hai, jise Pakistan Menopause Society 45 se 49 ke darmiyan batati hai. Dekhein menopause ki umar.

NHS ki website kehti hai ke sab se bari nishani yeh hai ke 45 se pehle mahwari kam aane lage ya band ho jaye. Is ke saath woh 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 likhti hai.

Aksar aik ehsaas aisa bhi hota hai jo liston mein nahin. Yeh sunna ke aap is ke liye bohat chhoti hain, ghar walon se, saheliyon se, ya doctor se bhi, aur phir pata chalna ke aisa nahin. Kuch auraton ko naam mil jane par sukoon milta hai. Kuch ko dukh hota hai, khaas taur par agar unhein aur bachchon ki umeed thi. Donon aam radd-e-amal hain, aur NICE un auraton ke liye zehni sahare ki sifarish karta hai jo early menopause se pareshan hon.

NHS ki website kehti hai ke early menopause ka imkaan zyada hota hai agar yeh aap ke khandaan mein chalta ho, aur agar aap ki mahwari jaldi shuru hui thi, aap cigarette peeti hain, ya aap ka wazan kam hai. Doosri beemariyon ka ilaaj bhi is ki wajah ban sakta hai: radiotherapy, chemotherapy, kuch hormone wali dawaein aur ande daniyan nikalne ka operation. Dekhein chemotherapy ke baad menopause aur surgical menopause, yani operation se hone wala menopause.

European Menopause and Andropause Society (EMAS) is mein endometriosis ka izafa karti hai, yani jab bachedani ki androoni teh jaisa tissue bachedani se bahar barhne lage: woh kehti hai ke yeh beemari, ya is ka ilaaj, early menopause ka sabab ban sakta hai.

NICE NG23 yeh bhi kehta hai ke yeh kisi aisi wajah se bhi ho sakta hai jo kisi ko na mile (1.2.1). Donon suraton mein, yeh aisi cheez nahin jo aap ne khud ki ho.

Pakistan Menopause Society doctoron se kehti hai ke early menopause ko pehli mulaqat se hi sanjeedgi se lein:

• 40 se 45 ke darmiyan, alamaat aur mahwari ke chakkar mein tabdeeli ke saath, FSH ke khoon ke test par ghaur kiya ja sakta hai agar is ka nateeja mashwara badal de (Table 3). NICE NG23 bhi 40 se 45 ke liye yehi kehta hai (1.3.6). Mazeed FSH mein.
• Aisa early menopause jis ke saath zehni pareshani ho ya bachche hone ki fikr, is ki khatre ki un nishaniyon ki list mein hai jinhein jaanch ya specialist ke paas bhejne ki zaroorat hai (section 2.3).
• Jab early menopause ka shak ho, to doctoron ko mareeza ko kisi aise doctor ke paas bhejna chahiye jo menopause mein maharat rakhta ho (section 3.4).
• Haddiyon ka scan, jise DXA kehte hain, jahan milta ho, early menopause wali auraton ke liye likha hai (Table 4).

NHS ki website kehti hai ke early menopause ka ilaaj aam taur par combined contraceptive pill ya HRT (hormone ki dawa) se hota hai, taake jo hormone kam hain woh poore hon. Wajah woh aap ki haddiyan aur dil batati hai. Yehi safha yeh bhi likhta hai ke jin auraton ko kuch khaas qisam ka chhaati ka cancer ho chuka ho, woh shayad hormone wala ilaaj na le sakein.

EMAS is list mein dementia bhi shamil karti hai. Woh kehti hai ke early menopause ka ilaaj na ho to haddiyon ki kamzori (osteoporosis), dil ki beemari aur dementia ka khatra barh jata hai. British Menopause Society bhi dementia ko baad ke khatron mein ginti hai, jab Junoobi Asiai auraton mein menopause bohat jaldi aaye aur is ka ilaaj na ho.

Pakistan Menopause Society kehti hai ke early menopause mein hormone ka ilaaj tajweez kiya jata hai aur is ki sifarish ki jati hai (section 5.1).

NICE NG23 doctoron se kehta hai ke woh samjhayen ke early menopause wali auraton ke liye HRT lene ya na lene ke faide aur khatre ghaliban premature ovarian insufficiency wali auraton aur 45 ya is se zyada umar ki auraton ke darmiyan kahin hote hain (1.6.6). The Menopause Society mazeed kehti hai ke Women's Health Initiative, yani bari umar ki auraton par HRT ke bare tajurbaat, ke nateeje early menopause wali auraton par laagu nahin hote. HRT aap ko muwafiq hai ya nahin, yeh aap ke doctor ka faisla hai, aap ki history saamne rakh kar.

Agar aap ki umar 45 se kam hai aur mahwari beqaida ho gayi hai ya band ho gayi hai, to doctor ko dikhayen. Yeh jaanne ke liye aik saal intezar karne ki zaroorat nahin. NHS kehta hai ke agar aap 45 se kam hain to GP kabhi kabhi khoon ke test kar sakta hai.

Agar tashkhees qubool karna mushkil lag raha hai to yeh baat kahein. NICE ki zehni sahare wali sifarish isi ke liye hai.

British Menopause Society, Junoobi Asiai auraton mein premature ovarian insufficiency ke baare mein likhte hue, batati hai ke bohat si auratein kam umar mein hi bachche paida kar ke farigh ho jati hain. Jab aur bachchon ka irada na ho, to mahwari ka jaldi band hona doctor ke paas jane ke laiq nahin lagta. Yehi soch bayalees saal ki aurat ko bhi appointment lene se rok sakti hai. Lekin fikr sirf bachchon ki nahin: NHS haddiyon aur dil ki taraf ishara karta hai, aur isi liye hidayat phir bhi chahti hain ke aap doctor ko dikhayen.

Jo auratein abhi bhi bachche ki umeed rakhti hain, un ke liye early menopause sab se bhaari tashkheeson mein se ho sakta hai, aur ghar walon ka dabao ise aur bhaari kar sakta hai. Bachche ke liye ilaaj aur deen ke sawal aksar uthte hain. Yeh sawal kisi aise mustanad aalim ke hain jin par aap ko bharosa ho, aur doctori raaste fertility specialist ke.