Estrogen

Estrogen aik hormone hai, jo menopause tak zyada tar ande daniyan banati hain. British Menopause Society kehti hai ke yeh mahwari ka chakkar chalane se kahin zyada kaam karta hai: bachche paida karne ki umar mein yeh haddiyon aur dil ko sehatmand rakhne mein, aur dimagh ke kaam karne mein, aham kirdar ada karta hai.

Asal mein yeh hormonon ka aik khandaan hai. Women's Health Concern chaar aise likhta hai jo qudrati taur par bante hain:

• estradiol, sab se taaqatwar, jo menopause se pehle zyada tar ande daniyan banati hain, aur zyada tar HRT mein yehi hota hai
• estrone, aik kamzor qisam, jo menopause ke baad sab se bara estrogen ban jata hai aur charbi wale hisson mein banta hai
• estriol, jo hamal mein aanwal (placenta) banati hai
• estetrol, jo sirf pait mein maujood bachche ka jigar banata hai

Khoon ke test mein laboratory jo estrogen naapti hai, woh estradiol hai.

Women's Health Concern kehta hai ke perimenopause mein estrogen aam mahine ke chakkar ke muqable mein bohat kam pesh goi ke qabil rehta hai. Yeh aam had se oopar bhi ja sakta hai aur is se neeche bhi.

Har taraf ka apna ehsaas hai. Is ke mutabiq, jab estrogen kam ho to aap ko hot flush ya raat ke paseene ho sakte hain. Jab zyada ho to chhaati mein dard ya sar dard ho sakta hai. Aur khud yeh tabdeeli kuch auraton mein udaasi, bechaini ya migraine shuru kar sakti hai. To ho sakta hai do hafte aap theek rahein aur phir nahin, aur zindagi mein koi aisi tabdeeli na ho jo is ki wajah bataye.

Women's Health Concern ise seedhe saade lafzon mein batata hai: bachche paida karne ki umar mein aap ki ande daniyan estrogen banati hain, aur umar ke saath andon ka zakheera kam hota hai aur is ke saath estrogen bhi girta hai. Yeh raaton raat nahin hota. Is amal mein kai saal lagte hain, isi liye alamaat aati jati reh sakti hain.

Is ke mutabiq, menopause ke baad jism aam taur par kam estrogen ka aadi ho jata hai, aur mahwari band hone ke baad alamaat aam taur par thamne lagti hain, agarche woh kitne saal aur chalein gi, yeh pehle se nahin kaha ja sakta.

British Menopause Society kam estrogen ke do lambe asraat batati hai. Pehla haddiyon par: aurat ka dhaancha apni mazbooti ke liye estrogen par chalta hai, aur is ki kami se osteoporosis, yani haddiyan kamzor hona ka khatra barhta hai, jis ki aksar koi alamat nahin hoti jab tak koi haddi na toote. Doosra dil par: woh kehti hai ke yeh dikhaya ja chuka hai ke menopause ke baad estrogen ki kami se dil ki beemari ka khatra barhta hai.

Women's Health Concern bhi yehi kehta hai. Junoobi Asiai auraton ke liye dil par nazar rakhne ki aik aur wajah hai: British Menopause Society is daur mein un mein dil ke khatre wali cheezein zyada hone ka zikr karti hai, jaise insulin ka asar kam hona (insulin resistance), sugar aur high blood pressure.

Pakistan Menopause Society aik kaam ka tawazun bhi deti hai. Woh doctoron se kehti hai ke yeh taassur na dein ke darmiyani umar ki har beemari sirf kam estrogen se aati hai, kyunke umar, tarz-e-zindagi aur doosri beemariyon ka bhi is mein hissa hota hai (Table 1).

British Menopause Society estrogen ko HRT (hormone ki dawa) ka buniyadi hissa kehti hai. Yeh goli ke taur par liya ja sakta hai ya jild ke zariye, patch, gel ya spray ki shakal mein. Dekhein estrogen gel aur estrogen patch.

Jin auraton ki bachedani abhi maujood hai, unhein saath aik progestogen bhi diya jata hai, jaise progesterone, taake bachedani ki androoni teh estrogen ke asar se mehfooz rahe. Pakistan Menopause Society aur British Menopause Society donon kehti hain ke sirf estrogen un auraton ke liye hai jin ki bachedani nikali ja chuki ho (PMS section 5.4).

Estrogen sirf andaam nihani mein bhi istemaal ho sakta hai, jise Pakistan Menopause Society khushki jaisi genitourinary symptoms, yani andaam nihani aur peshaab se juri alamaat, ke liye likhti hai (section 5.4). Dekhein usi jagah lagane wala estrogen (vaginal estrogen).

In mein se koi cheez aap ko muwafiq hai ya nahin, yeh aap ki umar, sehat aur khandaani history par munhasir hai, aur yeh faisla aap ka doctor aap ke saath mil kar kare ga.

Agar alamaat aap ki neend, kaam ya ghar ki zindagi ke aare aa rahi hain to doctor ko dikhayen. Pehle khoon ka test karwane ki zaroorat nahin: Women's Health Concern kehta hai ke perimenopause mein estrogen ka test shayad hi kaam aata hai, kyunke is ki satah aik aurat se doosri aurat mein aur ghante ghante mein bohat badal sakti hai. Mazeed kya menopause ka koi test hai? mein.

Mahwari aik saal band rehne ke baad kisi bhi tarah ka khoon aaye to ise check karwana zaroori hai, chahe aap ke khayal mein peeche kuch bhi ho. Pakistan Menopause Society ise khatre ki nishani likhti hai (section 2.3).