Menopause ka pata kaise chalta hai

Perimenopause (mahwari band hone ke aas paas ka waqt) ki tashkhees kisi scan ya khoon ke aik nateeje se nahin hoti. Doctor ise aap ki kahani se pehchanta hai: aap ki umar, aap ki mahwari kya kar rahi hai, aur aap ko kya alamaat hain. NICE NG23 England ki auraton ke liye batata hai ke kaise:

• Perimenopause, 45 aur is se zyada umar ki baqi sehatmand auraton mein, agar hot flush ya raat ke paseene haal hi mein shuru hue hon aur mahwari mein koi bhi tabdeeli ho.
• Menopause, agar kam az kam 12 mahine se mahwari na aayi ho aur hormone wali family planning istemaal na ho rahi ho.
• Bachedani nikalwane ke baad menopause, alamaat ki qisam aur un ke mel se, kyunke dekhne ko mahwari hi nahin.

NICE kehta hai ke teenon laboratory test ke baghair (1.3.1). Pakistan Menopause Society ki Table 3 Pakistan ke liye yehi kehti hai, aur British Menopause Society bhi maanti hai ke tashkhees dhyan se li gayi history par tiki hai.

Menopause khud peeche mur kar dekhne par hi pakka hota hai. Pakistan Menopause Society aap ki aakhri mahwari ko woh mahwari kehti hai jis ke baad 12 mahine koi aur na aaye (section 1.2.2).

45 se kam umar mein tasveer badal jati hai, aur khoon ka test kirdar ada kar sakta hai. Dekhein kya menopause ka koi test hai? aur FSH.

NICE doctoron se yeh bhi kehta hai ke yaad rakhein, kuch halaat mein tashkhees zyada mushkil hoti hai. Woh kehta hai ke hormone wale ilaaj lene wali auraton mein, jaise bhaari mahwari ke liye, menopause pehchanna mushkil ho sakta hai (1.3.2), aur yeh ke kuch aqliyati naslon ki auraton ko menopause kam umar mein ho sakta hai (1.3.3).

Pakistan Menopause Society ki sifarishaat batati hain ke aik achha jaiza kya kuch dekhta hai. Woh doctoron se kehti hain ke khule sawalon se shuru karein aur phir aik list istemaal karein, aur un ki Table 2 buniyadi history likhti hai jo leni hai:

• aap ki umar aur aap ki aakhri mahwari ki tareekh
• ab aur pehle aap ke khoon aane ka pattern, aur kya aap haamla ho sakti hain
• family planning, pichhle hamal aur pehle ke zanana masail
• bachedani ya ande daniyan nikalwane ka operation, chemotherapy ya radiotherapy
• aap jo dawaein, aur jari bootiyon wali dawaein ya gharelu totke leti hain
• aap hormone wale raaste pasand karein gi ya baghair hormone wale

Woh doctoron se yeh bhi kehti hain ke dekhein alamaat aap ki roz ki zindagi par kaisa asar daal rahi hain, jis mein neend, thakawat, kaam, namaz aur jismani sargarmi, miyan biwi ka taalluq aur rishte shamil hain (section 2.2), aur blood pressure aur BMI likhein, aur ho sake to kamar ka naap bhi. Chhaati ya pairu ka muaina sirf tab hota hai jab alamaat, khatre ki baatein ya screening is ka taqaza karein.

Kuch alamaat ko apni jagah par check karwana zaroori hai, chahe aap kisi bhi mor par hon. Pakistan Menopause Society khatre ki nishaniyan likhti hai (section 2.3), jin mein menopause ke baad khoon aana, jinsi taalluq ke baad ya do mahwariyon ke beech khoon aana, achanak bohat bhaari khoon aana, aur shadeed udaasi ya khudkushi ke khayalat shamil hain.

In sab ke oopar NICE ki pehli sifarish hai, jo doctoron se kehti hai ke menopause ko pehchanne, is par baat karne, is ki jaanch karne aur ise sambhalne mein har waqt apna tareeqa saamne baithi aurat ke hisaab se dhaalein (1.1.1).

Appointment lene se pehle yeh pakka hona zaroori nahin ke yeh perimenopause hai. Agar aap ki mahwari badal rahi hai aur alamaat aap ke dinon par asar daal rahi hain, to yehi kaafi hai.

Jo doctor pooche ga, woh saath le jayen. Pichhli chand mahwariyon ki tareekhein, aur kya woh qareeb qareeb aa rahi hain, door door, zyada bhaari ya halki. Alamaat ki aik list, un samait jinhein oonchi awaaz mein kehna mushkil lagta hai. Aap ki dawaein, aur jo kuch aap medical store se ya kisi hakeem se le kar khati hain. Appointment ki tayyari aur alamaat ka record rakhna madad kar sakte hain, aur Roshara ka Main kahan hoon? aap ko saath le jane ke liye sawalon ki aik list deta hai.

Roshara ki koi cheez aap ko yeh nahin bata sakti ke aap perimenopause mein hain ya nahin. Yeh sirf woh doctor bata sakta hai jis ne aap ki history suni ho.

Pakistan Menopause Society likhti hai ke ho sakta hai bohat si Pakistani auratein jinsi, peshaab ya mood ki alamaat tab tak na batayen jab tak un se izzat ke saath aur akele mein na poocha jaye (section 2.2). Agar aap ke shohar, saas ya beti aap ke saath aayen, tab bhi aap un baaton ke liye, jo aap un ke saamne nahin kehna chahtin, doctor ke saath chand minute akele maang sakti hain.

Woh namaz ko bhi roz ki zindagi ke un hisson mein likhti hai jin ke baare mein doctor ko poochna chahiye. Agar tooti hui neend Fajr ko mushkil bana rahi hai, ya thakawat aap ki namaz ka andaaz badal rahi hai, to yeh baat bhi isi guftagu ka hissa hai.