Menopause ke baad

Pakistan Menopause Society menopause ke baad ke daur ko aakhri mahwari se aage ka sab kuch kehti hai. Chunke aakhri mahwari ki tasdeeq 12 mahine baghair khoon ke guzarne ke baad hi hoti hai, is liye yeh daur peeche mur kar pata chalta hai: jab tak aap ko maloom hota hai, aap aik saal se is mein hoti hain.

STRAW+10 ke paimane, jin par PMS ki sifarishaat chalti hain, ise do hisson mein baantte hain. Early postmenopause, yani menopause ke fauran baad ka waqt, pehle chand saal hain, jab hormone abhi theher rahe hote hain aur haddiyan zyada tezi se kamzor hoti hain. Late postmenopause is ke baad ka lamba arsa hai, jab society ke mutabiq jism ka aam burhapa asal baat ban jata hai.

Urdu mein is ka koi alag lafz nahin. Roshara kehta hai menopause ke baad.

Kuch auraton ke hot flush (achanak garmi lagna) aur tooti raatein halki par jati hain. Kuch ke chalte rehte hain: Pakistan Menopause Society kehti hai ke alamaat kai saal reh sakti hain.

Kuch alamaat yahan khatam hone ki bajaye shuru hoti hain. PMS ki sifarishaat menopause ke baad ke pehle chand saal ki tabdeeliyon mein andaam nihani ki khushki, jalan aur kharish, jinsi taalluq ke dauran takleef, baar baar ya jaldi jaldi peshaab aana, aur baar baar peshaab ka infection ginwati hain. In sab ko mil kar genitourinary syndrome of menopause kehte hain, yani menopause se juri andaam nihani aur peshaab ki takleef, aur society kehti hai ke yeh aam taur par lambe arse wali aur waqt ke saath barhne wali hoti hain, aur ilaaj rukne par wapas aa sakti hain. Dekhein andaam nihani ki khushki aur peshaab aur masane ki takleef.

Phir woh tabdeeliyan hain jo mehsoos nahin hotin. NHS ki website kehti hai ke haddiyon ki kamzori ka aksar tab hi pata chalta hai jab kisi girne ya chot se haddi toot jaye. Cholesterol, khoon mein shakar aur blood pressure bhi koi khabar nahin dete.

Menopause ke baad kam estrogen ka asar sirf mahwari par nahin parta. NHS ki website kehti hai ke menopause ke baad pehle chand saal mein auraton ki haddiyan tezi se kamzor hoti hain. WHO kehta hai ke dil ki beemari mein auraton ko mardon ke muqable mein jo faida hota hai, woh estrogen girne ke saath aahista aahista khatam ho jata hai.

Pakistan Menopause Society aik munasib ehtiyat bhi batati hai: darmiyani umar ki har sehat ki mushkil estrogen ki wajah se nahin hoti. Umar, rehan sehan aur doosri beemariyon ka bhi apna hissa hai (Table 1).

Yahan yeh baat zyada aham kyun hai

British Menopause Society menopause ke aas paas ke daur mein Junoobi Asiai auraton mein dil ke khatre wali cheezein zyada hone ka zikr karti hai, jin mein insulin ka asar kam hona (insulin resistance), sugar, pait ke gird wazan aur high blood pressure shamil hain. Pakistan Menopause Society Pakistan ke liye jo mushkilat ginwati hai, un mein menopause ki kam umar, vitamin D ki aam kami, haddiyon ki kamzori ka bara bojh aur warzish ki kami shamil hain (section 4.1). Dekhein vitamin D aur calcium aur sugar ka khatra.

Pakistan Menopause Society doctoron se kehti hai ke menopause wali appointment ko bachao ke liye istemaal karein: blood pressure, BMI, haddi tootne ka khatra, khoon mein shakar, cholesterol aur tambaku ka istemaal dekhein, aur rehan sehan, patthon ki taqat aur chalne phirne par baat karein (Table 1).

Is ka Table 4 zyada khatre wali auraton ke liye, jahan mumkin ho, haddiyon ki mazbooti ka DXA scan bhi shamil karta hai: halki chot se haddi tootne (fragility fracture) ke baad, premature ovarian insufficiency ya early menopause mein, lambe arse steroid lene ke baad, baar baar girne par, ya jab qad kaafi kam ho gaya ho. Woh umar aur khatre ke hisaab se chhaati aur bachedani ke munh ki screening bhi ginwata hai. Sehat ke test aur haddiyon ki kamzori donon ki tafseel batate hain.

Yehi sifarishaat rehan sehan ki dekh bhaal ke chhe hisse batati hain: achha khana, chalna phirna, poori neend, zehni sehat, cigarette, naswar aur sheeshe jaisi nuqsan deh cheezon se bachna, aur saath dene wale rishte (section 4.2).

Menopause ke baad ki sehat par mazeed parhne ke liye NHS inform ka aik safha hai, jo kai zabanon mein hai, jin mein Punjabi bhi hai.

Pakistan Menopause Society HRT (hormone ki dawa) ki bari wajoohat mein alamaat se aaram, andaam nihani aur peshaab ki tabdeeliyon ka ilaaj, aur haddiyon ki sehat barqarar rakhna ginwati hai (section 5.1). Woh kehti hai ke faide aur khatre ka tawazun tab sab se behtar hota hai jab HRT 60 se pehle ya menopause ke 10 saal ke andar shuru ki jaye (section 5.12). Baad mein shuru karna radd nahin hai: 60 ke baad shuru karne ke baare mein NICE aur The Menopause Society kya kehte hain, yeh HRT ke safhe par hai.

Sirf andaam nihani aur peshaab ki alamaat ke liye, society batati hai ke jo auratein kam miqdar wala usi jagah lagane wala estrogen istemaal karti hain, unhein saath mein progestogen ki zaroorat nahin (section 5.4). Woh haddiyon ki kamzori ke liye baghair hormone wali dawaein bhi ginwati hai (section 6.4). In mein se kaun si, agar koi, aap ke liye theek hai, yeh aap ke doctor ka faisla hai.

Mahwari band hone ke baad kisi bhi tarah ka khoon aaye to is ki jaanch zaroori hai. Pakistan Menopause Society ise khatre ki nishani likhti hai (section 2.3), aur NHS ki website kehti hai ke ise check karwana zaroori hai, chahe thora sa ho aur chahe sirf aik baar hua ho. Dekhein menopause ke baad khoon aana.

Yehi sifarishaat aur khatre ki nishaniyan bhi ginwati hain: chhaati mein gilti, nipple se ratoobat ya jild mein tabdeeli; seene mein dard, aik taang mein soojan, achanak saans phoolna ya achanak shadeed naya sar dard. Seene mein dard aur achanak saans phoolne par fauran madad lein.

Aur agar halka sa girne se haddi toot jaye, to poochein ke kya aap ki haddiyon ki jaanch honi chahiye. NHS ki website kehti hai ke haddiyon ki kamzori ka aksar pehli baar aise hi pata chalta hai.