Operation se hone wala menopause

British Menopause Society ke mutabiq surgical menopause yeh hai ke aurat ke qudrati menopause se pehle donon ande daniyan nikal di jayen, jise bilateral oophorectomy kehte hain. Yeh aksar bachedani nikalne ke operation ke saath hi hota hai.

Agar aik ande dani rakh li jaye, to yeh operation se hone wala menopause nahin. NHS ki website kehti hai ke jab bachedani ke operation mein aik ya donon ande daniyan rehne di jayen, tab bhi menopause us se pehle aa sakta hai jab waise aata. Chemotherapy ya radiotherapy se hone wala menopause milta julta hai lekin alag hai: dekhein chemotherapy ke baad menopause.

Ande daniyan kyun nikali jati hain

BMS wajoohat ginwati hai. Kuch cancer hain, ya un ka bara mauroosi khatra: jin auraton ke BRCA1 ya BRCA2 gene mein tabdeeli ho, woh khatra kam karne ke liye operation chun sakti hain. Kuch ka cancer se koi taalluq nahin: bohat zyada khoon aana, fibroids (bachedani ki rasoliyan), endometriosis, lambe arse ka pait ke nichle hisse ka dard, aur ande dani mein baar baar cyst banna.

The Menopause Society sifarish karti hai ke jab bachedani cancer ke ilawa kisi aur wajah se nikali jaye, to un auraton ki ande daniyan rehne di jayen jo abhi menopause tak nahin pahunchin aur jinhein ande dani ke cancer ka aam sa khatra hai. Asia-Pacific Menopause Federation bhi yehi kehti hai.

Agar aap ki ande daniyan nikal di jayen, to NHS ki website kehti hai ke operation ke baad aam taur par menopause ki shadeed alamaat hoti hain, jaise hot flush, bechaini aur paseena.

BMS ginwati hai ke is ke baad kya kuch ho sakta hai: hot flush (achanak garmi lagna) aur raat ke paseene, bachche paida karne ki salahiyat ka khatam hona, jinsi khwahish mein kami, andaam nihani ki khushki, baar baar peshaab ka infection, aur mood aur yaaddasht mein tabdeeli, jis mein depression aur bechaini ka zyada khatra bhi shamil hai. Woh kehti hai ke jinsi khwahish mein kami qudrati menopause ke baad se zyada numayan ho sakti hai.

Yeh sab tab aa sakta hai jab aap abhi bare operation se sambhal rahi hon.

BMS qudrati menopause ko yun bayan karti hai ke ande daniyan aahista aahista kaam kam karti hain, jis se estrogen aur progesterone saalon mein kam hote hain. Operation inhein aik hi baar mein nikal deta hai, aur BMS kehti hai ke ande daniyon ka yehi achanak kaam chhorna alamaat ko khaas taur par shadeed bana sakta hai.

Aik doosri wajah bhi ho sakti hai. BMS batati hai ke kuch tehqeeq ke mutabiq ande daniyan menopause ke baad bhi androgens, yani testosterone jaise hormone, banati rehti hain, aur shayad isi liye operation jinsi khwahish par qudrati menopause se zyada asar daal sakta hai.

Lambe arse ki sehat

BMS kehti hai ke operation se hone wale menopause se dil ki beemari aur haddiyon ki kamzori (osteoporosis) ka khatra barh jata hai, aur yeh ke jin auraton ka yeh qudrati menopause se pehle ho, un mein dil ki beemari, faalij (stroke), yaaddasht ke masail aur haddiyon ke kamzor hone ki sharah zyada ho sakti hai. Woh mazeed kehti hai ke bare paimane ke achhe adaad o shumar mehdood hain. NHS ki website kehti hai ke jin auraton ki ande daniyan nikali ja chuki hon, unhein haddiyon ki kamzori ka khatra zyada hota hai.

Pehle aur baad ka sahara

BMS kehti hai ke jis aurat ka menopause operation se ho raha ho, use operation ke hormone par asraat aur HRT ke kirdar ke baare mein mashwara aur maloomat di jayen, operation se pehle bhi aur hospital se jane se pehle bhi, aur us ke GP ya family doctor ko saaf saaf bataya jaye.

BMS kehti hai ke operation se hone wale menopause ko sambhalne mein HRT (hormone ki dawa) ka bara kirdar hai, khaas taur par 45 se pehle, aur yeh ke aaj ki hidayat kehti hain ke kam az kam qudrati menopause ki ausat umar tak yeh pesh ki jaye, jab tak na lene ki koi wajah na ho. Is ke baad, woh kehti hai, jaari rakhna aap ki alamaat ki buniyad par soch samajh kar kiya gaya faisla hona chahiye.

Qisam aap ki bachedani par munhasir hai. BMS kehti hai ke agar bachedani nikali ja chuki hai to sirf estrogen wali HRT istemaal ho sakti hai, jabke jis aurat ki bachedani maujood hai use estrogen aur progestogen donon chahiyen. Woh usi jagah lagane wala estrogen, usi jagah lagane wala DHEA, testosterone, tibolone, aur baghair hormone wali dawaein bhi ginwati hai, jin mein SSRIs, clonidine, gabapentin aur fezolinetant shamil hain. NHS ki website batati hai ke jin auraton ko kuch qisam ke cancer ho chuke hon, jaise kuch chhaati ke cancer, woh shayad hormone wala ilaaj na le sakein. Dekhein ghair harmoonal ilaaj.

Agar operation tay hai, to pehle hi poochein ke aap ke hormone ka kya ho ga aur aap ko kya sahara mile ga. NICE NG23 kehta hai ke yeh maloomat ilaaj se pehle aur baad donon waqt milni chahiyen.

Baad mein, agar alamaat ke saath jeena mushkil ho, ya mood gir jaye, to doctor ko dikhayen. NHS ki website kehti hai ke early ya premature menopause jismani sehat ke saath zehni sehat par bhi asar daal sakta hai, aur yeh ke madad maujood hai.

Agar bachche abhi bhi aap ke iradon mein shamil hain, to yeh baat operation se pehle karein, baad mein nahin. NICE NG23 bachche paida karne ki salahiyat ko un maloomat ka hissa kehta hai jo auraton ko operation wale ilaaj se pehle milni chahiyen.

Ghar mein achanak menopause ko samjhana mushkil ho sakta hai, kyunke yeh us aahista tabdeeli jaisa nahin lagta jis se koi bari rishtedar guzri thi. Pakistan Menopause Society ki sifarishaat kehti hain ke menopause ki alamaat sambhalne mein shohar aur ghar walon ka saath bara kirdar ada karta hai.