Jaye namaz se uthne mein pehle se zyada waqt lagta hai. Subah aata goondhte hue ungliyan akri hoti hain. Behan ke ghar ki seerhiyan har baar pehle se zyada oonchi lagti hain. Kandhe mein dard hai aur yaad nahin ke chot kab lagi.
Dahaiyon se auratein perimenopause (mahwari band hone ke aas paas ka waqt) aur menopause (mahwari ka band hona) ke dauran apne jism mein yeh tabdeeli batati aayi hain: zyada akran, zyada dard, joron aur patthon ka aisa dard jo baghair chot aur baghair kisi wajah ke aa jaye. Aur dahaiyon se ise gol mol baat, ya umar ka taqaza, ya ghar ke kaam ki zyadti keh kar taal diya gaya.
Aik naye jaize ne kya paya
Kruse aur saathiyon ka 2026 mein shaya hone wala aik systematic review aur meta-analysis, yani bohat si tehqeeqon ka majmooi jaiza, woh wazahat lata hai jis ka bohat intezaar tha. Is ne 22 mulkon ki 93,000 se zyada auraton ke adaad-o-shumar ikatthe kiye, jo ise menopause ki tabdeeli ke dauran patthon aur joron ki alamaat par ab tak ke sab se bare jaizon mein se aik banata hai.
Nataij:
- Menopause ki tabdeeli se pehle ki 40 feesad auratein patthon ya joron mein dard batati hain
- Perimenopause mein 57 feesad auratein
- Menopause ke baad 59 feesad auratein
Yani is tabdeeli ke baad patthon aur joron ke dard ka khatra 35 se 40 feesad zyada.
Yeh ittefaq nahin.
Hidayat pehle se kya kehti hain
Roshara jin hidayat par chalta hai, woh bhi is ka naam leti hain. NICE NG23 doctoron se kehti hai ke samjhayen ke menopause ki alamaat mein joron aur patthon ka dard shamil ho sakta hai. NHS ka joron ke dard ka safha kehta hai ke perimenopause aur menopause se joron mein dard ho sakta hai kyunke estrogen kam ho jata hai. Pakistan Menopause Society ki 2026 ki sifarishaat joron aur patthon ke dard ko perimenopause ki shuru ki alamaat mein ginti hain, aur doctoron se kehti hain ke in ke baare mein poochein, saath hi taaqat kam hone aur pehle se kam kaam kar paane ke baare mein bhi.
Estrogen patthon aur joron ke liye kyun aham hai
Estrogen ke receptors, yani khaliye ke woh hisse jo estrogen ka jawab dete hain, jism ke hilne wale saare hisson mein paye jate hain: patthon ke reshon mein, nason aur bandhanon mein, patthon ko lapetne wali jhilli mein, joron ko gaddi dene wali cartilage mein, aur khud haddiyon mein.
Estrogen collagen banane, jism ke reshon ko lachakdar rakhne, sozish ko thanda karne, aasaab aur patthon ke beech paigham pohanchane, aur thakan ke baad jism ko sambhalne mein madad deta hai. Jab estrogen oopar neeche hota aur girta hai to yeh sab badal jata hai.
Yeh aise saamne aa sakta hai:
- Warzish pehle se zyada bhaari lagna
- Masroof din ya warzish ke baad sambhalne mein zyada waqt lagna
- Airhi, kohni ya kandhe ke aas paas dukhti, chirchiri nasen
- Patthon mein phaila hua halka sa dard
- Subah sawere ki akran jo chalne phirne se kam ho jaye
- Yeh ehsaas ke jism ab waisa jawab nahin deta jaisa pehle deta tha
Aksar ise "bas umar" keh diya jata hai
Aise adaad ke bawajood, tib mein darmiyani umar ke dard ko aksar theek se bayan nahin kiya jata. Khaas beemariyon ka naam kam hi liya jata hai, aur hormone ke kirdaar ko abhi bhi kam samjha jata hai ya bilkul nazar andaz kar diya jata hai.
Ise sirf barhti umar kehna ghalat hai. Ise gol mol kehna ise taalna hai. Yeh jism ki haqeeqat hai, aur yeh sahi pehchan, theek lafzon aur aisi dekh bhaal ki haqdar hai jo hormone ko bhi tasveer ka hissa samjhe.
Aap kya kar sakti hain
Likh lein. Kaun se jor, kaun se patthe, din ka kaun sa waqt, subah ki akran kitni der rehti hai, aur kya cheez ise behtar ya badtar karti hai. Chand hafton ke notes "mujhe har jagah dard hai" ko aisi cheez mein badal dete hain jis par doctor kaam kar sake.
Chalti phirti rahein, aur taaqat banayen. British Menopause Society kehti hai ke baqaida resistance warzish, yani woh warzish jis mein patthe kisi wazan ke khilaaf kaam karein, patthe banati hai. NHS hafte mein kam az kam do din patthe mazboot karne wali warzish ka mashwara deti hai. Aahista shuru karein aur barhati jayen. Wazan uthane wali warzish par hamare safhe par mazeed hai.
Ilaaj ke baare mein poochein. Na NICE NG23 aur na hi Pakistan Menopause Society sirf menopause ke joron ke dard ke liye kisi dawa ka naam leti hain. NHS kehti hai ke ilaaj wajah par munhasir hai, aur is mein dard ki dawa, physiotherapy, steroid ke injection, ya X-ray, scan ya kisi maahir ke paas bhejna shamil ho sakta hai. Agar aap pehle hi doosri alamaat ke liye doctor se HRT (hormone ki dawa) ki baat kar rahi hain, to apne joron ka zikr karna aur poochna ke woh kya tawaqqo rakhte hain, jaiz hai.
Doctor ko kab dikhayen
NHS kehti hai ke GP, yani family doctor, ko dikhayen agar joron ka dard aap ko roz ke kaam karne se roke ya neend kharab kare, agar dard ya soojan barh rahi ho ya baar baar laut aaye, agar ghar par do hafte dekh bhaal ke baad bhi behtari na aaye, ya agar jaagne ke baad aadhe ghante se zyada jor akre rahein.
Jaldi ki mulaqat maangein agar koi jor sooja hua ho aur us ke aas paas ki jild garam mehsoos ho, ya agar joron ke dard ke saath tabiyat kharab lage, bukhar ho, ya garmi, thand aur kapkapi ho.
Yeh aap ka weham nahin
Agar is mausam mein aap ka jism mukhtalif mehsoos hota hai, agar chalna phirna mushkil lagta hai, agar aap se kaha gaya ke kuch ghalat nahin jabke sab kuch theek nahin lagta, to yeh aap ka weham nahin, aur aap akeli nahin. Tib jis tarah auraton ke patthon aur joron ko saari umar mein samajhti hai, woh badalna shuru ho raha hai, aur is tabdeeli ka bohat intezaar tha.
Agli mulaqat mein poochein: "Kya mere joron aur patthon ka dard menopause ka hissa ho sakta hai, aur hamein aur kya check karna chahiye?" Joron aur patthon ka dard par hamara safha mazeed batata hai.