Aap bawarchi khane mein ja kar khari ho jati hain, yaqeen hai ke kisi kaam se aayi thin. Mehmanon ke saamne aadhe jumle mein aik jaana pehchana lafz phisal jata hai. Aik hi message teen baar parhti hain aur phir bhi samajh nahin aata. Aur is sab ke neeche aik khamosh sa dar, khaas taur par agar aap ne maan baap ya dada dadi, nana nani ko yaaddasht khote dekha ho: kya yeh kisi cheez ki shuruaat hai?
Zyada tar auraton ke liye, nahin. Phir bhi yeh theek se dekhe jane ki haqdar hai, aur hidayat saaf batati hain ke farq kaise karein.
Dimaghi dhund aam hai
The Lancet Regional Health mein aik jaize ne paya ke menopause ki tabdeeli ke dauran taqreeban do tihai auratein yaaddasht ya tawajjo ke masail batati hain. British Menopause Society ka doctoron ke liye banaya gaya tool Bartania ki 14,000 se zyada auraton ke aik tajziye ka zikr karta hai jis mein dimaghi dhund (bhool jana, baat ka sira chhoot jana) sab se zyada batayi jane wali alamat thi, 86 feesad par, hot flush (achanak garmi lagna) se bhi aage. Pakistan Menopause Society kamzor tawajjo aur dimaghi dhund ko shuru ki alamaat mein ginti hai, perimenopause (mahwari band hone ke aas paas ka waqt) mein aur aakhri mahwari ke fauran baad.
Study of Women's Health Across the Nation (SWAN), jo dahaiyon se darmiyani umar ki auraton ko dekh rahi hai, ne is tabdeeli ke dauran lafz yaad rakhne aur sochne ki raftaar mein asal kami naapi. Zyada tar auraton mein yeh menopause (mahwari ka band hona) ke baad apni pehli satah par wapas aa gayi.
BMS dimaghi dhund ko aisa masla batati hai jo aap khud mehsoos karti hain, yaaddasht, tawajjo ya lafz dhoondne mein, magar jaanch mein koi khaas kami nahin nikalti. Yeh aati jati reh sakti hai.
Yeh kaisi lag sakti hai
Thori der ki yaaddasht. Kamre mein ja kar bhool jana ke kyun aayi thin. Roz chaabiyan, ainak ya phone kahin rakh kar bhool jana. Koi mulaqat chhoot jana, ya hafta guzaarne ke liye har baat likhni parna. Bhoolta sab koi hai. Aik naya pattern jo kaam, ghar, paison ya hifazat ke aare aaye, tawajjo maangta hai, aur yeh bhi ke qareeb ke log ise mehsoos karne lage hain.
Tawajjo. Aik hi paragraph ya aik hi message teen baar parhna. Meeting mein ya koi qissa sunate hue beech mein baat ka sira kho dena. Aik saath do kaam karne mein ghabra jana, ya shuru kiya hua kaam khatam na kar pana. Yeh khaas taur par takleef deh ho sakta hai agar aap hamesha tez aur sab sambhalne wali rahi hon.
Lafz dhoondna. Aap ko theek theek pata hai kya kehna hai, magar lafz zara sa door reh jata hai. Naam, ohde aur roz ke lafz aadhe jumle mein ghaib ho jate hain, aksar doosron ke saamne. Yeh sharminda kar deta hai, aur yeh un baaton mein se hai jo auratein sab se zyada batati hain. Doctor ko dikhana zaroori hai agar yeh barhta jaye, bolna ya doosron ki baat samajhna mushkil kar de, ya saath uljhan ya mizaaj mein tabdeeli ho. Yeh baatein akele parakhne ki nahin.
Mansooba banana aur faisla karna. Ghar ka calendar yaad rakhna, bill bharna, woh tarkeeb jo sau baar banayi ho, kaam ki aakhri tareekhein, ya aik seedha sa faisla, sab mushkil lagne lagta hai. Yeh sab se zyada use chubhta hai jis ne hamesha ghar ya koi team chalayi ho.
Ise kya barhata hai
Neend, mood aur hot flush. BMS doctoron se kehti hai ke teenon ko dekhein, kyunke har aik sochna mushkil kar sakta hai. SWAN ne bhi yehi taalluq paya: is tabdeeli ke dauran neend aur mood ke masail barhte hain aur yaaddasht aur tawajjo ki mushkilaat ke saath saath chalte hain.
Raat ke paseene aap ki neend tor sakte hain chahe aap aath ghante bistar par rahi hon. Agar aap kharrate leti hain, haanpte hue jaagti hain ya din bhar neend aati rehti hai to doctor ko batayen, kyunke neend ka masla alag se check ho sakta hai. Bechaini tawajjo mushkil kar deti hai, aur udaasi soch ko sust kar deti hai. Is mein se kisi ka matlab yeh nahin ke yeh "sirf aap ka weham" hai. Matlab yeh hai ke dimagh aur jism jure hue hain.
Agar aap dhundle dinon ke saath apni neend aur mood likhein to chand hafton mein yeh taalluq aksar khud saamne aa jata hai. Ho sakta hai aap dekhein ke dhund do tooti raaton ke baad, kaam ke dabao wale hafte mein, mahwari se pehle, ya nashta chhoot jane wale dinon mein sab se gaarhi hoti hai. Yeh bhi dekh sakti hain ke ise kya chhaantta hai: subah ki dhoop, thori si sair, nashte mein protein, zyada paani, raat ko kam screen, ya jaldi sona. Aise notes se neend, mood, test aur ilaaj par doctor ke saath kahin behtar baat hoti hai.
Kya madad karta hai
Chalna phirna. World Health Organization ki zehni salahiyat kam hone ka khatra ghatane ki hidayat mein jismani sargarmi sab se pehle hai, saath cigarette chhorna, achhi ghiza, aur wazan, blood pressure aur ziabetes par qaboo. America ka Centers for Disease Control and Prevention (CDC) hafte mein kam az kam 150 minute ki sargarmi ka mashwara deta hai. Tez chalna achhi shuruaat hai, aur wazan uthane wali warzish is mein izafa karti hai.
Waqt par khana. Lambe waqfe aur meethe snacks kuch auraton ko zyada dhundla mehsoos karwate hain. Sabziyan, daalein, saabit anaaj, machhli, mewe aur din bhar mein kaafi protein aik samajhdar buniyad hain.
Sambhalne ki jagah. Musalsal zehni dabao kuch auraton mein yaaddasht ke masail ko badtar mehsoos karwata hai aur hot flush barhata hai. Namaz, kuch khamosh waqt, bahar ki sair, ya kisi bharose wale se baat, sab ginti mein aate hain.
Jo cheezein ise barhati hain, un ka ilaaj. BMS munasib ho to HRT (hormone ki dawa) ko, aap ke apne faidon aur khatron par baat ke baad, aur CBT, yani baat cheet ki therapy, ko ginti hai, jis ke baare mein woh kehti hai ke yeh us soch ka chakkar tor sakti hai ke aap ka dimagh jawab de raha hai, aik aisi soch jo dhund ko aur barha sakti hai.
Bari tasveer
Dementia ka khatra mardon ke muqable mein auraton par zyada hai. Alzheimer's Association ki 2025 ki Facts and Figures report America mein 45 saal ki umar par Alzheimer's ka umar bhar ka khatra auraton ke liye 5 mein se 1 aur mardon ke liye 10 mein se 1 batati hai.
Is ka matlab yeh nahin ke menopause dementia karta hai, ya dimaghi dhund is ki peshgoi hai. 2024 ke Lancet Commission ne dementia ke woh khatre ginwaye jo zindagi bhar badle ja sakte hain, jin mein susti, cigarette, zyada sharab, high blood pressure, ziabetes, zyada LDL cholesterol, depression, kam sunai dena, kamzor nazar aur tanhai shamil hain. In mein se bohat se darmiyani umar mein badalte hain, is liye yeh unhein check karwane ka achha waqt hai.
The Menopause Society, jo America mein menopause ki dekh bhaal ki tanzeem hai, yaaddasht ki kami ya dementia se bachao ke liye HRT ka mashwara nahin deti. Yeh alamaat ke liye istemal hoti hai.
Woh nishaniyan jin par qareeb se nazar daalni chahiye
BMS yeh ginti hai:
- Yaaddasht ke masail jo barhte hi jayen, ya kaam, rishton ya roz marra zindagi ke aare aayen
- Achanak, wazeh kami, ya hifazat ko koi khatra, jaise kisi jaani pehchani jagah par raasta bhool jana
- Daure parna ya aasaab ki koi aur nishani
- Khandaan mein dementia ki history jo 65 saal se pehle shuru hui ho
Pakistan Menopause Society zehni salahiyat mein wazeh kami ko khatre ki alamaat mein ginti hai. Agar in mein se koi baat aap par laagu hoti hai to jald jaize ke liye kahein.
Jab intezaar nahin ho sakta
Achanak uljhan, chehre ka aik taraf dhalak jana, baazu mein kamzori, ya zabaan ka larkharana faalij (stroke) ki nishaniyan ho sakti hain. NHS kehti hai ke fauran emergency madad bulayen. Yeh dekhne ka intezaar na karein ke theek ho jata hai ya nahin.
Auratein jo poochti hain
Kya dimaghi dhund dementia ki nishani hai?
Aam taur par nahin. BMS dimaghi dhund ko aisi cheez batati hai jo aap mehsoos karti hain magar jaanch mein koi khaas kami nahin nikalti, aur SWAN ne paya ke zyada tar auraton mein yaaddasht aur sochne ki raftaar menopause ke baad apni pehli satah par wapas aa gayi. Kab check karwana hai, yeh oopar wali fehrist se parkhein.
Kya yeh khatam ho jaye gi?
Zyada tar auraton mein menopause ke baad yeh halki ho jati hai. Kharab neend, udaasi aur hot flush ka ilaaj aksar is se pehle hi madad karta hai.
Mera doctor kaun se test kar sakta hai?
BMS un khoon ke teston ko ginti hai jin par doctor doosri wujoohat ko radd karne ke liye ghaur kar sakta hai, jin mein thyroid, vitamin B12, folate, vitamin D aur khoon ka mukammal test (full blood count) shamil hain.
Saath le jane ke liye aik kaam ka sawal: "Kya meri neend, mood ya thyroid is ka hissa ho sakte hain? Kya mujhe koi khoon ka test karwana chahiye?" Dimaghi dhund par hamare safhe par mazeed hai.