June ka mahina hai, pankha chal raha hai, aur aap thithur rahi hain. Haath thande hain, kapkapi ho rahi hai, aur jab kamre mein baqi sab khud ko pankha jhal rahe hain, aap shawl ki taraf haath barhati hain. Ya yeh hot flush (achanak garmi lagna) ke fauran baad aata hai: garmi tootti hai, jild par paseena thanda hota hai, aur achanak kaanpna rukta hi nahin.

Zyada tar auraton ne hot flush ka naam suna hai. Bohat kam jaanti hain ke yehi tabdeeli ulti taraf bhi ja sakti hai. Cold flush (achanak thand lagna) asli hain, aur yeh isi khandaan se hain.

Cold flush kya hai

Cold flush achanak thand ya kapkapi ka ehsaas hai, kabhi kaanpne ke saath, jis ki kamre mein koi wajah nazar nahin aati. Yeh akela bhi aa sakta hai, ya hot flush ke fauran baad. Kuch auraton ko yeh raat ko hota hai, aur woh paseene mein bheeg kar nahin, thand se kaanpte hue jaagti hain.

NHS ki website hot flush ko aise bayan karti hai ke chehra, gardan aur seena achanak bohat garam ya bohat thande mehsoos hon. Thand is bayan ka hissa hai, baad mein sochi gayi baat nahin.

Yeh kyun hota hai

Aap ke dimagh ka apna thermostat hai, hypothalamus naam ke aik hisse mein. Yeh jism ko aik aaraam deh darja-e-hararat ke andar rakhta hai: zyada garmi ho to paseena, zyada thand ho to kapkapi.

Estrogen is thermostat ko thehra rakhne mein madad karta hai. Endocrinology jareede mein Zhang aur saathiyon ka 2021 ka aik jaiza batata hai ke estrogen dimagh mein darja-e-hararat sambhalne wale nizaam ke kai hisson par asar karta hai, aur hot flush aur raat ke paseenon ko perimenopause (mahwari band hone ke aas paas ka waqt) ki sab se pehchani alamaat kehta hai. Jab estrogen charhta aur girta hai to thermostat ghalat andaza laga sakta hai, aur darja-e-hararat ki zara si tabdeeli aisa radd-e-amal shuru kar sakti hai jis ki zaroorat nahin thi, kisi bhi taraf. Isi tarah aap chand minute mein bohat garam se bohat thandi ho sakti hain.

Doctor hot flush, raat ke paseenon aur in utaar charhao ko aik hi naam dete hain, vasomotor symptoms, yani jism ki garmi sambhalne wale nizaam ki alamaat. Hidayat mein aap ko yehi lafz mile ga.

Yeh kitne aam hain?

Cold flush par hot flush ke muqable mein bohat kam tehqeeq hui hai, aur auratein in ka zikr bhi kam karti hain, is liye yeh aasaani se nazar se reh jate hain. HealthShots ki 2023 ki aik report ke mutabiq menopause (mahwari ka band hona) ke dauran 50 se 70 feesad tak auraton ko cold flush ya kapkapi hoti hai, aur report ne yeh bhi kaha ke in ka zikr kam hota hai.

Agar aap ko yeh ho rahe hain aur aap samajh rahi thin ke sirf aap ke saath hai, to aisa nahin.

Auratein jo pattern batati hain

  • Hot flush ke baad aane wali thand, jab jism wapas mamool par aate hue had se aage nikal jata hai
  • Raat ko thand aur kapkapi se aankh khulna, phir garam hone ki koshish mein jaagte rehna
  • Garam kamre mein thande haath paon
  • Kapkapi jo lehron mein aati hai aur chand minute mein guzar jati hai
  • Unhi hafton mein zyada thand jab hot flush bhi zyada hon

Agar aap apne hot flush likh rahi hain to thand wale bhi likhein. Roshara ka rozana haal hot flush ginta hai, aur notes ka khana kapkapi ke liye hai, taake doctor donon dekh sake.

Kya madad karta hai

Aisi tahein jo jaldi badli ja sakein. Sweater, shawl ya dupatta jo secondon mein orha aur utara ja sake. Raat ko halki chadar, aur paenti par tah kiya hua kambal, taake thand aaye to kheench lein aur garmi aaye to hata dein.

Garam paon. Agar paon thande ho jate hain to raat ko moze madad karte hain.

Garam mashroob, sahi waqt par. Koi garam cheez thand guzaarne mein madad karti hai. Agar neend kharab ho rahi hai to karak chai aur coffee din ke pehle hisse tak rakhein.

Aahista saans. Kuch auraton ko lagta hai ke aahista, thehre hue saans lehar ko jaldi guzaar dete hain, aur aazmane mein kuch kharch nahin hota. Australasian Menopause Society kehti hai ke is baat ka kaafi saboot nahin ke aik khaas raftaar se aahista saans lena hot flush kam karta hai, is liye ise ilaaj nahin, bas sukoon ka aik tareeqa samjhein.

Ilaaj. NICE NG23 menopause se juri vasomotor symptoms ke liye HRT (hormone ki dawa) dene ki sifarish karti hai. Pakistan Menopause Society ki 2026 ki sifarishaat MHT, jo HRT ka un ka naam hai, ko un auraton mein hot flush ki pehle darje ki dawa kehti hain jo ise le sakti hain. Cold flush isi vasomotor khandaan mein aate hain, is liye agar yeh hot flush ya raat ke paseenon ke saath aate hain to apne doctor se poochein ke kya wohi option aap par bhi laagu hote hain. HRT aap ke liye theek hai ya nahin, yeh faisla aap ke doctor ka hai.

Jab wajah kuch aur ho

Thand aur kapkapi ki doosri wujoohat bhi ho sakti hain. NHS ki website kehti hai ke agar raat ke paseenon ke saath bohat tez bukhar, ya garmi, thand aur kapkapi, khansi ya dast, ya baghair wajah wazan kam hona ho to GP, yani family doctor, ko dikhayen.

Agar lehron ki bajaye har waqt thand lagti hai to yeh bhi batane ki baat hai. Doctor ise menopause ke khaate mein daalne se pehle aap ka thyroid check karna, ya khoon ki kami ka test karna chah sakta hai.

Auratein jo poochti hain

Kya cold flush waqai menopause ki alamat hai?

Haan. Yeh usi darja-e-hararat ki tabdeeli ka hissa hain jis se hot flush hote hain, aur NHS ka hot flush ka bayan achanak bohat thanda mehsoos hone ko bhi shamil karta hai.

Kya hot flush ke baghair cold flush ho sakte hain?

Haan. Kuch auraton ko sirf thand lagti hai, aur kuch ko sirf hot flush ke baad. Donon likhne ke qabil hain.

Yeh kab tak chalein ge?

Hot flush ki tarah yeh bhi badalte hormone se jure hain, aur yeh kitna arsa rehte hain, yeh har aurat mein alag hai.

Agli mulaqat mein poochein: "Kya yeh thand mere menopause ka hissa ho sakti hai, aur kya is ki koi aur wajah ho sakti hai?" Cold flush par hamare safhe par mazeed hai, aur hot flush is jhoole ki doosri taraf batata hai.