Aap aik operation ke liye gayin aur menopause (mahwari ka band hona) ke saath wapas aayin. Pehle kisi ne bitha kar nahin samjhaya ke hot flush (achanak garmi lagna), tooti neend aur udaasi chand dinon mein shuru ho sakti hai. Aap ko zakhm ka khayal rakhna bataya gaya. Baqi ka kisi ne zikr nahin kiya.

Operation se hone wala menopause asli hai, aur yeh is tabdeeli se guzarne ke sab se mushkil tareeqon mein se aik ho sakta hai.

Yeh kya hai

Operation se hone wala menopause tab hota hai jab donon ande daniyan nikal di jayen. British Menopause Society ise qudrati menopause tak pohanchne se pehle donon ande daniyon ka nikala jana batati hai. Aap ka zyada tar estrogen aur progesterone ande daniyan banati hain, is liye unhein nikalne se yeh faraahmi fauran ruk jati hai, aur menopause usi din shuru ho jata hai.

Har bachedani ka operation aisa nahin hota. Bachedani nikalne ke operation (hysterectomy) mein bachedani nikali jati hai. Agar ande daniyan apni jagah rahein to mahwari ruk jati hai, magar ande daniyan hormone banati reh sakti hain. Operation se hone wale menopause ka matlab hai ke khud ande daniyan nikal di gayi hain. Agar aap ko yaqeen nahin ke aap ka kaun sa operation hua hai, ya hone wala hai, to poochein.

Yeh zyada sakht kyun ho sakta hai

Qudrati menopause aam taur par barson mein aata hai, is liye jism ko hormone ke aahista aahista kam hone ke saath sambhalne ka waqt milta hai. Operation ke baad koi aahistagi nahin. Hormone aik hi baar mein gir jate hain.

Alamaat taqreeban qudrati menopause jaisi hi hoti hain: hot flush, raat ke paseene, mood ke utaar charhao, tooti neend, andaam nihani ki khushki. Yeh aksar achanak aati hain aur zyada shadeed ho sakti hain. BMS kehti hai ke alamaat khaas taur par shadeed ho sakti hain kyunke ande daniyon ka kaam aik dam khatam ho jata hai.

Hidayat kya kehti hain

NICE NG23 sifarish karti hai ke jin ka menopause kisi tibbi ilaaj ya operation ki wajah se hone wala ho, unhein ilaaj se pehle bhi aur baad mein bhi menopause aur aulad ke imkaan ke baare mein sahara aur maloomat di jayen. Agar aap se yeh baat kisi ne nahin ki, to ab maangna jaiz hai.

BMS kehti hai ke maujooda hidayat ke mutabiq 45 saal se kam umar ki jin auraton ka operation se menopause hua ho, unhein kam az kam qudrati menopause ki ausat umar tak HRT (hormone ki dawa) di jaye, siwaye is ke ke woh ise na le sakti hon, jaise hormone par munhasir cancer ki surat mein. NHS ki website kehti hai ke 45 se pehle khoye hue hormone wapas dena aham hai, kyunke haddiyon aur dil ke masail ka imkaan zyada hota hai.

HRT aap ke liye theek hai ya nahin, aur kitne arse ke liye, yeh faisla aap aur aap ka doctor aap ki apni history ko dekh kar karenge.

Operation ke baad apna khayal

Sab se kaam ka tareeqa woh hai jo jism aur zehan, donon ka aik saath khayal rakhe.

Har hafte chalein phirein. NHS baron ko hafte mein kam az kam 150 minute darmiyani raftaar ki sargarmi, ya 75 minute tez sargarmi, aur do ya zyada din patthe mazboot karne wali warzish ka mashwara deti hai. Tez chalna bhi ginti mein aata hai. Rubber band, paani ki botlein aur apne jism ka wazan bhi.

Haddiyon aur dil ke liye khayen. Khoob sabziyan, phal, saabit anaaj, daalein aur kam chiknai wala protein. Doodh, dahi aur hare patton wali sabziyon jaise calcium wale khane ab zyada aham hain. Kya aap ko calcium ya vitamin D ke supplement ki zaroorat hai, yeh apne doctor se poochne ka sawal hai, behtar ho ke khoon ke test ke saath.

Haddiyon ki hifazat karein. Estrogen ka achanak girna haddiyon ke kamzor hone ki raftaar barha sakta hai aur osteoporosis, yani haddiyon ke bhurbhura hone, ka khatra barha sakta hai. Apne wazan par ki jane wali warzish, jaise chalna aur seerhiyan charhna, haddiyon ko mazboot rakhne mein madad karti hai. Poochein ke kya aap ko haddiyon ki mazbooti ke scan ki zaroorat hai.

Dil ka khayal rakhein. Menopause ke baad dil ki beemari ka khatra barh jata hai. Apna blood pressure aur cholesterol check karwayen, aur pait ke gird wazan par nazar rakhein.

Apne zehan ka khayal rakhein. Ande daniyan khone se gham, kuch kho jane ka ehsaas, fikr ya udaasi aa sakti hai, kabhi sab aik saath. Counselling ya support group se kam akela mehsoos ho sakta hai. Pakistan Menopause Society menopause ke aas paas mood ki alamaat ke liye support group aur CBT, yani baat cheet ki therapy, ko ginti hai.

Checkup jaari rakhein. Baqaida checkup aur screening, jaise chhaati ka moaina aur jahan dastiyab ho mammogram, masail ko jaldi pakarne mein madad karte hain. Darmiyani umar mein sehat ke test par hamara safha batata hai ke kya maangein.

Koi aisi cheez dhoondein jo aap ko sukoon de. Yoga, khamosh dua, muraqaba ya aahista saans, dabao mein madad kar sakte hain aur aap ko phir se apne jaisa mehsoos karwa sakte hain.

Operation se pehle poochein

  • Kya meri ande daniyan nikali jayengi, ya sirf bachedani?
  • Agar ande daniyan nikali gayin to alamaat kab shuru ho sakti hain?
  • Kya baad mein mujhe HRT di jaye gi, aur agar nahin to kyun nahin?
  • Agar alamaat sambhalna mushkil ho to main kis se rabta karoon?

Operation ke baad, agar mushkil ho rahi hai

Aap zyada radd-e-amal nahin de rahin. Raaton raat aane wala menopause kisi bhi jism aur kisi bhi zehan ke liye bohat hai. Apne hot flush, neend aur mood ka do hafte aik saada sa record rakhein aur apne doctor ke paas le jayen. Is se baat chhoti aur saaf ho jati hai.

Operation se hone wala menopause par hamare safhe par mazeed hai, jis mein yeh bhi hai ke operation ke baad HRT par hidayat kya kehti hain.