Yeh raat ko shuru ho sakti hai. Dil achanak tez dharakne lagta hai, zehan kal ki har mumkina kharabi ko aik aik kar ke sochne lagta hai, aur kamre mein koi cheez is ki wajah nahin batati. Ya yeh woh phone hai jo aap taalti ja rahi hain, woh shaadi jis mein jaane se dil ghabrata hai, ya woh ehsaas ke aap aik hi waqt mein be qarar bhi hain aur thaki hui bhi.
Agar aap ne kabhi khud ko ghabrane wali aurat nahin samjha, to yeh dara sakta hai. Yeh in barson mein aam bhi hai, aur hidayat yeh baat kehti hain.
Yeh kaisi mehsoos ho sakti hai
Perimenopause (mahwari band hone ke aas paas ka waqt) ki bechaini hamesha us bechaini jaisi nahin lagti jis ke baare mein aap ne parha hai. Yeh aisi ho sakti hai:
- Bistar par dil ka zor zor se dharakna, ya batti bujhte hi dil mein dar ki lehar
- Logon par jhunjhla jana, aur phir rona aana
- Roz ka dabao jo pehle aasaani se guzar jata tha, ab achanak bohat zyada lagna
- Be qarari, shadeed ghabrahat, ya yeh ehsaas ke kuch bura hone wala hai
- Saara din thakawat aur raat ko zehan ka band na hona
NHS bechaini, dil ki dharkan tez hona, neend mein mushkil, dimaghi dhund (bhool jana, baat ka sira chhoot jana) aur mood ke utaar charhao ko perimenopause aur menopause (mahwari ka band hona) ki aam alamaat mein ginti hai. Agar in mein se kai jaani pehchani lagti hain, to yeh aapas mein juri ho sakti hain.
Haan, yeh perimenopause ho sakta hai
American College of Obstetricians and Gynecologists (ACOG) kehta hai ke menopause ki tabdeeli ke dauran hormone ki tabdeeliyan dimagh ki chemistry par asar daal kar bechaini barha sakti hain, khaas taur par jab saath dabao aur kharab neend bhi ho. Pakistan Menopause Society ki 2026 ki sifarishaat bechaini ko shuru ki alamaat mein ginti hain, jo mahwari aate hue bhi shuru ho sakti hain, aur doctoron se kehti hain ke shadeed ghabrahat ke dauron ke baare mein bhi poochein. Woh yeh bhi kehti hain ke jin auraton ko pehle bechaini ya depression raha ho, un mein is tabdeeli ke dauran is ke barhne ka khatra zyada hai.
Hormone shayad hi poori kahani hote hain. Tooti neend, raat ke paseene, kaam, aik saath bachchon aur maan baap ki dekh bhaal, aur khud ko apne jaisa mehsoos na karne ka bojh, sab aik hi fikr ko hawa dete hain. PLOS ONE mein shaya aik tehqeeq ne paya ke zindagi ke dabao wale waqiat menopause ki badtar alamaat se jure the. Ise "bas tension hai" keh dene se yeh chhoti nahin ho jati.
Dil ki tez dharkan
Agar dil ki tez dharkan ke saath seene mein dard, saans phoolna ya be hoshi jaisa mehsoos ho to fauran emergency madad lein. NHS bechaini ko dil ki dharkan tez hone ki aik aam wajah ke taur par ginti hai, magar dil ke masail ko bhi, aur aap akele yeh nahin bata saktin ke kaun si wajah hai.
Kya hormone test ki zaroorat hai?
Yeh un pehle sawalon mein se hai jo auratein poochti hain, aur 45 saal se zyada ki zyada tar auraton ke liye jawab hai: nahin. NICE NG23 kehti hai ke is umar ki aam taur par sehatmand auraton mein perimenopause alamaat aur mahwari ki tabdeeliyon se pehchana jata hai, laboratory test ke baghair. ACOG bhi yehi kehta hai: zyada tar auraton ko shayad hormone test ki zaroorat nahin, kyunke doctor aam taur par umar, alamaat aur mahwari ki tabdeeliyon se perimenopause pehchan leta hai.
Aap ke hormone phir bhi aham hain. In barson mein khoon ke test ka aik nateeja aik hafte se doosre hafte tak bohat badal sakta hai, is liye doctor ke saath dhyan se ki gayi baat cheet aik number se zyada batati hai. Agar aap ki umar 45 se kam hai to test zyada kaam ka ho sakta hai. Hamara safha Kya koi test hai? batata hai ke kab.
Likh lein
Jab alamaat aati jati rahein to pichhla hafta bhool jana aasaan hai aur chhoti si mulaqat mein use samjhana mushkil. Roz ka aik saada note, aap ki bechaini, neend, mood, hot flush (achanak garmi lagna), raat ke paseene aur din mein hone wali koi dabao wali baat, "kuch theek nahin" ko aisi cheez mein badal deta hai jis par doctor kaam kar sake. Chand hafton baad shayad aap dekhein ke bechaini kharab raaton ke baad barhti hai, mahwari ke aas paas, ya un hafton mein jab raat ke paseene zyada hon.
Frontiers in Global Women's Health mein 2021 ke aik jaize ne paya ke menopause ki alamaat likhne se auraton ko unhein samajhne, doctor se baat karne aur ilaaj ke faislon mein hissa lene mein madad mili. Yaaddasht achhi gawah nahin batata hai ke kya note karein.
Ise akele na uthayen
Bechaini aap ko ise apne andar rakhne par majboor karti hai, aur is se bojh aur bhaari ho jata hai. Kisi aik ko batane se alamat theek nahin hoti, magar sharmindagi aur uljhan kuch kam ho jati hai. Woh ajeeb si baat zabaan par le aayen. Us saheli ko message karein jo baat ko hawa mein nahin uraye gi. Behan ya shohar se aik sachcha jumla bhi shuruaat hai.
Kya madad karta hai
NHS ki website kehti hai ke CBT, yani baat cheet ki therapy, bechaini, udaasi aur neend ke masail mein madad kar sakti hai. Pakistan Menopause Society ise mood ke masail ke liye ginti hai, aamne saamne, group mein ya online, aur jahan maahir mushkil se milein wahan khud se ki jane wali CBT. Woh yeh bhi kehti hai ke dabao kam karna, behtar neend aur zehan ko haazir rakhne ki mashqein zehni sehat behtar kar sakti hain.
HRT (hormone ki dawa) ya koi aur ilaaj aap ke liye theek hai ya nahin, yeh aap ke doctor ke saath baat karne ka sawal hai. Agar bechaini aap ke kaam, ghar ya neend par asar daal rahi hai, to yeh baat karne ke liye kaafi wajah hai.
Agar fikr ke saath na umeedi ya khud ko nuqsan pohanchane ke khayal aayen to aaj hi doctor ko dikhayen. Pakistan Menopause Society khudkushi ke khayalat ko un khatre ki alamaat mein ginti hai jin ka fauri jaiza zaroori hai.
Auratein jo poochti hain
Kya perimenopause se bechaini ho sakti hai, chahe pehle kabhi na hui ho?
Haan. Pakistan Menopause Society bechaini ko perimenopause ki shuru ki alamaat mein ginti hai, aur NHS ise aam alamaat mein. Yeh woh pehli tabdeeli ho sakti hai jo kisi aurat ko mehsoos ho.
Raat ko yeh zyada kyun hoti hai?
Raat ke paseene aur tooti neend is ka hissa hain, aur khamosh, andhera kamra masroof zehan ko behlane ke liye kuch nahin chhorta. Yeh likhna ke sab se bure lamhe kab aate hain, aap ke doctor ke liye kaam ki baat hai.
Kya mujhe apne hormone check karwane chahiyen?
Agar aap 45 ya is se zyada ki hain aur alamaat aam hain, to NICE NG23 kehti hai ke aam taur par khoon ke test ki zaroorat nahin. Is ki bajaye apni alamaat ka jaiza lene ko kahein.
Agli mulaqat mein poochein: "Kya yeh perimenopause ho sakta hai, aur kya CBT yahan ya online mil sakti hai?" Bechaini par hamara safha mazeed batata hai.