Perimenopause aur menopause asal mein kya hain, kya tawaqqo rakhein, aur agli mulaqat mein doctor ke paas kaam ki cheez le kar kaise jayen.

Is tabdeeli ko samajhna

Perimenopause kya hai?

Perimenopause (mahwari band hone ke aas paas ka waqt) menopause se pehle ki tabdeeli hai, jab ande daniyan aahista aahista kam estrogen aur progesterone banati hain. Yeh aam taur par chalees ke wast se aakhir tak shuru hota hai aur chaar se das saal chalta hai. Jinhein log "menopause ki alamaat" kehte hain, jaise hot flush (achanak garmi lagna), tooti neend, mood ke utaar charhao aur dimaghi dhund, un mein se zyada tar asal mein perimenopause ke dauran hoti hain, is ke baad nahin.

Perimenopause aur menopause mein kya farq hai?

Perimenopause tabdeeli ka daur hai. Menopause (mahwari ka band hona) aik lamha hai: woh din jab aap ko lagataar baarah mahine mahwari na aayi ho. Is ki tasdeeq sirf peeche mur kar hi ho sakti hai. Is din se pehle sab kuch perimenopause hai, aur is ke baad sab kuch menopause ke baad ka daur.

Perimenopause aam taur par kis umar mein shuru hota hai?

Zyada tar auraton mein perimenopause chalees ke wast se aakhir tak shuru hota hai. Pakistan Menopause Society ki 2026 ki sifarishaat Pakistan mein menopause ki ausat umar 45 se 49 saal batati hain, jo safaid faam auraton se kam hai, aur NICE NG23 doctoron se kehti hai ke yaad rakhein ke kuch nasli aqliyati pas-e-manzar ki auraton ka menopause kam umar mein ho sakta hai. 40 saal se pehle menopause ko premature ovarian insufficiency, yani ande daniyon ka waqt se pehle kaam kam kar dena, kehte hain, aur is par doctor se baat karni chahiye.

Perimenopause kitna arsa chalta hai?

Aam taur par chaar se das saal, magar kuch auraton mein yeh jaldi khatam ho jata hai aur kuch mein zyada der chalta hai. Aakhri mahwari se pehle ka aakhri hissa aksar sab se zyada aur sab se tez hot flush lata hai. Baarah mahine poore hone ke baad aap menopause ke baad ke daur mein hain.

Menopause kitna arsa chalta hai?

Asal mein menopause aik din hai: aakhri mahwari ke baarah mahine baad ka din. Is se pehle ka perimenopause aksar chaar se das saal chalta hai. Is ke baad ka daur saari umar rehta hai.

Menopause ke baad kya hota hai?

Is ke baad aap saari umar menopause ke baad ke daur mein rehti hain, aksar tees chalees saal. Is daur ki hormone ki tabdeeliyan aap ki neend, dil, haddiyon aur dimagh par asar daal sakti hain, isi liye apni sehat par nazar rakhna aur checkup jaari rakhna faidemand hai. Menopause ke baad par hamare safhe par mazeed hai.

Kya jaanne ke liye khoon ka test zaroori hai?

Agar aap 45 ya is se zyada ki hain to aam taur par 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. Kya koi test hai? batata hai ke kam umar auraton ko kab zaroorat par sakti hai.

Alamaat

Sab se aam alamaat kya hain?

Sab se zyada batayi jane wali alamaat hain: beqaida mahwari, hot flush, raat ke paseene, tooti neend, chirchirapan aur bechaini jaisi mood ki tabdeeliyan, dimaghi dhund, kam tawanai, andaam nihani ki khushki aur khwahish mein tabdeeli. North American Menopause Society (NAMS) ke mutabiq taqreeban 80 feesad auraton ko is tabdeeli ke dauran hot flush ya raat ke paseene aate hain.

Kya dimaghi dhund waqai perimenopause ki alamat hai?

Haan. Tawajjo mein mushkil, aadhe jumle mein lafz bhool jana aur yaaddasht ki chook achhi tarah darj hain. Study of Women's Health Across the Nation (SWAN) ne is tabdeeli ke dauran lafz yaad rakhne aur sochne ki raftaar mein asal kami naapi. Zyada tar auraton mein yeh menopause ke baad apni pehli satah par wapas aa jati hai. Dimaghi dhund, ya kuch check karwane ki baat? batata hai ke kab qareeb se dekhne ko kahein.

Meri neend itni kharab kyun hai?

Kai cheezein aik saath jama ho jati hain. Raat ke paseene aap ko jaga dete hain. Kam hota estrogen aur progesterone aap ke sone ka andaz badal dete hain. Fikr se neend aana mushkil ho jata hai. Aur darmiyani umar mein sleep apnoea, yani raat ko saans ruk ruk kar chalne, ka khatra barh jata hai. Tehqeeq ke andaze ke mutabiq perimenopause mein 40 se 60 feesad auraton ko neend ke aise masail hote hain jo tibbi lihaz se aham hain, isi liye apni neend ko baqi alamaat ke saath likhna itna kuch batata hai.

Kya perimenopause se bechaini aur mood ki tabdeeliyan ho sakti hain?

Haan. Hormone ka utaar charhao seedha dimagh ke un hisson par asar karta hai jo mood sambhalte hain, is liye chirchirapan, bechaini aur udaasi aam hain, aksar mahwari se pehle ke dinon mein sab se zyada. Jin auraton ko pehle mood ke masail rahe hon, woh ise zyada mehsoos kar sakti hain. Yeh tabdeeliyan jismani hain, "sirf aap ka weham" nahin. Jab bechaini baghair wajah ke aaye aur Woh ghussa jo apna nahin lagta mazeed batate hain.

Madad lena

Mulaqat se zyada se zyada faida kaise uthaoon?

Record saath le jayen. Chand hafton ke neend, mood, tawanai aur hot flush ke notes, pichhli chand mahwariyon ki tareekhon ke saath, doctor ko yaaddasht se kahin zyada dete hain. Roshara ka rozana haal taqreeban tees second leta hai, aur aap yeh record apne doctor ko email kar sakti hain ya PDF ki shakal mein download kar sakti hain.

Agar lage ke meri baat taal di gayi?

Aap akeli nahin, aur doosri raaye maangna jaiz hai. Andekhi, ansuni batata hai ke aisa kyun hota hai aur apni baat kaise sunwayen.

Agar aap ko yaqeen nahin ke aap is tabdeeli mein kahan hain, to Main kahan hoon? shuru karne ki achhi jagah hai.