c«”Q`
†g‡bvcR ev iRwbe…wË bvixi Rxe‡b NU‡e| wKš‘ cÖvK…wZK GB cwieZ©b kix‡i Ggb wKQy DcmM© ˆZwi Ki‡Z cv‡i, hv bvixi Rxeb‡K KóKi K‡i †Zv‡j| A_P wKQy wPwKrmv Av‡Q, hvi gva¨‡g Av‡Mi g‡ZvB Rxeb hvcb Ki‡Z cv‡ib bvixiv| wj‡L‡Qb e½eÜy †kL gywRe †gwWK¨vj wek¦we`¨vj‡qi ¯¿x I cÖm~wZ‡ivM wefv‡Mi mn‡hvMx Aa¨vcK Wv. †iRvDj Kwig KvRj
wbw`©ó eq‡m cÖvK…wZK wbq‡g GKRb †g‡qi FZyPµ ev gvwmK ïi“ nq| G mgq‡K eqtmwÜKvj ejv nq| Ab¨w`‡K GKwU wbw`©ó eq‡m wM‡q Avevi IB bvixi gvwmK eÜ nq| hv iRwbe…wË ev †g‡bvcR| mvaviYZ 45 †_‡K 50 eQi eq‡m GKRb bvixi †g‡bvcR N‡U _v‡K| Z‡e Kv‡iv †¶‡Î Av‡iv Av‡M †g‡bvcR n‡Z cv‡i|
Kx Kvi‡Y †g‡bvcR N‡U?
cÖwZ gvwm‡K wW¤^vkq †_‡K GKwU wW¤^vYy cwic~Y© nq| G mgq Bm‡UÖv‡Rb I cÖ‡R‡÷ib (hv bvix ni‡gvb bv‡g cwiwPZ) ni‡gvb ˆZwi nq| wKš‘ hLb wW¤^vkq †_‡K Avi wW¤^vYy ˆZwi bv nq, ZLb IBme bvix ni‡gv‡bi wbtmiY K‡g hvq| †h Kvi‡Y Rivqy †_‡K Avi wbqwgZ FZymÖve nq bv| hLb cy‡iv GK eQi Gfv‡e FZymÖve eÜ _v‡K, ZLb a‡i †bIqv hvq †h IB bvixi †g‡bvcR n‡q‡Q|
Avi Kx Kvi‡Y †g‡bvcR n‡Z cv‡i?
* Acv‡ik‡bi gva¨‡g Rivqy AcmviY Kiv n‡j|
* K¨vÝvi wPwKrmvi Rb¨ Zj‡c‡U †iwW‡qkb ev †K‡gv‡_ivwc †`Iqv n‡j|
* †Kv‡bv †Kv‡bv cwiev‡i BwZnv‡m Kg eq‡m †g‡bvc‡Ri NUbv cvIqv hvq, G cwiev‡ii †g‡q m`m¨‡`iI Aí eq‡m †g‡bvcR nq|
j¶Y
†g‡bvcR bvix Rxe‡bi GKwU ¯^vfvweK Aa¨vq| †Kv‡bv †Kv‡bv bvixi †¶‡Î †Zgb †Kv‡bv j¶Y cwijw¶Z nq bv| Z‡e †ewkifvM bvixi †¶‡Î j¶Y _v‡K| †hgb-
* nU d¬vm ev Mig SjKvwb : GB j¶YwU bvixiv me‡P‡q †ewk Abyfe K‡i _v‡Kb| K‡qK wgwbU ¯’vqx n‡Z cv‡i Abyf~wZ| nU K¬v‡mi mgq gyLgÐj, Nvo, Mjv jvjvf n‡q †N‡g †h‡Z cv‡i| †KD †KD `ye©j n‡q co‡Z cv‡ib| Kv‡iv Kv‡iv ü`¯ú›`b `ªæZ n‡Z cv‡i, gvbwmK D‡ËRbv evo‡Z cv‡i| w`‡b ev iv‡Z GB nU d¬vm K‡qKevi Abyf~Z n‡Z cv‡i|
* AZ¨waK †N‡g hvIqv : GwU mvaviYZ iv‡Z Nygv‡bvi mgq N‡U| AZ¨waK Nv‡gi Kvi‡Y Ny‡gi e¨vNvZ NU‡Z cv‡i|
* Ab¨vb¨ j¶Y : gv_ve¨_v, K¬vš— Abyfe Kiv, `ªæZ D‡ËwRZ n‡q hvIqv, ˆ`wnK †gjv‡gkvq AvMÖn K‡g hvIqv, ni‡gv‡bi ZviZ‡g¨i Kvi‡Y †hvbxc‡_i ¯^vfvweK wcw”QjZv K‡g R¡vjv‡cvov Abyfe Kiv, ¯—b wkw_j n‡q hvIqv, gv_vi Pyj `ªæZ Siv BZ¨vw`|
†g‡bvc‡Ri `xN©‡gqvw` RwUjZv
* ü`‡iv‡Mi SyuwK : †g‡bvc‡Ri Av‡M GKRb cyi“‡li Zyjbvq GKRb bvixi ü`‡iv‡Mi SyuwK A‡bK Kg _vK‡jI †g‡bvc‡Ri c‡i bvixi ü`‡iv‡Mi SyuwK `ªæZ ev‡o| ni‡gv‡bi ZviZ‡g¨i Kvi‡Y i‡³ †Kv‡j‡÷i‡ji gvÎv †e‡o hvq| G‡Z D”P i³Pvc I ü`‡iv‡M Avµvš— nIqvi SyuwK †`Lv †`q|
* nvo ¶q ev Aw÷Ic‡ivwmm : †g‡bvc‡Ri c‡i gwnjv‡`i nvo ¶‡q †h‡Z _v‡K| nv‡oi NbZ¡ †jvc †c‡q nvo `ye©j n‡q c‡o| d‡j IB eq‡m †Kvgi, †gi“`Ð Ges KewRi nvo Aí AvNv‡Z †f‡O †h‡Z cv‡i|
* cÖmÖv‡ei mgm¨v : †g‡bvc‡Ri c‡i A‡bK gwnjv Nb Nb cÖmÖv‡e Bb‡dKk‡b fyM‡Z cv‡ib| A‡bK †¶‡Î evievi cÖmÖve nIqv, cÖmÖve a‡i ivL‡Z bv cviv, nuvwP-Kvwki mgq cÖmÖve S‡i hvIqv BZ¨vw` bvbv iKg mgm¨v †`Lv w`‡Z cv‡i|
†g‡bvc‡Ri c‡i wPwKrmv
†g‡bvc‡Ri c‡i Kó`vqK j¶Y I `xN©‡gqvw` RwUjZv cÖwZ‡iva K‡i ¯^v”Q›`¨ Rxebhvc‡bi Rb¨ wKQy wPwKrmvi cÖ‡qvRb Av‡Q| †hgb :
* ni‡gvb cÖ‡qvM : wW¤^vkq †_‡K ni‡gv‡bi wbtmiY K‡g hvIqvq †g‡bvc‡Ri mgm¨v¸‡jv ˆZwi nq| ZvB IB mgm¨v I RwUjZv †_‡K gy³ _vKvi Rb¨ wPwKrmKiv IBme gwnjv‡K ni‡gvb cÖ‡qvM K‡i _v‡Kb, hv‡K GBPAviwU (HORMONE REPLACEMENT THERAPY, HRT) ejv nq| mvaviY Bm‡UÖv‡Rb ev Bm‡UÖv‡Rb ni‡gv‡bi g‡Zv ivmvqwbK c`v_© †`Iqv nq| Gme ni‡gvb U¨ve‡jU, Pvgovq jvMv‡bvi gjg, wRn&evi wb‡P †bIqvi †¯úÖ BZ¨vw` AvKv‡i cvIqv hvq|
ni‡gvb MÖn‡Yi DcKvwiZv
ni‡gvb MÖn‡Yi Kvi‡Y GKRb bvix A‡bKUv †g‡bvc‡Ri Av‡Mi g‡Zv kvixwiK I gvbwmK ¯^v”Q›`¨‡eva Ki‡Z cv‡ib|
* nUd¬vm ev Mig SjKvwbi g‡Zv Abyf~wZ K‡g hvq| gvbwmK `ye©jZv K‡g, ¯^vfvweKfv‡e Nygv‡Z cv‡ib, cÖmÖv‡ei mgm¨v K‡g, †hvbxc‡_i ¯^vfvweK wcw”QjZv eRvq _v‡K, †hŠb AvMÖn ¯^vfvweK _vK‡Z mvnvh¨ K‡i|
* ni‡gvb MÖn‡Yi Kvi‡Y †g‡bvc‡Ri c‡i gwnjv‡`i `xN©‡gqvw` ¯^v¯’¨SyuwK †hgb D”P i³Pvc, ü`‡ivM, nvo ¶q n‡q hvIqv BZ¨vw`i m¤¢vebv K‡g| Z‡e †g‡bvc‡Ri cieZ©x cuvP eQi ni‡gvb wPwKrmv fv‡jv dj †`q| Avi eqm 60 eQi cvi n‡j †Zgb †Kv‡bv Kv‡R Av‡m bv|
ni‡gv‡bi SyuwK
cÖ‡Z¨K Ily‡ai wKQy bv wKQy ¶wZKi w`K _v‡K| ZvB ni‡gvb MÖn‡YiI wKQy ¯^v¯’¨SyuwK Av‡Q| `xN©w`b A_©vr GKUvbv cuvP eQ‡ii †ewk ni‡gvb MÖnY Ki‡j ¯—b K¨vÝvi, Rivqy K¨vÝv‡ii SyuwK mvgvb¨ ev‡o-hviv ni‡gvb MÖnY Ki‡Qb bv Zv‡`i Zyjbvq| Avi hv‡`i AwaK IRb, mš—vb nq bvB, a~gcvb ev A¨vj‡Kvnj cvb K‡ib Zv‡`i †¶‡Î IB ¯^v¯’¨SyuwK Av‡iv †ewk|
ni‡gvb MÖn‡Yi mZK©Zv
GKgvÎ wPwKrm‡Ki civgk©µ‡gB ni‡gvb MÖnY Kiv DwPZ| ïay ZvB bq, wbqwgZ wPwKrm‡Ki ZË¡veav‡b †_‡K cÖ‡qvRbxq cix¶v-wbix¶vi gva¨‡g †R‡b wb‡Z n‡e ni‡gvb MÖn‡Yi d‡j kix‡i †Kv‡bv weiƒc cÖwZwµqv †`Lv w`‡”Q wK bv|
cÖK…wZi wbq‡g GKRb wK‡kvix wbw`©ó eq‡m cwic~Y© bvix‡Z cwiYZ n‡q mš—vb avi‡Yi ¶gZv AR©b K‡i| †Zgwb we‡kl eq‡m †g‡bvc‡Ri gva¨‡g mš—vb aviY ¶gZvi BwZ N‡U| wPKrmvweÁv‡bi †mev I wbqgZvwš¿K Rxeb hvc‡bi gva¨‡g †g‡bvc‡Ri ciI Zviv ¯^v”Q›`¨gq I my¯’ Rxebhvcb Ki‡Z cv‡ib|
