“Comparative
study of Menopausal syndrome, a lifestyle disorder in rural and urban woman”
Introduction-
पद्मं सङ्कोचमायाती दिनेअतीते यथा तथा |
ऋतावातिते योनिः सा शुक्रं नातः प्रतीच्छति || अ.सं.शा.1/42
This verse explains the status of uterus after
Artavakal. But the phenomenon of nature
to shrink and become inactive after use is denoted by it .Similarly at the age of 45 to 50 the uterus
becomes inactive and contracts just like the lotus withers on the next day. Though
this phenomenon is natural and has been seen from decades to decades , nowadays
has turned up into syndrome making a woman’s life miserable.
It was
hypothesized whether the syndrome is an outcome of todays complicated urban
lifestyle and is absent in rural areas where there is pollution free
environment and natural life. Hence it was decided to study its pathophysiology
as why the natural physiology has turned up in a syndrome
Aim-
To study the causative factors of menopausal syndrome as lifestyle disorder
with help of survey study in urban and rural women.
Objective-
1.
To find out the role of dosha, dhatu, mala in menopausal syndrome.
2.
To find out the role of current ahara, vihar and psychological factors in
manifestation of menopausal syndrome with help of literary and survey study.
3. To compare the severity of
menopausal syndrome in rural and urban women.
Methodology-
75 cases have
been studied in context with Ahar Vihar , Rasa , Rakta dushti ,Raja, Artav and Garbhashaya dushti
from rural area
75 cases have been studied in context with Ahar Vihar
Raja, Artav ,Sonita ,Rasa dhatu dushti,
and Garbhashaya dushti from urban area
Comparitive study has been done regarding the severity
and symptoms amongst them
The role of lifestyle has
been verified in both groups.
Menaupausal syMPTOMS-
•
Urogenital atrophy
•
Osteoporosis and fracture
•
Weight gain
•
Urinary incontinence
•
Psychological changes
•
Sexual dysfunction
•
Skin and hair changes
•
Dementia
•
Irritability
•
Insomnia
Prakrut Rajonivrutti-
Thus if woman undergoes
ideal lifestyle like following of rutucharya,taking prakrut ahara and vihar
results in prakruta dosha nirmitti,anulomit vayu which leads to prakrut rasa
nirmitti. This leads to prakrut aartav. Thus in jeerna avastha as the need and function
of female reproductory organ is no more required,vayu caesses the aartav and
contracts garbhashaya gradually without any symptoms.
Samata-
Ajeerna, adhyashan and
Guru Ahar are major factors to create Saamta.
Agnimandya ,Hrullas, Udgar Alasya are majorly seen in these patients.
Due to Saam vata ,katishoola,
prushtashoola and edema is created. Similarly due to Saama pitta trushna and amlodgar
are majorly observed.
Rural- Dhatukshayajanya Samprapti-
In rural women, Anashan and vidahi
ahar like Vadapav and Mirchi thecha is
commonly seen. Many females are farmers, hence do a lot of physical work. Walk
a long distance from their home to the fields.Lack of snigdha Ahar like Milk
and Ghee leads to Rasa and raktakshaya and all dhatukshaya upto ojakshaya. Thus
the prakupit vayu due to its own reason like ruksha ahar leads to painful
excretion of raja associated with palpitation and insomnia.
Margavarodhajanya- Samprapti- Urban
On the contrary the Urban woman eat
junk and fatty food and do Adhyashan
frequently.These have mostly sedentary life style. The 2 wheeler driving
makesApan Vayu Dushit. Thus the vayu gets prakupit due to medaj Avarodh. These
females have weight gain and swelling over feet along with menopause .
Ashay Apakarsha gati-
Ashay Apakarsha Gati of vayu
displaces normal pitta at another place .But in this condition similar to Ashay
Apakarsha gati Vata and pitta both are aggrevated . Agrevated Vata displaces
vriddha pitta all over body resulting in symptoms like hot flush and profuse
bleeding per vagina.
Manovikar-
As ashtang sangraha has
quoted in arsha vikar as due to pratilomit vayu patient may suffer from
manovikar,gulma,udar etc. when vata attains its normal gati these manovikar
gets cured easily.
Discussion-
The survey study has
wiped off the hypothesis made earlier. The percentage of women as a victim of
menopausal syndrome in urban and rural area is almost same.
The females always put
first the family members as priority is a normal and natural tendency. Hence
they don’t pay attention towards their own hygiene regarding diet and daily
regimen no matter she is rural or urban women.
The reasons of
hetusevan due to ignorance of self health is common in urban and rural mindset.
The continuous vegadharan as stated,abortion,miscarriage sutika aparicharya is
common between urban and rural women.
The percent of
shastrabhigat like section,d&c and MTP is also similar in both groups
leading to vataprakop and travartya garbhashaya dushti.
The mental stress is
same in female mind in both groups. Only remarkable difference is in urban
–santarpanjanya pathology and sedentary lifestyle causing kapha vruddhi,
avarodha leading to Vataprakopa. And in rural lifestyle anashan,aparimit ahar
vigorous field work leads to weight loss,dhatukshaya,and finally vata vruddhi.
The
dhatukshaya-rasakshaya specifically and various gynaec reasons alonwith stress
has made them victims of menopausal syndrome.
