Depression in Nepal

>Ldfgn] /S;L lkO/xbFf >LdtLnfO{ l8k|]{;g /f]u nfU5  

%) jlif{o sfG5L tfdfª\sf !) 5f]/f 5f]/L 5g\ pgsf] 9f8 b'Vg] /f]u ! dlxgf cl3 b]lv ;'? eof] . la:tf/} pgL cflQg],58\k¶L ug{,/ftL glgbfpg]  Ps 7fFpdf cl8g g:fSg] x'b} cfof]. plg cg]sf} pkrf/ s]Gb|df uO{ pkrf/ u/fO{g. pgsf] /ut,PS;/],l;=l6 :Sofg,OG8f]ifsf]kL,cN6|f;fp08 sf] hfFr ul/of] t/ /f]u kQf nfu]g.pgL gzf kfNof], gzf emdemd u–of],dnfO{

Sofg;/ eof] elg ?g yflng,clxn] Go"/f];fO{Sofl6s laefudf pkrf/ u/fO/x]sL 5g . pgsf] ;d:of /fd|f] ePsf] 5,pgn] k"g{lhjg kfPsL l5g. of] klg Ps l8k|];g /f]usf] nIf0f xf].

 laZj:j:Yo ;Fu7gn] l8k|];g lhjgsfndf k'?ifdf !%k|lt;t / dlxnfdf@% k|lt;t ;Dd x'g] atfosf] 5. l8k|];g /f]u nfu]sf] la/fdLnfO{ cfkm"nfOP cs}{ /f]unfu]sf] efg x'G5. k6s k6s pkrf/sf] lzsfot ug]{,w]/}  kl/If0f /ut,PS;/] cflb hfFr ug]{ t/ /f]u ge]l6g] of] /f]udf s]lx la/fdL lk8f ;xg g;sL cfTdxTof ug]{ u/]sf] klg kfO{Psf] 5. Ps} k6s w]/} c+usf] nIf0f b]lvg] /f]u l8k|];g xf]. s]xL la/fdL gzf kf]Nof],xft v'¶f emdemd u/\of],l;Nsf xfGg] eof],zl// tfTof] eGg] x'G5.

ljleGg sf/0fn] ubf{ l8k]|;g  /f]u nfUb5 M

·         j+zfg'ut ?kdf ;g]{ .

·         Neurotransmitter sf] u9a9L h:t} Dopamine, Serotorin and Norepirephrine.

·         Brain df s'g} lesion ePdf .

·         cfdf afa'af6 afNoj:yfdf 6f9f /xgfn] .

·         xdf]{gsf] u8a8L h:t} yfO/fO8{, Pl8«gn, u|f]y xdf]{gsf] u8a8L ePdf .

·         zf/Ll/s /f]u nfdf] ;do ;dodf nfU5 h:t} lrlgsf] /f]u, d[uf}nfsf] /f]u cflb .

·         Persoanality factor -lj/fdL x'g' cl3sf] JolQmTj_

·         tfTsflng 36gfqmd h:t} dflg; dg'{, gf]S;fgL x'g] s'g}klg 36gf 36\g' .

·         kfl/jfl/s c:j:Yo ;DaGw .

·         nfu" kbfy{ ;]jg ugf{n] .

·         ue{j:yfdf ;+qmd0f, dl:tissf] j[l4df /f]s cflb .

·         ;dfhaf6 6f9f /xgfn], a;fO ;gf{n] .

 l8k|]zg /f]usf lj/fdLx? s:tf s:tf ;d:of lnP/ cfp5g 

·       lj/fdLx? cfk'mnfO{ 6fpsf] b'Vg] /f]usf] nIf0f atfp+5g .

·       sltko lj/dLx? cfkúmnfO{ SofG;/ nfu]sf] z+sf u5{g .

·       sf]xL 3f+l6df s]lx c8\lsof] egL cflQG5g .

·       sf]xL of}g c+usf] ;d:of of}g qmddf sdL ePsf] atfp5g /

·       sf]xL lj/fdLx? jf/Daf/ k]6 kf]Ng], k]6df cK7\of/f] dx;'; ePsf] atfp+5g .

·       sf]xL rf¤xL d'6'sf] /f]u nfUof] eGb} d'6' /f]u ljz]if1sxf¤ k'Ub5g\ .

·       sf]xL 9f8 b'Vg], hf]lg{df b'Vg] ;d:ofsf] l;sfot u5{g .

·       sf]xL vfgf ckr, kfrg zlQmdf sd ePsf] lzsfot u5{g .

·       sf]xL sfDg] / aSg] u5{g / af]S;L nfu]sf] lj:jf; u5{g .

·       sf]xL crfgs j]xf]; ePsf] atfp+5g .

·       l8k|]zgsf lj/fdL PSn} zfGt 7f+pdf a:g ?rfp+5g . /]l8of], l6=le= x]g]{ rfv x'¤b}g .

·       al9 lrGtf ul//xg] / cfk\mgf] lhjg b]lvg} x/]; vfPsf x'G5g .

>Ldfgn] /S;L lkO/xbFf >LdtLnfO{ l8k|]{;g /f]u nfU5

       /S;L lkpg] dflg;df crfgs /S;L 5f8\bf xft sfDg] d'6' 9's9's x'g] cgf}7f j:t' b]vLgfn] cflQg] 8/fpg] u5{g\ . sf]xL ;k{ b]V5g\ ,sf]xL af3 b]V5g\ / cflQG5g\ . sltko lj/fdLx?n] sfgdf ufnL u/]sf] cfjfh cfpgfn] 3/k5f8L efU5g . /S;L lkpg] dfgL;x? of}g lqmofdf ?lr gePsf] lzsfot u5{g\ . slt rfxL >LdtL ;Fu z+sf u5{g\ . h'g 3/fo;L emu8fsf] ljp aG5g\ . ha dflg; ljxfg klg /S;L lng z'? u5{g of] s8f ;d:of dflgG5 . /S;L lnbf dfg;Ls cr]t x'gfn] 7'nf 7'nf clk|o 36gf klg 36\g ;S5 . /S;L lng] dflg;nfO{ sf]7fdf y'g]/ /fVg' x'b}g crfgs 3f]/ /f]u lglSnO{ dg{ ;S5g\ . 8fS6/sf] ;Nnfx lnP/dfq /S;L 5f]8fpg' kb{5 . Ps ltxfO /S;L lng] dflg;x? l8k|]g, cflQg]  /f]u lgGb|f gkg{] ;d:ofaf6 klg lkl8t x'G5g\ . /S;L 5f]8]kl5 o:tf] ;d:ofsf] klg pkrf/ u/]dfq k'0f{ ?kdf /S;L lng 5f8\5g . kl/jf/Ls snx eO{/xbFf k|fo /S;L lkpg] >LdtLdf l8k]|zg /f]u e]l6Psf] 5 .

l8k|];g /f]unfu]sf la/fdLx?n] kfng ug'{ kg]{ s'/fx?

·       Pp6} s'/fd ulx/f] ;f]rfO gug]{.

·       dgsf] s'/f c?nfO{ eGg] afgL ug]{ h;n] ubf{ dgdf cGt/bf]Gbsd x'G5. h:t}  s;}n] dg b'Vg]  s'/f eGof] t/ of] s'/f dgdf a:of] eg] To;n] hl6n ?k lnG5.

·       k'/fgf] s'/f h;n] cfkm'nfO{ 6]G;g,tgfa u5{ To;df  lbdfu gnUg]h] 5 To;df ;Gt'i6 x'g] t/ To;df d]x]gt ug{ g5f8\g].

·       dg bxf\] kfg]{ .

·       nfu' kbf{y jf /S;L ;]jg gug]{.

·       s'g}klg s'/f kfpbf dflQg] / gkfpFbf cflQg] afgL 5f8|g].

      6]lnlehg w]/} gx]{g],sljtf jf ;flxTodf al9 ulx/]/ ghfg].

g]kfndf dfgl;s :jf:Yodf c;/kfg{] s'/fx?

dflg;sf] b}lgs hLjgdf cfOkg{] 36gfqmd g} dfgl;s /f]usf sf/0f jG5g\ .

–      klt jf klTg ljb]zLg' M o;/L ljb]zLbf :jb]zdf j:g]df of] /f]u b]lvG5 .

–      ljb]zdf uO{ sfd ug{]nfO{ of] /f]u b]vLPsf] 5 .

–      k|]d lj5f]8 x'Fbf

–      hflu/jf6 lgsflnbf

–      k9fOdf km]n x'Fbf

–      3/fo;L emu8f e}/xbFf, kl/jf/sf ;b:ox?sf] d[t x'Fbf

–      ;fgf] 5bFf cfdfafa' af6 6f9f /xFbf

–      /fhlglt lk8Lt jf 4Gbsf] c;/n]

–      nfu'kbfy{ ;]jg ug{fn]

–      ;dfh a9\b} hfbFf a9\bf] rfxfgf

       dfyL b]lvPsf d'Vo sf/0fx? ePklg j+zf0f'ut u'0f tyf dflg;sf] JolQmTjsf] klg dfgl;s :jf:Yodf 7'nf] e'ldsf /xG5 . Pp6} 36gfqmdn] s;}df dfgl;s /f]u Nofp5 t s;}df Nofpb}g . sltko dflg;x? wfld emfqmL sxfF pkrf/ ug{ ;S5g\ h;n] ubf{ lj/fdL c:ktfn cfpFbf hl6n cj:yfdf k'lu;s]sf x'G5 / lgsf] kfg{ sl7g x'G5 .

 l8k|];g /f]usf] pkrf/ ubf{ hfGg} kg]{ dgf]a}1flgs kIf

·       w]/} h;f] /f]u ljleGg vfnsf] Stress -6]G;g_ n] ubf{ x"g] ePsf]n] 3/kl/jf/df o:tf] jftfj/0fsf] cGTo ug"{k5{ .

·       h] 5 To;df ;Gt"i7 aGg ;Sg"k5{ / ldlxgt ug{ 5f8g" x"b}g .

·       dgsf] s"/f c?nfO{ eGg] (Expression) ug]{ ug"{k5{ .

·       Relaxation Exercise, of]uf, d]l86];g ubf{ kmfObf x"G5 .

·       Pp6} s"/fdf ulx/f] ;f]rfO{ gug]{ .

·       b}lgs sfddf w]/} Jo:t x"g" x"b}g ;fy} s"g} sfd g} gul/ j:bf klg /fd|f] x"b}g .

·       7'nf 7'nf nfO{ dfu x]g]{ xf]Og cfkm' eGbf ;fgf cf]xf]bfsf dflg;nfO{ klg x]g]{ afgL ug"{
k5{ .

·       x/]s sfddf ;"vL / ;Gt"i7 aGg l;Sg" k5{ .

l8k|];gsf la/fdLx?sf] pkrf/

·       ;DjlGwt ljz]if1 sxfF ;Dk{s ug]{.

·       cf}ifwL,sfpGl;ln{ª\,;fOs|f]y]/fkL tyf of]uf af6 /f]u lgsf] kfl/G5.

·       s]lx la/fdL O=l;=l6- ljB'lto pkrf/_ sf]cfjZostf k5{.

sfpG;LlnË tyf ;fOsf]y]/fkL

       sltko l8k|];g /f]usf lj/fdL /f]ujf/] ga'em\bf kL8fbfoL lhjg latfO/x]sf x'G5g\ . lj/fdLnfO dg b/f] kfg]{ tgfj ;xg ;Sg] Ifdtf a9fpg] o;sf] p2]Zo xf] . dflg;sf] lhjgdf ;'v bMv b'j} cfO k5{g\ ;'v x'Fbf dflQg] / b'Mv kbf{ cflQg] afgLn] dgf]a}1flgs ;d:of Nofp5 . dgdf k/]sf] kL8f csf{nfO{ elg lbFbf rf]6 sd x'G5 / dg xNsf x'G5 . clg dflg; 7'nf 7'nf ;d:of klg dgdf /flv /fVg] afgL x'G5 o;n] cfkm}nfO{ v/fa u5{ . s'g} sfddf c;kmn x'bf ;+w} Tolx s'/f dgdf lnbf ef]lnsf] k|ult /f]lsG5, dfgl;s /f]uL algG5 . To;}n] h'g s'/f eO;Sof] kl5 kmsf{pg ;lsb}g To;nfO{ ;Dem]/ ;do ajf{b gug{ cj s] ug{] eGg] s'/fsf] af6f] ;dflt cl3 j9\g' kb{5 . sltko dflg; tgfj 36fpg /S;L ;]jg ub{5g\ h;n] ubf{ pm cfkm} sdhf]/ jG5g\ / /f]un] u|;Lt x'G5 . dflg; hlxn] klg cfzfjflb g} x'g'kb{5 . lg/fzfjfbL x'g'x'b}g . dg sdhf]/ kfg'{ x'b}g . d}n] eg]sf] g} x'g'k5{ eGg] ;f]rfO{ xf]Og nrlsnf] x'g ;Sg' kb{5 . csf{n] eg]sf] ts{sf] klg Wofg lbP/ ;'Gg' kb{5 . d}n] ulNt ulb{g t/ dnfO{ csf{n] b'Mv lbG5g\ elg dg v'Drfpg' eGbf ePsf] e}xfNof] / cj s;/L cuf8L a9\g] eGg] lt/ nfUg' kb{5 . x/]s sfddf of]hgf agfpg' kb{5 . of] kl5 of] ug{] eGg] ;kmn eP s;/L cl3 a9\g], c;kmn eP s] ug{] cflb . b}gLs zfl/l/s Jofod, ;Gt'lnt ef]hg / ;dfhdf :j:y k|lt:kwf{ x'g' clg cfjZos 5 . dflg; clt g}ltjfg klg x'g' x'b}g b}lgs ?kdf dflg; To;} j:bf /fd|f] x'b}g . To;}n] cf}ifwL k|of]u u/]sf] lj/fdL klg cfˆgf] sfd ug'{ /fd|f] x'G5 . sfd g} gu/L a:bf dgdf ;f]rfO a9\b5 . To:t} sfd cToflws ubf{ klg dl:t:sdf c;/ kg{ ;S5 . vfg] / ;'Tg] ;do Pp6} x\'g' kg{] x'G5 .

       l8k]|zgsf lj/fdL d]/f] ;a}s'/f lju|of] d c;kmn ePF d}n] 7'nf] ulNt u/] h:tf vfnsf ;f]rfO cfp5g\ h'g jf:tljstf eGbf 6f9f /xG5g\ . l8k|];gsf lj/fdL d}n] s]xL ug{ ;lSbg eG5g t/ jf:tljstf Tof] eGbf km/s x'G5 . 7'nf dflg;nfO{ dfq cfkm';Fu t'ngf u5{g h;n] ubf{ cfkm' cToGt b'MvL 7fG5g\ h'g jf:tljstf eGbf 6f9f x'G5 . lj/fdLsf] lk8f c?n] ;'lglbFbf xNsf dx;'; x'G5 . pkrf/ ubf{ lj/fdLnfO{ jf:tljstfsf] hfgsf/L lbO{G5 / gsf/fTds ;f]rfO ;fFrf] xf]Og elg k|df0f b]vfO{G5 . / eljZodf cfzfjfbL x'g k|f]T;fxfg ul/G5 . Pp6f g/fd|f] 36gfnfO{ cfwf/ dfg]/ ;a} s'/f g/fd|f] x'G5 eGg] wf/0ffdf kl/jt{g NofOG5 .

8f l; kL ;]8fO{

gzf tyf  dgf]/f]u laz]if1