Nepalese - Mental health and gender based violence 2020 | Page 137

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!= cf3ft

o ; v08df xfdL cf3ftnfO { kl / efifLt ul / r / d hLjg – 3ftL 36gfx ? k | ltsf ] zfl / l / s / dfgl ; s k | ltlqmofx ? sf ] j0f { g ug {] 5f } . To : tf cg ' ejx ? k | lt dflg ; x ? n ] ljleGg k | ltlqmofx ? lbG5g \ t / Jojxf / sf s ] lx 9f + rf ; dfg x ' g ] u5 { g \ . xfdLn ] oxf + vt / f , hf ] lvd / ckdfghgs lx +; fk | lt tTsfn jf bL3sflng ; do ; Dd x ' g ] ; fdfGo k | ltlqmofx ? af /] rrf { ug {] 5f } . efu # M l ; 4fGt hl6n tgfj / hLjgnfO { 3ft k ' of { pg ] 36gfx ? k | ltsf ] k | ltlqmof

dfgj hftLx ? n ] klxn ] b ] lv g } cf3ftk " 0f { 36gfx ? sf ] ; fdgf ub {} cfO {/ x ] sf 5g \ . xfd | f ] zfl / l / s k | ltlqmofx ? ; DejtM ; dosf ] ; fy cl8u / x ] sf ] 5 . vt / f k | ltsf ] xfd | f ] wf / 0ffn ] s ' g } 36gfaf6 xfdLdf kg {] zfl / l / s tyf dfgl ; s k | efjdf km / s kfg {] x ' bf s : tf ] 36gfn ] xfdLnfO { cf3ft k ' U5 eGg ] 7Dofpg sl7g x ' G5 . slx JolQmx ? df eofgs 36gfx ? sf ] klg s ' g } k | efj b ] lvb } g t / s ] lx JolQmx ? nfO { Tolx 36gfn ] ulx / f ] k | efj kfg {] u5 { / pgLx ? ynf kg {] u5 { g \ . JolQmx ? n ] ljleGg lsl ; dsf l : yltsf ] ; fdgf ug {] / 0flgltx ? k | of ] u ug {] u5 { g \ / pgLx ? sf ] tgfjnfO { ; xg ] Ifdtf ljleGg x ' g ] u5 { . o ; n ] pgLx ? n ] cfˆgf ] kl / l : yltnfO { s ;/ L JofVof ub { 5g \ / pgLx ? slQsf ] ;+ j ] bglzn 5g \ eg ]/ b ] vfp5 / pgLx ? sf ] j / k / sf ] ; d ' bfosf ] k | ltlqmof a '‰ g klg d2t ub { 5 .

tgfj l ; h { gf ug {] tTj

s ' g } Ps k | ltlqmof lg / Gt / pTkGg x ' gsf nflu tgfj l ; h { gfug {] s ' g } tTj x ' g ' k5 { . s ' g } cf3ft hGo 36gfaf6 aRg ] qmddf dfgl ; s ? kdf cf3ft k ' Ugsf nflu To ; JolQmn ] ljgfzsf / L jf hLjg tyf cfˆgf ] lgi7fnfO { hf ] lvddf kfg {] s ' g } 36gfsf ] ; fdgf u /] sf ] x ' g ' kb { 5 -ljZj : jf : Yo ;+ u7g åf / f kl / efifLt _ . s ] lx JolQmsf nflu To : tf 36gf k | ToIf b ] Vg ' g } sflkm x ' g ] u5 { . tgfj l ; hgf { ug {] tTjx ? e ' O { rfnf ], ;' gfdL , o '¢, a } sdf n ' 6 , cyjf lg / Gt / eO {/ xg ] 3 /] n ' lx +; f jf ul / jL , h ] klg x ' g ; S5 .
dflg ; x ? sf ] tgfj jf hf ] lvd k | ltsf ] k | ltlqmof ljleGg x ' g ] ePtfklg , anftsf /, oftgf jf o '¢;+ u ; DalGwt x ' g ] lx +; fn ] h ' g ;' s } ;+: s [ lt , pd ]/ tyf lnËsf JolQmx ? df p : t } 3fts k | efj kfg {] ub { 5 . To ;} n ] To : tf cg ' ej kZrft cf3ftsf ] nIf0f b ] vfkg {' ; fdfGo xf ] .

cf3ft k | ltsf ] k | ltlqmof ( Reactions to trauma )

tn , xfdLn ] cf3ft hGo 36gf kl5 x ' g ] ljleGg k | ltlqmofx ? pNn ] v u /] sf 5f } . xfdLn ] u /] sf ] ljj / 0f cGt {/ fli6 « o g } bflgs k | 0ffnL , d ' VotM DSM-IV-cd ] l / sL dgf ] lrlsT ; f P ; f ] l ; PPzg !(($_ / ljZj : jfYo ;+ u7gsf ] cGt {/ fli6 « o / f ] u juL { s / 0f ( ICD-10 ) sf ] cfwf / df / x ] sf ] 5 .
tLj | tgfj k | ltsf ] k | ltlqmof ( Acute stress reaction )
ljZj : jfYo ;+ u7gsf cg '; f /, æof ] Ps Ifl0fs ljsf / xf ] h ' g Ps JolQmdf cGo s ' g } dfgl ; s ljsf / ljgf c ; fwf / 0f zfl / l / s / dfgl ; s tgfj sf ] k | ltlqmof : j ? k ljsf ; x ' g ] u5 { / s ] lx 306f jf lbgdf x / fp5Æ
( ICD-10 ) .
; fdfGotof dflg ; x ? clgoldt tyf kl / jt { lgo Jojxf / x ? b ] vfpg ] u5 { g \ . 36gfsf ] t "? Gt kl5 pgLx ? cndNn kl // x ] sf x ' G5g \ / cfˆgf ] Wofg s ' g } s '/ f df s ] lGb | t ug { c ; xh dx ;' z ul // x ] sf x ' G5g \ . pgLx ? nfO { Tof ] 36gf sfNklgs ePsf ] dx ;' z x ' G5 / pgLx ? n ] s ] lx geP sf ] h : tf ] Jojxf / ug { u5 { g \ . olb pgLx ? sf ] efjgfTds pQ ] hgf zlQmzfnL eP eg ], pgLx ? cNdlnPsf ] cj : yfdf k ' Ug ; S5g \ .
To ; kl5 , s ] lx dflg ; x ? cfkm " nfO { To ; cj : yfaf6 aflx / lgsfN5g , cnlUuG5g \ jf cfkm " nfO { j ] js ' km t ' Nofp5g eg ] s ] lx dflg ; x ? cQflnP / Toxfaf6 efUg vf ] H5g \ . pgLx ? df 8 / / lrGtfsf nIf0f b ] lvG5 , pgLx ? sf ] d ' 6 ' sf ] 98 ' sg a9 ] sf ] x ' G5 , kl ; gf cfp5 , pN6L cfpg vf ] h ] sf ] h : tf ] x ' G5 , sfd 5 ' 6 \ 5 , Zjf ; km ] g { dl7g dx ;' z x ' G5 jf zl // sf ] ljleGg efudf b ' vfO { dx ;' z x ' G5 . k ] 6 tyf df + zk ]; Lx ? df b ' vfO { dx ;' z x ' g ' ; fdfGo xf ] . s ] lx dflg ; x ? n ] s ] ePsf ] lyof ] eg ]/ klg ; Demg ; Sb } gg \ .