Thursday, March 21, 2019

Alcohol as a growing addiction in Nepal

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xfn} Lancetdf k|sflzt Ps k|ltj]bg cg';f/ dlb/fkg ug'{ s'g} cy{df klg kmfObfsf/L gePsf] bfjL ul/Psf] 5 . of] tYof+s j]nfotsf] ODk]/Lon sn]h / cd]l/sfsf] Institute for Health Matrices and Evaluationn] ljZj el/sf !(% b]zx?df u/]sf] Global Burden of Disease Study 2016 n] b]vfPsf] xf] . o; cWoogdf ;g\ !(() b]lv @))^ ;Ddsf dlb/fkfgsf] k|of]u / o;sf c;/x?af/] tYof+s ljin]if0f ul/Psf] lyof] . o; cWoogn] o; cl3;Dd :yflkt lglZrt dfqf (moderation)df dbkfg ubf{ c;/ gx'g]eGg] dfGotfnfO{ tf]8]s]f klg 5 .

ljutdf g]kfnsf sltko ;d'bfox?df ;fF:s[lts ?kdf ljleGg rf8kj{, k"hfcfhf / cltly ;Tsf/df dlb/fsf] k|of]u x'g] ub{Yof] . xfn cfP/ x/]s hflt, wd{ / ;d'bfosf dflg;x?df o;sf] pkof]u a9]sf] cg'dfg 5 . k/Dk/fut ?kdf g]jf/x?n] P]nf, lxdfnL hftLx?df 5\ofª, /fO{ lnDa' -ls/fFt_ x?n] tf]ªafsf] ?kdf dbkfgsf] k|of]u ug]{ u/]sf lyP . t/ cfhsfn cfw'lgs af]6n aGb ljo/, lx\j:sL jf a|f08Lsf ?kdf o;sf] pkof]u cToflws ?kdf x'g] u/]sf] cj:yf 5 . ljleGg cGt/fl6|o :t/ / a|f08sf /S;L (wine_ / ljo/, dfkmf{ a|f08L, v's'/L /d tyf Old Durbarlx\j:sL / Ruslan Vodka ;Dd g]kfnd} pTkflbt dlb/fx? x'g\ . g]kfnsf ;fgf 7"nf zx/df o:tf cfw'lgs dlb/fsf sDkgLx?sf] lj1fkg oqtq b]lvG5 . w]/}h;f] ;fj{hlgs sfo{s|dsf ;f}hGo klg ltg} sDkgLx?n] u/]sf] b]lvG5 . s]lx aif{ clw g} ef]8\sfsf] ahf/ ;f]r] eGbf cToflws ?kdf a9]sf] / Ps} dlxgfdf () xhf/ afs; ef]8\sf las]sf] lxdfno l8:6Ln/L lnld6]8sf dflns ljho zfxsf] bfjL /x]sf] lyof] . 
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lrlsT;f lj1fgsf cg';f/ dlb/f ;]jgn] dfgj zl//df gsf/fTds c;/ t kf5{ g} . vf;u/L snf]hf]sf] /f]u, Uofli6|6fOl6;\, b"3{6gf / rf]6k6ssf] ;Defjgf x'G5 . To;dfly klg o;sf] dgf];fdflhs c;/x? w]/} 5g\ . h:t} ck/fw, lx+zf, kl/jf/ ljrng, a]/f]huf/L / cfly{s sl7gfO, cf3ft / b"3{6gf, ckf+utf / lz3| d[To"j/0f cfbL . lsgls o;n] ;jf/L ;fwfg k|of]u ubf{ al9 cfTdljZjf;L agfpg], b[li6df sld Nofpg] / k|lts[of l9nf ug]{ agfpF5 . o;n] AolQmdf pbfl;gtf, lr8lr8fx6, clgGb|f, l8k|];g, d'8 kl/jt{g -v/fj_ x'g] tyf sdhf]/ dgl:ytL x'g] ub{5 . sltko cj:yfdf dgf];fdflhs ?kdf lg/f;f / c;fdflhs Aojxf/ ug]{x? dlb/fkfgsf lzsf/ x'G5g\ .
s'g} AolQm dlb/fkfgsf] b'Ao{;gL s;/L x'G5 < of] a+zf0f'ut ?kdf klg x'g ;Sb5 . of] ;d:of b'Ao{;gLsf] ;Gtfgdf ;g{ ;Sg] t/ of] dWod :t/sf] /x]sf] kfO{Psf] 5 . of] dlxnf tyf k'?if b'a}df b]lvG5 . cfhsfn, tgfj d"Qm x'g] gfddf, b]vfl;vL / /dfOnf]sf nflu dlb/fsf] cToflws ;]jg ug]{ klg rng 5 . 
cToflws dlb/f ;]jgn] dflg;x?df :gfo' ;DaGwL ;d:of x'g ;S5 . d'5f{ kg]{, bf]wf/] dg x'g], dl:tis cf3ft / :d/0fzlQm IfL0f (amnesia and confabulation)x'g klg ;S5 . h;sf] c;/ lj;{g]], ge{; / l8k|]:8 x'g], / lx+;fTds x'g] cfbL klg x'g ;S5 .
o;sf] ;fy} cToflws dlb/f ;]jgaf6 b"Ao{;gLsf] 3fF6L / d'vsf] SofG;/, sn]hf] / Kof+ls|ofhsf] /f]u, cN;/ / gzf ;DaGwL ;d:ofx? x'g ;S5g\ . v'6\6f emd\emdfpg] / 9Ng] tyf gjhft jRrf sd tf}n (low birth weight) sf] hGdg] / ljleGg ckf+utf jf sdhf]/L x'g ;S5 . ue{jtL dlxnfn] cToflws dlb/fkfg ubf{ #% k|ltzt jRrfx?df ckf+utf jf s'g} k|sf/sf] vf]6 (defect) b]lvPsf] 5 . 5ftLsf] ;+s|d0f (infection), /Qm cNktf, d'6' ;DaGwL /f]u tyf /ut hDg] ;Dd klg x'g ;S5 . To;}u/L le6fdLgsf] sld eO{ s'kf]lift x'g], Uofli6|;fOl6;\, jfGtf / emf8f kvfnf ;d]t nfUg ;S5 .
o;/L dlb/fkfgsf] s'ntdf kmF;]sf AolQmx?df dgf];fdflhs / kl/jfl/s ;d:ofx? x'g] ub{5 . pgLx?df a]/]huf/ eO{ cfly{s cefj x'g', b'3{6\gfsf] lzsf/ x'g'sf ;fy} sfg"gL emd]nfdf kg]{ ;Defjgf /xG5 . cGttM Pp6f b"Ao{;gL ;+w} lk8f, pbfl;gtf, sl7g hLjg, tgfj / si6sf] b":rs|df kb{5 . 


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o:tf] b"Ao{;gaf6 aRg cfd gful/s cfk}m+ ;r]t / lhdd]jf/ x'g' kb{5 . To;}n] dlb/fkg ub{} gug'{ ;a} eGbf a'l4dfgL x'G5 . dbkfg u/]/ ;jf/L ;fwg jf d]l;g cf}hf/ rnfpFbf t emg vt/f x'G5 . To:t} ue{jtL jf :tgkfg u/fpg] dlxnfx?n] klg dlb/fkfg gu/]s} a]z x'G5 . sltko cf};wL vfPsf] a]nfdf klg dbkfg gug'{ /fd\f] x'G5 . 
g]kfndf dlb/fkfg / o;sf] ljljw kIfx? h:t} zfl/l/s / dfgl;s ;d:of, b"3{6\gf, ckf+utf, ;L3| d[To'j/0f, kf/kfr's] / kl/jf/ ljv08g cfbLsf] af/]df yk vf]hjLg / cWoog cg';fGwfg ug{ h?/L 5 . ;/sf/n] k|:tfljt / sfof{Gjog u/]sf] dlb/f lgoGq0f / cGo ;fj{hlgs ;]jf h:t} dfbs kbfy{ ;]jg -dfk;]_ / dlb/f vl/b / lgoGq0f ;DaGwL gLlt tyf sfo{s|dx? klg s8fOsf ;fy nfu" ug{' u/fpg' kg]{ b]lvG5 .

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