Yu tink se di we aw yu de it dɔn krɔs di layn? Lɛ wi no bɔt Anorexia Nervosa!

Yu dɔn ɛva si pɔsin we de tink bɔt it pasmak, we de tray fɔ lɛf fɔ it bɔku bɔku it dɛn? Sɔntɛm na yu. Na nɔmal tin fɔ wɔri bɔt aw yu bɔdi shep ɛn aw yu wet. Bɔt if dis wɔri ɛn kɔntrol pan wetin yu de it pas aw yu kin it, i kin mek yu gɛt wan sik we de mek yu gɛt maynd ɛn wɛlbɔdi prɔblɛm we dɛn kɔl Anorexia Nervosa . Tide, wi go tɔk bɔt wetin na anorexia nervosa, aw i kin afɛkt wi, ɛn aw fɔ gɛt ɛp.

Wetin na Anorexia Nervosa? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, Anorexia Nervosa na wan mental sik we gɛt fɔ du wit it. Pɔsin we gɛt dis sik kin rili stɔp di kalori we i de it. Dat min se dɛn kin it smɔl, sɔntɛnde dɛn kin ivin it we dɛn nɔ it. Di men gol fɔ dɛn pipul ya na fɔ mek dɛn bɔdi wet smɔl as dɛn ebul. Dis kin mek dɛn sɔfa bikɔs dɛn nɔ de it bɛtɛ tin fɔ it . Pan ɔl we nɔto ɔltɛm, bɔku tɛm dɛn BMI (Body Mass Index) , we na valyu we de sho se dɛn wet fɔ ayt, kin rili smɔl.

We yu de tɔk bɔt mɛrɛsin, di wɔd "anorexia" min fɔ lɛ yu nɔ want fɔ it ɔ yu nɔ lɛk fɔ it. Bɔt we yu ad di wɔd "nervosa" pan am, i kin bi mental kɔndishɔn. Dat min se i gɛt fɔ du wit yu nervɔs sistɛm - yu bren, yu nerv dɛm, yu tink. Na bikɔs yu nɔ de tink ɛn fil bad bɔt it, yu bɔdi wet, ɛn yu bɔdi we yu de si.

Na nɔmal tin fɔ tink bɔt dɛn tin ya ɛn tray fɔ kɔntrol dɛn. Bɔt fɔ pɔrsin wae gɛt anorexia nervosa, nɔr kin ebul fɔ rɔnawe pan dɛn tin ya. Dɛn kin kɔntrol dɛn ɛn drɛb dɛn fɔ biev bad bad wan. Dis kin rili afɛkt ɔl tu di maynd ɛn bɔdi wɛlbɔdi. If dɛn nɔ no am ɛn trit am fayn, i kin ivin mek pɔsin in layf de pan denja.

Wetin na di men kayn anorexia Nervosa?

Dɛn kin sheb di anorexia nervosa to tu men kayn, i kin dipen pan aw dɛn kin trit am arawnd it:

• Restrictive Anorexia: Dis kayn tin kin min fɔ rili stɔp di kalori we yu de it, we min se yu fɔ it smɔl.
• Binge-purge anorexia: Dis min se yu fɔ stɔp di kalori, bɔt di sem tɛm, i tan lɛk bulimia nervosa , fɔ it bɔku it wan tɛm (binge it) ɛn afta dat yu fɔ pul am. Dis purging kin bi bay we yu de vɔmit, yuz laxative, ɔ ɛksesaiz pasmak.

Wan ɔda spɛshal kayn we na atypical anorexia . Insay dis, di pɔsin gɛt di sayn dɛm fɔ anorexia, bɔt i nɔ (yet) ɔndaweit. Dis kin mek dis sik at fɔ no smɔl.

Wetin na di sayn dɛm fɔ Anorexia Nervosa? Aw yu no am?

Di sayn dɛm fɔ anorexia nervosa kin bi pan yu bɔdi, bihayvya, ɔr yu maynd. Sɔm pan dɛn tin ya na:

• Fɔ lɔs bɔku bɔku wet insay sɔm wik ɔ mɔnt.
• Fɔ bi ɔndaweit fɔ ayt (bɔku tɛm BMI we nɔ pas 18.5 ).
• As pikin de gro, chenj dεm we dεn nכ εksplen pan in ayt/weit bεlε de apin.
• Fɔ pe atɛnshɔn pasmak pan di kayn it, di kwantiti, ɛn/ɔ di kalori kɔnt.
• Krio tink ɛn kɔmɛnt ɔltɛm bɔt bɔdi wet ɛn shep.
• Yuz tin dɛn we de mek pɔsin nɔ want fɔ it, tin dɛn we de mek pɔsin nɔ want fɔ it, ɔ tin dɛn we de mek pɔsin nɔ it fayn.
• Fɔ ɛksesaiz fɔ lɔng tɛm, mɔ afta yu dɔn it, lɛk se yu fos yu .
• Ɔltɛm fɔ go na di bafa afta yu dɔn it.

Imajin, yu gɛt yu padi we bin de it fayn. Bɔt naw, fɔ di las sɔm mɔnt, i dɔn rili tan. I kin vɛks bad bad wan we i de tɔk bɔt it, i kin tɔk tin dɛn lɛk, "Dis gɛt bɔku kalori, we gɛt bɔku fat." I kin rɔn go na di bafa kwik kwik wan afta i dɔn it. If yu si sɔntin lɛk dis, yu fɔ sɔprayz se i kin bi anorexia.

As di sik de go bifo, di sayn dɛm bak we de sho se i nɔ de it fayn . Fɔ ɛgzampul:

• Di at bit abnɔmaliti (`Aritmia`).
• Diziz, fil fɔ diziz, ɔ fɔ fɔdɔm.
• Taya pasmak ɛn bɔdi wik.
• Ɔltɛm a kin fil kol.
• Kwik kwik wan fɔ vɛks.
• Di ia we de lɔs.
• Fɔ uman dɛn, di tɛm we dɛn kin gɛt mɔnt nɔ kin apin ɔltɛm ɔ i kin dɔnawe wit dɛn kpatakpata.
• Di limb dɛn we de swel.

Wetin na di tin dɛn we kin mek pɔsin gɛt Anorexia Nervosa?

No wan tin nɔ de we kin mek pɔsin gɛt anorexia nervosa. Bɔku tin dɛn we de apin na di bɔdi, di we aw pɔsin de tink, ɛn di we aw i de liv kin afɛkt am.

• Bren chenj: Sayɛnsman dɛn dɔn kam fɔ no se pipul dɛn we gɛt anorexia kin chenj di we aw dɛn bren de mek ɛn aw dɛn de wok. fכ egzampl, dεn gεt chenj dεm na dεn lεvεl dεm fכ nyurotransmit dεm lεk sεrotonin εn dopamin . dis nyurotransmitta dεm na kεmikכl dεm we de afekt tin dεm lεk wi apεtit, mכd, impuls kכntrכl, εn di bren in "riwכd sistεm."
• Jin ɛn famili: If pɔsin we de nia yu fambul (mama, papa, brɔda ɛn sista) gɛt prɔblɛm wit aw yu de it, yu go gɛt dis prɔblɛm. Dis kin afɛkt di jin dɛn we yu gɛt frɔm yu mama ɛn papa, ɛn di valyu ɛn abit dɛn we yu de lan as yu de gro ɔp na yu famili.
• Di prɛshɔn we dɛn kɔmpin dɛn kin mek:Sɔshial ɛn pɔshɔnal inflɔwɛns kin rili strɔng, mɔ if yu sɔshal ɔ pɔshɔnal stetmɛnt dipen pan yu bɔdi tayp. Di wok we atlet dɛn, dansa dɛn, mɔdel dɛn, ɛn aktɔ dɛn de du ɔl gɛt sɔntin fɔ du wit dis. Yɔŋ pipul dɛn kin rili kɔndɛm dɛnsɛf ɛn ɔda pipul dɛn bak. Di prɛshɔn we nɔ rili de na soshal midia bɔt wetin dɛn kin tek as "fayn" kin bi wan rizin fɔ dis.
• Saikɔlɔjik kɔz dɛm: Fɔ nɔr gɛt bɛtɛ ɔnɔ fɔ yusɛf, ɔr biliv se pɔrsin gɛt valyu na in ebul fɔ kɔntrol in wet, kin mek di rod fɔ gɛt prɔblɛm wit it. Sɔmtɛm, dɛn filin ya kin kam bikɔs ɔf tin dɛm wae bin dɔn apin to pɔrsin wae gɛt dis sik ɔr saykilɔjik kɔndishɔn lɛk wae yu de wɔri ɛn pwɛl hat.

Wetin na di prɔblɛm dɛn we kin kam wit Anorexia Nervosa?

We yu nɔ it fayn ɛn we yu de fast kin afɛkt ɔlmost ɔl ɔgan ɛn tisu dɛn na yu bɔdi. Sɔm bad bad ɔgan dɛm we dɔn pwɛl nɔ go ebul fɔ chenj, ivin afta yu dɔn wɛl frɔm anorexia. Anorexia kin gɛt bad bad impak bak pan yu rilayshɔnship ɛn yu maynd ɛn filin wɛl bɔdi. Ivin wit tritmɛnt, dɛn tin ya kin tek tɛm fɔ wɛl.

If dɛn nɔ trit am, anorexia kin mek pɔsin gɛt tin dɛn lɛk:

• di bon mas we de dכn ( osteoporosis ) εn di tut inεmεl de sכt.
• di skel mכsul we de brok kwik kwik wan ( rhabdomyolysis ).
• Kidni ɛn liva dɔn pwɛl.
• At we nɔ de wok fayn ɔ we di at nɔ de wok.
• Dilayed puberty ɛn growth na pikin dɛn.
• Infεrtiliti na big pipul dεm.
• Mental hεlth de dכn, dεn de du bad to dεn sεf εn dεn de tink fכ kil dεm.

Impɔtant: If yu de tink bɔt fɔ kil yusɛf, duya go fɛn ɛp wantɛm wantɛm. Yu kin kɔl ɔganayzeshɔn dɛn lɛk Sri Lanka Friends (0112692909). Nɔto yu wan de.

Aw dɛn kin no se pɔsin gɛt wan sik we dɛn kɔl Anorexia Nervosa?

Dɔktɔ dɛn kin no se pɔsin gɛt anorexia nervosa akɔdin to di krayteria we de na di ɔfishal gayd fɔ no if pɔsin gɛt maynd sik , we na di DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) . Dɛn tri tin ya we yu fɔ du na:

1. Self-restricted calories, we kin mek pikin dɛn we de gro kin lɔs bɔku bɔku wet ɔ nɔ kin gɛt wet. Tipikli, fכ gεt lכw bכdi wet fכ ej, jεnda, ayt, εn stej fכ divεlכpmεnt.

2. Unusual obsession wit bɔdi wet ɛn tranga fred fɔ gɛt wet ɔ fɔ bi "big".

3. Fɔ gɛt di rɔŋ we aw pɔsin de si aw pɔsin de luk ɔ fɔ nɔ ebul fɔ gri se di sik we pɔsin gɛt siriɔs.

If yu gɛt sayn dɛm fɔ anorexia, dɔktɔ go du yu bɔdi ɛgzam ɛn tek yu kɔmplit mɛdikal histri, inklud yu mental wɛlbɔdi histri. Dɔn, dɛn go aks yu ditayli kwɛstyɔn dɛn bɔt aw yu de it, aw yu de du ɛksɛsayz, aw yu de tek mɛrɛsin fɔ lɛf fɔ it bɔku bɔku it, ɛn aw yu de fil ɛn biliv we gɛt fɔ du wit dis.

Yu dɔktɔ kin ɔda yu bak fɔ du sɔm tɛst fɔ no aw anorexia kin du to yu bɔdi. Dɛn tin ya kin bi:

• Tɛst fɔ di bon dɛnsiti
• Kɔmplit blɔd kɔnt
• Ilɛktrokardiogram ( EKG ) .
• Ilektrolayt panɛl tɛst
• Test dɛn we di kidni de du
• Test fɔ di wok we di liva de du
• Tayrɔyd blɔd tɛst
• Urinalysis we dɛn kin du

Aw dɛn kin trit Anorexia Nervosa?

Di tritmɛnt fɔ anorexia nervosa na fɔ ɛnibɔdi. Dat min se, dɛn kin mek di tritmɛnt fɔ ɛnibɔdi. Di men gol dɛm fɔ tritmɛnt na fɔ:

• Fɔ mek yu gɛt gud nyutrishɔn stet bak.
• Stabilizing weight loss.
• Fɔ pul di we aw pipul dɛn de it we nɔ fayn.
• Fɔ trit di ɔndalayn saykolojik prɔblɛm dɛn.

Di big prɔblɛm fɔ trit pɔsin we gɛt anorexia na fɔ ɛp am fɔ no ɛn gri se dɛn gɛt siriɔs sik. Bɔrku pipul dɛm wae gɛt anorexia nɔr kin gri se dɛn gɛt dis maynia sik. Dɛn kin jɔs aks fɔ ɛp we dɛn sik rili bad fɔ lɛ dɛn day. Na dat mek i rili impɔtant fɔ no di sik ɛn bigin fɔ trit am kwik.

Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu. I kin bi se:

• Nutrishɔn tɛrapi
• Saykotɛrapi
• Mɛrɛsin we dɛn kin gi
• Fɔ go na ɔspitul

I kin nid fɔ go na ɔspitul fɔ trit bad bad tin dɛn we nɔ de it fayn ɔ ɔda siriɔs wɛlbɔdi prɔblɛm dɛn. Bɔrku mental wɛl bɔdi prɔblɛm kin nid bak fɔ go na ɔspitul. Sɔntɛnde, mɛrɛsin kin ple impɔtant pat fɔ trit dɛn prɔblɛm ya. Bɔt di tritmɛnt fɔ lɔng tɛm fɔ anorexia nervosa na saykotɛrapi.

Wetin na saykotɛrapi?

Saykotɛrapi, ɔr tɔk tritmɛnt, kin ɛp yu fɔ chenj de tink ɛn bihayvya wae gɛt fɔ du wit di prɔblɛm wae de kam wit aw pɔrsin de it. I kin ɛp yu fɔ gɛt wɛlbɔdi abit bɔt it, wet, ɛn aw yu bɔdi tan. I kin ɛp yu bak fɔ lan bɛtɛ we ɛn tɛknik fɔ dil wit strɛs ɛn bad tin dɛn we yu de tink bɔt.

Sɔm pipul dɛm wae gɛt anorexia kin gɛt ɔda mɛntɛl hεlth kכndyushכn wae kin kכntribyut to dεn it dizayd (`coexisting mental health conditions`). I impɔtant fɔ trit dɛn kayn tin ya wit anorexia. Bɔt ivin if yu nɔ gɛt ɔda sik, anorexia stil na mental wɛlbɔdi prɔblɛm. Tritmɛnt fɔ adrɛs di ɔndalayn kɔz na yu maynd.

Bɔku we dɛn de fɔ mɛn pɔsin in maynd, fɔ ɛgzampul:

• Akseptans ɛn kɔmitmɛnt tɛrapi (ACT): Dis we ya de pe atɛnshɔn fɔ divɛlɔp yu maynd fɔ chenj yu bihayvya, ilɛksɛf yu de tink ɛn fil.
• Cognitive behavioral therapy (CBT): Dis we ya de ɛp fɔ adrɛs di distɔrjmɛnt tink ɛn atitudi bɔt di wet, shep, ɛn di we aw pɔsin de luk, ɛn fɔ mek di bihayvya chenj.
• Cognitive remediation therapy (CRT): Dis kin min fɔ du ɛksɛsayz ɛn aktiviti dɛm wae de ɛp fɔ mek yu kɔgnitiv ɛn ɛgzibit wok fayn ɛn yu ebul fɔ tek kɔntrol pan yu layf.
• Dayalɛktik bihayvya tɛrapi (DBT): Sɔm patikyula skil dɛm wae yu lan frɔm DBT na fɔ divɛlɔp yu maynd, fɔ impɔtant rilayshɔnship, fɔ kɔntrol aw yu de fil, ɛn fɔ bia wit strɛs.
• Famili tritmɛnt: Famili sɔpɔt impɔtant fɔ mek dɛn ebul fɔ trit pɔsin we gɛt anɔreksia fayn fayn wan. Famili-based tritmɛnt fɔ anorexia ( di Maudsley Method ) de put rispɔnsibiliti fɔ yu it wit yu famili.
• Intapɔsɔnal saykotɛrapi (IPT): IPT de mek yu rilayshɔnship ɛn kɔmyunikeshɔn bɛtɛ, we kin mek yu nɔr gɛt prɔblɛm wit yu it.
• Saykodaynamik saykotɛrapi: Dis tritmɛnt de luk pan di ɔndalayn kɔz dɛm fɔ anorexia, ɛn dɛn kin tek am as di ki fɔ mek yu wɛl.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt tritmɛnt fɔ anorexia?

Di mɔs siriɔs kɔmplikeshɔn fɔ anorexia tritmɛnt na rifidin sindrom . Dis kin apin we pɔrsin wae nɔr de it bɛtɛ bɛtɛ wan bigin fɔ it bak. Yu bɔdi nid sɔm tin dɛn fɔ mek i ebul fɔ digest it ɛn fɔ mek i gɛt trɛnk. We di tin dɛn we yu bɔdi dɔn kip wit dɛn tin ya dɔn, yu bɔdi kin pul dɛn tin dɛn de kɔmɔt na yu blɔd.

dis transfכm fכ di nyutriεnt dεm frכm di bכdi to di sεl dεm kin mek difrεn kכmplikεshכn dεm, sכmtεm i kin ivin kil. Na dat mek i rili impɔtant fɔ bigin fɔ it bak ɔnda dɔktɔ in sɔpɔtishɔn. Dɔktɔ dɛn go mek shɔ se dɛn put di smɔl smɔl tin dɛn we de na yu bɔdi bak fɔs ɛn dɛn go tek tɛm wach yu we dɛn de gi yu bak.

Aw lɔng i kin tek fɔ wɛl frɔm anorexia?

Fɔ wɛl frɔm anorexia na difrɛn joyn fɔ ɛnibɔdi. Sɔm pat pan yu tritmɛnt plan kin tek lɔng pas ɔda wan dɛn. De tin wae impɔtant pas ɔl na fɔ mɛmba se pɔrsin kin wɛl. I nɔ mata usay yu ɔ di pɔsin we yu lɛk de pan dis joyn, i impɔtant fɔ kɔntinyu fɔ wok fɔ mek yu wɛl.

Ustɛm yu fɔ go to dɔktɔ bɔt anorexia?

If yu ɔ pɔsin we yu bisin bɔt de sho sayn dɛn fɔ se yu nɔ de it fayn, tɔk to dɔktɔ wantɛm wantɛm . I bɛtɛ ɔltɛm fɔ go fɛn ɛp kwik pas fɔ go leta. Ivin if yu ɔr pɔrsin wae yu lɛk nɔr (yet) mit di krayteria fɔ anorexia nervosa, fɔ ɛp yu kwik kwik wan kin stɔp di sid dɛm fɔ di sik fɔ gro.

Wetin na di prɔgnosis fɔ pɔrsin wae gɛt anorexia?

De luk fɔ pɔrsin wae gɛt anorexia nervosa kin dipen pan difrɛn tin dɛm, lɛk:

• Aw lɔng dɛn dɔn liv wit dis sityueshɔn?
• Aw di tin we de apin to dɛn rili bad.
• Us kayn tritmɛnt dɛn kin gɛt?
• Aw dɛn kin fala dɛn tritmɛnt plan fayn fayn wan.

Di lɔng we dɛn nɔ de trit anorexia, na di mɔ di sik kin wɔs, ɛn di bad tin dɛn we kin apin to pɔsin in bɔdi ɛn maynd kin wɔs. I nɔ kin izi fɔ chenj di abit dɛn we wi dɔn de du fɔ lɔng tɛm. Dɔn bak, pipul dɛn we gɛt anorexia kin dinay se dɛn gɛt prɔblɛm. Dɛn kin nɔr gri fɔ tek tritmɛnt ɔr nɔr kin woke tru dɛn tritmɛnt plan fɔ lɔng tɛm.

If yu nɔ gɛt tritmɛnt, anorexia nervosa kin bi wan sik we go mek yu layf de pan denja. Di prɔblɛm wae de pan pɔrsin wae de it lɛk anorexia na sɔm pan de tin dɛm wae kin kil pɔrsin in maynd, fɔ bɔdi ɛn maynd wɛl bɔdi rizin. Pipul wae gɛt anorexia kin day fayv tɛm pasmak ɛn 18 tɛm pas aw dɛn kin day bay wae dɛn kil dɛnsɛf.

If yu gɛt di rayt sɔpɔt ɛn tritmɛnt, i pɔsibul fɔ mek yu wɛl. Bɔt bɔku tɛm i kin tek tɛm – ɛn risk de fɔ mek i gɛt di sik bak. Fɔ kia fɔ lɔng tɛm ɛn fɔ sɔpɔt di wan dɛn we dɛn lɛk kin mek big difrɛns.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt anorexia?

Wi nɔr no ɔl di tin dɛm wae kin mek pɔrsin gɛt anorexia, ɛn wi nɔr kin ebul fɔ kɔntrol ɔl di tin dɛm wae kin mek pɔrsin gɛt dis sik. Bɔt wi kin mek difrɛns bay di we aw wi de mɛn wi pikin dɛn ɛn di we aw wi de falamakata wi.

wi kin:

• Tich aw fɔ it fayn ɛn aw fɔ tink.
• Ɛp pikin dɛn fɔ gɛt ``hɛlth bɔdi imej``.
• No ɛn adrɛs di buli, ɛn mek wi pikin dɛn nɔ buli ɔda pipul dɛn.

Na nɔmal tin fɔ mek yu shem, shem, ɔr frayd fɔ gɛt prɔblɛm wit aw yu de it. Bɔt duya no se natin nɔ bad fɔ aks fɔ ɛp. Fɔ fɛn tritmɛnt fɔ anorexia, ɔr ɛni mɛntɛl hεlth kכndyushכn, na impɔtant tin lεk aw fɔ go fɔ tritmεnt fɔ wan bɔdi kכndyushכn. Ɛn, ivin if i nɔ fil lɛk am rayt naw, tin kin chenj.

If yu tink se pɔsin we yu sabi gɛt anorexia, yu nɔ go no aw fɔ ɛp. Aks fɔ gayd frɔm pipul dɛn we sabi bɔt mɛrɛsin. Dɛn kin lisin to di pɔsin we yu lɛk, gi dɛn tin dɛn ɛn strateji fɔ tɔk to. Di kwik we dɛn kin gɛt diagnosis ɛn tritmɛnt, na di mɔ i go fayn.

Sɔma: Di tin dɛn we impɔtant pas ɔl we yu fɔ mɛmba

Pan ɔl we anorexia nervosa na siriɔs sik, nɔ fɔgɛt se i pɔsibul fɔ mek yu wɛl frɔm am.

Di men tin na fɔ ɔndastand se nɔto yu wangren de ɛn fɔ fɛn ɛp nɔto wikɛd tin.

• If yu ɔ pɔsin we yu sabi gɛt di kayn we aw i de it ɔ i de wɔri pasmak bɔt in bɔdi wet, go to dɔktɔ.
• If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu gɛt chans fɔ wɛl.
• Tritmɛnt na joyn, i kin tek tɛm ɛn peshɛnt. Di sɔpɔt we famili ɛn padi dɛn de gi wi rili impɔtant.
• Tray fɔ kɔntinyu fɔ liv fayn layf, fɔ it tin dɛn we nɔ rayt, ɛn fɔ tink gud wan bɔt yu bɔdi.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, duya nɔ shem fɔ tɔk to dɔktɔ we yu kin abop pan.

` Anorexia nervosa, anorexia, mental wɛlbɔdi, bɔdi wet, it prɔblɛm, it, tritmɛnt