Yu pikin nɔ de gri fɔ it? Yu nɔ tink se na jɔs we pɔsin nɔ de tek it? Lɛ wi lan bɔt Avoidant/Restrictive Food Intake Disorder (ARFID)!

Yu pikin nɔ lɛk fɔ it sɔm it dɛn? Ɔ yusɛf nɔ lɛk fɔ ivin luk sɔm it dɛn, ɛn nɔ intres fɔ it? Tide, wi go tɔk bɔt ditayli if dis na jɔs ‘fud intolerance’ ɔ sɔntin we rili siriɔs. If yu ɔndastand dis sik fayn fayn wan, dat go ɛp yu ɛn di wan dɛn we yu lɛk.

Wetin na ARFID? Fɔ tɔk am simpul wan...

ARFID, ɔ Avoidant/Restrictive Food Intake Disorder, na wan sik we pɔsin kin stɔp ɔ nɔ gri fɔ it di kayn it ɛn di kayn it dɛn we i de it. I nɔto , lɛk ɔda prɔblɛm dɛn we kin apin to pɔsin we i de it, we pɔsin kin tink bɔt aw i tan lɛk in bɔdi ɛn tray fɔ lɛf fɔ it bɔku bɔku it.

ARFID kin mek yu:

• A nɔ kin lɛk fɔ it igen.
• Fɔ fred wetin go apin afta yu dɔn it. Fɔ ɛgzampul, fɔ wɔri ɔltɛm bɔt aw yu go chok ɔ vɔmit.
• Dɛn nɔ kin gri fɔ it sɔm it dɛn bikɔs dɛn nɔ kin fayn pan dɛn kɔlɔ, teist, smɛl, ɔ we nɔ fayn.

Sɔmtɛm yu dɔktɔ kin kɔl dis "selective eating disorder." Dis min se yu kin jɔs lɛk fɔ it sɔm kayn it dɛn. Yu kin gɛt abit dɛn, patɛns, ɔ ritual dɛn bak bɔt aw yu de it. Fɔ ɛgzampul, sɔm pipul dɛn kin it di it dɛn we dɛn de it difrɛn we, wan afta di ɔda wan.

Dis sik wae dɛn kɔl ARFID kin afɛkt yu ɔl wɛl bɔdi bay wae i kin mek yu bɔdi nɔr gɛt di tin dɛm wae i nid. I impɔtant bak fɔ mɛmba se if dɛn nɔ trit am fayn, i kin mek pɔsin in layf de pan denja .

Dis na jɔs pik-piki it?

Nɔ, ARFID nɔto jɔs pik-pik it. Sɔm yɔŋ pikin dɛn de we nɔ lɛk di kɔlɔ, teist, smɛl, ɔ we aw sɔm it dɛn gɛt ɛn dɛn nɔ go it dɛn. Dis na wetin wi de kɔl ‘food pickiness’. Bɔt bɔku tɛm dis kin jɔs bi fɔ sɔm it dɛn nɔmɔ. I nɔ kin gɛt bɛtɛ impak pan di pikin in apɛtit ɔ grow. Dis ‘pik’ kin dɔn bɔku tɛm we di pikin de ol.

Bɔt ARFID na wan sik we rili siriɔs . If na so i bi, di pikin we nɔ de it fayn, dat kin rili afɛkt di we aw pikin want fɔ it, aw i de gro, ɛn aw i gɛt wɛlbɔdi. Dis sik nɔ kin bɛtɛ if dɛn nɔ gɛt tritmɛnt.

Aw kɔmɔn tin fɔ ARFID?

Infakt, ARFID na wan nyu sik we dɛn bin put insay di Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), we na wan klasification fɔ mental dizayd we dɔktɔ dɛn kin yuz fɔ no di sik pipul dɛn. As a so, i stil gɛt smɔl data frɔm big pipul dɛn stɔdi bɔt aw i bɔku.

Wetin na di sayn dɛm fɔ ARFID? Aw wi kin no am?

ARFID kin mek yu bɔdi ɛn bihayvya chenj lɛk:

Di tin dɛn we pɔsin kin si na in bɔdi:

• Big big wet we pɔsin kin lɔs.
• Kɔnstipɛshɔn we kin kam bɔku tɛm .
• Bɛlɛ de at, yu bɛlɛ nɔ de fil fayn, ɛn yu de blo.
• di tεmprachכ na di bכdi lכs pas di nכmal.
• Fɔ fil ɔltɛm fɔ taya ɛn fɔ taya .
• Menstrual saykl we nɔ de ɔltɛm na uman ɛn yɔŋ gyal pikin dɛn.
• Fɔ fil se yu ed de tɔn ɔ yu de fil fɔdɔm.
• Fayn ia (lanugo) de gro na di bɔdi, mɔ na di bak ɛn an.
• Di mɔsul dɛn we wik.

Di chenj dɛn we de apin na di we aw pɔsin de biev:

• Fɔ fil "ful" bifo yu it, ɔ fɔ lɔs yu apɛtit ɔltogɛda .
• I at fɔ mek yu kɔntinyu fɔ pe atɛnshɔn.
• Fɔ no se yu fɔ stɔp di it we yu de it.
• כnli it it dεm we gεt spεshal tεkschur (e.g., כnli it dεm we rili sכft, כ כnli it dεm we krach).
• A kin fred ɔltɛm fɔ tin dɛn lɛk fɔ vɔmit afta a dɔn it ɔ fɔ mek it stɔp na mi trot.
• Di we aw pipul dɛn bin de tink bɔt ‘fɔd-krayz’ trade de bɔku mɔ ɛn mɔ, ɛn di nɔmba fɔ di it dɛn we pɔsin kin it de kam smɔl.

Di impɔtant tin na dat ARFID nɔ de bikɔs ɔf di bad we aw pɔsin de tink bɔt in bɔdi imej ɔ bikɔs i want fɔ lɔs in wet.

Wetin na di tin dɛn we kin mek pɔsin gɛt ARFID?

Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt ARFID , bɔt di mɛdikal risach dɔn sho se sɔm tin dɛn kin ɛp:

• Fɔ wɔri bad bad wan .
• Fɔ fred difrɛn tin dɛn, mɔ fɔ it.
• Sɔm chenj dɛn we kin apin na di jɛnɛtiks .
• Sɔm pan di tin dɛn we de ambɔg wi envayrɔmɛnt, sosayti, ɛn kɔlchɔ.
• Traumatic experiences wae bin dɔn de bifo , mɔr di wan dɛm wae gɛt fɔ du wit it.

Udat de pan ay risk fɔ gɛt ARFID?

ARFID kin afɛkt pipul dɛn we gɛt ɛni ej, ivin big pipul ɛn pikin dɛn. Bɔt i kin apin mɔ we dɛn smɔl . Yu kin de pan denja fɔ gɛt dis sik fɔ dɛn rizin ya:

• If yu dɔn gɛt ɛni bad bad tin we gɛt fɔ du wit it. Fɔ ɛgzampul, we pɔsin nɔ gɛt tin fɔ it, we dɛn fos am fɔ it, ɔ we i angri fɔ it.
• If yu gɛt mɛntɛl hεlth kɔndishɔn (e.g., wɔri, pwɛl hat, atɛnshɔn dɛfisit haypa aktiviti disɔda (ADHD)) ɔr ɔda kכndyushכn wae de afɛkt nyurodivεlכpmεnt.
• If yu gɛt strɔng dislayk fɔ di tɛkstɔr fɔ sɔm it dɛn.
• If yu de fred ɔltɛm se fɔ it it go ambɔg yu bɔdi.
• If yu klos famili mɛmba dɛm (bayolojikal famili) dɔn gɛt prɔblɛm wit aw dɛn de it.

Us kɔmplikɛshɔn dɛn kin apin bikɔs ɔf ARFID?

If dɛn nɔ trit ARFID fayn, difrɛn prɔblɛm dɛn kin apin, sɔm pan dɛn kin rili denja.

• Malnutrition : Nɔ de gɛt di tin dɛn we di bɔdi nid.
• Dihaydreshɔn : Di wata we de na di bɔdi de go dɔŋ.
• Ilektrolayt imbalans : Na imbalans pan sɔl dɛm lɛk sɔdyɔm ɛn potashɔm.
• Anemia : Blɔd we nɔ de wok fayn.
• Lɔw blɔd prɛshɔn.
• Fɔ mek di bon dɛn tan (Osteoporosis) .
• Di at kin ivin stɔp wantɛm wantɛm.
• Dilayed puberty in pikin dɛn.
• di chenj dεm we de apin na di fכshal divεlכpmεnt.

Sɔntɛnde, dɛn tin ya kin mek pɔsin in layf de pan denja . I sɔprayz fɔ no se sɔmtɛm, pɔrsin wae gɛt ARFID in bɔdi kin yus sɔm kayn wae fɔ dis strɛs ɛn nɔr kin sho ɛni ɔda sayn wae de na do. So, ivin wit test, dεn nכ kin no di kכndyushכn klia wan, bכt di kכndyushכn kin de wכs insay.

ARFID kin gɛt big impak bak pan yu soshal layf. Fɔ ɛgzampul, yu nɔ go want fɔ it wit yu fambul dɛn, go na padi dɛn pati, ɔ tek pat pan ɛnitin we gɛt fɔ du wit it. Dis kin pwɛl yu padi biznɛs wit yu fambul ɛn padi dɛn, ɛn pul yu maynd pan skul wok ɛn wok.

Aw dɛn kin no se pɔsin gɛt ARFID?

Dɔktɔ go no if yu gɛt ARFID bay we i tink bɔt sɔm patikyula krayteria dɛn. Dɛn krayteria ya na:

• Di ristrikshɔn fɔ it fɔ dɔn rili mek dɛn lɔs bɔku bɔku wet (insay pikin dɛn, dɛn nɔ ebul fɔ rich di growth we dɛn bin de op fɔ), dɛn nɔ de it fayn , dɛn abop pan tyub fidin ɔ vaytamɛn/nutrishɔn sɔpɔtmɛnt fɔ it, ɛn/ɔ di soshal intarakshɔn wit ɔda pipul dɛn fɔ dɔn afɛkt di restrikshɔn fɔ it.
• Dis tin we dɛn nɔ fɔ it nɔ fɔ bi bikɔs dɛn nɔ gɛt tin fɔ it, dɛn de fast fɔ rilijɔn rizin, ɔ bikɔs dɛn gɛt mɛrɛsin ɔ tritmɛnt fɔ am.
• Dɔn bak, dis tin we dɛn nɔ fɔ it nɔ fɔ bi bikɔs dɛn nɔ de tink bad bɔt aw in bɔdi de luk ɔ wit di aim fɔ lɛf fɔ it bɔku bɔku it ɔ fɔ chenj in bɔdi shep.
• Ivin if di ristrikshɔn fɔ it na bikɔs ɔf wan mɛdikal kɔndishɔn ɔ tritmɛnt, i fɔ de na wan lɛvul we pas di lɛvɛl we di sayd ɛfɛkt dɛn we dɛn kin ɛkspɛkt nɔmal wan ɛn we kin mek big big prɔblɛm dɛn fɔ ɔl di wɛlbɔdi biznɛs.

Fɔ kɔnfirm dɛn tin ya, yu dɔktɔ go du yu bɔdi ɛgzam, ɛn i kin ɔda bak fɔ du blɔd ɔ urine tɛst fɔ chɛk yu jenɛral wɛlbɔdi, it lɛvɛl, ɛn wach aw yu insay ɔgan dɛn de wok. Dɛn tɛst ya impɔtant bikɔs di sayd ɛfɛkt dɛm wae dis sik kin gɛt kin mek pɔrsin in layf de pan denja ɛn kin afɛkt bɔrku pat dɛm na di bɔdi.

Aw dɛn kin trit ARFID?

Bɔku men gol dɛn de fɔ trit ARFID:

• Ɛp yu fɔ gɛt ɛn kɔntinyu fɔ gɛt wɛlbɔdi wet .
• Fɔ mek yu nɔ gɛt prɔblɛm dɛn we de afɛkt yu ɔl yu wɛlbɔdi.
• Fɔ ɛp yu fɔ kɔntrol yu filin prɔblɛm, di tin dɛn we yu de fil, ɛn di fred we yu de fred bɔt it.

Di men tritmɛnt fɔ dis na Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) . Dis tritmɛnt kin ɛp yu wit tin dɛm lɛk:

• Fɔ no bɔt prɔblɛm ɛn bihayvya wae de afɛkt yu wɛl bɔdi.
• Nɔ fred ɔ wɔri bɔt it.
• Bi mɔ rilaks ɛn fil fri wit di prɔblɛm dɛn we yu kin gɛt we yu de fil.

Sɔntɛnde, yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp yu maynd ɛn bɔdi fɔ wɛl ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn we go mek yu day. Dɛn tin ya kin bi mɛrɛsin wae de mek pɔrsin nɔr de fil fayn, mɛrɛsin wae de mek pɔrsin fil bad, ɔr mɛrɛsin wae de mek pɔrsin want fɔ it. I impɔtant fɔ tɔk to yu dɔktɔ bɔt di sayd ɛfɛkt dɛn we ɛni mɛrɛsin kin gɛt bifo yu bigin fɔ tek am.

Sɔntɛnde we i kin rili bad, di dɔktɔ kin disayd fɔ gi am tin fɔ it na di bɛlɛ fɔ sɔm tɛm. dis na fleksibul, tin tכb we dεn kin put tru di nos כ dayrekt insay di bεlε כ sכmכl intestin. Dis tiub de mek di bɔdi ebul fɔ gɛt di tin dɛn we i nid fɔ it we i nɔ nid fɔ it wit in mɔt.

Udat de trit ARFID? Yu nid wan tim we gɛt spɛshal pipul dɛn?

Yɛs, bikɔs ARFID na kɔmpleks sik, yu kin nid fɔ gɛt ɛp frɔm wan tim we gɛt dɔktɔ ɛn tritmɛnt pipul dɛn fɔ trit yu. Dis tim kin gɛt:

• Yu famili dɔktɔ (Praymari kia dɔktɔ) .
• Wan mental wɛlbɔdi advaysa ɔ kɔgnitiv bihayvya thɛrapist .
• Dɔktɔ we spɛshal pan di dijestiv sistɛm (Gastroenterologist) .
• Speech-language pathologist (if prɔblɛm de lɛk fɔ swɛla).
• Spɛshal dɔktɔ dɛn we de trit ɔda prɔblɛm dɛn we ARFID kin kam wit.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Tritmɛnt fɔ ARFID kin tek tɛm. Bikɔs ɔlman difrɛn, i nɔ kin izi fɔ gi di rayt tɛm we yu go bigin fɔ fil fayn. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt as yu bɔdi bigin fɔ gɛt di tin dɛn we i nid, smɔl smɔl yu go bigin fɔ fil fri frɔm yu sik dɛn. Di tin we impɔtant pas ɔl na fɔ wach aw yu de go bifo ɛn de wach fɔ nyu prɔblɛm dɛn we go kam tumara bambay, bikɔs yu go nid fɔ gɛt sɔpɔt frɔm yu mɛdikal tim ɛn fɔ fala yu ɔltɛm ɔlsay na yu layf .

I gɛt we fɔ mek dɛn nɔ gɛt ARFID?

I sɔri fɔ no se naw, no we nɔ de we dɛn no fɔ mek ARFID nɔ apin.

Aw di ɛkspiriɛns tan lɛk fɔ pɔsin we gɛt ARFID? Wetin yu fɔ ɛkspɛkt?

ARFID na mental hεlth kכndyushכn wae de afekt yu bכdi dairekt wan. Pan ɔl we i kin tan lɛk simpul ‘fud intolerance’ fɔs, di bad tin dɛn we kin apin we pɔsin nɔ it di it kin rili siriɔs ɛn ivin kin mek pɔsin in layf de pan denja if dɛn nɔ trit am fayn. Pan ɔl we pikin dɛn kin gro pas di tin dɛn we dɛn nɔ kin it we dɛn de ol, ARFID rili nid fɔ go to dɔktɔ. E kin bi wan sik wae de kam wae yu de liv yu layf wae nid for de manej. Bɔku tɛm, pipul dɛn we gɛt ARFID kin go na ɔspitul.

Bikɔs dis sik na nyu tin we dɛn dɔn no bɔt na mɛdikal sayɛns, no wan tritmɛnt nɔ de we go wok fɔ ɔlman. Bɔku tɛm, dɛn kin gɛt di bɛst rizɔlt bay we dɛn yuz wan kɔmbayn tritmɛnt, lɛk mɛrɛsin ɛn kɔgnitiv bihayvya tɛrapi (CBT).

Ustɛm yu fɔ go to dɔktɔ?

If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan:

• If yu nɔ ebul ivin it ɔ drink smɔl wata.
• If yu fil bad bad fred ɔ wɔri we yu de it.
• If yu nɔ gɛt ɛni intres ɔ want fɔ it.
• If yu lɔs bɔku wet wantɛm wantɛm fɔ natin.
• If yu de gɛt ɔda sayn dɛn we gɛt fɔ du wit ARFID we dɛn tɔk bɔt na dis atikul.

Mɛmba se, nɔr kin izi fɔ pɔrsin wae gɛt dis maynia sik fɔ no se dɛn nid ɛp ɛn aks fɔ am. So, di sɔpɔt, ɔndastandin, ɛn ɛnkɔrejmɛnt we di wan dɛn we yu lɛk de gi, rili impɔtant fɔ mek dɛn sɛn dɛn to pɔsin we go ebul fɔ gi dɛn di mɛrɛsin we dɛn nid.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Dɔkta, wetin na mi diagnosis?"
• "A nid fɔ si mental wɛlbɔdi tɛrapist?"
• "Us sayd ifekt di mɛrɛsin dɛm we yu de gi mi go gɛt?"
• "If a nɔ ebul fɔ it fayn, wetin a go du fɔ gɛt di it we mi bɔdi nid?"
• "A go nid fidin tiub?"

Wetin na di difrɛns bitwin ARFID ɛn Anorexia?

ARFID ɛn Anorexia Nervosa na ɔl tu mɛntɛl hεlth kɔndishɔn dɛm wae de stɔp pɔrsin fɔ it. Bɔt wan impɔtant difrɛns de . Anorexia kin apin wae pɔrsin gɛt bad bad tin fɔ tink bɔt insɛf bɔt in bɔdi ɛn i kin stɔp fɔ it fɔ tray fɔ chenj da imej de, mɔ fɔ lɛf fɔ it bɔku bɔku it. Insay ARFID, di ristrikshɔn nɔto bɔt dɛn bɔdi imej.

ARFID na pat pan di Ɔtizm Spɛktrum Disɔda?

Nɔ, pan ɔl we sɔm pan di sayn dɛm fɔ ARFID kin tan lɛk di wan dɛm wae gɛt ɔtizm spɛktrum disɔda (ASD), dɛn na tu difrɛn tin dɛm . Fɔ ɛgzampul, dɛn tu tin ya kin mek pɔsin nɔ lɛk di we aw sɔm it dɛn tan. Bɔt pan pipul dɛn we gɛt ARFID, dis sɛns we dɛn kin fil kin mek dɛn gɛt siriɔs prɔblɛm dɛn lɛk we dɛn nɔ de it bɛtɛ bɛtɛ wan.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so a op se dis go gi yu bɛtɛ ɔndastandin bɔt ARFID. Fɔ dɔn, mɛmba dɛn pɔynt ya:

• ARFID na kɔmpleks mɛntɛl hεlth kɔndishɔn wae nɔr kin bɛtɛ if yu nɔr gɛt tritmɛnt, so nɔr fɔ tek am layt.
• Pan ɔl we dis kin tan lɛk jɔs ‘fɔ it we pɔsin nɔ de it’ fɔs, if di bɔdi nɔ gɛt di it we i nid, i kin mek i gɛt prɔblɛm dɛn we rili denja ɛn we kin mek i day .
• Tritmɛnt dɛn de we dɛn kin gɛt , bɔt i kin tek tɛm ɛn peshɛnt. Di sɔpɔt we yu mɛdikal tim ɛn di wan dɛn we yu lɛk go gi yu go ɛp yu fɔ gɛt wɛlbɔdi bak.

If yu tink se yu ɔ pɔsin we yu sabi kin gɛt dis prɔblɛm, duya go to dɔktɔ. Fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant!

` ARFID, Avoidant/Restrictive Food Intake Disorder, fɔ nɔ it it, nɔ gri fɔ it, nɔ gɛt bɛtɛ tin fɔ it, maynd wɛlbɔdi, pikin wɛlbɔdi, it prɔblɛm, pik it