Yu de kɔntrol bak di it we yu de it? Yu de tink bɔt fɔ lɛf fɔ it bɔku bɔku it dɛn? Dis kin bi atypical anorexia!

Yu dɔn ɛva notis aw sɔm pipul dɛn kin tink tumɔs bɔt dɛn wet ɛn wetin dɛn de it? Sɔntɛm i go fayn fɔ tray fɔ lɛf fɔ it smɔl. Bɔt wetin kin apin we yu tek am pasmak ɛn bigin fɔ lɛf fɔ it bɔku bɔku it ɛn kɔntrol di tin dɛn we yu de it? Tide wi go tɔk bɔt wan tɔpik we difrɛn smɔl, bɔt we rili impɔtant. Dat na wan kכndyushכn we dεn kכl atypical anorexia, כ `(Atypical Anorexia Nervosa)`.

Wetin na Atypical Anorexia?

Fɔ tɔk am simpul wan, anorexia nervosa na wan prɔblɛm we kin mek pɔsin it. If na so i bi, pɔsin kin yuz difrɛn we dɛn we denja ɛn we nɔ fayn fɔ mek i nɔ gɛt bɔku bɔku bɔdi. Sɔntɛm yu dɔn yɛri bɔt Anorexia Nervosa. Dis sik wae dɛn kɔl anorexia nervosa kin gɛt bɔrku pan di sem sayn dɛm bak lɛk Anorexia Nervosa. Fɔ ɛgzampul:

• Body image distortion: Dis min se yu fɔ tink se yu fat pas aw yu rili fat. Ivin we yu luk na miro, yu stil de si yusɛf as pɔsin we fat.
• Fɔ lɔs yu wet kwik kwik wan, we rili impɔtant: Fɔ lɔs bɔku bɔku wet wantɛm wantɛm.
• Chenj pan di we aw yu de it ɛn ɛksesaiz: Fɔ it smɔl, nɔ fɔ it sɔm it dɛn, ɔ fɔ du ɛksɛsayz pas aw i nid.

Bɔt di difrɛns we impɔtant pas ɔl na ya na dat pɔsin we gɛt anorexia nervosa kin gɛt smɔl ay bɔdi mas indeks (`Body Mass Index - BMI`) we di kɔndishɔn bigin. Dis min se dɛn nɔ kin rili tan fɔ bigin. So, ivin if dɛn lɔs dɛn wet wantɛm wantɛm, yu nɔ go notis am na do. Dis na di rizin we mek i nɔ kin izi fɔ no dis sik, ɛn sɔmtɛm i kin mek yu gɛt ivin mɔ siriɔs wɛlbɔdi ɛn saykilɔjik prɔblɛm pas `(Anorexia Nervosa)`. Na bikɔs i nɔ kin klia wantɛm wantɛm se prɔblɛm de.

Aw dis sik kin kɔmɔn?

Infakt, di nɔmba fɔ pipul dɛn we dɛn kin no se gɛt anorexia nervosa de bɔku. Dɛn se bitwin 25% ɛn 40% pan di pipul dɛm wae de na tritmɛnt sɛnta fɔ it prɔblɛm kin sɔfa wit dis sik. Dis kכndyushכn bin fכs dεskrεb insay di klasification fכ mental dizכrd, ``DSM-V - Diagnostic and Statistical Manual of Mental Disorders'', we di American Psychiatric Association bin pul insay 2013.

Wetin na di sayn dɛm fɔ atypical anorexia?

Bɔrku sayn dɛm de wae yu kin notis pan dis kayn tin. Si if yu ɔ yu padi gɛt ɛni wan pan dɛn tin ya:

• Fɔ it pasmak: Dis min se yu fɔ it bɔku bɔku it dɛn wan tɛm we yu nɔ go ebul fɔ kɔntrol yu.
• Ridyus di it we yu de it, skip fɔ it.
• Fɔ ɛksesaiz pas aw a bin de du am bifo, pas aw a ebul fɔ bia.
• Fɔ mek wan tin ɔ ɔda tin kam na yu maynd, fɔ vɛks ɔltɛm, ɛn fɔ wɔri.
• Ɔltɛm a kin fil taya.
• Fɔ gɛt prɔblɛm fɔ pe atɛnshɔn to sɔntin.
• Nɔ fɔ gladi wit di we aw dɛn luk.
• Yuz laxatives fɔ lɔs yu wet.
• Tink bɔt fɔ du bad to yusɛf.
• Vɔmit (afta yu dɔn it).
• Di strɔng want fɔ bi tin sɔm kayn we.
• Fɔ fred ɔltɛm fɔ gɛt mɔ wet.

Nɔto ɔlman wae gɛt wan ɔr tu pan dɛn sik ya kin gɛt dis sik. Bɔt if bɔku pan dɛn tin ya de insay wan row, i go fayn fɔ mek yu go to dɔktɔ.

Wetin kin mek dis kayn tin apin?

Risach dɔn sho se we dɛn jɔyn bɔku tin dɛn, dat kin mek pɔsin gɛt wan sik we dɛn kɔl anorexia nervosa. Lɛ wi tek wan luk pan wetin dɛn bi:

• Jɛnɛtiks: If pɔsin na yu famili dɔn gɛt prɔblɛm wit in it, yu go gɛt dis sik.
• Trauma: Sɔmtɛm, afta yu dɔn gɛt bad bad tin na yu layf, yu kin fil lɛk se yu nid fɔ kɔntrol aw yu de fil, lɛk fɔ fil bad, fɔ vɛks, ɔr frayd. I tan lɛk se a de fil lɛk se, ‘Na ɔl dis nɔmɔ a ebul fɔ kɔntrol.’
• Sɔshial ɛn kɔlchɔral inflɔɛns: Sɔshial norm dɛm lɛk "bi thin is beautiful" kin put wi ɔnda bɔku prɛshɔn sɔm tɛm. Wetin wi de si fo TV and soshal midia fit mek wi tink se, "A wan bi laik dis tu."
• Di prɛshɔn we yu kɔmpin dɛn de mek: Ɛspɛshali we yu yɔŋ, i kin at fɔ fil we yu padi ɛn ɔda pipul dɛn de provok yu bɔt yu bɔdi. Dis prɛshɔn kin mek yu tink se, "A nid fɔ tan sɔm kayn we."
• Mental wɛlbɔdi: We pɔsin want fɔ du ɔltin pafɛkt ɛn we i nɔ gɛt bɛtɛ padi biznɛs wit ɔda pɔsin, dat kin mek i nɔ gɛt bɛtɛ rɛspɛkt fɔ insɛf. Insay dɛn kayn tɛm ya, pipul dɛn kin gɛt di abit dɛn we nɔ fayn fɔ it.

Udat dɛn de pan denja pas dat?

Infakt, ɛnibɔdi kin gɛt wan sik we dɛn kɔl anorexia nervosa, bɔt i kin apin mɔ to yɔŋ pipul dɛn ɛn yɔŋ pipul dɛn, mɔ di gyal pikin dɛn .

Apat frɔm dat, yu kin gɛt dis sik if yu gɛt dɛn tin ya:

• If ɛnibɔdi na yu famili dɔn gɛt prɔblɛm wit aw i de it ɔ ɔda sik dɛn na yu maynd.
• If yu dɔn gɛt prɔblɛm wit yu bɔdi, maynd ɔ mami ɛn dadi biznɛs.
• If yu gɛt ɔda kayn maynd sik lɛk wae yu de wɔri, pwɛl hat, ɔr Obsessive-Compulsive Disorder (OCD).
• If yu de involv pan spɔt usay yu wet ɔ shep impɔtant (e.g. jimnastik, rɛslɛshɔn, swimin).
• If big chenj dɔn apin na layf, lɛk fɔ go na nyu skul, fɔ gɛt nyu wok, fɔ dayvɔs, ɔ fɔ muf go ɔda say.
• If yu na ``perfectionist`` we de wok tranga wan ɛn tray fɔ du ɔltin pafɛkt wan.

Wetin na de prɔblɛm wae kin kam wit dis sik? Yu tink se i denja?

Yɛs, anorexia nervosa nɔto jok. I kin afɛkt bɔku pat dɛn na yu bɔdi bad bad wan. Tink bɔt tin dɛn lɛk:

• Ilektrolayt Imbalans: We di lεvεl dεm fכ di imכtant minral dεm (lεk kalsiכm εn potashכm) na wi bכdi tu lכw, mכsul dεm kin pen εn di at fכ wok prכblεm kin apin.
• Kidni: We yu lɔs yu wet wantɛm wantɛm, yu kidni nɔ go ebul fɔ du dɛn wok fɔ filta dɔti fayn fayn wan.
• At: If yu it smɔl, dat kin mek yu at rit sloslo (Bradycardia) ɛn yu blɔd prɛshɔn smɔl (Hypotension). Dis na tin we rili denja.
• Bren: We di bɔdi nɔ gɛt di rayt it we i nid, tin dɛn lɛk we pɔsin kin gɛt sik kin apin.
• Bɛlɛ: Nɔs, blo, kɔnstipɛshɔn, ɛn vɔmit kin apin.
• di εndokrin sistεm: We yu lכs di wet kwik kwik wan, i kin afekt di כmon dεm, we kin mek di tεstostεron כ εstrojen lεvεl dכn. If di estrogen lɛvɛl go dɔŋ, uman dɛn kin stɔp fɔ gɛt mɔnt.
• Blɔd: We yu nɔ it fayn, yu kin gɛt anemia ɛn yu kin fil taya ɔltɛm.
• Bon dεm: I de ridyus di bon dεnsiti, we de mek dεn wik εn i izi fכ brok.
• Iɛ: Yu ia kin bigin fɔ tan ɛn fɔdɔm. Yu kin gɛt fayn fayn bɔdi ia bak (`lanugo`).

Luk aw siriɔs prɔblɛm kin rili apin ivin if yu tink se, "Wetin de apin wit fɔ lɔs yu wet?"!

Aw fɔ no di abnɔmal anorexia?

Dɔktɔ dɛn kin no bɔt dis sik bay sɔm tin dɛn:

• Fɔ du wan ɛgzam fɔ yu bɔdi.
• Fɔ tek tɛm aks bɔt yu sik dɛn.
• Lan bɔt aw yu de it ɛn aw yu de du ɛksɛsayz.

Apat frɔm dat, dɛn kin du bɔku tɛst fɔ si if ɔda sik de mek dɛn gɛt dɛn sik ya. Fɔ ɛgzampul:

• Kɔmplit Blɔd Kɔnt (CBC) .
• Ilɛktrolayt blɔd panɛl
• Albumin blɔd tɛst
• Wan chɔt we de mek di at ritm (`Ilektrokardiogram - EKG`) .
• Urinalysis we dɛn kin du
• Bɔn dɛnsiti tɛst – si Ɔstioporosis
• Test fɔ di kidni, liva, ɛn tayroyd we de wok
• Vitamin D lɛvɛl
• Wan tɛst fɔ bɛlɛ fɔ uman dɛn we dɔn rich di ej fɔ bɔn pikin
• Tɛst fɔ ɔmon dɛn

Wae yu dɔn pul ɛni ɔda sik na yu bɔdi we de mek yu gɛt di sik, yu dɔktɔ kin yuz di Diagnostic and Statistical Manual of Mental Disorders (DSM-V) fɔ no if yu gɛt prɔblɛm wit yu it, lɛk anorexia nervosa.

Di men tin dɛn we yu fɔ tink bɔt we yu de no dis tin we de apin na:

• Fɔ it bɔku smɔl pas aw yu kin it.
• Fɔ fred fɔ gɛt mɔ wet.
• Nɔ ebul fɔ si yu bɔdi lɛk aw i rili bi. Fɔ ɛgzampul, yu nɔ go si yu tru tru bɔdi saiz, ɔ yu nɔ go no se yu tan lɛk aw yu de tink. Yu go tink se di we aw yu luk na di impɔtant tin bɔt yu, ɛn yu nɔ go pe atɛnshɔn to di bad tin dɛn we kin apin we yu nɔ it bɛtɛ.

Aw dɛn kin trit dis?

We yu de trit anorexia nervosa, na wan tim ɛfɔt. Yu dɔktɔ, wan dɔktɔ we sabi bɔt it, ɛn wan dɔktɔ we sabi bɔt di prɔblɛm dɛn we yu de it, de wok togɛda fɔ ɛp yu ɛn yu famili fɔ ɔndastand ɛn manej aw yu go wɛl.

Dipen pan yu wɛl bɔdi ɛn maynd naw, yu kin nid fɔ go na ɔspitul fɔ gɛt tritmɛnt. Dis kin involv fɔ jɔyn sɔm tritmɛnt dɛn:

• Saykotɛrapi: Dis kin ɛp yu fɔ chenj di we aw yu de tink bɔt it ɛn yu wet. I kin ɛp yu bak fɔ chenj di we aw yu de biev we tin tranga. Tritmɛnt dɛn de we dɛn kin du wan wan, grup, ɔ wit famili mɛmba dɛn. Wan kayn tritmɛnt wae dɛn kɔl Cognitive Behavioral Therapy (CBT) kin rili woke fayn fɔ pipul dɛm wae gɛt prɔblɛm wit aw dɛn de it. I de ɛp yu fɔ ɔndastand ɛn chenj di we aw yu de tink bɔt aw yu de biev ɛn aw yu de fil.
• Mɛrɛsin: Bɔrku tɛm, pipul dɛm wae gɛt dis maynia sik kin gɛt ɔda kayn maynd wɛl bɔdi prɔblɛm (lɛk pwɛl hat ɛn wɔri), so dɔktɔ kin gi mɛrɛsin fɔ trit dɛm bak. Dis kin inklud mɛrɛsin wae de mek pɔrsin fil bad ɔr mɛrɛsin wae de mek pɔrsin nɔr de wɔri.
• Nutrition counseling: Wan rɛjista nyutrishɔnist ɔ rɛjista dietitian, we tren fɔ trit di prɔblɛm dɛn we yu de it, kin ɛp yu fɔ mek yu it fayn. Dɛn kin gi yu advays dɛn bak bɔt aw fɔ go bay tin dɛn, aw fɔ plan fɔ it, ɛn aw fɔ kuk.

Aw lɔng i kin tek fɔ mek pɔsin wɛl frɔm dis?

De tɛm wae i kin tek fɔ wɛl frɔm anorexia nervosa kin difrɛn frɔm pɔrsin to ɔda pɔrsin. Fɔ peshɛnt ɛn wok fɔ yu tritmɛnt plan na di bɛst we fɔ mek yu wɛl.

Di men gol dɛm fɔ tritmɛnt na:

• Fɔ mek shɔ se yu wɛlbɔdi de fayn ɛn ɛni prɔblɛm dɔn dɔn.
• Fɔ gɛt bak di abit fɔ it di it dɛn we gɛt fayn fayn tin dɛn we yu nid, ɔltɛm we yu nid.
• Fɔ chenj di we aw yu de tink, di we aw yu de fil, ɛn mɔ di we aw yu de tink bɔt yu wet.

Wetin na de luk fɔ pɔrsin wae gɛt atypical anorexia?

Di chans fɔ mek yu wɛl fayn fayn wan frɔm anorexia nervosa dipen pan dɛn tin ya:

• Aw lɔng yu dɔn gɛt dis sik?
• Aw bad tin de apin to yu.
• Di kayn tritmɛnt we yu de gɛt ɛn aw yu de fala am fayn fayn wan.

Lɛk ɔda prɔblɛm dɛn we pɔsin kin gɛt we i de it, anorexia nervosa kin wɔs if dɛn nɔ trit am. Di kwik we dɛn no ɛn trit di sik, na di mɔ di chans fɔ mek i wɛl. If dɛn nɔ trit am, i kin mek pɔsin in layf de pan denja.

Laki, dɛn kin mɛn anorexia nervosa. Yu kin go bak to di we aw yu de it fayn. Bɔt di risk fɔ mek i gɛt di sik bak kin bɔku. So, i nid fɔ gɛt tritmɛnt fɔ lɔng tɛm fɔ mek i wɛl. I rili impɔtant fɔ kɔntinyu fɔ wok akɔdin to yu tritmɛnt plan. Dɔn bak, di sɔpɔt we yu famili ɛn padi dɛn de gi yu rili impɔtant fɔ dis waka.

Aw a kin kia fɔ misɛf?

Pan ɔl we dis kin mek yu fred ɛn nɔ kin fil fayn, i impɔtant fɔ tɛl di wan dɛn we yu lɛk ɛn yu dɔktɔ se yu gɛt anorexia nervosa. Di wan dɛn we de nia yu nid fɔ no wetin yu de go tru so dat dɛn go ɛp ɛn sɔpɔt yu.

If dɔktɔ no se yu gɛt anorexia nervosa, na sɔm tin dɛn ya yu kin du fɔ ɛp yu fɔ wɛl:

• Gɛt inof slip.
• Stay away frɔm rɔm ɔ drɔgs.
• If yu tek mɛrɛsin, tek am di rayt tɛm ɛn nɔ mis wan de.
• If yu de tek pat pan tɔk tɛrapi, mek shɔ se yu mit wit di tritmɛnt pɔsin pan di de dɛn we dɛn dɔn sɛtul.
• Aks fɔ sɔpɔt frɔm yu fambul ɛn padi dɛn.
• Tink bɔt fɔ jɔyn wan sɔpɔt grup fɔ pipul dɛn we gɛt prɔblɛm wit dɛn it.
• Si di dɔktɔ pan di de dɛn we dɛn dɔn sɛtul fɔ am.

If yu nɔ skinny, wetin mek bɔku wɛlbɔdi prɔblɛm dɛn de?

Sɔm pipul dɛn kin tink se, "A nɔ tan so, so wetin mek a gɛt bɔku wɛlbɔdi prɔblɛm?" Pipul wae gɛt anorexia nervosa kin lɔs dɛn bɔdi kwik kwik wan, pan ɔl wae dɛn nɔr tan. Dis kin mek wi gɛt siriɔs prɔblɛm wit mɛrɛsin. Dɛn nɔ kin gɛt inof nyutriɛnt ɛn vaytamɛn bak (e.g., ɔl gren, frut, vɛjitebul, ɛn dairy prodakt we nɔ gɛt bɔku fat), we kin gɛt bad bad impak pan dɛn wɛlbɔdi.

Yu kin de wɔnda se, "A sik fɔ aks fɔ ɛp?" Ɔ sɔntɛm yu dɔn fɔdɔm na wokples ɔ skul ɛn yu nɔ ebul fɔ no wetin fɔ tɛl di dɔktɔ dɛn. Bɔt yu nɔ go no se yu sik te yu sik rili at fɔ trit. Ɛni we aw i bi, i impɔtant fɔ go to dɔktɔ kwik kwik wan.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Fɔ mek yu wɛl fɔ lɔng tɛm, yu ɔr pɔrsin wae yu lɛk fɔ woke tru yu tritmɛnt plan. Nɔ fred ɔ shem fɔ aks fɔ ɛp frɔm yu fambul ɛn padi dɛn. Fɔ jɔyn sɔpɔt grup fɔ pipul dɛm wae gɛt dis maynia sik kin ɛp bak.

Nɔ jɔj yusɛf fɔ gɛt anorexia nervosa. Di prɔblɛm dɛn we pɔsin kin gɛt we i de it kin bɔku pas aw yu tink. If yu tɔk opin wan bɔt am, dat kin ɛp yu fɔ lɛ yu nɔ fil se yu wangren de.

If yu gɛt di rayt tritmɛnt ɛn sɔpɔt, i rili pɔsibul fɔ mek yu wɛl fɔ lɔng tɛm. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to dɔktɔ. Nɔto yu wan de.

` atypical anorexia, it dizayd, weit lכs, bכdi imej, mental hεlth, nyutrishכn, anorexia nervosa