I ei leh in dan hian line a pel tawh em? Anorexia Nervosa hi i hrechiang ang u!

Mi pakhatin ei tur chungchangah obsessive takin a ngaihtuah a, obsessive takin a taksa rihna tihtlem a tum tih i hmu tawh em? Nangmah i ni maithei. I taksa pianzia leh i rih zawng ngaihtuah hi thil pangngai a ni. Mahse he i ei tur chungchanga lungkhamna leh thununna hian a pangngai aia a kal chuan rilru leh hriselna lama harsatna Anorexia Nervosa tih chu a thlen thei a ni. Vawiin hian anorexia nervosa chu eng nge a nih, engtin nge min nghawng tih leh tanpuina kan hmuh theih dan tur kan sawi dawn a ni.

Anorexia Nervosa hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Anorexia Nervosa hi ei leh in nena inzawm rilru natna a ni. Hetiang natna vei hian an calorie ei tur chu nasa takin a tikhawtlai thin. Chu chu an ei tlem hle a, a chang chuan ei lo pawhin an ei thin tihna a ni. Heng mite thil tum ber chu an taksa rih zawng a hniam thei ang bera dah hi a ni. Chuvângin, ei leh in lama harsatna nasa tak an tuar a ni . Engtik lai pawhin ni lo mah se, an BMI (Body Mass Index) , chu chu an san zawng tehna value a ni a, a hniam hle fo.

Damdawi lam hawi chuan "anorexia" tih hian ei duhna hloh emaw, ei leh in duh lohna emaw a kawk a ni. Mahse, "nervosa" tih thumal i belh chuan rilru lam natna a lo ni ta a ni. Chu chu i nervous system - i thluak, i nerve, i ngaihtuahna nen a inzawm tihna a ni. Ei leh in, taksa rih zawng leh i taksa lem chungchanga ngaihtuahna tha lo leh rilru put hmang avanga lo awm a ni.

Heng thilte hi ngaihtuah a, thunun tum hi thil pangngai a ni. Mahse anorexia nervosa vei tan chuan heng ngaihtuahna atang hian tlanchhuahna a awm lo. An control a, extreme behavior-ah an hruai lut thin. Hei hian rilru leh taksa hriselna pawh nasa takin a nghawng thei a ni. Hriat chian loh leh enkawl tha a nih loh chuan nunna atana hlauhawm hial a ni thei.

Anorexia Nervosa chi hrang hrangte chu engte nge ni?

Anorexia nervosa hi ei tur chhehvela enkawl dan azirin chi hnih ah then theih a ni:

• Restrictive Anorexia: Hetiang chi hian calorie ei tam lutuk khap tlat a ni a, chu chu ei tlem lutuk tihna a ni.
• Binge-purge anorexia: Hei hian calorie tihtlem a huam a, mahse chutih rual chuan bulimia nervosa nen a inang a, vawi khatah chaw tam tak ei (binge eating) a, chu chu purge a ni. He purging hi luak chhuak emaw, laxatives hman emaw, exercise tam lutuk emaw hmanga tih theih a ni.

A chi dang chu atypical anorexia a ni . Hetah hian chu mi chuan anorexia symptoms nei mahse (la) underweight lo. Hei hian diagnose a ti harsa deuh hlek a ni.

Anorexia Nervosa natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Anorexia nervosa chhinchhiahna chu taksa lam, nungchang lam emaw, rilru lam emaw a ni thei. Chung zinga ṭhenkhat chu:

• Kar tlemte emaw thla engemaw zat chhungin taksa rihna nasa takin a tlahniam .
• San zawng avanga thau lo (a tlangpuiin BMI 18.5 aia tlem ) a nih.
• Naupang a lo puitlin chuan a san zawng/rihna inthlauhnaah sawifiah theih loh khawpa inthlak danglamna a awm thin.
• Chaw chi hrang hrang, a zat, leh/ emaw calorie counts ngaihtuah lutuk .
• Taksa rih zawng leh lem chungchanga ngaihtuahna leh ngaihdan sawisel fo thin.
• Ei duhna titawptu, laxatives emaw, diuretics emaw hman dik loh .
• Hun rei tak chhung exercise lak, a bik takin ei zawh hnua tihluihnaa tih ang maia tih .
• Chaw ei zawha bathroom-a kal fo.

Ngaihtuah teh, i ṭhian pakhat, ei leh in ṭha tak i nei a. Mahse tunah chuan thla engemaw zat kalta atang khan a lo thau tawh hle. Chaw chungchang a sawi hian a lungawi lo hle a, "Hei hian calorie tam tak a nei a, chu chuan thau tam tak a nei a ni," tih ang chi te a sawi thin. Chaw ei zawhah rang takin bathroom-ah a tlan phei a. Hetiang thil i hmuh chuan anorexia a ni thei tih i ringhlel tur a ni.

Natna a zual zel chuan ei leh in lama harsatna (malnutrition) chhinchhiahna pawh a lang thei bawk. Entir nan:

• Lungphung dik lo (`Arrhythmias`) a awm.
• Luak chhuak, luak chhuak emaw, muhil emaw.
• Chauhna nasa tak leh taksa chak lohna.
• Engtik lai pawhin a vawt hle.
• Thinrimna a thlen thuai.
• Sam tlakchhamna.
• Hmeichhia tan chuan thlasik hun hi a mumal lo emaw, a bo vek emaw a ni.
• A taksa peng hrang hrangte a hring chhuak.

Anorexia Nervosa hi engte nge ni?

Anorexia nervosa hi a chhan pakhat mah a awm lo. Biological, psychological, leh social factor engemaw zatin a nghawng thei a ni.

• Thluak inthlak danglamna: Scientist-te chuan anorexia vei te hian an thluak insiam dan leh hnathawh danah inthlak danglamna an nei tih an hmuchhuak a. Entirnan, an neurotransmitters level, serotonin leh dopamine te chu an inthlak danglam thin. Heng neurotransmitters te hi kan ei duhna, kan rilru put hmang, impulse control, leh thluak "reward system" te ang chi thil tichhe thei chemical an ni.
• Genes leh chhungkua: Chhungkaw member hnai tak (nu, pa, unau) in ei leh in lama harsatna a neih chuan i vei theihna a sang hle. Hei hi i nu leh pate hnen atanga i rochun genes te, chubakah i chhungkuaa i lo seilian chhoh zel avanga i thil hlu leh tih dan i zir te hian a nghawng thei a ni.
• Thiante nawrna: 1.1.Social leh professional influence hi a chak hle a, a bik takin i social emaw professional status chu i taksa chi hrang hrangah a innghat a nih chuan. Infiammi, zai thiam, model leh lemchan thiamte career chu hei nen hian a inzawm vek a ni. Thalaite pawhin anmahni leh midangte an sawisel nasa thei hle. Social media-a "mawi" tia ngaih thil chungchanga pressure awm lo tak takte hi hei hi a chhan pakhat a ni mai thei.
• Psychological causes: Mahni inngaihhlutna hniam neih emaw, mahni hlutna chu mahni rihna thunun theihna atanga innghat nia rinna hian ei leh in lama harsatna nei tur kawng a hawng thei a ni. A châng chuan, heng rilru put hmangte hi a hmaa thil rapthlâk tak tak emaw, rilru lam dinhmun, lungkhamna leh lungngaihna emaw aṭanga lo chhuak a ni.

Anorexia Nervosa avanga harsatna awm thei te chu engte nge ni?

Malnutrition leh chaw nghei hian i taksa peng leh tissue zawng zawng deuhthaw a nghawng thei a ni. Organ chhiatna nasa tak thenkhat chu anorexia atanga i dam leh hnuah pawh a let leh thei lo mai thei. Anorexia hian in inzawmna leh i rilru leh rilru hriselnaah nghawng na tak a nei thei bawk. Enkawlna hmang pawhin heng nghawngte hi a dam theih nan hun a duh rei thei hle.

Enkawl loh chuan anorexia hian hetiang dinhmun hi a thlen thei a ni:

• Ruh lian ( osteoporosis ) tlahniam leh ha enamel tihchhiat.
• Skeletal muscle ( rhabdomyolysis ) a chhe chak hle.
• Kidney leh liver a tichhia.
• Heart failure emaw cardiac arrest emaw a awm thei.
• Naupang puitlin leh thanlen hun sawn hlat.
• Puitlingah nau pai theih lohna.
• Rilru hriselna tlahniam, mahni intihhlum leh mahni intihhlum tumna.

Pawimawh: Mahni intihhlum tumna i neih chuan tanpuina zawng nghal rawh. Sri Lanka Friends (0112692909) ang pawlte chu i call thei bawk. Nangmah chauh i ni lo.

Engtin nge Anorexia Nervosa hi hriat theih?

Doctor-te chuan anorexia nervosa hi rilru lam natna hriat theihna official guide , DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) -a tehfung angin an enfiah thin. Heng tehfung pathumte hi:

1. Mahni invenna calorie, chu chuan naupang puitlingte taksa rihna nasa taka tihtlem emaw, tihpun loh emaw a thlen thin. A tlangpuiin, kum, mipa leh hmeichhia, san zawng leh hmasawnna stage hrang hranga taksa rihna hniam tak neih.

2. Taksa rihna chungchanga obsession danglam tak leh taksa rihna tihpun emaw "lian" emaw hlauhna nasa tak.

3. Mahni hmel lan dan dik lo nei emaw, mahni dinhmun pawizia pawm thei lo emaw.

Anorexia symptoms i neih chuan doctor chuan taksa enfiahna a nei ang a, i medical history kimchang, i mental health history pawh a la ang. Tichuan, i ei leh in dân te, exercise i tih dân te, i taksa rihna tihtlem nân damdawi te, leh a kaihhnawih i rilru put hmang leh rin dân chungchâng zawhna chipchiar tak an zâwt ang che.

I doctor chuan anorexia hian i taksa a nghawng dan tehna atan test thenkhat a ti thei bawk. Chûng zîngah chuan:

• Ruh density test a ni
• Thisen chhiar kim vek
• Electrocardiogram ( EKG ) hmanga tih a ni.
• Electrolyte panel hmanga test a ni
• Kidney function test a ni
• Liver hnathawh dan test a ni
• Thyroid thisen test a ni
• Urinalysis tih a ni

Anorexia Nervosa hi engtin nge enkawl a nih?

Anorexia nervosa enkawlna hi mimal tinte tan a ni. Chu chu, enkawlna chu mimal tinte tana ruahman a ni tihna a ni. Enkawlna atana thil tum berte chu:

• Nutritional status tha tak siam that leh.
• A taksa rihna tihtlem (stabilizing weight loss) a ni.
• Ei leh in dan mumal lo tihbo.
• Psychological problems hnuaia awmte enkawl.

Anorexia vei enkawlna kawnga harsatna lian ber chu natna khirh tak a nei tih hriat leh pawm theihna tura tanpui hi a ni. Anorexia vei tam tak chuan ei leh in lama harsatna an neih thu an hnial. An dinhmun a nasat lutuk chuan nunna atana hlauhawm tak a nih chauhvin tanpuina an zawng thin. Chuvang chuan natna hriat chian a, enkawl hmaa tan a pawimawh em em a ni.

I doctor chuan i tana tha tur treatment plan a siam ang. A huam thei ang:

• Nutrition therapy hmanga enkawlna
• Psychotherapy hmanga enkawlna
• Damdawi ei tur
• Damdawi inah dah a ni

Ei leh in lama harsatna nasa tak emaw, hriselna lama harsatna lian tham dang emaw enkawl nan damdawi ina dah a ngai thei. Rilru lama harsatna nasa tak a awm chuan damdawi ina dah a ngai thei bawk. Heng harsatnate enkawlna kawngah hian damdawi hian hmun pawimawh tak a chang \hin. Mahse, hun rei tak chhunga anorexia nervosa enkawlna chu psychotherapy a ni.

Psychotherapy tih hi eng nge ni?

Psychotherapy, a nih loh leh talk therapy hian ei leh in lama harsatna nena inzawm ngaihtuahna leh nungchangte chu a thlak danglam thei che a ni. Ei leh in, i rihna, leh taksa lem chungchangah rilru hrisel zawk i neih theih nan a pui thei che a ni. Stress leh ngaihtuahna tha lo hmachhawn dan tur leh hmanraw tha zawk zir turin a pui thei bawk.

Anorexia vei thenkhat chuan rilru lam natna dang an nei thei a, chu chuan an ei leh in lama harsatna (`coexisting mental health conditions`) a thlen thei a ni. Heng natna te hi anorexia nen hian enkawl a pawimawh hle. Mahse natna dang i nei lo a nih pawhin anorexia hi rilru lam harsatna a la ni tho. Enkawlna hian i rilru chhunga a chhan bulpui ber chu a ngaihtuah tur a ni.

Psychotherapy hman dan hrang hrang a awm a, entirnan:

• Acceptance and commitment therapy (ACT): He method hian i ngaihtuahna leh rilru put hmang eng pawh ni se, i nungchang thlak danglam tura chêttîrna siam hi a ngaih pawimawh ber a ni.
• Cognitive behavioral therapy (CBT): Hetiang hmanrua hian taksa rihna, pianzia leh hmel lan dan chungchanga ngaihtuahna leh rilru dik lo awmte chu a hmachhawn a, nungchang tihdanglamna a siam bawk.
• Cognitive remediation therapy (CRT): Hei hian exercise leh activities te a huam a, chu chuan i cognitive leh executive functioning leh i nun thunun theihna tur a tichak a ni.
• Dialectical behavior therapy (DBT): DBT atanga i zir tur thiamna bikte chu rilru fim tak siam te, inlaichinna siam that te, rilru natna enkawl te, leh lungkhamna hmachhawn te a ni.
• Chhungkaw therapy: Anorexia enkawlna hlawhtling tur chuan chhungkaw tanpuina a pawimawh hle. Chhungkaw hmanga anorexia enkawlna ( the Maudsley Method ) hian i ei leh in chungchangah mawhphurhna chu i chhungte hnenah a dah a ni.
• Interpersonal psychotherapy (IPT): IPT hian in inlaichinna leh inbiakpawhna a ti tha a, chu chuan ei leh in lama harsatna i neihte a tiziaawm thei a ni.
• Psychodynamic psychotherapy: He therapy hian anorexia awm chhan bulpui berte a en a, i dam lehna tur kawng pawimawh takah a ngai a ni.

Anorexia enkawlna avanga harsatna awm thei te chu engte nge ni?

Anorexia enkawlna avanga harsatna lian ber chu refeeding syndrome a ni . Hei hi ei leh in lama harsatna nasa tak nei mi pakhatin chaw a ei tan leh hunah a thleng thei a ni. I taksa hian ei tur a ei theih nan leh chakna a siam theih nan nutrient thenkhat a mamawh a ni. I taksain heng nutrients a khawlkhawmte a tlakchham chuan i taksain chu nutrients chu i thisen atangin a la chhuak thin.

Hetianga thisen atanga cell-a nutrients transfer hian harsatna hrang hrang a thlen thei a, a chang chuan thihna pawh a thlen thei bawk. Chuvangin damdawi lam enkawlna hnuaia chaw pek leh tan a pawimawh hle. Doctor-te chuan i taksaa nutrient awm zat tlem ber chu siam ṭhat hmasak phawt ang a, chaw pek leh hunah uluk takin an enfiah ang che.

Anorexia atanga dam leh theih nan eng chen nge hun a duh?

Anorexia atanga dam lehna hi mi tin tan chuan zinkawng hrang hrang a ni. I enkawlna ruahmanna hmun ṭhenkhat chu a dangte aiin a rei zawk thei. A pawimawh ber chu dam leh theih a ni tih hriat reng hi a ni. He zinkawngah hian nangmah emaw, i hmangaih tak emaw chu khawi hmunah pawh awm mah la, dam lehna tura thawh chhunzawm zel a pawimawh hle.

Engtikah nge anorexia chungchangah doctor i hmuh ang?

Nangmah emaw, i ngaihsak tu emaw chuan ei leh in lama harsatna a neih chhinchhiahna a lan chuan doctor biak nghal rawh . A tlai ai chuan tanpuina zawn hma hi a tha zawk fo. Nangmah emaw i hmangaih tak emaw hian anorexia nervosa tehfung (criteria) i tlin lo a nih pawhin, a hmaa hmalakna chuan natna chi chu a lo thang lian thei lo.

Anorexia vei tan chuan eng prognosis nge a awm?

Anorexia nervosa vei tan chuan thil hrang hrangah a innghat a, chung zingah chuan:

• Hetiang dinhmun hi eng chen nge an dam tawh?
• An dinhmun hi a va rapthlak tak em.
• Eng ang enkawlna nge an dawn?
• An enkawlna ruahmanna an zawm tha em em.

Anorexia hi enkawl loh rei poh leh a natna chu a na zual a, taksa leh rilru hriselna lama nghawng a neih pawh a na zual sauh sauh bawk. Hun rei tak atanga lo awm tawh tihdanglam chu a harsa khawp mai. Tin, anorexia vei te hian harsatna an nei tih an hnial duh bawk. Enkawlna an dodal thei a, hun rei tak chhung chu an enkawlna ruahmanna hmangin an thawk thei lo thei bawk.

Enkawlna tel lo chuan anorexia nervosa hi nunna atana hlauhawm tak a ni thei. Ei leh in lama harsatna, anorexia ang chi hi rilru lam hriselna lama thihna thlentu zingah a tel a, taksa leh rilru lam hriselna vang pawh a ni. Anorexia vei te hi a let nga in a hun hmaa thi an tam zawk a, a let 18 in mahni intihhlum avanga thi an tam zawk bawk.

Support leh enkawlna dik tak nen chuan dam leh theih a ni. Mahse hun a duh fo thin – a lo let leh theihna a awm bawk. Hun rei tak enkawlna leh hmangaih tak takte puihna hian danglamna nasa tak a thlen thei a ni.

Anorexia hi ven theih a ni em?

Anorexia thlentu zawng zawng kan hre vek lo va, a thlentu zawng zawng pawh kan thunun thei lo. Mahse kan fate kan enkawl dan leh entawn tur kan siam dan atang hian danglamna kan siam thei a ni.

kan thei:

• Ei leh in hrisel leh rilru put hmang zirtir rawh.
• Naupangte chu ``taksa lem hrisel`` siam turin tanpui rawh.
• Bullying tih hi hriatchhuah leh hmachhawn la, kan fate’n midang an tihbuai loh nan veng rawh.

Ei leh in lama harsatna i neih avanga zak, mualpho, hlauhna neih hi thil pangngai a ni. Mahse, tanpuina dil hi thil dik lo a awm lo tih hre reng ang che. Anorexia, emaw, rilru lam natna eng pawh enkawlna zawn chu taksa lam natna enkawlna zawng ang bawkin a pawimawh hle. Tin, tunah hian a ang lo hle a nih pawhin thil a danglam thei bawk.

I hriat mi pakhatin anorexia a vei nia i rinhlelh chuan ṭanpui dan i hre lo mai thei. Damdawi lama mithiamte kaihhruaina zawng rawh. I hmangaih tak thusawi chu an ngaithla thei a, biak theihna tur resources leh strategy an pe thei bawk. Diagnosis leh enkawlna an hmuh hma chuan a tha zawk.

Thuhmahruai: Hriat reng tur pawimawh ber berte

Anorexia nervosa hi natna khirh tak ni mahse, a dam leh theih a ni tih theihnghilh suh.

A bulpui ber chu nangmah chauh i ni lo tih leh tanpuina zawng hi chak lohna a ni lo tih hriatthiam hi a ni.

• Nangmah emaw, i hriat mi emaw chuan ei leh in lama thil danglam tak tak emaw, taksa rih zawng chungchanga ngaihtuahna tam lutuk emaw a neih chuan doctor thurawn zawng rawh.
• A hmaa hmuhchhuah leh enkawl hian dam theihna a tipung a ni.
• Enkawlna hi zinkawng a ni a, hun leh dawhtheihna a ngai a ni. Chhungte leh \hiante \anpuina hi a hlu hle.
• Nunphung hrisel, ei leh in inthlau tak, leh i taksa chunga rilru tha tak neih tum ang che.

He thu hi in tan a tangkai ngei ka beisei. Hemi chungchanga zawhna dang i neih chuan doctor rintlak tak biak hreh suh.

` Anorexia nervosa, anorexia, rilru hriselna, taksa rih zawng, ei leh in lama harsatna, ei leh in, enkawl dan