I fa hian ei tur a duh lo em ni? Chaw ei loh vang mai mai a ni lo maw? Avoidant/Restrictive Food Intake Disorder (ARFID) chungchang hi i zir dawn teh ang!

I fa hian chaw thenkhat ei a duh lo em ni? A nih loh leh nangmah ngei pawhin ei tur thenkhat pawh en duh lo va, ei duhna i nei lo em ni? Vawiin hian hei hi ‘food intolerance’ mai nge a pawi zawk tih chipchiar takin kan sawi dawn a ni. He dinhmun hi uluk taka hriatthiamna chuan nang leh i hmangaih takte tan a pui ang.

ARFID chu eng nge ni? A awlsam zawngin...

ARFID, or Avoidant/Restrictive Food Intake Disorder tih hi mi pakhatin ei tur a ei zat leh chi hrang hrang a tihkhawtlai emaw, a duh loh emaw a ni. It is not , ei leh in lama harsatna dang ang bawkin, mi pakhatin a taksa lem a ngaihven em em a, a taksa rihna tihtlem a tumna dinhmun a ni.

ARFID hian hetiang hian a ti thei a ni:

• Chaw ei duhna ka hloh ta .
• Chaw ei zawha thil thleng tur hlauhna. Entîr nân, rilru hah emaw, luak chhuak emaw chungchânga lungkham reng reng.
• Chaw ṭhenkhat chu a rawng, a thlum, a rim leh a rimtui loh avangin hnawl a ni .

A châng chuan i doctor chuan hei hi "selective eating disorder" a ti mai thei. Chumi awmzia chu chaw chi tlemte chauh ei i duh mai thei tihna a ni. I ei dân chungchângah pawh tih dân, tih dân, a nih loh leh tih dân i nei thei bawk. Entîr nân, mi ṭhenkhat chuan chaw chu a hnuaia mi ang zêlin, a hnu pakhatin an ei ṭhîn.

He natna hi ARFID tia koh hian i taksain a mamawh ei tur a neih loh nan i hriselna zawng zawng a nghawng thei a ni. Tin, enkawl that loh chuan nunna atana hlauhawm thei a ni tih hriat reng a pawimawh bawk .

Hei hi picky eating mai mai a ni em?

Ni lo, ARFID hi picky eating chauh a ni lo. Naupang tê tê, ei tûr ṭhenkhat rawng, a thlum, a rim leh a rimtui duh lo va, ei lo tûr an awm. Hei hi ‘food pickiness’ kan tih chu a ni. Mahse hei hi ei tur tlemte chauh a ni tlangpui. Naupang ei duhna leh thanlennaah nghawng lian tham a nei lo. He ‘pickiness’ hi naupang a lo upat deuh deuh chuan a bo fo thin.

Mahse ARFID hi a na zawk a ni . Chutiang a nih chuan ei leh in tha tawk lo hian naupang ei duhna, a thanlenna leh a hriselna zawng zawng nasa takin a nghawng thei a ni. He dinhmun hi enkawl loh chuan a tha lo.

ARFID hi engtiang chiahin nge a awm?

Dik tak chuan ARFID hi natna thar tak a ni a, chu chu doctor-te’n damlo an hriat theihna tura an hman thin rilru lam natna chi hrang hrang, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)-ah telh a ni. Chutiang a nih avang chuan a hluar dan chungchangah hian mipui tam tak zirchianna atanga data tlemte chauh a la awm.

ARFID natna lan chhuah dante chu engte nge ni? Engtin nge kan hriat chian?

ARFID hian taksa leh nungchang a tidanglam thei a, chungte chu:

Taksa lama hmuh theih thilte:

• A taksa rihna tihtlem nasa tak.
• Constipation a awm fo thin .
• Pum na, pum na, pum na, leh pum na.
• Taksa lumna pangngai aia hniam zawk.
• Chauhna leh rilru hahna awm reng .
• Hmeichhia leh hmeichhe naupang thlasik hun mumal lo.
• Luak chhuak emaw, muhil emaw tih hriat.
• Taksaah sam sei tak tak (lanugo) a lo thang lian a, a bik takin hnungzang leh kut ah a lo thang lian.
• Muscle chak lohna.

Nungchang inthlak danglamna: 1.1.

• Chaw ei hmaa "full" tih hriat, a nih loh leh i ei duhna hloh vek .
• Thil ngaihtuah reng a harsa khawp mai.
• Chaw ei tur zat hriat chian taka tihtlem.
• A texture bik nei ei tur chauh a ei thin (e.g., ei tur nêm tak tak chauh, a nih loh leh ei tur hmin tak chauh a ei thin).
• Ka ei zawh hnua luak chhuak emaw, ka kawr chhunga ei tur a tlakbuak emaw ang chi thil hi ka hlau fo thin.
• Tun hmaa ‘food-crazy’ rilru put hmang hi a hluar chho zel a, ei tur ei theih zat pawh a tlem tial tial a ni.

A pawimawh ber chu ARFID hi mi taksa lem (body image) lama rilru put hmang tha lo emaw, taksa rihna tihtlem duhna emaw avanga lo awm a ni lo .

ARFID awm chhante chu engte nge ni?

ARFID awm chhan dik tak hi hriat a la ni lo , mahse damdawi lam zirchianna chuan thil engemaw zatin hmun a chang thei tih a tarlang:

• Lungkhamna nasa tak a awm .
• Thil chi hrang hrang, a bikin ei leh in hlauhna .
• Genetic change thenkhat .
• Kan chhehvel, khawtlang leh nunphung a nghawng \henkhat.
• Previous traumatic experiences , a bik takin ei leh in nena inzawm te.

Tute nge ARFID vei theihna hlauhawm zawk?

ARFID hian kum eng pawh a nghawng thei a, puitling leh naupang pawh a nghawng thei a ni. Mahse, naupan laiah a tam ber . A hnuaia thilte avang hian he natna hi i vei theihna tur hlauhawm i ni thei:

• Chaw ei nena inzawm thil lungchhiatthlak tak tak i tawng tawh a nih chuan. Entîr nân, ei tûr tlakchhamna tawn te, nawr luihtîr emaw, ei tûr rilṭâm emaw.
• Rilru lam hriselna lama harsatna (e.g., lungkhamna, lungngaihna, attention deficit hyperactivity disorder (ADHD)) emaw, neurodevelopment tichhe thei natna dang emaw i neih chuan.
• Chaw thenkhat texture duh lohna nasa tak i neih chuan.
• Chaw ei hian i taksa a tichhe dawn tih i hlauh reng chuan.
• I chhungte hnai tak tak (biological family) te hian ei leh in lama harsatna an neih tawh chuan.

ARFID vang hian eng harsatna nge thleng thei?

ARFID hi uluk taka enkawl a nih loh chuan harsatna chi hrang hrang a awm thei a, a then chu a hlauhawm hle.

• Malnutrition : Taksa mamawh chaw tha kan hmuh loh.
• Dehydration : Taksa chhunga tui awm zat tlem.
• Electrolyte imbalance : Sodium leh potassium ang chi salt inthlauhna.
• Anemia : Thisen tlakchhamna.
• Thisen sang hniam.
• Ruh hring (Osteoporosis) .
• Sudden cardiac arrest pawh a awm thei.
• Naupang puitlin hun sawn hlat .
• Taksa hmasawnna lama inthlak danglamna leh chhiatna.

Chûng nghawngte chu a châng chuan nunna atana hlauhawm tak a ni thei . Mak tak maiin, a chang chuan ARFID vei taksa hian he stress hi eng emaw chen a thiam thei a, pawn lam atanga a lan chhuah loh phah thin. Chuvangin, test-naah pawh a dinhmun hi chiang taka hriat theih a ni lo mai thei a, mahse a chhungril lamah chuan a zual zel thei a ni.

ARFID hian i khawtlang nunah nghawng lian tak a nei thei bawk. Entîr nân, chhûngte nêna chaw ei chu i duh lo mai thei a, ṭhiante party-ah i kal duh lo mai thei a, ei leh in chungchânga inkhâwmpui eng pawhah i tel duh lo mai thei. Hei hian chhungte leh thiante nena in inlaichinna a tichhe thei a, sikul hnathawh leh hnathawhna a\angin i ngaihtuahna a tibuai thei bawk.

Engtin nge ARFID hi hmuhchhuah a nih?

Doctor chuan ARFID i neih leh neih loh chu tehfung bik tlemte ngaihtuahin a hre thei ang. Heng tehfungte hi:

• Chaw ei khapna hian taksa rihna nasa tak a tihtlem phah ngei ang (naupangah chuan, beisei angin thanlenna a thlen thei lo), ei leh in lama harsatna , ei leh in tur atana tube feeding emaw vitamin/nutritional supplement emaw rinchhanna, leh/ emaw midang nena inpawh tawnna te chu ei tur khapna hian a nghawng a ni ngei ang .
• He ei tur khapna hi ei leh in lama harsatna vang te, sakhaw thil avanga chaw nghei vang te, emaw, damdawi lam dinhmun emaw, a enkawlna emaw avanga lo awm tur a ni lo .
• Tin, he ei tur khapna hi mi taksa pianzia chungchanga ngaihdan tha lo tak tak avang emaw, taksa rihna tihtlem emaw, taksa pianzia thlak danglam emaw tumna neia tih tur a ni lo .
• Chaw ei khapna hi damdawi lam dinhmun emaw, enkawlna emaw avanga thleng pawh ni se , a tlangpuiin beisei theih tur side effects level aia sang a nih a ngai a, hriselna zawng zawngah harsatna lian tak a thlen tur a ni.

Heng thilte hi nemnghet turin i doctor chuan taksa enfiahna a nei ang a, i hriselna tlangpui, ei leh in level leh i chhungril taksa peng hrang hrangte hnathawh dan enfiah turin thisen emaw zun emaw test pawh a ti thei bawk. Heng test te hi a pawimawh a, a chhan chu he natna avanga side effects te hi nunna atana hlauhawm tak a ni thei a, taksa peng tam tak a nghawng thei bawk.

ARFID hi engtin nge enkawl a nih?

ARFID enkawlna kawngah hian thil tum lian tak tak engemaw zat a awm a:

• I taksa rihna hrisel tak neih leh vawn that theihna tura puitu .
• I hriselna zawng zawng tichhe thei harsatna awm thei venna .
• I rilru lama harsatna te, hriatna lama i huatna te, leh ei leh in chungchanga hlauhna te enkawl tura tanpui che.

Hei hi enkawlna ber chu Cognitive Behavioral Therapy (CBT) a ni. He therapy hian thil hrang hrangah a pui thei che a ni:

• I hriselna tichhe thei ngaihtuahna leh nungchang buaithlak tak takte chu hmuchhuak rawh .
• Chaw ei chungchangah hlauhna emaw, lungkhamna emaw tihziaawm rawh .
• Sensory challenges-ah pawh rilru hahdam leh hahdam zawk rawh .

A châng chuan, i doctor-in i rilru leh taksa a dam leh theih nân leh nunna atana hlauhawm harsatna a thlen loh nân damdawi a pe thei a ni. Chûng zîngah chuan antipsychotic damdawi, antidepressant, a nih loh leh ei duhna tipung thei damdawi te pawh a tel thei. Damdawi eng pawh i ei tan hmain i doctor nen inbiakna neih hmasak a pawimawh.

Thil na tak tak ṭhenkhatah chuan doctor chuan hun eng emaw chen atan enteral nutrition pek a rel thei a ni. Hei hi tube flexible, thin tak a ni a, hnar kaltlangin emaw, pum emaw, small intestine emaw chhungah direct-a dah a ni. He tube hian taksain ei leh in ei ngai lovin nutrients a dawng thei a ni.

ARFID hi tuin nge enkawl? Specialist team i mamawh em?

Ni e, ARFID hi natna khirh tak a nih avangin enkawl turin doctor leh therapist team puihna i mamawh mai thei. He team hian:

• I chhungkaw doctor (Primary care physician) .
• Mental health counselor emaw cognitive behavioral therapist emaw a ni thei ang .
• Doctor pakhat, chaw ei leh in lama tui (Gastroenterologist) .
• Speech-language pathologist (a ei leh in ang chi harsatna a awm chuan).
• ARFID avanga harsatna dang enkawltu specialist doctor te .

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

ARFID enkawl nan hian hun a duh rei hle. Mi zawng zawng hi kan inang lo vek a, engtikah nge i rilru a hahdam tan dawn tih chiang taka sawi a harsa hle. Mi tin a inang lo. Mahse, i taksain a mamawh ei tur a dawn tan chuan zawi zawiin i natna lan chhuah dan atanga hahdamna i nei tan ang. A pawimawh ber chu i hmasawnna enfiah a, nakin lawka harsatna thar lo thleng thei turte thlir reng a ni a, i dam chhung zawngin i medical team-te puihna leh enkawl reng reng i mamawh mai thei a ni

ARFID laka inven dan tur a awm em?

Vanduaithlak takin tun dinhmunah chuan ARFID lo thleng tur ven dan tur hriat a la awm lo .

ARFID vei tan chuan experience chu eng ang nge ni? Eng nge i beisei ang?

ARFID hi rilru lam natna a ni a, i taksa a nghawng nghal vek a ni. A tir lamah chuan ‘food intolerance’ mai mai angin a lang thei a, mahse ei tur khap tlat hian a rah chhuah chu a pawi hle thei a, a enkawl that loh chuan nunna atana hlauhawm tak a ni thei bawk . Naupangte hian an lo puitlin chuan an ei leh in lama an inngaihtlawmna chu an tipung tlangpui a, mahse ARFID hian damdawi lam pan a ngai tak zet a ni. Nun chhung zawnga dinhmun, enkawl ngai a ni thei. ARFID vei te hi damdawi inah dah an ni fo.

He natna hi medical science-ah chuan hmuhchhuah thar a nih avangin mi zawng zawng tana thawk thei tur enkawlna pakhat chauh a awm lo. Vawi tam tak chu damdawi leh cognitive behavioral therapy (CBT) ang chi enkawlna hrang hrang hmanga result tha ber a awm thin .

Engtikah nge doctor i hmuh ang?

Nangmah emaw, i hriat emaw hian heng symptoms te hi i neih chuan a rang thei ang bera doctor pan a pawimawh hle:

• Ei leh tui tlem te pawh i in thei lo a nih chuan.
• Chaw ei laiin hlauhna nasa tak emaw, lungkhamna emaw i neih chuan.
• Ei duhna leh ei duhna i neih loh chuan .
• Chhan awm lovin i taksa rihna nasa tak i tihtlem thut chuan .
• He thuziak-a kan sawi tawh ARFID nena inzawm symptom dang i neih chuan.

Rilru lama harsatna nei tan chuan tanpuina a mamawh tih a hriat a, a dil chu thil awlsam a ni lo tih hre reng ang che. Chuvangin, i hmangaih tak takte tanpuina, hriatthiamna leh fuihna hi damdawi lam enkawlna tul tak pe thei tur mi hnena refer theihna kawngah a pawimawh hle.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawt hreh suh:

• "Doctor, ka diagnosis chu eng chiah nge ni?"
• "Mental health therapist ka hmuh a ngai em?"
• "Ka damdawi i pek te hian eng side effect nge a neih theih ang?"
• "Ka ei tha thei lo a nih chuan ka taksa mamawh nutrition ka hmuh theih nan engtin nge ka tih ang?"
• "Feding tube ka mamawh dawn em ni?"

ARFID leh Anorexia hi eng nge an danglamna?

ARFID leh Anorexia Nervosa te hi rilru lam hriselna lama harsatna nei ve ve an ni a, ei leh in khap tlat an ni. Mahse danglamna pawimawh tak a awm . Anorexia hi mi pakhatin a taksa chungchangah mahni inngaihtuahna tha lo a neih a, chu hmel chu thlak danglam tumna atana a ei leh in a tihkhawtlai hian a thleng thin a, a bik takin taksa rihna tihtlem nan a ni. ARFID-ah chuan khapna hi an taksa lem chungchang a ni lo .

ARFID hi Autism Spectrum Disorder-ah hian a tel ve em?

No. ARFID natna lan chhuahna ṭhenkhat chu autism spectrum disorder (ASD) nen inang thei mah se, dinhmun hrang hrang pahnih an ni . Entirnan, dinhmun pahnihah hian ei tur thenkhat texture chu huatna nasa tak a awm thei a ni. Mahse, ARFID vei tan chuan he sensory aversion hian harsatna lian tak a thlen thei a, chu chu ei leh in lama harsatna nasa tak a thlen thei a ni.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin hei hian ARFID chungchang hi a hriatthiamna tha zawk a pe che ka beisei. A tawp berah chuan heng thute hi hre reng ang che:

• ARFID hi rilru lam natna khirh tak a ni a, enkawl loh chuan a tha lo a, chuvangin ngaihthah tur a ni lo.
• Hei hi a hmasa berah chuan ‘ei leh in tuar lohna’ mai ang mai ni mah se, taksain ei tur mamawh a dawn loh chuan harsatna hlauhawm tak tak, nunna atana hlauhawm tak a thlen thei a ni
• There are treatments available , mahse hun leh dawhtheihna a ngai. I medical team leh i hmangaih tak takte puihna chuan hriselna tha tak nei leh turin kawng thui tak a zawh ang che.

Nangmah emaw, i hriatte emaw hian he harsatna hi an nei thei nia i hriat chuan doctor thurawn la rawh. A hmaa hriatchhuah leh enkawl hi a pawimawh hle!

` ARFID, Avoidant/Restrictive Food Intake Disorder, ei leh in duh lohna, ei leh in duh lohna, ei leh in lama harsatna, rilru hriselna, naupang hriselna, ei leh in lama harsatna, picky eating