I ei leh in pawh i control em? I taksa rihna tihtlem i ngaihtuah em? Hei hi atypical anorexia a ni thei!

Mi thenkhatin an rihna leh an ei leh in chungchangah an ngaihtuah lutuk thin tih i hmu ngai em? Tlemte taksa rihna tihtlem tum hi a tha mai thei. Mahse, a lutuka i lak a, i taksa rihna tihtlem leh i ei leh in i thunun ṭan chuan eng nge thleng? Vawiin hian thupui danglam deuh, mahse pawimawh tak mai kan sawi dawn a ni. Chu chu atypical anorexia, a nih loh leh `(Atypical Anorexia Nervosa)` an tih natna a ni.

Atypical Anorexia hi eng nge ni?

A awlsam zawngin sawi ila, anorexia nervosa hi ei leh in lama harsatna a ni. Hetiang a nih chuan mi pakhatin a taksa rihna tihtlem nan kawng hlauhawm, hrisel lo tak tak a hmang thin. Anorexia Nervosa tih hi i hre tawh mai thei. He natna, anorexia nervosa tia koh hian Anorexia Nervosa ang chi tam tak a nei thei bawk. Entir nan:

• Body image distortion: Hei hian i nihna tak aiin i thau zawk tih ngaihtuah tihna a ni. Darthlalang a i en pawhin thau angin i la inhmu reng a ni.
• Rapid, significant weight loss: A taksa rihna tam tak tihtlem nghal.
• Ei leh in leh exercise tihdanglam: Chaw ei tlem te, ei tur thenkhat ei loh te, a tul aia tam exercise lak te.

Mahse hetah hian danglamna pawimawh ber chu anorexia nervosa vei hian a natna a lo intan tirh hian body mass index (`Body Mass Index - BMI`) a sang deuh tlangpui. Chumi awmzia chu a tir lamah chuan an hring vak lo tihna a ni. Chuvang chuan an rihna an tlahniam thut a nih pawhin pawn lam atanga hmuh tur a awm lo mai thei. Hei vang hian he dinhmun hi hriat a har a, a chang chuan `(Anorexia Nervosa)` aiin hriselna leh rilru lama harsatna lian zawk a thlen thei bawk. A chhan chu buaina a awm tih a chiang nghal loh vang a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan anorexia nervosa vei hmuhchhuah hi an pung zel a ni. Ei leh in lama harsatna nei enkawlna hmuna awm zinga 25% leh 40% inkar chuan he natna hi an vei nia chhut a ni. He dinhmun hi rilru lam natna chi hrang hrang, ``DSM-V - Diagnostic and Statistical Manual of Mental Disorders'', American Psychiatric Association-in kum 2013-a an tihchhuahah an sawi hmasak ber a ni.

Atypical anorexia natna lan chhuah dan chu engte nge ni?

Hetiang dinhmunah hian i hriat theih tur chhinchhiahna engemaw zat a awm. Nangmah emaw, i thianpa emaw hian heng zinga pakhat tal hi i nei em tih en rawh:

• Binge eating: Hei hian thunun lohvin vawi khatah chaw tam tak ei tihna a ni .
• Chaw ei tam lutuk tihtlem, chaw ei loh.
• A hma aia tam exercise, ka tuar theih aia tam.
• Thil pakhat emaw, thil dang emaw rilrua lo lang, thinrim fo, leh lungkhamna nei.
• Chau tih hriat reng reng.
• Thil engemaw ngaihven harsat.
• An hmel lan danah lungawi lo.
• Laxatives hmanga taksa rihna tihtlem.
• Mahni inhriatthiam lohna tur ngaihtuah.
• Luak chhuak (ei zawh hnuah).
• Engtin emaw tak thinrim duhna nasa tak chu.
• Thau tihpun hlauhna reng reng.

Heng symptoms pakhat emaw pahnih emaw nei zawng zawng hian he natna hi an nei vek lo. Mahse heng thil engemaw zat chu a zawnin a awm a nih chuan damdawi lam thurawn lak a tha ber.

Eng thilin nge hetiang dinhmun hi a thlen?

Research atanga a lan dan chuan thil engemaw zat inzawmkhawm hian anorexia nervosa a thlen thei a ni. Eng nge an nih hi han thlir ila:

• Genetics: I chhungkuaa mi tu emaw chuan ei leh in lama harsatna a neih chuan he natna hi i nei tam zawk a ni.
• Trauma: A châng chuan, nunah thil ṭha lo i tawn hnuah, i rilru natna, lungngaihna, thinrimna, a nih loh leh hlauhna ang chite chu thunun a ngai niin i inhria thei. ‘Hei hi ka thunun theih zawng zawng a ni’ tih ang maiin.
• Khawtlang leh nunphung lama nghawng: "Being thin is beautiful" tih ang chi social norms hian a chang chuan pressure nasa tak hnuaiah min dah thei a ni. TV leh social media-a kan hmuh hian, "Kei pawh hetiang hian awm ka duh," tih hi min ngaihtuah tir thei a ni.
• Peer pressure: A bik takin i naupan lai hian i thiante leh midangte’n i taksa chungchang an nuihzat che hian hriat a harsa thei hle. He pressure hian, "Engtin emaw tak ka thinrim a ngai" tih ngaihtuah tir thei che a ni.
• Rilru hriselna: Thil famkim duhtu nih leh inlaichinna hlawhchhamna neih hian mahni inngaihhlutna a ti hniam thei a ni. Hetiang hunah hian ei leh in hrisel lo a lo awm tam zawk.

Tu nge hlauhawm zawk?

Dik tak chuan, tu pawhin anorexia nervosa ang chi ei leh in lama harsatna an nei thei a, mahse tleirawl leh puitling ṭhalai, a bîk takin hmeichhe naupangteah a tam hle a ni .

Chu bâkah, a hnuaia thilte hi i neih chuan he natna hi i vei theihna a sang zâwk thei bawk:

• I chhungte zingah ei leh in lama harsatna emaw, rilru lam natna dang emaw nei tawh an awm chuan.
• Taksa, rilru emaw, mipat hmeichhiatna lama harsatna i tawk tawh a nih chuan.
• Rilru natna dang, Anxiety, Depression, emaw Obsessive-Compulsive Disorder (OCD) emaw i neih chuan.
• I rihna emaw, i pianzia emaw pawimawhna infiamna (e.g. gymnastics, wrestling, swimming)-a i inhmang a nih chuan.
• Nun inthlâk danglamna lian tak a awm a nih chuan, chu chu sikul thar kal, hna thar, inṭhen, a nih loh leh hmun danga insawn ang chi hi a ni.
• ``Perfectionist`` thawkrim tak leh engkim ti famkim taka tih tum thin i nih chuan.

Hetiang dinhmun hian eng harsatna nge a thlen? A hlauhawm em?

Ni e, anorexia nervosa hi fiamthu a ni lo. I taksa peng tam tak a nghawng tha lo thei hle. Hetiang thil hi han ngaihtuah teh:

• Electrolyte Imbalance: Kan taksaa mineral pawimawh (calcium leh potassium ang chi) level a hniam lutuk chuan taksa ruh na leh thinlung hnathawh harsatna a awm thei.
• Kidney: I taksa rihna i tihtlem thut chuan i kal hian bawlhhlawh filter-na hna a thawk thei lo mai thei.
• Heart: Ei tlem lutuk hian heart rate a ti hniam (Bradycardia) leh thisen sang (Hypotension) a ti hniam thei a ni. Hei hi a hlauhawm hle mai.
• Thluak: Taksain a mamawh ei tur dik tak a dawn loh chuan seizures ang chi condition a awm thei.
• Pum: Nausen, luak chhuak, chaw ei kham, leh luak chhuak a awm thei.
• Endocrine system: Sudden, rang taka taksa rihna tlahniam hian hormone a nghawng thei a, testosterone emaw estrogen level a tlahniam thei a ni. Estrogen level a tlahniam chuan hmeichhiate hian thlasik an chawlhsan thei.
• Thisen: Chaw i ei that loh chuan thisen tlakchhamna (anemia) i nei thei a, chau reng rengin i awm thei bawk.
• Ruh: Ruh density a tlahniam a, a chak lo va, awlsam takin a chhe thei bawk.
• Sam: I sam chu a hring tan a, a tla chhuak thei bawk. Taksa sam tha tak tak (`lanugo`) i nei thei bawk.

"I taksa rihna tihtlem hi eng nge thleng?"!

Engtin nge anorexia pangngai lo chu kan hriat theih ang?

Doctor-te chuan he natna hi thil engemaw zat aṭangin an hmuchhuak ṭhin:

• Taksa enfiahna tih.
• I natna lan chhuah dan uluk taka zawh.
• I ei leh in dan leh exercise i tih dan te zir rawh.

Chu bâkah, heng chhinchhiahnate hi damdawi lam thil dang aṭanga lo chhuak a nih leh nih loh hriat nân test eng emaw zat neih theih a ni bawk. Entir nan:

• Thisen chhiar kim (CBC) 1.1.
• Electrolyte thisen panel hmanga siam a ni
• Albumin thisen test a ni
• Lungphun chart (`Electrocardiogram - EKG`) hmanga siam a ni.
• Urinalysis tih a ni
• Bone density test – Osteoporosis tih hi en rawh
• Kidney, liver, leh thyroid function test te a ni
• Vitamin D level a ni
• Nau neih kum lama hmeichhiate naupai test
• Hormone test a ni

I natna lan chhuahna thlentu taksa natna dang i neih loh hnuah, i doctor chuan Diagnostic and Statistical Manual of Mental Disorders (DSM-V) hmangin ei leh in lama harsatna, anorexia nervosa ang chi i neih leh neih loh a hre thei ang.

He dinhmun hriatchhuah huna ngaihtuah tur pawimawh tak takte chu:

• I ei dan pangngai aia tlem zawk ei.
• Thau tihpun hlauhna.
• I taksa chu a nihna tak anga hmuh theih lohna. Entîr nân, i taksa lian tak tak chu i hmu lo mai thei a, a nih loh leh i ngaihtuah aiin i cher zawk tih i hre lo mai thei bawk. I hmel lan dan hi i ngaih pawimawh ber niin i ngai mai thei a, ei tlem lutuk hlauhawmna chu i ngaihthah mai thei bawk.

Hei hi engtin nge enkawl a nih?

Anorexia nervosa enkawl hian team effort a ni. I doctor, nutritionist leh ei leh in lama harsatna nei therapist te chuan nang leh i chhungte chu i dam leh dan tur hriatthiam leh enkawl turin an thawk ho a ni.

Tuna i hriselna leh rilru dinhmun a zirin damdawi inah enkawl a ngai mai thei. Hei hian enkawlna kawng hrang hrang inzawmkhawm a huam thei a:

• Psychotherapy: Hei hian ei leh in leh i rihna chungchanga i ngaihtuahna a thlak danglam thei a ni. Dinhmun harsa i chhân lêt dân pawh thlâk danglam tûrin a ṭanpui thei bawk che a ni. Mimal emaw, pawl emaw, chhungkaw member-te nena tih theih enkawlna a awm. Therapy chi khat Cognitive Behavioral Therapy (CBT) tih hi ei leh in lama harsatna nei tan chuan a hlawk hle. I nungchang leh i rilru put hmang nghawngtu ngaihtuahnate hriatthiam leh thlak danglam turin a pui che a ni.
• Damdawi: Ei leh in lama harsatna nei te hian rilru lam natna dang (depression leh anxiety ang chi) an nei fo thin a, chuvangin doctor-te chuan chutiang pawh enkawl nan damdawi an pe thei bawk. Hei hian antidepressant emaw anxiolytics emaw pawh a huam thei.
• Nutrition counseling: Registered nutritionist emaw registered dietitian emaw, ei leh in lama harsatna enkawl tura training nei chuan i ei leh in tihchangtlun nan a pui thei che a ni. Shopping, ei tur ruahmanna, leh chaw siam dan tur tips an pe thei bawk.

Hemi atanga dam leh tur hian eng chen nge hun a duh?

Anorexia nervosa atanga dam leh hun chhung hi mi hrang hrangah a inang lo. Dawhthei taka awm a, i enkawlna tur ruahmanna siam tura thawh hi damna tha ber a ni.

Enkawlna tum berte chu:

• I hriselna a tha em tih leh harsatna eng pawh a bo tawh tih chian nan.
• I mamawh chaw tha tak tak ei thin, i mamawh ang zat ei thin kha i tih danah lo insiam leh rawh.
• I ngaihtuahna, i rilru put hmang, a bik takin i rihna chungchanga i rilru put hmang thlak danglam.

Atypical anorexia vei tan chuan eng nge a hmalam hun?

Anorexia nervosa atanga hlawhtling taka dam theihna chance chu heng thilteah hian a innghat a ni:

• Eng chen nge hetiang dinhmun hi i neih tawh?
• I dinhmun hi a va chhe tak em.
• Enkawlna i dawn chi leh i zawm that dan.

Ei leh in lama harsatna dang ang bawkin anorexia nervosa hi enkawl loh chuan a na zual thei a ni. He natna hi hriatchhuah leh enkawl a nih hma chuan a dam leh theihna chance a sang zawk. Enkawl loh chuan nunna atana hlauhawm a ni thei.

Vanneihthlak takin anorexia nervosa hi tihdam theih a ni. Ei leh in hrisel takah i kir leh thei a ni. Mahse, a lo let leh theihna a sang hle. Chuvangin dam leh tur chuan hun rei tak enkawl a ngai a ni. I enkawl dan tur ruahmanna anga hna thawh chhunzawm a pawimawh hle. Tin, he zinkawngah hian i chhungte leh i thiante thlawpna a pawimawh hle bawk.

Engtin nge ka in enkawl ang?

Hei hi hlauhawm leh nuam lo tak ni mahse, i hmangaih tak takte leh i doctor hnenah anorexia nervosa i vei tih hrilh a pawimawh. I hnaih berte chuan i tawn mek chu an hriat a ngai a, chutiang chuan an pui thei che a, an thlawp thei bawk che a ni.

Doctor-in anorexia nervosa a vei tih a hriat chuan, i dam lehna kawnga i tih theih ṭhenkhat chu hetiang hi a ni:

• Mut tam rawh.
• Zu leh ruihhlo lakah inthiarfihlim rawh.
• Damdawi i ei chuan a hun takah ei la, ni khat pawh tlai suh.
• Talk therapy-a i tel a nih chuan, ni ruat saah therapist nen inhmu ngei ngei ang che.
• Chhungte leh thiante hnen atangin tanpuina dil rawh.
• Ei leh in lama harsatna nei te tanpuitu pawla tel chu ngaihtuah rawh.
• Date ruat saah doctor hmu rawh.

I vun lo a nih chuan engvangin nge hriselna lama harsatna a tam em em?

Mi thenkhat chuan, "Chutiang chuan ka cher lo a, chuti a nih chuan engvangin nge hriselna lama harsatna tam tak ka neih?" Anorexia nervosa vei te hi an thau lo hle nachungin an thau chak hle. Hei hian damdawi lama harsatna lian tak a thlen thei a ni. Tin, nutrient leh vitamin (e.g., whole grains, thei, thlai, leh low-fat dairy products) an dawng tlem thei bawk a, hei hian an hriselnaah nghawng tha lo tak a nei thei bawk.

I ngaihtuah mai thei, "Tanpuina dil tur khawpin ka damlo em?" A nih loh leh hnathawhna hmunah emaw, sikulah emaw i muhil tawh a, doctor-te hnena i hrilh tur i ngaihtuah thiam lo pawh a ni thei. Mahse, i natna hi enkawl harsa tak tak a nih hma chuan i damlo tih i hre lo mai thei. Eng pawh ni se, a rang thei ang bera doctor pan a pawimawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Hun rei tak dam leh theihna tur chuan nangmah emaw i hmangaih tak emaw chuan i enkawlna ruahmanna hmangin hna i thawk tur a ni. Chhungte leh thiante hnen atanga tanpuina dil chu hlau lo la, zak suh. Ei leh in lama harsatna nei te tanpuitu group-a tel hian a pui thei bawk.

Anorexia nervosa i nei tih hi inngaihtuah suh. Ei leh in lama harsatna hi i ngaihtuah aiin a tam zawk. Chumi chungchâng zalen taka sawi chuan mahni chauha awm lo tûrin a ṭanpui thei che a ni.

Enkawlna leh puihna dik tak a awm chuan hun rei tak chhung dam leh theih a ni ngei ang. Hemi chungchangah hian zawhna dang i neih chuan Doctor biak pawh hlau suh. Nangmah chauh i ni lo.

` atypical anorexia, ei leh in lama harsatna, taksa rihna tlahniam, taksa lem, rilru hriselna, ei leh in, anorexia nervosa