Ei leh in lamah harsatna i nei em? (Eating Disorders) Hemi chungchang hi han sawi ila!

Chaw ei hi kan zavaiin kan nun theih loh thil a ni lawm ni? Mahse a chang chuan ei leh in nena kan inzawmna hi a buaithlak deuh thei. I ei tam dan, i ei dan leh ei zawha i rilru put hmang ang chi thil avang hian rilru leh taksa lamah pawh stress i nei em? Chutiang a nih chuan hei hi i tana thil pawimawh tak chungchang a ni.

Heng ei leh in lama harsatna te hi engte nge ni?

A awlsam zawngin sawi ila, ei leh in lama harsatna hi rilru lam natna a ni a, ei leh in i enkawl dan leh i taksa i thlir dan (body image) a nghawng a ni. I taksa hriselna bakah i rilru hriselna a nghawng thei a, a chang chuan nunna atana hlauhawm tak a ni thei bawk. Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, natna chi hrang hrang a zirin a danglam thei bawk. Calorie i chhiar thei a, i ei zat leh chi hrang hrang i tihtlem thei a, ei tam lutuk i nei thei a, ei zawhah pawh i luak chhuak thei bawk. Chaw i ei laia hlim taka inhriat ai chuan, i sual emaw, i zak emaw pawh a ni thei. Chaw ei hi nunna atan a pawimawh hle. Chaw nena inzawmna danglam bik kan nei vek a. I ei duh ber leh duh loh zawng chu i tan a danglam bik a ni. Ei leh in lama harsatna i neih hi i thiam tawh avangin i hre lo pawh a ni thei.

He ei leh in cycle-ah hian i tang tlat nia i inhriat pawhin, kawng dik zawh leh tura puitu tur enkawlna a awm tih hre reng ang che. I inpeih tawh chuan chu tanpuina chu i hmu thei ang.

Ei leh in lama harsatna chi hrang hrangte chu engte nge ni?

Ei leh in kaihhnawih harsatna chi hrang hrang a awm a. Eng nge an nih hi han thlir ila:

• Anorexia Nervosa: Hei hi ei leh in leh calorie tihtlem (mahni chaw nghei ang chi), taksa rihna tihpun hlauhna nasa tak, leh i taksa thlirna tha lo tak a ni. Entîr nân, mi pakhat chu a thau hle chung pawhin a thau tih a inhria thei a. Hei vang hian an ei leh in dan chu a danglam bik takin thunun an tum a ni.

• Bulimia Nervosa: Hei hi binging, a nih loh leh hun rei lote chhunga ei tam tawh nia rinna a ni. Tichuan, i taksa aṭanga chaw chu tihthianghlim i tum a, chu chu i luak chhuak , laxatives hmangin, a nih loh leh exercise nasa lutuk hmangin.

• Binge Eating Disorder : Hei hi binging emaw, hun rei lote chhunga ei tam lutuk anga ngaih emaw a ni bawk . Mahse, bulimia ang lo takin ei tur tihbo tumna a awm lo. Chu ai chuan, mualphona, simna, sualna, a nih loh leh lungngaihna a awm zâwk .

• Pica chuan:Hei hi dinhmun mak deuh a ni. Chaw ni lo thil ei duhna nasa tak, entirnan, chalk stick, bawlhhlawh, leh paint.

• Rumination Disorder: Hei hi ei zawh hnua chaw ei loh chu ka chhunga a lo lut leh thin hi a ni. Tichuan, an ei leh a, an ei leh emaw, an chhuah leh emaw a ni.

• Avoidant/Restrictive Food Intake Disorder (ARFID): Hei hi miten an ei tur zat emaw, an ei tur chi hrang hrang emaw an tihkhawtlai thinna a ni. Hei hi an taksa lem an ngaihtuah vang emaw, an taksa rihna tihtlem an tum vang emaw a ni lo. Thil dang vangin ei an duh lo (e.g., ei tur rawng, rim, leh a texture an duh lo).

A châng chuan mi pakhatin ei leh in lama harsatna chi khat aia tam a nei thei bawk.

Heng ei leh in lama harsatna te hi engtiang chiahin nge a awm?

Hengte hi a takah chuan i ngaihtuah aiin a tam zawk. United States-a zirchianna hrang hrangah chuan mi maktaduai 28.8 vel chuan an dam chhungin engtik lai pawhin he ei leh in lama harsatna hi an tawk dawn tih a tarlang. Hetiang dinhmun hi kan ramah pawh hmuh tur a awm.

Ei leh in lama harsatna nei hian eng symptoms nge a neih?

A chi hrang hrangah hian natna lan chhuah dan inang lo mah se, thil langsar tak tak hmuh tur a awm a:

Taksa pianphung: 1.1.

• Mood swing fo thin.
• Chau tih hriat reng ( Fatigue ).
• Fainting emaw luak chhuak emaw .
• Sam hring emaw sam tlakchham emaw .
• Sawifiah loha taksa rihna inthlak danglam emaw drastic weight loss emaw .
• Thil danglam tak, thawmhnaw emaw, hot flashes emaw.

Nungchang inthlak danglamna (nungchang ziarang): .

• Chaw ei khap, ei tur thenkhat ei loh tak tak.
• Hun rei lote chhunga ei tam lutuk.
• Chaw ei hnua nawr luih emaw, laxatives hman dik loh emaw.
• Chaw ei zawha exercise tam lutuk.
• Chaw ei zawha bathroom-a kal fo.
• Ṭhiante leh khawtlang nun aṭanga inhnukdawk.
• Chaw thup, paih chhuah.
• Chaw ei dan mak tak tak (e.g., rei tak chaw ei, a ruka ei).

I hmangaih tu emaw hian he harsatna hi a nei tih hriat a harsa thei a, chu chu ei leh in emaw, nunphung emaw inthlak danglamna mai ang mai a ni thei a ni. Tin, mi pakhatin he natna hi a nei em tih pawh i en mai mai pawhin i hre thei lo bawk.

Ei leh in lama harsatna nei chuan engtin nge a awm?

Ei leh in lama harsatna i neih chuan a hnuaia mite hi i tawng thei a ni:

• Chaw ei hi hmelma ang a ni a, a tichhe dawn che niin a lang.
• Chaw ei zawh chuan tihpalh ang maiin i inhria a, thil zahthlak tak i tih ang maiin i inhria.
• I rihna dik lo ang maiin i inhria a, i taksa pianzia pawh a dik lo hle.
• I rit zawng i thlen theih loh emaw, ei tur chungchanga dan thenkhat i zawm theih loh emaw chuan "hlawhchham" ang maiin i inhria.
• Midangte’n kawng dik lo taka an en che angin i inhria.
• I nunah i thunun theih awmchhun chu i ei leh in leh i ei dan a ni tih i hria.
• Midangte’n an rorelsak che tih hlauvin midang nena hun hman i duh lo.

Heng rilru put hmangte hi tumruh taka i siam a ni lo. Taksa hrisêlna bâkah, ei leh in lama harsatna chuan i thu tlûkna siam dân te, i rilru put hmang te, leh mi dangte nêna a pangngaia inpawh theihna te chu nasa takin a nghawng thei a ni.

Ei leh in lama harsatna awm chhante chu engte nge ni?

Hei hi a chhan dik tak hriat a la ni lo a, mahse zirchianna chuan thil engemaw zatin hei hi a thlen thei tih a tarlang a:

• Genetics: Zirna hrang hrangah chuan Anorexia Nervosa , Bulimia Nervosa , leh Binge Eating Disorder te ang chi hi chhungkuaah a kal tlangpui tih hmuhchhuah a ni. Chumi awmzia chu i chhungkuaa mi tu emaw chuan he natna hi a neih chuan nang pawhin i vei theihna tur genetic predisposition i nei thei tihna a ni.

• Brain biology: Kan thluaka chemical awm dopamine leh serotonin te hian hlimna leh hahdam takin min siam thin. Research atanga a lan dan chuan heng chemical te hi ei leh in dan pangngai lo a awm chuan an thawk chhuak thin.

• Cultural leh social ideals: Khawtlang nun nena "fit in" tura nawrna hian i rilru hriselna a nghawng thei a, midangte’n a chang chuan thil thleng thei lo tak tak an lo siam tawhte tihhlawhtlin nan i nungchang a thlak danglam thei bawk. Hei hian i mahni inngaihhlutna a nghawng thei a, a bik takin tun digital hunlai hian social media, television leh movie-a i hmuh thinte ang ni lo ang maia i inhriat lai hian.

• Rilru hriselna dinhmun dang: I nunah thil dang i thunun thei tawh lo ang maia i inhriat hian i ei leh in chungchangah hmalakna nasa tak nei turin i thlem thei a ni. Hriatthiamna hrehawm tak tuar tûra ei tûr ngaihtuah lutuk chu hmachhawn dân hrisêl lo tak a ni thei a. Chuvangin, ei leh in lama harsatna thenkhat chu rilru lam natna dang nen a awm dun thei a ni.

Tute nge ei leh in lama harsatna nei thei dinhmun sang zawk?

Hetiang dinhmun hi kum eng pawhah a awm thei a, mahse tleirawl leh tleirawl puitlingah a tam ber. A hnuaia thilte avang hian he natna hi i vei thei a ni:

• I chhungte zingah ei leh in lama harsatna emaw, rilru lam harsatna dang emaw nei tawh an awm a nih chuan.
• Traumatic experience (taksa, rilru emaw sexual emaw) i tawn tawh chuan.
• Rilru hriselna dinhmun hnuaia awm, lungkhamna, lungngaihna, emaw Obsessive-Compulsive Disorder (OCD) emaw i neih chuan .
• I taksa rih zawng emaw, i pianzia emaw pawimawhna hmun (e.g. gymnastics, wrestling, swimming) i tih chuan.
• Inthlâk danglamna lian tak i hmachhawn a nih chuan, chu chu sikul thar kal emaw, hna thar emaw, inṭhen emaw, in insawn emaw a ni.
• Type 1 Diabetes i neih chuan . Zirna hrang hrangah chuan Type 1 diabetes vei hmeichhia 25% vel chuan ei leh in lama harsatna an tawk tih hmuhchhuah a ni.
• Engkim famkim taka tih tum, perfectionist i nih chuan.

Ei leh in lama harsatna avanga harsatna awmte chu engte nge ni?

Calorie tihtlem nasat lutuk te, luak chhuak te, exercise tam lutuk te hian i taksa hriselnaah nghawng lian tak a nei thei a ni. Ei leh in lama harsatna hi enkawl loh chuan harsatna lian tak tak a thlen thei a, chungte chu:

• Heart rhythm disorders (Arrhythmia) , thinlung chak lohna, leh thinlung natna dangte.
• Gastroesophageal Reflux Natna emaw GERD emaw a awm thei .
• Digestive system lama harsatna awm thei.
• Thisen sang hniam (Hypotension) .
• Organ failure leh thluak chhiatna.
• Ruh hring (Osteoporosis) .
• Tui tlakchhamna nasa tak leh chaw ei kham.
• Amenorrhea leh nau pai theih lohna.
• Thai.
• Ha chhiatna.

Rilru lam natna i nih angin, ei leh in emaw, i taksa emaw chungchanga i rilru put hmang avang hian mahni intihhlum tumna emaw, mahni intihhlum tumna emaw pawh i nei thei a ni. Heng ngaihtuahnate hi i neih ngai a nih chuan i rintlak tak nen inbia la, a nih loh leh doctor emaw mental health counselor emaw hmu nghal rawh. Nangmah chauh i ni lo va, tanpuina a awm bawk.

Engtin nge ei leh in lama harsatna kan hriat theih ang?

Hei hi doctor-in he natna hi a hriat dan a ni:

• Taksa enfiahna tih hmangin.
• I symptoms te enfiahin.
• I ei leh in leh exercise i tih dan hriat belh zel hmangin.
• Damdawi lam thil dang tih loh tur emaw, harsatna a awm leh awm loh enfiah tur emaw chuan imaging test, thisen emaw zun emaw test (e.g., kidney function test, electrocardiogram - ECG ) tih tur a ni.

Doctor-te chuan American Psychiatric Association-in DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition) hmangin he natna hi an hriat theih nan an hmang a ni.Guide hian a hnuaia symptoms te hi a hmang a. Ei leh in lama harsatna tinte nena inzawm symptoms te a sawi a ni. Mahse, hriat chhuah theih nan heng symptoms zawng zawng hi i neih vek a ngai lo. Tin, he list-ah hian ei leh in lama harsatna bik i nei lo a nih pawhin, i ei leh in lama harsatnate hneh tûrin ṭanpuina i la mamawh thei bawk.

Tuin nge ei leh in lama harsatna nei tih hmuhchhuah?

Heng natnate hi hriselna lama mithiam, doctor leh rilru lam doctor-te’n an hmuchhuak thin. I chhungkaw doctor chuan i natna lan chhuah dan a en ang a, taksa a enfiah ang a, thisen test turin a ti ang. Psychologist emaw psychiatrist emaw chuan i ei leh in leh i rin dan hriat belh nan psychological evaluation a ti ang.

Ei leh in lama harsatna enkawl dan tur chu engte nge ni?

Enkawl dan tur chu a chi hrang hrangah a inang lo a, mahse:

• Psychotherapy: Psychiatrist chuan i dinhmun enkawlna tha ber tur a ruat ang. Mimal, pawl leh chhungkaw therapy ang chi duhthlan tur a awm. Ei leh in lama harsatna nei tam tak chuan Cognitive Behavioral Therapy (CBT) an thlang thin.
• Damdawi: Ei leh in lama harsatna nen hian natna dang, lungkhamna emaw, lungngaihna emaw i nei thei bawk. Heng natnate hi antidepressant , antipsychotics , emaw damdawi dang hmangin enkawl theih a ni.
• Nutrition counseling: Ei leh in nena inzawm thila trained dietitian registered chuan i ei leh in tihchangtlun nan leh ei leh in tur ruahmanna siam turin a pui thei che a ni. Tin, thil lei dan tur te, ruahmanna siam dan tur te, leh ei tur buatsaih dan tur te pawh thurawn an pe thei che a ni.

A tha ber chu heng enkawlna pakhat emaw a aia tam emaw hman dun hi a ni. I medical team te chuan an thawk ho ang a, chu chuan he natna taksa, rilru leh nungchang lam hawi zawng zawng huam vek tur enkawlna ruahmanna kimchang tak an siam ang.

Ei leh in lama harsatna bik i nei lo a nih pawhin, damdawi lam thiam chuan ei leh in lama harsatna emaw, i hriselna tichhe thei thil dang emaw chu a enkawl thei che a ni.

Ei leh in lama harsatna nei te enkawlna level engzat nge awm?

Hei hi enkawlna level hrang hrang a awm a:

• Outpatient therapy (kar khatah vawi khat consultation) neih a ni.
• Intensive outpatient therapy (kar khatah vawi tam tak therapy) a ni.
• Residential therapy (damdawi inah dah) a ni.

I doctor chuan eng level nge i tan a tha ber tih a sawipui ang che.

Ei leh in lama harsatna nei te tan Therapy

Therapy hi a hlawkthlak thei a, a harsa thei bawk. I nungchang leh i rilru put hmang thununtu ngaihtuahnate hriatthiam leh thlak danglam turin therapist i hmu ang. I rilru put hmang chungchânga mi thar hnêna rinawm chu a harsa thei hle. Thil awmdan thunun thei anga i inhriat hunah tanpuina pawm chu a harsa thei bawk. Therapy hian ngaihtuah duh loh rilru natna a thlen thei bawk. Heng rilru put hmangte hi i therapist nen sawi dun a tha a, a fuh hle bawk. I enkawl chhung hian i medical team te chu tanpui turin an awm tih hre reng ang che.

Ei leh in lama harsatna atanga dam leh

Thu lawmawm tak chu dam leh theihna a awm a beiseina a awm bawk . Ei leh in lama harsatna hi zan khat thil thuah a dam lo. Enkawlna hian hun a duh a ni. I natna nasat dan leh i neih rei danah a innghat. Damdawi i ei tan emaw, professional i biak hnuah emaw i natna lan chhuahna a ṭha chho tih i hmu mai thei. I dam tan hmain i na zual deuh niin i inhria thei bawk. Chu chu thil pangngai a ni. Damna kawng tha ber chu i doctor enkawl dan tur ruahmanna nena thawh dun hi a ni. I hmachhawn tur side effect emaw, harsatna i tawh emaw chu anmahni hnenah sawipui rawh. I rilru put hmang chu rinawm tak leh inhawng takin sawi rawh. Anni chuan i dam thuai theih nân mimal kaihhruaina an pe thei che a ni.

Ei leh in lama harsatna nei turte chu eng nge ni ang?

Ei leh in lama harsatna chi hrang hrang enkawlna a awm. A tha ber tur chuan a dinhmun hi hriat hmasak a pawimawh a, enkawl tan nghal a pawimawh. Dam lehna hian hun a duh a, dam chhung zawnga tanpuina a mamawh thei bawk. Enkawl loh chuan ei leh in lama harsatna hi nunna atana hlauhawm tak a ni thei. Nangmah emaw, i hmangaih tu emaw hian heng symptoms hi i neih chuan doctor pan rawh.

Ei leh in lama harsatna hi ven theih a ni em?

Hengte hi pumpelh kim theih dan tur hriat a ni lo. I chhungkuaa mi tu emaw chuan ei leh in lama harsatna emaw, rilru lam harsatna emaw a neih chuan, chu chu hriat chian chuan nang leh i medical team te chu a hmaa hriatchhuah leh enkawl turin a pui thei a ni. Enkawl hmasak hian nungchang hrisel lote chu a thunun theih loh hmain a titawp thei a ni.

Engtin nge ei leh in lama harsatna nei thei tur chu tihtlem theih ang?

Hriselna lama harsatna tlanglawn leh rilru lam hriselna (e.g., lungngaihna, lungkhamna, OCD ) te enkawl hmasak hian ei leh in lama harsatna i neih theihna a ti tlem thei a ni. Nu leh pa emaw, enkawltu emaw i nih a, i chhungte hian ei leh in lama harsatna an nei tih i hriat chuan, i fate zinga hlauhawmna tihziaawmna tura i tih theih ṭhenkhat chu hetiang hi a ni:

• Entawn tlak tak ni rawh.
• Chaw hrisel ei la, ei tur "tha" emaw "tha lo" emaw tih loh tur.
• Naupangte nen "dieting" chungchang sawi loh tur.
• Taksa chungchangah thu tha lo sawi loh tur.

Engtikah nge Doctor ka hmuh ang?

A hnuaia thil awmte hi doctor pan rawh:

• Chaw nena in inzawmna avanga lungngaihna i neih chuan.
• I ei leh in danin i nitin hnathawh a tibuai tih i hriat chuan.
• I rilru na, thawk harsa, emaw, thinlung na i neih chuan.
• I luak chhuak emaw, i lu a hah fo emaw a nih chuan.
• I rilru natna nasa tak emaw acid reflux emaw i neih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Ei leh in lama harsatna i neih chuan doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng ang ei leh in lama harsatna nge ka neih?
• Ka tan enge inenkawlna tha ber?
• Enkawlnate hian eng nge a hlauhawmna leh a nghawng tha lo?
• Enkawlna hnuah eng ang follow-up care nge ka mamawh ang?
• Complication chungchangah hian ka ngaihtuah tur em ni?

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

Ei leh in lama harsatna hi damdawi lama harsatna lian tak a ni a, i rilru leh taksa hriselna a nghawng thei a ni. I nungchang chu a pawi lo emaw, a hlauhawm emaw a ni tih i hre lo mai thei, a chhan chu i tan thil pangngai anga i hriat vang a ni.

Ei leh in lama harsatna i neih nia i ngaih chuan ṭanpuina zawn a pawimawh . Damdawi inenkawlna mumal leh rilru lam hriselna lama counseling i neih chuan i dam leh thei a ni.

"Getting better" hi hla tak angin lang mahse, chu thil tum chu i tihlawhtling thei a ni. Support neih hi a \angkai reng a ni. I thian emaw, i hmangaih emaw nen inbia ang che. Rinawm tak leh inhawng takin awm rawh. An fuihna chu dam lehna kawnga hmalakna hmasa ber i neih tûr ang chiah a ni thei. Lungngai suh, nangmah chauh i ni lo.

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` ei leh in lama harsatna, ei leh in lama harsatna, rilru hriselna, ei leh in, bulimia, taksa rihna tihtlem, ei leh in lama harsatna te