Engvangin nge leiah hian he chaw hi ka huat em em? Chaw ei duh lohna chungchang hi i zir dawn teh ang!

A châng chuan keimahniah pawh a thleng ṭhin a ni lawm ni? Tûn hmaa i tui ṭhin chaw i hmuh pawhin, tûnah chuan i huatthlâk hle. A nih loh leh chaw thar i kâa dah duhna pawh i nei lo va, i hmuh pawhin i luak chhuak duh lo. Hei hi ‘food aversion’ emaw ‘food aversion’ emaw kan tih mai mai chu a ni. Hei hi eng nge a nih chiang taka hriat a pawimawh hle.

Food Aversion chu eng nge ni?

A awlsam zawngin, ei leh in duh lohna chu ei tur thenkhat kan hmuh emaw, kan rim emaw, kan ei emaw hian kan neih thin huatna nasa tak a ni. Chu chaw chu ei pawh kan duh lo khawpa kan huat em em tihna a ni. Hei hi ei tur eng pawhah a thleng thei. Hmanlai chaw ei nuam tak tak a ni thei a, a nih loh leh i huat em em chaw pawh a ni thei bawk. A lo thleng thut thei bawk.

He ei duhna hian tute nge a nghawng ber?

Tu pawhin he ei duh lohna hi an nei thei a ni. Mahse hmeichhe naupai leh naupang te zingah a tam ber . A nihna takah chuan a awm fo khawp mai. Ngaihtuah teh, survey-te’n a târ lan angin, hmeichhe naupai 100 zînga 70 vêl chuan naupai laiin ei tûr pakhat tal duh lohna hi an nei a ni.

Engtin nge ei duhna hian kan taksa a nghawng?

Chaw thenkhat kan duh loh hi thil pangngai tak a ni. Mahse food allergy kan neih hian i thluak hian i taksa hnenah, "He chaw hi ei tur a tha lo, rulhut ang mai a ni," a ti thin. Chuvangin i taksa chuan chu chaw chu a hnawl a ni. Chu mai ni lovin, chu chaw chu i hmuh emaw, i rim emaw, i ei emaw chuan i rilru a na emaw, i luak emaw a ni thei. I taksain, "No more" a tih ang mai a ni.

Anorexia natna lan chhuah dan chu engte nge ni?

He ei leh in duh lohna chhinchhiahna hi mi hrang hrangah a inang lo thei. Mi thenkhat tan chuan a nêm hle thei a, chu chu ei tur ṭhenkhat huatna nasa tak mai tihna a ni. Mi dangte tan chuan a nasat em avangin ei tur thenkhat hmuh pawhin an rilru a ti na thei hle.

A lan chhuah dan tlangpui chu:

• Chaw thenkhat duh lohna nasa tak.
• Chu chaw rim emaw, a thlum emaw avanga khuh, mit khap, luak chhuak, emaw, luak chhuak emaw.

Naupang tê tête natna lan chhuah dan

Naupang tê tête chuan ei tûr thar an enchhin hian an taksain puitlingte aiin a chhân lêt dân a danglam thei a ni. Chuvangin naupang tê tête ei leh in lama harsatna (food intolerance) chhinchhiahna chu a danglam deuh thei a ni. I naute hian heng zinga pakhat tal a tawng em tih en rawh:

• An duh loh chaw pek an nih chuan , an tap nasa hle a, an au a, leiah an roll (throwing a tantrum).
• An duh loh ei tur ang chi, a rim, leh a texture nei dang ei theih loh an ti.
• Chu chaw chu ei tur dang an ei angin an ei lo (entir nan, khawi hmunah pawh an hnawih a, ei tha lova ei an tum thin).
• I duh loh chaw ei tur pek i nih chuan chaw ei zawh nan a hma aia rei a ngai thin.

Symptom na tak tak a awm

He ei leh in tuar lohna hi a nasat chuan naupang leh puitling pawhin a hnuaia symptoms te hi an nei thei a ni. Hengte hi hriat tur pawimawh tak tak a ni:

• Thau tihpun theih lohna emaw, taksa rihna tihtlem chhunzawm zel emaw.
• Ei leh in lama harsatna (malnutrition) a awm.
• Dehydration (taksa chhunga tui hloh).
• Lu na reng reng.

Naupai lai hian engtikah nge anorexia hi a intan?

Naupai laiin he ei duhna hi a tlangpuiin first trimester atang hian a intan thin. A chhan ber chu he hun chhung hian nu naupai taksa hian ``Human Chorionic Gonadotropin - HCG'' tih hormone a siam tam zawk vang a ni. He hormone hi zing natna ang chi thil thlentu a ni fo thin.

Eng thilin nge chaw ei chak lohna thlen thei?

He ei duh lohna chhan dik tak hi hriat a la ni lo a, mahse zirchianna thenkhatah chuan hormone inthlak danglamna emaw, kan thluak hian kan hriatna (sensory processing) hmanga kan thil hriatte a process danah harsatna a awm niin an sawi.

Hormone inthlak danglamna

Zirchianna atanga a lan dan chuan naupai taksaa hormone inthlak danglamna, a bik takin a chunga kan sawi hormone (HCG) pung hian ei leh in duhna a thlen thei a ni. Hei hi naupai laiin ei tur thenkhat duhna thlentu hormone tho a ni.

He hormone (HCG) hian naupai laiin zing natna thlentu a ni bawk. Vawi tam tak chu, he harsatna tawk nute hian chu thil tawn nuam lo chu chutih laia an ei leh in ei leh in nen an inzawm tir thin. ‘Aw... chu chaw chu ka ei a, hei hi ka chungah a thleng a ni,’ tiin an ngaihtuah thin. Hei hian chu ei tur bik nena an inzawmna chu a tidanglam thei a, chu chu an duh lo mai thei tihna a ni.

Sensory Processing chungchanga thil awmte

Kan thluak hian kan thil hmuh, kan rim, kan khawih, kan ei leh kan hriat zawng zawng hi a process vek a ni. Hei hi sensory processing an ti a. Heng sensory processing challenges te hi naupang tê têah hian a tam ber a, a bik takin an sense zawng zawng hman an zir hian a tam ber a ni. Tin, hriatna tichhe thei, Autism Spectrum Disorder (ASD) ang chi, underlying condition nei te pawh an nghawng thei bawk.

Naupang tê tête chuan ei tûr thar, an hriat lohte chu an duh lohna an nei ṭhîn a, a nih loh leh thil lungchhiatthlâk tak an tawn avângin, a hmaa ei tûr an ei hnua pum na an neih ang chite chu an duh lohna an nei ṭhîn. Entirnan, an naupan laia sangha chi khat chu an rilruah a tlakbuak chuan an dam hnuah chuan sangha an ei thei lo mai thei.

Sensory processing lama harsatna a awm hian naupang tê chu a hnuaia thil awmte avang hian ei tur a duh loh phah thei a ni:

• Chaw ei tur chu ka chhunga dah a nih chuan a texture duh loh (e.g. mi thenkhat chuan porridge-a liquid consistency hi an duh lo a, thenkhat erawh chuan crunchy foods an duh lo).
• Chaw tih hriatna, riltam lo.
• Chaw chu a lum hle emaw, a vawt hle emaw a ni.
• Chaw chu a ngaihtuah angin a duhthusam angin a lang lo mai thei (e.g. naupang thenkhat chuan green food an ei thei lo an ti).
• Ha lam harsatna (ha na ang chi).
• Chaw ei leh ei harsa.
• Allergy hriat loh – chu chaw chu ei a nih chuan taksain a chhe thei tihna a ni.

Engtin nge ei duhna i hriat theih?

A tam zawkah chuan he ei leh in duh lohna hi a na lo a, chu chu ei leh in inthlau tak ei theihna tibuaitu ei tur tlemte chauh duh lohna i neih tihna a nih chuan, damdawi lam thil chiang tak hriat chian a ngai lo.

Naupai i nih chuan i doctor chuan zun emaw thisen test emaw hmangin i hormone ``(HCG)`` level a enfiah ang a, hei hi food intolerance a nih leh nih loh a enfiah ang.

Amaherawhchu, a chhan dik tak hriat a nih loh avangin naupang tê tê leh naupai loteah chuan hriat chian a harsa thei hle. Chutiang hunah chuan i doctor chuan i damdawi lam chanchin kimchang a zawt ang a, taksa a enfiah ang a, thisen emaw, zun emaw test a nei ang a, chu chuan i ei duh lohna chhan bulpui dang awm leh awm loh a enfiah ang. Doctor thil tum chu i natna ang chi natna dang nei thei tur chu paih chhuah a, diagnosis dik tak siam hi a ni.

Anorexia hi engtin nge kan enkawl ang?

Thil engemaw takah chuan a bik takin hmeichhe naupai tan chuan mi huatna thlentu ei tur thenkhat ei loh chu a pawi lo a, mahse chu ei tur atanga nutrients chu ei tur dang ei tur him tak tak atanga lak chhuah tur a ni. Entirnan, sa i ei thei lo tak tak a nih chuan sangha, artui emaw, lentils emaw ei ai chuan i ei thei ang.

Mahse i duh loh chaw chu i hriselna atana pawimawh a nih chuan (e.g. thlai, thei chi hrang hrang), he ei duh lohna hi enkawl nan heng thilte hi i lo enchhin thei ang:

• I duh loh chaw ei, i duhzawng ei tur chhunga thup (entir nan, thei tui smoothie-ah spinach hnah tlem te dah la. Tichuan i tem lo).
• Chaw ei tur (texture) thlak danglam (entir nan, frying, grilling, emaw, a lum ai chuan salad anga ei emaw).
• He chaw hi i duh loh chhan hriatthiam nan emaw, i ei duhna avanga i inhriatthiam lohna (desensitize) turin counselor emaw therapist emaw nen thawk ho rawh.
• Zawi zawiin i duh loh ei tur i exposure tihpun. A hmasa berin chaw chu en la, chutah chuan a rim chu han en la, chutah chuan i hmuiah te te dah la.

Hun kal zelah ei duhna a bo em?

A châng chuan, ei tûr duhna chu a na lutuk lo a nih chuan, chu ei tûr chu hun kal zêlah chuan a huatna chu a tlahniam thei a ni. Chu chu i lo thiam tawh mai thei (desensitize) tihna a ni. Cravings, a bik takin naupai laia lo awm thinte hi naute pian hnuah a bo fo thin.

Mahse i ei duhna a nasat chuan, a bik takin i rilru a buai a nih chuan, emaw, nangmah emaw i fa emaw chuan i hriselna atana pawimawh ei tur tam tak i duh loh chuan , hun kal zelah a lo tha chho zel ang tih beisei suh. A nasat chuan doctor nen enkawl dan tur chungchang sawipui a tha ber.

Chaw ei duhna hi i veng thei ang em?

Chaw ei duhna chhan dik tak hriat a nih loh avangin ven dan tur chiang tak a awm lo. A bik takin nu naupai tan chuan hormone inthlak danglam vangin ei duhna pumpelh a harsa hle.

Mahse naupang tê tête ei duhna laka invên nân hengte hi i la thei ang:

• Zawi zawiin leh zawi zawiin i fate hnenah ei tur thar rawn luhtir rawh. Vawi khatah thil thar tam lutuk pe suh.
• Chaw thar siam chhuahna kawng hrang hranga hlan (entir nan, plate-a chaw ei tur chu nuihzatthlak hmel ang maia dah, emaw, carrot chu a hmel mawi tak tak anga tan emaw).
• I fa ei tur chi khat ei loh avanga hrem emaw, zilh emaw kha pumpelh rawh. Chutianga tih chuan naupang chu chaw ei a hlau lehzual thei a ni.
• I fate nen chaw thar ei dun; i fate tana entawn tur tha tak nih. I fain hlim taka i ei lai a hmuh che chuan anni pawhin an lo enchhin ve mai mai a ni.
• Naupang duhzawng ei tur hriat lar tak takte nen plate khata ei tur thar hlan.
• Chaw thar i pek dawnin portion size chungchangah fimkhur rawh (a tir lamah tlem pe la) i fain a khat tawh an tih chuan ei tam tir suh.

Ei duhna i neih chuan eng nge thleng?

Chaw ei duh lohna i neih chuan, i taksain chutiang ei tur hmel, rim leh thlum chu a chhe zawnga a chhân lêt avângin ei tûr ṭhenkhat ei chu i harsat phah thei a ni. I duh loh ei tur ei loh chu a pawi lo, mahse ei tur dang emaw supplement dang atanga an pek tur nutrients i hmuh theih phawt chuan. Chaw ei duh lohna ṭhenkhat chu hun kal zelah a bo vek a, a nasat chuan chu duh lohna hneh nân enkawl a ngai mai thei.

Engtikah nge doctor i hmuh ang?

I ei duhnain ei a ti harsat a nih chuan, emaw, he ei duhna avang hian nutrient pawimawh tak tak i dawng lo a nih chuan doctor pan ngei ngei tur a ni. Tin, naupang chu a thau lo emaw, a ei duh lo reng reng emaw a nih chuan damdawi lam thurawn lak a pawimawh hle bawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• Ka anorexia enkawl tur hian specialist ka hmuh a ngai em?
• Engtin nge ka fate hnenah ei tur thar ka luhtir ang? Chaw a duh loh chuan engtin nge ka tih ang?
• Heng ka duh loh chaw te hi ka ei loh chuan nutrition tling ka hmu dawn em ni? Supplement ka mamawh em?
• (I naupai a nih chuan) He ei duhna hi ka naute a pian hnuah a bo dawn em ni?

Hemi atanga kan hriat reng tur (Take-Home Message) .

Chaw ei duhna hi a hluar hle a, tu chungah pawh a thleng thei a, rei lo te chhung chauh pawh nise. Hmanlai chaw ei nuam tak a ni thei a, vawi khat chauh i ei tawh a, i duh loh zawng pawh a ni thei bawk. Kawng danga i mamawh nutrients i hmuh theih chuan i duh loh ei tur ei loh hi thil dik lo a ni lo.

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Mahse, he ei duhna hian i ei leh in a tibuai a, i nitin nun a tibuai a, a tichhe lutuk a, ei leh in inthlau tak i ei thei lo a nih chuan, i doctor hnenah enkawlna kawng hrang hrang sawipui ngei ang che. Ngaihtuah buai suh, solution a awm! Nangmah chauh i ni lo.

` Chaw ei duh lohna, Chaw duh lohna, Naupai, Naupang hriselna, Ei leh in, Nausea, Chaw ei