Ei leh in lama harsatna chu eng nge ni tak tak?
A awlsam zawngin sawi ila, ei leh in lama harsatna chu rilru lam natna a ni a, chu chuan mi pakhatin ei leh in chungchanga a ngaihtuahna leh a rilru put hmang leh a ei dan a nghawng a ni. Hetiang a nih chuan ei leh in nena an inzawmna chu a hrisel lo. Chuvângin, ei tûr vêlah thil danglam tak, a châng chuan hlauhawm tak tak an ti a ni. Hei hian an taksa hriselna bakah an rilru hriselna atan pawh a tichhe thei hle a ni . Ngaihtuah teh, eitur thenkhat chu kan duh vek a, thenkhat chu kan duh lo. Chu chu thil pangngai a ni. Mahse ei leh in lama harsatnaah chuan ei leh in, taksa rih zawng leh taksa pianzia kan ngaihtuah fo va, chu chu kan ngaihtuah lutuk a, nunah thil dang zawng zawng kan theihnghilh phah a ni. Hei hi "ei leh in" mai aiin harsatna thuk zawk a ni.Naupang leh thalai zingah ei leh in lama harsatna hmuh tur awm berte chu engte nge ni?
Ei leh in lama harsatna chi hrang hrang a awm a. Naupang leh tleirawl zingah a langsar zual deuh deuhte han sawi ila.1. Anorexia Nervosa a awm thei
Hetiang thila thil thleng chu naupang hian a taksa rih zawng a hlau hle a ni. A lu-ah "I am fat" tih hriatna a awm reng avangin , a ei leh in a khap tlat. A châng chuan chaw ei a skip a, calorie a chhiar a, a thau lo hle chung pawhin a thau hle niin a ngai bawk. A taksa rihna tihtlem nan exercise a ti nasa lutuk.- Hei hi han mitthla teh: I fanu hi a hma chuan chaw ei thiam tak a ni. Mahse tunah chuan chaw ei apiangin calorie a chhiar a, a ei tlem hle a, "Ka thau a, ka taksa rihna tihtlem a ngai ," a ti fo bawk. A thau hle nachungin a ngaihsak lo niin a lang. A chau hmel reng a, mahse darkar tam tak chhung exercise a la thin. Heng symptoms te hi a neih chuan anorexia nervosa .
2. Bulimia Nervosa a awm thin
Hetiang dinhmunah hian naupang chuan thunun theih lohvin vawi khatah chaw tam tak a ei thin (hei hi `Binge Eating` kan ti a). Tichuan, hlauhna leh sualna avângin, "Aw, ka ei êm êm a, tûnah chuan ka lo puitlin dâwn," an ti a, chu chaw chu paih chhuah tumin thil chi hrang hrang an ti ṭhîn. Entîr nân, luak chhuak tûr te, laxatives hmang te, a nih loh leh exercise nasa lutuk tûr te an nawr lui a ni.- Entirnan: I fapa hian a chang chuan a rukin chaw tam tak a ei thin a, chutih lai chuan a ei a chawlhsan thei lo. Tichuan rei vak lo hnuah bathroom-ah a lut a, a thawk chhuak dawn em tih i ngaihtuah a. Chaw a ei zawh chuan a lungngai hle a, a mualpho hle niin a lang. HeiBulimia Nervosa hi a symptom a ni thei.
3. Ei leh in lama harsatna (Binge Eating Disorder) a awm
Hetiang a nih chuan bulimia ang bawkin naupang chuan thunun theih lohvin chaw tam tak a ei chhunzawm zel a ni. Mahse, bulimia ang lo takin an taksa atanga ei tur paih chhuah dan tur an hmang lo. Hei hian taksa rihna a tipung thei a ni. Chaw an ei zawh chuan anmahniah inthiam lohna, mualphona, leh beidawnna nasa tak an nei thin .- Hei hi han mitthla teh: I fa chu a lungngaih lai te, a lungngaih lai te, a nih loh leh a bo mai mai laiin chaw tam tak a ei thin. An chawh lai pawhin chaw an bansan thei lo. Tichuan anmahni an inpuh a, "Engvangin nge ka ei tam em?" Hei hi binge eating disorder chhinchhiahna a ni thei .
4. Ei leh in lama harsatna (Avoidant/Restrictive Food Intake Disorder) (ARFID) .
Hei hi a danglam deuh hlek a ni. Chutiang a nih chuan naupang chu a rihna ngaihtuah avangin ei tur a duh lo. Chaw thlan tur chu an ei tur rawng, a rim, a nih loh leh a rimchhia ang chi thil avang emaw, an rilru a buai emaw, an luak emaw an hlauh vang emaw a ni. Hei hian an mamawh ei tur an hmuh loh phah thei a, an taksa rihna a ti tlahniam thei a, an thanlenna a nghawng thei bawk.Pawimawh: I fa hian heng symptom pakhat emaw pahnih emaw a neih vang mai mai hian ei leh in lama harsatna a nei niin ngai suh. Mahse, heng symptoms te hi i hriat chhuah chhunzawm zel a nih chuan, emaw, i fate nungchang emaw, ei leh in danah emaw danglamna nasa tak a awm a nih chuan, doctor thurawn lak a tha ber.
Engtin nge ka fa hian ei leh in lama harsatna a nei tih ka hriat theih ang? - Natna
Naupangin ei leh in lama harsatna a neih chuan thup an tum avangin hriat nghal a harsa thei hle. Mahse, i ngaihven theih tur chhinchhiahna thenkhat a awm.Nungchang inthlak danglamna:
- Chaw chungchang sawi fo: Calorie, thau , leh carbohydrates chungchang sawi fo .
- Chaw ei skip emaw, "Ka ei tawh" tih ang chi dawt sawi emaw.
- Ei leh in dan bik : Chaw te te tak tea then te, ei tur then hran te, ei tur chi khat chauh ei te.
- A ruka ei emaw, ei tur thup emaw.
- Ka ei zawh veleh , bathroom lam pan chuan ka tlan phei ta a.
- Exercise ka ti nasa hle a, ka damloh emaw, ka hliam emaw pawh nise ka chawlhsan ngai lo .
- Ka taksa pianzia leh ka rih zawng ka ngaihtuah fo thin a, darthlalang hmaah hun tam tak ka hmang thin.
- I taksa pianzia thup nan thawmhnaw lian leh hlim lo tak tak ha .
- Social interactions a\angin an inhnukdawk , \hiante nen chhuah an duh lo va, chaw ei pawh an duh lo.
Taksa lama inthlak danglamna: 1.1.
- Rihna tlahniam emaw tihpun emaw, taksa rihna inthlak danglam fo emaw.
- Chau leh muhil reng reng .
- Luak chhuak (vertigo), rilru hah.
- Midangte temperature pangngai an neih lai pawhin khawsik tih hriat .
- Sam a tla a, vun a vawt a, nail a tikehsawm.
- Ha lama harsatna (ha ro, ha rawng danglam, a bik takin luak chhuak a awm chuan).
- Thla tin period mumal lo emaw awm lo emaw (hmeichhiaah).
- Thil chi hrang hrang, pum na leh chaw ei kham .
Rilru leh nungchang lama inthlak danglamna:
- Ka rih zawng leh ka pianzia hi ka ngaihtuah lutuk a, chu chu ka ngaihtuah fo thin.
- An taksa chu a tha lo zawngin an ngaihtuah a, an thau hle niin an ngai (a takah chuan an thau viau nachungin).
- Thinrimna, mood inthlak danglam.
- Lungkhamna leh lungngaihna ang chi dinhmun chhinchhiahna .
- Engkim famkim taka tih tum, tlin lohna awm lovin (perfectionism) .
Engvangin nge naupangte hian hetiang hian ei leh in lama harsatna an neih? – A chhante chu engte nge ni?
Ei leh in lama harsatna awm chhan pakhat chauh a awm lo. Genetic, psychological, social, leh environmental factors inzawmkhawm avanga lo awm thei dinhmun khirh tak a ni .- Genetic influence: Chhungkaw zinga mi tu emaw chuan ei leh in lama harsatna emaw, rilru lam harsatna emaw a neih chuan naupang pawhin chutiang natna chu a vei theihna chance engemaw chen a nei thei bawk.
- Rilru lam thil: 1.1.
- Mahni inngaihhlutna hniam: Mahni inngaihtuahna hniam tak i neih hian.
- Engkim famkim taka tih tum (Perfectionism).
- Rilru lam hriselna lama harsatna dang , lungkhamna, lungngaihna, leh obsessive-compulsive disorder ( OCD) te .
- Emotion thunun dan leh lungngaihna leh thinrimna ang chi rilru put hmang hmachhawn dan hriat loh.
- Khawtlang leh nunphung lama nghawng a neih dan:
- Media-te chuan taksa tehfung dik lo tak tak, "skinny, beautiful" tih an tarlang a ni. Chûngte hmuh chuan naupangte chu mahni taksa chungchângah ngaihtuahna ṭha lo tak tak nei tûrin a hruai thei a ni.
- Peer pressure, weight leh shape chungchangah bullying.
- Infiamna thenkhat (e.g. gymnastics, ballet) emaw, hnathawhna (modeling) emawa taksa thianghlim tak ngaih pawimawh dan.
- Chhungkaw boruak: 1.1.
- Chhungkaw member-te’n taksa rihna (diet) tihtlem an tum reng a nih chuan, ei leh in leh taksa pianzia chungchang an sawi reng a nih chuan.
- Naupang chu an hmel lan dan avanga sawisel a nih fo chuan. (Heng thilte hi nu leh pate dik lohna avanga thleng tihna a ni lo, mahse chutiang thil chuan nghawng a nei thei a ni).
- Chhungkuaa inbiakpawhna lama harsatna, nawrna nasa lutuk.
- Traumatic experiences: Mipat hmeichhiatna lama tihduhdahna, taksa tihduhdahna, tihduhdahna nasa tak ang chi thil.
Hriat reng tur: Ei leh in lama harsatna hi tu pawhin tumruh taka siam a ni lo. Natna a ni. Chuvangin naupang mawhpuh emaw, hau emaw chuan buaina chu a chinfel sak dawn lo.
Ei leh in lama harsatna hian naupang chungah eng nghawng nge a neih?
Ei leh in lama harsatna hi ngaihthah tur a ni lo. Naupang taksa hriselna, rilru hriselna, leh nitin nunah nghawng na tak a nei thei a, a châng chuan a dam chhûng zawng pawh a nghawng thei a ni .Taksa lama nghawng a neih dan: 1.1.
- Malnutrition: Nutrients tlakchhamna avanga harsatna awm.
- Lung natna: thinlung thawk mumal lo, thinlung ruh chak lo, thisen sang hniam.
- Kidney tha lo a awm.
- Osteoporosis: Ruh hi a hring a, a chhe awlsam hle.
- Hormonal imbalance: Hei hian thlasik hun mumal lo, than chak lohna, leh nau pai theih lohna a thlen thei.
- Ha ro, ha natna (a bik takin luak chhuah hunah).
- Digestive system lama harsatna: puak, chaw ei kham, ril\am.
- Thisen sugar level hniam (Hypoglycemia).
- Tui tlakchhamna (dehydration).
- A nasat chuan thihna pawh a thleng thei.
Rilru leh rilru lama nghawng a neih dan:
- Lungkhamna leh lungngaihna a tipung.
- Mahni inngaihhlutna hniam, mahni inhuatna.
- Social isolation, thiante leh chhungte atanga inhlat.
- Zirna lama hmalakna tihbuai, hna chelh thei lo.
- Mahni intihhlum tumna emaw, intihhlum tumna emaw.
Nu leh pa angin eng nge i tih theih? – Engtin nge i tanpui theih ang?
I fain ei leh in lama harsatna a nei tih i hriat chuan, mangang, hlauhna leh lungngaihna i neih chu thil pangngai tak a ni. Amaherawhchu, i chakna te, i hmangaihna te, i hriatthiamna te hi he hun lai hian i fa tan chuan hlu tak a ni.- Chhinchhiahnate hre rawh: A hmaa kan sawi tawh chhinchhiahnate kha ngaihven rawh.
- I fate chu biak rawh: I fa chu hmangaihna leh ngilnei takin thu sawi la, demna leh rorelna nei lovin. "Ei tur lam i ngaihtuah deuh tih ka hmu thei. Kan sawi dun thei ang em?"
- Ngaithla rawh: I fa thusawi chu ngun takin ngaithla rawh. An rilru put hmang hriatthiam tum ang che.
- Rihna leh pianzia chungchang sawi loh tur: I fa rihna leh pianzia sawisel loh la, midang nena tehkhin loh tur. Mahni taksa chungchang pawh negative takin sawi suh.
- Hriselna lam ngaihtuah rawh: "Getting thin" chungchang ni lovin, "hrisel taka awm" chungchang thuchah pe rawh.
- Professional tanpuina zawng nghal rawh: Doctor (GP), naupang enkawltu, rilru lam doctor, psychologist, emaw nutritionist/dietition te hmu rawh. Nang leh i fate chu an pui thei che a ni.
- Dawhthei la, \anpui rawh: Dam lehna kawng chu a rei thei hle. Kawng lakah hian tlakchhiatna a awm thei. Engtik lai pawhin i fa bulah awm rawh.
- In lama boruak \ha siam rawh: Chaw ei hun nuam tak siam rawh. Chhungkaw angin chaw ei ho rawh u. Chaw tha chi hrang hrang buatsaih thin ang che.
- Entawn tlak ni rawh: I fate chu ei leh in hrisel leh an taksa chungchanga rilru tha tak ang chi thilte entir rawh.
- Mahni in enkawl rawh: Hei hi nangmah tan pawh a lungkham thei hle. I rilru hriselna ngaihtuah la, a tul chuan tanpuina la rawh.
He natna hi eng enkawlna nge ni?
Ei leh in lama harsatna hi multidisciplinary approach hmanga enkawl a ni tlangpui . Chumi awmzia chu enkawl dan tur chu field hrang hrang atanga specialist, doctor, psychiatrist, leh nutritionist te’n an ruahman tihna a ni.- Damdawi lam enkawlna: Naupang taksa hriselna enfiah te, ei leh in tha lo ang chi dinhmun enkawl te, a tul chuan damdawi ina dah te.
- Nutritional Counseling: Nutritionist chuan ei leh in hrisel leh ei leh in inthlau tak chungchang hriatna a pe thin.
- Psychotherapy/Counseling pek dan tur: 1.1.
- Individual Therapy: Naupang chu an ngaihtuahna leh rilru natna tha lote enkawl turin a pui thin. Cognitive Behavioral Therapy (CBT) ang chi hmanrua hi hman a ni tlangpui.
- Family-Based Treatment (FBT): Hei hi naupang tê tê, anorexia nei tan chuan a hlawk hle. Nu leh pate chu active takin a inrawlh a, naupang chu hrisel taka ei leh turin a pui bawk.
- Damdawi: A châng chuan, lungkhamna leh lungngaihna ang chi, co-occurring conditions enkawlna atan damdawi an pe thei bawk. Amaherawhchu, damdawi ei ringawt pawh hi ei leh in lama harsatna awmte chinfelna a ni lo.
A pawimawh ber chu a rang thei ang bera enkawl tan hi a ni. Enkawlna tan hun i nghah rei poh leh a dam rei zawk ang a, harsatna a thlen theihna a sang zawk bawk. Mahse, enkawlna dik tak i neih chuan ei leh in lama harsatna a\angin i dam kim thei tih hre reng ang che.
A tawp berah chuan thil tlemte ngaihtuah tur (Take-Home Message) .
I fain ei leh in lama harsatna a neih chuan nang leh i fa tan pawh hun harsa tak a ni thei. Mahse, beiseina bansan suh.- Ei leh in lama harsatna hi rilru lam natna pawi tak, mahse enkawl theih a ni.
- Diagnose a, a tir atanga enkawl tan a pawimawh hle.
- I fa damna zinkawng atan i hmangaihna, i thlawpna leh i dawhtheihna hi a pawimawh hle.
- Professional tanpuina zawng hreh ngai suh. Hei hi nangmah chauhin i hmachhawn a ngai lo.
- Recovery hi zinkawng a ni a, hun a duh a ni. Mahse, tanpuina dik tak i dawn chuan i fa chu nun hrisel, hlim takin a nung leh thei ang.
` Ei leh in lama harsatna, naupang ei leh in, ei leh in lama harsatna, bulimia, ei tam lutuk, rilru hriselna, nu leh pa puihna
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