Kua hipa kē ō tikanga kai i te rohe? Kia tūpato tātou ki te Anorexia Nervosa!

Kua kite koe i tētahi e whakaaro nui ana ki te kai, e ngana ana ki te whakaiti i tōna taumaha? Tērā pea ko koe. He mea noa te manukanuka ki te āhua me te taumaha o tō tinana. Engari ki te nui atu tēnei manukanuka me te whakahaere i tāu kai i te mea noa, ka arahi pea ki tētahi mate hinengaro me te hauora e kiia nei ko te Anorexia Nervosa . I tēnei rā, ka kōrero tātou mō te aha te anorexia nervosa, me pēhea te pānga ki a tātou, me pēhea te tiki āwhina.

He aha te Anorexia Nervosa? Kia mārama tātou!

Ki te kī ngāwari, he mate hinengaro e pā ana ki te kai te Anorexia Nervosa . Ka tino whakawhāitihia e te tangata whai mate nei tana kai. Arā, he iti noa iho tā rātou kai, i ētahi wā kāore e kai. Ko te whāinga matua o ēnei tāngata he pupuri i te taumaha o ō rātou tinana kia iti rawa. Nō reira, ka pāngia rātou e te matekai kino. Ahakoa ehara i te mea i ngā wā katoa, he tino iti te BMI (Body Mass Index) , he uara e tohu ana i te taumaha mō te teitei.

I roto i ngā kupu hauora, ko te tikanga o te kupu "anorexia" he ngaronga o te hiahia kai, he whakarihariha rānei ki te kai. Heoi, ina tāpirihia te kupu "nervosa" ki roto, ka huri hei mate hinengaro. Arā, e pā ana ki tō pūnaha io - tō roro, ō io, ō whakaaro. Ka puta mai i ngā whakaaro me ngā kare ā-roto kino mō te kai, te taumaha o te tinana, me te āhua o tō tinana.

He mea noa te whakaaro ki ēnei mea, me te ngana ki te whakahaere i aua mea. Engari mō te tangata e pāngia ana e te anorexia nervosa, kāore he mawhiti atu i ēnei whakaaro. Ka whakahaeretia e rātou, ka ārahi i a rātou ki ngā whanonga tino kino. Ka pā kino tēnei ki te hauora hinengaro me te hauora tinana. Ki te kore e kitea, e rongoatia tikatia, ka taea te whakararu i te ora.

He aha ngā momo matua o te Anorexia Nervosa?

E rua ngā momo matua o te Anorexia nervosa, i runga i te āhua o te rongoā mō te kai:

• Te Anorexia Whakawhāiti: Ko tēnei momo he tino whakawhāiti i te kai karori, arā, he iti noa te kai.
• Te kai nui rawa atu ( binge-purge anorexia): Kei roto i tēnei ko te whakawhāiti i ngā kaora, engari i te wā kotahi, he rite ki te bulimia nervosa , arā, te kai i te nui o te kai i te wā kotahi (kai nui) kātahi ka tangohia. Ka taea tēnei tango mā te ruaki, te whakamahi i ngā rongoā whakawai, te whakakori tinana nui rawa rānei.

Ko tētahi atu momo motuhake ko te anorexia atypical . I roto i tēnei, ka kitea ngā tohu o te anorexia e te tangata engari kāore anō kia taumaha rawa. Nā tēnei ka uaua ake te tautuhi i te mate.

He aha ngā tohu o te Anorexia Nervosa? Me pēhea te mōhio ki tēnei?

Ko ngā tohu o te anorexia nervosa he tohu ā-tinana, ā-hinengaro, ā-whakaaro rānei. Ko ētahi o ēnei ko:

• He tino hekenga taumaha i roto i ētahi wiki, i ētahi marama rānei.
• He iti iho i te 18.5 te taumaha mō te roa ( ko te BMI te tikanga kei raro iho i te 18.5 ).
• I a te tamaiti e tipu ake ana, ka puta ngā panoni kore e taea te whakamārama i te taurite o te teitei/taumaha.
• Te aro nui rawa ki ngā momo kai, ngā rahinga, me/ranei te tatau o ngā kaora.
• Ngā whakaaro me ngā arotake auau mō te taumaha o te tinana me te āhua o te tinana.
• Te whakamahi hē i ngā rongoā pehi hiahia, ngā rongoā whakawai, ngā rongoā diuretic rānei.
• Te whakakori tinana mō te wā roa, inā koa i muri i te kai, me te mea nei nā te kaha i akiaki .
• I muri i te kai, ka haere tonu ki te wharepaku.

Whakaarohia, he hoa tōu i kai pai i mua. Engari i ēnei marama kua pahure ake nei, kua tino hiroki ia. Ka tino pōuri ia ina kōrero mō te kai, me te kī pēnei, "He nui ngā kaora o tēnei, he nui ngā ngako." Ka hohoro ia te oma ki te wharepaku i muri i te kai. Ki te kite koe i tētahi mea pēnei, me whakapae koe he matekai kore kai pea.

I te whanaketanga o te mate, ka puta pea ngā tohu o te kore kai pai . Hei tauira:

• Ngā rerekētanga o te pā o te ngakau ('Arrhythmias').
• Te whanoke, te pōuri, te hemo rānei.
• Te ngenge nui me te ngoikore o te tinana.
• Te mātao tonu.
• Tere ki te riri.
• Te ngaro o te makawe.
• Mō ngā wāhine, ka koretake te paheketanga, ka ngaro katoa rānei.
• Te pupuhi o ngā peka.

He aha ngā take o te Anorexia Nervosa?

Kāore he take kotahi mō te anorexia nervosa. Ka pāngia pea e ētahi āhuatanga koiora, hinengaro, me te pāpori.

• Ngā Huringa Roro: Kua kitea e ngā kaipūtaiao he rerekē te hanganga me te mahi a te roro o te hunga e pāngia ana e te anorexia. Hei tauira, he rerekē te nui o ngā neurotransmitters pērā i te serotonin me te dopamine . He matū ēnei neurotransmitters e pā ana ki ngā mea pēnei i te hiahia kai, te wairua, te whakahaere i ngā kare ā-roto, me te "pūnaha utu" o te roro.
• Ngā ira me te whānau: Mena he mate kai tō tētahi mema o te whānau tata (whaea, pāpā, tuākana/teina), he nui ake te tūponotanga ka pāngia koe e tētahi. Ka pāngia pea tēnei e ngā ira i riro mai i ō mātua, tae atu ki ngā uara me ngā tikanga ka akohia e koe i a koe e tipu ake ana i roto i tō whānau.
• Te pēhanga a ngā hoa:He tino kaha ngā awe pāpori me ngā awe ngaio, inā koa mēnā kei runga i te momo tinana tō tūnga pāpori, tō tūnga ngaio rānei. E herea ana ngā mahi a ngā kaitākaro, ngā kanikani, ngā tauira, me ngā kaiwhakaari ki tēnei. Ka taea hoki e ngā taiohi te tino whakahē i a rātou anō me ētahi atu. Ko te pēhanga koretake i runga i ngā pāpāho pāpori mō ngā mea e kiia ana he "ataahua" tētahi o ngā take pea mō tēnei.
• Ngā take hinengaro: Ko te iti o te whakaaro ki a ia anō, ko te whakapono rānei ko te kaha o te tangata ki te whakahaere i tōna taumaha te mea e whakatau ana i tōna mana, ka taea te whakatakoto i te ara mō te mate kai. I ētahi wā, ka puta ēnei kare ā-roto i ngā mahi mamae o mua, i ngā āhuatanga hinengaro rānei pērā i te manukanuka me te pouri.

He aha ngā raruraru pea ka pā mai i te Anorexia Nervosa?

Ka pā pea te kore kai me te nohopuku ki te nuinga o ngā okana me ngā kiko o tō tinana. Tērā pea kāore e taea te whakaora i ētahi okana kino, ahakoa kua ora koe i te anorexia. Ka pā kino hoki te anorexia ki ō whanaungatanga me tō hauora hinengaro me te hauora kare ā-roto. Ahakoa te maimoatanga, ka roa pea te wā e ora ai ēnei pānga.

Ki te kore e rongoatia, ka taea e te anorexia te arahi ki ngā āhuatanga penei:

• Te hekenga o te papatipu wheua ( osteoporosis ) me te mimiti o te enamel niho.
• Te pakaru tere o te uaua angaiwi ( rhabdomyolysis ).
• Te kino o te whatukuhu me te ate.
• Te ngoikore o te ngākau, te hopukanga rānei o te ngākau.
• Te whakaroa i te pakeketanga me te tipu o ngā tamariki.
• Te kore tamariki i roto i ngā pakeke.
• Te hekenga o te hauora hinengaro, te whara i a ia anō me ngā whakaaro whakamomori.

He mea nui: Ki te mea kei te whakaaro koe ki te whakamomori, rapua he āwhina tonu. Ka taea e koe te waea atu ki ngā whakahaere pēnei i a Sri Lanka Friends (0112692909). Kāore koe i te mokemoke.

Me pēhea te tātaritanga o te Anorexia Nervosa?

Ka tātaritatia e ngā tākuta te anorexia nervosa e ai ki ngā paearu i roto i te aratohu mana mō te tātaritanga i ngā mate hinengaro , te DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) . Ko ēnei paearu e toru:

1. Ngā kaora e whāiti ana i a rātou anō, ka hua ake he tino hekenga taumaha, he kore rānei e piki ake te taumaha o ngā tamariki e tipu haere ana. Ko te tikanga, he iti te taumaha tinana mō te tau, te ira tangata, te teitei, me te wāhanga whanaketanga.

2. Te āwangawanga rerekē mō te taumaha o te tinana me te mataku nui kei piki te taumaha, kei "rahi" rānei.

3. He tirohanga hē ki tōna ake āhua, he kore rānei e taea te whakaae ki te kino o te āhua o te tangata.

Mena kei a koe ngā tohu o te kore hiahia ki te kai, ka tirotirohia e te tākuta tō tinana, ka tangohia hoki tō hītori hauora katoa, tae atu ki tō hītori hauora hinengaro. Kātahi ka pātai atu rātou ki a koe i ngā pātai taipitopito mō ō tikanga kai, ō tauira whakakori tinana, ō rongoā whakaiti taumaha, me ngā kare ā-roto me ngā whakapono e pā ana.

Tērā pea ka tonoa e tō tākuta ētahi whakamātautau hei aromatawai i ngā pānga o te kore kai pai ki tō tinana. Kei roto i ēnei ko:

• Whakamātautau kiato wheua
• Te tatau toto katoa
• Te hiko o te manawa ( EKG - Hiko o te manawa )
• Whakamātautau papahiko irahiko
• Ngā whakamātautau mahi whatukuhu
• Ngā whakamātautau mahi ate
• Ngā whakamātautau toto tairoi
• Te tātaritanga mimi

Me pēhea te rongoā mō te Anorexia Nervosa?

He mea takitahi te maimoatanga mō te anorexia nervosa. Arā, he mea whakarite te maimoatanga mō ia tangata. Ko ngā whāinga matua o te maimoatanga ko:

• Te whakaora i te āhua kai pai.
• Te whakaū i te whakahekenga taumaha.
• Te whakakore i ngā whanonga kai pōrearea.
• Te rongoā i ngā raruraru hinengaro taketake.

Ko te wero nui rawa atu i te rongoā i te tangata e pāngia ana e te anorexia ko te āwhina i a rātou ki te mōhio me te whakaae kei a rātou tētahi mate kino. He maha ngā tāngata e pāngia ana e te anorexia e whakakahore ana kei a rātou tētahi mate kai. Ka rapu āwhina noa rātou ina tino kino tō rātou āhua, ā, ka tūpono ki te ora. Koia te mea nui kia tautuhia te mate me te tīmata wawe i te rongoā.

Mā tō tākuta e waihanga he mahere maimoatanga e tika ana māu. Kei roto pea i ēnei:

• Te rongoā kai
• Hinengaro Whakaora
• Rongoā
• Te whakaurunga ki te hōhipera

Tērā pea me whakauru koe ki te hōhipera hei rongoā i te kore kai pai, i ētahi atu raruraru hauora kino rānei. Tērā pea me whakauru koe ki te hōhipera mō ngā raruraru hauora hinengaro kino. I ētahi wā, he mea nui ngā rongoā hei rongoā i ēnei raruraru. Heoi, ko te rongoā roa mō te anorexia nervosa ko te hinengaro hinengaro.

He aha te mahi whakaora hinengaro?

Ka taea e te rongoā hinengaro, te rongoā kōrero rānei, te āwhina i a koe ki te whakarerekē i ngā whakaaro me ngā whanonga e pā ana ki ngā mate kai. Ka taea e ia te āwhina i a koe ki te whakawhanake i ngā waiaro hauora mō te kai, te taumaha, me te āhua o te tinana. Ka taea hoki e ia te āwhina i a koe ki te ako i ngā huarahi me ngā tikanga pai ake hei whakatau i te ahotea me ngā whakaaro kino.

Tērā pea ētahi atu āhuatanga hauora hinengaro o te hunga e pāngia ana e te anorexia e whai wāhi ana ki tā rātou mate kai ('ngā āhuatanga hauora hinengaro e noho tahi ana'). He mea nui kia rongoatia ēnei āhuatanga me te anorexia. Ahakoa kāore he mate kē atu āu, he raruraru hauora hinengaro tonu te anorexia. Me aro te maimoatanga ki te pūtake o tō hinengaro.

He maha ngā tikanga whakaora hinengaro, hei tauira:

• Te Whakaae me te Whakapūmau (ACT): Ka arotahi tēnei tikanga ki te whakawhanake i te hihiri ki te huri i ō whanonga, ahakoa ō whakaaro me ō kare ā-roto.
• Whakaora whanonga hinengaro (CBT): Ka āwhina tēnei tikanga ki te whakatika i ngā whakaaro me ngā waiaro pōhēhē mō te taumaha, te āhua, me te āhua, me te hanga huringa whanonga.
• Te whakaora hinengaro (CRT): Kei roto i tēnei ko ngā mahi whakakori tinana me ngā mahi hei whakapai ake i tō mahi hinengaro me tō mahi whakahaere, me tō kaha ki te whakahaere i tō oranga.
• Te rongoā whanonga whakawhitiwhiti kōrero (DBT): Ko ngā pūkenga motuhake ka akohia e koe mai i te DBT ko te whakawhanake i te aro nui, te whakapai ake i ngā whanaungatanga, te whakahaere i ngā kare ā-roto, me te aro atu ki te ahotea.
• Whakaora whānau: He mea nui te tautoko a te whānau mō te angitu o te rongoā kore hiahia. Mā te rongoā whānau mō te kore hiahia ( te Tikanga Maudsley ) ka waiho te kawenga mō tō kai ki tō whānau.
• Te rongoā hinengaro ā-tangata (IPT): Ka whakapai ake te IPT i ō whanaungatanga me te whakawhitiwhiti kōrero, ka whakaiti pea i ngā tohu o te mate kai.
• Te whakaora hinengaro hinengaro-ā-hinengaro: Ka tirohia e tēnei whakaora ngā tino take o te kore hiahia ki te kai, me te whakaaro koinei te mea nui mō tō oranga.

He aha ngā raruraru ka puta mai i te maimoatanga o te anorexia?

Ko te raruraru tino kino o te rongoā mō te anorexia ko te mate whāngai anō . Ka puta pea tēnei ina tīmata anō te tangata e matekai nui ana ki te kai. Me hiahia tō tinana ki ētahi matūkai hei nakunaku i te kai me te whakaputa pūngao. Ina pau ngā toa o tō tinana mō ēnei matūkai, ka tangohia e tō tinana aua matūkai mai i ō toto.

Ka taea e tēnei whakawhiti matūkai mai i te toto ki ngā pūtau te whakararu i ngā raruraru maha, ā, i ētahi wā ka mate pea. Koia te mea nui kia tīmata te whāngai anō i raro i te tirotiro a te rata. Ka whakarite ngā tākuta kia whakahokia mai te iti rawa o ngā matūkai i roto i tō tinana i te tuatahi, ā, ka aroturukihia koe i te wā e whāngai anō ana.

Kia pēhea te roa o te wā e ora ai i te anorexia?

He rerekē te haerenga whakaora mai i te anorexia mō ia tangata. Tērā pea ka roa ake ētahi wāhanga o tō mahere maimoatanga i ētahi atu. Ko te mea nui kia maumahara ka taea te whakaora. Ahakoa kei hea koe, kei hea rānei tō hoa aroha i tēnei haerenga, he mea nui kia haere tonu te mahi ki te whakaora.

Āhea koe me toro atu ki te tākuta mō te anorexia?

Mena kei te whakaatu koe, kei te whakaatu rānei tētahi atu e arohaina ana e koe i ngā tohu o tētahi mate kai, kōrero tonu atu ki te tākuta . He pai ake te rapu āwhina i mua i te wā. Ahakoa kāore anō kia tutuki i a koe, i tō hoa aroha rānei ngā paearu mō te anorexia nervosa, mā te wawaotanga wawe ka taea te aukati i te horapa o te mate.

He aha te āhua o te mate mō te tangata e pāngia ana e te anorexia?

Ko te āhua o te tangata e pāngia ana e te anorexia nervosa e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki:

• Kia pēhea te roa o tō rātou noho me tēnei āhuatanga?
• Aue te kino o tō rātou āhua.
• He aha te momo maimoatanga e whiwhi ana rātou?
• Te pai o tā rātou whai i tā rātou mahere maimoatanga.

Ka roa te wā e kore ai e rongoatia te anorexia, ka kino haere te āhua, ā, ka kino haere ngā pānga hauora tinana me te hinengaro e pā mai ana. He uaua ki te whakarerekē i ngā tikanga tawhito. Waihoki, ko te hunga whai anorexia ka whakakahore kei a rātou he raruraru. Tērā pea ka ātete rātou ki te maimoatanga, ka kore rānei e mahi i tā rātou mahere maimoatanga i te wā roa.

Ki te kore he maimoatanga, ka noho te anorexia nervosa hei mate morearea. Ko ngā mate kai pēnei i te anorexia kei roto i ngā mate hauora hinengaro tino whakamate, mō ngā take hauora tinana me te hinengaro. E rima ngā wā ka nui ake te mate wawe o te hunga whai anorexia, ā, e 18 ngā wā ka nui ake te mate whakamomori.

Mā te tautoko me te maimoatanga tika, ka taea te whakaora. Engari he maha ngā wā ka roa – ā, he tūponotanga ka hoki anō ki te mate. Ka taea e te tiaki mō te wā roa me te tautoko a te hunga e arohaina ana te hanga i tētahi rerekētanga nui.

Ka taea te ārai i te anorexia?

Kāore tātou e mōhio ki ngā take katoa o te anorexia, ā, kāore e taea e tātou te whakahaere i ngā āhuatanga katoa e whai wāhi ana ki tēnei. Engari ka taea e tātou te hanga rerekētanga mā te huarahi e whakatipu ai tātou i ā tātou tamariki me ngā tauira e whakatakotoria ana e tātou.

ka taea e tātou:

• Whakaakona ngā tikanga me ngā waiaro kai hauora.
• Āwhina i ngā tamariki kia whakawhanake i tētahi "ahua hauora o te tinana".
• Tāutuhia te mahi whakatoi me te aro atu ki te mahi whakatoi, me te ārai i ā tātou tamariki kei tukino i ētahi atu.

He mea noa te whakama, te whakama, te wehi rānei mō te pāngia e te mate kai. Engari kia mōhio koe kāore he he o te tono āwhina. Ko te rapu maimoatanga mō te anorexia, tetahi atu mate hauora hinengaro rānei, he rite tonu te hiranga ki te rapu maimoatanga mō te mate tinana. Ā, ahakoa kāore e rite ana i tēnei wā, ka taea te huri i ngā mea.

Ki te whakapae koe kei te pāngia tētahi e te mate kore hiahia, kāore pea koe e mōhio me pēhea te āwhina. Rapua he aratohu mai i ngā tohunga hauora. Ka taea e rātou te whakarongo ki tō hoa aroha, te whakarato rauemi me ngā rautaki hei kōrero atu. Ko te tere o te tautuhi me te maimoatanga, ko te pai ake.

Whakarāpopototanga: Ngā mea tino nui hei maumahara

Ahakoa he mate kino te anorexia nervosa, kaua e wareware he taea tonu te ora mai i taua mate.

Ko te mea nui kia mārama koe kāore koe i te mokemoke, ā, ehara te rapu āwhina i te ngoikore.

• Mena he whanonga kai rerekē tāu, tā tētahi rānei e mōhio ana koe, he nui rawa rānei ō āwangawanga mō te taumaha o te tinana, rapua he tohutohu hauora.
• Mā te kitenga wawe me te maimoatanga ka nui ake te tūponotanga o te ora.
• He haerenga te maimoatanga, he roa te wā me te manawanui. He mea tino nui te tautoko a te whānau me ngā hoa.
• Ngāna kia mau tonu te oranga hauora, kia taurite te kai, me te whai whakaaro pai ki tō tinana.

Ko tāku tumanako ka whai hua ēnei mōhiohio ki a koe. Mēnā he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tētahi tākuta pono.

` Anorexia nervosa, anorexia, hauora hinengaro, taumaha tinana, mate kai, kai totika, maimoatanga