Kei te whakakahore tō tamaiti i te kai? Ehara i te mea he mate kai koretake noa iho? Me ako tātou mō te Mate Kai Kai Ārai/Whakawhāiti (ARFID)!

Kāore rānei tāu tamaiti e pai ki te kai i ētahi kai? Kāore rānei koe e pai ki te titiro ki ētahi kai, ā, kāore he hiahia ki te kai? I tēnei rā, ka matapakihia e tātou mēnā he 'koretake kai' noa iho tēnei, he mea kino ake rānei. Mā te mārama tika ki tēnei mate ka āwhina i a koe me ō whanaunga.

He aha te ARFID? He māmā noa iho...

Ko te ARFID, arā , ko te Ārai/Whakawhāiti Kai Kai, he āhuatanga e whakawhāiti ana, e whakakahore ana rānei te tangata i te nui me ngā momo kai e kainga ana e ia. Ehara i te mea he āhua e aro nui ana te tangata ki tōna āhua tinana, ā, e ngana ana ki te whakaiti i tōna taumaha, pērā i ētahi atu mate kai.

Ka taea e te ARFID te meinga koe kia:

• Ka ngaro taku hiahia ki te kai.
• Te wehi ki ngā mea ka puta i muri i te kai. Hei tauira, te āwangawanga tonu kei kōrohia, kei ruaki rānei.
• Ka whakakahoretia ētahi kai nā te mea he kino te tae, te reka, te kakara, te kakano rānei.

I ētahi wā, ka kīia pea tēnei e tō tākuta he "mate kai whiriwhiri". Ko te tikanga, he iti noa iho ngā momo kai e pai ana koe ki te kai. Tērā pea ka whanakehia e koe ngā tikanga, ngā tauira, ngā kawa rānei mō te āhua o tō kai. Hei tauira, ka kai ētahi tāngata i te kai i roto i tētahi raupapa motuhake, tētahi i muri i tētahi.

Ka pāngia tō hauora whānui e tēnei mate, e kiia nei ko te ARFID, mā te aukati i tō tinana ki te whiwhi i ngā matūkai e hiahiatia ana. He mea nui anō hoki kia maumahara mēnā kāore e rongoatia tika, ka tūpono pea te ora .

He kai kōwhiri noa iho tēnei?

Kāo, ehara te ARFID i te kai whiriwhiri noa iho. Tērā ētahi tamariki nohinohi kāore e pai ki te tae, te reka, te kakara, te kakano rānei o ētahi kai, ā, kāore e kai. Koinei te mea e kiia nei e mātou ko te 'whiriwhiri kai'. Engari he iti noa iho ngā kai ka pāngia e tēnei. Kāore he pānga nui ki te hiahia kai, ki te tipu rānei o te tamaiti. He maha ngā wā ka ngaro atu tēnei 'whiriwhiri' i te pakeketanga o te tamaiti.

Engari he mate kino rawa atu te ARFID. I tēnei wā, ka pā kino te kore kai tōtika ki te hiahia kai, ki te tipu, me te hauora whānui o te tamaiti. Kāore tēnei mate e pai ake mēnā kāore he maimoatanga.

He pēhea te noa o te ARFID?

Ina hoki, he mate hou te ARFID i whakaurua ki roto i te Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), he whakarōpūtanga o ngā mate hinengaro e whakamahia ana e ngā tākuta hei tātaritanga i ngā tūroro. Nō reira, he iti tonu ngā raraunga mai i ngā rangahau taupori nui mō tōna horapa.

He aha ngā tohu o te ARFID? Me pēhea tātou e mōhio ai?

Ka taea e te ARFID te whakaputa i ngā huringa tinana me ngā whanonga pēnei i:

Ngā āhuatanga ā-tinana e kitea ana:

• Te whakahekenga taumaha nui.
• Te kōroke pinepine.
• Mamae puku, koretake te puku, me te pupuhi.
• Te pāmahana tinana i raro iho i te tikanga.
• Te ngenge tonu me te ngenge .
• Ngā huringa paheketanga koretake i roto i ngā wāhine me ngā kōtiro taitamariki.
• Te pōuri, te ngoikore rānei.
• Te tupu o ngā huruhuru angiangi (lanugo) i te tinana, inā koa i te tuara me ngā ringa.
• Te ngoikore o te uaua.

Ngā huringa whanonga:

• Te "kī tonu" i mua i te kai, te ngaro rānei o tō hiahia kai .
• He uaua ki te noho arotahi.
• Te whakawhāiti ā-hinengaro i te nui o te kai e kainga ana.
• Ka kai noa i ngā kai he āhua motuhake te kakano (hei tauira, ngā kai tino ngawari anake, ngā kai pakari anake rānei).
• He wehi tonu tāku kei ruaki ahau i muri i te kai, kei mau rānei te kai i roto i tōku korokoro.
• Kei te piki haere te wairua 'porangi kai' i mua, ā, kei te iti haere te maha o ngā kai ka taea te kai.

Ko te mea nui, ehara te ARFID i te mea nā te whakaaro kino ki te āhua o te tinana, nā te hiahia rānei ki te whakaiti i tōna taumaha.

He aha ngā take o te ARFID?

Kāore anō kia mōhiotia te tino take o te ARFID , engari e kī ana ngā rangahau hauora he maha ngā āhuatanga ka whai wāhi ki tēnei:

• Te manukanuka nui.
• Te wehi ki ngā mea maha, inā koa ki te kai.
• Ko ētahi huringa ira .
• Ko ētahi o ngā awe ki tō tātou taiao, ki te hapori, me te ahurea.
• Ngā wheako mamae o mua, inā koa ko ērā e pā ana ki te kai.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te ARFID?

Ka pāngia te tangata o ngā tau katoa e te ARFID, tae atu ki ngā pakeke me ngā tamariki. Heoi, he mea noa i te tamarikitanga . Tērā pea ka tūpono koe ki te whakawhanake i tēnei mate nā ēnei take e whai ake nei:

• Mena kua pāngia koe e ētahi wheako mamae e pā ana ki te kai. Hei tauira, te kore kai, te whāngai ā-kaha, te kore kai rānei.
• Mena kei a koe tētahi āhuatanga hauora hinengaro (hei tauira, te manukanuka, te pouri, te mate aro nui kore mahi (ADHD)) tētahi atu āhuatanga rānei e pā ana ki te whanaketanga o te pūnaha io.
• Mena he nui tō kino ki te kakano o ētahi kai.
• Ki te mea kei te wehi tonu koe kei kino tō tinana i te kai .
• Mena kua pāngia tō whānau tata e ngā mate kai.

He aha ngā raruraru ka puta mai i te ARFID?

Ki te kore e rongoatia tika te ARFID, ka puta he maha ngā raruraru, ko ētahi he tino morearea.

• Te kore kai pai : Te kore e whiwhi i ngā matūkai e hiahiatia ana e te tinana.
• Te matewai : Te hekenga o te nui o te wai i roto i te tinana.
• Te kore taurite o te irahiko hiko : He kore taurite o ngā tote pēnei i te konutai me te pāhare pāporo.
• Te kore toto toto : Te korenga o te toto.
• Te toto toto iti.
• Te angiangi o ngā wheua (Osteoporosis) .
• Ka taea hoki te pā mai o te hopukanga ohorere o te ngakau .
• Te roa o te pakeketanga o ngā tamariki.
• Ngā huringa me ngā ngoikoretanga o te whanaketanga tinana.

Ka taea e ēnei pānga te whakararu i te ora i ētahi wā . He mea miharo, i ētahi wā ka taunga te tinana o te tangata whai ARFID ki tēnei ahotea, ā, kāore e whakaatu i ngā tohu o waho. Nō reira, ahakoa ngā whakamātautau, kāore pea te āhua e kitea mārama, engari tera pea ka kino haere te āhua o roto.

Ka pā nui pea te ARFID ki tō oranga pāpori. Hei tauira, kāore pea koe e hiahia ki te kai tahi me te whānau, ki te haere ki ngā pāti a ngā hoa, ki te whai wāhi atu rānei ki ngā huihuinga kai. Ka kino pea tēnei ki ō whanaungatanga ki te whānau me ngā hoa, ā, ka whakararuraru i a koe i ngā mahi kura me te mahi.

Me pēhea te tautuhi i te ARFID?

Mā te tākuta koe e whakatau mēnā kei a koe te ARFID mā te whai whakaaro ki ētahi paearu motuhake. Ko ēnei paearu:

• Ko te whakawhāiti i te kai me hua ake he tino hekenga taumaha (mō ngā tamariki, te korenga e tutuki te tipu e tumanakohia ana), te kore kai pai , te whakawhirinaki ki te whāngai i roto i te ngongo, ki ngā huaora/tāpiritanga kai rānei hei oranga mō rātou, me/ranei ngā taunekeneke pāpori me ētahi atu me pāngia e te whakawhāiti i te kai.
• Kaua tēnei here kai e puta mai i te kore kai pūmau, te nohopuku mō ngā take whakapono, te mate hauora rānei, te maimoatanga rānei mōna.
• Waihoki, kaua tēnei here kai e mahia i runga i te whakaaro kino mō te āhua o te tinana, i te whāinga rānei kia whakaitihia te taumaha, kia whakarerekētia rānei te āhua o te tinana.
• Ahakoa nā tētahi mate hauora, nā tētahi maimoatanga rānei i herea ai te kai, me nui ake te taumata o ngā pānga taha e tika ana kia puta, ā, me puta ai ngā raruraru nui ki te hauora whānui.

Hei whakaū i ēnei mea, ka whakahaerehia e tō tākuta he whakamātautau tinana, ā, ka tonoa pea e ia he whakamātautau toto, he whakamātautau mimi rānei hei tirotiro i tō hauora whānui, i ngā taumata kai, me te aroturuki i te mahi a ō whekau o roto. He mea nui ēnei whakamātautau nā te mea ka taea e ngā pānga taha o tēnei mate te whakararu i te ora, ā, ka pā ki ngā wāhanga maha o te tinana.

Me pēhea te rongoā mō te ARFID?

He maha ngā whāinga matua mō te rongoā i te ARFID:

• Hei āwhina i a koe ki te whakatutuki me te pupuri i te taumaha hauora .
• Te ārai i ngā raruraru ka pā ki tō hauora whānui.
• Hei āwhina i a koe ki te whakahaere i ō raruraru kare ā-roto, i ō whakarihariha ā-pānga me ō mataku mō te kai.

Ko te rongoā matua mō tēnei ko te Whakaora Whanoke Hinengaro (CBT) . Ka taea e tēnei rongoā te āwhina i a koe ki ngā mea pēnei i:

• Tāutuhia ngā whakaaro me ngā whanonga raruraru e pā ana ki tō hauora.
• Whakaitihia te wehi, te manukanuka rānei mō te kai.
• Kia marino ake, kia tau hoki te ngākau ki ngā wero o ngā kare ā-roto.

I ētahi wā, ka tohua pea e tō tākuta he rongoā hei āwhina i tō hinengaro me tō tinana kia ora, kia ārai hoki i ngā raruraru morearea. Kei roto i ēnei ko ngā rongoā antipsychotic, ngā rongoā antidepressants, ngā rongoā rānei e whakaoho ana i te hiahia kai. He mea nui kia kōrero koe ki tō tākuta mō ngā pānga taha pea o tētahi rongoā i mua i tō tīmatanga ki te tango.

I ētahi wā tino kino, ka whakatau pea te tākuta ki te tuku kai enteral mō te wā poto. He ngongo angiangi, ngāwari tēnei ka whakaurua mā te ihu, tika atu rānei ki roto i te puku, i te whekau iti rānei. Mā tēnei ngongo ka taea e te tinana te whiwhi matūkai me te kore e kai mā te waha.

Mā wai e rongoā te ARFID? Me hiahia koe ki tētahi rōpū tohunga?

Āe, nā te mea he mate uaua te ARFID, me āwhina pea koe e tētahi rōpū tākuta me ngā kaiwhakaora hinengaro hei rongoā i a koe. Kei roto pea i tēnei rōpū:

• Tō tākuta whānau (tākuta tiaki tuatahi) .
• He kaiwhakatakoto whakaaro hauora hinengaro , he kaiwhakaora whanonga hinengaro rānei.
• He tākuta tohunga ki te pūnaha nakunaku (Gastroenterologist) .
• Te tohunga kōrero-reo (mēnā he raruraru pēnei i te horomi).
• Ngā tākuta tohunga e rongoā ana i ētahi atu raruraru i puta mai i te ARFID.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

He roa te wā e pau ana ki te rongoā mō te ARFID. Nā te mea he rerekē te katoa, he uaua ki te kī i te wā tika ka tīmata koe ki te pai ake. He rerekē i ia tangata, i ia tangata. Heoi, i te tīmatanga o te whiwhi a tō tinana i ngā matūkai e hiahiatia ana e ia, ka tīmata mārire koe ki te rongo i te whakaoranga mai i ō tohumate. Ko te mea nui ko te aroturuki i tō ahunga whakamua me te tūpato ki ngā raruraru hou ka puta ake ā muri ake nei, nā te mea me tautoko pea koe e tō tīma hauora me te tirotiro tonu i a koe anō puta noa i tō oranga .

He ara hei ārai i te ARFID?

Engari, kāore anō kia kitea he huarahi hei ārai i te ARFID i tēnei wā.

He aha te āhua o te wheako mō te tangata whai ARFID? He aha ngā mea e tika ana kia tumanakohia e koe?

He mate hinengaro te ARFID e pā tika ana ki tō tinana. Ahakoa te āhua nei he 'kore kai' noa iho i te tīmatanga, ka tino kino ngā hua o te whakawhāiti i te kai, ā, ka mate pea mēnā kāore e tika te rongoā. Ahakoa ka nui haere te kore kai a ngā tamariki i a rātou e pakeke haere ana, me aro nui te hauora ki te ARFID. He mate tēnei mō te wā katoa, ā, me whakahaere. He maha ngā wā ka tukuna te hunga whai ARFID ki te hōhipera.

Nā te mea he mate hou tēnei i roto i te pūtaiao hauora, kāore he maimoatanga kotahi e whai hua ana mō te katoa. He maha ngā wā, ka tutuki ngā hua pai mā te whakamahi i te huinga o ngā maimoatanga, pērā i te rongoā me te whakaora whanonga hinengaro (CBT).

Āhea koe me toro atu ki te tākuta?

Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, tētahi o ēnei tohu, he mea nui kia toro atu koe ki te tākuta i te wā e taea ai:

• Ki te kore e taea e koe te kai, te inu rānei i tētahi wai iti.
• Ki te mea ka pāngia koe e te wehi nui, e te manukanuka rānei i a koe e kai ana.
• Ki te kore koe e hiahia, e hiahia rānei ki te kai.
• Ki te mea ka tino heke tō taumaha, kāore he take.
• Mena kei te pāngia koe e ētahi atu tohu e pā ana ki te ARFID kua whakahuatia i roto i tēnei tuhinga.

Kia maumahara, ehara i te mea ngāwari ki te tangata whai mate hinengaro te mōhio me āwhina rātou, ā, ka tono atu. Nō reira, he mea nui te tautoko, te māramatanga, me te whakatenatena a ō whanaunga kia taea ai e rātou te tuku atu ki tētahi tangata ka taea te whakarato i te tiaki hauora e tika ana.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina haere koe ki te tākuta, kaua e mangere ki te pātai i ēnei pātai:

• "E te tākuta, he aha rawa te mate e kitea ana e au?"
• "Me haere ahau ki tētahi kaiwhakaora hinengaro?"
• "He aha ngā pānga taha ka pā mai ki ahau i ngā rongoā e tohua ana e koe?"
• "Ki te kore e taea e au te kai tika, me aha ahau kia whiwhi ai i ngā matūkai e hiahiatia ana e tōku tinana?"
• "Me whai ngongo whāngai ahau?"

He aha te rerekētanga i waenga i te ARFID me te Anorexia?

He mate hinengaro te ARFID me te Anorexia Nervosa e aukati ana i te kai. Engari he rerekētanga nui . Ka puta te Anorexia ina he whakaaro kino tō te tangata ki a ia anō mō ​​tōna tinana, ā, ka aukati i tana kai hei ngana ki te whakarerekē i taua whakaaro, inā koa kia whakaitihia tōna taumaha. I roto i te ARFID, ehara te here i te whakaaro mō tōna tinana.

He wāhanga rānei te ARFID o te Mate Autism Spectrum?

Kāo. Ahakoa he rite ētahi o ngā tohu o te ARFID ki ērā o te mate autism spectrum disorder (ASD), he rerekē ngā āhuatanga e rua . Hei tauira, ka uru pea ngā āhuatanga e rua ki te whakarihariha nui ki te kakano o ētahi kai. Heoi, mō te hunga whai ARFID, ka taea e tēnei whakarihariha ki ngā kare ā-roto te arahi ki ngā raruraru nui, pērā i te kore kai pai.

Ngā mea tino nui hei maumahara mā tātou (Karere hei tango ki te kāinga)

Āe, ko tāku tumanako ka pai ake tō māramatanga ki te ARFID. Hei whakamutunga, kia maumahara ki ēnei kōrero:

• He mate hinengaro uaua te ARFID e kore e pai ake mēnā kāore he maimoatanga, nō reira kaua e whakahaweatia.
• Ahakoa te āhua nei he 'koretake kai' noa iho tēnei i te tirohanga tuatahi, ki te kore te tinana e whiwhi i te kai e tika ana, ka arahi pea ki ngā raruraru tino morearea, e morearea ana ki te ora .
• He maimoatanga kei te wātea , engari me roa te wā me te manawanui. Mā te tautoko a tō tīma hauora me ō whanaunga ka āwhina nui i a koe kia hoki anō ki te hauora pai.

Ki te whakaaro koe kei te pāngia koe, kei tētahi atu rānei e mōhio ana koe e tēnei raruraru, rapua he tohutohu hauora. He mea tino nui te tautuhi wawe me te maimoatanga!

` ARFID, Mate Kai Ārai/Whakawhāiti, whakarihariha kai, whakakore kai, korenga kai, hauora hinengaro, hauora tamaiti, mate kai, kai whiriwhiri