Chii Chinonzi Anorexia Nervosa?

Sezvo isu tichiziva Svondo reNyika Eating Disorder Kuzivisa pano paClay Center, tinovimba ruzivo rwatinogovana ruchave rwekudzidzisa uye kubatsira. Kune rumwe ruzivo rwakawanda nezve kusagadzikana kwekudya, uye nzira dzaunogona kubatsira kuita mutsauko muhupenyu hwemudiwa kana iwe pachako, ndokumbira ushanyire National Eating Disorder Association webhusaiti. Rangarira, "Inguva yekutaura nezvazvo." #NEDAwagement

Ini ndakanyora iyi blog nekuti yakazove yakabudirira nyaya yeumwe wevarwere vangu (mubatanidzwa wevarwere vazhinji) achinetseka pamwe pamwe akaomesesa, akaoma uye anotyisa matambudziko chero munhu anogona kutsungirira.

Anorexia Nervosa inobata zvakanyanya munhu wese. Kutambudza munhu anotambudzika, kunotyisa vabereki uye zvinoshungurudza zvakanyanya kune vanachiremba.

Iine mwero wepamusoro wekufa wechero chirwere chepfungwa. Chete chetatu chevanhu vanowana zvirinani, uye chetatu vanofa pamusoro payo makore 20-30.

Uye zvinosuruvarisa isu tinowanzo kunzwa nezve vakakurumbira vakafa kana kunetseka neanorexia, saKaren Carpenter, Portia de Rossi, naMary-Kate Olsen, uye kwete huwandu hwakawanda hwevanotambura, vanotambura, vasikana vezuva nezuva nevakadzi vanotambura it.

Ini ndinogovana iyi blog kuitira kuti munhu wese anzwisise maficha eanorexia, azvizive kutanga, uye edza kubatsira uye kutsigira avo vari kutambura.

Chii Chinonzi Anorexia Nervosa?

Handina kuenda kuchikoro chekurapa kuti ndive muvengi.

Ndakadzidziswa — uye ndikatenda — kuti kupa rubatsiro netsitsi zvaizokomborerwa, zvakare, nehukama hwakavimbika. Inofanira kunge iri mhedzisiro yekungoita chinhu chakakodzera.

Zvaive zvisingakwanise kugunun'una pandakatanga kushanda nevana vaive neanorexia nervosa. Kunyangwe padhuze nenzara yemuviri, uye dzimwe nguva, kudonha kwekurapa, ivo vaingoda kusara vega pakati pekubiridzira kwevabereki vavo uye nechikwata chekurapa kuti vangodya chete.

Hei, isu tese tinonzwa nzara, handiti?

Uye kune vana, chikafu chinenge chakanakisa sezvachinowana. Asi saChiremba anoona nezvekuchengetwa kwavo, vanongondiona semunhu akaipa anoda kuvakodza.

Ngatitorei Sarah (asiri murwere chaiye, asi mubatanidzwa wevakawanda vandakaona). Iye akanaka uye ane tarenda ane makore gumi nemana-okuberekwa, kudada kwemhuri yake-akatwasuka-Mudzidzi, akangwara mutambi, nyeredzi kumberi kunhandare hockey timu, anonzwisisa uye anopa mwanasikana uye shamwari - zviri pachena munhu akafanirwa kuita zvinhu zvikuru. Zvaiita kunge aive nezvose: tarenda, kugona, uye vakabudirira uye vane rudo vabereki.

Asi, mushure mezhizha kure kumusasa musasa, Sarah akarasikirwa nezve gumi nemashanu mapaundi; akave zvakare vegan, uye akamhanya mamaira mashanu zuva nezuva pamberi pechikoro, dzimwe nguva kunyangwe kwaedza. Asi pa5'7 ”uye atove mutete uye akagwinya, vabereki vake neshamwari vakafunga kuti airatidzika kunge akanaka. Hupenyu, zvaiita kunge hwainge hwakanaka - kudzamara adonha kusvika pamazana mapaundi uye akarasikirwa nenguva yake. Chiremba wevana vake akamukurudzira kuti atsvage rubatsiro kuchipatara, asi vabereki vake vaitarisira kuti chaaingoda chete kuona chiremba wezvehutano ndokutanga kudya zvakare. Izvi pakupedzisira hazvina kuita musiyano, ndosaka vakauya kwandiri.

Sarah paakatanga kusangana neni, akange aine zvishoma, kana paine, zvekutaura-iye aifunga kuti hapana chakaipa. Asi paakarasikirwa nemamwe mapaundi mashanu uye chiremba wevana akada kupinda muchipatara kuti agadzikane pakurapa uye "kugadziridzwa kwehutano," akatanga kutaura - kwete, achiteterera - neni kuti ndimusiye ndoga uye ndimurege agare pamba, achitaurirana nezvehuremu hwake dzivisa kugara muchipatara. Pandisina kutevedzera, ndaishorwa; zvisinei nezvandataura nezve njodzi dzekurapa, njodzi dzinogona kuitika kumuviri wake (kusanganisira kutyoka kwemapfupa nekushaya mbereko), hapana chakashanda.

Ndakava muvengi.

Vana vane anorexia nervosa vane kutyaira kusingachinji kweutete, uye kutya kwakasimba, kusingazungunuke kwekuva mafuta. Kunyangwe paine huremu hwakaderera zvine njodzi, havazvione sevatete. Kupesana, muchokwadi: kunyangwe iwo akadzika sei dhiipi yavo, pane zvinogara zviripo zvekudonha.

Vasikana ava vanozvarwa vasina chavanoda, vanoenderana nezvinodiwa zvekunze, vanomanikidza, vanofambiswa-uye, pamwe chitsitsinho chavo cheAchilles-vane hanya zvakanyanya nehukama, vachitya kurambwa kana kukuvadza vamwe. Zvinotoshamisa kuti vanowanzo ramba kana kufuratira kutambura kweavo vanovaona vachizviuraya nenzara zvishoma nezvishoma - pakutanga. Gare gare mukati mekufamba kwechirwere, ivo vanowanzo kunzwa mhosva huru, zvese pamusoro peizvi, uye nezve zvese zvimwe zvinhu.

Chii chinoitika kuvasikana ava? Ndezvipi zvikonzero zvakakosha zvechirwere chinopesana nemushonga, uye zvinosuruvarisa kuti ine chimwe chezvirevo zvakaipisisa (uye mwero wepamusoro wekufa) wehurwere hwese hwepfungwa?

Anorexia i "dutu rakakwana" rinoda chete musanganiswa wakakodzera wezvinhu zvinobva kune yega biology, hukama hwemhuri, hwepfungwa nehunhu maitiro, uye hukama hwevanhu. Nepo "mabikirwo" acho achisiyana kubva kune mumwe munhu kuenda kune mumwe, zvinoita sekunge kuve nechinhu chakakomba kubva kune yega yeaya madomasi kunodiwa kuti chirwere chimuke.

Biologically, ongororo yemapatya uye nhoroondo dzemhuri dzinoratidza kuti pane hunhu hune anorexia nervosa. Iko kunoratidzika kuve nehukama pakati peanorexia nervosa, bulimia nervosa uye kufutisa, zvichitungamira vamwe vaongorori kuti vazvibvunze nezve iyo yepakati tsinga system yekugadzirisa nzara uye kuzara.

Uye zvakare, vasikana vane anorexia vanowanzove nechero bumbiro kubva pakuzvarwa, senge kukwana, kunyanyisa-kumanikidza, kukwikwidza uye kugona kukuru kune hukama, kunyanya kutya kurambwa. Ivo zvakare vanowanzo sangana nematambudziko nemamiriro ekuchinja, uye vane njodzi yakakura yekuora mwoyo uye kusagadzikana.

Beyond biology, zvemagariro, zvepfungwa uye zvemhuri zvinhu zvinoita chikamu mukukudziridzwa kwechirwere ichi. Izvi zvinhu zvinowanzo kunetsa kusiyanisa sezvo zvakabatanidzwa mumucheka wetsika dzekuMadokero.

Izvo zvinhu zvakakosha zvakanyanya zvinowanzo kuve kumanikidza kwenzanga kwakakomberedza muviri "mufananidzo," uye, kunyanya kune vakadzi, kuonda. Hatigone kurerutsa padanho rekuti chimiro chemuviri chakasimbiswa, kwete chete kuburikidza neterevhizheni nemamuvhi, asiwo mumagazini, uye kunyange matoyi. Mushure mezvose, chinhu chekutambisa chakakurumbira munhoroondo yazvino ndiBarbie-zvisingaite zvemuviri uye chiyero, zvisingawanikwe nemukadzi chero upi zvake!

Nekudaro, zvemhuri uye zvepfungwa zvinhu zvinobatanidzwa mukuvandudzwa kweanorexia nervosa.

Nepo mhuri dzevasikana vasina anorexiki vachiwanzo kuve pakati pevane rudo, vakavimbika uye vane hanya, zvakare vane yakatarwa yekutarisisa pamufananidzo, kuita uye kubudirira.

Saka chii chakakanganisika neizvi?

Muchirevo chekumanikidzwa kwenzanga pamusoro pechitarisiko chemuviri, kusadzikama kwemitemo, uye zvinotarisirwa zvinotungamira kukwana, kutevedza uye kunzwisisika kwekuramba zvese zvinoisa kumanikidza kwemukati pamusikana ari kukura.

Mhedzisiro ndeyekuti vasikana ava vanowanzo kuve nematambudziko akakura munzvimbo nhatu dzekutanga:

1. Kuzivikanwa: havazivi kuti ivo ndivanaani, asi chete zvavanofanira kuva.
2. Ukama: vanoda kufadza vamwe, uye zvido zvinoonekwa zveavo vakavakomberedza (sekukosha kwekuonda).
3. Kuzvitemba: vanowanzove nekuzvitarisira pasi uye kugara vaine mhosva, kunyanya nekuti havana nzira yekugadzirisa kusawirirana. Kunyangwe kushomeka kwekukonana kuchiratidzika sechinhu chakanaka, dzimwe nguva kunodzokera kumashure nekuti hapana nzira yekuti mumwe agadzirise kutsamwa kwake uye kushungurudzika neavo vaanoda. Isu tese tinofanirwa kuda, kukuvadza avo vatinoda, uye tobva tagadzirisa zvinhu kuti tibvise mhosva uye nekuwedzera kuzviremekedza. Vazhinji vasikana vane anorexic havana mukana uyu chete.

Saka, zvinoita semamiriro akakodzera — mhuri ine rudo, kushomeka kwemakakatanwa, uye hunhu hunoyemurika munzanga inosimbisa kutaridzika uye kugwinya - inogona kupedzisira yarasa zvinhu kubva mugwara.

Vamwe vanoshamisika kuti nei ichi chichiita kunge "tsika yakasungwa" syndrome, hunhu hweWestern (U.S.) nzanga.

Iko kusimbisa kwedu kuonda?

Ndiko kuvimba kwedu uye kuzivikanwa nevatambi vemuenzaniso vatinoona munhau?

Zvinoenderana nezvimwe zvimiro zvemhuri mukati medzvedu- izvo zvinosimbisa chimiro, kubudirira uye kuwirirana?

Icho chinonyanya kuratidza vakadzi (vangangoita 96 muzana yeavo vane anorexia nervosa vakadzi)? Ndiyo nzira yatinoshamwaridzana nayo nevasikana tichienzanisa nevakomana mutsika nemagariro edu?

Ndiwo mhedzisiro inosuruvarisa yemusikana ane hurema hwehunhu uye hunhu hwepamoyo anozvarwa muwebhu yakaoma iyo yaasingakwanise kuzviburitsa kubva kwairi?

Mhinduro yacho pamwe "hongu" kumibvunzo iyi yakaoma!

Sarah aive akagamuchirwa akawanda ekurapa uye epfungwa, kazhinji munzvimbo dzekugara uye dzekunze kwechipatara. Akaenderera mberi achishanda neni kwemakore mazhinji pakurapa kwemunhu uye kwemhuri, uye kuburikidza neangu manejimendi ekurapa mishonga (kwete kumurapa anorexia nervosa, asi kumubatsira kushushikana uye kushushikana).

Mushure memamwe makore maviri ekurwa uye kusavimba, Sarah akazosvika pakundifarira. Akaramba achiwedzera uremu, akatangazve nguva, uye akazoenda kukoreji. Ini ndichiri kumuona, uye takasvika pakuziva, kukoshesa nekunzwisisana - zvikuru zvinangwa zvedu, uye kukosha kwehukama hwedu.

Chii chakashanda? Mune rimwe bhurogu tinotarisa kurapwa kweanorexia nervosa, uye kuti mhedzisiro yacho ingave ipi. Hazvina kunaka, asi kune vamwe vakaita saSara, pane tariro.

Pamusoro pazvose, ndeyomarathon, kwete yekumhanya.

Ndadzidza kurarama semuvengi. Nditende, zvinotora muripo.

Vanachiremba vazhinji, ini pachangu ndakabatanidzwa, vanoda kudiwa; tinoedza zvakaoma kwazvo kutarisira nekupodza vamwe.

Asi, isu tinofanirwa zvakare kuziva kuti kazhinji varwere vedu havatione nenzira iyoyo, uye chakanyanya kunaka chatingaita kubata hupenyu hunodiwa - nehupenyu hwevarwere vedu, uye nekuzvishingisa kwedu pachedu.

Iyo vhezheni yeiyi blog yakatanga kutumirwa pane Iyo Clay Center yevechidiki Hutano HfungwakuMassachusetts General Hospital.