Ukukhubazeka / Ukuvimbela Ukudla Okungenamkhawulo Ukuphazamiseka

-Delile

• Ziyini Izimpawu ze-ARFID?
• Yini Ebangela I-ARFID?
• I-ARFID Ihlonza Kanjani?
• Yelashwa KANJANI I-ARFID?
• Uyini Umbono Wezingane ezine-ARFID?

Kuyini Ukugwema Ukudla Okungavinjelwe / Okuvinjelwe (i-ARFID)?

Isifo sokugwema ukudla / sokuvimbela ukudla (i-ARFID) yisifo sokudla esibonakala ngokudla ukudla okuncane kakhulu noma ngokugwema ukudla ukudla okuthile. Kungukuxilongwa okusha okwandayo esigabeni sangaphambilini sokuxilongwa kwesifo sokondla kwasebusaneni nasekuqaleni kobuntwana, obekungajwayelekile ukuthi kusetshenziswe noma kufundwe.

Abantu abane-ARFID benze uhlobo oluthile lwenkinga yokondla noma yokudla okubenza bagweme ukudla okuthile noma ukudla ngokuphelele. Ngenxa yalokhu, abakwazi ukuthatha amakhalori anele noma izakhi zomzimba ngokudla kwabo. Lokhu kungaholela ekushodeni komsoco, ukukhula okubambezelekile, kanye nezinkinga zokuzuza kwesisindo. Ngaphandle kwezinkinga zezempilo, abantu abane-ARFID nabo bangabhekana nobunzima esikoleni noma emsebenzini ngenxa yesimo sabo. Bangaba nenkinga yokuhlanganyela emicimbini yomphakathi, njengokudla nabanye abantu, nokugcina ubudlelwane nabanye.

I-ARFID ivame ukwethula ebuntwaneni noma ngesikhathi sobuntwana, futhi ingaqhubeka ize ibe mdala. Ekuqaleni kungahle kufane nokudla okungajwayelekile okuvame kakhulu ngesikhathi sobuntwana. Isibonelo, izingane eziningi ziyenqaba ukudla imifino noma ukudla okunephunga elithile noma ukungaguquguquki. Kodwa-ke, lezi zindlela zokudla ezikhethiwe zivame ukuxazululwa ezinyangeni ezimbalwa ngaphandle kokubangela izinkinga ngokukhula noma ukukhula.

Ingane yakho ingahle ibe ne-ARFID uma:

• inkinga yokudla ayibangelwa yisifo sokugaya ukudla noma esinye isimo sezokwelapha
• inkinga yokudla ayibangelwa ukushoda kokudla noma amasiko okudla amasiko
• inkinga yokudla ayibangelwa inkinga yokudla, njenge-bulimia
• abalandeli ijika elijwayelekile lokuzuza isisindo ngeminyaka yabo
• bahlulekile ukuthola isisindo noma balahlekelwe isisindo esiningi enyangeni edlule

Ungahle ufune ukuhlela i-aphoyintimenti nodokotela wengane yakho uma ingane yakho ikhombisa izimpawu ze-ARFID. Ukwelashwa kuyadingeka ukubhekana nezici zezokwelapha nezingokwengqondo zalesi simo.

Uma ishiywe ingalashwa, i-ARFID ingaholela ezinkingeni ezinkulu zesikhathi eside. Kubalulekile ukuthola ukuxilongwa okunembile ngokushesha.Uma ingane yakho ingadli ngokwanele kodwa isisindo esijwayelekile seminyaka yayo, kusafanele wenze i-aphoyintimenti nodokotela wayo.

Ziyini Izimpawu ze-ARFID?

Izimpawu eziningi ze-ARFID ziyefana nezinye izimo ezingadala ukuthi ingane yakho ingondleki. Kungakhathalekile ukuthi ucabanga ukuthi ingane yakho iphilile kangakanani, kufanele ushayele udokotela uma ubona ukuthi ingane yakho:

• ubonakala engaphansi kwesisindo
• ayidli njalo noma kakhulu njengoba kufanele
• imvamisa kubonakala ngathi iyacasuka futhi ikhala kaningi
• Kubonakala sengathi ucindezelekile noma uhoxisiwe
• ulwela ukudlulisa ukunyakaza kwamathumbu noma abonakale esezinhlungwini lapho enza kanjalo
• ubonakala njalo ediniwe futhi enobuvila
• ihlanza kaningi
• untula amakhono ezenhlalo afanele iminyaka yobudala futhi uvame ukubalekela abanye

I-ARFID kwesinye isikhathi ingaba mnene. Ingane yakho ingahle ingakhombisi izimpawu eziningi zokungondleki futhi ingavele ibonakale ingumuntu othanda ukudla. Kodwa-ke, kubalulekile ukutshela udokotela wengane yakho ngemikhuba yokudla kwengane yakho ngesikhathi sokuhlolwa kwayo okulandelayo.

Ukungabikho kokudla okuthile kanye namavithamini ekudleni kwengane yakho kungaholela ekushodeni okukhulu kwamavithamini nezinye izimo zezokwelapha. Udokotela wengane yakho angadinga ukwenza ukuhlolwa okunemininingwane eminingi ukuze akwazi ukunquma indlela engcono yokuqinisekisa ukuthi ingane yakho ithola wonke amavithamini nezakhi ezibalulekile.

Yini Ebangela I-ARFID?

Isizathu ngqo se-ARFID asaziwa, kepha sikhombe izinto ezithile eziyingozi zalesi sifo. Lokhu kufaka phakathi:

• ukuba ngowesilisa
• ngaphansi kweminyaka engu-13
• ukuba nezimpawu zamathumbu, njengokushiswa yinhliziyo nokuqunjelwa
• ukuba nokungezwani kokudla

Amacala amaningi wokuthola isisindo esibi nokungondleki ngenxa yesimo sezempilo esingaphansi kohlelo lokugaya ukudla. Kwezinye izimo, noma kunjalo, izimpawu azikwazi ukuchazwa ngenkinga yokwelashwa engokwenyama. Izimbangela ezingezona ezokwelapha zemikhuba yokudla enganele yengane yakho ingafaka okulandelayo:

• Ingane yakho iyesaba noma icindezelekile ngokuthile.
• Ingane yakho yesaba ukudla ngenxa yesigameko esibuhlungu esedlule, njengokuminyaniswa noma ukuphalaza kanzima.
• Ingane yakho ayitholi izimpendulo ezanele ezingokomzwelo noma ukunakekelwa okuvela kumzali noma umnakekeli oyinhloko. Isibonelo, ingane ingazizwa yesaba ulaka lomzali, noma umzali angaba nokudangala futhi ahoxiswe enganeni.
• Ingane yakho ayikuthandi nje ukudla okwenziwe okuthile, okokuthandayo, noma kwephunga.

I-ARFID Ihlonza Kanjani?

I-ARFID yethulwe njengesigaba esisha sokuxilonga kuhlelo olusha lweDiagnostic and Statistical Manual of Mental Disorders (DSM). Leli bhukwana lishicilelwa yiAmerican Psychiatric Association futhi lisiza odokotela nabasebenza ngezempilo yengqondo ukuthola izifo zengqondo.

Ingane yakho ingatholakala ukuthi ine-ARFID uma ihlangabezana nalezi zindlela ezilandelayo zokuxilonga ezivela ku-DSM-5:

• Banenkinga yokondla noma yokudla, njengokugwema ukudla okuthile noma ukukhombisa ukungabi nentshisekelo ekudleni ngokuphelele
• Abazange bazuze isisindo okungenani inyanga eyodwa
• Balahlekelwe isisindo esikhulu enyangeni edlule
• Bancike ekuphakeleni kwangaphandle noma kwizengezo zokudla kwabo
• Banokushoda kokudla okunempilo.
• Inkinga yabo yokudla ayibangelwa yisimo sezempilo esiyisisekelo noma ukuphazamiseka kwengqondo.
• Inkinga yabo yokudla ayibangelwa amasiko okudla kwamasiko noma ukuntuleka kokudla okutholakalayo.
• Inkinga yabo yokudla ayibangelwa inkinga ekhona yokudla noma isimo somzimba esibi.

Hlela i-aphoyintimenti nodokotela wengane yakho uma ingane yakho ibonakala ine-ARFID. Udokotela uzokala futhi alinganise ingane yakho, futhi bazohlela izibalo eshadini bese beziqhathanisa nezilinganiso zikazwelonke. Bangase bafune ukwenza ukuhlolwa okuningi uma ingane yakho inesisindo esincane kakhulu kunezinye izingane eziningi ezilingana nobulili obufanayo. Ukuhlola kungadingeka futhi uma kukhona ushintsho olungazelelwe kuphethini yokukhula kwengane yakho.

Uma udokotela enquma ukuthi ingane yakho ikhuluphele ngokweqile noma ayondlekile kahle, bazokwenza izivivinyo zokuxilonga ezahlukahlukene ukuze bahlole izimo zezempilo ezingahle zikhawulele ukukhula kwengane yakho. Lezi zivivinyo zingafaka ukuhlolwa kwegazi, ukuhlolwa komchamo, nokuhlolwa kwe-imaging.

Uma udokotela engatholi isimo sezempilo esiyisisekelo, cishe bazokubuza ngemikhuba yokudla kwengane yakho, indlela yokuziphatha, nemvelo yomndeni wakho. Ngokuya ngale ngxoxo, udokotela angakuthumela wena nengane yakho ku:

• ingcwethi yokudla ngokululekwa ngokudla okunempilo
• isazi sokusebenza kwengqondo ukuze sifunde ubudlelwano bomndeni kanye nezimbangela ezingaba khona zokukhathazeka noma ukudabuka ingane yakho engase izizwe
• inkulumo noma owelapha emsebenzini ukuthola ukuthi ingane yakho ibambezele ukuthuthukiswa kwamakhono omlomo noma ezemoto

Uma isimo sengane yakho kukholakala ukuthi singenxa yokunganakwa, ukuhlukunyezwa, noma ubumpofu, usonhlalonhle noma isikhulu esivikela izingane singathunyelwa ukusebenza nawe nomndeni wakho.

Yelashwa KANJANI I-ARFID?

Esimweni esiphuthumayo, kungadingeka ukwelashwa esibhedlela. Ngenkathi ulapho, ingane yakho ingadinga ithubhu yokondla ukuze ithole umsoco owanele.

Ezimweni eziningi, lolu hlobo lokuphazamiseka kwemikhuba yokudla luyalungiswa ngaphambi kokulaliswa esibhedlela. Ukwelulekwa ngokudla okunempilo noma imihlangano ejwayelekile nomelaphi kungasebenza kakhulu ekusizeni ingane yakho ukuba inqobe ukuphazamiseka kwayo. Ingane yakho ingadinga ukuthi idle ukudla okuthile bese ithatha izithako zokudla okunqunyiwe. Lokhu kuzobasiza ukuthi bafinyelele isisindo esinconyiwe ngenkathi belashwa.

Lapho ukubhekana nokushoda kwamavithamini namaminerali kubhekwana nakho, ingane yakho ingahle iqaphe kakhudlwana futhi ukudla okuvamile kube lula.

Uyini Umbono Wezingane ezine-ARFID?

Njengoba i-ARFID iseseyi-diagnostic entsha, kunolwazi olunqunyelwe ekukhuleni kwayo nasekubukekeni kwayo. Ngokuvamile, ukuphazamiseka kokudla kungaxazululwa kalula uma kulungiswa ngokushesha nje lapho ingane yakho iqala ukukhombisa izimpawu zokudla okungapheli ngokuqhubekayo.

Uma ishiywe ingalashwa, ukuphazamiseka kokudla kungaholela ekubambezelweni ukukhula ngokomzimba nangokwengqondo okungathinta ingane yakho impilo yonke. Isibonelo, lapho ukudla okuthile kungafakwanga ekudleni kwengane yakho, ukuthuthukiswa kwezimoto zomlomo kungathinteka. Lokhu kungaholela ekubambezelekeni kwenkulumo noma ezinkingeni zesikhathi eside ngokudla ukudla okunokuthandwa noma ukwakheka okufanayo. Kufanele ufune ukwelashwa ngokushesha ukuze ugweme izinkinga. Khuluma nodokotela uma ukhathazekile ngemikhuba yokudla kwengane yakho futhi usola ukuthi ine-ARFID.