Kunjani Ukuphila Ne-Atypical Anorexia

-Delile

• Ukufuna usizo ngaphandle kwempumelelo
• Ukuthola ukunconywa kokwehlisa isisindo
• Ukubhekana nezithiyo ekwelashweni
• Ukuthola ukwesekwa kochwepheshe
• Ukubuyiselwa kungenzeka

UJenni Schaefer, 42, wayeyingane encane ngenkathi eqala ukubhekana nesimo esibi somzimba.

“Empeleni ngiyakhumbula ngineminyaka engu-4 ubudala futhi ngisegumbini lokudansa, futhi ngikhumbula ngokusobala ngiziqhathanisa namanye amantombazane amancane ekamelweni futhi ngizizwa kabi ngomzimba wami,” kusho uSchaefer, osezinze e-Austin, eTexas, nombhali wencwadi "Cishe i-Anorexic," utshele uHealthline.

Njengoba uSchaefer ekhula, waqala ukukhawulela inani lokudla akudlayo.

Ngesikhathi eqala isikole samabanga aphezulu, wakhulisa lokho manje okwaziwa ngokuthi yi-atypical anorexia.

Ngaleso sikhathi, i-atypical anorexia yayingeyona inkinga yokudla eyaziwayo ngokusemthethweni. Kepha ngo-2013, i-American Psychiatric Association iyingeze kuhlelo lwesihlanu lwe-Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

I-DSM-5 criteria ye-atypical anorexia iyafana naleyo ye-anorexia nervosa.

Kuzo zombili lezi zimo, abantu baphikelela ekuvimbeleni amakhalori abawadlayo. Bakhombisa ukwesaba okukhulu ukuthola isisindo noma ukwenqaba ukukhuluphala. Baphinde babhekane nesimo somzimba esisontekile noma babeke isitokwe ngokweqile esimweni somzimba noma esisindweni sabo lapho behlola ukuzethemba kwabo.

Kepha ngokungafani nabantu abane-anorexia nervosa, labo abane-anorexia ye-atypical abanaso isisindo esincane. Isisindo somzimba wabo sithambekele ekuweleni ngaphakathi noma ngaphezu kwalokho okubizwa ngokuthi uhla olujwayelekile.

Ngokuhamba kwesikhathi, abantu abane-atypical anorexia bangaba nesisindo esiphansi futhi bahlangabezane nenqubo ye-anorexia nervosa.

Kepha noma kungenjalo, i-anorexia ye-atypical ingadala ukungondleki okukhulu futhi ilimaze impilo yabo.

"Laba bantu banganakekelwa kahle kwezempilo futhi bagule impela, yize bengaba nesisindo esijwayelekile noma bekhuluphele ngokweqile," kusho uDkt. Ovidio Bermudez, isikhulu sezokwelapha e-Eating Recovery Centre eDenver, eColorado, etshela iHealthline.

“Lokhu akukhona ukuxilonga okuncane [kune-anorexia nervosa]. Lokhu kungukukhombisa okwehlukile, kusabekeka engcupheni impilo nokubeka abantu engcupheni yezokwelapha, kubandakanya nengozi yokufa, ”kuqhuba yena.

Kusukela ngaphandle ebheke ngaphakathi, uSchaefer "ube nakho konke ndawonye" esikoleni esiphakeme.

Wayengumfundi oqonde ngqo futhi waphothula endaweni yesibili ekilasini lakhe lama-500. Wayecula ekhwayeni yombukiso waseVarsity. Wayelibangise ekolishi ngomfundaze.

Kodwa ngaphansi kwakho konke, wayelwa nobunzima "obungapheli bobuhlungu" bokufuna ukuphelela.

Lapho ehluleka ukuhlangabezana namazinga angenakufinyeleleka ayezibekela wona kwezinye izingxenye zempilo yakhe, ukukhawulela ukudla kwamnika umuzwa wokukhululeka.

"Ukukhawulela empeleni bekuthanda ukungikindiza ngendlela ethile," esho. "Ngakho-ke, uma bengizizwa ngikhathazekile, benginganciphisa ukudla, futhi empeleni ngizizwe ngingcono."

Wanezela: “Ngezinye izikhathi ngangidla kakhulu. "Futhi lokho kwazizwa kungcono, futhi."

Ukufuna usizo ngaphandle kwempumelelo

Lapho uSchaefer eshiya ikhaya eyofunda ekolishi, ukudla kwakhe okwenqatshelwe kwaba kubi kakhulu.

Wayengaphansi kwengcindezi enkulu. Wayengasenaso isakhiwo sokudla kwansuku zonke nomndeni wakhe ukumsiza ahlangabezane nezidingo zakhe zokudla okunempilo.

Wehlise isisindo esiningi ngokushesha okukhulu, wehla ngaphansi kobubanzi obujwayelekile bokuphakama kwakhe, ubudala, nobulili. "Ngaleso sikhathi, kwakungatholakala ukuthi ngine-anorexia nervosa," esho.

Abangane bakaSchaefer basesikoleni samabanga aphezulu bazwakalise ukukhathazeka ngokuncipha kwakhe, kepha abangane bakhe abasha basekolishi bancoma ukubukeka kwakhe.

"Bengithola ukunconywa nsuku zonke ngokuba nokugula ngengqondo okunenani eliphakeme kakhulu lokufa kwanoma yisiphi esinye," ekhumbula.

Lapho etshela udokotela wakhe ukuthi wehlile emzimbeni futhi akazange athole isikhathi sakhe izinyanga, udokotela wakhe wamane wambuza ukuthi ngabe uyadla yini.

"Kunombono oyiphutha omkhulu lapho wokuthi abantu abane-anorexia noma i-atypical anorexia abayidli," kusho uSchaefer. “Futhi akunjalo.”

"Ngakho-ke lapho ethi, 'Uyadla?' Bengithi yebo, '”kuqhuba uSchaefer. "Futhi wathi," Hhayi, uyaphila, unengcindezi, yikhampasi enkulu. '”

Kungathatha eminye iminyaka emihlanu ukuthi uSchaefer afune usizo futhi.

Ukuthola ukunconywa kokwehlisa isisindo

USchaefer akuyena kuphela umuntu one-anorexia engajwayelekile obhekene nezithiyo zokuthola usizo kubahlinzeki bezempilo.

Ngaphambi kokuba uJoanna Nolen, 35, abe yibhungu, udokotela wezingane wakhe wamnikeza amaphilisi okudla. Ngaleso sikhathi, wayesevele emcindezela ukuba anciphise isisindo iminyaka, futhi eneminyaka engu-11 noma engu-12, manje wayesenencwadi kadokotela yokwenza lokho nje.

Lapho efika ekolishi elincane, waqala ukukhawulela ukudla kwakhe nokuzivocavoca umzimba ngaphezulu.

Kukhuthazwe ngokwengxenye ngokuqiniswa okuhle akutholile, leyo mizamo yasheshe yakhuphuka yaba i-anorexia engajwayelekile.

"Ngaqala ukubona isisindo sisondela," kusho uNolen. “Ngaqala ukuqashelwa lokho. Ngaqala ukudunyiswa ukuthi ngangibukeka kanjani, futhi manje kwase kugxilwe kakhulu kokuthi, ‘Awu, uhlanganise impilo yakhe,’ futhi lokho kwaba yinto enhle. ”

"Ukubuka izinto engizidlile kuphenduke kwaba ukubala okukhulu kakhulu, okweqile kwekhalori nokuvimbela ikhalori nokuthanda kakhulu ukuzivocavoca umzimba," esho. "Lokho-ke kwadlulela ekuhlukumezeni ngemishanguzo kanye nezidakamizwa nezindlela zokwelashwa."

UNolen, ozinze eSacramento, eCalifornia, waphila kanjalo iminyaka engaphezu kweyishumi. Abantu abaningi bancome ukwehla kwesisindo sakhe phakathi naleso sikhathi.

Uyakhumbula: “Ngandizela ngaphansi kwe-radar isikhathi eside kakhulu. “Akukaze kube yifulegi elibomvu emndenini wami. Akukaze kube ifulege elibomvu kodokotela. ”

“[Babecabanga] ukuthi ngangizimisele futhi ngikhuthazekile futhi ngizinikele futhi ngiphilile,” engeza. "Kodwa bebengazi ukuthi yini yonke le nto eyenzekayo."

Ukubhekana nezithiyo ekwelashweni

Ngokusho kukaBermudez, lezi zindaba zivame kakhulu.

Ukuxilongwa kusenesikhathi kungasiza abantu abane-anorexia ye-atypical nezinye izinkinga zokudla ukuthola ukwelashwa abakudingayo ukuqala inqubo yokutakula.

Kepha kumacala amaningi, kuthatha iminyaka ukuthi abantu abanale mibandela bathole usizo.

Njengoba isimo sabo siqhubeka singelashwa, bangathola nokuqiniswa okuhle ngokudla kwabo okunomkhawulo noma ukunciphisa umzimba.

Emphakathini lapho ukuzincisha ukudla kwande khona futhi ukuzaca kuthakazelelwa, abantu bavame ukwehluleka ukubona izindlela zokuziphatha eziphazamisekile njengezimpawu zokugula.

Kubantu abane-anorexia ye-atypical, ukuthola usizo kungasho ukuzama ukukholisa izinkampani zomshuwalense ukuthi udinga ukwelashwa, noma ngabe ungaphansi kwesisindo.

“Sisalwa kanzima nabantu abancipha emzimbeni, abanciphisa imisipha, aba yi-bradycardic [ukushaya kwenhliziyo okushaya kancane] ne-hypotensive [umfutho ophansi wegazi,] futhi bathola ukubanjwa emhlane bathi, 'Kuhle ukuthi wehlise isisindo , '”Kusho uBermudez.

"Lokho kuyiqiniso kubantu ababukeka sengathi bakhuluphala futhi imvamisa bajwayele ukungondleki ngokubukeka kwabo," eqhubeka. "Cabanga-ke ukuthi kunesithiyo esingakanani kubantu abalingana nobukhulu obujwayelekile."

Ukuthola ukwesekwa kochwepheshe

USchaefer wayengasenakuphika ukuthi wayenenkinga yokudla lapho, ngonyaka wakhe wokugcina ekolishi, eqala ukuhlanza.

“Ngiqonde ukuthi, ukukhawulela ukudla yikho sitshelwa ukuthi sikwenze,” kusho yena. "Sitshelwa ukuthi kufanele sehlise isisindo, ngakho-ke lezo zindlela zokuziphatha ezinenkinga yokudla ngokuvamile ziyaphuthelwa ngoba sicabanga ukuthi senza nje lokho wonke umuntu azama ukukwenza."

“Kodwa ngangazi ukuthi ukuzama ukuzenza uphonsa akulungile,” eqhubeka. "Futhi lokho bekungalungile futhi lokho bekuyingozi."

Ekuqaleni, wayecabanga ukuthi angakunqoba lokhu kugula eyedwa.

Kepha ekugcineni wabona ukuthi udinga usizo.

Washayela ucingo lweNational Eating Disorders Association. Bamxhumanisa noBermudez, noma uDkt B njengoba embiza ngothando. Ngosizo lwezezimali oluvela kubazali bakhe, wabhalisa ohlelweni lokwelashwa kweziguli.

KuNolen, ushintsho lwafika lapho eba nesifo samathumbu esasicasula.

“Ngangicabanga ukuthi kungenxa yeminyaka yokuhlukunyezwa ngemithi yokuxubha, futhi nganginovalo lokuthi ngenze umonakalo omkhulu ezithweni zami zangaphakathi,” ekhumbula.

Utshele udokotela wakhe ngayo yonke imizamo yakhe yokwehlisa isisindo nemizwa yakhe eqhubekayo yokungajabuli.

Wamdlulisela kuchwepheshe wezengqondo, owamxhuma masinyane kuchwepheshe wokuphazamiseka kokudla.

Ngenxa yokuthi wayengekho isisindo esincane, umhlinzeki wakhe womshuwalense wayengeke ahlanganise uhlelo lokugula.

Ngakho-ke, wabhalisela uhlelo olunzulu lwabangalaliswa esibhedlela e-Eating Recovery Center esikhundleni salokho.

UJenni Schaefer

Ukubuyiselwa kungenzeka

Njengengxenye yezinhlelo zabo zokwelashwa, uSchaefer noNolen babehambela imihlangano yamaqembu asizayo futhi bahlangana nezazi zokudla kanye nabelaphi ababasiza endleleni yokululama.

Inqubo yokutakula ibingelula.

Kepha ngosizo lochwepheshe bokuphazamiseka kokudla, bakhiqize amathuluzi abawadingayo ukuze banqobe i-atypical anorexia.

Kwabanye abantu ababhekene nezinselelo ezifanayo, basikisela ukuthi into ebaluleke kakhulu ukufinyelela usizo - {textend} okungcono kuchwepheshe wokuphazamiseka kokudla.

“Akudingeki ubheke ngendlela ethile,” kusho uSchaefer, manje oyinxusa leNEDA. “Akudingeki ukuthi ulingane naleli bhokisi lezindlela zokuxilonga, okuyizindlela eziningi elizimele. Uma impilo yakho ibuhlungu futhi uzizwa ungenamandla ngenxa yokudla nesimo somzimba nesikali, thola usizo. ”

“Ungalulama ngokuphelele,” engeza. “Ungami. Ungalulama ngempela. ”