Chifukwa Chomwe Anorexia Nervosa Amakhudzira Kugonana Kwanu ndi Zomwe Mungachite Pazomwezi

Zamkati

• Kuperewera kwa zakudya m'thupi kumakhudza kugwira ntchito kwaubongo
• Nthawi zina zimakhala zokhudzana ndi kukhumudwa, m'malo mongodwala yokha
• Mbiri yakuzunzidwa imatha kukhala yopweteka
• Chithunzi cholakwika cha thupi chimapangitsa kugonana kukhala kovuta
• Kungakhale kungokhala kuti ndinu ndani
• 'Kulephera kugonana' ndi vuto pokhapokha ngati ili vuto kwa inu

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Nazi zifukwa zisanu zomwe anorexia nervosa zimakhudzira kugonana kwanu.

Kumapeto kwa 2017, pomwe ndimafuna kuchita zokambirana pazakugonana mwa azimayi omwe ali ndi anorexia nervosa pazakafukufuku wanga, ndidatero podziwa kuti azimayi azifotokoza zomwe akumana nazo ndi vuto lachiwerewere. Kupatula apo, kafukufuku akuwonetsa kuti anthuwa amakhala ndi malingaliro opewera, osakhwima, komanso ogonana.

Zomwe ndidachita ayi kuyembekezera, komabe, ndi momwe azimayi amadera nkhawa kuti izi ndizapadera.

Mobwerezabwereza, malingaliro abwinobwino amabwera pazokambirana izi. Mzimayi wina adadzitcha "wamanyazi komanso wamanyazi," ndipo adafika mpaka ponena kuti kupanda chidwi kwake pa chiwerewere kumamupanga "wopenga." Wina, atatha kufotokoza zomwe adakumana nazo, adabwerera m'mbuyo, nati, "Sindikudziwa kuti zimamveka bwanji kapena zimagwirira ntchito bwanji."

Zachilendo anali mawu omwe akazi amagwiritsidwa ntchito kwambiri podzifotokoza.

Koma ichi ndi ichi: Ngati muli ndi anorexia ndipo mumakumana ndi vuto lachiwerewere, ndiye kuti ayi odabwitsa. Simuli zachilendo, zamanyazi, kapena wopenga. Ngati zili choncho, mulidi pafupifupi.

Kafukufuku wa 2016 adawonetsa kuti, ngakhale kafukufuku wofufuza za amayi omwe ali ndi anorexia ndi ochepa, pafupifupi maphunziro onse adapeza kuti azimayiwa anali ndi vuto lochepa pakugonana.

Mwachidule: Kwa amayi omwe ali ndi anorexia, kuyendetsa kotsika kwambiri ndizofala kwambiri.

Chifukwa chake ngati mwapezeka kuti muli ndi anorexia nervosa ndikupeza kuti vuto lanu logonana ndilotsika, Nazi zifukwa zisanu zomwe zingakhalire choncho ndi zomwe mungachite.

Kuperewera kwa zakudya m'thupi kumakhudza kugwira ntchito kwaubongo

Tiyeni tiyambire pamafotokozedwe akuthupi. Chomwe chimapangitsa matenda a anorexia kukhala owopsa ndikuti kusowa kwa chakudya kumabweretsa kusowa kwa zakudya m'thupi - komanso ubongo wopanda chakudya umatha. Pamene simukugwiritsa ntchito mafuta okwanira kuti mukhale ndi mphamvu zoyenera, thupi lanu limayamba kutseka makina kuti musunge.

Njala yomwe imakhudza thanzi la thupi imaphatikizapo hypogonadism, kapena kulephera kwa thumba losunga mazira kugwira bwino ntchito. Kuchepetsa ma mahomoni okhudzana ndi magwiridwe antchito - kuphatikiza estrogen ndi progesterone, yomwe thumba losunga mazira limatulutsa - imatha kukhudza chilakolako chanu chogonana. Nthawi zambiri timaganizira izi pokhudzana ndi ukalamba komanso kusintha kwa msambo, koma anorexia imatha kupanganso izi.

Zomwe muyenera kudziwa Mwamwayi, pali njira yopita patsogolo ngati mukulimbana, kapena kuchira, anorexia nervosa. Kafukufuku akuwonetsa kuti kuchira - makamaka, ngati ili linali vuto kwa inu - kumalumikizidwa ndi kuchuluka kwa magwiridwe antchito. Thupi lanu likamachira, momwemonso kugonana kwanu kumatha.

Nthawi zina zimakhala zokhudzana ndi kukhumudwa, m'malo mongodwala yokha

Zifukwa zochepetsera kuyendetsa kugonana sizikukhudzana kwenikweni ndi vuto lakudya palokha, koma zinthu zina zomwe zimatsagana ndi vuto lakudya. Kukhumudwa, mwachitsanzo, pakokha, kumatha kukhala ndi vuto pakugonana.

Ndipo chifukwa pafupifupi 33 mpaka 50% ya anthu omwe ali ndi anorexia nervosa ali ndi vuto lamaganizidwe - monga kukhumudwa - nthawi ina m'miyoyo yawo, zitha kukhalanso chifukwa chazomwe zimapangitsa kuti kugonana kwanu kukhale kotsika.

Chithandizo cha kukhumudwa chingathandizenso. Kusankha serotonin reuptake inhibitors (SSRIs) - gulu la mankhwala omwe nthawi zambiri amagwiritsidwa ntchito ngati mankhwala opatsirana komanso pochiza matenda akudya - amadziwika kuti ali ndi vuto logonana. M'malo mwake, zovuta zoyipa zimatha kuphatikizira kuchepetsedwa chilakolako chogonana komanso kuvuta kufikira pamalungo.

Zomwe mungachite Mwamwayi, akatswiri azachipatala komanso amisala amadziwa bwino zovuta zakugonana kwa ma SSRIs. Ayenera kukhala ofunitsitsa kugwira nanu ntchito kuti mupeze njira zamankhwala, kuphatikiza mankhwala - mwina SSRI ina kapena mankhwala omwe ali nawo - omwe angakuthandizeni kukhala ndi moyo wabwino. Ndipo kumbukirani, ngati dokotala wanu saona kukhutira kwanu mwakugonana mozama, muli ndi ufulu wokhala ndi othandizira ena.

Mbiri yakuzunzidwa imatha kukhala yopweteka

Pomwe ndimachita kafukufuku wanga, opitilira theka la omwe ali ndi anorexia nervosa adatchulapo zokumana ndi nkhanza m'miyoyo yawo - kaya ndi kugonana, kuthupi, kapena kutengeka, kaya ali mwana kapena wamkulu. (Ndipo izi zidachitikanso kwa ine, popeza ndidayamba kukhala ndi vuto lakudya chifukwa chocheza ndi mnzanga yemwe amamuzunza.)

Kuphatikiza apo, ophunzira omwewo adalankhula momwe izi zidawakhudzira zogonana.

Ndipo izi sizodabwitsa.

Amayi ambiri omwe ali ndi vuto lakudya adakumana ndi zovuta zakale, makamaka zowawa zakugonana. M'malo mwake, omwe agwiriridwa akhoza kukumana ndi zovuta zakuwonetsetsa pakudya. Kafukufuku wocheperako wa 2004 adapeza kuti 53 peresenti ya 32 azimayi omwe adapulumuka pachiwopsezo adakumana ndi zovuta pakudya, poyerekeza ndi 6% yokha ya azimayi 32 omwe alibe mbiri yokhudza kugonana.

Zomwe mungachite Ngati mukulimbana ndi chiwerewere mutavulala, simuli nokha - ndipo pali chiyembekezo. Kuwunika kwa chidwi chenicheni, chizolowezi chophatikizira pang'onopang'ono (re) kuyambitsa kukhudza kwakuthupi m'moyo wamunthu mwadala, zitha kukhala zothandiza. Izi, komabe, ziyenera kuchitidwa mothandizidwa ndi wochita zachiwerewere.

Chithunzi cholakwika cha thupi chimapangitsa kugonana kukhala kovuta

Kwa amayi ambiri omwe ali ndi anorexia, kunyansidwa kwawo ndi zogonana sikumalepheretsa kuthupi, komanso zambiri zamaganizidwe. Ndizovuta kuchita chiwerewere pomwe sunakhale bwino ndi thupi lako! Izi ndi zoona ngakhale kwa akazi omwe osatero ali ndi vuto la kudya.

M'malo mwake, kafukufuku wina wa 2001 adapeza kuti, poyerekeza ndi azimayi omwe ali ndi malingaliro abwino pamatupi awo, iwo omwe amakumana ndi kusakhutitsidwa mthupi amafotokoza zakugonana komanso zowawa. Azimayi omwe ali ndi mawonekedwe olakwika amafotokozanso kutonthoza kocheperako:

• kuyambitsa zogonana
• kuvula pamaso pa wokondedwa wawo
• kugonana ndi magetsi
• kufufuza zochitika zatsopano zogonana

Ngakhale kafukufuku waku cosmopolitan adawonetsa kuti pafupifupi gawo limodzi mwa atatu mwa azimayi amawauza kuti sangakwanitse kuchita chiwerewere chifukwa amayang'ana kwambiri momwe amawonekera.

Koma zosiyanazi ndizowona: Amayi omwe ali ndi mawonekedwe abwino amatulutsa chidaliro pakugonana, kulimba mtima, komanso kuyendetsa bwino zogonana.

Zomwe mungachite Ngati chithunzi cha thupi lanu chikusokoneza moyo wokonda kugonana, kuyang'ana kuchiritsa ubalewo kumatha kubweretsa kusintha. Kaya mukugwira ntchito yokhudzana ndi thupi komanso kudzidalira m'malo azachipatala, pitani njira yodzithandizira ndi mabuku kukuthandizani kuthetsa chidani cha thupi (Ndikupangira Sonya Renee Taylor's Thupi Si Kupepesa), kapena kuyamba pang'onopang'ono posintha chakudya chanu cha Instagram, ubale wosangalala ndi thupi lanu ukhoza kubweretsa ubale wabwino ndi kugonana.

Kungakhale kungokhala kuti ndinu ndani

Umunthu ndi mutu wotsutsidwa: Kodi ndi chilengedwe? Kodi ndikusamalira? Kodi timakhala bwanji omwe tili - ndipo kodi zilidi zofunika? Pokambirana izi, zimatero. Chifukwa umunthu womwewo womwe umalumikizidwa ndimatenda a anorexia amathanso kulumikizidwa ndi chidwi chofuna kugonana.

Mu, ofufuza adafunsa ena achipatala kuti afotokozere odwala awo omwe ali ndi vuto la kudya. Amayi omwe ali ndi anorexia amafotokozedwa kuti ndi "oyambira / oyenera" komanso "opanikizika / owongoleredwa" - ndipo umunthuwu umaneneratu za kusakhwima pogonana. Kuyang'anitsitsa (kutanganidwa kwambiri ndimalingaliro ndi machitidwe), kudziletsa, komanso kuchita zinthu mosalakwitsa ndi mikhalidwe itatu yokhala ndi anorexia, ndipo imatha kuyambitsa chidwi cha kugonana. Kugonana kumatha kumva kukhala kosokonekera. Zingamveke ngati zosalamulirika. Zingamveke kukhala okhutira. Ndipo izi zitha kupangitsa kuti anthu azigonana osayitanidwa.

Izi zati, chinthu choyenera kukumbukira chokhudza kugonana ndikuti zimasiyanasiyana munthu ndi mnzake. Anthu ena ali ndi kuthekera kwakukulu kokhudzana ndi kugonana, ndipo ena kumakhala kotsika. Koma tili otsimikiza mchikhalidwe chathu chokhudzana ndi chiwerewere kuti kukhala kumapeto kumakhala kolakwika kapena kwachilendo - ndikofunikira kukumbukira, komabe, kuti sichoncho.

Kugonana ndizovomerezeka Kwa ena, kuyendetsa kotsika pogonana kumatha kukhala chifukwa chakugwera pazowonera - zomwe zitha kuphatikizira chilichonse kuyambira chaching'ono mpaka china kupita ku chidwi chokhudza kugonana. Ndikofunika kukumbukira kuti izi ndizochitika zovomerezeka zokhudzana ndi kugonana. Palibe chibadwidwe china cholakwika nanu chifukwa simusangalatsidwa ndi kugonana. Kungakhale kungokonda kwanu. Chofunika ndikulankhula izi kwa anzanu, kuwayembekezera kuti azilemekeza zosowa zanu, ndikupanga chitonthozo ndi maubale otha omwe sagwirizana ndi kugonana.

'Kulephera kugonana' ndi vuto pokhapokha ngati ili vuto kwa inu

Chofunikira kwambiri kukumbukira za "kulephera kugonana" - nthawi yovutitsa mwa iyo yokha - ndikuti ndi vuto lokha ngati liri vuto kwa inu. Zilibe kanthu momwe anthu amaonera zogonana "zachilendo". Zilibe kanthu zomwe anzanu akufuna. Zilibe kanthu zomwe anzanu akuchita. Chofunika ndi inu. Ngati mukuvutika mumtima ndi msinkhu wanu wokonda zogonana, muyenera kulandira nawo ndikupeza mayankho. Ndipo ndikukhulupirira, nkhaniyi ikupatsani malo oti muyambire.

Melissa A. Fabello, PhD, ndi mphunzitsi wachikazi yemwe ntchito yake imaganizira kwambiri zandale zamthupi, chikhalidwe cha kukongola, komanso zovuta pakudya. Tsatirani iye mopitirira Twitter ndipo Instagram.