Zomwe Zimakhala Kukhala ndi Atypical Anorexia

Zamkati

• Kufunafuna thandizo popanda chipambano
• Kulandila kutaya mtima
• Kukumana ndi zopinga kuchipatala
• Kupeza chithandizo cha akatswiri
• Kubwezeretsa ndikotheka

Jenni Schaefer, wazaka 42, anali mwana wamng'ono pomwe adayamba kulimbana ndi mawonekedwe olakwika amthupi.

"Ndikukumbukira ndili ndi zaka 4 ndikukhala m'kalasi yovina, ndipo ndikukumbukira bwino ndikudziyerekeza ndekha ndi atsikana ena mchipindamo ndikumva chisoni ndi thupi langa," Schaefer, yemwe tsopano amakhala ku Austin, Texas, komanso wolemba bukuli "Pafupifupi Anorexic," adauza Healthline.

Schaefer atakula, adayamba kuletsa kuchuluka kwa chakudya chomwe amadya.

Pomwe adayamba kusekondale, adapanga zomwe masiku ano zimatchedwa anypical anorexia.

Panthawiyo m'kupita kwanthawi, matenda a anorexia sanali vuto lodyera. Koma mu 2013, American Psychiatric Association idawonjezera pamndandanda wachisanu wa Diagnostic and Statistical Manual of Mental Disways (DSM-5).

Njira za DSM-5 za anorexia yodziwika bwino ndizofanana ndi za anorexia nervosa.

M'mikhalidwe yonseyi, anthu amapitiliza kuletsa zopatsa mphamvu zomwe amadya. Amawonetsa mantha akulu onenepa kapena kukana kunenepa. Amakhalanso ndi mawonekedwe olakwika a thupi kapena amaika thupi lawo mokwanira kapena kulemera kwawo podziyesa kudziona kuti ndiwofunika.

Koma mosiyana ndi anthu omwe ali ndi anorexia nervosa, omwe ali ndi vuto lodana ndi matenda a anorexia sakhala onenepa. Kulemera kwa thupi lawo kumangogwera mkati kapena kupitirira zomwe zimatchedwa mtundu wamba.

Popita nthawi, anthu omwe ali ndi anorexia atypical amatha kukhala ochepa thupi ndikukwaniritsa zofunikira za anorexia nervosa.

Koma ngakhale atatero, matenda a anorexia atypic amatha kuyambitsa kuperewera kwa zakudya m'thupi ndikuwononga thanzi lawo.

"Anthu awa atha kukhala osatetezeka pa zamankhwala komanso odwala, ngakhale atakhala onenepa kwambiri kapena onenepa kwambiri," Dr. Ovidio Bermudez, wamkulu wazachipatala ku Eating Recovery Center ku Denver, Colorado, adauza Healthline.

“Uku sikuti ndi vuto laling'ono chabe [kuposa matenda a anorexia nervosa]. Uku ndikuwonetsa kwina, kumawonongera thanzi ndikuyika anthu pachiwopsezo chamankhwala, kuphatikizaponso chiopsezo cha imfa, ”adatero.

Kuchokera panja akuyang'ana mkati, Schaefer "anali nazo zonse pamodzi" kusekondale.

Anali wophunzira wowongoka ndipo anamaliza wachiwiri mkalasi yake ya 500. Adayimba kwaya yaku varsity show. Anapita ku koleji kukaphunzira.

Koma koposa zonse, anali kulimbana ndi "kupweteka kosalekeza kopweteka".

Atalephera kukwaniritsa miyezo yosatheka yomwe adakhazikitsa m'malo ena m'moyo wake, kuletsa chakudya kumamupatsa mpumulo.

"Kuletsa kunkandisowetsa mtendere m'njira," adatero. "Chifukwa chake, ndikakhala ndi nkhawa, ndimatha kuchepetsa chakudya, ndipo ndimakhala bwino."

Iye ananenanso kuti: “Nthawi zina ndinkadya kwambiri. "Ndipo zidamvanso bwino."

Kufunafuna thandizo popanda chipambano

Schaefer atachoka kunyumba kuti akapite kukoleji, kudya kwake mopitirira muyeso kunakula kwambiri.

Iye anali atapanikizika kwambiri. Sanalinso ndi chakudya chamasiku onse ndi banja lake kuti chimuthandize kupeza zosowa zake.

Anataya kulemera kwambiri mwachangu kwambiri, kutsika pansi pazoyimira kutalika kwake, msinkhu, komanso kugonana. "Pamenepo, ndikadapezeka kuti ndili ndi anorexia nervosa," adatero.

Anzake aku Schaefer aku sekondale adafotokozera nkhawa zawo zakuchepetsa thupi, koma abwenzi ake ku koleji adayamika mawonekedwe ake.

"Ndinali kuyamikiridwa tsiku lililonse chifukwa chokhala ndi matenda amisala omwe amafa kwambiri kuposa ena onse," adakumbukira.

Atamuuza adotolo kuti achepetsa ndipo sanatenge nthawi yake miyezi, adangomufunsa ngati wadya.

"Pali malingaliro olakwika kunja uko kuti anthu omwe ali ndi anorexia kapena anorexia amadya samadya," adatero Schaefer. "Ndipo sizili choncho."

"Ndiye pamene adati, 'Kodi mumadya?' Ndati eya, '”adatero Schaefer. "Ndipo adati," Chabwino, ulibwino, wapanikizika, ndi sukulu yayikulu. "

Zingatenge zaka zina zisanu kuti Schaefer afunenso thandizo.

Kulandila kutaya mtima

Schaefer si yekhayo amene ali ndi matenda a anorexia omwe akukumana ndi zopinga kuti athandizidwe ndi omwe amapereka chithandizo chamankhwala.

Joanna Nolen, wazaka 35, asanakwanitse zaka 20, adotolo ake adamupatsa mapiritsi. Pofika pano, anali atamukakamiza kuti achepetse kunenepa kwa zaka zambiri, ndipo ali ndi zaka 11 kapena 12, tsopano anali ndi mankhwala oti achite izi.

Atafika ku koleji ya junior, adayamba kumuletsa kudya komanso kuchita masewera olimbitsa thupi.

Zowonjezera mwa kulimbikitsidwa komwe adalandira, zoyesayesazo zidakulirakulira kukhala anorexia.

"Ndinayamba kuzindikira kuti kulemera kumatsika," adatero Nolen. "Ndinayamba kuzindikira kuti. Ndinayamba kutamandidwa chifukwa cha momwe ndimawonekera, ndipo tsopano panali chidwi chachikulu pa, 'Chabwino, ali ndi moyo pamodzi,' ndipo chinali chinthu chabwino. "

"Kuwonera zinthu zomwe ndimadya kunasandulika kuwerengera kwakukulu, kuchuluka kwa ma calorie ndikuletsa ma calorie ndikukonda masewera olimbitsa thupi," adatero. "Kenako zidayamba kumwa nkhanza ndi mankhwala ofewetsa tuvi tolimba ndi mitundu ya mankhwala opatsirana."

Nolen, wokhala ku Sacramento, California, adakhala motere kwa zaka zopitilira khumi. Anthu ambiri adayamika kuchepa kwake panthawiyo.

"Ndidakwera pansi pa radar kwanthawi yayitali," akukumbukira. “Sinali mbendera yofiira konse kubanja langa. Sanali mbendera yofiira kwa madokotala. ”

"[Iwo amaganiza] kuti ndine wotsimikiza mtima, wolimbikitsidwa, wodzipereka komanso wathanzi," adaonjeza. "Koma sanadziwe zomwe zimachitika."

Kukumana ndi zopinga kuchipatala

Malinga ndi Bermudez, nkhanizi ndizofala kwambiri.

Kuzindikira koyambirira kumatha kuthandiza anthu omwe ali ndi matenda a anorexia komanso zovuta zina pakudya amalandira chithandizo chomwe angafune kuti ayambe kuchira.

Koma nthawi zambiri, zimatenga zaka kuti anthu omwe ali ndi mikhalidwe imeneyi apeze thandizo.

Matenda awo akamapanda kuchiritsidwa, atha kulimbikitsidwa chifukwa chodya moperewera kapena kuchepa thupi.

M'dera lomwe kudyerera kuli ponseponse ndipo kuchepa kumayamikiridwa, anthu nthawi zambiri amalephera kuzindikira kuti kudya komwe kuli ndi vuto ngati zizindikilo zodwala.

Kwa anthu omwe ali ndi vuto lodana ndi chakudya, kupeza chithandizo kungatanthauze kuyesa kutsimikizira makampani amakampani a inshuwaransi kuti mufunikire chithandizo, ngakhale simuli ochepa thupi.

"Tikulimbanabe ndi anthu omwe akuchepetsa thupi, kuchepa mphamvu, kukhala bradycardic [kugunda kwa mtima pang'onopang'ono] ndi hypotensive [kuthamanga kwa magazi,] ndipo amandigwira pamsana nati, 'Zili bwino kuti mwachepetsa thupi , 'Anatero a Bermudez.

"Ndizowona kwa anthu omwe amaoneka ngati onenepa komanso nthawi zambiri amakhala osadya bwino," adatero. "Ndiye tangoganizani chotchinga chomwe chilipo kwa anthu omwe ndi ochepa kukula."

Kupeza chithandizo cha akatswiri

Schaefer sanathenso kukana kuti ali ndi vuto la kudya pomwe, mchaka chake chomaliza ku koleji, adayamba kutsuka.

"Ndikutanthauza, kuletsa chakudya ndi zomwe timauzidwa kuti tichite," adatero. "Timauzidwa kuti tiyenera kuonda, chifukwa chake omwe amadya matendawa nthawi zambiri amasowa chifukwa timaganiza kuti timangochita zomwe aliyense akuyesera kuchita."

"Koma ndimadziwa kuti kuyesera kudziponyera ndizolakwika," adapitiliza. "Ndipo sizinali zabwino ndipo zinali zowopsa."

Poyamba, amaganiza kuti akhoza kuthana ndi matendawa yekha.

Koma pamapeto pake adazindikira kuti amafunikira thandizo.

Adayimbira foni yothandizira a National Eating Disorders Association. Amamuyanjanitsa ndi Bermudez, kapena Dr. B momwe amamutchulira mwachikondi. Ndi thandizo la ndalama kuchokera kwa makolo ake, adalembetsa pulogalamu yothandizira odwala kuchipatala.

Kwa Nolen, zinthu zinasintha pamene anayamba kudwala matenda a m'mimba.

"Ndidaganiza kuti ndichifukwa chazaka zomwe ndimazunzidwa ndi mankhwala otsegulitsa m'mimba, ndipo ndidachita mantha kuti ndawononga kwambiri ziwalo zanga," adakumbukira.

Anauza adotolo za zoyesayesa zake zonse kuti achepetse kunenepa komanso malingaliro ake osasangalala.

Anamutumizira kwa wodwala wodziwa zamaganizo, yemwe mwamsanga anamugwirizanitsa ndi katswiri wa matenda odwala.

Chifukwa sanali kunenepa kwambiri, omwe amamupatsa inshuwaransi sangayankhe pulogalamu yoti alandire odwala.

Chifukwa chake, adalembetsa pulogalamu yazaumoyo ku Eating Recovery Center m'malo mwake.

Jenni Schaefer

Kubwezeretsa ndikotheka

Monga gawo lamankhwala awo, Schaefer ndi Nolen adapita kumisonkhano yamagulu yothandizana nthawi zonse ndipo adakumana ndi akatswiri azakudya ndi othandizira omwe adawathandiza panjira yochira.

Njira yochira sinali yophweka.

Koma mothandizidwa ndi akatswiri azakudya, apanga zida zomwe angafunikire kuthana ndi anorexia.

Kwa anthu ena omwe akukumana ndi zovuta zofananira, amati chofunikira kwambiri ndikufikira thandizo - {textend} makamaka kwa katswiri wazakudya.

Schaefer, yemwe tsopano ndi kazembe wa NEDA anati: "Simuyenera kuwoneka mwanjira inayake." “Simuyenera kuchita kukhala m'bokosi lazachipatala, lomwe m'njira zambiri limasinthasintha. Ngati moyo wanu ukupweteka ndipo mukumva kuti mulibe mphamvu chifukwa cha chakudya, thupi ndi sikelo, pezani thandizo. ”

"Kuchira kwathunthu ndikotheka," adaonjeza. “Osayima. Ukhoza kuchira. ”