Anorexia
Anorexia chirwere chekudya chinoita kuti vanhu varasikirwe nehuremu hwakawanda kupfuura hunofungidzirwa hutano kune zera ravo uye kukwirira.
Vanhu vane chirwere ichi vanogona kuve nekutya kukuru kwekurema, kunyangwe kana vaine huremu hwakaderera. Vanogona kudya kana kurovedza muviri zvakanyanya kana kushandisa dzimwe nzira dzekudzikisa huremu.
Izvo chaizvo zvinokonzera anorexia hazvizivikanwe. Zvinhu zvakawanda zvinogona kuve zvinobatanidzwa. Majini nemahormone anogona kutora chinzvimbo. Hunhu hwemagariro hunosimudzira mhando dzakaonda kwazvo dzomuviri dzinogona kuvepo.
Njodzi dzinokonzera anorexia dzinosanganisira:
- Kunyanya kunetseka nezve, kana kubhadhara zvakanyanya kutarisisa, huremu uye chimiro
- Kuva nechirwere chekuzvidya mwoyo semwana
- Kuve neyakaipa wega-mufananidzo
- Kuva nezvinetso zvekudya panguva yehucheche kana hudiki hwepwere
- Kuva nemamwe mafungiro kana tsika pamusoro pehutano uye runako
- Kuedza kuve akakwana kana kunyanyisa kutarisa pamitemo
Anorexia inowanzotanga mukati memakore ekutanga-kuyaruka kana makore ekuyaruka kana kuyaruka. Izvo zvinowanzoitika kune vanhukadzi, asi zvinogona zvakare kuonekwa muvanhurume.
Munhu ane anorexia kazhinji:
- Ane kutya kukuru kwekuwana huremu kana kuve mukobvu, kunyangwe paine huremu hwakaderera.
- Inoramba kuchengeta huremu pane izvo zvinofungidzirwa zvakajairwa zera ravo uye kukwirira (15% kana kupfuura pazasi pehuremu hwese).
- Ane chimiro chemuviri chakamonyaniswa zvakanyanya, nyatso tarisa pahuremu hwemuviri kana chimiro, uye unoramba kubvuma njodzi yekudzikira.
Vanhu vane anorexia vanogona kudzikisira zvakanyanya huwandu hwechikafu chavanodya. Kana ivo vanodya uye vozozviita ivo pachavo kurutsa. Humwe hunhu hunosanganisira:
- Kucheka chikafu kuita zvidimbu zvidiki kana kuifambisa kutenderedza ndiro pane kudya
- Kurovedza muviri nguva dzese, kunyangwe kana mamiriro ekunze akaipa, vanokuvara, kana hurongwa hwavo hwakabatikana
- Kuenda kuchimbuzi mushure mekudya
- Kuramba kudya uchitenderedza vamwe vanhu
- Kushandisa mapiritsi kuzviita weti (mapiritsi emvura, kana diuretiki), kuita ura (enema uye laxatives), kana kudzikisira chishuwo chavo (mapiritsi ekudya)
Zvimwe zviratidzo zveanorexia zvinogona kusanganisira:
- Blotchy kana yero ganda iro rakaoma uye rakafukidzwa nemvere dzakanaka
- Kuvhiringidzika kana kufunga kunonoka, pamwe nekurangarira zvisirizvo kana kutonga
- Kushungurudzika
- Muromo wakaoma
- Kunyanya kunetseka kuchitonhora (kupfeka akati wandei zvipfeko kuti ugare uchidziya)
- Kuonda kwemapfupa (osteoporosis)
- Kupera kwemhasuru uye kurasikirwa kwemafuta emuviri
Kuyedza kunofanirwa kuitwa kuti ubatsire kuwana chinokonzera kurasikirwa, kana kuona kukuvara kwekurasikirwa nehuremu kwakonzera. Mazhinji emayedzo aya anodzokororwa nekufamba kwenguva kuti atarise munhu.
Iyi bvunzo inogona kusanganisira:
- Albumin
- Bone density bvunzo kuongorora mapfupa matete (osteoporosis)
- CBC
- Electrocardiogram (ECG)
- Electrolyte
- Itsvo basa rekuyedza
- Chiropa basa bvunzo
- Yakazara mapuroteni
- Utachiona hwebasa
- Kuongorora urinal
Dambudziko rakakura pakurapa anorexia nervosa kubatsira munhu kuti azive kuti ane chirwere. Vanhu vazhinji vane anorexia vanoramba kuti vane chirwere chekudya. Ivo vanowanzo tsvaga kurapwa chete kana mamiriro avo akakomba.
Zvinangwa zvekurapa ndezvekudzosera zvakajairika huremu hwemuviri uye tsika dzekudya. Kurema kwekuwedzera kwe1 kusvika ku3 mapaundi (lb) kana 0.5 kusvika 1.5 makirogiramu (kg) pavhiki kunoonekwa sechinangwa chakachengeteka.
Zvirongwa zvakasiyana zvakagadzirirwa kurapa anorexia. Izvi zvinogona kusanganisira chero eanotevera matanho:
- Kuwedzera zviitiko zvemagariro
- Kuderedza huwandu hwekuita kwemuviri
- Kushandisa zvirongwa zvekudya
Kutanga, kugara kwenguva pfupi muchipatara kunogona kukurudzirwa. Izvi zvinotevera chirongwa chezuva rekurapa.
Kugara kwenguva refu muchipatara kunogona kudikanwa kana:
- Munhu arasikirwa nehuremu hwakawanda (ari pazasi pe70% yehuremu hwemuviri wavo wezera ravo nehurefu). Kune kushomeka kwakanyanya uye kunotyisidzira hupenyu, munhu wacho angangoda kupihwa chikafu kuburikidza netsinga kana dumbu chubhu.
- Kurera uremu kunoenderera, kunyangwe nekurapwa.
- Zvinetso zvekurapa, senge matambudziko emoyo, kuvhiringidzika, kana pasi potasiamu mazinga anokura.
- Munhu wacho ane kushushikana kwakanyanya kana kufunga nezvekuzviuraya.
Vanopa rubatsiro avo vanowanzo kuve vanobatanidzwa muzvirongwa izvi vanosanganisira:
- Vanamukoti varapi
- Vanachiremba
- Chiremba vabatsiri
- Dietitians
- Vanopa hutano hwepfungwa
Kurapa kunowanzoomera. Vanhu nemhuri dzavo vanofanirwa kushanda nesimba. Mazhinji marapirwo anogona kuyedzwa kusvikira hosha yave pasi pekutonga.
Vanhu vanogona kusiya mapurogiramu kana vaine tarisiro isingaite yeku "kurapwa" nachiremba chete.
Mhando dzakasiyana dzerapi yekurapa dzinoshandiswa kurapa vanhu vane anorexia:
- Kufungisisa maitiro ekurapa (rudzi rwekurapa kwekutaura), kurapa kweboka, uye kurapa kwemhuri zvese zvakabudirira.
- Chinangwa chekurapa ndechekuchinja pfungwa dzemunhu kana maitiro kuvakurudzira kuti vadye nenzira ine hutano. Rudzi urwu rwekurapa runonyanya kubatsira pakurapa vanhu vadiki vasina kwenguva yakareba vasina anorexia.
- Kana munhu wacho ari mudiki, kurapwa kunogona kusanganisira mhuri yese. Mhuri inoonekwa sechikamu chemhinduro, panzvimbo pechinokonzera kusagadzikana kwekudya.
- Mapoka ekutsigira anogona zvakare kuve chikamu chekurapa. Mumapoka ekutsigira, varwere uye mhuri vanosangana uye vanogovana zvavakasangana nazvo.
Mishonga yakadai seanodzvinyirira, antipsychotic, uye mamiriro ekugadzirisa anogona kubatsira vamwe vanhu kana vakapihwa sechikamu chehurongwa hwakazara hwekurapa. Iyi mishonga inogona kubatsira kubata kushungurudzika kana kushushikana. Kunyangwe mishonga inogona kubatsira, hapana chakaratidzwa kudzikisa chishuwo chekudzikisa huremu.
Kushungurudzika kwekurwara kunogona kurerutswa nekujoinha boka rekutsigira. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.
Anorexia chirwere chakakomba chinogona kutyisidzira hupenyu. Zvirongwa zvekurapa zvinogona kubatsira vanhu vane mamiriro ekudzoka kuhuremu hwakajairika. Asi zvakajairika kuti chirwere chidzoke.
Vakadzi vanokudziridza kusagadzikana kwekudya vachiri vadiki vane mukana uri nani wekupora zvakazara. Vazhinji vanhu vane anorexia vacharamba vachida huremu hwemuviri hwakadzika uye vachinyanya kufunga nezvechikafu uye macalorie.
Kurera uremu kunogona kunge kwakaoma. Kurapa kwenguva refu kunogona kudikanwa kuti ugare pahuremu hune hutano.
Anorexia inogona kuva nengozi. Inogona kutungamira kumatambudziko akakomba ehutano nekufamba kwenguva, kusanganisira:
- Bone kupera simba
- Kupera mumasero machena eropa, izvo zvinotungamira mukuwedzera hutachiona hwehutachiona
- Iyo yakaderera potasiamu muropa, iyo inogona kukonzeresa njodzi moyo mutinhimira
- Kushomeka kwakanyanya kwemvura uye zvinwiwa mumuviri (kupera mvura mumuviri)
- Kushaya mapuroteni, mavitamini, zvicherwa, uye zvimwe zvakakosha mumuviri (kushaya zvinovaka muviri)
- Kugwinha nekuda kwemvura kana kurasikirwa kwesodium kubva mukudzokorora manyoka kana kurutsa
- Matambudziko egland
- Kuora kwemeno
Taura nemupi wako wezvehutano kana mumwe munhu waunofarira ari:
- Yakanyanya kutarisa uremu
- Kunyanya-kudzidzira
- Kudzikisira chikafu chaanodya
- Akanyanya kuderera
Kuwana rubatsiro rwechiremba ipapo ipapo kunogona kuita kuti chirwere chekudya chisanyanya kuoma.
Kudya kusagadzikana - anorexia nervosa
- myPlate
American Psychiatric Association webhusaiti. Kudyisa uye kusagadzikana kwekudya. Mune: American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Kuburitsa. 2013; 329-345.
Kreipe RE, Starr TB. Dambudziko rekudya. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 41.
Kiya J, La Via MC; American Academy yeMwana uye Adolescent Psychiatry (AACAP) Dare reZvino Zvemhando (CQI). Dzidzira paramende yekuongorora uye kurapwa kwevana nevechiri kuyaruka vane dambudziko rekudya. J Am Acad Mwana Adolesc Psychiatry. 2015; 54 (5): 412-425. PMID 25901778 pubmed.ncbi.nlm.nih.gov/25901778/.
Tanofsky-Kraff M. Kunetseka kwekudya. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 206.
Thomas JJ, Mickley DW, Derenne JL, Klibanski A, Murray HB, Eddy KT. Dambudziko rekudya: kuongorora uye manejimendi. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits. 37.