Izvo Kwakaita Kurarama neAtypical Anorexia

Zvemukati

• Kutsvaga rubatsiro pasina budiriro
• Kuwana kurumbidzwa kwekudzora uremu
• Kutarisana nezvipingaidzo pakurapwa
• Kuwana rutsigiro rwehunyanzvi
• Kupora kunogoneka

Jenni Schaefer, ane makore makumi mana nemaviri, aive mwana mudiki paakatanga kunetseka nehunhu hwemuviri.

"Ini ndinorangarira ndave nemakore mana uye ndiri mukirasi yekutamba, uye ndinonyatsoyeuka ndichizvienzanisa nevamwe vasikana vadiki vari mumba uye ndichinzwa zvakashata pamusoro pomuviri wangu," Schaefer, ava kugara muAustin, Texas, uye munyori webhuku "Anenge Anorexic," akaudza Healthline.

Sezvo Schaefer paakakura, akatanga kudzikamisa huwandu hwechikafu chaaidya.

Panguva yaakatanga chikoro chesekondari, akagadzira izvo zvino zvava kuzivikanwa seatypical anorexia.

Panguva iyoyo nenguva, atypical anorexia yakanga isiri yepamutemo inozivikanwa chirwere chekudya. Asi muna 2013, American Psychiatric Association yakaiwedzera kuchinyorwa chechishanu cheDiagnostic uye Statistical Manual yeMental Disorders (DSM-5).

Iyo DSM-5 maitiro eatypical anorexia akafanana neaya anorexia nervosa.

Mumamiriro ese ari maviri, vanhu vanoramba vachirambidza macalorie avanodya. Vanoratidza kutya kukuru kwekuwana huremu kana kuramba kurema. Ivo zvakare vanowana chakamonyaniswa chimiro chemuviri kana kuisa yakawandisa stock mumuviri wavo chimiro kana huremu kana vachiongorora kuzvikoshesa kwavo.

Asi kusiyana nevanhu vane anorexia nervosa, avo vane atypical anorexia havana kudzikira. Kurema kwemuviri wavo kunowanzo kuwira mukati kana pamusoro peiyo inonzi yakajairwa renji.

Nekufamba kwenguva, vanhu vane atypical anorexia vanogona kushomeka uye kusangana nezvinodiwa zveanorexia nervosa.

Asi kunyangwe kana zvikasadaro, atypical anorexia inogona kukonzeresa kushomeka kwakakwana uye kushaya hutano kuhutano hwavo.

"Vanhu ava vanogona kurapwa zvakanyanya uye vachirwara, kunyangwe vangave pahuremu hwakajairika kana kunyanyisa kufutisa," Dr. Ovidio Bermudez, mukuru wekiriniki weEating Recovery Center muDenver, Colorado, akaudza Healthline.

“Ichi hachisi chirwere chidiki [kupfuura anorexia nervosa]. Uku kungori kuratidzwa kwakasiyana, kuchiri kukanganisa hutano nekuisa vanhu panjodzi yekurapwa, kusanganisira nenjodzi yekufa, ”akaenderera mberi.

Kubva kunze achitarisa mukati, Schaefer "aive nazvo zvese pamwechete" kuchikoro chesekondari.

Iye aive akatwasuka-A mudzidzi uye akapedza wechipiri mukirasi yake ye500. Akaimba muvarsity show choir. Akanga akananga kukoreji pane kudzidza.

Asi pasi pazvo zvese, akarwa ne "isingaregi inorwadza" kukwana.

Paakange asingakwanise kuzadzikisa zviyero zvisina basa zvaakazvigadzirira iye mune dzimwe nzvimbo dzehupenyu hwake, kudzora chikafu kwakamupa pfungwa yekusununguka.

"Kudzora chaiko kwaida kundibata nenzira," akadaro. "Saka, kana ndainzwa kunetseka, ndaigona kudzora chikafu, uye ndainzwa zvirinani."

"Dzimwe nguva ndainwa," akawedzera. "Uye zvakanzwa zvirinani, futi."

Kutsvaga rubatsiro pasina budiriro

Schaefer paakabva pamba kuti aende kukoreji, kudya kwake kwekumanikidza kwakatowedzera.

Akanga ari pasi pekunetseka kukuru. Akange asisina chimiro chekudya kwemazuva ese nemhuri yake kuti imubatsire kuzadzisa zvido zvake zvekudya.

Akarasikirwa nehuremu hwakawanda nekukurumidza, achidonha pazasi peyakajairika renji rekukwirira kwake, zera, uye bonde. "Panguva iyoyo, ndingadai ndakawanikwa ndine anorexia nervosa," akadaro.

Shamwari dzaSchaefer vekusekondari vakaratidza kunetseka nezvekurema kwake, asi shamwari dzake nyowani pakoreji dzakarumbidza chitarisiko chake.

"Ndanga ndichigamuchira kurumbidzwa mazuva ese nekuda kwekurwara nepfungwa nemwero wakanyanya wekufa wechero ani," akayeuka.

Paakaudza chiremba wake kuti akange arasikirwa nehuremu uye anga asati aenda kumwedzi kwemwedzi, chiremba wake akangomubvunza kana achidya.

"Pane fungidziro huru isiri iyo yekuti vanhu vane anorexia kana atypical anorexia havadye," akadaro Schaefer. "Uye handizvo chaizvo."

"Saka paakati," Unodya here? ' Ndati hongu, '”akadaro Schaefer. "Uye akati," Zvakanaka, wakanaka, une shungu, inzvimbo huru. "

Zvinotora mamwe makore mashanu kuti Schaefer atsvage rubatsiro zvakare.

Kuwana kurumbidzwa kwekudzora uremu

Schaefer haasi iye ega munhu ane atypical anorexia akatarisana nezvipingamupinyi zvekuwana rubatsiro kubva kune vanopa hutano.

Pamberi paJoanna Nolen, makumi matatu nemashanu, aive achiri kuyaruka, chiremba wake wevana akamunyorera mapiritsi edhayeti. Panguva iyoyo, anga atove kumumanikidza kuti arasikirwe nehuremu kwemakore, uye pazera gumi nerimwe kana gumi nembiri, iye zvino aive nemutemo wekuita izvo chaizvo.

Paakarova junior koreji, akatanga kudzora kudya kwake uye kurovedza muviri zvakanyanya.

Yakawedzeredzwa muchikamu nekusimbiswa kwakanaka kwaakagamuchira, iko kuedza kwakakurumidza kukwira kuita atypical anorexia.

"Ndakatanga kuona huremu huchibva," akadaro Nolen. "Ndakatanga kuzivikanwa nekuda kweizvozvo. Ndakatanga kurumbidzwa nezvandanga ndichitaridzika, uye pakanga patova nekutarisisa kukuru, 'Eya, ane hupenyu hwake pamwechete,' uye icho chinhu chakanaka. "

"Kuona zvinhu zvandakadya zvakashanduka kuita muhombe, kuwedzera kuverenga koriori uye kudzora koriori uye kukoshesa kurovedza muviri," akadaro. "Uye izvo zvakazopfuurira mukubatwa zvisina kufanira nemishonga yekuzorodza uye diuretics uye mhando dzemishonga yekudya."

Nolen, anogara muSacramento, California, akararama saizvozvo kweanopfuura makore gumi. Vanhu vazhinji vakarumbidza kudzikira kwake panguva iyoyo.

"Ndakauruka pasi pe radar kwenguva yakareba kwazvo," akayeuka. “Yakanga isati iri mureza mutsvuku kumhuri yangu. Yakanga isati iri mureza mutsvuku kuvanachiremba. ”

"[Vaifunga] kuti ndakatsunga uye ndakakurudzira uye ndakazvipira uye ndine hutano," akawedzera. "Asi ivo havana kuziva kuti chii chaiitika."

Kutarisana nezvipingaidzo pakurapwa

Sekureva kwaBermudez, idzi nyaya dzakajairika.

Kutanga kuongororwa kunogona kubatsira vanhu vane atypical anorexia uye kumwe kunetseka kwekudya kuwana kurapwa kwavanoda kuti vatange kuita kupora.

Asi zvinowanzoitika, zvinotora makore kuti vanhu vane mamiriro aya vawane rubatsiro.

Sezvo mamiriro avo achienderera asina kurapwa, vanogona kutogashira kusimbiswa kwakanaka kwekudya kwavo kunovharira kana kurasikirwa uremu.

Mune nzanga umo kudya kunopararira uye kuonda kwakakosheswa, vanhu vanowanzo kutadza kuona kudya kwakashata maitiro sezviratidzo zvekurwara.

Kune vanhu vane atypical anorexia, kuwana rubatsiro kunogona kureva kuyedza kugonesa makambani einishuwarenzi iwe unoda kurapwa, kunyangwe iwe usiri wepasi.

"Tichiri kunetsekana nevanhu vari kudzikira uremu, vachirasikirwa nehuremu, vachiita bradycardic [inononoka kurova kwemoyo] uye hypotensive [yakaderera BP,] uye vanobata bata kumusana ndokuti, 'Zvakanaka kuti wakarasikirwa nehuremu , 'Akadaro Bermudez.

"Ndezvechokwadi kuvanhu vanoita sevanorema uye kazhinji vanowanzo kushaya zvinovaka muviri muchitarisiko," akaenderera mberi. "Saka fungidzira kuti pane chipingamupinyi chei kuvanhu vane saizi yakaenzana."

Kuwana rutsigiro rwehunyanzvi

Schaefer aisakwanisa kuramba kuti aive nedambudziko rekudya apo, mugore rake rekupedzisira rekoreji, akatanga kuchenesa.

"Ndiri kureva, kudzora chikafu ndizvo zvatinoudzwa kuti tiite," akadaro. "Tinoudzwa kuti tinofanirwa kudzikisa huremu, saka avo vanodya maitiro ekusagadzikana vanowanzoshayikwa nekuti tinofunga kuti tiri kungoita zviri kuedza kuitwa nemunhu wese."

"Asi ndaiziva kuti kuyedza kuzviita iwe kurasa kwakaipa," akaenderera mberi. "Uye izvo zvaive zvisina kunaka uye zvaive zvine njodzi."

Pakutanga, akafunga kuti aigona kukunda chirwere ari ega.

Asi pakupedzisira akaona kuti aida rubatsiro.

Akadana runhare rweNational Eating Disorders Association. Vanomuisa mukubatana naBermudez, kana Dr. B sezvaanomudaidza nerudo. Nerutsigiro rwemari kubva kuvabereki vake, akanyoresa kuchipatara chirongwa chekurapa.

Kuna Nolen, shanduko yakauya paakatanga kugumbuka ura chirwere.

"Ndakafunga kuti imhaka yemakore ekubatwa zvisina kufanira nemishonga yekugeza, uye ndaitya kuti ndakakuvadza nhengo dzangu dzemukati zvakanyanya," akayeuka.

Akaudza chiremba wake nezvese zvaaiita zvekudzikisa huremu uye nemanzwiro aaiita ekusafara.

Akamutumira kune chiremba wepfungwa, uyo akakurumidza kumubatanidza kune chirwere chekudya chinetso.

Nekuda kwekuti anga asina kuonda, iye inishuwarenzi mupi aisazovhara chirongwa chevanorwara

Nekudaro, akanyoresa muchirongwa chakakomba chekubuda kwevarwere kuEating Recovery Center panzvimbo.

Jenni Schaefer

Kupora kunogoneka

Sechikamu chehurongwa hwavo hwekurapa, Schaefer naNolen vakapinda misangano yeboka rekutsigira nguva dzose uye vakasangana nevanoona nezvekudya uye varapi vakavabatsira munzira yekupora.

Maitiro ekudzoreredza aive asiri nyore.

Asi nerubatsiro rwevanodya chirwere chehunyanzvi, ivo vakagadzira maturusi avanoda kukunda atypical anorexia.

Kune vamwe vanhu vari kusangana nematambudziko akafanana, ivo vanoti chakanyanya kukosha kutsvaga rubatsiro - {textend} ndoda kune nyanzvi yekudya.

"Haufanire kutarisa neimwe nzira," akadaro Schaefer, ave mumiriri weNEDA. “Haufanire kukodzera mubhokisi rinoongorora, iro nenzira dzakawanda riri rekupokana. Kana hupenyu hwako huri kurwadza uye uchinzwa kushaya simba nekuda kwechikafu nemuviri uye chiyero, tsvaga rubatsiro. ”

"Kupora kwakazara kunogoneka," akawedzera. “Usamira. Unogona kupora. ”