Kunjani ukuhlala neAtypical Anorexia

Umxholo

• Ukufuna uncedo ngaphandle kwempumelelo
• Ukufumana ukunconywa ngokunciphisa umzimba
• Ukujongana nezithintelo kunyango
• Ukufumana inkxaso yobungcali
• Ukuchacha kunokwenzeka

UJenni Schaefer, oneminyaka engama-42 ubudala, wayengumntwana omncinci xa wayeqala ukuba nomzimba ongathandekiyo.

"Ngokwenene ndiyakhumbula ndineminyaka emi-4 ubudala kwaye ndikwiklasi yokudanisa, kwaye ndikhumbula ngokucacileyo ndizithelekisa namanye amantombazana amancinci kwigumbi kwaye ndiziva ndonwabile ngomzimba wam," uSchaefer, ngoku ozinze e-Austin, eTexas, kunye nombhali wencwadi "Phantse i-Anorexic," uxelele uHealthline.

Njengoko uSchaefer wayekhula, waqala ukuthintela ukutya awayekutya.

Ngexesha awaqala ngalo amabanga aphakamileyo, wavelisa into eyaziwa ngokuba yi-atypical anorexia.

Ngelo xesha, i-anypxia ye-atypical yayingeyiyo ingxaki yokutya ngokusemthethweni. Kodwa ngo-2013, i-American Psychiatric Association yongeze kuhlelo lwesihlanu lwe-Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Iikhrayitheriya zeDSM-5 zeanorexia ye-atypical ziyafana nezo zeanorexia nervosa.

Kuzo zombini iimeko, abantu bayaqhubeka nokuthintela iikhalori abazityayo. Babonisa uloyiko olukhulu lokufumana ubunzima okanye ukwala ukutyeba. Banamava omzimba ogqwethekileyo okanye babeke isitokhwe esigqithisileyo kubume babo bomzimba okanye ubunzima xa bevavanya ukuzixabisa kwabo.

Kodwa ngokungafaniyo nabantu abane-anorexia nervosa, abo bane-anorexia ye-atypical abaphantsi komzimba. Ubunzima bomzimba wabo buhlala buwela ngaphakathi okanye ngaphezulu kwento ebizwa ngokuba luhlobo oluqhelekileyo.

Ixesha elingaphezulu, abantu abane-atypical anorexia banokuthoba umzimba kwaye bahlangabeze iikhrayitheriya zeanorexia nervosa.

Kodwa nangona bengenjalo, i-anorexia ye-atypical ingabangela ukungondleki okukhulu kunye nomonakalo kwimpilo yabo.

U-Ovidio Bermudez, igosa eliyintloko lezonyango e-Ever Recovery Centre eDenver, eColorado, uxelele iHealthline.

“Esi ayisosifo esincinci [kuneanorexia amanosa]. Oku kukubonakaliswa okwahlukileyo, nangokubeka impilo yakho esichengeni kwaye ubeka abantu emngciphekweni wezonyango, kubandakanya nomngcipheko wokufa, ”uqhubeke watsho.

Ukusuka ngaphandle ujonge ngaphakathi, uSchaefer "wayenako konke kunye" kwisikolo samabanga aphakamileyo.

Wayengumfundi othe tye kwaye waphumelela kwindawo yesibini kwiklasi yakhe yama-500. Wayecula kwikwayara yomboniso we-varsity. Wayesiya ekholejini kwimfundo yokufunda.

Kodwa phantsi kwayo yonke loo nto, wayenengxaki "yokubandezeleka okungapheliyo"

Xa wayengakwazi ukufikelela kwimilinganiselo engekho ngqiqweni azibekele yona kwezinye iinkalo zobomi bakhe, ukuthintela ukutya kwamnika isiqabu.

"Ukuthintela kuthanda ukundindisholo ngendlela," utshilo. "Ke, ukuba bendinexhala, bendinokuthintela ukutya, kwaye bendiziva ngcono."

Wongeza ngelithi: "Ngamanye amaxesha ndandidla ngotywala." Kwaye ndaziva ndibhetele, futhi. ”

Ukufuna uncedo ngaphandle kwempumelelo

Xa uSchaefer wafuduka ekhaya esiya ekholejini, ukutya kwakhe okuthintelayo kwaba mandundu.

Wayephantsi koxinzelelo oluninzi. Wayengasenaso isakhiwo sokutya kwemihla ngemihla nosapho ukumnceda ahlangabezane neemfuno zakhe zesondlo.

Uye waphulukana nobunzima obuninzi ngokukhawuleza okukhulu, ehla ezantsi kwinqanaba eliqhelekileyo lokuphakama kwakhe, ubudala, kunye nokwabelana ngesondo. "Ngelo xesha, bekungafumaniseka ukuba ndine-anorexia nervosa," utshilo.

Abahlobo besikolo esiphakamileyo sikaSchaefer bavakalisa inkxalabo malunga nokwehla kobunzima, kodwa abahlobo bakhe abatsha ekholejini bancoma inkangeleko yakhe.

"Bendifumana ukunconywa mihla le ngenxa yokugula ngengqondo kunye nelonaqondo lokufa liphezulu nakweyiphi na enye into," ukhumbule.

Xa waxelela ugqirha wakhe ukuba wehlile emzimbeni kwaye khange afumane xesha lakhe leenyanga, ugqirha wakhe wambuza ukuba uyatya na.

"Kunenkolelo enkulu ephosakeleyo phaya yokuba abantu abane-anorexia okanye i-atypical anorexia abayityi," utshilo uSchaefer. Akunjalo. ”

"Ke xa wathi, 'Uyatya?' Ndithe ewe, '”utshilo uSchaefer. "Kwaye wathi," Uyaphila, uxinzelelo, yikhampasi enkulu. "

Kungathatha enye iminyaka emihlanu ukuba uSchaefer afune uncedo kwakhona.

Ukufumana ukunconywa ngokunciphisa umzimba

USchaefer ayinguye yedwa umntu one-anorexia ye-atypical ojamelene nezithintelo ekufumaneni uncedo kubaboneleli ngezempilo.

Ngaphambi kokuba uJoanna Nolen, oneminyaka engama-35 ubudala, afikise iipilisi zokutya. Ngelo xesha, wayesele emnyusa ukuba anciphise ubunzima iminyaka, kwaye eneminyaka eyi-11 okanye eyi-12, ngoku wayenomyalelo wokwenza oko kanye.

Xa wabetha kwikholeji yamabanga aphakamileyo, waqala ukuthintela ukutya kwakhe kunye nokuzilolonga ngakumbi.

Ixhaswe yinxalenye yokomelezwa okuhle ayifumeneyo, ezo nzame zakhula ngokukhawuleza zaya kwi-anorexia ye-atypical.

"Ndiqale ukuqaphela ubunzima obuzayo," utshilo uNolen. “Ndiqale ukwamkelwa ngenxa yalonto. Ndiqale ukudunyiswa ngalendlela bendikhangeleka ngayo, kwaye ngoku bekujongwe kakhulu, 'Ewe, udibene nobomi bakhe,' kwaye yayiyinto entle leyo. ”

"Ukubukela izinto endizityileyo kwajika kwaba kukubala okukhulu, okubonakalayo kweekhalori kunye nokuthintela ikhalori kunye nokuthanda kakhulu ukuzilolonga," utshilo. "Kwaye ke oko kwaqhubela phambili ekusebenziseni gadalala nge-laxatives kunye ne-diuretics kunye neendlela zamayeza okutya."

UNolen, ozinze eSacramento, eCalifornia, wayehlala njalo isithuba esingaphezulu kweshumi leminyaka. Abantu abaninzi bancoma ukunciphisa kwakhe umzimba ngeli xesha.

"Ndabhabha phantsi kwe-radar ixesha elide kakhulu," ukhumbula. “Akuzange kubekho iflegi ebomvu kusapho lwam. Akuzange kube yiflegi ebomvu koogqirha. ”

"[Bacinga] ukuba ndizimisele kwaye ndizimisele kwaye ndizinikezele kwaye ndisempilweni," wongeze watsho. “Kodwa bebengazi ukuba kwenzeka ntoni.”

Ukujongana nezithintelo kunyango

NgokukaBermudez, la mabali aqheleke kakhulu.

Ukuxilongwa kwangoko kunokunceda abantu abane-anorexia ye-atypical kunye nezinye iingxaki zokutya bafumane unyango abaludingayo ukuze baqale inkqubo yokubuyisela kwimeko yesiqhelo.

Kodwa iimeko ezininzi, kuthatha iminyaka ukuba abantu abanezi meko bafumane uncedo.

Njengoko imeko yabo iqhubeka inganyangwa, banokufumana ukuqiniswa okuqinisekileyo kokutya kwabo okuthintelayo okanye ukunciphisa umzimba.

Kuluntu apho ukutya kakhulu kuxhaphakile kwaye ukucekeceka kuxabisekile, abantu bahlala besilela ukuqonda isimilo sokuziphatha okungalunganga njengeempawu zokugula.

Kubantu abane-anorexia ye-atypical, ukufumana uncedo kunokuthetha ukuzama ukweyisela iinkampani ze-inshurensi ukuba ufuna unyango, nokuba awungaphantsi.

“Sisasokola nabantu abaphulukana nobunzima, ukunciphisa amandla, ukuba bradycardic [ukubetha kwentliziyo kancinci] kunye noxinzelelo lwegazi [uxinzelelo lwegazi olusezantsi,] kwaye bafumana ukubanjwa emqolo bathi, 'Kulungile ukuba wehlile emzimbeni , 'Utshilo uBermudez.

Uqhubeke wathi: "Kuyinyani kubantu abakhangeleka ngathi batyebile kwaye amaxesha amaninzi ngokwesiko abanondlekanga ngembonakalo," uqhubeke watsho. "Ke khawufane ucinge nje ukuba kukho isithintelo esingakanani kubantu abalingana noko."

Ukufumana inkxaso yobungcali

USchaefer wayengasenakuphika ukuba wayenengxaki yokutya xa, kunyaka wakhe wokugqibela ekholejini, waqala ukucoca.

Ndiyathetha, ukuthintela ukutya yile nto sixelelwa ukuba siyenze, utshilo. "Sixelelwe ukuba kufuneka sinciphise umzimba, ke abo badla ngokuziphatha kakubi bahlala belahleka kuba sicinga ukuba senza into wonke umntu azama ukuyenza."

Uqhubeke wathi: "Kodwa bendisazi ukuba ukuzama ukuziphosa akulunganga." "Kwaye oko kwakungalunganga kwaye oko kwakuyingozi."

Ekuqaleni, wayecinga ukuba angasoyisa isigulo eyedwa.

Kodwa ekugqibeleni waqonda ukuba ufuna uncedo.

Ubize umnxeba woncedo woMbutho weSizwe wokuPhazamiseka kokutya. Bamdibanisa noBermudez, okanye uGqirha B njengoko embiza ngothando. Ngenkxaso yemali evela kubazali bakhe, wabhalisa kwinkqubo yokunyanga ngaphandle.

KuNolen, ukuguquka kwezinto kwafika xa waqalisa ukuba nesifo samathumbu.

"Ndacinga ukuba kungenxa yeminyaka yokuphathwa gadalala kweziyobisi, kwaye ndandisoyika ukuba ndenze umonakalo omkhulu kumalungu angaphakathi," ukhumbula.

Uxelele ugqirha ngayo yonke imizamo yakhe yokwehlisa umzimba kunye neemvakalelo zakhe eziqhubekayo zokungonwabi.

Wamthumela kwingcali yezengqondo, ekhawuleze yamdibanisa nengcali yokutya.

Ngenxa yokuba wayengekho emzimbeni, umboneleli wakhe weinshurensi wayengenakugubungela inkqubo yezigulana.

Ke, wabhalisa kwinkqubo yokugula kwabagula kakhulu kwiZiko lokuBuyisa ukuTya endaweni yoko.

UJenni Schaefer

Ukuchacha kunokwenzeka

Njengenxalenye yeenkqubo zabo zonyango, uSchaefer noNolen bazimasa iintlanganiso zamaqela enkxaso rhoqo kwaye badibana nabantu bezidlo kunye nabanyangi ababancedayo kwindlela yokubuyela kwimeko yesiqhelo.

Inkqubo yokubuyisela kwakungekho lula.

Kodwa ngoncedo lweengcali zokuphazamiseka kokutya, baphuhlise izixhobo abazidingayo ukoyisa i-anorexia ye-atypical.

Abanye abantu abahlangabezana nemiceli mngeni efanayo, bacebisa ukuba eyona nto ibalulekileyo kukufumana uncedo - {textend} ngokukhethekileyo kwingcali yokutya.

“Akufuneki ujonge ngendlela ethile,” utshilo uSchaefer, ngoku ongunozakuzaku weNEDA. “Akunyanzelekanga ukuba ulingane nale bhokisi yokuchonga, ethi ngeendlela ezininzi ithathe amanyathelo. Ukuba ubomi bakho buhlungu kwaye uziva ungenamandla ngenxa yokutya kunye nomzimba kunye nesikali, fumana uncedo. ”

"Ukubuyiselwa ngokupheleleyo kunokwenzeka," wongeze watsho. “Sukuyeka. Ungangcono nyani. ”