He aha ka Anorexia Nervosa?

Ke ʻike nei mākou i ka pule e ʻike ai i ka maʻi ʻaina e pili ana i ka ʻāina ma aneʻi ma The Clay Center, lana ko mākou manaʻo e pili ana ka ʻike a mākou e kaʻana like ai. No ka ʻike hou aku e pili ana i nā maʻi ʻai, a me nā ala e hiki ai iā ʻoe ke kōkua i ka hoʻololi ʻana i ke ola o kahi mea aloha a iā ʻoe iho paha, e ʻoluʻolu e kipa aku i ka pūnaewele ʻo National Eating Disorder Association. E hoʻomanaʻo, "ʻO ka manawa kēia e kamaʻilio e pili ana." #NEDAwareness

Ua kākau wau i kēia blog no ka mea ua lilo ia i moʻolelo kūleʻa no kekahi o kaʻu poʻe maʻi (kahi hui o nā mea maʻi he nui) e hakakā nei me nā maʻi paʻakikī, paʻakikī a weliweli hoʻi i hiki i kekahi ke hoʻomanawanui.

Hoʻopili nui ʻo Anorexia Nervosa i nā mea āpau. He hoʻomāinoino ia no ka mea ʻeha, weliweli no nā mākua a weliweli loa hoʻi no nā kauka.

Loaʻa iā ia ka helu make kiʻekiʻe loa o nā maʻi psychiatric. Ma kahi o ka hapakolu o nā kānaka i ʻoi aku ka maikaʻi, a ma kahi o ke kolu o ka make i hala nā makahiki 20-30.

A kaumaha mākou e lohe i ka hapa nui e pili ana i ka poʻe kaulana i make a i hakakā paha me ka anorexia, e like me Karen Carpenter, Portia de Rossi, a me Mary-Kate Olsen, a ʻaʻole nā ​​helu nui o nā kaikamahine puʻupaʻa, nāwaliwali, nā lā a me nā wahine e ʻehaʻeha nei. ia.

Kaʻana like wau i kēia blog i hiki i nā mea āpau ke hoʻomaopopo i nā hiʻohiʻona o anorexia, ʻike mua iā ia, a hoʻāʻo e kōkua a kākoʻo i ka poʻe e hakakā nei.

He aha ka Anorexia Nervosa?

ʻAʻole wau i hele i ke kula kauka no ka ʻenemi.

Ua aʻo ʻia au - a manaʻoʻiʻo ʻia - e uku ʻia ka hāʻawi ʻana i ke kōkua a me ke aloha, a laila, me kahi pilina hilinaʻi. He hopena kūlohelohe ia o ka hana ʻana i ka mea kūpono.

Ma waho aʻe o ke kuʻi ʻana i ka wā i hoʻomaka ai wau e hana me nā keiki i loaʻa ka anorexia nervosa. ʻOiai ma ka wī o ka wī kino, a i kekahi manawa, hāʻule ka lāʻau lapaʻau, makemake wale lākou e waiho hoʻokahi ʻia i waena o ka ʻaʻa ʻana o ko lākou mau mākua a me ka hui kauka e ʻai wale.

ʻEā, pōloli mākou a pau, ʻeā?

A no nā keiki, pili ka ʻai e like me ka maikaʻi. Akā ma ke ʻano he kauka no kā lākou mālama, ʻike wale lākou iaʻu ma ke ʻano he kolohe e makemake ana e momona.

E lawe kāua iā Sarah (ʻaʻole ia he mea hoʻomanawanui maoli, akā he ʻano hui o nā mea he nui aʻu i ʻike ai). He wahine maikaʻi a akamai ʻo ia i ka makahiki 14, ka haʻaheo o kona ʻohana — kahi haumāna pololei, he wahine hulahula maikaʻi, hōkū i mua i ke kime hockey pā kula, a maʻalahi a hāʻawi i ke kaikamahine a me ka hoa aloha - maopopo leʻa kekahi i makemake ʻia e hana i nā mea nui. Me he mea lā aia iā ia nā mea āpau: kālena, hana, a me nā mākua kūleʻa a aloha hoʻi.

Akā, ma hope o ke kauwela ma kahi hoʻomoana pāʻani, ua nalo ʻo Sarah ma kahi o 15 paona; Ua lilo ʻo ia i vegan, a holo ʻelima mau mile i kēlā me kēia lā ma mua o ke kula, i kekahi manawa ma mua o ka wanaʻao. Eia naʻe ma 5'7 "a ʻano pīlali a kūpono hoʻi, manaʻo kona mau mākua a me nā hoaaloha ua maikaʻi ʻo ia. ʻO ke ola, me he mea lā, ua maikaʻi — a hiki i kona iho ʻana i 100 mau paona a lilo kona mau manawa. Ua koi aku kāna pediatrician iā ia e ʻimi i ke kōkua ma kahi haukapila, ʻoiai ua manaʻolana kona mau mākua ʻo ka mea wale nō āna e makemake ai e ʻike i kahi mea lapaʻau a hoʻomaka e ʻai hou. ʻAʻole ʻokoʻa kēia mea, ʻo ia ke kumu i hele mai ai lākou iaʻu.

I ka hui mua ʻana o Sarah me aʻu, he mea liʻiliʻi kāna, inā he mea, e haʻi aku ai — ʻaʻole ʻo ia i manaʻo ua hewa kekahi. Akā i ka nalowale ʻana he ʻelima mau paona hou a koi ke kauka pediatrician i ke komo ʻana i ka haukapila no ke kūpaʻa olakino a me ka "rehabilitation nutritional," ua hoʻomaka ʻo ia e kamaʻilio - ʻaʻole, e noi ana - me aʻu e waiho wale iā ia a waiho iā ia e noho i ka home, ke kūkā kamaʻilio e pili ana i kāna pahuhopu kaumaha e pale i ka haukapila. Ke hoʻokō ʻole wau, ua nānā ʻia mai au me ka hoʻowahāwahā; ʻaʻohe mea aʻu i ʻōlelo ai e pili ana i nā pilikia o ka lāʻau, hiki i nā pilikia i kona kino (e like me ka haki iwi a me ka infertility), ʻaʻohe mea i holo.

Ua lilo wau i ʻenemi.

ʻO nā kamaliʻi me ka anorexia nervosa he kalaiwa paʻa ʻole no ka lahilahi, a me ka makaʻu ikaika a me ka naueue ʻole o ka lilo ʻana i momona. ʻOiai ke kaumaha haʻahaʻa haʻahaʻa, ʻaʻole lākou e ʻike iā lākou iho he lahilahi. ʻO ka mea ʻē aʻe, i ka ʻoiaʻiʻo: no ka haʻahaʻa o ka luʻu ʻana o kā lākou kaumaha, aia mau nā mea hou aʻe e hāʻule.

Hānau ʻia kēia mau kaikamahine he mea kūpono, kūlike me nā koi kūwaho, koi, hoʻokau ʻia - a, ʻo ko lākou kuʻekuʻe wāwae Achilles paha - koʻikoʻi loa i nā pilina, makaʻu i ka hōʻole a hōʻeha paha i kekahi. Paradoxically, hōʻole pinepine lākou a huli i ka maka makapō i ka ʻeha o ka poʻe e nānā iā lākou e pōloli pōloli iā lākou iho - ma ka liʻiliʻi ma ka mua. Ma hope i ke ʻano o ka maʻi, manaʻo pinepine lākou i ka lawehala hohonu, ma o kēia, a me nā mea āpau āpau.

He aha ka hana i kēia mau kaikamahine? He aha nā kumu kumu o kahi maʻi e kū ʻole i ka mālama ʻana, a me ke kaumaha, ʻo ia kekahi o nā wānana ʻoi loa (a me nā helu make ʻoi loa) o nā maʻi psychiatric a pau.

ʻO Anorexia kahi "ʻino maikaʻi" e koi ai i ka hoʻohui pono ʻana o nā mea e kū mai ana i nā biology, nā pilina ʻohana, nā hana psychological a me nā ʻano, a me nā pūʻali koa. ʻOiai paha he ʻokoʻa ke ʻano o ka "Recipe" mai kēlā me kēia a i kekahi.

ʻO Biologically, hōʻike nā noiʻi o nā māhoe a me nā moʻolelo o ka ʻohana aia aia kahi predisposition genetical i ka anorexia nervosa. Me he mea lā aia kahi pilina ma waena o anorexia nervosa, bulimia nervosa a me ka momona, e alakaʻi ana i kekahi poʻe noiʻi e haʻohaʻo e pili ana i ka rula o ka ʻōnaehana kikowaena o ka pololi a me ka piha.

Eia kekahi, ʻo nā kaikamahine me ka anorexia ka mea i loaʻa i nā hiʻohiʻona kumukānāwai mai ka wā hānau mai, e like me perfectism, obsessive-compulsiveness, hoʻokūkū a me ka ʻike maikaʻi i nā pilina, ʻo ka makaʻu hoʻi i ka hōʻole ʻia. Hoʻolako pū ʻia lākou i nā pilikia me ke ʻano o ka naʻau, a loaʻa i kahi kiʻekiʻe o ke kaumaha a me ka hopohopo.

Ma waho o ka biology, ka pilikanaka, psychological a me nā ʻohana i pili i ka ulu ʻana o kēia maʻi. He paʻakikī kēia mau mea e hoʻokaʻawale ma muli o ka hoʻopili ʻia ʻana i ka lole o ka moʻomeheu Komohana.

ʻO nā mea nui nui ka hopena o ke kaiapili e pili ana i ke "kiʻi" o ke kino, a, no nā wahine, ka lahilahi. ʻAʻole hiki iā mākou ke hoʻowahāwahā i ke kekelē e hoʻoikaika ai ke kiʻi o ke kino, ʻaʻole ma o ke kīwī a me nā kiʻi ʻoniʻoni wale nō, akā i nā makasina, a me nā mea pāʻani. Ma hope o nā mea āpau, ʻo Barbie ka mea pāʻani punahele loa i ka mōʻaukala o kēia wā — kahi hiki ʻole i ka physiological a me ke kūlana maʻamau, ʻaʻohe hiki ke kiʻi ʻia e kekahi wahine.

Eia nō naʻe, pili pū kekahi mea ʻohana a me ka noʻonoʻo i ka ulu ʻana o anorexia nervosa.

ʻOiai ʻo nā ʻohana o nā kaikamahine anorexic e lilo i waena o nā mea aloha, kūpaʻa a mālama nui, aia pū kekahi me ka nānā nui i ke kiʻi, ka hana a me nā hoʻokō.

No laila he aha ka hewa o kēia?

I loko o ka pōʻaiapili o nā pilikia kaiapili ma ke kiʻi o ke kino, ke kūlana maikaʻi ʻole o ka naʻau, a me nā hoʻokele i loko no ka maikaʻi loa, ka mālama ʻana a me ka noʻonoʻo i ka hōʻole ʻana e kau i nā kaomi kūloko i ke kaikamahine e ulu ana.

ʻO ka hopena ka hopena o kēia mau kaikamahine i nā pilikia nui i ʻekolu mau wahi nui:

1. ʻIke: ʻaʻole lākou i ʻike ʻo wai lākou, ʻo lākou wale nō ke ʻano.
2. Nā pilina: makemake lākou e leʻaleʻa i nā poʻe ʻē aʻe, a me nā koi i ʻike ʻia o ka poʻe a puni lākou (e like me ka nui o ka lahilahi).
3. Hōʻihi nona iho: loaʻa iā lākou ka haʻahaʻa haʻahaʻa a me ka hewa mau loa, no ka mea ʻaʻohe o lākou ala e hoʻonā ai i ka hakakā. ʻOiai he mea maikaʻi ʻole ka nele o ka hakakā, ua hoʻi i hope kekahi manawa no ka mea ʻaʻohe ala e hoʻonā ai i kona huhū maʻamau a me nā ukiuki me ka poʻe āna i aloha ai. Pono mākou āpau e aloha, hōʻeha i nā mea a mākou e aloha ai, a laila hana i nā mea kūpono e wehe i ka hewa a hoʻonui i ka manaʻo pilikino. ʻAʻole loaʻa nā kaikamahine anorexic he nui i kēia manawa kūpono.

No laila, he aha ke ʻano kūpono - kahi ʻohana aloha, nele i ka hakakā, a me nā ʻano hanau i loko o kahi kaiāulu e hoʻokūkū nei i nā helehelena maikaʻi a me ke olakino - hiki ke hoʻopau i ke kīloi ʻana i nā mea me ke kaʻina ʻole.

Mahalo paha kekahi no ke aha he "moʻomeheu paʻa" kēia maʻi, ʻano o ke kaiāulu Komohana (U.S.).

ʻO kā mākou koʻikoʻi i ka lahilahi?

ʻO ko mākou hilinaʻi a ʻike ʻana me nā hiʻohiʻona a mākou e ʻike ai i ka pāpāho?

Ke hilinaʻi nei ia i kekahi mau ʻohana i loko o kā mākou kaiaulu - kahi e hoʻokūpaʻa i ke kiʻi, ka hoʻokō a me ke kūlike?

Hoʻohālikelike paha ia i nā wahine (ma kahi o 96 pakeneka o ka poʻe me ka anorexia nervosa he wahine)? ʻO ia ke ala a mākou e launa ai i nā kaikamahine me nā keikikāne i kā mākou moʻomeheu?

ʻO ia ka hopena maikaʻi ʻole o ke kaikamahine me nā ʻano ʻino a me nā ʻano intrinsic i hānau ʻia i loko o kahi pūnaewele paʻakikī ʻaʻole hiki iā ia ke hoʻokuʻu iā ia iho.

"ʻAe" paha ka pane i kēia mau nīnau paʻakikī āpau!

Ua loaʻa iā Sarah nā lāʻau lapaʻau a me nā psychiatric he nui, i ka manawa pinepine i nā wahi hoʻomaha a me nā haukapila maʻi. Ua hoʻomau ʻo ia e hana me aʻu no nā makahiki he nui i ka hoʻomaʻamaʻa pākahi a me ka ʻohana, a ma o kaʻu lawelawe ʻana i nā lāʻau (ʻaʻole e mālama iā ia anorexia nervosa, akā e kōkua i kona ʻano a me ka hopohopo).

Ma hope o ʻelua mau makahiki o ka hakakā a me ka hilinaʻi ʻole, ua makemake ʻo Sarah iaʻu. Ua loaʻa ʻo ia i ke kaumaha, hoʻomau i ka menses, a hele i ke koleke. ʻIke maoli wau iā ia, a ua ʻike mākou, mahalo a hoʻomaopopo i kekahi i kekahi-ʻo ka hapanui ko mākou kumu, a me ke koʻikoʻi o kā mākou pilina.

He aha ka hana? I loko o kahi blog ʻokoʻa e nānā mākou i ka mālama ʻana o anorexia nervosa, a he aha ka hopena. ʻAʻole maikaʻi ia, akā no kekahi e like me Sarah, lana ka manaʻolana.

Ma luna o nā mea āpau, he marathon, ʻaʻole he sprint.

Ua aʻo wau i ke ola ma ke ʻano ʻenemi. E manaʻoʻiʻo iaʻu, he tol.

ʻO ka hapa nui o nā kauka, ʻo wau iho nō, makemake e makemake ʻia; hoʻāʻo nui mākou e mālama a hoʻōla i nā poʻe ʻē aʻe.

Eia nō naʻe, pono mākou e ʻike i nā manawa he nui ʻole e ʻike ka poʻe maʻi iā mākou i kēlā ala, a ʻo ka mea maikaʻi loa e hiki ai iā mākou ke hoʻopaʻa no ke ola aloha - no ke ola o nā mea maʻi, a no ko mākou kūpaʻa ponoʻī ponoʻī.

ʻO kahi mana o kēia blog i kau mua ʻia ma The Clay Center no Young Healthy Mindsma ka Halemai Nui o Massachusetts.