No ke aha e hiki ai iā Anorexia Nervosa ke hopena i kāu kalaiwa a me nā mea hiki iā ʻoe ke hana e pili ana iā ia

Anter

• Hoʻopilikia ka hana maln i ka lolo
• I kekahi manawa pili i ke kaumaha, ma mua o ka maʻi ʻai ponoʻī
• Hiki i kahi moʻolelo o ka hoʻomāinoino ke lilo i mea hōʻeha
• Hana ke kino kino maikaʻi ʻole i ka wahine
• ʻO ʻoe wale nō paha
• 'O ka hana' ole o ka moekolohe 'pilikia wale nō inā pilikia ia iā ʻoe

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Eia nā kumu ʻelima e hiki ai i ka anorexia nervosa ke hoʻopili i kāu hoʻokele wahine.

I ka hāʻule o 2017, i koʻu hoʻonohonoho ʻana e alakaʻi i nā nīnauele e pili ana i ka moekolohe ma nā wahine me ka anorexia nervosa no kaʻu noiʻi pepa, ua ʻike wau e hōʻike ana nā wahine i nā ʻike me ka haʻahaʻa haʻahaʻa o ka wahine. Ma hope o nā mea āpau, hōʻike ʻia ka noiʻi e mālama ʻia kēia heluna kanaka i nā makaʻala alo ʻole, mākua, a averse hoʻi i ka hana moekolohe.

Kaʻu hana ʻaʻole manaʻo naʻe, ka manawa pinepine a ka wahine hopohopo he kū hoʻokahi kēia ʻike.

ʻO ka manawa pinepine, e kupu mai nā manaʻo o ke kūpono ʻole i loko o kēia mau kamaʻilio. Ua kāhea kekahi wahine iā ia iho "kūpilikiʻi a ʻano aloha ʻole hoʻi," a ua hele a hiki i ka ʻōlelo ʻana i kona makemake ʻole i ka moekolohe ke hoʻolilo iā ia i "kanaka pupule." ʻO kekahi, ma hope o ka wehewehe ʻana i kāna ʻike, hoʻi i hope, e ʻōlelo ana, "ʻAʻole wau i ʻike pehea e maopopo ai a pehea e holo ai."

Weird ʻo ia ka huaʻōlelo a nā wahine e hoʻohana pinepine ai e wehewehe iā lākou iho.

Akā eia ka mea: Inā loaʻa iā ʻoe ka anorexia a ʻike i ka hoʻokele moekolohe haʻahaʻa, ʻo ʻoe nō ʻaʻole ʻano ʻē. ʻAʻole ʻoe ʻano ʻē, aloha ʻole, a i ʻole lōlō. Inā he mea, awelike maoli ʻoe.

Ua ʻike ʻia kahi loiloi moʻokalaleo 2016, ʻoiai ʻo ka noiʻi e ʻimi nei i ka moekolohe i nā wahine me ka anorexia, he liʻiliʻi, kokoke i nā noiʻi āpau i ʻike ʻia ua haʻahaʻa ka moekolohe ʻana o kēlā mau wahine.

I ka pōkole: No nā wahine me ka anorexia, he haʻahaʻa loa kahi kalaiwa haʻahaʻa.

No laila inā ua ʻike ʻia ʻoe me ka anorexia nervosa a ʻike i ka haʻahaʻa o kāu moe wahine, eia nā kumu ʻelima i hiki ai i kēia ke ʻano a he aha kāu e hana ai e pili ana.

Hoʻopilikia ka hana maln i ka lolo

E hoʻomaka kākou mai ka wehewehe physiological. He aha ka mea e weliweli ai ka anorexia ʻo ka pōloli e alakaʻi i ka malnutrity - a he nalowale ka lolo i ka hana. Ke ʻai ʻole ʻoe i ka nui o nā calorie e mālama i nā pae o ka ikehu kūpono, hoʻomaka kou kino e hoʻopau i nā ʻōnaehana e mālama ai.

ʻO ka hopena o ka wī ma ke olakino physiological e pili ana i ka hypogonadism, a i ʻole ka holo pono ʻole o nā ovaries i ka hana kūpono. ʻO nā pae i hoʻemi ʻia e pili ana i ka hana moekolohe - e like me ka estrogen a me ka progesterone, ka mea a nā ovaries e hana ai - hiki ke hoʻopili i kāu kalaka wahine. Manaʻo pinepine mākou i kēia e pili ana i ka ʻelemakule a me ka menopause, akā hiki i ka anorexia ke hana i kēia hopena.

He aha e ʻike ʻO ka mea pōmaikaʻi, aia kahi ala i mua inā e hakakā ana ʻoe, a i ʻole ke ola hou ʻana mai, anorexia nervosa. Hōʻike nā noiʻi i ka hoʻōla - kikoʻī, inā he pilikia kēia iā ʻoe - ua hoʻopili ʻia i ka hoʻonui ʻana i ka moekolohe. E like me kou kino e hoʻōla ai, pēlā pū kekahi me kāu moekolohe.

I kekahi manawa pili i ke kaumaha, ma mua o ka maʻi ʻai ponoʻī

ʻO nā kumu no ka hōʻemi ʻana i ka hoʻokele moekolohe ʻaʻole pono e pili pū me ka maʻi ʻai ponoʻī, akā nā kumu ʻē aʻe e pili pū me ka maʻi ʻai i ʻōlelo ʻia. ʻO ke kaumaha, no ka laʻana, iā ia iho, hiki ke hopena maikaʻi ʻole i ka hana kolohe.

A no ka mea ma kahi o 33 a 50 pākēneka o ka poʻe me ka anorexia nervosa i loaʻa i nā ʻano maʻi - e like me ke kaumaha - i kekahi manawa i ko lākou ola, hiki nō ke lilo i kumu kumu no ke aha e haʻahaʻa ai kāu kahakaha wahine.

ʻO ka mālama ʻana no ke kaumaha hiki ke pāʻani pū kekahi. ʻO nā mea hōʻoki hoʻoliʻiliʻi serotonin selective (SSRIs) - kahi papa o nā lāʻau i hoʻohana pinepine ʻia ma ke ʻano he antidepressants a me ka mālama ʻana i nā maʻi ʻai - ʻike ʻia ka hana moekolohe. ʻO ka ʻoiaʻiʻo, hiki i nā hopena ʻaoʻao maʻamau ke hoʻopili i ka makemake moekolohe a me ka paʻakikī e kiʻi i ka orgasm.

He aha kāu e hiki ai ke hana ʻO ka mea pōmaikaʻi, ʻike maikaʻi nā kauka olakino a olakino noʻonoʻo i nā hopena pili kolohe o SSRIs. Pono lākou e mākaukau e hana pū me ʻoe e ʻike i nā koho lapaʻau, e like me ka lāʻau - i kahi SSRI ʻē aʻe a i ʻole nā ​​lāʻau e pili pū ana - i hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou ola. A e hoʻomanaʻo, inā ʻaʻole i manaʻo nui kāu kauka i kou leʻaleʻa wahine, aia ʻoe i loko o kāu kuleana e ʻike i kahi kahu mālama ola ʻē aʻe.

Hiki i kahi moʻolelo o ka hoʻomāinoino ke lilo i mea hōʻeha

Ke mālama nei i kaʻu noiʻi dissertation ponoʻī, ʻoi aku ma mua o ka hapalua o nā mea komo me ka anorexia nervosa i haʻi ʻia i nā ʻike me ka hōʻino ʻia i ko lākou ola - inā he moekolohe, ʻona, a i ʻole ʻano naʻau, ma ka wā kamaliʻi a makua paha. (A pili pono kēia iaʻu, ʻoiai e ulu ana wau i kahi maʻi ʻai i ka pane ʻana i ka pilina me kahi hoa kolohe.)

Eia kekahi, ua kamaʻilio pū nā mea hui like e pili ana i ka hopena o ka hopena o kēia mau ʻike i kā lākou moekolohe.

A he mea kupanaha kēia.

ʻO nā wahine he nui me nā maʻi ʻai i loaʻa i ka wā ma mua me ka trauma, kikoʻī i ka hōʻeha kino. ʻO ka ʻoiaʻiʻo, ʻoi aku paha ka nui o nā mea i pakele i nā meaʻai diagnostical diagnostical. Ua ʻike ʻia ma kahi noiʻi ma 2004 liʻiliʻi he 53 pākēneka o 32 mau mea pakalaki wahine i loaʻa i nā maʻi ʻai, ke hoʻohālikelike ʻia i ka 6 pākēneka o 32 mau wahine me ka mōʻaukala trauma ʻole.

He aha kāu e hiki ai ke hana Inā ʻoe e hakakā me ka moekolohe ma hope o ka hōʻeha, ʻaʻole ʻoe hoʻokahi - a aia ka manaolana. ʻO kahi mākaʻikaʻi o ka noʻonoʻo sensate, kahi hana e pili ana i ka lohi (re) e hoʻolauna nei i ka paʻi sensual i ke ola o ke kanaka ma kahi ʻano noʻonoʻo, hiki ke kōkua. Eia naʻe, pono e hana maikaʻi ʻia me ke kōkua o kahi therapist moekolohe.

Hana ke kino kino maikaʻi ʻole i ka wahine

No nā wahine he nui me ka anorexia, ʻo ko lākou hōʻole i ka moekolohe ka liʻiliʻi o ka pale o ka physiological, a ʻoi aku ka nui o ka psychological. He paʻakikī ke komo i ka moekolohe ke hōʻoluʻolu ʻole ʻoe i kou kino! He ʻoiaʻiʻo nō ia no nā wahine nāna mai hana loaʻa nā maʻi ʻai.

I ka ʻoiaʻiʻo, ua loaʻa kahi noiʻi 2001, hoʻohālikelike ʻia i nā wahine me ka ʻike maikaʻi o ko lākou kino, ʻo ka poʻe i ʻike i ka hōʻoluʻolu o ke kino e hōʻike i ka moekolohe pinepine ʻole a me ka orgasm. Hōʻike nā wahine me ke kino kino maikaʻi ʻole i ka hōʻoluʻolu i:

• hoʻomaka i ka moekolohe
• he kapa ʻole i mua o kā lākou hoa
• ke moe kolohe me nā kukui
• e ʻimi ana i nā hana moekolohe hou

ʻOiai ʻo kahi noiʻi Cosmopolitan kahi i hōʻike ai ma kahi o ka hapakolu o nā wahine e hōʻike nei i ka hiki ʻole i ka orgasm no ka mea ke nānā nui nei lākou i ko lākou ʻano.

Akā ʻo ka ʻaoʻao ʻē aʻe he ʻoiaʻiʻo: ʻo nā wahine me ke kino kiʻi maikaʻi e hōʻike i ka hilinaʻi nui o ka moekolohe, ka nui o ke koʻikoʻi, a me ka nui o ka wahine.

He aha kāu e hiki ai ke hana Inā ke hele nei kāu kiʻi o ke kino i ke ʻano o ke ola moekolohe ʻoluʻolu, ke nānā nei i ka hoʻōla ʻana i kēlā pilina ke alakaʻi i nā hoʻomaikaʻi. Ke hana nei paha ʻoe i nā pilikia o ke kino a me ka hilinaʻi iā ʻoe iho i kahi ʻano therapeutic, ke hele nei i ke ala kōkua pilikino me nā puke e kōkua ai iā ʻoe e wāwahi i ka inaina o ke kino (paipai wau iā Sonya Renee Taylor's The Body Is Not a Apology), a i ʻole hoʻomaka mālie ma ka hoʻokaʻawale ʻana i kāu hānai Instagram, hiki i kahi pilina hauʻoli me kou kino ke alakaʻi i kahi pilina olakino me ka wahine.

ʻO ʻoe wale nō paha

He kumuhana i paio ʻia ka pilikino: he kūlohelohe paha? Mālama anei? Pehea mākou e lilo ai i ko mākou ʻano - a he mea nui paha ia? I kēia kamaʻilio ʻana. Ma muli o ke ʻano o ke ʻano pilikino e pili pinepine ʻia me nā anorexia diagnoses e pili pū paha i kahi hoihoi ʻole i ka moekolohe.

I, ua noi nā kānaka noiʻi i kahi laʻana o nā kauka e wehewehe i kā lākou mau mea maʻi me nā maʻi ʻai. Ua wehewehe ʻia nā wahine me ka anorexia ma ke ʻano he "prim / kūpono" a me ka "constrict / overcontrolled" - a ua wānana kēia ʻano kanaka i ka moʻo ʻole o ka moekolohe. ʻO ka obsessionality (preoccupation me nā manaʻo a me nā ʻano), kaohi, a me ka perfectism ʻekolu mau ʻano pilikino me ka anorexia, a hiki iā lākou ke hele i ke ala hoihoi i ka moekolohe. Hiki paha i ka moekolohe ke huehuehue. ʻAʻole paha e kāohi ʻia. Mahalo paha. A hiki i kēia ke alakaʻi i ka moekolohe me ka kono ʻole.

ʻO kēlā mea, ʻo ka mea e hoʻomanaʻo ai e pili ana i ka hoʻokau wahine ʻo ia ka ʻokoʻa maoli o ke kanaka i kekahi kanaka. He kūlana kiʻekiʻe ko kekahi poʻe no ka hoihoi wahine, a he haʻahaʻa haʻahaʻa ko kekahi poʻe. Akā manaʻoʻiʻo mākou i kā mākou moʻomeheu moekolohe ʻo ka hewa ma ka hope o ka hewa a hewa ʻole paha - he mea nui ia e hoʻomanaʻo, ʻaʻole ia.

ʻO ka moekolohe kahi ʻike kūpono No kekahi, no ka hāʻule ʻana i ka pae o ka moekolohe ka mea hoʻohaʻahaʻa haʻahaʻa - hiki ke hoʻopili i nā mea āpau mai ka liʻiliʻi a i ka ʻole i ka hoihoi kikoʻī i ka wahine. He mea nui e hoʻomanaʻo he ʻike kūpono kēia o ka moekolohe. ʻAʻole kūlohelohe kekahi mea hewa me ʻoe no ka mea hoihoi ʻole ʻoe i ka moekolohe. ʻO kāu makemake paha. ʻO ka mea nui ke kamaʻilio ʻana i kēia i kāu mau hoa, ke manaʻo nei iā lākou e mahalo i kāu mau pono, a me ka hoʻomohala ʻana i ka hōʻoluʻolu me ka hoʻopau ʻana i nā pilina pili ʻole.

'O ka hana' ole o ka moekolohe 'pilikia wale nō inā pilikia ia iā ʻoe

ʻO ka mea nui e hoʻomanaʻo e pili ana i ka "hana moe kolohe" - kahi manawa hoʻonāukiuki iā ia iho - he pilikia wale nō inā pilikia ia no ʻo ʻoe. ʻAʻole ia he mea pehea e ʻike ai ke kaiāulu i ka moekolohe "maʻamau". ʻAʻole ia he mea nui i ka makemake o kāu mau hoa. He mea ʻole ka hana a kāu mau hoaaloha. ʻO ka mea nui iā ʻoe. Inā kaumaha ʻoe e pili ana i kāu pae hoihoi i ka moekolohe, pono ʻoe e hoʻokolokolo iā ia a loaʻa i nā hopena. A lana ka manaʻo, hāʻawi kēia ʻatikala iā ʻoe i kahi e hoʻomaka ai.

ʻO Melissa A. Fabello, PhD, he mea aʻo wahine i aʻo ka hana i ka politika politika, ka moʻomeheu nani, a me nā maʻi ʻai. Hahai iā ia ma ʻO Twitter a Instagram.