ʻO ka maʻi hōʻino / hoʻohiʻai ʻaʻai

Anter
- He aha nā hōʻailona o ARFID?
- He aha ke kumu o ARFID?
- Pehea e kuhikuhi ʻia ai ʻo ARFID?
- Pehea e mālama ʻia ai ʻo ARFID?
- He aha ka manaʻo no nā kamaliʻi me ARFID?
He aha ka maʻi ʻino a me ka hōʻoki ʻana o ka meaʻai (ARFID)?
ʻO ka maʻi hōʻino / kaohi ʻana i ka meaʻai (ARFID) kahi maʻi ʻai i hōʻike ʻia e ka ʻai ʻana i nā meaʻai liʻiliʻi a hōʻalo paha i ka ʻai ʻana i kekahi mau meaʻai. He hōʻailona hou ia e hoʻonui i ka mahele diagnostic mua o ka maʻi hānai o ka wā pēpē a me ka wā kamaliʻi, kahi i hoʻohana pinepine ʻole ʻia a aʻo ʻia paha.
ʻO nā kānaka me ARFID ua hoʻomohala i kekahi ʻano pilikia me ka hānai ʻana a ʻai ʻana paha e hōʻalo iā lākou i nā meaʻai a i ʻole ka ʻai ʻana i ka meaʻai. ʻO ka hopena, ʻaʻole hiki iā lākou ke lawe i ka nui o nā calorie a i ʻole nā meaʻai i loko o kā lākou papaʻai. Hiki i kēia ke alakaʻi i nā hemahema o ka meaʻai, ka lohi o ka ulu ʻana, a me nā pilikia me ka loaʻa kaumaha. Ma waho o nā pilikia olakino, hiki i ka poʻe me ARFID ke ʻike i nā pilikia ma ke kula a i ʻole ka hana ma muli o ko lākou kūlana.He pilikia paha kā lākou i ke komo ʻana i nā hana kaiaulu, e like me ka ʻai ʻana me nā poʻe ʻē aʻe, a me ka mālama ʻana i nā pilina me nā poʻe ʻē aʻe.
Hāʻawi maʻamau ʻo ARFID i ka wā kamaliʻi a i ʻole i ka wā kamaliʻi, a hoʻomau i ka wā makua. Hoʻohālikelike paha ia me ka ʻai picky e maʻa mau i ka wā kamaliʻi. ʻO kahi laʻana, hōʻole nā keiki he nui e ʻai i nā lau a i ʻole nā meaʻai o kekahi ʻala a i ʻole kūlike. Eia nō naʻe, hoʻoholo mau kēia mau ʻano ʻai picky i loko o kekahi mau mahina me ka ʻole o nā pilikia me ka ulu a ulu ʻana paha.
Loaʻa iā ARFID kāu keiki inā:
- ʻaʻole ke kumu o ka pilikia o ka ʻai e ka maʻi digestive a i ʻole ke ʻano olakino ʻē aʻe
- ʻaʻole ke kumu o ka pilikia o ka ʻai e ka hemahema o ka meaʻai a i ʻole nā kuʻuna meaʻai moʻomeheu
- ʻaʻole ke kumu o ka pilikia o ka ʻai e ka maʻi ʻai, e like me ka bulimia
- ʻaʻole lākou e hāhai ana i ke kaʻina hana kaupaona maʻamau no ko lākou mau makahiki
- ua holomua lākou i ka loaʻa ʻana o ke kaupaona a i ʻole ua lilo ka nui o ke kaumaha i loko o ka mahina i hala
E makemake paha ʻoe e hoʻonohonoho i kahi manawa me ke kauka o kāu keiki inā e hōʻike ana kāu keiki i nā hōʻailona o ARFID. Pono ka lāʻau e hoʻoponopono i nā ʻano olakino a psychosocial o kēia ʻano.
Ke waiho a mālama ʻole ʻia, hiki i ka ARFID ke alakaʻi i nā pilikia lōʻihi lōʻihi. He mea nui e kiʻi pololei i kahi hōʻailona pololei. Inā ʻaʻole e ʻai pono kāu keiki akā aia ma ke kaupaona maʻamau no ko lākou mau makahiki, pono ʻoe e hoʻopaʻa manawa me kā lākou kauka.
He aha nā hōʻailona o ARFID?
ʻO ka nui o nā hōʻailona o ARFID e like me nā ʻano o nā kumu ʻē aʻe e hoʻopōʻino ai kāu keiki. Nānā ʻole i kou olakino noʻonoʻo i kāu keiki, pono ʻoe e kāhea i ke kauka inā ʻike ʻoe i kāu keiki:
- ʻike ʻia underweight
- ʻaʻole ʻai pinepine a nui paha e like me ka mea e pono ai
- huhū pinepine a uē pinepine
- me he mea lā kaumaha a i unuhi ʻia paha
- e paio e hala i nā ʻōpū o ka ʻōpū a i ʻole ʻeha paha ke hana ʻana pēlā
- hele a luhi pinepine
- luaʻi pinepine
- nele i nā mākau pili kaiāulu kūpono a hoʻohilahila ʻia mai nā poʻe ʻē aʻe
Hiki i ka ARFID ke akahai i kekahi manawa. ʻAʻole paha e hōʻike mai kāu keiki i nā hōʻailona he nui o ka ʻai pono ʻole a ʻike wale ʻia nō ʻo ia kahi mea ʻai. Eia nō naʻe, he mea nui e haʻi aku i kāu kauka i kāu kauka e pili ana i ka ʻai ʻana o kāu keiki i ka wā o kā lākou nānā hou ʻana.
ʻO ka loaʻa ʻole o kekahi mau meaʻai a me nā wikamina i ka papaʻai a kāu keiki e hiki ai ke alakaʻi i nā hemahema o ka wikamina koʻikoʻi a me nā ʻano olakino ʻē aʻe. Pono paha i ke kauka o kāu keiki e hana i kahi loiloi kikoʻī i hiki iā lākou ke hoʻoholo i ke ala ʻoi loa e hōʻoia i ka loaʻa ʻana o kāu keiki i nā huaora a me nā meaola nui a pau.
He aha ke kumu o ARFID?
ʻAʻole ʻike ʻia ke kumu kūpono o ARFID, akā ua ʻike ʻia kekahi mau mea pilikia no ka maʻi. Pākuʻi ʻia kēia mau mea:
- he kāne
- aia ma lalo o 13 mau makahiki
- loaʻa nā ʻōpū o ka gastrointestinal, e like me ka puʻuwai puʻuwai a me ka paʻa paʻa
- loaʻa i nā meaʻai āpau ka ʻai
ʻO nā hihia he nui o ka loaʻa maikaʻi ʻole o ke kaumaha a me ka malnutrative e pili ana i kahi ʻano olakino e pili ana i ka ʻōnaehana digestive. I kekahi mau hihia naʻe, ʻaʻole hiki ke wehewehe ʻia nā hōʻailona e kahi pilikia olakino kino. ʻO nā kumu nonmedical hiki ʻole i kāu keiki e ʻai pono ʻole ai e hoʻopili i kēia mau mea:
- Makaʻu a koʻikoʻi paha kāu keiki e pili ana i kekahi mea.
- Makaʻu kāu keiki e ʻai ma muli o kahi hanana traumatic i hala, e like me ka ʻūlū ʻana a i ʻole ka luaʻi koʻikoʻi.
- ʻAʻole i loaʻa i kāu keiki nā pane naʻau a kūpono paha mai kahi makua a mea mālama mua paha. ʻO kahi laʻana, hopohopo paha ke keiki i ka huhū o ka makua, a i ʻole he kaumaha paha ka makua a kāpae ʻia mai kahi keiki.
- ʻAʻole makemake kāu keiki i nā meaʻai o kekahi ʻano, ʻono, a ʻaʻala paha.
Pehea e kuhikuhi ʻia ai ʻo ARFID?
Ua hoʻolauna ʻia ʻo ARFID ma ke ʻano he mahele diagnostic hou i ka puke hou o ka Diagnostic and Statistics Manual of Mental Disorder (DSM). Hoʻopuka ʻia kēia manual e ka American Psychiatric Association a kōkua i nā kauka a me nā ʻoihana olakino noʻonoʻo e ʻike i nā maʻi noʻonoʻo.
ʻIke ʻia paha kāu keiki me ARFID inā kū lākou i nā pae diagnostic e hiki mai ana mai ka DSM-5:
- He pilikia ko lākou i ka hānai ʻana a i ʻole ka ʻai ʻana, e like me ka hōʻalo ʻana i kekahi mau meaʻai a hōʻike ʻole paha i ka hoihoi ʻole i ka meaʻai āpau
- ʻAʻole i loaʻa iā lākou ke kaupaona no hoʻokahi mahina
- Ua lilo lākou i ka nui o ke kaumaha i loko o ka mahina i hala
- Pili lākou i ka hānai waho a i ʻole nā mea hoʻopihapiha no kā lākou meaʻai
- Loaʻa iā lākou nā hemahema meaʻai.
- ʻAʻole hoʻokumu ʻia ko lākou pilikia ʻai e ka maʻi olakino a i ʻole ka maʻi noʻonoʻo.
- ʻAʻole i hoʻokumu ʻia ko lākou pilikia ʻai e nā kuʻuna moʻomeheu moʻomeheu a i ʻole ka nele o ka meaʻai i loaʻa.
- ʻAʻole i hoʻokumu ʻia ko lākou pilikia ʻai e ka maʻi ʻai e kū nei a i ʻole ke ʻano kino maikaʻi ʻole.
E hoʻonohonoho i kahi manawa me kāu kauka o kāu keiki inā ʻike ʻia kāu keiki he ARFID. E kaupaona a ana ke kauka i kāu keiki, a e hoʻolālā lākou i nā kiʻi ma ka pakuhi a hoʻohālikelike iā lākou me nā averika o ka lāhui. Makemake paha lākou e hana i nā hoʻokolohua hou inā ke kaupaona ʻia kāu keiki ma mua o ka nui o nā keiki ʻē aʻe o ka makahiki a me ke kāne like. Pono paha ka hoʻāʻo inā aia he loli koke i ke ʻano ulu o kāu keiki.
Inā hoʻoholo ke kauka he underweight a malnourished paha kāu keiki, e holo lākou i nā hoʻokolohua diagnostics e kānana no nā kūlana olakino e kaohi ana paha i ka ulu ʻana o kāu keiki. Pili pū paha kēia mau hoʻāʻo i nā hoʻokolohua koko, nā hoʻokolohua mimi, a me nā hoʻāʻo kiʻi.
Inā ʻaʻole i loaʻa i ke kauka kahi kūlana olakino kumu, e nīnau paha lākou iā ʻoe e pili ana i nā ʻano hānai o kāu keiki, ka lawena, a me ka nohona ʻohana. Ma muli o kēia kamaʻilio ʻana, hiki i ke kauka ke kuhikuhi iā ʻoe a me kāu keiki iā:
- he meaʻai hānai no ka ʻōlelo aʻoaʻo aʻoaʻo kino
- kahi psychologist e hoʻopaʻa i ka pilina ʻohana a hiki i nā mea hoʻonāukiuki no nā hopohopo a me nā kaumaha paha e manaʻo ana kāu keiki
- kahi haʻi ʻōlelo a mea hoʻoponopono hana paha e hoʻoholo inā ua hoʻolohi kāu keiki i ka hoʻomohala ʻana i ka waha a i ʻole ka hoʻokele kaʻa
Inā manaʻo ʻia ke kūlana o kāu keiki ma muli o ka mālama ʻole, hoʻomāinoino, a me ka ʻilihune, hiki ke hoʻouna ʻia i kahi limahana limahana a i ʻole luna hoʻomalu keiki e hana pū me ʻoe a me kou ʻohana.
Pehea e mālama ʻia ai ʻo ARFID?
I kahi pilikia pilikia, koi ʻia i ka haukapila. ʻOiai ma laila, pono paha i kāu keiki i kahi puʻupuʻu hānai e loaʻa ai ka meaʻai kūpono.
I ka hapanui o nā hihia, kamaʻilio ʻia kēia ʻano maʻi ʻai ma mua o ka pono ʻana o ka haukapila. ʻO ka ʻōlelo aʻoaʻo a ka mea mālama Nutritional a i ʻole nā hālāwai maʻamau me kahi therapist hiki ke lilo i mea maikaʻi loa i ke kōkua ʻana i kāu keiki e lanakila i ko lākou maʻi maʻi. Pono paha kāu keiki e hele i kahi papaʻai kikoʻī a lawe i nā mea hoʻopiha meaʻai E kōkua kēia iā lākou e hopu i kahi kaona paipai i ka wā e mālama ʻia ana.
I ka manawa e kuhikuhi ʻia ai nā hemahema o ka wikamina a me ka mineral, hiki i kāu keiki ke makaʻala a ʻoi aku ka maʻalahi o ka hānai maʻamau.
He aha ka manaʻo no nā kamaliʻi me ARFID?
ʻOiai ʻo ARFID kahi hōʻailona hou, aia ka palena o ka ʻike e pili ana i kona ulu a me ka nānā. Ma ke ʻano laulā, hiki ke hoʻonā maʻalahi ʻia kahi maʻi ʻai inā kamaʻilio ʻia ke hoʻomaka koke kāu keiki e hōʻike i nā hōʻailona o ka lawa ʻole o ka ʻai.
Ke waiho a mālama ʻole ʻia, hiki i kahi maʻi ʻaina ke alakaʻi i ka hoʻomohala kino a me ka noʻonoʻo e hoʻohuli i kāu keiki no ke ola. ʻO kahi laʻana, inā ʻaʻole i hoʻokomo ʻia kekahi mau meaʻai i ka papaʻai a kāu keiki, e hoʻopili ʻia paha ka hoʻomohala ʻana o ka moto waha. Hiki i kēia ke alakaʻi i ka lohi ʻōlelo a i nā pilikia lōʻihi paha me ka ʻai ʻana i nā meaʻai e like me nā ʻono a me nā ʻano like. Pono ʻoe e ʻimi koke i ka lāʻau e hōʻalo ai i nā pilikia. E kamaʻilio me ke kauka inā hopohopo ʻoe e pili ana i ka ʻai ʻana o kāu keiki a manaʻo ʻoe he ARFID kā lākou.