Zvichida chimwe chezviratidzo zvinotambudza zveanorexia nervosa nezvimwe zvinetso zvekudya zvinoremedza-zvikurukuru nhengo dzemhuri uye vadzidzisi vezvokurapa-ndiyo murwere anotenda kuti haarwere. Nzira yakawanda yekusatenda kune kurwara ndeyokuti iye haadi kuporeswa.
Zvechokwadi, kutadza kwemurwere kwekuda kwechinetso kwave kwenguva refu kwave kuchijekesa chinonzi anorexia nervosa.
Kubva kare muna 1873, Ernest-Charles Lasègue, chiremba wechiFrance uyo aiva mumwe wekutanga kutsanangura anorexia nervosa, akanyora kuti: "'Handitamburi uye ndinofanira kunge ndapora,' ndiyo inonyanya kushandiswa". yakataurwa naDkt. Vandereycken, vaudza "kuramba kurwara" kuti zvivepo nehuwandu huwandu hwe80% hweanorexia nervosa varwere vanoongororwa. Mune dzimwe mhando dzeanorexia nervosa varwere, iyi inenge inogona kuva yakaderera. Mune chidzidzo naKonstantakopoulos nevamwe vaaishanda navo, boka reanorexia nervosa varwere (24%) vakanga vane kuora kwakanyanya kwekunzwisisa. Vakatorawo kuti varwere vane chiremera chinonzi anorexia nervosa vaiva nehurombo hwakakwana kunzwisisa kupfuura varwere vane anorexia nervosa, binge-purge subtype.
Izvo zvinoshandiswa pakuongorora anorexia nervosa zvinosanganisira "kushungurudzwa munzira iyo muviri wako uremu kana humiro hunoona." Varwere vangave vakanyanyisa, asi vanotenda kuti vakanyanya kuwandisa.
Bhuku Rekuziva uye Rokugadzirisa reMental Disorders, Fifth Edition (DSM-5), rinoti: "Vanhu vane anorexia nervosa kazhinji havazivi kana kuti vanoramba dambudziko racho."
Mune zvinyorwa zvekare pamusoro peanorexia nervosa, kusaziva uku kwedambudziko kwaiwanzoidzwa kunoramba, sezvo kwakatanga kurondedzerwa apo pfungwa dzepfungwa dzakanyanya.
Zvisinei, mamiriro acho ezvinhu achangobva kutumidzwa anosognosia . Izwi iri pakutanga raishandiswa neurologist kurondedzera chirwere chepfungwa chepfungwa umo vanhu vane uropi hwehupombwe vane kukanganisa kwakanyanya kwekuziva kumwe kukanganisa. Anosognosia, kana kusava nehanya, ane chikonzero chekutema uye inokonzerwa nekuparara kweuropi.
Munguva pfupi ichangobva kutaurwa izwi iri rakatanga kushandiswawo kune zvepfungwa dzepfungwa, schizophrenia uye bipolar disorder. Ubongo hwekufungidzira zvidzidzo hunoratidzika kuratidza hutano hwehupi pakati peasognosia nemamiriro aya. Sangano reNational Alliance pamusoro peMental Illness (NAMI) rinoshuma kuti anosognosia inokanganisa 50% yevanhu vane schizophrenia uye 40% yevanhu vane bipolar disorder, uye vanotenda kuti ndicho chikonzero chikuru chokuti varwere vane zvinetso izvi kazhinji havatori mishonga yavo.
Kushandisa izwi rokuti anosognosia kune anorexia nervosa inonzwisisika nokuti tinoziva kuti uropi hunovhiringidzika nekushaya kudya . Mune pepa muna 2006, Dr. Vanderycken akanyora kuti, "Muzviitiko zvakawanda zveanorexia nervosa, kusanzwisisika kunokonzera kusangana nekumaciation kunotaridzika zvakafanana kune anosognosia inotsanangurwa muhutano hwehutano." Muna 1997, Dr. Casper akanyora, "Kushaya kunetseka nemigumisiro inogona kukuvadza yekushaya kudya kwezvokudya zvinovaka muviri zvechokwadi inoratidza kuti ruzivo runotyisa harungatongororwa kana kuti rusingazovi kusvika pakuziva. "Mumwe munhu ane uropi husina kushaiwa kana kuora angave asingafungi zvakajeka kuti ashandise kuramba semanzwiro ekudzivirirwa mupfungwa.
Zvinetso
Kuona anorexia nervosa kuburikidza ne-lens ye anosognosia ine zvakakosha. Kana munhu anotambura chirwere chakakomba chepfungwa nehupenyu hunopisa upenyu husingatendi kuti iye anorwara, haafaniri kubvuma kurapwa. Izvi zvinowedzera mikana inogona kuitika kune zvinetso zvezvehutano uye kwenguva refu yezvirwere. Vanhu ava vangave vasingakwanisi kugadziriswa-kutungamirirwa, izvo zvaive, kusvikira munguva ichangopfuura, kurapa kwakafanana kune anorexia nervosa. Ichi ndicho chikonzero chikonzero kazhinji kune chido chekuwedzera kurapwa kwakadai sekugara kwekugara. Ndicho chikonzero nei mhuri inorapwa (FBT) inogona kubudirira zvikuru: muFBT, vabereki vanoita hutsika hunosimudza hutano hwekudzorera utano hwehutano hwevarwere.
Anosognosia inogona kuvhiringidza nhengo dzemhuri. Kana iwe uri mudiwa weumwe munhu ane chirwere chekudya uyo anoita seasingatendi ivo vanorwara kana vanoita sevasingafariri mukudzoka, tapota cherechedzai kuti ivo vari kusvibisa kana kusagadzikana. Zvinonyanya kukosha kuti havagoni kunzwisisa. Nenzira yakanaka, zvinokurudzira hazvidiwi kuti uwane kana mudiwa wako achiri muduku kana ari munhu wechidiki uyo ane mari. Iwe unogona kusimba uye unomiririra mukurapa kwavari.
Dr. Vandereycken anonyora kuti "kukurukurirana nemumwe munhu ane chirwere chekudya asi anoramba kuti hazvisi nyore." Anopa nzira nhatu dzevanoda:
- Ratidza rutsigiro uye kunetseka (zvisinei iwe uchaita seusingafungi);
- Kuratidza tsitsi uye kunzwisisa; and
- Taura chokwadi.
Mukupfupisa, anosognosia chirwere cheuropi; hazvina kufanana nekuramba. Nenzira inofadza, uropi hunodzorera nekudzorerwa uye kudzokera kuhutano hwakanaka. Kukurudzirwa uye njere zvinowanzodzoka nenguva kuti munhu wacho atore zvakasara zvekudzikinura.
Kuverenga Zvakare
Kuongororwa kweongororo dzezvekutsvakurudza pamusoro peasognosia muhutano hwepfungwa hunowanikwa kuburikidza neThe Treatment Advocacy Center. Laura Collins akanyora pamusoro pe nosognosia mune anorexia nervosa.
Sources
Casper, RC (1998). Maitiro ekugadzirisa nekusava nehanya, zviratidzo zvepfungwa zve anorexia nervosa? International Journal of Eating Disorders, 24 , 381-393.
Konstantakopoulos, G., Tchanturia, K., Surguladze, SA, & David, AS (2011). Kuongorora kune zvinetso zvekudya: kliniki uye kugadzirisana correlates. Chirwere chepfungwa , 41 (09), 1951-1961 .
Vandereycken, W. (2006). Kurega Kurwara muAnorexia Nervosa - A Conceptual Review: Chikamu 1 Kuziva Kuziva uye Kuongorora. Kudyidzana kweEuropean Disorders Review , Vol 14 (5), Sep-Oct 2006, 341-351.