Vakadzi vanowanzovhunduka nguva yavo yekuenda kumwedzi kwemazuva (menses). Zvisinei, kudya chirwere chekurapa vashandi vanowanzofadzwa apo chirwere chevarwere chinodzoka mushure mokunge charega nekuda kwechirwere chekudya. Kunyange zvazvo amorrhea (kusavapo kwekuenda kumwedzi kwemwedzi mitatu inotevera mumukadzi wechizvarwa chekubereka) kwakabviswa kubva kuDaagnostic uye Statistical Manual yeMental Disorders, Fifth Edition ( DSM-5 ) sechikonzero chekuongorora chirwere che anorexia nervosa-uye kudzoka kwemaitiro hakusi iyo nzira chete yekugadzirisa-inoramba iine chiratidzo chikuru chechirwere chevakawanda.
(Zvakakosha kuziva kuti havasi vakadzi chete vanotambura nezvinetso zvekudya, uye varume vanowanikwa navo pamatunhu akakwirira kudarika avo vaimbofungidzirwa.) Inotarisa kuti hapana chakaenzana neinororrhea pakati pevarume vane zvinetso zvekudya.Varume vanowanzoona kuora kwe testosterone , iyo inogona kukonzera zviratidzo zvayo. Nyaya iyi, zvisinei, ichasangana chete neinorrhea.)
Kushungurudzika Kwekudya uye Amenorrhea
Makumi makumi matanhatu nematanhatu kusvika kuzana 84 kubva kune vakadzi vane anorexia nervosa vane amenorrhea, vanezve 6 kusvika ku11 kubva muzana vane chiedza kana nguva isingaiti nguva yekuenda kumwedzi. Inenge 7 kusvika ku40 muzana yevakadzi vane bulimia nervosa vanodaro amenorrhea. Mumwe wechidiki wechidiki angave anonoka kutanga kwekutanga kwekutanga nekuda kwekudya kwekudya. Ameniorrhea inowanzoitika kakawanda kana muviri uri munharaunda ye "simba risina kukwana," umo caloric kudya hakukwanisi kuenderana nemhepo yakatsva.
Izvi zvinovhiringidza kutenderera kwehomoni inodzora masero. Vamwe vasikana vane anorexia, zvisinei, vanoramba vachienda kumwedzi munguva yezvirwere zvavo. Vamwe vasikana vanomira kumwedzi vasati vatanga kurasika. Kudya kudya kunowanikwawo kunokonzera kukanganisa kwemwedzi.
Kupera kwemaawa mumusikana wechidiki ane chirwere chekudya kunofanidza kutanga kwekumera.
Zviratidzo zvinosanganiswa zvinogona kusanganisira kufunganya kwemafungiro, usiku hunoti, kuoma kurara, zvinetso zvekuziva, uye shrunken mavari uye chibereko.
Chimwe chezvinhu zvinonyanya kukosha zvekushanduka kwehomoni iyi ndeye osteopenia , kupera kwe calcium mumapfupa. Kusvibiswa kwemapfupa kwakanyanya kunetseka nokuti vanoputsika pamatunhu akakwirira. Mune nguva refu, osteopenia inogona kutungamirira kumatambudziko asingagadziriswi uye asingagumi saiyeseoporosis (brittle bones).
Mune varwere vane anorexia nervosa, sevashoma kana mwedzi mitanhatu yeamenorrhea inogona kuwirirana nekuderera kwemafupa uye kuwedzera kwemafuro emitengo. Mwedzi makumi maviri ye amenorrhea yave ichibatanidzwa ne-bone yakanyanya kuora simba. Maererano naDr. Mehler naMackenzie,
Izvi zvinonyanya kukosha sekusvika chikamu chetatu chekurema-kudzorerwa varwere vane AN vachigara amenorrheic, zvichida yakabatana nekuenderera kwekusaenzana kwemagetsi. (2009, peji 197)
(Kusagadzikana kweMagetsi kunoreva kuti vangangodaro vasingadyi zvakakwana kana kuti vanonyanya kushandisa.)
Nhema Dzekutora Nguva Yako Kudzoka:
Nhema: Kuberekwa kwepiritsi kunogona kugadzirisa dambudziko re amenorrhea nekuda kwekushaya chirwere.
Kuberekwa kwepiritsi kunowanzosarudzwa mukuedza kutangazve maitiro uye kuderedza masimba ekushaya simba. Chimwe chekuongorora kwakaongororwa vanachiremba uye vakawana kuti 78 muzana vakataura mapiritsi ekuberekwa kwevabereki vavo vane anorexia nervosa.
Zvisinei, kutsvakurudza kunoratidza kuti kuberekwa kwekuberekwa kwepiritsi hakubatsiri kudzorera osteopenia.
Zvinokonzera nguva yenguva chete uye hazviwani pamwoyo wechinetso kana kubatsira nehutachiona hwemapfupa. Kutaura zvazviri, nokuti mapiritsi anogona kuvhara dambudziko racho (kusakwana kwekuenda kumwedzi) havakwanisi kune zvinangwa kunze kwokudzivirira kuberekwa (vasati vari kumwedzi vanoita zvepabonde vanogona kunge vachiri nepamuviri).
Maererano naDr. Mehler naMackenzie,
Uyezve, chimwe chikonzero chinoshanda chekudzivisa kushandisa hormonal therapy ndechokuti inogona kukonzera kubuda kwemazivo ayo angapawo pfungwa dzenhema yekurapa uye kusimbisa kukaramba kuvakadzi vanenge vachiri pasi. (2009, peji 197)
Nhema: Kuita muviri kunowedzera mapfupa emadzimai ane zvinetso zvekudya uye amenorrhea.
Kunyange zvazvo kurovedza muviri kunowanzobatsira kusimbisa nekuvaka pfupa, izvi hazvirevi chokwadi kuvarwere vane anorexia nervosa. Misra nevamwe vanyori vakanyora kuti:
[Kamwechete] vanova amenorrheic, simba redziviriro rekurovedza muviri rakarasika. Kusvika panguva ino, hapana humwe uchapupu hwokuti kukwirira-simba kwemaitiro mukati mekutenderera kwekureruka kwemazivi uye amenorrhea inodzivirira pfupa mu [anorexia nervosa]. (2015, p.12)
Uyezve, kuwedzeresa muviri kunogona kutungamirira ku isrogen kukwana uye amenorrhea, kuwedzera dambudziko.
Chokwadi Pamusoro Pokuwana Nguva Yako Kare
Chokwadi: Nzira yakachengeteka uye inobudirira zvikuru yekuvandudza masimba emapfupa mune anorexia nervosa iri kudzokera kune uremu hunofananidzwa nehutano hwekukura uye nhoroondo, uye kudzorerwa kwemazuva ekudzoka kwegore.
Madzimai, mapfupa haazosimbisi pasina estrogen yakakwana, inoda kudzoka kana kutanga kwekuenda kumwedzi. Mushonga wega wega wekugadzirisa zvinokonzerwa nehutachiwana hwakakwana uye hunochengetedza uremu hwekudzorera kuburikidza nekugadzirisa uye kushandiswa kwekudya (kusanganisira kubviswa kwebinge uye purge maitiro ).
Muzviitiko zvakawanda umo varwere vakagadziridzwa uye vakafungidzirwa kuti vanoporesa, amenorrhea inoramba ichingoitika. Zvinogona kutora kusvika kumwedzi mitanhatu kuti zvikwanise kudzokera shure mushure mekunge uremu hwakadzorerwa. Kushivirira kweinororrhea kupfuura iyi kunogona kuratidza kuti munhu haasi kurema zvakakwana zvakadzorerwa.
Chidzidzo che Faust uye vashandi (2013) chakaratidza kuti zvinetso zvekudya zvirwere zvinodhaka zvinogona kunge zvisina kukwana kugadzirisa chinorrhea. Ichi chidzidzo chinoti:
- Mukana wokurapa chinangwa kuvarwere vakura kuri kuwana 90 muzana yehutano hwemuviri hunotarisirwa (hunobva mumuviri wehuwandu hunoti, urefu, makore, uye zvepabonde).
- Pakati pevechiri kuyaruka vane anorexia nervosa muchidzidzo, kudzoka kwemaitiro kwakaitika pavhareji inenge 95 kubva muzana yehutano hwemuviri hunotarisirwa, "zvichiratidza kuti kana zvishoma zvishoma izvi zvinorema zvinotarisirwa kuti udzorere mafungiro muvechiri kuyaruka."
- Vanotaura kuti, "Kusiyana kwega kwega kuyerwa kwemaitiro inofanirwa kunzwisiswa," (peji 5) varwere vakawanda vanogona kunge vane zvikwata zvepamusoro (uye naizvozvo, zviyero izvo magetsi achadzokazve) kupfuura huwandu hwevanhu hunogona kuratidza.
- Vanotaura kune imwe tsvakurudzo inoratidza kuti haisi yeanotypiki kune vechidiki kuti vadzosere mabheji pane zviyero zvinopfuura mapaundi mashanu pane uremu hwakatsigira masero pamberi pokutanga kwe amenorrhea.
Zvinosuruvarisa, kune vamwe varwere, zvichienderana nehurefu, kusuruvara, uye zera pakunotanga kwehutano, hutachiona hwemapfupa hunogona kusati hwave huchazadzika zvizere, asi mikana inokurudzirwa zvikuru nekutanga uye utsinye.
Mhedziso
Mukupedzisa, kurasikirwa nematambudziko munguva yekushaya chirwere chinokonzera chikonzero chakakosha chekuzvidya mwoyo chinonyatsogadziriswa nekukurumidza kwekudzorera kwemajeri, kuisa tsika yekudya mafambiro, nekudya zvinosimudzira. Kana iwe kana mumwe munhu waunoda achidavira kuti akadzorerwa zvakakwana asi haasati ava nenguva yekuenda kumwedzi, iyo pfungwa yakanaka kuedza kuwedzera kukure uye kuona kana kuchinja kuchidzoka. Izvi zvinopa mukana wakanakisisa wokuderedza migumisiro yeupenyu husingaperi inokonzerwa nekushaya simba.
> Sources:
> Faust, JP, Goldschmidt, AB, Anderson, KE, Glunz, C., Brown, M., Loeb, Kl, Katzman, DK, uye Le Grange, DL (2013). Kudzorerwa kwemaitiro mu anorexia nervosa panguva yeboka-based treatment, Journal of Eating Disorders, 1:12 .
> Kimmel, MC, Ferguson, EH, Zerwas, S., Bulik, CM uye Meltzer-Brody, S. (2015), Zvinetso zvisingagadziriswe uye zvegynecologic zvinosangana nezvinetso zvekudya. International Journal of Eating Disorders .
> Mehler, P & MacKenzie, T. (2009). Kurapa kweasteopenia uye osteoporosis mu anorexia nervosa: kuongororwa kushandiswa kwemabhuku. International Journal of Eating Disorders, 42 (3): 195-201.
> Misra, M., Golden, NH naKatzman, DK (2015), Mamiriro ehutano hwehutano hwehutano hwemapfupa mune anorexia nervosa. International Journal of Eating Disorders.
> Robinson, E., Bachrach, L., Katzman, D (2000). Kushandiswa kwemahomoni kushandiswa kwehutachiona kuderedza dambudziko re osteopenia muvechiri kuyaruka vane anorexia nervosa, Journal of Adolescent Health, 26 (5): 343 - 348.