Mhlawumbi enye yeempawu ezinzima kakhulu ze- anorexia nervosa kunye nezinye iingxaki zokutya ezikhuselekileyo-ngokukodwa ngamalungu entsapho kunye nabaqeqeshi bonyango-isifo somguli sokuba akagula. Umphumo oqhelekileyo wokungakholelwa umntu uyagula kukuba akafuni ukuphilisa.
Enyanisweni, ukungabikho kokukhathazeka kwesigulane ngeengxaki kuye kwaba yinto ecacileyo ye-anorexia nervosa.
Kudala ngo-1873, u-Ernest-Charles Lasègue, ugqirha waseFransi owayengowokuqala ukuchaza i-anorexia nervosa, wabhala: "'andiyikuhlupheka kwaye kufuneka ndibe kakuhle,' yindlela ephilileyo." kubikwa nguDkt. Vandereycken, baye babika "ukuphika ukugula" ukuba kubekho kwi-80% yezigulane ze-anorexia nervosa ezihlolisisiweyo. Kwezinye izigulane ze-anorexia nervosa, eli phesenti lingahle linciphise. Kwisifundo seConstantakopoulos kunye noogxa, iqela legciwane le-anorexia nervosa (i-24%) lalinokukhubazeka okunzulu kwengqiqo. Kwakhona bafumanisa ukuba izigulane ezine-anorexia nervosa ezithintekayo zinengqiqo enkulu kunezigulane ezine-anorexia nervosa, i-binge-purige subtype.
Inkqubo yokuxilonga i-anorexia nervosa ifaka "ukuphazamiseka endleleni umzimba womzimba okanye ubunzima obuye bafumana ngayo." Izigulane zinokuba zixakeke kakhulu, kodwa bakholelwa ukuba zikhulu kakhulu.
I-Manual Diagnostic and Statistical of Disabilities Disorders, i-Fifth Edition (DSM-5), ithi: "Abantu abane-anorexia nervosa kaninzi abanakho ukuqonda okanye bayayiphika ingxaki."
Kwiimibhalo zangaphambili malunga ne-anorexia nervosa, ukungaqondi kakuhle kwengxaki kwakudla ngokuba kuthiwa ukuphika, okokuqala kuchazwe xa iingcamango zengqondo zithinteka.
Nangona kunjalo, le mqathango sele ibizwa ngokuba ngu- anosognosia . Leli gama lalisetyenziswe okokuqala ngama-neurologists ukuchaza i-neurological syndrome apho abantu abanomonakalo wengqondo banokungaqondi ngokucacileyo ukulahleka okuthile. U-Anosognosia, okanye ukungabi nalwazi, unesiseko esenziwe ngama-anatomiki kwaye kubangelwa umonakalo kwengqondo.
Ngoku kutshanje ixesha liye laqala ukusetyenziswa kwizimo zengqondo ezifana nesifo schizophrenia kunye nengxaki yokuguquka kwengqondo. Ucwaningo lwezinto zobomi lubonakala lubonakalisa uxhumano lobuchopho phakathi kwe-anosognosia kunye nale miqathango. I-National Alliance kwiNgqondo Yengqondo (i-NAMI) ithi i-anosognosia ithinta ama-50% abantu abane-schizophrenia kunye nabangama-40% abantu abane-bipolar disorder, kwaye bakholelwa ukuba yeso sizathu esona sizathu sokuba izigulane ezinezi ngxaki zihlala zingathathi iyeza zabo.
Ukusebenzisa i-terminoognosia kwi-anorexia nervosa inengqiqo kuba siyazi ukuba ingqondo ichaphazeleka ngokungondleki . Kwiphepha ngo-2006, uDkt. Vanderycken wabhala wathi, "Kwiimeko ezininzi ze-anorexia nervosa, ukungabandakanyeki ebusweni be-emaciation kubonakala kufana ne-anosognosia echazwe kwiintsholongwane ze-neurological." Ngo-1997, uDkt. Casper wabhala, "Ukungabi Ukuxhalabisa ngemiphumo engengozini yokungondleki ngokuqinisekileyo ibonisa ukuba ingcaciso eyoyiyo ingenakucutshungulwa okanye ayikwazi ukufikelela ekuqondeni. "Omnye onesifo esingenakondla okanye obonakaliswe ingqondo akanakucinga ngokucacileyo ukuba asebenzise ukukhanyela njengendlela yokukhusela ngokomzimba.
Impembelelo
Ukujonga i-anorexia nervosa ngokusebenzisa i-lens ye-anosognosia inemilinganiselo ebalulekileyo. Ukuba umntu obandezeleka ngengqondo yengxaki ezinobungozi obunobomi akakholelwa ukuba uyagula, akakwazi ukufumana unyango. Oku kwandisa ingozi engozini yeengxaki zonyango kunye nexesha elide lokugula. Laba bantu bangenakho ukufumana unyango olulinganiswa nolwazi, okwakusandul 'utsha, unyango olufanayo lwe-anorexia nervosa. Esi sizathu esinye sihlala sisidingo sokonyango olunzulu olunjengokunakekelwa kwendawo yokuhlala. Yingakho unyango olusekelwe kwintsapho (FBT) lunokuphumelela ngakumbi: kwi-FBT, abazali benza ukuphakamisa okunzima ukubuyisela impilo yesondlo sempilo.
U-Anosognosia unokudidanisa amalungu entsapho. Ukuba ungumthandi womntu onentsholongwane yokutya obonakala engakholelwa ukuba abagula okanye abonakala engathandeki ekuphumeni, nceda uqaphele ukuba abazingcolisi okanye abanqabile. Kungenzeka ukuba abanako ukuqonda. Ngethamsanqa, akukho mfuneko yokuba uhlaziywe xa umthandwa wakho encinci okanye umdala osemdala oxhomekeke kwimali. Unokuma uqine kwaye unyanzele unyango kubo.
UDkt. Vandereycken ubhala ukuba "ukuthetha nomntu onentsholongwane yokutya kodwa uphika ukuba akulula." Ucebisa amacebo amathathu kubathandekayo:
- Bonisa inkxaso kunye nenkxalabo (ngaphandle koko uya kubonakala ungakhathazeki);
- Bonisa uvelwano nokuqonda; kwaye
- Chaza inyani.
Isishwankathelo, i-anosognosia yimeko yengqondo; akufani nokukhanyela. Ngethamsanqa, ubuchopho buyifumana ngokutya kunye nokubuyela kwisisindo esifanelekileyo. Isizathu kunye nokuqonda kudla ngokuphindaphindiweyo ngexesha lokuba umntu athathe intsalela yokufumana kwakhona.
U kufunda ngakumbi
Ukuphononongwa kweengxelo zophando kwi-anosognosia kwisifo sengqondo sifumaneka kwiCandelo loLondolozo lweZonyango. ULaura Collins ubhale malunga neognosia kwi-anorexia nervosa.
Imithombo
Casper, RC (1998). Ukusebenza komsebenzi kunye nokungabikho kokukhathazeka, iimpawu eziphambili ze-anorexia nervosa? I-International Journal ye-Disorders Eating, 24 , 381-393.
Konstantakopoulos, G., iTchanturia, K., Surguladze, SA, & David, AS (2011). Insight kwiingxaki zokutya: iiklinikhi kunye neengxaki zokuqonda. Iyeza zengqondo , 41 (09), 1951-1961 .
Vandereycken, W. (2006). Ukulahlwa kwezifo ku-Anorexia Nervosa - Ukuphononongwa kwengqiqo: Icandelo 1 UkuBaluleka kokuHlola nokuHlola. Ukuhlaziywa kwe-European Eating Disorders Review , Vol 14 (5), Sep-Sep 2006, 341-351.