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October 10, 2025
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Ko te raruraru whakaahua tinana (BDD) tētahi āhuatanga hauora hinengaro e kaha ai te aro ki ngā hapa e whakaarohia ana i tō ahua e tata kore rānei e kitea e ētahi atu, kāo rānei e kitea. Ka nui atu ēnei āwangawanga i ngā māharahara noa mō tō ahua, ā, ka taea te tango i tō oranga o ia rā, ka pā ki ō whanaungatanga, mahi, me tō oranga whānui.
Ka whakapau pea koe i ngā haora ia rā e whakaaro ana mō ēnei hapa e whakaarohia ana, e tirotiro ana i ngā whakaata, kāo rānei e ngana ana ki te huna kāo rānei ki te whakatika i ngā mea e kitea ana e koe he raruraru. He tino pono te pouri, ahakoa ka whakamārama atu ētahi atu ki a koe kei te pai tō ahua. Ko te mārama ki te BDD ko te kaupae tuatahi ki te whiwhi i te tautoko me te maimoatanga ka taea te awhina i a koe ki te pai ake.
Ko te raruraru whakaahua tinana tētahi āhuatanga hauora hinengaro nui e tino kitea ai e koe ngā hapa i tō ahua e iti rawa ana, kāo rānei e kitea e ētahi atu. Ka mau tō roro ki te aro ki ēnei ngoikoretanga e whakaarohia ana, ka meinga ai te kitea me te pouri atu i te mea pono.
Kāore tenei e pā ana ki te whakapehapeha kāo rānei ki te tino awangawanga mō te ahua. Kei roto i te BDD te pouri hinengaro pono ka taea te whakaroa i tō kaha ki te mahi noa. Ko te āhuatanga e pā ana ki te 1 i te 50 o te iwi, ā, ka tīmata pea i ngā tau taiohi, ahakoa ka tīmata pea i te tamarikitanga kāo rānei i te pakeketanga.
Ko te nuinga o te hunga e pangia ana e te BDD e aro nui ana ki ngā wāhanga tinana motuhake penei i ō ratou kiri, makawe, ihu, kāo rānei te rahi o te uaua. Ka tino kaha te awangawanga kia tangohia ai e ia ngā haora maha ia rā, ā, ka pā nui ki tō kounga o te ora.
Ko ngā tohu matua o te BDD kei te aro nui ki ngā hapa e whakaarohia ana i tō ahua. Ka kite pea koe i a koe e whakapau ana i te wā nui e whakaaro ana mō ngā wāhanga tinana motuhake kāo rānei ngā āhuatanga e whakapono ana koe he he kāo rānei he rerekē.
Ko ēnei ngā tohu tino noa ka pā pea ki a koe:
Ko ēnei whāinga e whakarato ana i te whakaora wā poto noa iho, ki te mea he aha. Ka kite pea koe i a koe e mau ana i roto i ngā huringa e kore ai te tirotiro, te whakatika rānei e pai ake ai koe, engari ka kino ake.
Ko te pouri ka nui rawa te pānga ki tō kaha ki te aro ki te mahi, ki te kura, ki ngā whanaungatanga rānei.
Ko ētahi atu tangata e pangia ana e te BDD e pāngia ana hoki e te dysmorphia uaua, he momo motuhake kei reira koe e ngākau nui ana ki te whakaaro kei te iti rawa te uaua o tō tinana. Ka āhei tenei ki te whakakori nui, te whakamahinga o ngā steroids, te manukanuka tonu rānei mo te iti rawa, te ngoikore rānei.
Ko te BDD te nuinga o te wā e tūtaki ana ki ngā kāwai e rua, e whakaū ana i tō mārama ki ō whakaaro me ō whāinga. Ko te mārama ki ēnei momo ka āhei ki a koe te kite i ngā tauira i roto i tō wheako ake.
Ko te momo tuatahi e whakauru ana i te tirohanga pai, i te tirohanga tika rānei, kei reira koe e mohio ana kei te nui rawa, kei te kore pono rānei ō raruraru mō te āhua. Ka mārama pea koe kaore ētahi atu e kite i ngā hapa e manukanuka ana koe, engari kaore tonu koe e mutu te aro ki a rātou.
Ko te momo tuarua e whakauru ana i te tirohanga iti, i ngā whakapono whakapohehe rānei, kei reira koe e tino whakapono ana ko ō hapa e whakaarohia ana he marama, he whakararuraru hoki ki ētahi atu. I tēnei take, kaore pea koe e mohio kei te nui rawa ō raruraru ki te pono.
Heoi anō tetahi momo iti motuhake e kiia ana ko te mate pūngāwerewere o ngā uaua, i etahi wā e kiia ana ko te "anorexia hurihuri." Ko te nuinga o te hunga e pā ana ki tēnei he whakaaro nui ki te kore o rātou tinana e pakari, kāhore rānei e rahi, ahakoa pea he uaua rawa atu rātou.
Kāhore i tino mōhiotia ngā take tino nui o te BDD, engari e whakaatu ana te rangahau i te whanaketanga mai i te whakakotahitanga o ngā take pāpāngarau, hinengaro, me te taiao. Ko te kemika o tō roro, ngā ira, me ngā wheako o te ora katoa he wāhi nui ki te whanaketanga o tēnei āhuatanga.
He maha ngā take ka āhei te whakauru ki te whanaketanga o te BDD:
He mea nui te mōhio kei te kore te whanaketanga o te BDD he hara nāu. Ka taea e ēnei take te mahi tahi i ngā huarahi uaua, ā, ko te whai i ngā take tūpono kāhore e tikanga ka whanake koe i te āhuatanga. He tokomaha ngā tāngata e wheako ana i ngā wero rite kāhore he whanaketanga o te BDD.
I etahi wā ka puta mai te BDD i muri i tetahi kaupapa whakaohooho motuhake, pērā i te kōrero mō tō ahua, te huringa ora rānei e pēhia ana. Heoi, ko te ngoikoretanga i raro i te nuinga o te wā kei reira i mua i te whakaohooho.
Me pēhea rā te kōrero atu ki te kaiwhakarato hauora mena kei te tangohia e ō whakaaro pātai mo tō ahua te nui o te wā i ia rā, kāore rānei e āhei te mahi i ngā mahi noa. He mea nui te awhina ngaio ina pā ana ēnei āwangawanga ki ō whanaungatanga, mahi, ki te mahi kura rānei.
Rapua te tiaki hauora mena ka kite koe i ēnei tohu whakatūpato:
Kaua e tatari kia kaha rawa ngā tohu i mua i te rapu awhina. He maha ngā hua pai o te whakauru wawe, ā, ka taea te aukati i te āhuatanga mai i te pānga nui ki tō oranga. Kia mahara he āhuatanga taea te whakaora te BDD, ā, he taputapu whai hua kei ngā tohunga hauora hinengaro hei awhina.
Mena kei te whakaaro koe ki te whara i a koe, rapua te awhina tonu mā te raina waea pōhēhē, te ruma urupare, te tangata whakawhirinaki rānei i roto i tō oranga. Ko tō ora te mea nui rawa.
He maha ngā take ka piki ake ai tō tūponotanga ki te whanake i te BDD, ahakoa te kore o ngā take morearea e whakamana ana ka whanake koe i te āhuatanga. Ka taea e te mārama ki ēnei take te awhina i a koe ki te mohio ki ngā ngoikoretanga pea, ki te rapu tautoko hoki ina hiahiatia.
Ko ēnei take e whai ake nei ka piki ake ai tō morearea:
Ka taea hoki e ētahi āhuatanga o te tangata te whakauru ki te tūponotanga, tae atu ki te tino ngawari ki te whakakahore, te iti o te whakaaro ki a koe, te uaua rānei ki te whakamanawanui i te kore whakatā.
Ka taea hoki e ngā take hapori me ngā tikanga te whakauru, pēnei i te whakaatu ki ngā paerewa ataahua kore pono mā ngā pāpāho, te whakauru hoki.
Ki te whai koe i ēnei take tūponotanga, ehara tena i te tikanga ka puta mai te BDD. He tokomaha ngā tāngata e whai ana i ngā take tūponotanga maha, kāore i puta te mate, ā, ko ētahi atu e whai ana i ngā tūponotanga iti ake ka puta.
Ki te kore e rongoā te BDD, ka taea te arahi ki ngā raruraru nui e pā ana ki ngā wāhanga maha o tō oranga. Ko te aro nui ki ngā āwangawanga mō te ahua ka waiho hei tūranga o ngā raruraru e pā atu ana ki te āhua o tō whakaaro.
Ngā raruraru noa e whai ake nei:
Ka taea hoki e te mate te arahi ki te mea e kiia nei ko te "whakakakahu whānau," kei reira koe e whakawhanake ana i ngā mahi tino whakairoiro hei huna i ngā hapa e whakaarohia ana. Ā, pea ka whakapau moni nui ki ngā kakahu, ki te whakapaipai, ki ngā taonga rānei, ki te karo rānei i ētahi rā me ngā āhuatanga katoa.
I ngā take kino, ka noho rātou e pangia ana e te BDD ki te whare, kāore rānei e hono atu ki te whānau. Ko te rongo pai, mā te āwhina tika, ka taea te aukati i ēnei raruraru, kāore rānei e hurihia, kia taea ai e koe te whakahoki mai i tō oranga me ō whānau.
Ahakoa kāore he huarahi kī hei aukati i te BDD, ka āwhina pea etahi rautaki ki te whakaiti i tō tūponotanga, ki te hopu rānei i te mate i te wā e āwangawanga atu ana te rongoā. Ka taea e te hanga i te kaha me ngā pūkenga whakahaere hauora te tiaki i a koe kei puta mai ngā tohu kino.
Ko ēnei etahi huarahi tiaki:
Mō ngā mātua me ngā kai tiaki, ko te hanga i te taiao e whai hua ana i te tangata mō tōna āhua, tōna kaha, me tōna ngākau atawhai, kāore i te ahua, ka taea te tiaki. Ko te karo i ngā kōrero mō te ahua me te tauira i ngā whakaaro hauora mō te ahua o te tinana ka āwhina hoki.
Ki te kite koe i ngā tohu o mua o ngā āwangawanga nui mō te ahua i roto i a koe, i tetahi e arohaina ana e koe rānei, kaua e tatari ki te rapu tautoko. Ka taea e te whakauru wawe te aukati i te BDD kei pā kino ki te mahi o te ora.
Ko te whakatau i te BDD e whakauru ana i te aromatawai whānui e te tohunga hauora hinengaro e whai tohungatanga ana ki ngā mate whakaaro mo te ahua o te tinana, te manukanuka rānei. Kāo he whakamātautau kotahi mō te BDD, na reira ko te whakatau i runga i te mārama ki ō tohu, ō whāinga, me te āhua o te pānga ki tō oranga o ia rā.
I te wā o te tukanga whakatau, ka ui tō kaiwhakarato hauora ki ngā pātai taipitopito e pā ana ki ō awangawanga mō tō ahua, tae atu ki te nui o te wā e whakapau ana koe ki te whakaaro ki a rātou, me ngā whāinga e whakaohohia ana e rātou. Ka hiahia rātou ki te mārama ki te āhua o te pānga o ēnei awangawanga ki tō mahi, ki ō whanaungatanga, me tō mahi katoa.
Ka mahia te whakatau i te wā e tutuki ana ngā tikanga maha: kei te ngakau nui koe ki ngā hapa e kore e kitea e ētahi atu, kei te tupu ēnei awangawanga i te pouri nui, te ngoikore rānei, ā, kei te whakauru koe ki ngā whāinga whakahoki, ngā mahi hinengaro rānei hei whakautu ki ō awangawanga mō tō ahua.
Ka tirotirohia hoki e tō kaiwhakarato ngā āhuatanga ke atu e taea te puta tahi me te BDD, pēnei i te pouri, ngā mate manukanuka, te mate obsessive-compulsive, te mate kai rānei. Ko tēnei huarahi whānui e whakarite ana ka whiwhi koe i te rongoā tika mō ngā āhuatanga katoa o tō hauora hinengaro.
I ētahi wā, ka mangere ngā tāngata e pangia ana e te BDD ki te kōrero mō ō rātou awangawanga, nā te mea ka wehi rātou kei whakahēa rātou, kei kore rānei e tangohia o rātou kōrero. Kia mahara ko ngā tohunga hauora hinengaro kua whakangungua ki te mārama me te whakaora i ēnei āhuatanga me te aroha me te mātauranga.
Ko ngā rongoā tino whai hua mō te BDD ko te rongoā whāinga-arotau (CBT) me ētahi rongoā, ka whakamahia ngātahi. Ka taea e ēnei huarahi e tautokona ana e ngā mōhiohio te whakaiti i ngā tohu me te āwhina i a koe ki te whakahoki i te mana ki tō oranga.
Ko te rongoā-ā-hinengaro e āta whakatūpato ana mō te BDD te āwhina i a koe ki te kimi me te whakarereke i ngā āhuatanga o te whakaaro me ngā whāinga e pupuri ana i ō māharahara mō tō ahua. Ka ako koe i ngā pūkenga hei wero i te whakaaro kē, hei whakaiti i ngā whāinga tirotiro me te karo, me te whakawhanake i ngā huarahi hauora ake hei whakahaere i te pouri.
Ko ētahi rongoā hei āwhina:
Ka arotahi anō te maimoatanga ki te āwhina i a koe ki te tū kotahi i ngā āhuatanga kua karohia e koe nā te māharahara mō te ahua. Ka mahi tenei mahi whakaatu i te ngawari me te tautoko, ā, ka āwhina i a koe ki te whakawhanake i te maia me te whakaiti i te awangawanga i te wā.
Ka whai hua ētahi i ngā rōpū tautoko ka taea te hono atu ki ētahi atu e mārama ana ki ō wheako. Ka whai hua pea te whānau rongoā, inā koa mō ngā tāngata kōhungahunga, te pānga rānei o ngā whānau ki ngā tohu BDD.
Ahakoa he mea nui te maimoatanga ngaio mō te BDD, he maha ngā rautaki ka taea te whakamahi i te kāinga hei tautoko i tō ora. Ka pai te mahi o ēnei huarahi tiaki-whaiaro ina whakakotahitia ki te rongoā me te rongoā, ehara i te whakakapi mō te awhina ngaio.
Ko ētahi rautaki o ia rā hei āwhina:
Hangaia he mahinga o ia rā e whakauru ana ki ngā mahi whai kiko kāore e pā ana ki te ahua. Ā, pea ka uru atu ki ēnei: ngā whakaongaonga, te mahi tūāwhiorangi, te ako i ngā pūkenga hou, te noho rānei i te taiao. Ko te whāinga kia whanui ake tō tuakiri i tua atu i te ahua o te tinana.
Ina kite koe kua mau koe ki ngā whakaaro, ki ngā whāinga rānei e pā ana ki te ahua, whakamātauria te tikanga "MUTU": Mutu te mahi kei te mahi koe, Tangohia he manawa, Tirohia ō whakaaro me ō ngākau kaore he whakawa, ā, Haere tonu ki te mahi whakahaere, te mahi whai hua.
Ka taea e te whakarite mō tō whakatau te awhina i a koe ki te whakamahi pai i tō wā me te kaiwhakarato hauora, ā, kia whakarite ai koe ka whiwhi koe i te tautoko e hiahia ana koe. Ko te haere mai kua whakaritea ka awhina hoki i te whakaiti i te manukanuka mō te kōrero i ngā kaupapa ngawari e pā ana ki ō awangawanga mō tō ahua.
I mua i tō whakatau, tuhituhia ō tohu, tae atu ki te nui o te wā e whakaaro ana koe ki ngā awangawanga mō te ahua, me ngā whāinga motuhake e uru atu ana koe. Tātaihia te pānga o ēnei take ki tō oranga o ia rā, ki ō whānau, ki tō mahi, ki tō mahi ako rānei.
Mau mai he rārangi o ngā pūtaiao e hiahia ana koe ki te ui:
Mēnā kei te mārama koe, whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema o te whānau rānei hei whakarato i ētahi atu tirohanga me te tautoko. Āta tirohia pea e rātou ngā tohu, ngā pānga rānei kaore koe i kite, kāore rānei i te ngāwari ki te kōrero.
Kia pono ki ō tohu katoa, ahakoa he whakama, he whakama rānei. Mahara kua kite ngā kaiwhakarato hauora i ēnei āhuatanga i mua, kei konei rātou hei āwhina, ehara i te whakahe. Ka āwhina ō kōrero tika ki a rātou ki te whakarato i te tiaki pai rawa atu mō tō āhuatanga.
He mate hinengaro pono, he mate e taea te whakaora, te mate hinengaro e pā ana ki te pouri nui mō ngā hapa e whakaarohia ana i te ahua. Mēnā kei te whawhai koe ki ngā āwangawanga nui e pā ana ki te ahua e āwangawanga ana i tō oranga o ia rā, kia mōhio koe ehara koe i te kotahi anake, kei te wātea te āwhina.
Ko te mea nui rawa atu kia mahara ko te BDD ka whakautu pai ki te rongoā tika. Ma te whakakotahitanga tika o te rongoā, te rongoā, me te tautoko, ka nui te whakapai ake o te nuinga o te iwi i ō rātou tohu me te kounga o te ora.
Kaua e tuku i te whakama, i te whakama rānei ki te rapu āwhina. E mārama ana ngā tohunga hauora hinengaro ki te BDD, ā, he taputapu whai hua kei a rātou hei tautoko i tō ora.
He mea e taea te ora, ā, e tika ana kia pai koe, kia whakawhirinaki ki tō kiri ake. Tangohia taua taahiraa tuatahi ki te tiki tautoko – ka mihi tō ake a muri mai ki a koe mō taua mea.
Kāo, he rerekē rawa te BDD i te whakapehapeha noa, i ngā kore whakapono noa rānei mō te ahua. Ahakoa he whakaaro ētahi tangata mō te āhua o rātou, ko te BDD e whakauru ana i te whakaaro nui, mau tonu, e āwangawanga nui ana i te mahi o ia rā. Kāore ngā tāngata e pangia ana e te BDD e whiriwhiri ana ki te aro ki tō rātou ahua – ka mau tonu te roro ki ngā hapa e whakaarohia ana i ngā huarahi e pāngia ai te pouri me te ngoikore.
Kaore e tino pai ake te BDD me te kore rongoā ngaio. Ko te tikanga, ka kaha ake ngā tohu i te wā me te kore awhina, ka āhei ai te wehe atu, te pouri, me te ngoikore o te mahi. Heoi, mā te rongoā tika tae atu ki te whakaora me te rongoā i etahi wā, ka nui ake te whakapai ake o te nuinga o te iwi. Ko te rongoā wawe te tikanga ka pai ake ngā hua, ā, ka ārai i te āhuatanga kia kore e pā kino ki tō oranga.
Ko te BDD e pā ana ki te 1 o te 50 o te iwi, ā, he maha atu te hunga e mohio ana. E pā ana ki ngā ira tangata katoa, ahakoa e whakaatu ana etahi rangahau he iti ake pea te maha o ngā wāhine. Ko te tikanga ka tīmata te āhuatanga i ngā tau o te taiohi, engari ka tīmata i te tamarikitanga, i te pakeketanga rānei. He tokomaha ngā tāngata e pangia ana e te BDD kaore e rapu awhina nā te whakama, te whakama rānei, no reira pea ka nui ake ngā tau.
Ko ngā tikanga whakapai ā-tinana e tino iti nei te whakaora roa mō te hunga e pangia ana e te BDD, ā, e āhei ana kia kaha ake te kino o ngā tohu. Ahakoa e angitu ana ngā tikanga i te hangarau, e kore ngā tāngata e pangia ana e te BDD e makona tonu, kāore rānei ka puta mai ētahi atu āwangawanga mō te ahua. He mea nui kia whakahaeretia te BDD i roto i te ngākau mā te rongoā hauora hinengaro i mua i te whakaaro ki ētahi tikanga whakapai ā-tinana. Kei te whakangungua inaianei te nuinga o ngā tākuta ki te mohio ki te BDD, ā, ka āhei pea te tuku atu i ngā turoro ki te aromatawai hinengaro tuatahi.
Ko te tautoko i tētahi e pangia ana e te BDD ko te manawanui, te aroha, me te whakatenatena i a rātou kia rapu awhina ngaio. Kaua e whakamārama anō ki a rātou mō tō rātou ahua, i te mea ka taea e tēnei te whakakaha i te mate. Engari, aro atu ki ō rātou āhuatanga pai kāore e pā ana ki te ahua, ā, whakatenatenahia ngā mahi kāore e āta whakaaro ki te ahua. Whakarongohia me te kore whakawa, akohia te BDD kia pai ai te mōhiotanga ki ō rātou wheako, ā, tukua te awhina ki a rātou ki te kimi i ngā rauemi rongoā, ki te haere tahi rānei ki ngā whakatau i te mea e pai ana rātou ki taua mea.
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