So wudidi nso a wuntumi nni so? (Binge Eating Disorder) - Momma yɛnka eyi ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wubedi aduan dodow bi a wuntumi nni so prɛko pɛ? Sɛ wudidi wie a, wudi awerɛhow, wunu wo ho, anaa w’ani wu? Sɛ saa nneɛma yi taa to wo a, ebia wowɔ tebea bi a wɔfrɛ no Binge Eating Disorder (BED), a yɛreka ho asɛm nnɛ. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm akɔ akyiri.

Dɛn ne Adidi mmoroso (BED)?

Sɛ yɛbɛka no tiawa a, Binge Eating Disorder (BED) yɛ suban mu ɔhaw. Nea ɛda nsow ne sɛ obi di adidi mmoroso bere tenten a wontumi nni so. Yɛn nyinaa didi boro so bere ne bere mu. Nanso saa adidi mu haw yi yɛ biribi a wo ne no tra da biara da. Ɛte sɛ nea obi fi wo tirim redi wo so. Ebetumi anya w’adwene, nkate, ne nipadua mu yiyedi so nkɛntɛnso kɛse. Binge eating yɛ bere a wudi aduan pii wɔ bere tiaa bi mu na wote nka sɛ wuntumi nnyae.

Yɛn mu pii betumi anya saa sɛnkyerɛnne ahorow yi bere ne bere mu. Nanso sɛ saa nneɛma yi fi ase si daa (pɛnkoro dapɛn biara anaa nea ɛboro saa) a, ebia wubenya saa tebea yi. Nneɛma a atwa yɛn ho ahyia te sɛ adwennwen ne yɛn abusuabɔ nso betumi aka wo nneyɛe na aka w’adwene. Saa nneɛma yi ne nneɛma afoforo betumi apia wo akodu baabi a wubedi adidi a ɛnteɛ a wɔfrɛ no BED .

Adidi mmoroso (BED) abu so dɛn?

Wunim, Binge Eating Disorder (BED) ne adidi mu haw a abu so sen biara. Nokwarem no, ɛyɛ adidi mu haw ahorow a wohu nyinaa mu bɛyɛ fã. Ɛka nnipa a wɔwɔ Amerika no mu bɛyɛ 3%. Ɛtaa ba mmeawa so sen mmarimaa, na ne nsusuwii bɛyɛ 3:2. Ɛtaa ba mmerante ne mmabaa nso mu sen mpanyimfo, na ne nsusuwii bɛyɛ 4:3. Enti wubetumi ahu sɛ eyi nyɛ soronko saa.

Dɛn ne Binge Eating Disorder (BED) ho sɛnkyerɛnne?

Hwɛ sɛ wote nka anaa wuhu nneɛma a ɛte sɛɛ anaa:

• Adidi kosi sɛ wobɛte nka sɛ wo ho nyɛ wo dɛ , bere a woama amee mpo akyi.
• Adidi ntɛmntɛm araa ma wunnya bere mpo nsusuw dodow a woredi anaa sɛnea ɛma wote nka no ho.
• Aduan pii a wubedi bere a ɔkɔm de wo, anaasɛ bere a woadi awie pɛɛ.
• Nkate mu adidi yɛ adidi a wɔde bua nkate mu nhyɛso . So wote nka sɛ wubedidi bere a wote awerɛhow anaa wo bo fuw?
• Adidi saa kwan yi so betumi ama woate afobu nka, ahonu, aniwu, ne obu a obi wɔ ma ne ho ho nsɛm .
• Wo nko ara adidi, kokoam , ne kwati a wo ne afoforo bedi.
• Aduan ne nnuan pɔtee bi ho nsusuwii a ɛyɛ den), a ɔwɔ ho akɔnnɔ a emu yɛ den.
• Aduan a wɔboaboa ano na wɔde sie .
• Sɛ wobɔ mmɔden sɛ wubedi aduan bere nyinaa, nanso ebia ɛremma wo mu duru so tew, nanso ebetumi ama wo mu duru asakra kɛse, anaasɛ mpo wo mu duru so atew koraa.

Nea ɛho hia ne sɛ, nea ɛnte sɛ tebea horow te sɛ Bulimia Nervosa , BED nhwehwɛ sɛ wɔhohoro, ɔfe, wɔde nnuru a ɛma obi ho kyere no di dwuma ɔkwammɔne so, anaa apɔw-mu-teɛteɛ a ɛboro so de yi calories a ɛwɔ mu bere a wɔadi awie no afi hɔ. Adidi mmoroso bere bi ba awiei bere a wodi aduan.

Nanso, ebia nnipa binom a wɔwɔ BED nso yɛ wɔn a wodi aduan a enni sabea. Ebia wɔbɛbɔ mmɔden sɛ wɔbɛto calorie dodow ano hye, nanso afei wɔadi adidi mmoroso bio. Anaasɛ, ebia wɔbɛbɔ mmɔden sɛ wɔbɛsan adidi bio de atua adidi boro so bere a wɔadi pii akyi no so ka.

Dɛn nti na yɛte nka sɛ yebedi aduan a yentumi nni so saa?

Nneɛma pii wɔ hɔ a ɛka adidi suban. Adwene mu nneɛma, abɔde mu nneɛma, ne suban a wɔasua ka eyi. Ebia nea enti a wote nka sɛ wudi aduan a wuntumi nni so no bɛyɛ soronko wɔ nea enti a ɛka obi foforo no ho. Sɛ yedidi a, yɛn amemene no ma nkwaadɔm a ɛma anigye ( Serotonin ne Dopamine ) fi mu ba. Eyi betumi ama obi anya su horow a ɛma obi yɛ ade tra so. Afei nso, wobetumi de aduan adi dwuma sɛ ɔkwan a wɔfa so yi nkate a ɛnyɛ dɛ fi hɔ, ma ɛyɛ mmerɛw, anaasɛ wɔde tua ahiade ahorow a wonnya nnii ho dwuma no ho ka. Susuw ho hwɛ, sɛ wote awerɛhow kɛse nka a, chocolate asinasin bi a wubedi no te nka sɛ ɛyɛ awerɛkyekye kakra.

Dɛn ne asiane ahorow a ɛwɔ Binge Eating Disorder (BED) mu?

Ebia ɛbɛyɛ mmerɛw sɛ wubenya BED sɛ wowɔ saa tebea horow yi a:

• Obi a ɔwɔ abusua no mu ayɛ basaa wɔ adidi mu .
• Abusua mufo a wonni nkate mu haw ahorow ho dwuma yiye (nkate mu ɔhaw ahorow a ɛnyɛ adwuma) .
• Sɛ w'ankasa woanya ahodwiriw anaa ayayade a .
• Sɛ woahyia aduan a wonnya nni wɔ bere a atwam no mu a.
• Sɛ wowɔ adwenemyare te sɛ adwenemhaw anaa dadwen a .
• Adwene a Ɛnyɛ Den/Adeyɛ a Ɛyɛ Den (ADHD) .
• Nnubɔne a Wɔde Di Dwuma Ho Ɔhaw (SUD) .
• Obi nipadua ho nsusuwii a wɔakyinkyim (Body Dysmorphic Disorder - BDD) .
• Executive dysfunction , a ɛkyerɛ mmerɛwyɛ wɔ nneɛma te sɛ gyinaesi ne nhyehyɛe mu.

Dɛn ne nsɛnnennen a ebetumi afi Binge Eating Disorder (BED) mu aba?

Adwene mu yare biara betumi ayɛ kɛse, na ɛde nsusuwii, nkate, ne nneyɛe a ɛsɛe ade kɛse aba. Sɛ BED, kɛseyɛ mmorosoAkwahosan mu nsɛnnennen a efi eyi mu ba no nso betumi ayɛ kɛse. Ɛwom sɛ ɛnyɛ obiara a ɔwɔ BED na ɔyɛ kɛse mmoroso de, nanso sɛ obi nya tebea abien no nyinaa bom a, ebetumi apira no titiriw. Adidi boro so ne mu duru a ɛkɔ soro wɔ abusuabɔ, na ebetumi ama w’adwene ne wo nipadua mu nhyɛso akɔ soro bio.

Adwene mu yare a wɔansa no betumi de nsɛnnennen te sɛ:

• Suban a ɛne asetram nsɛm nhyia a ɛkɔ soro - te sɛ kokoamsɛm, afoforɔ a wɔkwati, ne atoro.
• Suban a ennya nkɔso - te sɛ aduan a wowia, aduan a wɔde sie.
• Adwenemhaw, dadwen, ne nipadua mu nsakrae a ɛkɔ soro .
• Adwennwen a ɛkɔ soro, ne ho tan, ne asiane a ɛwɔ hɔ sɛ obepira ne ho .

Ɔkwan bɛn so na wohu sɛ obi anya Binge Eating Disorder (BED)?

Nnuruyɛfo na wohu saa adidi mu haw ahorow yi denam nsɛm a ɛkɔ akyiri a wobisa fa wo nneyɛe, wo nsusuwii, ne wo nkate ho no so. Ebia wobɛtwentwɛn wo nan ase sɛ wobɛka saa nsɛm yi, nanso nokwaredi ho hia na ama woahu yare no pɛpɛɛpɛ .

Wo duruyɛfo no bɛhwehwɛ wo mmuae mu sɛnea gyinapɛn ahorow a ɛwɔ Diagnostic and Statistical Manual of Mental Disorders (DSM-5) . Nneɛma a wɔde hu sɛ obi anya BED no bi ne:

• Aduan pii a wobedi sen sɛnea nnipa dodow no ara di wɔ bere tiaa bi mu (dɔnhwerew biako anaa abien).
• Sɛ́ wobɛte nka sɛ wuntumi nni adidi so anaasɛ wɔhyɛ no.
• Anyɛ yiye koraa no, saa adidi mmoroso yi ba pɛnkoro dapɛn biara na ɛtra hɔ asram pii.
• Adidi kosi sɛ wobɛte nipadua mu yare ne/anaasɛ nkate fam ahokyere ne wo ho tan nka.

Adwene ne nneyɛe ho ɔyaresafo anaa w’abusua oduruyɛfo betumi ayɛ saa nhwehwɛmu yi.

So akyinnye biara nni ho sɛ mihia sɛ wohu me yare no?

Nokwarem no, ɛho nhia sɛ wohu sɛ wowɔ bi ansa na woafi ase ayɛ BED ayaresa. Sɛ mpo wo sɛnkyerɛnne ahorow no yɛ "subclinical," a ɛkyerɛ sɛ enni BED gyinapɛn ahorow no ho a, ebia wobɛda so ara anya ayaresa so mfaso. Nanso, sɛ wunya aban krataa a ɛkyerɛ sɛ wowɔ yare no a, ebetumi ama woanya ahotɔ na woagye atom. Ebetumi nso ama woanya ahoɔden de abisa mmoa. Eyi betumi ayɛ nea ɛho hia titiriw ama awofo a wɔrebɔ mmɔden sɛ wɔbɛboa wɔn mma.

Dɛn na ɛka ayaresa nhyehyɛe a wɔyɛ ma Binge Eating Disorder (BED) ho?

Biribiara nni hɔ a wobetumi de asiesie eyi ntɛm. Nanso sɛ wowɔ ayaresa nhyehyɛe a ɛkɔ so daa a ɛkyɛ a, wubetumi anya ahoɔden afi BED mu. Adwene ne nneyɛe ho ayaresaMpɛn pii no, eyi ne ayaresa nhyehyɛe yi nnyinaso, na wɔada no adi sɛ ɛyɛ yiye ma nnipa pii. Wɔ tebea horow bi mu no, ebia nnuru anaa aduan pa ho afotu nso ka wo nhyehyɛe no ho. Ebia ebehia sɛ wo ne akwahosan ho adwumayɛfo ahorow te sɛ adwene ne nneyɛe ho ɔbenfo, adwenemyare ho ɔbenfo, anaa aduan ho ɔbenfo a wɔakyerɛw ne din yɛ adwuma.

Ayaresa a wɔde sa yare

Adwene mu ayaresa , a wɔsan frɛ no ɔkasa ayaresa no yɛ BED ayaresa nhyehyɛe no fã titiriw. Akwan ahorow wɔ hɔ a wɔfa so sa yare. Akwan a wɔada no adi kɛse a wɔfa so sa BED ne:

• Cognitive Behavioral Therapy (CBT) : CBT boa wo ma wohwehwɛ wo nneyɛe ne nsusuwii ne nkate a ɛwɔ akyi no mu. Wo duruyɛfo ne wo bɛyɛ adwuma de agyae nneyɛe a ɛmfata na wahwehwɛ akwan pa a ɔbɛfa so adi nsusuwii ne nkate horow a ɛhaw wo no ho dwuma.
• Dialectical Behavior Therapy (DBT) : Saa kwan yi gyina CBT so, nanso wɔayɛ no titiriw ama nnipa a wonya nkate a emu yɛ den yiye. Ɛtwe adwene si saa nkate horow no a wubedi kan agye atom, asua sɛnea wo ne no bɛtra, na afei woayɛ adwuma de asesa wo nneyɛe so.
• Nnipa Ntam Adwene mu Ayaresa (IPT) : IPT yɛ bere tiaa mu ayaresa kwan a wɔde wɔn adwene si so. Ɛtwe adwene si mprempren abusuabɔ mu ntawntawdi ne adwennwen a ɛreka w’asetra so. Wo duruyɛfo no bɛboa wo ma woasiesie ɛyaw a ɛba wo ntɛm ara no, sen sɛ wobɛhwehwɛ mmofraberem nsɛm mu akɔ akyiri.

Nnuru a wɔde ma

Nnuru betumi adi dwuma aboa wɔ w’ayaresa no mu. Bere a ennya BED so nkɛntɛnso tẽẽ no, wobetumi aboa ma wɔadi nneɛma a ɛde ba no bi ho dwuma. Ebia nnuru a wɔde di dwuma no bi ne:

• Lisdexamfetamine (Vyvanse®) : Nnansa yi ara, saa ADHD aduru yi bɛyɛɛ aduru a edi kan a U.S. Aduan ne Nnuru Dwumadibea (FDA) apene so sɛ wɔde sa BED. Nhwehwɛmu ada no adi sɛ ɛboa ma wɔhyɛ nkate so wɔ tebea abien no nyinaa mu. Bere a ɛnka nea ɛde tebea no ba titiriw ho dwuma no, ebetumi aboa ma wɔasiw ano.
• Nnuru a wɔde sa adwenemyare afoforo : Ebia wubehia nnuru a wɔde sa tebea foforo a ɛfa w’adidi mu haw ho, te sɛ nnuru a ekum adwenemhaw anaa nnuru a wɔde sa dadwen . Adwene mu akwahosan tebea horow a ɛda adi a wobɛsa no betumi aboa ma w’adidi mu haw no mu ayɛ den.
• Nnuru a wɔde siw aduan ho akɔnnɔ ano: Ebia nnuruyɛfo binom bɛkyerɛw nnuru a wɔde siw akɔnnɔ ano ama nnipa binom. Saa nnuru yi ada mfaso a ɛwɔ so bere tiaa bi adi ama nnipa a wɔresa wɔn yare wɔ BED ho. Wobetumi aboa ma wɔagyae adidi boro so kyinhyia no na wɔde adidi nhyehyɛe foforo aba.

Aduan ne aduannuru a wɔde ma

Nnipa a wɔn nipadua te sɛ ne kɛse nyinaa betumi anya BED, na wobetumi anya aduan pa a wonnya nni nso. Ebia wowɔ aduannuru akɛse te sɛ asikre ne srade a ɛboro so, nanso ebia aduannuru nketenkete , te sɛ vitamin ne mineral ahorow nso nni wo so. Aduannuru a enni nipadua mu no betumi ama obi anya akɔnnɔ, atenka a emu nna hɔ sɛ onnya aduan a ɛdɔɔso, na ɔpɛ sɛ odidi a ontumi nni so. Aduannuru a wɔde ma ne aduannuru ho nkyerɛkyerɛ betumi aboa wɔ eyi mu.

Wɔ nnipa binom fam no, aduan ho nhyehyɛe a wɔahyehyɛ a ɛkari pɛ wɔ aduannuru mu betumi aboa ma adwennwen a ɛba bere a wosi aduan ho gyinae no so. Ebetumi aboa wo ma woadi wo honam fam ahiade ahorow ho dwuma bere a ɛtew hokwan a ɛwɔ hɔ sɛ wobɛyɛ ade ntɛm anaa nkate fam no so no. Bere a ɛnyɛ BED ayaresa botae titiriw a ɛma obi mu duru so tew no, ebetumi ayɛ nea efi mu ba, na ebetumi aboa ma adwennwen so atew ama nnipa binom. Nanso, adidi betumi ayɛ ade a ɛkanyan nnipa binom a wɔwɔ BED.

So menya Binge Eating Disorder (BED) bere nyinaa?

Adwene mu akwahosan tebea pii yɛ nea enni sabea, a ɛkyerɛ sɛ asiane wɔ hɔ sɛ ɛbɛsan aba bere nyinaa. Nanso wo tebea no betumi akɔ so agyae, na saa yare no betumi atra hɔ akyɛ. Eyi ne nea obi ho a obenya afi Binge Eating Disorder (BED) mu no kyerɛ. Ebia ɔkwan a wɔfa so nya ahoɔden no renyɛ tiaa anaasɛ ɛnyɛ mmerɛw, nanso nnipa pii nya ahoɔden denam ayaresa so. Kae sɛ eyi nyɛ ɔpɛ a obi wɔ ho asɛm. Ɛyɛ asɛm a ɛfa agyede, mmoa, ahokokwaw, ne ahotɔ ho.

Afotu bɛn na ebetumi aboa wo ma woatra ase wɔ Binge Eating Disorder (BED) ho?

Sɛ worebɔ mmɔden sɛ wubedi w’adidi boro so so a, ebetumi aboa ma w’adwene akɔ nneɛma a ɛkanyan w’adidi so nkɛntɛnso no so kɛse . Ɛdenam aso a wubetie w’akɔnnɔ so no, wubetumi asua sɛnea wubehu nsonsonoe a ɛda ɔkɔm ankasa ne ɔpɛ a wowɔ sɛ wubedidi boro so no ntam. Wubetumi nso asua sɛ wubehu bere a wo kɔm no. Wubetumi nso ahu nea ɛkanyan wo ma wudidi a wuntumi nni so. Afotu bi a ɛbɛma woatumi ayɛ saa ni:

• Fa adwene mu adidi di dwuma : Sɛ wususuw adidi ho, anaasɛ wuhu sɛ woresiesie aduan a, brɛ wo ho ase. Fa ahome a emu dɔ na brɛoo. Afei, a wunni atɛn, hwɛ nea ɛrekɔ so wɔ w’adwene ne wo nipadua mu. Wubetumi nso ayɛ eyi bere a woredidi no.
• Sua sɛnea wubehu ɔkɔm: Honam fam ɔkɔm ho sɛnkyerɛnne betumi ayɛ yafunu mu yaw anaasɛ ɛyɛ dede, adwenemhaw, ne ɔkɔm tiyɛ. Asikre a ɛwɔ mogya mu a ɛba fam betumi ama woate nka sɛ woabrɛ anaasɛ woayɛ mmerɛw kakra. Sɔhwɛ a wubetumi ayɛ ama wo ho ne sɛ wubebisa wo ho sɛ, "So ɔkɔm de me sɛ medi biribi a ahoɔden wom te sɛ salad?"
• Didi bere a ɔkɔm de wo : Eyi ho hia te sɛ nea wubesua sɛ wubegyae adidi bere a ɔkɔm de wo no ara pɛ. Sɛ ɔkɔm de wo ampa a, ɛnde ɛno ne bere a ɛsɛ sɛ wudi. Ntwɛn nkosi sɛ ɔkɔm de wo ankasa, anyɛ saa a ɛbɛyɛ mmerɛw sɛ wobɛhwere wo ho na woadi pii.
• Gyina ansa na woayɛ ma : Egye bere ansa na aduan a wudii nkyɛe no adu wo yafunu mu na ayam. Sɛ wudidi ntɛmntɛm dodo a, worennya bere nte nka sɛ wo ho atɔ wo, enti ebia wubewie adidi pii asen nea wopɛ. Ɔkwan biako ne sɛ wubegyae bere a wote nka sɛ bɛyɛ 80% ayɛ ma no.
• Fa nsɛmma nhoma sie : Nsɛmma nhoma a wobɛyɛ no yɛ ɔkwan pa a wobɛfa so ahu wo nsusuwii, wo nkate, ne wo nneyɛe yiye. Kyerɛw nea wudi, nea wususuw, ne nea wote nka da biara da. Ebia wubetumi ahu nhwɛso ahorow ne ebia nea ɛkanyan no.
• Di nneɛma a ɛkanyan wo ho dwuma : Sɛ wuhu sɛ nnuan anaa tebea horow bi kanyan wo ma wudi pii a, hwehwɛ akwan a wobɛfa so ayi afi w’asetra mu. Yi nnuan a w’ani gye ho a wobɛnom boro so fi fie hɔ na di kan yɛ nnuan foforo ho nhyehyɛe. Kwati asetra mu tebea horow a ɛhyɛ adidi mmoroso ho nkuran.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn fa BED ho?

Sɛ wususuw sɛ ebia wo anaa obi a wodwen ne ho wɔ adidi mu haw a, ɛbɛyɛ papa bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Mpɛn pii no, nnipa a wɔwɔ adidi mu haw no nhu sɛ biribi asɛe wɔ wɔn ho. Enti wubetumi adi dwuma kɛse wɔ asɛm no a wode bɛba afoforo a wodwen wɔn ho no mu. Oduruyɛfo betumi atu wo fo wɔ nea ɛsɛ sɛ woyɛ akyi de aboa wo anaa wo dɔfo no ho.

Nnansa yi ara wɔde Binge Eating Disorder (BED) kaa DSM-5 ho wɔ afe 2013. Ebia ɛno nti na ɔmanfoɔ nhu tebea no sua no. Nanso, efi saa bere no, abɛyɛ nea abu so sen adidi mu haw foforo biara. Sɛ wususuw sɛ ebia wowɔ BED a, ɛho hia sɛ wuhu sɛ ɛnyɛ wo nkutoo na wowɔ hɔ na ayaresa ahorow bi wɔ hɔ a wobetumi de adi dwuma. Wo ne akwahosan ho ɔyaresafo a ɔfata nkasa na woahu sɛ wowɔ BED ne sɛnea wubetumi aboa.

Nkrasɛm a Wɔde Kɔ Fie

• Binge Eating Disorder (BED) yɛ adwenemhaw a ɛfa adidi a ɛkɔ so, a wontumi nni so a ɛyɛ aniberesɛm sen adidi boro so bere ne bere mu.
• Eyi nyɛ wo mfomso, na ɛnyɛ wo nkutoo. Eyi yɛ tebea a ɛtaa ba.
• Eyi ho sɛnkyerɛnne betumi ayɛ aniwu nkate, afobu, ne adidi wɔ kokoam.
• Wobetumi de adwene mu ayaresa , nnuru a wɔde ma sɛ ɛho hia, ne aduannuru ho afotu asa yare yi yiye.
• Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, nsuro sɛ wobɛkɔ oduruyɛfo anaa adwenemyare ho ɔfotufo nkyɛn . Ɛho hia yiye sɛ wubenya mmoa ntɛm.

Kae sɛ mmoa a wobɛsrɛ no yɛ ahoɔden ho sɛnkyerɛnne, na ɛnyɛ mmerɛwyɛ.

` Binge Eating Disorder, BED, Adwene mu Akwahosan, Nkate mu Adidi, Adidi mu Nsɛnnennen, Adwene mu Ayaresa