Yu tink se i at fɔ kɔntrol di we aw yu de it? Mek wi lan bɔt Bulimia (Bulimia Nervosa) .

Yu dɔn ɛva gɛt ɛkspiriɛns we yu de it pasmak, we yu nɔ ebul fɔ kɔntrol, dɔn yu fil bad bad wan, rigrɛt, ɛn sɔntɛm yu ivin shem? Imajin, sɔntɛnde we yu nɔ ebul fɔ bia wit dɛn filin dɛn de, yu kin dɔn fɔ vɔmit afta yu dɔn it, ɔ tray fɔ pul di it pan ɔda we dɛn? Dis na de kayn tin wae wi go tɔk bɔt tide, wae dɛn kɔl bulimia nervosa, ɔr jɔs "bulimia." Dis na prɔblɛm wit dɛn maynd ɛn bɔdi we bɔku pipul dɛn nɔ kin want fɔ tɔk bɔt, bɔt i kin afɛkt bɔku pipul dɛn, ɛn na siriɔs prɔblɛm wit dɛn it . Bɔt nɔto yu wangren de, ɛn yu kin gɛt ɛp fɔ dis.

Wetin rili na Bulimia Nervosa?

Fɔ tɔk am simpul wan, bulimia na di akt we yu de it bɔku bɔku it insay shɔt tɛm (dɛn kɔl dis "binging") , dɔn yu de tray fɔ pul di it kɔmɔt na di bɔdi (dɛn kɔl dis "purging" ). Dis "purging" kin tek bɔku kayn we.

Yu kin fil lɛk se yu nɔ ebul fɔ kɔntrol wetin yu de it. Yu kin it bɔku tin dɛn we yu nɔ go biliv wan tɛm, ɛn sɔntɛnde yu kin it sikrit wan. Afta dis, wi kin fil gilti ɛn shem. We yu nɔ ebul fɔ dil wit dɛn filin ya, yu kin tray fɔ pul di it bay we yu de vɔmit, yuz mɛrɛsin fɔ mek yu nɔ fil fayn, ɔ yu de du ɛksɛsayz pasmak.

Dis sik kin afɛkt bak aw yu de si yusɛf. Yu go fil se na di we aw yu luk ɛn di we aw yu bɔdi de sho se yu valyu. Yu kin fil bak se di wangren tin we yu go ebul fɔ kɔntrol na aw it de pas na yu bɔdi. Dis saykl nɔ kin rili fayn ɛn i kin gɛt siriɔs prɔblɛm dɛn, ivin we kin mek pɔsin in layf de pan denja. Bɔt mɛmba se nɔto yu wangren de. Ɛp de.

Us kayn bulimia de?

Tu men kayn bulimia de, i go dipen pan di we aw yu de tray fɔ pul it kɔmɔt na yu bɔdi ɔ fɔ ridyus yu wet:

Tayp fɔ purging

Na sɔm tin dɛn we yu kin du fɔ pul it kɔmɔt na yu bɔdi afta yu dɔn it am:

• We pɔsin kin vɔmit insɛf.
• Yuz di mɛrɛsin dɛn we de mek pɔsin nɔ fil fayn.
• Fɔ tek diuretik.
• Yuz likwid (e.g., enemas) fɔ mek yu nɔ gɛt kɔnstipɛshɔn.
• Yuz ɔda drɔgs fɔ pul it na di bɔdi.

Tayp we nɔ de klin

Insay dis we, yu nɔ de pul it dairekt wan na yu bɔdi, bɔt insted yu kin du dɛn tin ya:

• Fɔ ɛksesaiz pasmak : Fɔ ɛksesaiz pas di lɛvɛl we go bɛnifit fɔ jenɛral wɛlbɔdi ɛn te i de ambɔg di tin dɛn we yu de du ɛvride.
• Fɔ fast: Dat min se yu nɔ fɔ it. Dis nɔto nɔmal tin bak, bɔt i nɔ fayn fɔ it, i kin mek pɔsin nɔ it fɔ lɔng tɛm.

Imajin, sɔm pipul dɛn kin rɔn fɔ lɔng tɛm afta dɛn dɔn it bɔku, ɔ dɛn nɔ kin it fayn fɔ sɔm dez. Dis kin bi pat bak pan bulimia.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt bulimia?

Pɔsin wae gɛt bulimia kin sho dɛn kayn sik ya. Bɔt nɔto ɔlman go gɛt ɔl dɛn sik ya, ɛn sɔm pipul dɛn kin jɔs gɛt sɔm pan dɛn:

• Fɔ it bɔku it wan tɛm (as wi bin dɔn tɔk, "binging").
• Fɔ pul di it afta yu dɔn it (we fɔ pul di it lɛk fɔ vɔmit, fɔ yuz laxatives).
• Fɔ fred pasmak fɔ gɛt mɔ wet ɛn fɔ want fɔ du ɛnitin fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi.
• Fɔ fil se yu nɔ ebul fɔ kɔntrol yusɛf fɔ it.
• Nɔ gɛt bɛtɛ ɔnɔ fɔ yusɛf ɛn fil se yu nɔ gɛt wan valyu.
• Fɔ fil bad bad wan ɔ shem afta yu dɔn it.
• Fɔ tɔn to tin dɛm lɛk pwɛl hat, wɔri, fɔ chenj yu maynd, ɔr fɔ tek sɔm kayn mɛrɛsin.
• We pɔsin kin fɔdɔm bɔku tɛm.
• Banbɛlɛ.
• Menstrual saykl we nɔ de ɔltɛm na uman dɛn.
• Di mɔsul dɛn we wik.
• Di yay dɛn we de rɛd (espɛshali pan di wan dɛn we de vɔmit).
• di fes de swel (sכm pipul dεn kin kכl dis bak "chipmunk cheeks" biכs di sayd dεm na di chεk dεm de swel).

Dis kin afɛkt ɛnibɔdi difrɛn we. Fɔ ɛgzampul, yu nɔ go dɔn it bɔku bifo yu "purged." Sɔntɛnde, ivin smɔl it kin mek yu fil bad ɛn mek yu want fɔ "purge." Di we aw yu "purge" kin difrɛn bak frɔm wan pɔsin to ɔda pɔsin.

Wetin na di tin dɛn we kin mek pɔsin gɛt bulimia?

I at fɔ tɔk ɛksaktɔli wetin kin mek pɔsin gɛt bulimia nervosa, bɔt di wan dɛn we de stɔdi bɔt dis tink se i kin bi wan kɔmbaynshɔn pan ɔl tu di jɛnɛtik inflɔwɛns (dat na, tin dɛn we dɛn kin pas frɔm jɛnɛreshɔn to jɛnɛreshɔn) ɛn di bihayvya we dɛn dɔn lan.

Tink bɔt am, wetin yu de si na sosayti ɛn di midia – aydia lɛk "na so fayn bɔdi tan" – kin put bɔku prɛshɔn pan yu. Dɛn tin ya we de kɔmɔt na do kin afɛkt di we aw yu de tink bɔt yu bɔdi (`bɔdi imej`) ɛn aw yu de fil bɔt yusɛf. Dɔn bak, wae yu fil bɔrku strɛs , wae yu fil bad, wae yu fil bad, ɔr wae yu fil lɛk yu nɔr kin ebul fɔ kɔntrol tin na layf, ɔl dɛn tin ya kin afɛkt di divɛlɔpmɛnt fɔ dis sik wae de kam pan pɔrsin wae de it.

Udat de pan big risk fɔ gɛt dis sik?

Bulimia nervosa kin afɛkt ɛnibɔdi, bɔt dɛn pipul ya kin gɛt mɔ risk:

• Tinja dɛn ɔ yɔŋ pipul dɛn we dɔn big.
• If pɔsin na di famili gɛt prɔblɛm wit aw i de it (we gɛt fɔ du wit bayoloji).
• If yu dɔn ɔlrɛdi sɔfa wit mɛntɛl hεlth kכndyushכn lεk wae yu de wɔri ɔr pwɛl hat.
• Fɔ uman dɛn (i kin apin bak pan man dɛn, bɔt i kin apin mɔ pan uman dɛn).

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt bulimia?

Dis prɔblɛm wit aw pɔsin de it kin kam wit bɔku prɔblɛm dɛn we kin mek pɔsin gɛt wɛlbɔdi . Dɛn tin ya rili denja, ɛn bɔku pan dɛn kin ivin mek pɔsin in layf de pan denja. Di prɔblɛm dɛn we kin apin na:

• abnכmaliti dεm na di at rεt (e.g. `(Aritmia)`).
• Damej to di intestines ɛn bɛlɛ.
• Dɛn tit prɔblɛm (tut rɔtin, tut eroshɔn, tut transparency).
• Esophagitis ɛn di esophageal perforation.
• Gastroesophageal Riflɔks Disiz (GERD) we de mek pɔsin gɛt sik.
• At we nɔ de wok fayn.
• Di kɔndishɔn dɛn we gɛt fɔ du wit di intestinal sɛnsitiviti (Irritable Bowel Syndrome - IBS) .
• Di risk fɔ kil insɛf kin bɔku.
• Malnutrishɔn ɛn dɛhydration (wata nɔ de na di bɔdi).
• Swel na di chɛst dɛn.
• Trot ɛn bɛlɛ de at.
• Tayp 2 Dayabitis.

If yu trit bulimia kwik kwik wan, i kin mek yu nɔ gɛt dɛn prɔblɛm ya ɛn i kin ridyus di prɔblɛm dɛn we kin apin fɔ lɔng tɛm. So, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni dawt bɔt dis.

Aw dɔktɔ dɛn kin no se pɔsin gɛt bulimia?

Fɔ no dis sik, yu dɔktɔ go du fɔs fɔ chɛk yu bɔdi. I go aks bɔt yu mɛdikal istri ɛn di sayn dɛm we yu gɛt. Na nɔmal tin fɔ mek yu fil fɔ fred smɔl ɔ nɔr kin fil fayn fɔ tɔk bɔt dɛn tin ya wit yu dɔktɔ. Bɔt, dɔktɔ dɛn de fɔ ɛp yu, nɔto fɔ jɔj yu. So, i rili impɔtant fɔ bi ɔnɛs bɔt di we aw yu de it ɛn di we aw yu de biev, so dat dɛn go ɛp yu fayn fayn wan.

Di dɔktɔ go kɔmpia yu sik dɛn wit di krayteria we de na di Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) fɔ di American Psychiatric Association. I kin aks yu kwɛstyɔn dɛn lɛk:

• Yu gɛt sɔm tɛm dɛn we yu kin it pasmak?
• Yu kin fil se yu nɔ ebul fɔ kɔntrol di we aw yu de it?
• Yu de du tin dɛn we de mek pɔsin klin?
• Yu dɔn gɛt sɔm tɛm dɛn we yu kin it pasmak wan tɛm insay di wik fɔ tri mɔnt?
• Yu bɔdi wet ɔ shep gɛt strɔng impak pan aw yu de si yusɛf (sɛlf-imej)?

Nɔr patikyula tɛst nɔr de fɔ no dis sik wae de mɛk pɔrsin de it. Bɔt yu dɔktɔ kin tɛl yu fɔ du sɔm tɛst fɔ si aw di sik de afɛkt yu wɛlbɔdi. Fɔ ɛgzampul:

• Blɔd tɛst dɛn.
• fכ chεk di at rεt (Ilektrokardiogram - EKG כ ECG)).
• Test fɔ di kidni fɔ wok.
• Urinalysis we dɛn kin du.

Us tritmɛnt dɛn de fɔ bulimia?

Dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt dɛn lɛk:

• Kɔnsul/Tɛrapi : ƐspɛshaliCognitive Behavioral Therapy (CBT) na wan we we kin rili ɛp fɔ tɔk tɛrapi. Insai dis, yu kin mit wit wan thεrapist εn woke wit dεm fכ chenj di we aw yu de tink de afekt yu bihayvya.
• Nutritional counseling : Dis involv fɔ wok wit Registered Dietitian ɔ counselor fɔ ɛp yu fɔ gɛt wɛlbɔdi rilayshɔn wit di it we yu de it.
• Mɛrɛsin : Sɔmtɛm dɛn kin yuse mɛrɛsin wae de mek pɔrsin fil bad wae de na di klas ɔf mɛrɛsin wae dɛn kɔl Selective Serotonin Reuptake Inhibitors (SSRIs) . Dɛn tin ya kin mek pɔsin nɔ it pasmak ɛn nɔ vɔmit. Dɛn kin ɛp bak fɔ trit wɔri ɛn pwɛl hat.
• Sɔpɔt grup : Dɛn tin ya kin rili ɛp we dɛn put dɛn togɛda wit ɔda tritmɛnt dɛn. Fɔ kɔnɛkt wit ɔda pipul dɛm wae dɔn go tru dis kayn tin kin fayn fɔ yu fɔ wɛl.

Mɛmba se wan tritmɛnt we nɔ de wok fɔ ɔlman . Yu go nid fɔ tray difrɛn we dɛn ɛn difrɛn we dɛn fɔ rich di tin dɛn we yu dɔn plan fɔ du.

Ustɛm yu fɔ go to dɔktɔ?

If yu de fil strɛs bikɔs ɔf yu rilayshɔn wit it, ɔ if i de ambɔg yu ɛvride layf, yu fɔ rili tɔk to dɔktɔ.

If yu gɛt dɛn sik ya , go to dɔktɔ wantɛm wantɛm :

• Chɛst de pen.
• Diziz we pɔsin kin gɛt.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Fɔ fil se yu at nɔ de rit (At de bit).
• Shot we yu de blo / Dyspnea.
• Trot we kin at bad bad wan.

If yu de tink bɔt fɔ kil yusɛf, duya nɔ sɔfa yu wan . Sɔmbɔdi de we go ebul fɔ ɛp. (Na Sri Lanka, yu kin kɔl ɔganayzeshɔn dɛn lɛk Sumithrayo 0112692909). Ivin if yu nɔ de pan big prɔblɛm, nɔ shem fɔ tɔk. If yu de na imejensi, kɔl 1990 (Suvaseriya) ɔ di polis steshɔn we de nia yu.

Bɔt fɔ wɛl frɔm bulimia

I rili pɔsibul fɔ mek pɔsin wɛl. Bɔt i kin tek tɛm. Yu dɔktɔ ɛn tritmɛnt pipul dɛn go wok wit yu fɔ mek wan tritmɛnt plan we go wok fɔ yu ɛn yu sik dɛn. Yu thɛrapist go ɛp yu fɔ sɛt rial gol dɛm ɛn woke fɔ du dɛm.

E fayn fɔ no se sɔmtɛm de sik kin kam bak (rilaps).. "Rilaps" na we yu go bak to di bihayvya we nɔr fayn afta yu dɔn gɛt wɛl bɔdi abit fɔ sɔm tɛm. We yu "relaps," e kin fil lɛk big big setback, bɔt nɔto jɔjmɛnt pan udat yu bi. Fɔ wɛl na tin we nɔ izi ɛn i kin wok tranga wan. Bɔt mɛmba se yu nɔ de ɛva de yu wan. Yu tim we de kia fɔ yu go ɛp yu fɔ go bak na di rayt rod. Dɛn go mek ajɔstmɛnt to yu tritmɛnt plan as nid de.

If yu nɔ trit yu, yu kin gɛt siriɔs prɔblɛm dɛn we kin mek yu layf de pan denja. So if yu nɔr dɔn bigin tritmɛnt yet, i impɔtant fɔ gɛt am wantɛm wantɛm .

Aw e tan lɛk fɔ liv wit bulimia?

Di tin we ɔlman kin gɛt wit dis prɔblɛm we kin apin to pɔsin we i de it kin difrɛn. Na sɔm tin dɛm wae yu kin tink ɛn fil wae yu de liv wit bulimia:

• "A de fred fɔ go na do fɔ it bikɔs a de wɔri se a go it tumɔs tumɔs ɛn afta dat a nɔ go ebul fɔ fɛn was rum."
• "A no laik to luk mi sef fo miro, bikos a no laik di we aw a de luk."
• "A fil se di onli tin we a fit kontrol fo mai laif na 'purging'."
• "Binging na kɔmfɔt we a de strɛs, bɔt a de it so fast dat a nɔ rili gladi fɔ di teist fɔ it."
• "Afta a don it, a de fil rili gilti (as if a don du big kraym). ​​A fil se di onli we fo mek op fo dat mistek na to 'purge'."

If yu tan lɛk se dɛn tin ya we yu de tink bɔt, na tɛm fɔ go to dɔktɔ ɔ pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs . Dɛn kin ɛp yu fɔ gɛt bɛtɛ padi biznɛs wit it ɛn aw yu de si yusɛf.

Fɔ dɔn, di tin we impɔtant pas ɔl we wi fɔ mɛmba

Na nɔmal tin fɔ wɔri bɔt wetin yu de it ɛn yu bɔdi saiz. Bɔt bulimia pas dat fa fawe. Na wan sik wae de dip pasmak wae kin mek yu gɛt bɔrku prɔblɛm wit yu wɛl bɔdi . If yu tink se yu gɛt dis sik, nɔr shem fɔ go to ɛp. If yu gɛt di rayt mɛrɛsin ɛn sɔpɔt fɔ yu maynd wɛl bɔdi, i rili pɔsibul fɔ mek yu wɛl. Fɔ tɔk to dɔktɔ na di fɔs tin we yu fɔ du fɔ protɛkt yu wɛlbɔdi. Nɔto yu wan de, ɛn ɛp de ɔltɛm.

` Bulimia nervosa, it prɔblɛm, it pasmak, vɔmit, maynd wɛlbɔdi, it, bulimia tritmɛnt