I ei leh in thunun a harsa em? Bulimia (Bulimia Nervosa) chungchang i zir dawn teh ang

Chaw ei nasa lutuk, thunun theih loh i ei a, chutah chuan lungngaihna nasa tak, inchhir, leh mualphona pawh i nei tawh em? Ngaihtuah teh, a châng chuan chutiang rilru put hmang chu i tuar thei lo va, ei zawhah i luak chhuak ta a, a nih loh leh kawng dangin chaw chu i paih chhuah tum a ni em? Hei hi tunlaia kan sawi tur dinhmun chi khat, bulimia nervosa, a nih loh leh "bulimia" tih mai mai a ni. Hei hi rilru leh taksa hriselna lama harsatna mi tam takin sawi an hreh hle a, mahse mi tam tak a nghawng thei a, ei leh in lama harsatna lian tak a ni bawk Mahse nangmah chauh i ni lo va, hemi atan hian tanpuina i hmu thei bawk.

Bulimia Nervosa hi eng nge ni tak tak?

A awlsam zawngin, bulimia chu hun rei lote chhunga ei tur tam tak ei (hei hi "binging" an ti) , chu chu taksa atanga ei tur tihthianghlim tumna (hei hi "purging" an ti) a ni. He "purging" hian chi hrang hrang a nei thei.

I ei tur chu thunun thei lo ang maiin i inhria mai thei. Vawi khatah ei tur mak tak tak i ei mai thei a, a chang chuan a rukin i ei thei bawk. Hei hi sualna leh mualphona in a zui thei a ni. Heng rilru natnate hi i hmachhawn theih loh hunah chuan, chaw ei tur chu i luak chhuak a, laxatives hmangin, exercise nasa lutuk hmangin i paih chhuak thei a ni.

He dinhmun hian i inhriat dan pawh a nghawng a ni. I hlutna chu i hmel leh i taksa pianzia a\angin a innghat niin i hria mai thei. I thunun theih awmchhun chu i taksa atanga chaw a kal chhuah dan a ni tih i hre mai thei bawk. He cycle hi a hrisel lo hle a, a rah chhuah na tak, nunna atana hlauhawm pawh a nei thei. Mahse, nangmah chauh i ni lo tih hre reng ang che. Ṭanpuina a awm.

Eng ang bulimia nge awm?

Bulimia hi chi hnih a awm a, chu chu i taksa atanga ei tur tihthianghlim i tum dan emaw, i taksa rihna tihtlem i tum danah a innghat a ni:

Purging chi hrang hrang

I ei zawh hnua i taksa atanga ei tur paih chhuah theihna tur thil thenkhat chu hetiang hi a ni:

• Mahni inrintawkna avanga luak chhuak.
• Laxatives hman dan.
• Diuretics ei thin.
• Constipation tihziaawmna atan tui (e.g., enemas) hman.
• Damdawi dang hmanga taksa atanga chaw lakchhuah.

Purging ni lo chi a ni

Hetiang hmang hian i taksa atanga ei tur direct-in i paih chhuak lo va, chu ai chuan a hnuaia mi ang hian i ti thei ang:

• Exercise tam lutuk : Hriselna tlangpui tana hlawkna tur level aia sang leh nitin hnathawh tibuai thei khawpa exercise lak.
• Chaw nghei: Chu chu ei loh tihna a ni. Hei pawh hi thil pangngai a ni lo va, a hrisel lo, hun rei tak chhung ei tur khap tlat a ni.

Ngaihtuah teh, mi thenkhat chu chaw ei tam hnuah darkar tam tak an tlan a, a nih loh leh ni tam tak chhung chu an ei tha lo. Hei hi bulimia-ah pawh a tel thei bawk.

Bulimia natna lan chhuah dan chu engte nge ni?

Bulimia vei chuan a hnuaia symptoms te hi a lantir thei a ni. Mahse, mi zawng zawng hian heng symptoms zawng zawng hi an nei vek dawn lo va, mi thenkhat chuan tlemte chauh an nei thei bawk:

• Vawi khata ei tur tam tak ei (kan sawi tawh ang khan "binging").
• Chaw ei zawh hnua lak chhuah (purging methods te, luak chhuak, laxatives hman te).
• Thau tihpun hlauhna nasa tak leh taksa rihna tihtlem nan engkim tih duhna.
• Ei leh in chungchangah thunun theih loh anga inhriatna.
• Mahni inngaihhlutna hniam leh hlutna nei lo anga inhriatna.
• Chaw ei zawha inthiam lohna nasa tak emaw, mualphona emaw hriatna.
• Depression, lungkhamna, mood swing, emaw substance hmansual ang chi thil lam hawi.
• Fainting fo thin.
• Ek khal.
• Hmeichhiaah thlasik hun mumal lo.
• Muscle chak lohna.
• Mit sen (a bik takin luak chhuakte tan).
• Facial swelling (mi thenkhat chuan hei hi "chipmunk cheeks" an ti bawk a, a chhan chu hmui sir lam a hring vek vang a ni).

Hei hian mi tin a nghawng dan a inang lo thei. Entirnan, "purged" hmain i ei tam lo mai thei. A châng chuan ei tur tlemte pawh hian i rilru a ti na thei a, "purge" duhna a siam thei bawk. I "purge" dan pawh hi mi hrang hrangah a inang lo thei bawk.

Bulimia hi engte nge ni?

Bulimia nervosa thlentu hi eng nge ni tih chiang taka sawi a harsa a , mahse zirchiangtute chuan genetic influence (chu chu thlah khat atanga thlah khata thil thleng) leh nungchang zir chhuah te inzawmkhawm a ni thei niin an ngai.

Ngaihtuah teh, khawtlang leh media-a i thil hmuhte – "taksa mawi tak chu hetiang hi a ni" tih ang ngaihdan hian pressure nasa tak a siam thei che a ni. Heng pawn lam thilte hian i taksa (`body image`) i ngaihtuah dan leh i mahni inngaihsakna a nghawng thei a ni. Tin, stress nasa tak i neih lai te , lungngaihna i neih lai te, i lungngaih lai te, emaw nunah thil i thunun thei lo ang maia i inhriat lai te hian heng zawng zawng hian he ei leh in lama harsatna lo awm hi a nghawng thei a ni.

He natna hi tute nge vei theihna chance sang zawk?

Bulimia nervosa hian tu pawh a nghawng thei a, mahse a hnuaia mite hi an hlauhawm zawk:

• Tleirawl emaw, tleirawl puitling emaw.
• Chhungkaw zinga mi pakhatin ei leh in lama harsatna (biologically related) a neih chuan.
• Rilru lam harsatna, lungkhamna emaw, lungngaihna emaw i vei tawh a nih chuan.
• Hmeichhia tan (mipaah ​​pawh a awm thei a, hmeichhiaah erawh a tam zawk).

Bulimia avanga harsatna awm thei te chu engte nge ni?

He ei leh in lama harsatna hian hriselna atana hlauhawm tam tak a keng tel a ni . Chûngte chu a hlauhawm hle a, tam tak chu nunna atana hlauhawm pawh a ni thei. Harsatna awm thei te chu:

• Heart rate dik lo (e.g. `(Arrhythmia)`).
• Intestines leh pum chhunga chhiatna.
• Ha lama harsatna (ha chhe, ha hring, ha transparency).
• Esophagitis leh esophageal perforation te a awm bawk.
• Gastroesophageal Reflux natna (GERD) a awm a, a rilru a hah hle.
• Lung lam chak lohna.
• Intestinal sensitivity nena inzawm dinhmun (Irritable Bowel Syndrome - IBS) .
• Mahni intihhlum theihna a tipung.
• Malnutrition leh dehydration (taksa chhunga tui tlakchhamna).
• A hmui a hring chhuak.
• Hlo leh pum na.
• Type 2 Diabetes a ni.

Bulimia enkawl hmasak hian heng harsatnate hi a veng thei a, hun rei tak chhunga nghawng a neih pawh a ti tlem thei bawk. Hemi chungchangah hian rinhlelhna i neih chuan damdawi lam pan vat a pawimawh hle.

Engtin nge doctor-te hian bulimia hi an hriat theih?

Hetiang dinhmun hi hriat chian nan chuan i doctor chuan taksa a enfiah hmasa ang. I medical history leh symptoms te a zawt ang. Doctor nena heng thilte hi sawipuiin tlem chuan hlauhna emaw, nuam lo emaw i neih hi thil pangngai tak a ni. Amaherawhchu, doctor-te chu pui turin an awm a, rorelsak turin an awm lo. Chuvang chuan i ei leh in leh nungchang dik taka sawi a pawimawh hle a, chutiang chuan dik takin an pui thei che a ni.

Doctor chuan i natna lan chhuah dan chu American Psychiatric Association-a Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)-a tehfung nen a khaikhin ang. Zawhna a zawt thei che a ni:

• Binge eating episode lo awm leh thin i nei em?
• I ei leh in chungchangah thunun theih lohvin i inhria em?
• Purging behavior-ah i inhmang em?
• Thla thum chhung kar khatah vawi khat tal binge eating episode i nei tawh em?
• I taksa rih zawng emaw, i pianzia emaw hian i inhriat dan (self-image) ah nghawng nasa tak a nei em?

He ei leh in lama harsatna hi hriat theihna tur test bik a awm lo. Mahse, i doctor chuan chu natnain i hriselna a nghawng dan hriat nân test ṭhenkhat a ti thei a ni. Entir nan:

• Thisen test a ni.
• Heart rate enfiah (Electrocardiogram - EKG emaw ECG)).
• Kidney function test a ni.
• Urinalysis tih a ni.

Bulimia hi eng enkawlna nge awm?

Doctor chuan enkawlna hrang hrang a rawt thei a, chungte chu:

• Counselling/Therapy : A bik takinCognitive Behavioral Therapy (CBT) hi talk therapy hmanraw tangkai tak a ni. Hetah hian therapist i hmu a, i ngaihtuahnain i nungchang a nghawng dan thlak danglam turin i thawk ho thin.
• Nutritional counseling : Hei hian Registered Dietitian emaw counselor emaw nen thawk hovin i ei tur nena inzawmna hrisel zawk i neih theih nan a pui a ni.
• Damdawi : Damdawi chi hrang hrang , Selective Serotonin Reuptake Inhibitors (SSRI) an tih zingah antidepressant hi hman a ni \hin. Chungte chuan ei tam lutuk leh luak chhuak a tiziaawm thei a ni. Lungkhamna leh lungngaihna enkawlnaah pawh an pui thei bawk.
• Support groups : Hengte hi enkawlna dang nena hman dun a nih chuan a \angkai hle thei a ni. Chutiang thil tawn tawh midangte nena inzawmna siam chu i dam lehna kawngah a hlawkpui thei a ni.

Enkawlna kawng khat hian mi zawng zawng tan a thawk vek lo tih hre reng ang che . I thil tum thleng tur chuan kawng hrang hrang leh kawng hrang hrang i tum a ngai mai thei.

Engtikah nge doctor i hmuh ang?

Chaw nena in inzawmna avanga stress i neih chuan, emaw, nitin nun a tibuai a nih chuan doctor i biak ngei ngei tur a ni.

Heng symptoms te hi i neih chuan doctor pan nghal rawh :

• A rilru a na.
• Luak chhuak thei.
• Fainting a ni.
• Heart rate dik lo (Heart palpitations) tih hriatna.
• Thâwk hah / Dyspnea.
• Kawngkhar na na tak.

Mahni intihhlum tumna i neih chuan khawngaihin nangmah chauhin hrehawm tuar suh . Mi tanpui theitu an awm. (Sri Lanka ramah chuan Sumithrayo ang pawl te chu 0112692909 ah i call thei). Harsatna lian tak i tawk lo a nih pawhin thu sawi hreh suh. Emergency i neih chuan 1990 (Suvaseriya) emaw, police station hnai ber emaw ah biak theih a ni.

Bulimia atanga dam leh chungchang

Recovery a awm ngei ang. Mahse hun a duh a ni. I doctor leh therapist te chuan nangmah leh i symptoms te tana tha tur treatment plan siam turin an thawk ho ang che. I therapist chuan thil tum tak tak siam turin a pui ang che a, chu chu a hlen chhuak ang.

A chang chuan symptoms a lo lang leh thei (relapses) tih hriat a pawimawh.. "Relapse" chu hun engemaw chen hrisel taka i tih hnua nungchang hrisel lo lama i kir leh hi a ni. "Relapse" i tih hian setback lian tak angin i hre thei a, mahse i nihna chungchangah chuan rorelna a ni lo. Recovery hi thil harsa leh thawhrimna a ni. Mahse, nangmah chauh i ni ngai lo tih hre reng ang che. I care team chuan kawng dik zawh leh turin an pui ang che. I treatment plan-ah a tul angin an siamrem ang.

Enkawl loh chuan harsatna lian tak tak, nunna atana hlauhawm tak tak i nei thei a ni. Chuvangin enkawlna i la tan loh chuan i neih nghal a pawimawh .

Bulimia natna vei hi eng ang nge ni?

He ei leh in lama harsatna hi mi tinin kan tawn dan a inang lo. Bulimia natna vei huna i ngaihtuah leh i hriat theih ṭhenkhat chu hetiang hi a ni:

• "Ei tur ka chhuah ka hlau a, a chhan chu ka ei tam lutuk ang a, chutah chuan washroom ka hmu thei lo ang tih ka hlau a ni."
• "Darthlalang atanga in en hi ka duh lo, a chhan chu ka hmel lan dan hi ka duh lo a ni."
• "Ka nunah hian ka thunun theih awmchhun chu 'purging' a ni tih ka hria."
• "Binging hi ka stress lai hian thlamuanna a ni a, mahse ka ei rang lutuk a, eitur thlum hi ka ngaihlu lo tak zet a ni."
• "Chaw ka ei zawh chuan ka inthiam lo hle (thil sual lian tak ka tih ang maiin). Chu thil tihsual chu siamṭhat theihna awmchhun chu 'purge' hi a ni tih ka hria."

Heng ngaihtuahnate hi i hriat lar angin i hriat chuan doctor emaw, rilru lam hriselna lama counselor emaw i hmuh hun a ni tawh . Ei leh in leh i mahni inhriat dan nena inzawmna tha zawk siam turin an pui thei che a ni.

A tawp berah chuan hriat reng tur pawimawh ber

I ei leh in leh i taksa lian leh te ngaihtuah buai hi thil pangngai a ni. Mahse bulimia hi chu chu a tam zawk daih. Hriselna lama harsatna tam tak thlen thei dinhmun thuk tak a ni . Hetiang dinhmun hi i nei nia i hriat chuan tanpuina zawng hreh suh. Damdawi lam enkawlna dik leh rilru lam hriselna lama puihna a awm chuan dam leh theih a ni ngei ang. Doctor nena inbiakna hi i hriselna humhimna hmasa ber a ni. Nangmah chauh i ni lo va, tanpuina a awm reng bawk.

` Bulimia nervosa, ei leh in lama harsatna, ei tam lutuk, luak chhuak, rilru hriselna, ei leh in, bulimia enkawlna