Kei te kai nui koe i te kai nui? (Purpose Binge Eating) - Me kōrero tātou mō tēnei!

Kei te hiahia koe ki te kai i te nui o te kai e kore e taea te whakahaere i te wā kotahi? Kei te pouri koe, kei te pouri, kei te whakama rānei ina mutu tō kai? Mena ka pā pinepine ēnei mea ki a koe, tera pea he mate kei a koe e kiia nei ko te Binge Eating Disorder (BED), koinei tā tātou e kōrero nei i tēnei rā. Kaua e manukanuka, ka kōrerohia e tātou tēnei i roto i ngā taipitopito.

He aha te Mate Kai Nui (BED)?

Ki te whakarapopoto, ko te Mate Kai Nui (BED) he mate whanonga. Ko tōna āhua he momo kai nui, kāore e taea te whakahaere mō te wā roa. Ka nui rawa te kai a tātou katoa i ētahi wā. Engari ko tēnei mate kai he mea e noho tahi ana koe i ia rā, i ia rā. Me te mea kei te whakahaerehia koe e tetahi mai i roto i tō mahunga. Ka pā nui ki tō oranga hinengaro, kare ā-roto, me tō oranga tinana. Ko te kai nui ko te kai nui i roto i te wā poto, ā, me te mea kāore e taea e koe te mutu.

He tokomaha o tātou ka pāngia e ēnei tohu i ētahi wā. Engari ina tīmata ēnei mea te puta i ngā wā katoa (kotahi i te wiki, neke atu rānei), tera pea kei a koe tēnei mate. Ka pāngia hoki tō whanonga e ngā āhuatanga taiao, pērā i te ahotea me ō tātou whanaungatanga, me tō hauora hinengaro. Ka taea e ēnei āhuatanga, me ētahi atu āhuatanga, te pana i a koe ki te wāhi o te whanonga kai koretake e kiia nei ko te BED .

He pēhea te noa o te Mate Kai Nui (BED)?

Kei te mōhio koe, ko te Mate Kai Nui (BED) te mate kai tino noa. Inaa, tata ki te haurua o ngā mate kai katoa e pāngia ana e tēnei mate. Tata ki te 3% o te taupori i te Hononga o Amerika e pāngia ana. He nui ake te kitea i roto i ngā kōtiro i ngā tama, i te ōwehenga tata ki te 3:2. He nui ake hoki te kitea i roto i ngā taiohi i ngā pakeke, i te ōwehenga tata ki te 4:3. Nō reira, ka kite koe ehara tēnei i te mea onge.

He aha ngā tohu o te Mate Kai Nui (BED)?

Tirohia mēnā kei te rongo koe, kei te kite rānei i ngā mea pēnei:

• Te kai ā tae noa ki te wā e kore ai koe e pai ki te kai , ahakoa kua kī tonu koe.
• Te kai tere rawa , kāore he wā ki te whakaaro ki te nui o tāu e kai ana, ki te pānga rānei ki ō kare ā-roto.
• Te kai i te nui o te kai i te wā kāore koe e hiakai ana, i muri tonu iho rānei i te mutunga o te kai.
• Ko te kai kare ā-roto he kai hei whakautu i te ahotea kare ā-roto . Kei te hiahia koe ki te kai ina pouri koe, ina riri rānei?
• Mā te kai pēnei ka ara ake ngā kare ā-roto o te hara, te pouri, te whakama, me ngā raruraru whakaaro nui ki a koe anō .
• Te kai ko ia anake, te kai huna , me te karo i te kai tahi me ētahi atu.
• Ngā whakaaro nui mō te kai me ngā momo kai motuhake), me te hiahia nui ki taua mea.
• Te kohikohi kai me te pupuri taonga .
• Te ngana tonu ki te kai pai , engari kāore pea e heke te taumaha, engari ka nui ake ngā piki me ngā heke o te taumaha, kāore rawa rānei e heke te taumaha.

Ko te mea nui, kāore i rite ki ngā mate pēnei i te Bulimia Nervosa , kāore te BED e uru ki te horoi, te ruaki, te whakamahi nui i ngā rongoā whakangote, te whakakorikori tinana nui rānei hei tango i ngā kaora i muri i te kai. Ka mutu te wā kai nui me te kai.

Heoi, ko ētahi tāngata e pāngia ana e te BED he hunga kai tōtika tonu. Tērā pea ka ngana rātou ki te whakawhāiti i ngā kaora, engari ka kai nui anō. Tērā pea ka ngana anō rātou ki te kai tōtika hei whakakapi i te kai nui rawa i muri i te kai nui rawa.

He aha tātou i hiahia ai ki te kai koretake pēnei?

He maha ngā āhuatanga e pā ana ki te whanonga kai. Ka pāngia tēnei e ngā āhuatanga hinengaro, ngā āhuatanga koiora, me ngā tikanga kua akohia. Tērā pea he rerekē te take e hiahia ana koe ki te kai me te kore whakahaere i te take e pā ana ki tētahi atu. Ina kai tātou, ka tukuna e tō tātou roro ngā homoni harikoa ( Serotonin me te Dopamine ). Ka taea e tēnei te arahi ki ngā āhuatanga whakawara. Waihoki, ka taea te whakamahi i te kai hei huarahi ki te whakakore i ngā kare ā-roto kāore i te pai, ki te whakangāwari i aua kare ā-roto, ki te whakaea rānei i ngā hiahia kāore anō kia tutuki. Whakaarohia, ina tino pouri koe, he ahua whakamarie te kai i tētahi wahi tiakarete.

He aha ngā āhuatanga mōrearea mō te Mate Kai Nui (BED)?

Tērā pea ka nui ake te tūponotanga ka pāngia koe e te BED mēnā kei a koe ēnei āhuatanga:

• He raruraru kai tā tetahi o te whānau.
• Kāore ngā mema o te whānau e aro tika ana ki ngā raruraru kare ā-roto (te koretake o te whakahaere i ngā kare ā-roto) .
• Mena kua pāngia koe e te whara, e te tukino rānei .
• Mena kua pāngia koe e te kore kai i mua.
• Mena kei a koe tētahi mate hinengaro pērā i te pouri , te manukanuka rānei.
• Mate Kore-Aro/Mate Kore-Hirahira (ADHD) .
• Te Mate Whakamahinga Matū (SUD) .
• Ngā whakaaro pōhēhē mō te tinana (Body Dysmorphic Disorder - BDD) .
• Te ngoikore o te whakahaere , arā, ko te ngoikore i roto i ngā mea pēnei i te whakatau kaupapa me te whakamahere.

He aha ngā raruraru pea ka pā mai i te Binge Eating Disorder (BED)?

Ka taea te whakanui ake i tētahi mate hinengaro, ka arahi atu ki ngā whakaaro, ngā kare ā-roto, me ngā whanonga whakangaro. Mā te BED, ka nui haere te momonatangaKa taea hoki te whakanui ake i ngā raruraru hauora e puta mai ana i tēnei. Ahakoa ehara i te mea he momona te katoa o te hunga e pāngia ana e te BED, he tino kino te noho tahi o ngā āhuatanga e rua. He hononga te kai nui me te whakanui taumaha, ka taea ai e ēnei te whakanui ake i tō ahotea hinengaro me tō ahotea tinana.

Ki te kore e rongoatia te mate hinengaro, ka taea e ia te arahi ki ngā raruraru penei:

• Te piki haere o ngā whanonga kore pāpori - pērā i te huna i te tangata, te karo i ētahi atu, me te teka.
• Te piki haere o ngā whanonga pōrangi - pērā i te tahae kai, te huna kai.
• Te nui haere o te pouri, te manukanuka, me te āhua rerekē o te tinana .
• Te pikinga ake o te ahotea, te whakarihariha ki a ia anō, me te mōrearea o te whara i a ia anō .

Me pēhea te tātaritanga o te Mate Kai Nui (BED)?

Ka tātaritatia e ngā tākuta ēnei mate kai mā te pātai i ngā pātai taipitopito mō ō whanonga, ō whakaaro, me ō kare ā-roto. Tērā pea ka mangere koe ki te whakapuaki i ēnei taipitopito, engari he mea nui te pono kia tika ai te tātaritanga .

Ka tātarihia ō whakautu e tō tākuta kia rite ki ngā paearu kei roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM-5) . Ko ngā paearu mō te tautuhi i te BED ko:

• Te kai i te kai nui atu i te kai a te nuinga o te tangata i roto i tētahi wā poto (kotahi, e rua rānei hāora).
• Te rongo i te korenga o te mana whakahaere , te kore rānei o te akiaki i a koe ki te kai.
• Ka puta ēnei wā kai nui i te iti rawa kotahi i te wiki , ā, ka roa mō ētahi marama.
• Te kai kia pā mai te mamae tinana, te mamae kare ā-roto me te whakarihariha ki a koe anō.

Ka taea tēnei tātaritanga e te tohunga hauora hinengaro , e tō tākuta whānau rānei.

Me tino hiahia ahau ki tētahi tātaritanga mate?

Ina hoki, kāore koe e hiahia ki tētahi tātaritanga mate hei tīmata i te maimoatanga mō te BED. Ahakoa he "iti te haumanu" ō tohumate, arā, kāore e tutuki i ngā paearu mō te BED, tera pea ka whai hua tonu koe i te maimoatanga. Heoi, mā te whiwhi tātaritanga mate mana ka taea e koe te whakamāmā me te whakamana. Ka taea hoki e ia te hoatu i te kaha ki a koe ki te tono āwhina. He mea nui rawa atu tēnei mō ngā mātua e ngana ana ki te āwhina i ā rātou tamariki.

He aha ngā mea kei roto i te mahere maimoatanga mō te Mate Kai Nui (BED)?

Kāore he otinga tere mō tēnei. Engari mā te mahere maimoatanga pumau, roa hoki, ka taea e koe te ora ake i te moe. Te whakaora hinengaroKoinei te pūtake o tēnei mahere maimoatanga, ā, kua whakamātauhia tōna angitu mō te tini o te tangata. I ētahi wā, ka uru pea ki roto i tō mahere he rongoā, he tohutohu kai rānei. Me mahi tahi pea koe me ngā momo tohunga hauora, pērā i te tohunga hinengaro, te tohunga hinengaro, te tohunga kai rānei kua rēhitatia.

Whakaora

Ko te hinengaro whakaora , e mōhiotia ana ko te kōrero whakaora, he wāhanga nui o te mahere maimoatanga BED. He maha ngā huarahi maimoatanga. Ko ngā tikanga tino whai hua mō te rongoā i te BED ko:

• Whakaora Hinengaro Whanoke (CBT) : Ka āwhina te CBT i a koe ki te tirotiro i ō whanonga me ngā whakaaro me ngā kare ā-roto kei muri i aua whanonga. Ka mahi tahi tō kaiwhakaora hinengaro me koe ki te wawahi i ngā tauira whanonga kino, me te kimi huarahi hauora ake hei whakatau i ngā whakaaro me ngā kare ā-roto e whakapouri ana i a koe.
• Te Whakaora Whanoke Whakawhitiwhiti Kōrero (DBT) : Kei runga i te CBT tēnei tikanga, engari he mea hāngai mō te hunga e pāngia ana e ngā kare ā-roto tino kaha. Ka arotahi ki te whakaae tuatahi ki aua kare ā-roto, te ako ki te noho tahi me aua kare ā-roto, kātahi ka mahi ki te huri i ō whanonga.
• Te Whakaora Hinengaro Tangata (IPT) : He tikanga maimoatanga poto te IPT, he mea arotahi. Ka arotahi ki ngā pakanga whanaungatanga o nāianei me ngā āhuatanga ahotea e pā ana ki tō oranga. Ma tō kaiwhakaora hinengaro koe e āwhina ki te whakatau i ō mamae o nāianei, kaua ki te ruku hohonu ki ngā take o te tamarikitanga.

Rongoā

Ka taea e ngā rongoā te tautoko i tō maimoatanga. Ahakoa kāore e pā tika ana ki te BED, ka taea e rātou te āwhina ki te whakahaere i ētahi o ngā āhuatanga e whai wāhi ana ki tēnei. Kei roto i ngā rongoā:

• Lisdexamfetamine (Vyvanse®) : Nō nā tata nei tēnei rongoā ADHD i whakaaetia hei rongoā tuatahi e te US Food and Drug Administration (FDA) hei rongoā mō te BED. Kua whakaatuhia e ngā rangahau he āwhina ki te whakahaere i te hiahia i roto i ngā āhuatanga e rua. Ahakoa kāore e aro ki te pūtake o te āhuatanga, ka taea e ia te āwhina ki te pehi.
• Rongoā mō ētahi atu āhuatanga hauora hinengaro : Tērā pea ka hiahia koe ki te rongoā mō tētahi atu āhuatanga e pā ana ki tō mate kai, pērā i ngā rongoā ārai pouri , ngā rongoā manukanuka rānei. Mā te rongoā i ngā āhuatanga hauora hinengaro taketake ka āwhina i te whakaiti i te kaha o tō mate kai.
• Ngā mea e pehi ana i te hiahia kaiTērā pea ka tohua e ētahi tākuta ngā rongoā pehi hiahia mō ētahi tāngata. Kua whakaatuhia e ēnei rongoā he painga mō te hunga e rongoatia ana mō te BED mō te wā poto. Ka taea e rātou te āwhina ki te wawahi i te huringa o te kai nui me te whakauru i ngā tauira kai hou.

Kai me te matūkai

Ka pāngia pea te tangata o ngā āhua me ngā rahi katoa e te BED, ā, ka pāngia hoki rātou e ngā momo matekai rerekē. Tērā pea he nui rawa ō matūkai nui, pērā i te huka me te ngako, engari tērā pea he iti ō matūkai iti , pērā i ngā huaora me ngā kohuke. Ka puta te hiahia kai i te korenga o ngā matūkai, te ahua pōuri o te kore e ranea, me te hiahia ki te kai nui. Ka āwhina pea ngā tāpiringa kai me te mātauranga kai i tēnei.

Ki ētahi tāngata, mā te mahere kai kua whakaritea, kua taurite hoki te kai ka āwhina i te whakaiti i te ahotea e pā ana ki te whakatau kai. Ka āwhina i a koe ki te whakatutuki i ō hiahia tinana, me te whakaiti i te tūponotanga o te mahi ohorere, te mahi kare ā-roto rānei. Ahakoa ehara te whakaheke taumaha i te whāinga matua o te maimoatanga BED, he pānga taha pea, ā, ka āwhina i te whakaiti i te ahotea mō ētahi tāngata. Heoi, ko te kai tōtika ka waiho hei take mō ētahi tāngata whai BED.

Ka pāngia tonutia ahau e te Mate Kai Nui (BED)?

He maha ngā āhuatanga hauora hinengaro e mau tonu ana, arā, he tūponotanga tonu kei hoki anō ki te mate. Engari ka taea e tō mate te hoki ki te oranga, ā, ka roa pea taua oranga. Koinei te tikanga o te whakaoranga mai i te Mate Kai Nui (BED). Ahakoa kāore pea te ara ki te oranga i te poto, i te ngāwari rānei, he tokomaha ngā tāngata ka ora i te maimoatanga. Kia mahara, ehara tēnei i te mea he kaha te ngākau. He mea tēnei e pā ana ki te mōhio, te tautoko, ngā pūkenga, me te oranga.

He aha ngā tohutohu hei āwhina i a koe ki te noho tahi me te Mate Kai Nui (BED)?

Ki te mea kei te ngana koe ki te whakahaere i tō kai nui, he pai ake te aro nui atu ki ngā hiahia e pā ana ki ō tikanga kai. Mā te aro ki ō hiahia, ka taea e koe te ako ki te wehewehe i waenga i te hiakai tūturu me te hiahia ki te kai nui. Ka taea hoki e koe te ako ki te mōhio ki te wā e makona ai tō hiakai. Ka taea hoki e koe te mōhio ake ki ngā mea e akiaki ana i a koe ki te kai kore e taea te whakahaere. Anei ētahi tohutohu mō te mahi pera:

• Whakaharatauhia te kai whai whakaaro : Ina whakaaro koe ki te kai, ina kite rānei koe i a koe e taka kai ana, āta haere. Mānua hōhonu, mānua. Kātahi, kaua e whakahē, tirohia ngā mea e tupu ana i roto i tō hinengaro me tō tinana. Ka taea hoki e koe tēnei i a koe e kai ana.
• Akohia te mōhio ki te hiakai: Ko ngā tohu o te hiakai tinana ko te mamae o te puku, te haruru, te whanoke, me te hiakai. Ka taea e te huka toto iti te whakapouri, te ngoikore rānei i a koe. Ko tētahi whakamātautau māu ake ko te pātai ki a koe anō, "Kei te hiakai rawa ahau ki te kai i tētahi mea hauora pērā i te huamata?"
• Kai i te wā e hiakai ana koe : He rite tonu te hiranga o tēnei ki te ako ki te mutu kai i te wā kāore koe e hiakai ana. Ki te tino hiakai koe, koinā te wā me kai koe. Kaua e tatari kia tino hiakai koe, ki te kore ka ngaro tō mana whakahaere, ka nui rawa te kai.
• Kati i mua i tō kīnga : Ka roa te wā ka tae atu te kai i kainga e koe ki tō puku, ka nakunaku. Ki te tere rawa tō kai, kāore he wā e kīnga ai koe, nō reira, tera pea ka nui atu tāu kai i tāu e hiahia ana. Ko tētahi huarahi ko te mutu ina tata ki te 80% tō kīnga.
• Puritia he pukapuka rātaka : He huarahi pai te pupuri i tētahi pukapuka rātaka hei whakanui ake i tō mōhio ki ō whakaaro, ki ō kare ā-roto, me ō whanonga. Tuhia ngā mea e kai ana koe, ō whakaaro, me ō kare ā-roto i ia rā. Tērā pea ka taea e koe te tautuhi i ngā tauira me ngā mea pea e whakaoho ana i tēnei.
• Whakakorehia ōu take kai : Ki te kitea e koe he kai, he āhuatanga rānei e akiaki ana i a koe ki te kai nui, kimihia he huarahi hei whakakore i aua kai i tō ao. Tangohia ō kai tino pai i te whare, ā, whakamaherehia he kai kē atu i mua. Āta karohia ngā huihuinga pāpori e akiaki ana i te kai nui.

Āhea koe me toro atu ki te tākuta mō te BED?

Ki te whakaaro koe kei te pāngia koe, kei tētahi rānei e arohaina ana e koe e te mate kai, he mea pai kia kite wawe tonu i te tākuta. He maha ngā wā kāore te hunga e pāngia ana e te mate kai e mōhio kei te hē tetahi mea kei roto i a rātou. Nō reira, ka taea e koe te whai wāhi nui ki te kawe i te take ki te aro o ētahi atu e aroha ana ki a rātou. Ka taea e te tākuta te tohutohu i a koe mō te mea hei mahi i muri mai hei āwhina i a koe, i tō hoa aroha rānei.

Nō nā tata nei i tāpirihia te Mate Kai Nui (BED) ki te DSM-5 i te tau 2013. Koinei pea te take i iti ai te mōhiotanga o te marea ki tēnei mate. Heoi, mai i taua wā, kua nui ake te kitea i ngā mate kai katoa. Ki te whakaaro koe kei a koe te BED, he mea nui kia mōhio koe kāore koe i te mokemoke, ā, kei reira ngā maimoatanga e wātea ana. Kōrero ki tētahi kaiwhakarato hauora whai tohu kia kitea ai mēnā kei a koe te BED me pēhea e taea ai e koe te āwhina.

Karere Tangohia ki te Kāinga

• Ko te Mate Kai Nui (BED) he mate hinengaro e pā ana ki te kai tonu me te kore e taea te whakahaere, he kino rawa atu i te kai nui i ētahi wā.
• Ehara tēnei i tōu he, ā, ehara i te mea ko koe anake. He āhuatanga tino noa tēnei.
• Ko ētahi o ngā tohu o tēnei ko te whakama, te hara, me te kai puku.
• Ka taea te rongoā angitu i tēnei āhuatanga mā te hinengaro whakaora , te rongoā mēnā e tika ana, me te tohutohu kai.
• Ki te pā mai ēnei tohu ki a koe, kaua e wehi ki te toro atu ki tētahi tākuta, ki tētahi kaitohutohu hauora hinengaro rānei. He mea tino nui kia tere te rapu āwhina.

Kia maumahara, ko te tono āwhina he tohu mō te kaha, ehara i te ngoikore.

Mate Kai Nui , MOENGA, Hauora Hinengaro, Kai Ā-hinengaro, Mate Kai, Whakaora Hinengaro