He uaua ki te whakahaere i tāu kai? Me ako tātou mō te Bulimia (Bulimia Nervosa)

Kua pāngia koe e te kai nui, te kai kore e taea te whakahaere, kātahi ka pāngia e te pouri nui, te pouri, me te whakama pea? Whakaarohia, i ētahi wā kāore e taea te aro atu ki aua kare ā-roto, ka ruaki koe i muri i te kai, ka ngana rānei koe ki te tango i te kai i ētahi atu huarahi? Koinei te momo āhuatanga ka kōrerohia e tātou i tēnei rā, e kiia nei ko te bulimia nervosa, ko te "bulimia" rānei. He raruraru hauora hinengaro me te tinana tēnei e kore e pai ki te kōrerohia e te tini o te tangata, engari ka pā ki te tini o te tangata, ā, he mate kai kino . Engari ehara i te mea ko koe anake, ā, ka taea e koe te tiki āwhina mō tēnei.

He aha rawa te Bulimia Nervosa?

I te whakarapopototanga, ko te bulimia te kai nui i roto i te wā poto (e kiia ana tēnei ko te "binging") , ā, muri iho ka ngana ki te tango i te kai mai i te tinana (e kiia ana tēnei ko te "purging" ). He maha ngā āhua o tēnei "purging".

Tērā pea ka whakaaro koe kāore he mana whakahaere mō tāu e kai ana. Tērā pea ka kai koe i te nui rawa o te kai i te wā kotahi, i ētahi wā ka huna. Ka whai ake i tēnei ko ngā kare ā-roto o te hara me te whakama. Ki te kore e taea e koe te whakahaere i ēnei kare ā-roto, ka ngana pea koe ki te whakakore i te kai mā te ruaki, te whakamahi i ngā rongoā whakawai, te whakakori tinana nui rānei.

Ka pāngia hoki koe e tēnei āhuatanga e tō tirohanga ki a koe anō. Tērā pea ka whakaaro koe ko tō uara ka whakatauhia e tō āhua me te āhua o tō tinana. Tērā pea ka whakaaro koe ko te putanga o te kai i roto i tō tinana anake te mea ka taea e koe te whakahaere. He tino kino tēnei huringa, ā, ka pā he hua kino, tae noa ki te mate. Engari kia mahara, kāore koe i te mokemoke. He āwhina kei reira.

He aha ngā momo bulimia kei reira?

E rua ngā momo matua o te bulimia, i runga i ngā huarahi e ngana ana koe ki te tango i te kai mai i tō tinana, ki te whakaiti rānei i te pikinga o te taumaha:

Momo horoi

Anei ētahi mea ka taea e koe te mahi hei tango i te kai i roto i tō tinana i muri i te kai:

• Te ruaki i puta ake i a ia anō.
• Te whakamahinga o ngā rongoā whakamāmā.
• Te tango i ngā rongoā diuretic.
• Te whakamahi i ngā wai (hei tauira, ngā enemas) hei whakaora i te mate pāwera.
• Te whakamahi i ētahi atu rongoā hei tango i te kai mai i te tinana.

Momo kore-whakakore

I tēnei tikanga, kāore e tangohia tika te kai i roto i tō tinana, engari ka taea e koe te mahi i ēnei e whai ake nei:

• Te whakakori tinana nui rawa atu : Te whakakori tinana i tua atu i te taumata e whai hua ana mō te hauora whānui, ā, tae noa ki te wāhi e whakararuraru ai i ngā mahi o ia rā.
• nohopukuKo te tikanga o tēnā ko te kore kai. Ehara hoki tēnei i te mea noa, engari he mea kino ki te hauora, arā, te whakawhāiti i te kai mō te wā roa.

Whakaarohia, ka oma ētahi tāngata mō ngā hāora i muri i te kai nui, kāore rānei i te kai tika mō ngā rā. Tērā pea he wāhanga tēnei o te bulimia.

He aha ngā tohu o te bulimia?

Tērā pea ka kitea ēnei tohu e te tangata e pāngia ana e te bulimia. Heoi, ehara i te katoa ēnei tohu katoa, ā, he torutoru noa iho pea ngā tohu o ētahi tāngata:

• Te kai nui i te wā kotahi (e ai ki tā mātou i kōrero ai i mua ake nei, te "kai nui").
• Te tango i te kai i muri i te kai (ngā tikanga horoi pēnei i te ruaki, te whakamahi i ngā rongoā whakamāmā).
• Te wehi nui kei piki te taumaha me te hiahia ki te mahi i tetahi mea hei whakaiti i te taumaha.
• Te whakaaro kāore e taea te whakahaere i te kai.
• Te iti o te whakaaro ki a ia anō me te whakaaro korekore.
• Te nui o te whakama, te hara rānei i muri i te kai.
• Te tahuri ki ngā mea pēnei i te pouri, te manukanuka, te huringa o te wairua, te whakamahi kino rānei i ngā matū.
• Te hemo pinepine.
• Te mate kōroke.
• Ngā huringa paheketanga koretake i roto i ngā wāhine.
• Te ngoikore o te uaua.
• Te whero o ngā kanohi (ina koa mō te hunga e ruaki ana).
• Te pupuhi o te kanohi (e kiia ana tēnei e ētahi he "paparinga tīpi" nā te mea ka pupuhi ngā taha o ngā paparinga).

Ka rerekē pea tēnei pānga ki ia tangata. Hei tauira, kāore pea koe i kai nui i mua i tō "purge". I ētahi wā, ahakoa he iti noa te kai ka pā kino ki a koe, ka hiahia hoki koe ki te "purge". Ka rerekē hoki te huarahi e "purge" ai koe i ia tangata, i ia tangata.

He aha ngā take o te bulimia?

He uaua ki te kī tika he aha te take o te bulimia nervosa, engari e whakaaro ana ngā kairangahau he huinga pea o ngā awe ira (arā, ngā mea i tukuna iho i tētahi whakatipuranga ki tētahi whakatipuranga) me ngā whanonga kua akohia.

Whakaarohia, ko ngā mea e kitea ana e koe i roto i te hapori me ngā pāpāho – ko ngā whakaaro pēnei i te "koinei te āhua o te tinana ataahua" – ka pā ki a koe te nui o te pēhanga. Ka pā pea ēnei awe o waho ki te huarahi e whakaaro ai koe ki tō tinana ('ahua tinana') me tō whakaaro ki a koe anō. Waihoki, ina pāngia koe e te ahotea nui , ina pōuri koe, ina pouri koe, ina whakaaro rānei koe kāore e taea e koe te whakahaere i ngā mea o te ao, ka pā pea ēnei katoa ki te whanaketanga o tēnei mate kai.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ka pāngia te tangata e te bulimia nervosa, engari ko ēnei tāngata e whai ake nei he nui ake te mōrearea:

• Taiohi , taiohi rānei.
• Mena he mate kai tō tetahi o te whānau (he hononga ā-koiora).
• Mena kei te pāngia koe e tētahi āhuatanga hauora hinengaro pēnei i te manukanuka, te pouri rānei.
• Mō ngā wāhine (ka pā anō hoki ki ngā tāne, engari he nui ake te pānga ki ngā wāhine).

He aha ngā raruraru pea o te bulimia?

He maha ngā tūponotanga hauora o tēnei mate kai. He tino mōrearea ēnei, ā, he maha o ēnei ka taea te whakamate i te ora. Ko ngā raruraru pea ko:

• Ngā rerekētanga o te tere o te manawa (hei tauira, `(Arrhythmia)`).
• Te kino ki ngā whekau me te puku.
• Ngā raruraru niho (te pirau o ngā niho, te memeha o ngā niho, te mārama o ngā niho).
• Te pokanga o te esophagus me te pakaru o te esophagus.
• Te Mate Reflux Gastroesophageal (GERD).
• Te ngoikore o te ngākau.
• Ngā āhuatanga e pā ana ki te tairongo o te puku (Irritable Bowel Syndrome - IBS)
• Te pikinga ake o te mōrearea whakamomori.
• Te kore kai me te matewai (te kore wai i roto i te tinana).
• Te pupuhi o ngā paparinga.
• Te korokoro mamae me te puku.
• Mate huka momo 2.

Mā te rongoā wawe i te bulimia ka ārai i ēnei raruraru me te whakaiti i ngā pānga mō te wā roa. Nō reira, he mea tino nui kia rapu tohutohu hauora tonu mēnā he ruarua āu mō tēnei.

Me pēhea te tautuhi a ngā tākuta i te bulimia?

Hei tātaritanga i tēnei mate, ka tirotirohia e tō tākuta tō tinana i te tuatahi. Ka pātai ia mō tō hītori hauora me ō tohumate. He mea noa kia mataku koe, kia kore rānei e pai ki te kōrero mō ēnei mea ki tō tākuta. Heoi, kei reira ngā tākuta hei āwhina i a koe, ehara i te mea hei whakahē i a koe. Nō reira, he mea tino nui kia pono koe mō ō tikanga kai me ō whanonga, kia taea ai e rātou te āwhina tika i a koe.

Ka whakataurite te tākuta i ō tohumate ki ngā paearu kei roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) o te American Psychiatric Association. Tērā pea ka pātai atu ia ki a koe i ēnei pātai:

• Kei te pā mai anō ō wā kai nui?
• Kei te whakaaro koe kāore e taea e koe te whakahaere i tāu kai?
• Kei te whai wāhi koe ki ngā whanonga purenga?
• Kua pāngia koe e te kai nui i te iti rawa kotahi i te wiki mō te toru marama?
• He pānga nui tō taumaha, tō āhua tinana rānei ki tō tirohanga ki a koe anō (te whakaaro ki a koe anō)?

Kāore he whakamātautau motuhake hei tautuhi i tēnei mate kai. Heoi anō, ka tono pea tō tākuta i ētahi whakamātautau hei tirotiro i te pānga o te mate ki tō hauora. Hei tauira:

• Ngā whakamātautau toto.
• Te tirotiro i te tere o te manawa (Electrocardiogram - EKG, ECG rānei)).
• Whakamātautau mahi whatukuhu.
• Te tātaritanga mimi.

He aha ngā maimoatanga e wātea ana mō te bulimia?

Ka tūtohu pea te tākuta i ngā maimoatanga pēnei i:

• Te Tohutohu/Te Whakaora : Ina koaHe momo rongoā kōrero āwhina te Whakaora Whanoke Hinengaro (CBT). I roto i tēnei, ka tūtaki koe ki tētahi kaiwhakaora hinengaro, ka mahi tahi me rātou ki te whakarerekē i te pānga o ō whakaaro ki ō whanonga.
• Te tohutohu kai : Kei roto i tēnei ko te mahi tahi me tētahi Kaitohutohu Kai kua Rēhitatia, he kaitohutohu rānei, hei āwhina i a koe ki te whakawhanake i tētahi whanaungatanga hauora ki te kai e kainga ana e koe.
• Rongoā : Ka whakamahia ētahi wā ngā rongoā ārai pouri i roto i te akomanga rongoā e kiia nei ko ngā Selective Serotonin Reuptake Inhibitors (SSRIs) . Ka taea e ēnei te whakaiti i te kai nui me te ruaki. Ka taea hoki e rātou te āwhina ki te rongoā i te manukanuka me te pouri.
• Ngā rōpū tautoko : He tino āwhina ēnei ina honoa ki ētahi atu maimoatanga. Mā te hono atu ki ētahi atu kua pā ki ngā wheako ōrite ka whai hua ki tō haerenga whakaora.

Kia maumahara, kāore e pai te kotahi tikanga maimoatanga mō te katoa . Me whakamātau pea koe i ngā tikanga me ngā ara rerekē hei whakatutuki i ō whāinga.

Āhea koe me toro atu ki te tākuta?

Mena kei te pāngia koe e te ahotea nā tō whanaungatanga ki te kai, nā te mea rānei kei te whakararuraru i tō oranga o ia rā, me kōrero koe ki te tākuta.

Mena kei a koe ēnei tohu , rapua tonutia he awhina hauora :

• Mamae o te uma.
• Pōuriuri.
• Te hemo.
• Te rongo i te tere o te manawa rerekē (Te tere o te ngakau).
• Te poto o te manawa / Te poto o te manawa.
• Te korokoro mamae nui.

Ki te mea kei te whakaaro koe ki te whakamomori, kaua e mamae ko koe anake . Tērā tetahi hei āwhina. (I Sri Lanka, ka taea e koe te waea atu ki ngā whakahaere pēnei i a Sumithrayo 0112692909). Ahakoa kāore koe i roto i tētahi raruraru nui, kaua e mangere ki te kōrero. Ki te mea kei roto koe i tētahi āhuatanga ohorere, waea atu ki te 1990 (Suvaseriya) ki te teihana pirihimana tata rānei.

Mō te whakaora mai i te bulimia

He tino taea te whakaora. Engari he roa te wā. Ka mahi tahi ō tākuta me ō kaiwhakaora hinengaro me koe ki te waihanga i tētahi mahere maimoatanga e pai ana mōu me ō tohumate. Ka āwhina tō kaiwhakaora hinengaro i a koe ki te whakatakoto whāinga pono, me te mahi ki te whakatutuki i aua whāinga.

He mea nui kia mōhio koe i ētahi wā ka hoki anō ngā tohu (ka hoki anō).Ko te "hokinga anō" ko te hokinga atu ki ngā whanonga kino i muri i tētahi wā o ngā tikanga hauora. Ina "hokinga anō" koe, ka rite pea ki te hinganga nui, engari ehara i te whakatau ko wai koe. He wero, he mahi uaua te whakaora. Engari kia mahara, kāore koe i te mokemoke. Ma tō rōpū tiaki koe e āwhina kia hoki ki te huarahi tika. Ma rātou e whakarerekē tō mahere maimoatanga ina hiahiatia.

Ki te kore e rongoatia, ka pāngia koe e ngā raruraru kino, e mate ai koe i ētahi wā. Nō reira, ki te kore anō kia tīmata te maimoatanga, he mea nui kia tīmata tonu .

He aha te āhua o te noho me te bulimia?

He rerekē ngā wheako o te katoa ki tēnei mate kai. Tērā pea ka pāngia te tangata e te bulimia e ngā kare ā-roto me ngā whakaaro pēnei i:

• "E wehi ana ahau ki te haere ki waho ki te kai nā te mea e manawapa ana ahau kei tere rawa taku kai nui, ā, kāore e kitea he wharepaku."
• "Kāore au e pai ki te titiro ki ahau anō i roto i te whakaata, nā te mea kāore au e pai ki tōku āhua."
• "Ki taku whakaaro ko te mea anake ka taea e au te whakahaere i roto i tōku ao ko te 'whakakore'."
• "He whakamarie te kai nui ina ahotea ahau, engari he tere rawa taku kai, kāore au e tino maioha ki te reka o te kai."
• "I muri i te kai, ka tino whakama ahau (me te mea kua hara nui ahau). Ki taku whakaaro ko te huarahi anake hei whakatika i taua hapa ko te 'whakakore'."

Mena he mōhio koe ki ēnei whakaaro, kua tae ki te wā ki te toro atu ki tētahi tākuta, ki tētahi kaitohutohu hauora hinengaro rānei . Ka taea e ēnei te āwhina i a koe ki te hanga hononga pai ake ki te kai me tō whakaaro ki a koe anō.

Hei whakamutunga, ko te mea tino nui hei maumahara

He mea noa te manukanuka ki tāu e kai ana me te rahi o tō tinana. Engari he nui atu i tēnā te bulimia. He mate kua tino pūmau tēnei, ā, ka arahi pea ki ngā raruraru hauora maha . Ki te whakaaro koe kei a koe tēnei mate, kaua e mangere ki te rapu āwhina. Mā te maimoatanga hauora tika me te tautoko hauora hinengaro, ka taea te whakaora. Ko te kōrero ki te tākuta te taahiraa tuatahi ki te tiaki i tō oranga. Kāore koe i te mokemoke, ā, kei te wātea tonu te āwhina.

` Bulimia nervosa, ngā mate kai, te kai nui, te ruaki, te hauora hinengaro, te kai totika, te maimoatanga o te bulimia