Kodi mumadyanso mopanda kuwongolera? (Vuto la Kudya Mopitirira Muyeso) - Tiyeni tikambirane za izi!

Kodi nthawi zina mumafuna kudya chakudya chosalamulirika nthawi imodzi? Kodi mumadzimva chisoni, chisoni, kapena manyazi mukamaliza kudya? Ngati zinthuzi zikukuchitikirani nthawi zambiri, mwina muli ndi vuto lotchedwa Binge Eating Disorder (BED), lomwe tikulankhula lero. Musadandaule, tikambirana izi mwatsatanetsatane.

Kodi Matenda Odya Mopitirira Muyeso (BED) ndi Chiyani?

Mwachidule, Binge Eating Disorder (BED) ndi vuto la khalidwe. Limadziwika ndi chizolowezi chodya kwambiri kwa nthawi yayitali. Tonsefe timadya mopitirira muyeso nthawi ndi nthawi. Koma vuto la kudya ili ndi chinthu chomwe mumakhala nacho tsiku ndi tsiku. Zimamveka ngati winawake akukulamulirani kuchokera m'mutu mwanu. Zingakhudze kwambiri thanzi lanu la maganizo, lamaganizo, komanso la thupi. Kudya kwambiri ndi pamene mumadya chakudya chambiri nthawi yochepa ndipo mumamva ngati simungathe kusiya.

Ambiri a ife tikhoza kukumana ndi zizindikiro izi nthawi zina. Koma zinthuzi zikayamba kuchitika pafupipafupi (kamodzi pa sabata kapena kuposerapo), mungakhale ndi vutoli. Zinthu zachilengedwe, monga kupsinjika maganizo ndi maubwenzi athu, zingakhudzenso khalidwe lanu ndikukhudza thanzi lanu la maganizo. Zinthuzi, pamodzi ndi zina, zingakupangitseni kuti muyambe kudya mosasamala monga BED .

Kodi vuto la kudya mopitirira muyeso (BED) ndi lofala bwanji?

Mukudziwa, Binge Eating Disorder (BED) ndi matenda ofala kwambiri pa matenda onse okhudzana ndi kudya. Ndipotu, ndi matenda omwe amachititsa pafupifupi theka la matenda onse okhudzana ndi kudya. Amakhudza pafupifupi 3% ya anthu ku United States. Ndi ofala kwambiri mwa atsikana kuposa anyamata, pa chiŵerengero cha pafupifupi 3:2. Ndi ofalanso kwambiri mwa achinyamata kuposa akuluakulu, pa chiŵerengero cha pafupifupi 4:3. Kotero mutha kuona kuti izi sizosazolowereka kwenikweni.

Kodi zizindikiro za matenda a kudya mopitirira muyeso (BED) ndi ziti?

Onani ngati mukumva kapena kuona zinthu ngati izi:

• Kudya mpaka mutamva bwino , ngakhale mutakhuta.
• Kudya mofulumira kwambiri moti mulibe nthawi yoganizira kuchuluka kwa chakudya chomwe mukudya kapena momwe chimakukhudzirani.
• Kudya chakudya chochuluka pamene mulibe njala, kapena nthawi yomweyo mukamaliza kudya.
• Kudya moganizira ndi kudya chifukwa cha kupsinjika maganizo . Kodi mumafuna kudya mukakhala ndi chisoni kapena kukwiya?
• Kudya mwanjira imeneyi kungayambitse kudzimva wolakwa, chisoni, manyazi, komanso kudzidalira .
• Kudya nokha, mobisa , komanso kupewa kudya ndi ena.
• Maganizo okhudza chakudya ndi zakudya zinazake), kukhala ndi chilakolako champhamvu cha izo.
• Kusunga ndi kusunga chakudya .
• Kuyesa kudya zakudya zopatsa thanzi nthawi zonse, koma sizingachepetse thupi, koma zingayambitse kusinthasintha kwa thupi, kapena kusachepetsa thupi konse.

Chofunika kwambiri n'chakuti, mosiyana ndi matenda monga Bulimia Nervosa , BED sikutanthauza kutsuka thupi, kusanza, kugwiritsa ntchito mankhwala osokoneza bongo, kapena kuchita masewera olimbitsa thupi mopitirira muyeso kuti muchepetse ma calories mukatha kudya. Kudya kwambiri kumatha ndi chakudya.

Komabe, anthu ena omwe ali ndi BED angakhalenso ndi vuto la kudya zakudya zosatha. Angayese kuchepetsa ma calories, koma kenako n’kudyanso mopitirira muyeso. Kapena, angayesenso kudya zakudya zopatsa thanzi kuti athetse kudya mopitirira muyeso atadya kwambiri.

N’chifukwa chiyani timamva ngati tikudya mopanda kuwongolera chonchi?

Pali zinthu zambiri zomwe zimakhudza khalidwe la kudya. Zinthu zamaganizo, zinthu zamoyo, ndi zizolowezi zophunziridwa zimakhudza izi. Chifukwa chomwe mumamvera ngati kudya popanda kulamulira chingakhale chosiyana ndi chifukwa chomwe chimakhudza wina. Tikadya, ubongo wathu umatulutsa mahomoni achimwemwe ( Serotonin ndi Dopamine ). Izi zingayambitse zizolowezi zoledzera. Komanso, chakudya chingagwiritsidwe ntchito ngati njira yochotsera malingaliro osasangalatsa, kuwapangitsa kukhala osasangalatsa, kapena kubwezera zosowa zomwe sizinakwaniritsidwe. Taganizirani izi, mukakhala ndi chisoni kwambiri, kudya chokoleti kumakutonthozani pang'ono.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a kudya mopitirira muyeso (BED)?

Mungakhale ndi mwayi waukulu wopeza BED ngati muli ndi mavuto awa:

• Wina m'banjamo ali ndi vuto la kudya mosasamala .
• Achibale osathana ndi mavuto amaganizo moyenera (kusagwira bwino ntchito kwa maganizo) .
• Ngati inuyo mwakumanapo ndi zoopsa kapena nkhanza .
• Ngati mudakumanapo ndi vuto la kusowa chakudya m'mbuyomu.
• Ngati muli ndi matenda amisala monga kuvutika maganizo kapena nkhawa .
• Matenda a Kusazindikira/Kuthamanga Kwambiri (ADHD) .
• Matenda Ogwiritsa Ntchito Mankhwala Osokoneza Bongo (SUD) .
• Maganizo olakwika okhudza thupi la munthu (Body Dysmorphic Disorder - BDD) .
• Kulephera kugwira ntchito bwino kwa oyang'anira , zomwe zikutanthauza zofooka pazinthu monga kupanga zisankho ndi kukonzekera.

Kodi ndi mavuto ati omwe amabwera chifukwa cha Binge Eating Disorder (BED)?

Matenda aliwonse amisala amatha kukulirakulira, zomwe zimapangitsa kuti munthu akhale ndi maganizo, malingaliro, ndi makhalidwe oipa kwambiri. Ndi BED, kunenepa kwambiriMavuto azaumoyo omwe amabwera chifukwa cha izi angawonjezerenso. Ngakhale kuti si aliyense amene ali ndi BED amene ali ndi kunenepa kwambiri, kukhala ndi matenda onsewa pamodzi kungakhale koopsa kwambiri. Kudya kwambiri ndi kunenepa kwambiri zimagwirizanitsidwa, zomwe zingakulitse nkhawa yanu yamaganizo ndi yakuthupi.

Matenda amisala osachiritsidwa angayambitse mavuto monga:

• Kuwonjezeka kwa makhalidwe oipa - monga kusunga chinsinsi, kupewa ena, ndi kunama.
• Khalidwe losakhazikika likuchulukirachulukira - monga kuba chakudya, kubisa chakudya.
• Kuwonjezeka kwa kuvutika maganizo, nkhawa, ndi kusokonezeka kwa thupi .
• Kupsinjika maganizo kwambiri, kudzida, komanso chiopsezo chodzivulaza .

Kodi matenda a Binge Eating Disorder (BED) amawapeza bwanji?

Madokotala amazindikira matenda amenewa mwa kufunsa mafunso atsatanetsatane okhudza khalidwe lanu, malingaliro anu, ndi momwe mukumvera. Mwina simungazengereze kuuza ena mfundo zimenezi, koma kuona mtima n'kofunika kwambiri kuti mudziwe matenda molondola .

Dokotala wanu adzasanthula mayankho anu motsatira zomwe zili mu Diagnostic and Statistical Manual of Mental Disorders (DSM-5) . Zomwe zimagwiritsidwa ntchito pozindikira matenda a BED ndi izi:

• Kudya chakudya chochuluka kuposa chomwe anthu ambiri amadya pakapita nthawi yochepa (ola limodzi kapena awiri).
• Kumva kusadziletsa kapena kukakamizidwa kudya.
• Kudya kwambiri kumeneku kumachitika kamodzi pa sabata ndipo kumatenga miyezi ingapo.
• Kudya mpaka mutamva kusasangalala ndi thupi komanso/kapena kuvutika maganizo komanso kudziona ngati wodzikuza.

Matendawa angadziwike ndi dokotala wa matenda amisala kapena dokotala wa banja lanu.

Kodi ndikufunikadi kudziwitsidwa za matenda anga?

Ndipotu, simukusowa kudziwitsidwa kuti muli ndi matenda a BED. Ngakhale zizindikiro zanu "zitakhala zosakhudzana ndi matenda," zomwe zikutanthauza kuti sizikukwaniritsa zofunikira za BED, mutha kupindulabe ndi chithandizocho. Komabe, kulandira matenda ovomerezeka kungakupatseni mpumulo ndi chitsimikizo. Kungakupatseninso mphamvu yopempha thandizo. Izi zitha kukhala zofunika kwambiri kwa makolo omwe akuyesera kuthandiza ana awo.

Kodi ndi chiyani chomwe chili mu dongosolo la chithandizo cha matenda a kudya mopitirira muyeso (BED)?

Palibe njira yachangu yothetsera vutoli. Koma ndi dongosolo lochiritsira lokhazikika komanso la nthawi yayitali, mutha kuchira ku BED .Izi nthawi zambiri zimakhala maziko a dongosolo la chithandizochi, ndipo zatsimikiziridwa kuti zikuyenda bwino kwa anthu ambiri. Nthawi zina, dongosolo lanu lingakhalenso ndi upangiri wa mankhwala kapena zakudya. Mungafunike kugwira ntchito ndi akatswiri osiyanasiyana azaumoyo, monga katswiri wa zamaganizo, katswiri wa zamaganizo, kapena katswiri wovomerezeka wazakudya.

Chithandizo

Chithandizo cha maganizo , chomwe chimadziwikanso kuti chithandizo cha kulankhula, ndi gawo lofunika kwambiri la dongosolo la chithandizo cha BED. Pali njira zosiyanasiyana zochiritsira. Njira zodziwika bwino zochiritsira BED ndi izi:

• Chithandizo cha Maganizo (CBT) : CBT imakuthandizani kufufuza makhalidwe anu ndi malingaliro ndi momwe mukumvera. Katswiri wanu wamaganizo adzagwira nanu ntchito kuti athetse machitidwe oipa ndikupeza njira zabwino zothetsera malingaliro ndi malingaliro omwe akukuvutitsani.
• Chithandizo cha Makhalidwe Okhudzana ndi Kulankhula (DBT) : Njirayi imachokera ku CBT, koma imagwiritsidwa ntchito makamaka kwa anthu omwe ali ndi malingaliro amphamvu kwambiri. Imayang'ana kwambiri kuzindikira malingaliro amenewo, kuphunzira kukhala nawo, kenako kuyesetsa kusintha makhalidwe anu.
• Chithandizo cha Maganizo Pakati pa Anthu (IPT) : IPT ndi njira yochizira matenda yomwe imachitika nthawi yochepa, yolunjika. Imayang'ana kwambiri mikangano yomwe ilipo paubwenzi ndi zinthu zomwe zikukuvutitsani zomwe zikukhudza moyo wanu. Katswiri wanu wamaganizo adzakuthandizani kuthetsa mavuto omwe mukukumana nawo nthawi yomweyo, m'malo mofufuza mavuto a ubwana wanu.

Mankhwala

Mankhwala angathandize kwambiri pa chithandizo chanu. Ngakhale kuti sakhudza mwachindunji BED, angathandize kuthana ndi zina mwa zinthu zomwe zimayambitsa vutoli. Mankhwalawa angaphatikizepo:

• Lisdexamfetamine (Vyvanse®) : Mankhwala a ADHD awa posachedwapa akhala mankhwala oyamba kuvomerezedwa ndi US Food and Drug Administration (FDA) kuchiza BED. Kafukufuku wasonyeza kuti amathandiza kulamulira maganizo m'matenda onse awiri. Ngakhale kuti sathetsa chomwe chimayambitsa vutoli, angathandize kuliletsa.
• Mankhwala a matenda ena amisala : Mungafunike mankhwala a matenda ena okhudzana ndi vuto lanu la kudya, monga mankhwala oletsa kuvutika maganizo kapena mankhwala odetsa nkhawa . Kuchiza matenda amisala omwe amayambitsa kungathandize kuchepetsa kuopsa kwa vuto lanu la kudya.
• Zoletsa chilakolako cha chakudyaMadokotala ena angapereke mankhwala oletsa chilakolako cha chakudya kwa anthu ena. Mankhwalawa asonyeza ubwino wa kanthawi kochepa kwa anthu omwe akulandira chithandizo cha BED. Angathandize kuthetsa vuto la kudya kwambiri ndikuyambitsa njira zatsopano zodyera.

Chakudya ndi zakudya

Anthu amitundu yonse ndi makulidwe osiyanasiyana amatha kukhala ndi BED, ndipo amathanso kukhala ndi mitundu yosiyanasiyana ya kusowa zakudya m'thupi. Mutha kukhala ndi michere yambiri monga shuga ndi mafuta, komanso mutha kukhala ndi kusowa kwa michere yambiri monga mavitamini ndi michere. Kusowa kwa michere kungayambitse chilakolako, kusamva bwino kuti simukukwanira, komanso chilakolako chodya mopitirira muyeso. Zakudya zowonjezera komanso maphunziro azakudya zingathandize pa izi.

Kwa anthu ena, dongosolo lokonzekera bwino la chakudya lingathandize kuchepetsa nkhawa zomwe zimabwera chifukwa chopanga zisankho pankhani ya chakudya. Lingakuthandizeni kukwaniritsa zosowa zanu zakuthupi komanso kuchepetsa mwayi wochita zinthu mopupuluma kapena mwamaganizo. Ngakhale kuti kuchepetsa thupi si cholinga chachikulu cha chithandizo cha BED, kungakhale zotsatirapo zake, ndipo kungathandize kuchepetsa nkhawa kwa anthu ena. Komabe, kuchepetsa kudya kungayambitse vuto kwa anthu ena omwe ali ndi BED.

Kodi ndidzakhala ndi vuto la kudya mopitirira muyeso (BED) nthawi zonse?

Matenda ambiri amisala ndi osatha, zomwe zikutanthauza kuti nthawi zonse pamakhala chiopsezo chobwereranso. Koma vuto lanu limatha kuchira, ndipo kuchirako kungakhale kokhalitsa. Umu ndi momwe kuchira ku Binge Eating Disorder (BED) kulili. Njira yochira siingakhale yaifupi kapena yophweka, koma anthu ambiri amachira ndi chithandizo. Kumbukirani, iyi si nkhani ya mphamvu. Ndi nkhani yozindikira, yothandizira, luso, komanso kuchira.

Ndi malangizo ati omwe angakuthandizeni kukhala ndi vuto la kudya mopitirira muyeso (BED)?

Ngati mukuyesera kulamulira kudya mopitirira muyeso, zingakuthandizeni kukhala osamala kwambiri ndi zilakolako zomwe zimakhudza chizolowezi chanu chodya. Mwa kusamala ndi zilakolako zanu, mutha kuphunzira kusiyanitsa pakati pa njala yeniyeni ndi chilakolako chodya mopitirira muyeso. Muthanso kuphunzira kuzindikira nthawi yomwe njala yanu yatha. Muthanso kudziwa bwino zomwe zimakupangitsani kudya mopitirira muyeso. Nazi malangizo ena ochitira izi:

• Yesetsani kudya mosamala : Mukaganizira za kudya, kapena mukaona kuti mukukonzekera chakudya, chepetsani liwiro. Pumirani mozama komanso pang'onopang'ono. Kenako, popanda kuweruza, yang'anani zomwe zikuchitika m'maganizo ndi m'thupi lanu. Muthanso kuchita izi pamene mukudya.
• Phunzirani kuzindikira njala: Zizindikiro za njala yakuthupi zitha kuphatikizapo kupweteka m'mimba kapena kugunda, chizungulire, ndi mutu wa njala. Shuga wochepa m'magazi angakuthandizeni kumva kutopa pang'ono kapena kufooka. Kuyesa komwe mungachite nokha ndikudzifunsa kuti, "Kodi ndili ndi njala yokwanira kudya chakudya chopatsa thanzi monga saladi?"
• Idyani mukakhala ndi njala : Izi ndi zofunika monga kuphunzira kusiya kudya mukakhala kuti mulibe njala. Ngati muli ndi njala yeniyeni, ndiye kuti nthawi yomweyo muyenera kudya. Musadikire mpaka mutakhala ndi njala yeniyeni, kapena mudzakhala ndi mwayi wotaya mphamvu ndikudya kwambiri.
• Imani musanakhute : Zimatenga nthawi kuti chakudya chomwe mwangodya chifike m'mimba mwanu ndikugaya. Ngati mudya mofulumira kwambiri, simudzakhala ndi nthawi yoti mumve kukhuta, kotero mutha kudya zambiri kuposa momwe mukufunira. Njira imodzi ndiyo kusiya pamene mukumva kukhuta pafupifupi 80%.
• Sungani buku la zochitika : Kusunga buku la zochitika ndi njira yabwino yodziwira bwino maganizo anu, momwe mukumvera, ndi makhalidwe anu. Lembani zomwe mumadya, zomwe mumaganiza, ndi zomwe mumamva tsiku lililonse. Mutha kuzindikira mitundu ndi zomwe zimayambitsa.
• Ganizirani zomwe zimayambitsa vutoli : Ngati mupeza kuti zakudya zina kapena zochitika zina zimakupangitsani kudya kwambiri, pezani njira zochotsera vutoli m'moyo wanu. Chotsani zakudya zomwe mumakonda kwambiri m'nyumbamo ndipo konzani zakudya zina pasadakhale. Pewani zochitika zomwe zimalimbikitsa kudya kwambiri.

Kodi muyenera kupita kwa dokotala liti pankhani ya BED?

Ngati mukuganiza kuti inuyo kapena munthu amene mumamukonda ali ndi vuto la kudya, nthawi zonse ndibwino kupita kwa dokotala mwamsanga. Anthu omwe ali ndi vuto la kudya nthawi zambiri sadziwa kuti pali vuto ndi iwo. Choncho mutha kutenga nawo mbali yayikulu podziwitsa ena omwe amawakonda za vutoli. Dokotala angakulangizeni zomwe mungachite kuti akuthandizeni kapena wokondedwa wanu.

Matenda Odya Mopitirira Muyeso (BED) adawonjezeredwa posachedwapa ku DSM-5 mu 2013. Mwina ndichifukwa chake anthu ambiri sadziwa za matendawa. Komabe, kuyambira pamenepo, akhala ofala kwambiri kuposa matenda ena aliwonse okhudzana ndi kudya. Ngati mukuganiza kuti muli ndi BED, ndikofunikira kudziwa kuti simuli nokha ndipo pali mankhwala omwe alipo. Lankhulani ndi dokotala wodziwa bwino ntchito kuti mudziwe ngati muli ndi BED komanso momwe mungathandizire.

Uthenga Wopita Nawo Kunyumba

• Matenda Odya Mopitirira Muyeso (BED) ndi vuto la maganizo lomwe limakhudza kudya kosalekeza, kosalamulirika komwe kumakhala koopsa kwambiri kuposa kudya mopitirira muyeso nthawi zina.
• Si vuto lanu, ndipo simuli nokha. Izi zimachitika kawirikawiri.
• Zizindikiro za izi zingaphatikizepo manyazi, kudzimva wolakwa, ndi kudya mobisa.
• Vutoli lingathe kuchiritsidwa bwino ndi mankhwala amisala , mankhwala ngati pakufunika kutero, komanso upangiri wa zakudya.
• Ngati muli ndi zizindikiro izi, musaope kupita kwa dokotala kapena mlangizi wa zaumoyo wamaganizo . Ndikofunikira kwambiri kupeza thandizo msanga.

Kumbukirani, kupempha thandizo ndi chizindikiro cha mphamvu, osati kufooka.

Matenda Odya Mopitirira Muyeso , BED, Thanzi Lamaganizo, Kudya Moganizira, Matenda Odya, Chithandizo cha Maganizo