Kodi n'kovuta kulamulira kudya kwanu? Tiyeni tiphunzire za Bulimia (Bulimia Nervosa)

Kodi munayamba mwadyapo mopitirira muyeso, kenako n’kumva chisoni chachikulu, chisoni, komanso manyazi? Tangoganizirani, nthawi zina simunathe kuthana ndi malingaliro amenewo, munatha kusanza mutadya, kapena kuyesa kuchotsa chakudya m’njira zina? Umu ndi momwe tikulankhulira lero, wotchedwa bulimia nervosa, kapena kungoti "bulimia." Ili ndi vuto la thanzi la maganizo ndi thupi lomwe anthu ambiri safuna kulankhula za ilo, koma lingakhudze anthu ambiri, ndipo ndi vuto lalikulu la kudya . Koma simuli nokha, ndipo mutha kupeza thandizo pa izi.

Kodi Bulimia Nervosa ndi chiyani kwenikweni?

Mwachidule, bulimia ndi kudya chakudya chochuluka m'kanthawi kochepa (izi zimatchedwa "binging") , kutsatiridwa ndi kuyesa kuchotsa chakudya m'thupi (izi zimatchedwa "purging" ). "Purigation" iyi ikhoza kukhala yamitundu yosiyanasiyana.

Mungamve ngati mulibe mphamvu pa zomwe mumadya. Mungadye chakudya chochuluka kwambiri nthawi imodzi, nthawi zina mobisa. Izi zingatsatidwe ndi kudzimva wolakwa komanso wamanyazi. Mukalephera kuthana ndi malingaliro amenewa, mungayese kuchotsa chakudyacho mwa kusanza, kugwiritsa ntchito mankhwala otsekula m'mimba, kapena kuchita masewera olimbitsa thupi mopitirira muyeso.

Vutoli limakhudzanso momwe mumaonera nokha. Mungaganize kuti kufunika kwanu kumadalira mawonekedwe anu ndi mawonekedwe a thupi lanu. Mungaganizenso kuti chinthu chokhacho chomwe mungathe kuwongolera ndi momwe chakudya chimatulukira m'thupi lanu. Kuzungulira kumeneku sikuli bwino ndipo kungakhale ndi zotsatirapo zoopsa, ngakhale zoopsa. Koma kumbukirani, simuli nokha. Pali thandizo.

Kodi pali mitundu iti ya bulimia?

Pali mitundu iwiri ikuluikulu ya bulimia, kutengera njira zomwe mumayesera kuchotsa chakudya m'thupi lanu kapena kuchepetsa kunenepa:

Mtundu wotsuka

Nazi zinthu zina zomwe mungachite kuti muchotse chakudya m'thupi lanu mutadya:

• Kusanza kodzipangitsa wekha.
• Kugwiritsa ntchito mankhwala otseretsa ululu.
• Kutenga mankhwala ochepetsa mphamvu ya mkodzo.
• Kugwiritsa ntchito zakumwa (monga enemas) kuti muchepetse kudzimbidwa.
• Kugwiritsa ntchito mankhwala ena kuchotsa chakudya m'thupi.

Mtundu wosatsuka

Mu njira iyi, simuchotsa chakudya mwachindunji m'thupi lanu, koma m'malo mwake mutha kuchita izi:

• Kuchita masewera olimbitsa thupi mopitirira muyeso : Kuchita masewera olimbitsa thupi mopitirira muyeso womwe ndi wopindulitsa pa thanzi lathunthu komanso mpaka kusokoneza zochita za tsiku ndi tsiku.
• Kusala KudyaIzi zikutanthauza kuti simuyenera kudya. Izi si zachilendo, koma sizoyenera kudya, zomwe zimaletsa kudya kwa nthawi yayitali.

Tangoganizirani, anthu ena amathawa kwa maola ambiri atadya kwambiri, kapena sadya bwino kwa masiku ambiri. Izi zitha kukhalanso gawo la bulimia.

Kodi zizindikiro za bulimia ndi ziti?

Munthu amene ali ndi bulimia angasonyeze zizindikiro zotsatirazi. Komabe, si aliyense amene ali ndi zizindikiro zonsezi, ndipo anthu ena angakhale ndi zochepa chabe mwa izi:

• Kudya chakudya chambiri nthawi imodzi (monga tanenera kale, "kudya kwambiri").
• Kuchotsa chakudya mutadya (njira zotsukira monga kusanza, kugwiritsa ntchito mankhwala otsekula m'mimba).
• Kuopa kwambiri kunenepa komanso chilakolako chofuna kuchita chilichonse kuti muchepetse thupi.
• Kumva ngati walephera kudziletsa pakudya.
• Kudziona ngati wopanda pake komanso kudziona ngati wopanda pake.
• Kumva chisoni chachikulu kapena manyazi mutatha kudya.
• Kuvutika maganizo, nkhawa, kusintha kwa maganizo, kapena kugwiritsa ntchito mankhwala osokoneza bongo.
• Kukomoka pafupipafupi.
• Kudzimbidwa.
• Kusakhazikika kwa msambo mwa akazi.
• Kufooka kwa minofu.
• Kufiira kwa maso (makamaka kwa iwo amene amasanza).
• Kutupa kwa nkhope (ena amatchanso izi "masaya a chipmunk" chifukwa mbali za masaya zimatupa).

Izi zingakhudze munthu aliyense mosiyana. Mwachitsanzo, mwina simunadye kwambiri musanadye. Nthawi zina, ngakhale chakudya chochepa chingakupangitseni kumva chisoni ndikukupangitsani kufuna "kudya." Momwe "mumadyetsera" zingasiyanenso malinga ndi munthu.

Kodi ndi zinthu ziti zomwe zimayambitsa bulimia?

N'zovuta kunena chomwe chimayambitsa bulimia nervosa, koma ofufuza akuganiza kuti mwina ndi kuphatikiza kwa majini (ndiko kuti, zinthu zomwe zimapatsiridwa kuchokera ku mibadwomibadwo) ndi machitidwe ophunziridwa.

Taganizirani izi, zomwe mumawona m'magulu ndi m'manyuzipepala - malingaliro monga "umu ndi momwe thupi lokongola limaonekera" - angakupangitseni kupsinjika kwambiri. Zinthu zakunja izi zingakhudze momwe mumaganizira za thupi lanu ('chithunzi cha thupi') ndi kudzidalira kwanu. Komanso, mukamamva kupsinjika kwambiri , mukamamva chisoni, kukhumudwa, kapena mukamamva ngati simungathe kulamulira zinthu m'moyo, zonsezi zingakhudze kukula kwa vuto la kudya.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Bulimia nervosa ingakhudze aliyense, koma anthu otsatirawa ali pachiwopsezo chachikulu:

• Achinyamata kapena achinyamata.
• Ngati wina m'banjamo ali ndi vuto la kudya (lokhudzana ndi zamoyo).
• Ngati muli kale ndi vuto la maganizo monga nkhawa kapena kuvutika maganizo.
• Kwa akazi (zingathenso kuchitika mwa amuna, koma zimachitika kwambiri mwa akazi).

Kodi ndi mavuto otani omwe angayambitse bulimia?

Vuto la kudya limeneli limabwera ndi zoopsa zambiri pa thanzi . Izi ndi zoopsa kwambiri, ndipo zambiri mwa izo zimatha kupha anthu. Mavuto omwe angakhalepo ndi awa:

• Kusakhazikika kwa kugunda kwa mtima (monga `(Arrhythmia)`).
• Kuwonongeka kwa matumbo ndi m'mimba.
• Mavuto a mano (kuwola kwa mano, kukokoloka kwa mano, kuonekera bwino kwa mano).
• Kutupa kwa m'mimba ndi kutsekeka kwa m'mero.
• Matenda a Gastroesophageal Reflux (GERD).
• Kulephera kwa mtima.
• Matenda okhudzana ndi kufooka kwa m'mimba (Irritable Bowel Syndrome - IBS)
• Kuwonjezeka kwa chiopsezo chodzipha.
• Kusadya bwino ndi kusowa madzi m'thupi (kusowa madzi m'thupi).
• Kutupa kwa masaya.
• Kupweteka pakhosi ndi m'mimba.
• Matenda a Shuga a Mtundu Wachiwiri.

Kuchiza msanga matenda a bulimia kungapewe mavuto amenewa ndikuchepetsa zotsatirapo zake kwa nthawi yayitali. Chifukwa chake, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati mukukayikira chilichonse pankhaniyi.

Kodi madokotala amazindikira bwanji matenda a bulimia?

Kuti adziwe vutoli, dokotala wanu ayamba kaye wakuyezetsa thupi. Iye adzakufunsani za mbiri yanu yachipatala ndi zizindikiro zake. Ndizachibadwa kuti mumve mantha pang'ono kapena kusamasuka kukambirana za izi ndi dokotala wanu. Komabe, madokotala alipo kuti akuthandizeni, osati kukuweruzani. Chifukwa chake, ndikofunikira kwambiri kukhala oona mtima pankhani ya zakudya zanu ndi machitidwe anu, kuti athe kukuthandizani moyenera.

Dokotala adzayerekeza zizindikiro zanu ndi zofunikira zomwe zili mu Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) ya American Psychiatric Association. Angakufunseni mafunso monga:

• Kodi nthawi zambiri mumakhala ndi nthawi yodya kwambiri?
• Kodi mumadziona kuti simungathe kudziletsa pa zakudya zanu?
• Kodi mumachita zinthu zoyeretsa thupi?
• Kodi mwakhala mukudya kwambiri kamodzi pa sabata kwa miyezi itatu?
• Kodi kulemera kwa thupi lanu kapena mawonekedwe anu zimakhudza kwambiri momwe mumadzionera (kudziona ngati ndinu munthu)?

Palibe mayeso enieni odziwira vuto la kudya ili. Komabe, dokotala wanu angakupatseni mayeso ena kuti awone momwe vutoli likukhudzira thanzi lanu. Mwachitsanzo:

• Kuyezetsa magazi.
• Kuyang'ana kugunda kwa mtima (Electrocardiogram - EKG kapena ECG)).
• Kuyesa ntchito ya impso.
• Kusanthula mkodzo.

Kodi pali mankhwala otani a bulimia?

Dokotala angakulangizeni njira zochiritsira monga:

• Uphungu/Chithandizo : MakamakaChithandizo cha Maganizo (CBT) ndi njira yothandiza kwambiri yolankhulirana. Pachifukwa ichi, mumakumana ndi katswiri wa zamaganizo ndikugwira ntchito naye kuti musinthe momwe malingaliro anu amakhudzira khalidwe lanu.
• Uphungu wa zakudya : Izi zikuphatikizapo kugwira ntchito ndi katswiri wolembetsa zakudya kapena mlangizi kuti akuthandizeni kukhala ndi ubale wabwino ndi chakudya chomwe mumadya.
• Mankhwala : Mankhwala oletsa kuvutika maganizo omwe ali m'gulu la mankhwala otchedwa Selective Serotonin Reuptake Inhibitors (SSRIs) nthawi zina amagwiritsidwa ntchito. Mankhwalawa amachepetsa kudya kwambiri komanso kusanza. Angathandizenso kuchiza nkhawa komanso kuvutika maganizo.
• Magulu othandizira : Izi zitha kukhala zothandiza kwambiri zikaphatikizidwa ndi mankhwala ena. Kulumikizana ndi ena omwe adakumanapo ndi zokumana nazo zofanana kungakuthandizeni paulendo wanu wochira.

Kumbukirani, njira imodzi yochiritsira siigwira ntchito kwa aliyense . Mungafunike kuyesa njira zosiyanasiyana komanso njira zosiyanasiyana kuti mukwaniritse zolinga zanu.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukumva kupsinjika maganizo chifukwa cha ubale wanu ndi chakudya, kapena ngati chikusokoneza moyo wanu watsiku ndi tsiku, muyenera kulankhula ndi dokotala.

Ngati muli ndi zizindikiro izi , pitani kuchipatala nthawi yomweyo :

• Kupweteka pachifuwa.
• Chizungulire.
• Kukomoka.
• Kumva kugunda kwa mtima kosazolowereka (kugunda kwa mtima).
• Kupuma movutikira / Kulephera kupuma.
• Kupweteka kwambiri pakhosi.

Ngati mukumva maganizo ofuna kudzipha, chonde musavutike nokha . Pali wina amene angakuthandizeni. (Ku Sri Lanka, mutha kuyimbira mabungwe monga Sumithrayo pa 0112692909). Ngakhale mutakhala kuti simuli pamavuto aakulu, musazengereze kulankhula. Ngati muli pamavuto adzidzidzi, imbani 1990 (Suvaseriya) kapena siteshoni ya apolisi yapafupi.

Ponena za kuchira ku bulimia

Kuchira n'kotheka ndithu. Koma zimatenga nthawi. Madokotala ndi akatswiri azachipatala anu adzagwira nanu ntchito kuti apange dongosolo la chithandizo lomwe lingakuthandizeni komanso lomwe lingakuthandizeni kuthana ndi zizindikiro zanu. Akatswiri azachipatala anu adzakuthandizani kukhazikitsa zolinga zomwe mungathe kuzikwaniritsa.

Ndikofunikira kudziwa kuti nthawi zina zizindikiro zimatha kubwereranso (kubwereranso)."Kubwereranso" ndi pamene mubwerera ku makhalidwe oipa mutatha kuchita zinthu zabwino kwa nthawi yayitali. Mukabwerera m'mbuyo, zingamveke ngati kubwerera m'mbuyo kwakukulu, koma sikutanthauza kuti ndinu ndani. Kuchira ndi ntchito yovuta komanso yovuta. Koma kumbukirani, simuli nokha. Gulu lanu losamalira lidzakuthandizani kubwerera m'mbuyo. Adzasintha dongosolo lanu la chithandizo ngati pakufunika kutero.

Ngati simulandira chithandizo, mutha kukhala ndi mavuto aakulu omwe nthawi zambiri amakhala oopsa. Chifukwa chake ngati simunayambe kulandira chithandizo, ndikofunikira kuchilandira nthawi yomweyo .

Kodi zimakhala bwanji kukhala ndi bulimia?

Zomwe aliyense amakumana nazo ndi vuto la kudyali n’zosiyana. Nazi zinthu zina zomwe mungaganize ndikumva mukakhala ndi bulimia:

• "Ndikuopa kupita kukadya kunja chifukwa ndimada nkhawa kuti ndidya kwambiri mwachangu kenako sindingapeze chimbudzi."
• "Sindimakonda kudziyang'ana pagalasi, chifukwa sindimakonda momwe ndimaonekera."
• "Ndimaona kuti chinthu chokhacho chomwe ndingathe kulamulira m'moyo wanga ndi 'kutsuka'."
• "Kudya kwambiri kumanditonthoza ndikakhala ndi nkhawa, koma ndimadya mofulumira kwambiri moti sindimayamikira kukoma kwa chakudya."
• "Nditadya, ndimadzimva kuti ndine wolakwa kwambiri (ngati kuti ndachita tchimo lalikulu). Ndikuganiza kuti njira yokhayo yobwezera cholakwika chimenecho ndi 'kuchotsa'."

Ngati maganizo amenewa akumveka bwino kwa inu, ndi nthawi yoti mukaone dokotala kapena mlangizi wa zaumoyo wamaganizo . Angakuthandizeni kumanga ubale wabwino ndi chakudya komanso momwe mumaonekera.

Pomaliza, chinthu chofunika kwambiri kukumbukira

Ndizachibadwa kuda nkhawa ndi zomwe mumadya komanso kukula kwa thupi lanu. Koma bulimia ndi yoposa pamenepo. Ndi vuto lomwe limayambitsa mavuto ambiri azaumoyo . Ngati mukuganiza kuti muli ndi vutoli, musazengereze kufunafuna thandizo. Ndi chithandizo choyenera chamankhwala komanso chithandizo cha thanzi la maganizo, kuchira n'kotheka. Kulankhula ndi dokotala ndiye gawo loyamba loteteza thanzi lanu. Simuli nokha, ndipo thandizo limapezeka nthawi zonse.

Bulimia nervosa, matenda a kudya, kudya mopitirira muyeso, kusanza, thanzi la maganizo, zakudya, chithandizo cha bulimia