Ngaba nawe utya ngokungalawulekiyo? (Ingxaki Yokutya Kakhulu) - Masithethe ngale nto!

Ngaba ngamanye amaxesha uziva ufuna ukutya ukutya okuninzi ngaxeshanye? Ngaba uziva ulusizi, uzisola, okanye uneentloni xa ugqiba ukutya? Ukuba ezi zinto ziyenzeka rhoqo kuwe, usenokuba unesifo esibizwa ngokuba yiBinge Eating Disorder (BED), esithetha ngaso namhlanje. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha.

Yintoni i-Binge Eating Disorder (BED)?

Ngamafutshane, iBinge Eating Disorder (BED) sisifo sokuziphatha. Sibonakaliswa yindlela yokutya kakhulu engalawulekiyo ixesha elide. Sonke sitya kakhulu ngamanye amaxesha. Kodwa esi sifo sokutya siyinto ohlala nayo imihla ngemihla. Kuvakala ngathi kukho umntu okulawulayo ngaphakathi entlokweni yakho. Sinokuba nefuthe elikhulu kwimpilo-ntle yakho yengqondo, yeemvakalelo, neyomzimba. Ukutya kakhulu kuxa utya ukutya okuninzi ngexesha elifutshane kwaye uzive ngathi awukwazi ukuyeka.

Uninzi lwethu lunokuba nezi mpawu ngamanye amaxesha. Kodwa xa ezi zinto ziqala ukwenzeka rhoqo (kanye ngeveki nangaphezulu), usenokuba nale meko. Izinto ezingqongileyo, ezinje ngoxinzelelo kunye nobudlelwane bethu, zinokuchaphazela nokuziphatha kwakho kwaye zichaphazele impilo yakho yengqondo. Ezi zinto, xa zidityaniswe nezinye izinto, zinokukukhokelela kwinqanaba lokuziphatha okungalunganga kokutya okubizwa ngokuba yi-BED .

Ixhaphake kangakanani i-Binge Eating Disorder (BED)?

Uyazi, iBinge Eating Disorder (BED) yeyona ngxaki yokutya ixhaphakileyo. Enyanisweni, ichaphazela malunga nesiqingatha sayo yonke ingxaki yokutya. Ichaphazela malunga ne-3% yabemi eMelika. Ixhaphake kakhulu kumantombazana kunabafana, malunga ne-3:2. Ixhaphake kakhulu nakubantu abancinci kunakwabantu abadala, malunga ne-4:3. Ngoko ungabona ukuba oku akuqhelekanga kangako.

Zithini iimpawu ze-Binge Eating Disorder (BED)?

Bona ukuba uyaziva okanye uyazibona na izinto ezinje:

• Ukutya ude uzive ungakhululekanga , nokuba sele uhluthi.
• Ukutya ngokukhawuleza kangangokuba awunalo nexesha lokucinga ngokuba utya kangakanani okanye indlela okukwenza uzive ngayo.
• Ukutya ukutya okuninzi xa ungalambanga, okanye kwangoko emva kokuba ugqibile ukutya.
• Ukutya ngokweemvakalelo kukutya ngenxa yoxinzelelo lweemvakalelo . Ngaba uziva ufuna ukutya xa uziva ulusizi okanye unomsindo?
• Ukutya ngale ndlela kunokubangela ukuziva unetyala, ukuzisola, iintloni, kunye neengxaki zokuzixabisa .
• Ukutya wedwa, ngasese , kwaye ungatyi nabanye abantu.
• Iingcinga ezinzulu malunga nokutya nokutya okuthile), ndinqwenela kakhulu loo nto.
• Ukugcina nokugcina ukutya .
• Ukuzama ukutya rhoqo, kodwa oko kusenokungaphumeleli ekwehleni kobunzima, kodwa kunokukhokelela ekutshintsheni kobunzima, okanye ukungabikho kobunzima konke konke.

Into ebalulekileyo kukuba, ngokungafaniyo neemeko ezifana neBulimia Nervosa , i-BED ayibandakanyi ukuhlanza umzimba, ukuhlanza, ukusebenzisa kakubi i-laxative, okanye ukuzilolonga kakhulu ukuze kuncitshiswe iikhalori emva kokutya. Ukutya kakhulu kuphela ngokutya.

Nangona kunjalo, abanye abantu abane-BED basenokuba ngabantu abadla ukutya okungapheliyo. Basenokuzama ukunciphisa iikhalori, kodwa baphinde batye kakhulu. Okanye, basenokuzama ukutya kwakhona ukuze babuyisele ukutya okugqithisileyo emva kokutya kakhulu.

Kutheni sivakalelwa kukutya ngokungalawulekiyo ngolu hlobo?

Zininzi izinto ezichaphazela indlela oziphatha ngayo xa usitya. Izinto zengqondo, izinto zebhayoloji, kunye nemikhwa efundwayo iyayichaphazela le nto. Isizathu sokuba uzive ngathi ungatya ngaphandle kokulawula sinokwahluka kwisizathu esichaphazela omnye umntu. Xa sisitya, ingqondo yethu ikhupha iihomoni zovuyo ( iSerotonin kunye neDopamine ). Oku kunokukhokelela ekuthandeni umlutha. Kwakhona, ukutya kunokusetyenziswa njengendlela yokususa iimvakalelo ezingonwabisiyo, ukuzithulisa, okanye ukuhlawula iimfuno ezingafezekiswanga. Cinga ngako, xa uziva ulusizi kakhulu, ukutya itshokolethi kuvakala kuthuthuzela kancinci.

Ziziphi izinto ezibangela umngcipheko we-Binge Eating Disorder (BED)?

Usenokuba namathuba amaninzi okufumana i-BED ukuba unezi meko zilandelayo:

• Kukho umntu kusapho onengxaki yokutya ngendlela engacwangciswanga .
• Amalungu osapho angajongani neengxaki zeemvakalelo ngendlela efanelekileyo (ukungasebenzi kakuhle kweemvakalelo) .
• Ukuba ukhe wahlangabezana noxinzelelo okanye ukuxhatshazwa .
• Ukuba ukhe wajongana nokungabikho kokutya ngaphambili.
• Ukuba unesifo sengqondo esifana nokudakumba okanye ixhala .
• Ingxaki Yokungakwazi Ukuqwalasela/Ukuphazamiseka Kokusebenza Kakhulu (ADHD) .
• Ingxaki Yokusetyenziswa Kweziyobisi (i-SUD) .
• Iingcinga ezigqwethekileyo ngomzimba womntu (iBody Dysmorphic Disorder - BDD) .
• Ukungasebenzi kakuhle kwabaphathi , oko kuthetha ubuthathaka kwizinto ezifana nokwenza izigqibo kunye nokucwangcisa.

Ziziphi iingxaki ezinokubakho ze-Binge Eating Disorder (BED)?

Nasiphi na isifo sengqondo sinokuba mandundu, nto leyo ekhokelela kwiingcinga, iimvakalelo, kunye nokuziphatha okutshabalalisayo ngakumbi. Nge-BED, ukutyeba kakhuluIingxaki zempilo ezibangelwa koku nazo zinokongeza. Nangona kungengabo bonke abantu abane-BED abatyebe kakhulu, ukuba nezi meko zombini zinokuba yingozi kakhulu. Ukutya kakhulu kunye nokutyeba kunxulumene, nto leyo enokunyusa uxinzelelo lwakho lwengqondo nolwenyama.

Isifo sengqondo esinganyangwanga singakhokelela kwiingxaki ezifana nezi:

• Ukwanda kokuziphatha okungafanelekanga - njengokuzifihla, ukuphepha abanye, nokuxoka.
• Ukuziphatha okungaguqukiyo okuya kusanda - njengokusela ukutya, ukufihla ukutya.
• Ukwanda koxinzelelo, ixhala, kunye nokungasebenzi kakuhle komzimba .
• Uxinzelelo oluphezulu, ukuzithiya, kunye nomngcipheko wokuzenzakalisa .

Isifo Sokutya Okuninzi (i-BED) sifunyanwa njani?

Oogqirha baxilonga ezi ngxaki zokutya ngokubuza imibuzo eneenkcukacha malunga nokuziphatha kwakho, iingcinga zakho kunye neemvakalelo zakho. Usenokuba mathidala ukwabelana ngezi nkcukacha, kodwa ukunyaniseka kubalulekile ukuze ufumane uxilongo oluchanekileyo .

Ugqirha wakho uza kuhlalutya iimpendulo zakho ngokweekhrayitheriya ezikwiDiagnostic and Statistical Manual of Mental Disorders (DSM-5) . Iikhrayitheriya zokuxilonga i-BED ziquka:

• Ukutya ukutya okungaphezulu kunokuba uninzi lwabantu lukutya ngexesha elithile (iyure enye okanye ezimbini).
• Ukuziva ungenalo ulawulo okanye unyanzelekile ukuba utye.
• Ezi ziqendu zokutya kakhulu zenzeka ubuncinane kanye ngeveki kwaye zihlala iinyanga eziliqela.
• Ukutya ude uzive ungakhululekanga emzimbeni okanye uxinezelekile ngokweemvakalelo kwaye uzithiyile.

Olu xilongo lunokwenziwa ngugqirha wezempilo yengqondo okanye ngugqirha wosapho lwakho.

Ngaba ngokuqinisekileyo ndiyayidinga ingcebiso yokuxilongwa?

Enyanisweni, akufuneki ukuba uxilongwe ukuze uqale unyango lwe-BED. Nokuba iimpawu zakho "azibonakali," oko kuthetha ukuba azifikeleli kwiimfuno ze-BED, usenokuzuza kunyango. Nangona kunjalo, ukufumana uxilongo olusemthethweni kunokukunika ukuphumla nokuqinisekiswa. Kunokukunika amandla okucela uncedo. Oku kunokuba kubaluleke kakhulu kubazali abazama ukunceda abantwana babo.

Yintoni equkiweyo kwisicwangciso sonyango lwe-Binge Eating Disorder (BED)?

Akukho sicombululo sikhawulezileyo koku. Kodwa ngesicwangciso sonyango esihlala sihleli, ungachacha kwi- BED .Oku kudla ngokuba sisiseko sale nkqubo yonyango, kwaye kuye kwabonakala ukuba iyasebenza kubantu abaninzi. Kwezinye iimeko, isicwangciso sakho sinokubandakanya amayeza okanye iingcebiso zesondlo. Kusenokufuneka usebenze neengcali ezahlukeneyo zempilo, ezifana nengcali yezengqondo, ingqondo yengqondo, okanye ingcali yokutya ebhalisiweyo.

Unyango

Unyango lwengqondo , olukwaziwa ngokuba lunyango lokuthetha, luyinxalenye ebalulekileyo yesicwangciso sonyango lwe-BED. Kukho iindlela ezahlukeneyo zonyango. Iindlela ezivunyiweyo zokunyanga i-BED zezi:

• Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT) : I-CBT ikunceda uhlole indlela oziphethe ngayo kunye neengcinga neemvakalelo zakho. Ingcali yakho yezonyango iza kusebenza nawe ukuze iphule iindlela zokuziphatha ezingalunganga kwaye ifumane iindlela ezisempilweni zokujongana neengcinga neemvakalelo ezikukhathazayo.
• Unyango Lokuziphatha Oludibanisayo (i-DBT) : Le ndlela isekelwe kwi-CBT, kodwa yenzelwe ngokukodwa abantu abanamava eemvakalelo ezinzulu kakhulu. Igxila ekuqondeni ezo mvakalelo kuqala, ukufunda ukuhlala nazo, uze usebenzele ukutshintsha indlela oziphethe ngayo.
• Unyango lwengqondo olusebenzisana nabantu (i-IPT) : I-IPT yindlela yonyango yexesha elifutshane, egxile kakhulu. Igxila kwiingxabano zobudlelwane ezikhoyo kunye nezinto ezibangela uxinzelelo ezichaphazela ubomi bakho. Ingcali yakho yezonyango iya kukunceda ukusombulula iingongoma zakho zentlungu, endaweni yokujonga iingxaki zobuntwana.

Amayeza

Amayeza anokudlala indima exhasayo kunyango lwakho. Nangona engayichaphazeli ngqo i-BED, anokunceda ekulawuleni ezinye zezinto ezibangela oko. Amayeza anokubandakanya:

• I-Lisdexamfetamine (Vyvanse®) : Eli yeza le-ADHD kutshanje libe liyeza lokuqala elivunyiweyo yi-US Food and Drug Administration (FDA) ukunyanga i-BED. Uphando lubonise ukuba linceda ekulawuleni impembelelo kuzo zombini ezi meko. Nangona lingajongani nonobangela wesifo, linokunceda ekusithinteleni.
• Amayeza kwezinye iimeko zempilo yengqondo : Ungadinga amayeza kwenye imeko enxulumene nengxaki yakho yokutya, njengemithi yokudakumba okanye amayeza okuxhalaba . Ukunyanga iimeko zempilo yengqondo ezingaphantsi kunokunceda ukunciphisa ubukhali bengxaki yakho yokutya.
• Izinto ezithintela umnqweno wokutya: Abanye oogqirha banokunika abanye abantu amayeza okunciphisa umnqweno wokutya. La mayeza abonakalise iingenelo zexesha elifutshane kubantu abanyangwa i-BED. Anokunceda ekuqhawuleni umjikelo wokutya kakhulu aze angenise iindlela ezintsha zokutya.

Ukutya kunye nesondlo

Abantu bazo zonke iimilo nobukhulu bomzimba banokuba ne-BED, kwaye banokuba neentlobo ezahlukeneyo zokungondleki kakuhle. Usenokuba nee -macronutrients ezininzi, ezifana neswekile namafutha, kodwa usenokuba nokungabikho kwe-micronutrients , ezifana neevithamini kunye neeminerali. Ukunqongophala kwezondlo kunokubangela iminqweno, imvakalelo engacacanga yokungafumani ukutya okwaneleyo, kunye nomnqweno wokutya ngokungalawulekiyo. Izongezo zesondlo kunye nemfundo yesondlo zinokunceda koku.

Kwabanye abantu, isicwangciso sokutya esicwangcisiweyo nesinokulinganisela ukutya sinokunceda ekunciphiseni uxinzelelo oluza nokwenza izigqibo zokutya. Sinokukunceda uhlangabezane neemfuno zakho zomzimba ngelixa sinciphisa amathuba okwenza izinto ngokungxama okanye ngokweemvakalelo. Nangona ukunciphisa umzimba kungengowona njongo iphambili yonyango lwe-BED, kunokuba yimpembelelo embi, kwaye kunokunceda ekunciphiseni uxinzelelo kwabanye abantu. Nangona kunjalo, ukunciphisa ukutya kunokuba yimbangela kwabanye abantu abane-BED.

Ngaba ndiza kuhlala ndine-Binge Eating Disorder (BED)?

Iingxaki ezininzi zempilo yengqondo azipheli, nto leyo ethetha ukuba kukho umngcipheko wokuphinda ubuye. Kodwa imeko yakho inokuba sempilweni, kwaye loo mpilo inokuhlala ixesha elide. Yile nto ithethwa kukuphila kwi-Binge Eating Disorder (BED). Indlela eya ekuphileni isenokungabi mfutshane okanye ingabi lula, kodwa abantu abaninzi bayaphila ngonyango. Khumbula, oku akungombandela wamandla okuzimisela. Yinto yokuqaphela, inkxaso, izakhono, kunye nokuchacha.

Ngawaphi amacebiso anokukunceda uphile neBinge Eating Disorder (BED)?

Ukuba uzama ukulawula ukutya kwakho ngokugqithisileyo, kunokukunceda ukuba uqaphele ngakumbi iminqweno echaphazela imikhwa yakho yokutya. Ngokunika ingqalelo kwiminqweno yakho, ungafunda ukwahlula phakathi kwendlala yokwenyani kunye neminqweno yokutya ngokugqithisileyo. Ungafunda nokuqonda xa indlala yakho yanelisiwe. Ungafunda ngakumbi ngento ekwenza utye ngokungalawulekiyo. Nazi ezinye iingcebiso zokwenza oko:

• Ziqhelise ukutya ngononophelo : Xa ucinga ngokutya, okanye xa uzibona ulungisa ukutya, yehlisa isantya. Phefumla nzulu kancinci. Emva koko, ngaphandle kokugweba, jonga okwenzekayo engqondweni nasemzimbeni wakho. Ungakwenza oku ngelixa usitya.
• Funda ukuqaphela indlala: Iimpawu zendlala yomzimba zingabandakanya iintlungu zesisu okanye ukugquma, isiyezi, kunye nentloko ebuhlungu yendlala. Iswekile ephantsi egazini inokukwenza uzive udiniwe okanye ubuthathaka. Uvavanyo onokulwenza ngokwakho kukuzibuza, "Ngaba ndilambile ngokwaneleyo ukuba ndingatya into enempilo efana nesaladi?"
• Yitya xa ulambile : Oku kubaluleke njengokufunda ukuyeka ukutya xa ulambile. Ukuba ulambile ngokwenene, kulapho ke kufuneka utye khona. Musa ukulinda ude ulambile ngokwenene, kungenjalo uya kuba sengozini yokuphulukana nolawulo kwaye utye kakhulu.
• Yima ungekahluthi : Kuthatha ixesha ukuba ukutya okusandula ukutya kufike esiswini sakho kwaye kugaywe. Ukuba utya ngokukhawuleza, awuyi kuba nexesha lokuziva uhluthi, ngoko ke ungagqibela usitya ngaphezu kokuba ufuna. Enye indlela kukuyeka xa uziva uhluthi malunga ne-80%.
• Gcina ijenali : Ukugcina ijenali yindlela entle yokuqonda ngakumbi iingcinga zakho, iimvakalelo zakho kunye nokuziphatha kwakho. Bhala phantsi into oyityayo, into oyicingayo, kunye nento oyivayo yonke imihla. Usenokukwazi ukubona iipateni kunye mhlawumbi nezinto ezibangela loo nto.
• Lungisa izinto ezikubangela ukuba utye kakhulu : Ukuba ufumanisa ukuba ukutya okanye iimeko ezithile zikwenza utye kakhulu, fumana iindlela zokuzisusa ebomini bakho. Susa ukutya okuthandayo okutya kakhulu endlwini kwaye ucebe ezinye iindlela zokutya kwangaphambili. Ziphephe iimeko zentlalo ezikhuthaza ukutya kakhulu.

Ufanele uye nini kugqirha malunga ne-BED?

Ukuba ucinga ukuba wena okanye umntu omkhathaleleyo unokuba nengxaki yokutya, kungcono ukubona ugqirha ngokukhawuleza. Abantu abaneengxaki zokutya badla ngokungazi ukuba kukho into engalunganga ngabo. Ngoko ke ungadlala indima enkulu ekuziseni le ngxaki kwabanye abakhathaleleyo. Ugqirha unokukunika iingcebiso malunga nento omawuyenze ukuze akuncede okanye umntu omthandayo.

Isifo Sokutya Okugqithisileyo (i-BED) sisandula kongezwa kwi-DSM-5 ngo-2013. Mhlawumbi yingakho ulwazi loluntu ngale meko luphantsi. Nangona kunjalo, ukususela ngoko, luye lwaxhaphaka kakhulu kunanoma yiyiphi na enye ingxaki yokutya. Ukuba ucinga ukuba usenokuba ne-BED, kubalulekile ukwazi ukuba awuwedwa kwaye kukho unyango olufumanekayo. Thetha nomboneleli wezempilo ofanelekileyo ukuze ufumane ukuba unayo na i-BED kunye nendlela onokunceda ngayo.

Umyalezo Wokuya Ekhaya

• Ingxaki Yokutya Ngokutya Okugqithisileyo (BED) yimeko yengqondo ebandakanya ukutya okungalawulekiyo, okuqhubekayo okunzulu ngakumbi kunokutya kakhulu ngamanye amaxesha.
• Asikuko oku okubangela ingxaki, kwaye awuwedwa. Le yimeko eqhelekileyo kakhulu.
• Iimpawu zoku zingabandakanya ukuziva uneentloni, unetyala, kunye nokutya ngasese.
• Le meko inganyangwa ngempumelelo ngonyango lwengqondo , amayeza ukuba kuyimfuneko, kunye neengcebiso zesondlo.
• Ukuba unale mpawu, ungoyiki ukubona ugqirha okanye umcebisi wezempilo yengqondo . Kubaluleke kakhulu ukufumana uncedo kwangethuba.

Khumbula, ukucela uncedo luphawu lwamandla, kungekhona ubuthathaka.

Ingxaki Yokutya Okugqithisileyo, I-BED, Impilo Yengqondo, Ukutya Kweemvakalelo, Iingxaki Zokutya, Unyango Lwengqondo