Ngaba kunzima ukulawula indlela otya ngayo? Masifunde ngeBulimia (Bulimia Nervosa)

Ngaba wakha wadla ukutya kakhulu, ungalawuleki, uze uzive ulusizi kakhulu, uzisola, mhlawumbi neentloni? Khawuthelekelele, ngamanye amaxesha ungakwazi ukumelana nezo mvakalelo, ugqibela uhlanza emva kokutya, okanye uzama ukulahla ukutya ngezinye iindlela? Olu luhlobo lwemeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-bulimia nervosa, okanye "i-bulimia" nje. Le yingxaki yempilo yengqondo neyomzimba abantu abaninzi abangafuniyo ukuthetha ngayo, kodwa inokuchaphazela abantu abaninzi, kwaye sisifo esibi sokutya . Kodwa awuwedwa, kwaye ungafumana uncedo koku.

Yintoni kanye kanye iBulimia Nervosa?

Ngamafutshane, i-bulimia sisenzo sokutya ukutya okuninzi ngexesha elifutshane (oku kubizwa ngokuba yi- "binging") , kulandele ukuzama ukukhupha ukutya emzimbeni (oku kubizwa ngokuba yi- "purging" ). Oku "purging" kunokuthatha iindlela ezininzi.

Usenokuziva ngathi awunalawulo kwinto oyityayo. Usenokutya ukutya okuninzi ngexesha elinye, ngamanye amaxesha ngasese. Oku kunokulandelwa ziimvakalelo zokuba netyala kunye neentloni. Xa ungakwazi ukujongana nezi mvakalelo, ungazama ukulahla ukutya ngokuhlanza, ukusebenzisa amayeza okuhambisa isisu, okanye ukuzilolonga kakhulu.

Le meko ikwachaphazela nendlela ozibona ngayo. Usenokuvakalelwa kukuba ukubaluleka kwakho kuxhomekeke kwinkangeleko yakho kunye nokuma komzimba wakho. Usenokuvakalelwa kukuba into ekuphela kwayo onokuyilawula yindlela ukutya okudlula ngayo emzimbeni wakho. Lo mjikelo awusempilweni kwaye unokuba nemiphumo emibi, esongela ubomi. Kodwa khumbula, awuwedwa. Kukho uncedo.

Ziziphi iintlobo ze-bulimia ezikhoyo?

Kukho iintlobo ezimbini eziphambili ze-bulimia, kuxhomekeke kwiindlela ozama ngazo ukukhupha ukutya emzimbeni wakho okanye ukunciphisa ubunzima:

Uhlobo lokucoca

Nazi ezinye izinto onokuzenza ukuze ususe ukutya emzimbeni wakho emva kokuba ukutyile:

• Ukuhlanza okubangelwa kukuzihlanza.
• Ukusetyenziswa kwe-laxatives.
• Ukuthatha amayeza okukhupha isisu.
• Ukusebenzisa izinto ezilulwelo (umz., i-enemas) ukunciphisa ukuqhina kwesisu.
• Ukusebenzisa ezinye iziyobisi ukususa ukutya emzimbeni.

Uhlobo lokungahlambululi

Ngale ndlela, awususi ukutya ngqo emzimbeni wakho, kodwa endaweni yoko ungenza oku kulandelayo:

• Ukuzilolonga kakhulu : Ukuzilolonga ngaphaya kwenqanaba eliluncedo kwimpilo ngokubanzi kwaye lide liphazamise imisebenzi yemihla ngemihla.
• Ukuzila ukutya: Oko kuthetha ukungatyi. Oku akuqhelekanga, kodwa akunampilo, kuthintela ukutya ixesha elide.

Khawucinge nje, abanye abantu babaleka iiyure ezininzi emva kokutya kakhulu, okanye abatyi kakuhle kangangeentsuku. Oku kungaba yinxalenye ye-bulimia.

Ziziphi iimpawu ze-bulimia?

Umntu one-bulimia unokubonakalisa ezi mpawu zilandelayo. Nangona kunjalo, ayinguye wonke umntu oza kuba nazo zonke ezi mpawu, kwaye abanye abantu banokuba nazo ezimbalwa kuphela:

• Ukutya ukutya okuninzi ngexesha elinye (njengoko besitshilo ngaphambili, "ukuzila ukutya kakhulu").
• Ukususa ukutya emva kokutya (iindlela zokuhlanza ezifana nokuhlanza, ukusebenzisa amayeza okuhambisa isisu).
• Uloyiko olukhulu lokutyeba kunye nomnqweno wokwenza nantoni na ukuze wehlise umzimba.
• Ukuziva ungenalawulo lokutya.
• Ukungazithembi nokuziva ungento yanto.
• Ukuziva unetyala elikhulu okanye iintloni emva kokutya.
• Ukujika kwizinto ezifana nokudakumba, ixhala, utshintsho lweemvakalelo, okanye ukusebenzisa iziyobisi.
• Ukuquleka rhoqo.
• Ukuqhinwa.
• Ukungaqheleki kwemijikelo yokuya exesheni kwabasetyhini.
• Ubuthathaka bemisipha.
• Ububomvu bamehlo (ingakumbi kwabo bahlanzayo).
• Ukudumba kobuso (abanye abantu bakubiza oku ngokuthi "izidlele ze-chipmunk" kuba amacala ezidlele ayadumba).

Oku kunokuchaphazela umntu ngamnye ngendlela eyahlukileyo. Umzekelo, kusenokwenzeka ukuba awuzange utye kakhulu ngaphambi kokuba "uhlambe." Ngamanye amaxesha, nokutya okuncinci kunokukwenza uzive kakubi kwaye kukwenze ufune "uhlambe." Indlela "ohlambe ngayo" inokwahluka kumntu nomntu.

Zithini izizathu ze-bulimia?

Kunzima ukutsho kanye kanye ukuba yintoni ebangela i-bulimia nervosa, kodwa abaphandi bacinga ukuba isenokuba yindibaniselwano yempembelelo yemfuza (oko kukuthi, izinto ezidluliselwa kwizizukulwana ngezizukulwana) kunye neendlela zokuziphatha ezifundwayo.

Cinga ngako, oko ukubonayo kuluntu nakwimidiya – izimvo ezinje ngokuthi “yile ndlela umzimba omhle obonakala ngayo” – zinokukufaka uxinzelelo olukhulu. Ezi mpembelelo zangaphandle zinokuchaphazela indlela ocinga ngayo ngomzimba wakho (‘umfanekiso womzimba’) kunye nokuzixabisa kwakho. Kwakhona, xa uziva uxinezelekile kakhulu , xa uziva ulusizi, uphoxekile, okanye xa uziva ngathi awukwazi ukulawula izinto ebomini, zonke ezi zinto zinokuchaphazela uphuhliso lwale ngxaki yokutya.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

I-Bulimia nervosa inokuchaphazela nabani na, kodwa aba bantu balandelayo basengozini enkulu:

• Ulutsha okanye abantu abadala abaselula.
• Ukuba kukho umntu kusapho onengxaki yokutya (enxulumene nebhayoloji).
• Ukuba sele unengxaki yempilo yengqondo efana nokuxhalaba okanye ukudakumba.
• Kwabasetyhini (inokwenzeka nakumadoda, kodwa ixhaphake kakhulu kwabasetyhini).

Ziziphi iingxaki ezinokubakho ngenxa ye-bulimia?

Le ngxaki yokutya iza neengozi ezininzi zempilo . Ezi ziyingozi kakhulu, kwaye uninzi lwazo lunokuba yingozi ebomini. Iingxaki ezinokubakho ziquka:

• Ukungaqheleki kwesantya sentliziyo (umz. `(Arrhythmia)`).
• Ukonakala kwamathumbu nesisu.
• Iingxaki zamazinyo (ukubola kwamazinyo, ukuguguleka kwamazinyo, ukucaca kwamazinyo).
• I-Esophagitis kunye nokugqobhoka komlomo.
• Isifo seGastroesophageal Reflux (GERD).
• Ukumelwa yintliziyo.
• Iimeko ezinxulumene nobuthathaka bamathumbu (Irritable Bowel Syndrome - IBS)
• Umngcipheko wokuzibulala uyanda.
• Ukungondleki kakuhle kunye nokuphelelwa ngamanzi emzimbeni (ukungabikho kwamanzi emzimbeni).
• Ukudumba kwezidlele.
• Umphimbo obuhlungu kunye nesisu.
• Uhlobo lwesibini lwesifo seswekile.

Unyango lwangethuba lwe-bulimia lunokuthintela ezi ngxaki kwaye lunciphise iziphumo zexesha elide. Ke ngoko, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba unamathandabuzo malunga noku.

Oogqirha bayixilonga njani i-bulimia?

Ukuze afumanise esi sifo, ugqirha wakho uza kuqala enze uvavanyo lomzimba. Uza kubuza ngembali yakho yezonyango kunye neempawu zakho. Kuqhelekile ukuba uzive usoyika okanye ungakhululekanga ukuthetha ngezi zinto nogqirha wakho. Nangona kunjalo, oogqirha bakhona ukukunceda, kungekhona ukukugweba. Ke ngoko, kubaluleke kakhulu ukuba unyaniseke malunga nendlela otya ngayo kunye nokuziphatha kwakho, ukuze bakwazi ukukunceda ngokufanelekileyo.

Ugqirha uza kuthelekisa iimpawu zakho kunye neendlela ezikwi-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) ye-American Psychiatric Association. Angabuza imibuzo efana nale:

• Ngaba unazo iziqendu eziphindaphindiweyo zokutya kakhulu?
• Ngaba uziva ungenalo ulawulo malunga nokutya kwakho?
• Ngaba ubandakanyeka kwiindlela zokuziphatha zokucoca umzimba?
• Ngaba ukhe watya kakhulu ubuncinane kanye ngeveki kangangeenyanga ezintathu?
• Ngaba ubunzima bomzimba wakho okanye imo yakho inefuthe elikhulu kwindlela ozibona ngayo (umfanekiso wakho)?

Akukho vavanyo luthile lokuxilonga esi sifo sokutya. Nangona kunjalo, ugqirha wakho unokuyalela uvavanyo oluthile ukuze abone ukuba esi sifo siyichaphazela njani impilo yakho. Umzekelo:

• Uvavanyo lwegazi.
• Ukujonga izinga lokubetha kwentliziyo (i-Electrocardiogram - EKG okanye i-ECG)).
• Uvavanyo lokusebenza kwezintso.
• Uhlalutyo lomchamo.

Ziziphi iindlela zonyango ezikhoyo ze-bulimia?

Ugqirha angacebisa unyango olufana nolu:

• Ingcebiso/Unyango : IngakumbiUnyango Lokuziphatha Olusebenzisa Ingqondo (i-CBT) luhlobo oluluncedo kakhulu lonyango lokuthetha. Kule nto, udibana nogqirha wengqondo kwaye usebenzisane naye ukutshintsha indlela iingcinga zakho ezichaphazela ngayo indlela oziphatha ngayo.
• Ingcebiso ngesondlo : Oku kuquka ukusebenza noGqirha wezoKutya obhalisiweyo okanye umcebisi ukukunceda wakhe ubudlelwane obusempilweni nokutya okutyayo.
• Amayeza : Ngamanye amaxesha kusetyenziswa amayeza okudakumba abizwa ngokuba yi -Selective Serotonin Reuptake Inhibitors (SSRIs) . La mayeza anokunciphisa ukutya kakhulu nokuhlanza. Anokunceda ekunyangeni ixhala kunye nokudakumba.
• Amaqela enkxaso : La maqela anokunceda kakhulu xa edibene nezinye iindlela zonyango. Ukunxibelelana nabanye abaye badlula kumava afanayo kunokuba luncedo kuhambo lwakho lokuchacha.

Khumbula, indlela enye yonyango ayisebenzi kuye wonke umntu . Kusenokufuneka uzame iindlela ezahlukeneyo kunye neendlela ezahlukeneyo ukuze ufikelele usukelo lwakho.

Ufanele uye nini kugqirha?

Ukuba uziva uxinezelekile ngenxa yolwalamano lwakho nokutya, okanye ukuba kuphazamisana nobomi bakho bemihla ngemihla, ngokuqinisekileyo kuya kufuneka uthethe nogqirha.

Ukuba unale mpawu , funa uncedo lwezonyango ngokukhawuleza :

• Iintlungu zesifuba.
• Isiyezi.
• Ukuquleka.
• Ukuziva ukubetha kwentliziyo okungaqhelekanga (Ukubetha kwentliziyo okungaqhelekanga).
• Ukuphefumla nzima/Ukuphelelwa ngamandla.
• Umphimbo obuhlungu kakhulu.

Ukuba ucinga ngokuzibulala, nceda ungabi wedwa . Kukho umntu onokukunceda. (ESri Lanka, ungatsalela umnxeba imibutho efana neSumithrayo ku-0112692909). Nokuba awukho kwingxaki enkulu, ungathandabuzi ukuthetha. Ukuba ukwimeko engxamisekileyo, tsalela umnxeba ku-1990 (Suvaseriya) okanye kwisikhululo samapolisa esikufutshane.

Malunga nokuchacha kwi-bulimia

Ngokuqinisekileyo ukuchacha kunokwenzeka. Kodwa kuthatha ixesha. Oogqirha bakho kunye neengcali zonyango baza kusebenza nawe ukwenza isicwangciso sonyango esilungele wena kunye neempawu zakho. Ingcali yakho yonyango iza kukunceda ubeke iinjongo ezinokwenzeka kwaye usebenzele ukuzifezekisa.

Kubalulekile ukwazi ukuba ngamanye amaxesha iimpawu zinokuphinda zibuye (ziphinde zibuye)."Ukubuyela umva" kuxa ubuyela kwiindlela zokuziphatha ezingasempilweni emva kwexesha elithile lemikhwa esempilweni. Xa "ubuyela umva," kunokuvakala ngathi kukubuyela umva okukhulu, kodwa akuyonto yokugweba ukuba ungubani. Ukuchacha kunzima kwaye ngumsebenzi onzima. Kodwa khumbula, awusoze wedwa. Iqela lakho lokhathalelo liza kukunceda ubuyele endleleni. Baza kwenza utshintsho kwisicwangciso sakho sonyango njengoko kufuneka.

Ukuba awunyangwa, unokuba neengxaki ezinzulu, ezihlala zibeka ubomi esichengeni. Ngoko ke ukuba awukaqali unyango, kubalulekile ukulufumana ngoko nangoko .

Kunjani ukuphila ne-bulimia?

Amava omntu wonke ngale ngxaki yokutya ahlukile. Ukuphila ne-bulimia kunokuziva nokucinga izinto ezinje:

• "Ndiyoyika ukuphuma ndiye kutya kuba ndixhalabile ukuba ndiza kutya kakhulu ngokukhawuleza ndize ndingakwazi ukufumana indlu yokuhlambela."
• "Andithandi ukuzijonga esipilini, kuba andiyithandi indlela endibukeka ngayo."
• "Ndivakalelwa kukuba into ekuphela kwayo endinokuyilawula ebomini bam 'kukuhlambulula'."
• "Ukuzila ukutya okuninzi kuyandithuthuzela xa ndixinezelekile, kodwa nditya ngokukhawuleza kangangokuba andiyithandi incasa yokutya."
• "Emva kokutya, ndiziva ndinetyala kakhulu (ngokungathi ndenze ulwaphulo-mthetho olukhulu). Ndivakalelwa kukuba indlela ekuphela kwayo yokulungisa loo mpazamo 'kukucoca'."

Ukuba ezi ngcinga zivakala ziqhelekile kuwe, lixesha lokuba ubonane nogqirha okanye umcebisi wezempilo yengqondo . Banokukunceda wakhe ubudlelwane obungcono ngokutya kunye nomfanekiso wakho.

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule

Kuqhelekile ukuxhalabela into oyityayo kunye nobukhulu bomzimba wakho. Kodwa i-bulimia ingaphezulu koko. Yimeko enzulu enokubangela iingxaki ezininzi zempilo . Ukuba ucinga ukuba unayo le meko, ungathandabuzi ukufuna uncedo. Ngonyango olufanelekileyo kunye nenkxaso yempilo yengqondo, ngokuqinisekileyo ukuchacha kunokwenzeka. Ukuthetha nogqirha linyathelo lokuqala lokukhusela impilo-ntle yakho. Awuwedwa, kwaye uncedo luhlala lufumaneka.

I- Bulimia nervosa, iingxaki zokutya, ukutya kakhulu, ukuhlanza, impilo yengqondo, ukutya okunesondlo, unyango lwe-bulimia