Sonke sidla kakhulu ngezinye izikhathi, akunjalo? Kuvamile ukwenza kanjalo emaphathini, emikhosini, noma lapho uphumile nabangani. Kodwa ingabe uvame ukuzithola ungakwazi ukulawula ukudla kwakho, udle kakhulu ngisho noma usuthi, bese uzizwa udabuke kakhulu, unamahloni, noma unecala ngakho? Khona-ke le ndaba izoba yinto ebaluleke kakhulu kuwe. Sikhuluma ngalesi simo namuhla.
Kuyini ngempela i-Binge Eating Disorder (BED)?
Kalula nje, i-Binge Eating Disorder (BED) iyisifo sengqondo sokuziphatha. Sihilela ukudla ukudla okuningi ngesikhathi esifushane, ngaphandle kokulawula. Akuyona nje into yokuzitika ngezikhathi ezithile. Kuyinto ethinta impilo yakho nsuku zonke futhi izwa sengathi iyakulawula. Kungaba nomthelela omkhulu engqondweni yakho, emizweni, nasempilweni yakho yomzimba.
Cabanga ngale ndlela. Awulambile ngisho, kodwa uyaqhubeka nokudla. Ngisho noma uzizwa usuthi, uzizwa sengathi awukwazi ukuyeka. Uvame ukwenza lokhu wedwa, ngasese kwabanye. Ngemva kokuqeda ukudla, uzizwa udumele, unamahloni, futhi uzidabukele. Uma lo mjikelezo usenzeka kanye ngesonto noma ngaphezulu, ungase ube ne-Binge Eating Disorder.
Lena inkinga yengqondo abantu abaningi abanayo kodwa abangakhulumi ngayo. Ithinta abesifazane kanye nabesilisa, futhi ithinta nentsha. Ngakho-ke kubalulekile ukukhumbula ukuthi awuwedwa.
Ingabe nawe unalezi zimpawu?
Umuntu onesifo sokudlikiza ukudla angase abonise lezi zimpawu. Bona ukuthi uyazijwayele yini lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukulahlekelwa ukulawula | Uma uqala ukudla, awukwazi ukulawula ukuthi udla malini noma ukuthi udlani. Awukwazi ukuyeka ngisho noma ucabanga ukuthi "kudingeka uyeke." |
| Ukudla kakhulu futhi ngokushesha kakhulu | Ukudla kakhulu kunokujwayelekile, ngokushesha okukhulu. |
| Ukudla kuze kube yilapho uzizwa ungakhululekile | Ukudla kuze kube sezingeni lokuzizwa ungakhululekile ngokomzimba noma ukuzwa ubuhlungu esiswini, yize wazi ukuthi usuthi. |
| Ukudla ngaphandle kwendlala | Ukudla ukudla okuningi uma ungalambile ngokomzimba, mhlawumbe ngemva nje kokuqeda ukudla okuhle. |
| Ukudla wedwa, ngasese | Uzizwa unamahloni ngokuthi udla malini, ungase uzame ukukufihla kwabanye bese udla wedwa. Ungase ufihle nokudla kwakho. |
| Ukuzizwa unecala | Ngemva kokudla ngokweqile, kuvela imizwa yokudumala, amahloni, umuzwa wecala nokudabuka okukhulu. |
Okubaluleke kakhulu, abantu abane-Binge Eating Disorder abazihlanzisi ngokwabo, ukusebenzisa kabi i-laxative, noma ukuvivinya umzimba ngokweqile ngemva kokudla, njengoba kunjalo ngezimo ezifana ne-Bulimia Nervosa. Umjikelezo wabo wokudla uphela ngokudla.
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Akukho sizathu esisodwa salokhu. Ngokuvamile, inhlanganisela yezici eziningana inegalelo kulokhu.
- Izimbangela zengqondo nezingokomzwelo: Ngokuvamile, abantu baphendukela ekudleni ukuze banciphise noma bakhohlwe okwesikhashana imizwa enzima njengokucindezeleka, intukuthelo, ukudabuka, kanye nesizungu. Lapho bedla, ama-hormone enjabulo afana ne -serotonin ne -dopamine akhishwa ebuchosheni. Nakuba lokhu kunikeza impumuzo yesikhashana, kungaba umlutha.
- Ithonya lezakhi zofuzo: Uma othile emndenini wakho enenkinga yokudla noma enye inkinga yempilo yengqondo, usengozini enkulu kancane yokuba nalesi simo.
- Izimbangela zezinto eziphilayo: Ukungalingani kwamakhemikhali athile ebuchosheni nakho kungabangela ubunzima ekulawuleni ukudla.
Ithebula elingezansi libonisa ezinye izici eziningana eziyingozi ezithinta lokhu.
| Isici sengozi | Indlela lokhu okukuthinta ngayo |
|---|---|
| Umlando womndeni | Amalungu omndeni anezinkinga zokudla noma izinkinga zempilo yengqondo. |
| Ukudla njalo | Uma uzama ukulawula ukudla kwakho futhi umzimba wakho ungatholi ukudla okudingayo, isifiso sokudla ngokungalawuleki singakhula. |
| Ukulimala | Izehlakalo ezibuhlungu, njengokuxhashazwa, ezenzeka ebuntwaneni noma empilweni. |
| Ezinye izimo zengqondo | Ukuba nezimo ezinjengokucindezeleka, ukukhathazeka, i-ADHD (Attention-Deficit/Hyperactivity Disorder), kanye ne-Body Dysmorphic Disorder (BDD). |
Izinkinga ezingase zenzeke uma zingelashwa
Uma ungakunaki lokhu njengokufisa ukudla nje, kungaholela ezinkingeni eziningi zengqondo nezomzimba ngokuhamba kwesikhathi.
- Izinkinga zomzimba: Izinkinga eziningi zempilo zingavela, njengokukhuluphala ngokweqile, isifo sikashukela, i-cholesterol ephezulu, umfutho wegazi ophakeme, isifo senhliziyo, kanye nobuhlungu bamalunga.
- Izinkinga zengqondo: Ukucindezeleka nokukhathazeka kunganda. Kukhona ukuthambekela kokuzihlukanisa nomphakathi bese uba nesizungu. Ukuzethemba kuncipha kakhulu. Kwezinye izimo, imicabango yokuzilimaza ingavela ngisho nakuye.
Kungenzeka yini ukululama? Yiziphi izindlela zokwelapha?
Yebo, kungenzeka ngempela! Akunakwenzeka ukululama kulokhu. Kodwa kuthatha isikhathi futhi kudinga usizo lochwepheshe. Kunezindlela ezintathu eziyinhloko zokwelapha.
1. Ukwelapha ngokwengqondo
Lena yindlela yokwelapha eyinhloko nephumelela kakhulu ye-Binge Eating Disorder. Kuhilela ukukhuluma nodokotela wezifo zengqondo ngemicabango nemizwa eyisisekelo eqhuba ukuziphatha kwakho. Kunezindlela eziningana eziyinhloko:
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT):Le khosi ikufundisa indlela yokubona nokushintsha imicabango emibi kanye nokuziphatha okuthinta izindlela zakho zokudla.
- Ukwelashwa Kokuziphatha Kokukhuluma (i-DBT): Kukusiza ukuthi ulawule imizwa enamandla, ubhekane nokucindezeleka, futhi ulondoloze ubudlelwano obungcono.
- Ukwelashwa Kwengqondo Kokusebenzisana Nabantu (IPT): Kugxile ekuxazululeni izinkinga ebudlelwaneni bakho kanye nezinto ezikucindezelayo empilweni yakho.
2. Imithi
Kwezinye izimo, imithi ingadingeka ngaphezu kokwelashwa kwengqondo. Lokhu akulona ikhambi eliqondile lokudla ngokweqile, kodwa kungasiza ekulawuleni izimbangela eziyinhloko.
- I-Lisdexamfetamine (i-Vyvanse®): Nakuba lokhu kuyimithi esetshenziselwa ukwelapha i-ADHD, kutholakale ukuthi isiza ekunciphiseni ukulawula ukushukuma okwenzeka ngesikhathi sokudla ngokweqile.
- Imithi yokucindezeleka nokukhathazeka: Uma unezimo ezifana nokucindezeleka noma ukukhathazeka, ukuzelapha kungasiza futhi ekulawuleni ukudla ngokweqile.
- Imithi yokunciphisa isifiso sokudla: Kwabanye abantu, udokotela angase anikeze imithi yokunciphisa isifiso sokudla yesikhashana.
Into ebaluleke kakhulu ukuthi yonke le mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela wakho.
3. Ukudla Nokudla Okunomsoco
Kubaluleke kakhulu futhi ukuhlela ukudla okulinganiselayo ngeseluleko sikachwepheshe wezokudla. Umgomo oyinhloko lapha ukunganciphisi isisindo. Umgomo uwukujwayela indlela yokudla ejwayelekile enikeza umzimba ukudla okunomsoco okudingekayo. Lokhu kunganciphisa ukucindezeleka ngokudla.
Izinto ongazenza ukuze uphile nalesi simo
Ngesikhathi ufuna usizo lochwepheshe, lezi zinto zizokusiza ukuthi uziqonde futhi uzilawule.
- Ukudla Okucabangayo: Misa isikhashana ngaphambi nangesikhathi sokudla kwakho. Phefumula kakhulu. Ingabe ulambile ngempela? Qaphela ukuthi umzimba wakho uzizwa kanjani. Prakthiza ukudla kancane, unambithe ukunambitheka nephunga lokudla kwakho.
- Qaphela indlala yangempela: Indlala engokwenyama umuzwa wobuhlungu besisu, ikhanda elibuhlungu, kanye nokuntuleka kwamandla. Indlala engokomzwelo isifiso esisheshayo nesinamandla sokudla ukudla okuthile. Qonda umehluko phakathi kwalokhu okubili.
- Yidla uma ulambile: Ungalindi uze ulambe bese uzilambisa uze ufe. Uma wenza kanjalo, cishe uzolahlekelwa ukuzithiba. Yidla ngesikhathi esifanele.
- Bhala phansi lokho okudlayo, ukuthi udla nini, nokuthi uzizwa kanjani ngaleso sikhathi. Ngokuhamba kwesikhathi, uzoqonda ukuthi yini ekubangela ukuba udle ngokweqile.
- Gwema izinto ezibangela ukucindezeleka: Uma usuzibonile izinto ezibangela ukucindezeleka, zama ukuzigwema. Yeka ukuletha ukudla okuthile endlini. Gwema izimo ezandisa ukucindezeleka.
Kufanele ubonane nini nodokotela?
Uma usola ngisho nokuncane ukuthi wena noma umuntu omaziyo unenkinga yokudla, bheka udokotela ngokushesha okukhulu. Lokhu akusikho okufanele ube namahloni ngakho noma ukukufihla. Lesi yisimo esingelapheka ngokuphelele ngokwelashwa.
Ngokuvamile, abantu abanalesi simo abafuni ukuvuma ukuthi kuyinkinga. Ngakho-ke, kubaluleke kakhulu ukuthi thina, njengomndeni nabangane, sibasekele futhi sibakhuthaze ukuthi bakhulume ngalokhu. Udokotela wakho angakunikeza isiqondiso osidingayo futhi akuthumele ekwelashweni okufanele kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Isifo Sokudla Okubingelele (BED) asikona nje ukudla ngokweqile, kodwa sisifo sengqondo sangempela esidinga ukwelashwa.
- Izimpawu eziyinhloko ukudla ngokweqile okungalawuleki kanye nemizwa elandelayo yecala elikhulu kanye namahloni.
- Lesi simo singabangelwa izici eziningana zengqondo, izakhi zofuzo kanye nezinto eziphilayo.
- Ukwelashwa kwengqondo kuyindlela yokwelapha ephumelela kakhulu kulokhu. Imithi kanye nokwelulekwa ngokudla nakho kungadingeka.
- Uma wena noma othile omaziyo ebhekene nalezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. Khumbula ukuthi baningi abantu abangakusiza.
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