Ingabe nawe udla ngokungalawuleki? (Ukuphazamiseka Kokudla Okubi kakhulu) - Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi ufuna ukudla inani elikhulu lokudla ngesikhathi esisodwa? Ingabe uzizwa udangele, uzisola, noma unamahloni uma uqeda ukudla? Uma lezi zinto zikwehlela njalo, ungase ube nesifo esibizwa ngokuthi i-Binge Eating Disorder (BED), esikhuluma ngaso namuhla. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini Ukuphazamiseka Kokudla Okubingelele (BED)?

Kalula nje, i-Binge Eating Disorder (BED) iyisifo sokuziphatha. Sibonakala ngephethini yokudla ngokweqile yesikhathi eside, engalawuleki. Sonke sidla ngokweqile ngezikhathi ezithile. Kodwa lesi sifo sokudla siyinto ophila nayo nsuku zonke. Kuzwakala sengathi othile ulawula ngaphakathi ekhanda lakho. Kungaba nomthelela omkhulu enhlalakahleni yakho yengqondo, ngokomzwelo, nangokomzimba. Ukudla ngokweqile yilapho udla ukudla okuningi ngesikhathi esifushane futhi uzizwa sengathi awukwazi ukuyeka.

Iningi lethu lingase libhekane nalezi zimpawu ngezikhathi ezithile. Kodwa uma lezi zinto ziqala ukwenzeka njalo (kanye ngesonto noma ngaphezulu), ungase ube nalesi simo. Izici zemvelo, njengokucindezeleka kanye nobudlelwano bethu, zingathinta nokuziphatha kwakho futhi zithinte impilo yakho yengqondo. Lezi zinto, zihlanganiswe nezinye izici, zingakushukumisela ezingeni lokuziphatha okungahlelekile kokudla okubizwa ngokuthi i-BED .

Ivame kangakanani i-Binge Eating Disorder (BED)?

Uyazi, i-Binge Eating Disorder (BED) yisifo sokudla esivame kakhulu kunazo zonke. Eqinisweni, sibanga cishe ingxenye yazo zonke izifo zokudla. Sithinta cishe u-3% wabantu e-United States. Sivame kakhulu emantombazaneni kunabafana, ngesilinganiso esingaba ngu-3:2. Sivame kakhulu nasebancane kunabadala, ngesilinganiso esingaba ngu-4:3. Ngakho ungabona ukuthi lokhu akuyona into engavamile.

Ziyini izimpawu ze-Binge Eating Disorder (BED)?

Bona ukuthi uzizwa noma ubona izinto ezinjengalezi yini:

• Ukudla uze uzizwe ungakhululekile , ngisho noma ususuthi.
• Ukudla ngokushesha kangangokuthi awunaso nesikhathi sokucabanga ngokuthi udla malini noma ukuthi kukwenza uzizwe kanjani.
• Ukudla ukudla okuningi uma ungalambile, noma ngokushesha nje ngemva kokuqeda ukudla.
• Ukudla ngokomzwelo kuwukudla ngenxa yokucindezeleka ngokomzwelo . Ingabe uzizwa sengathi ufuna ukudla uma uzizwa udangele noma uthukuthele?
• Ukudla ngale ndlela kungaholela ezinkingeni zokuzizwa unecala, ukuzisola, amahloni kanye nokuzethemba .
• Ukudla wedwa, ngasese , nokugwema ukudla nabanye.
• Imicabango ejulile ngokudla nokudla okuthile), benesifiso esinamandla salokho.
• Ukugcina nokugcina ukudla .
• Ukuzama ukudla ukudla njalo, kodwa kungase kungabangela ukwehla kwesisindo, kodwa kungase kuholele ekushintsheni kwesisindo, noma ngisho nokunganciphisi isisindo nhlobo.

Into ebalulekile ukuthi, ngokungafani nezimo ezifana ne -Bulimia Nervosa , i-BED ayibandakanyi ukuhlanza, ukuhlanza, ukusebenzisa kabi i-laxative, noma ukuzivocavoca ngokweqile ukuze kuqedwe amakhalori ngemva kokudla. Isiqephu sokudla ngokweqile siphela ngokudla.

Kodwa-ke, abanye abantu abane-BED bangase babe ngabantu abadla ukudla okungapheli. Bangase bazame ukunciphisa ama-calories, kodwa baphinde badle ngokweqile. Noma, bangase bazame ukudla ukudla okunempilo futhi ukuze balungise ukudla ngokweqile ngemva kokudla kakhulu.

Kungani sizizwa sengathi singadli ngendlela engalawuleki kanje?

Kunezici eziningi ezithonya ukuziphatha kokudla. Izici zengqondo, izici zezinto eziphilayo, kanye nemikhuba efundiwe kuyathinta lokhu. Isizathu sokuthi uzizwe sengathi udla ngaphandle kokulawula singase sihluke kunesizathu esithinta omunye umuntu. Uma sidla, ubuchopho bethu bukhipha ama-hormone enjabulo ( i-Serotonin ne -Dopamine ). Lokhu kungaholela ekuthambekeleni kokulutha. Futhi, ukudla kungasetshenziswa njengendlela yokususa imizwa engakhululekile, ukuyithuntubeza, noma ukuvala izidingo ezingakahlangatshezwa. Cabanga ngakho, uma uzizwa udabuke kakhulu, ukudla ucezu lweshokoledi kuzwakala kududuza kancane.

Yiziphi izici eziyingozi ze-Binge Eating Disorder (BED)?

Ungase ube namathuba amaningi okuthola i-BED uma unalezi zimo:

• Othile emndenini unenkinga yokudla ngendlela engafanele .
• Amalungu omndeni angabhekani kahle nezinkinga zomzwelo (ukungasebenzi kahle kwemizwa) .
• Uma uke wabhekana nobuhlungu noma ukuhlukunyezwa mathupha.
• Uma uke wabhekana nokuntuleka kokudla esikhathini esidlule.
• Uma unesifo sengqondo njengokucindezeleka noma ukukhathazeka .
• Isifo Sokungakwazi Ukunaka/Ukuphazamiseka Kokusebenza Kakhulu (ADHD) .
• Inkinga Yokusetshenziswa Kwezidakamizwa (i-SUD) .
• Imicabango ephambene ngomzimba womuntu (Body Dysmorphic Disorder - BDD) .
• Ukungasebenzi kahle kwabaphathi , okusho ubuthakathaka ezintweni ezifana nokwenza izinqumo nokuhlela.

Yiziphi izinkinga ezingaba khona ngenxa ye-Binge Eating Disorder (BED)?

Noma yikuphi ukugula kwengqondo kungabhebhetheka, okuholela emicabangweni, emizweni nasekuziphatheni okulimazayo. Nge-BED, ukukhuluphala ngokweqileIzinkinga zempilo ezibangelwa yilokhu nazo zingaba khona. Nakuba kungebona bonke abantu abane-BED abakhuluphele ngokweqile, ukuba nazo zombili lezi zimo kungaba yingozi kakhulu. Ukudla ngokweqile kanye nokukhuluphala kuhlobene, okungakwandisa kakhulu ukucindezeleka kwengqondo nomzimba.

Ukugula ngengqondo okungelashwa kungaholela ezinkingeni ezifana nalezi:

• Ukwanda kokuziphatha okungekuhle emphakathini - njengokufihla, ukugwema abanye, nokuqamba amanga.
• Ukuziphatha okungaguquki okwandayo - njengokweba ukudla, ukufihla ukudla.
• Ukucindezeleka okukhulu, ukukhathazeka, kanye nokuphazamiseka komzimba .
• Ukucindezeleka okukhulu, ukuzizonda, kanye nengozi yokuzilimaza .

I-Binge Eating Disorder (BED) itholakala kanjani?

Odokotela baxilonga lezi zinkinga zokudla ngokubuza imibuzo eningiliziwe mayelana nokuziphatha kwakho, imicabango kanye nemizwa yakho. Ungase unqikaze ukwabelana ngale mininingwane, kodwa ukwethembeka kubalulekile ukuze uthole ukuxilongwa okunembile .

Udokotela wakho uzohlaziya izimpendulo zakho ngokwemigomo esencwadini ethi Diagnostic and Statistical Manual of Mental Disorders (DSM-5) . Imigomo yokuxilonga i-BED ihlanganisa:

• Ukudla ukudla okuningi kunalokho abantu abaningi abakudlayo esikhathini esilinganiselwe (ihora elilodwa noma amabili).
• Ukuzizwa ungenakho ukulawula noma uphoqelekile ukudla.
• Lezi zigameko zokudla ngokweqile zenzeka okungenani kanye ngesonto futhi zihlala izinyanga eziningana.
• Ukudla uze uzizwe ungakhululekile ngokomzimba kanye/noma ucindezelekile ngokomzwelo kanye nokuzizonda.

Lokhu kutholakala kungenziwa ngudokotela wezempilo yengqondo noma udokotela womndeni wakho.

Ingabe ngidinga ngempela ukuhlolwa?

Eqinisweni, awudingi ngempela ukuxilongwa ukuze uqale ukwelashwa kwe-BED. Ngisho noma izimpawu zakho "zingaphansi kwesimo sempilo," okusho ukuthi azihlangabezani nezindinganiso ze-BED, ungase uzuze ekwelashweni. Kodwa-ke, ukuthola ukuxilongwa okusemthethweni kungakunikeza umuzwa wokukhululeka nokuqinisekiswa. Kungakunikeza namandla okucela usizo. Lokhu kungabaluleka kakhulu kubazali abazama ukusiza izingane zabo.

Yini efakiwe ohlelweni lokwelapha i-Binge Eating Disorder (BED)?

Akukho ikhambi elisheshayo lalokhu. Kodwa ngohlelo lokwelashwa oluqhubekayo nolwesikhathi eside, ungalulama ku- BED .Lokhu ngokuvamile kuyisisekelo salolu hlelo lokwelapha, futhi kuye kwafakazelwa ukuthi luphumelela kubantu abaningi. Kwezinye izimo, uhlelo lwakho lungase luhlanganise nemithi noma iseluleko sokudla okunempilo. Kungase kudingeke usebenze nochwepheshe bezempilo abahlukahlukene, njengodokotela wengqondo, udokotela wezifo zengqondo, noma isazi sokudla esibhalisiwe.

Ukwelapha

Ukwelashwa kwengqondo , okwaziwa nangokuthi ukwelashwa ngenkulumo, kuyingxenye ebalulekile yohlelo lokwelashwa lwe-BED. Kunezindlela ezahlukahlukene zokwelapha. Izindlela ezifakazelwe kakhulu zokwelapha i-BED yilezi:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) : I-CBT ikusiza ukuthi uhlole ukuziphatha kwakho kanye nemicabango nemizwa engemuva kwayo. Umeluleki wakho uzosebenza nawe ukuze aphule amaphethini okuziphatha angenampilo futhi athole izindlela ezinempilo zokubhekana nemicabango nemizwa ekukhathazayo.
• Ukwelashwa Kokuziphatha Kokukhuluma (i-DBT) : Le ndlela isekelwe ku-CBT, kodwa ilungiselelwe ngqo abantu ababhekana nemizwa enamandla kakhulu. Igxila ekuqapheleni leyo mizwa kuqala, ukufunda ukuhlala nayo, bese usebenza ukushintsha ukuziphatha kwakho.
• Ukwelashwa Kwengqondo Kokusebenzisana Nabantu (IPT) : I-IPT iyindlela yokwelapha yesikhashana, egxile kakhulu. Igxila ezingxabanweni zobudlelwano zamanje kanye nezici zokucindezeleka ezithinta impilo yakho. Udokotela wakho wezifo zengqondo uzokusiza ukuxazulula izinkinga zakho ezisheshayo, kunokuba ugxile ezinkingeni zobuntwana.

Imithi

Imithi ingadlala indima yokusekela ekwelashweni kwakho. Nakuba ingathinti ngqo i-BED, ingasiza ekuphatheni ezinye zezici ezibangela lokho. Imithi ingafaka:

• I-Lisdexamfetamine (Vyvanse®) : Lo muthi we-ADHD muva nje ube umuthi wokuqala ovunyelwe yi-US Food and Drug Administration (FDA) ukwelapha i-BED. Ucwaningo lukhombisile ukuthi uyasiza ekulawuleni ukushukuma kuzo zombili izimo. Nakuba ungaxazululi imbangela eyisisekelo yalesi simo, ungasiza ekusicindezeleni.
• Imithi yezinye izimo zempilo yengqondo : Ungadinga imithi yesinye isimo esihlobene nenkinga yakho yokudla, njengemithi yokucindezeleka noma imithi yokukhathazeka . Ukwelapha izimo zempilo yengqondo eziyisisekelo kungasiza ekunciphiseni ubukhali benkinga yakho yokudla.
• Izinto ezicindezela isifiso sokudla: Abanye odokotela bangase banikeze abanye abantu imithi yokunciphisa isifiso sokudla. Le mithi ibonise izinzuzo zesikhashana kubantu abelashwa i-BED. Ingasiza ekuqedeni umjikelezo wokudla ngokweqile futhi yethule izindlela ezintsha zokudla.

Ukudla kanye nokudla okunempilo

Abantu bazo zonke izinhlobo zomzimba nobukhulu bangaba ne-BED, futhi bangaba nezinhlobo ezahlukene zokungondleki kahle. Ungase ube nezakhamzimba eziningi kakhulu, njengoshukela namafutha, kodwa ungase ube nokuntuleka kwezakhamzimba ezincane , njengamavithamini namaminerali. Ukuntuleka kwezakhamzimba kungabangela izifiso, umuzwa ongaqondakali wokungatholi okwanele, kanye nesifiso sokudla ngaphandle kokulawula. Izithako zokudla okunempilo kanye nemfundo yokudla okunempilo kungasiza ngalokhu.

Kwabanye abantu, uhlelo lokudla oluhlelekile nolunokulinganisela okunempilo lungasiza ekunciphiseni ukucindezeleka okuza nokwenza izinqumo zokudla. Lungakusiza uhlangabezane nezidingo zakho zomzimba ngenkathi lunciphisa amathuba okwenza izinto ngokuphamazela noma ngokomzwelo. Nakuba ukwehlisa isisindo kungeyona inhloso eyinhloko yokwelashwa kwe-BED, kungaba umphumela omubi, futhi kungasiza ekunciphiseni ukucindezeleka kwabanye abantu. Kodwa-ke, ukudla okunomsoco kungaba yimbangela kwabanye abantu abane-BED.

Ingabe ngizohlala ngine-Binge Eating Disorder (BED)?

Izimo eziningi zempilo yengqondo zihlala zingamahlalakhona, okusho ukuthi kuhlale kunengozi yokubuyela emuva. Kodwa isimo sakho singaba ngcono, futhi lokho kuphumula kungaba isikhathi eside. Yilokhu ukululama kwi-Binge Eating Disorder (BED) okuyikho. Indlela eya ekululameni ingase ingabi mfushane noma ibe lula, kodwa abantu abaningi bayalulama ngokwelashwa. Khumbula, lokhu akuyona indaba yamandla okuzimisela. Kuyindaba yokuqashelwa, ukwesekwa, amakhono, kanye nokululama.

Yimaphi amathiphu angakusiza ukuthi uphile ne-Binge Eating Disorder (BED)?

Uma uzama ukulawula ukudla kwakho ngokweqile, kungasiza ukuqaphela kakhudlwana izifiso ezithonya imikhuba yakho yokudla. Ngokunaka izifiso zakho, ungafunda ukuhlukanisa phakathi kwendlala yangempela nesifiso sokudla ngokweqile. Ungafunda futhi ukuqaphela ukuthi indlala yakho iyaneliswa nini. Ungaqaphela futhi ukuthi yini ekubangela ukuba udle ngokungalawuleki. Nanka amanye amathiphu okwenza lokho:

• Prakthiza ukudla okunengqondo : Uma ucabanga ngokudla, noma uma uzibona ulungisa ukudla, yehlisa ijubane. Phefumula kancane kancane, ujule. Bese, ngaphandle kokwahlulela, qaphela okwenzekayo engqondweni nasemzimbeni wakho. Ungakwenza lokhu futhi ngenkathi udla.
• Funda ukuqaphela indlala: Izimpawu zendlala yomzimba zingafaka phakathi izinhlungu zesisu noma ukuduma, isiyezi, kanye nekhanda elibuhlungu lendlala. Ushukela ophansi egazini ungakwenza uzizwe ukhathele noma ubuthakathaka. Ukuhlolwa ongazenzela kona ukuzibuza, "Ingabe ngilambile ngokwanele ukudla into enempilo njengesaladi?"
• Yidla uma ulambile : Lokhu kubaluleke njengokufunda ukuyeka ukudla uma ulambile. Uma ulambile ngempela, yilapho-ke okufanele udle khona. Ungalindi uze ulambile ngempela, ngoba cishe uzolahlekelwa ukuzithiba futhi udle kakhulu.
• Yima ngaphambi kokuba usuthe : Kuthatha isikhathi ukuthi ukudla osanda kukudla kufinyelele esiswini sakho futhi kugaye. Uma udla ngokushesha kakhulu, ngeke ube nesikhathi sokuzizwa usuthi, ngakho-ke ungase ugcine udla okungaphezu kwalokho okufunayo. Enye indlela ukuyeka uma uzizwa usuthi cishe ngo-80%.
• Gcina ijenali : Ukugcina ijenali kuyindlela enhle yokuqaphela imicabango yakho, imizwa yakho kanye nokuziphatha kwakho. Bhala phansi lokho okudlayo, okucabangayo, kanye nalokho okuzwayo nsuku zonke. Ungase ukwazi ukubona amaphethini kanye mhlawumbe nezinto ezibangela lokhu.
• Bhekana nezinto ezikubangelayo : Uma uthola ukuthi ukudla noma izimo ezithile zikwenza udle ngokweqile, thola izindlela zokuzisusa empilweni yakho. Susa ukudla kwakho okuthandayo endlini bese uhlela ukudla okunye kusenesikhathi. Gwema izimo zomphakathi ezikhuthaza ukudla ngokweqile.

Kufanele ubonane nini nodokotela mayelana ne-BED?

Uma ucabanga ukuthi wena noma umuntu omkhathalelayo angase abe nenkinga yokudla, kungcono ngaso sonke isikhathi ukubona udokotela ngokushesha okukhulu. Abantu abanezinkinga zokudla bavame ukungaqapheli ukuthi kukhona okungahambi kahle ngabo. Ngakho-ke ungadlala indima enkulu ekuletheni inkinga kwabanye ababakhathalelayo. Udokotela angakweluleka ngalokho okufanele ukwenze ukuze akusize noma othandekayo wakho.

I-Binge Eating Disorder (BED) isanda kufakwa ku-DSM-5 ngo-2013. Mhlawumbe yingakho ulwazi lomphakathi ngalesi simo lube luphansi. Kodwa-ke, kusukela ngaleso sikhathi, seluvame kakhulu kunanoma yisiphi esinye isifo sokudla. Uma ucabanga ukuthi kungenzeka ukuthi une-BED, kubalulekile ukwazi ukuthi awuwedwa nokuthi kunezindlela zokwelapha ezitholakalayo. Khuluma nomhlinzeki wezempilo ofanelekayo ukuthola ukuthi une-BED nokuthi ungasiza kanjani.

Umlayezo Wokuya Nawe Ekhaya

• Isifo Sokudla Okubingelele (BED) yisimo sengqondo esihilela ukudla okungalawuleki, okuqhubekayo okubi kakhulu kunokudla ngokweqile ngezikhathi ezithile.
• Akulona iphutha lakho leli, futhi awuwedwa. Lesi yisimo esivame kakhulu.
• Izimpawu zalokhu zingahlanganisa imizwa yokuhlazeka, umuzwa wecala, kanye nokudla ngasese.
• Lesi simo singelashwa ngempumelelo ngokwelashwa kwengqondo , imithi uma kudingeka, kanye nezeluleko zokudla okunempilo.
• Uma unalezi zimpawu, ungesabi ukubona udokotela noma umeluleki wezempilo yengqondo . Kubaluleke kakhulu ukuthola usizo kusenesikhathi.

Khumbula, ukucela usizo kuwuphawu lwamandla, hhayi ubuthakathaka.

Isifo Sokudla Okubi Kakhulu, I-BED, Impilo Yengqondo, Ukudla Okungokomzwelo, Izinkinga Zokudla, Ukwelashwa Ngengqondo