Ingabe kunzima ukulawula ukudla kwakho? Ake sifunde nge-Bulimia (Bulimia Nervosa)

Wake waba nesipiliyoni sokudla ngokweqile, esingalawuleki, wabe usuzizwa udabukile kakhulu, uzisola, futhi mhlawumbe ngisho namahloni? Cabanga, ngezinye izikhathi ungakwazi ukubhekana naleyo mizwa, wagcina uhlanza ngemva kokudla, noma uzama ukulahla ukudla ngezinye izindlela? Lolu uhlobo lwesimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-bulimia nervosa, noma nje "i-bulimia." Lena inkinga yempilo yengqondo neyomzimba abantu abaningi abangafuni ukukhuluma ngayo, kodwa ingathinta abantu abaningi, futhi iyisifo sokudla esibi kakhulu . Kodwa awuwedwa, futhi ungathola usizo ngalokhu.

Iyini ngempela i-Bulimia Nervosa?

Kalula nje, i-bulimia isenzo sokudla ukudla okuningi ngesikhathi esifushane (lokhu kubizwa ngokuthi "ukuzila ukudla ngokweqile") , kulandelwe ukuzama ukuhlanza ukudla emzimbeni (lokhu kubizwa ngokuthi "ukuzila ukudla" ). Lokhu "kuhlanza" kungaba ngezindlela eziningi.

Ungase uzizwe sengathi awunawo amandla okulawula lokho okudlayo. Ungadla ukudla okuningi kakhulu ngesikhathi esisodwa, ngezinye izikhathi ngasese. Lokhu kungalandelwa imizwa yecala namahloni. Uma ungakwazi ukubhekana nale mizwa, ungase uzame ukususa ukudla ngokuhlanza, ukusebenzisa imithi yokuhlanza isisu, noma ukuzivocavoca ngokweqile.

Lesi simo sithinta nendlela ozibona ngayo. Ungase uzizwe sengathi ukubaluleka kwakho kunqunywa ukubukeka kwakho nesimo somzimba wakho. Ungase uzizwe nokuthi okuwukuphela kwento ongayilawula ukuthi ukudla kuphuma kanjani emzimbeni wakho. Lo mjikelezo awunempilo futhi ungaba nemiphumela emibi, ngisho nesongela ukuphila. Kodwa khumbula, awuwedwa. Lukhona usizo.

Yiziphi izinhlobo ze-bulimia ezikhona?

Kunezinhlobo ezimbili eziyinhloko ze-bulimia, kuye ngezindlela ozama ngazo ukususa ukudla emzimbeni wakho noma ukunciphisa isisindo:

Uhlobo lokuhlanza

Nazi ezinye izinto ongazenza ukuze ususe ukudla emzimbeni wakho ngemva kokukudla:

• Ukuhlanza okubangelwa nguwe.
• Ukusetshenziswa kwemithi yokuhlanza isisu.
• Ukuthatha imithi yokukhipha isisu.
• Ukusebenzisa uketshezi (isib., ama-enema) ukuze kuncishiswe ukuqunjelwa.
• Ukusebenzisa eminye imithi ukususa ukudla emzimbeni.

Uhlobo lokungahlanzi

Ngale ndlela, awususi ukudla ngqo emzimbeni wakho, kodwa kunalokho ungenza okulandelayo:

• Ukuzivocavoca ngokweqile : Ukuzivocavoca okungaphezu kwezinga elizuzisa impilo ejwayelekile kuze kube seqophelweni lokuthi kuphazamisa imisebenzi yansuku zonke.
• Ukuzila ukudla: Lokho kusho ukungadli. Lokhu futhi akuvamile, kodwa akunampilo, kuncisha ukudla isikhathi eside.

Cabanga nje, abanye abantu bagijima amahora amaningi ngemva kokudla kakhulu, noma abadli kahle izinsuku eziningi. Lokhu kungaba yingxenye ye-bulimia.

Ziyini izimpawu ze-bulimia?

Umuntu one-bulimia angase abonise lezi zimpawu ezilandelayo. Kodwa-ke, akuwona wonke umuntu ozoba nazo zonke lezi zimpawu, futhi abanye abantu bangase babe nazo ezimbalwa kuphela:

• Ukudla ukudla okuningi ngesikhathi esisodwa (njengoba sishilo ekuqaleni, "ukuzila ukudla okuningi").
• Ukususa ukudla ngemva kokudla (izindlela zokuhlanza njengokuhlanza, ukusebenzisa imithi yokuhlanza isisu).
• Ukwesaba okukhulu ukukhuluphala kanye nesifiso sokwenza noma yini ukuze wehlise isisindo.
• Ukuzizwa ungenaso isilawuli sokudla.
• Ukuzethemba okuphansi kanye nomuzwa wokungabi nalutho.
• Imizwa yecala elikhulu noma amahloni ngemva kokudla.
• Ukucindezeleka, ukukhathazeka, ukushintshashintsha kwemizwelo, noma ukusebenzisa kabi izidakamizwa.
• Ukuquleka njalo.
• Ukuqunjelwa.
• Ukungajwayelekile kwemijikelezo yokuya esikhathini kwabesifazane.
• Ubuthakathaka bemisipha.
• Ukubomvu kwamehlo (ikakhulukazi kulabo abahlanzayo).
• Ukuvuvukala kobuso (abanye abantu bakubiza nangokuthi "izihlathi ze-chipmunk" ngoba izinhlangothi zezihlathi ziyavuvukala).

Lokhu kungathinta umuntu ngamunye ngendlela ehlukile. Isibonelo, kungenzeka ukuthi awuzange udle kakhulu ngaphambi kokuthi "uhlanze." Ngezinye izikhathi, ngisho nokudla okuncane kungakwenza uzizwe kabi futhi kukwenze ufune "ukuhlanza." Indlela "ohlanza" ngayo ingahluka kuye ngomuntu nomuntu.

Ziyini izimbangela ze-bulimia?

Kunzima ukusho ukuthi yini ngempela ebangela i-bulimia nervosa, kodwa abacwaningi bacabanga ukuthi kungaba yinhlanganisela yamathonya ezakhi zofuzo (okungukuthi, izinto ezidluliselwa esizukulwaneni kuya kwesinye) kanye nokuziphatha okufundiwe.

Cabanga ngakho, lokho okubonayo emphakathini nakwabezindaba – imibono efana nokuthi “yilokhu umzimba omuhle obukeka ngakho” – ingakufaka ingcindezi enkulu. La mathonya angaphandle angathinta indlela ocabanga ngayo ngomzimba wakho (‘isithombe somzimba’) kanye nokuzethemba kwakho. Futhi, uma uzizwa ucindezelekile kakhulu , uma uzizwa udangele, ukhungathekile, noma uma uzizwa sengathi awukwazi ukulawula izinto empilweni, konke lokhu kungathinta ukukhula kwalesi sifo sokudla.

Ubani osengozini enkulu yokuthola lesi simo?

I-Bulimia nervosa ingathinta noma ubani, kodwa abantu abalandelayo basengozini enkulu:

• Intsha noma abantu abadala abasebasha.
• Uma othile emndenini enenkinga yokudla (ehlobene nemvelo).
• Uma usuvele unesifo sengqondo esifana nokukhathazeka noma ukucindezeleka.
• Kwabesifazane (kungenzeka nakwabesilisa, kodwa kuvame kakhulu kwabesifazane).

Yiziphi izinkinga ezingaba khona ngenxa ye-bulimia?

Lokhu kuphazamiseka kokudla kuza nezingozi eziningi zempilo . Lezi ziyingozi kakhulu, futhi eziningi zazo zingasongela ngisho nokuphila. Izinkinga ezingaba khona zifaka:

• Ukungahambi kahle kwesilinganiso senhliziyo (isb. `(Arrhythmia)`).
• Ukulimala kwamathumbu nesisu.
• Izinkinga zamazinyo (ukubola kwamazinyo, ukuguguleka kwamazinyo, ukucaca kwamazinyo).
• I-Esophagitis kanye nokubhoboka komphimbo.
• Isifo Sokuphindezela Kwesisu (i-GERD).
• Ukwehluleka kwenhliziyo.
• Izimo ezihambisana nokuzwela kwamathumbu (Irritable Bowel Syndrome - IBS)
• Ingozi yokuzibulala yanda.
• Ukungondleki kahle kanye nokuphelelwa amanzi emzimbeni (ukuntuleka kwamanzi emzimbeni).
• Ukuvuvukala kwezihlathi.
• Umphimbo obuhlungu kanye nesisu.
• Isifo Sikashukela Sohlobo 2.

Ukwelashwa kusenesikhathi kwe-bulimia kungavimbela lezi zinkinga futhi kunciphise imiphumela yesikhathi eside. Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unokungabaza ngalokhu.

Odokotela bayixilonga kanjani i-bulimia?

Ukuze ahlole lesi simo, udokotela wakho uzoqala ngokukuhlola ngokomzimba. Uzobuza ngomlando wakho wezokwelapha kanye nezimpawu zakho. Kujwayelekile ukuthi uzizwe wesaba noma ungakhululekile ukukhuluma ngalezi zinto nodokotela wakho. Kodwa-ke, odokotela bakhona ukukusiza, hhayi ukukwahlulela. Ngakho-ke, kubaluleke kakhulu ukuba qotho ngemikhuba yakho yokudla kanye nokuziphatha kwakho, ukuze bakwazi ukukusiza ngendlela efanele.

Udokotela uzoqhathanisa izimpawu zakho nezindlela eziku-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) ye-American Psychiatric Association. Angase akubuze imibuzo efana nalokhu:

• Ingabe uneziqephu zokudla ngokweqile eziphindaphindayo?
• Ingabe uzizwa ungenalo ukulawula ukudla kwakho?
• Ingabe uhlanganyela ekuziphatheni kokuhlanza?
• Uke waba neziqephu zokudla ngokweqile okungenani kanye ngesonto isikhathi esingangezinyanga ezintathu?
• Ingabe isisindo somzimba wakho noma ukuma kwawo kunomthelela omkhulu endleleni ozibona ngayo (ukuzibona wena)?

Azikho izivivinyo ezithile zokuxilonga lesi sifo sokudla. Kodwa-ke, udokotela wakho angase akucele ukuthi uhlolwe ukuze abone ukuthi lesi simo siyithinta kanjani impilo yakho. Isibonelo:

• Ukuhlolwa kwegazi.
• Ukuhlola izinga lokushaya kwenhliziyo (i-Electrocardiogram - EKG noma i-ECG)).
• Ukuhlolwa kokusebenza kwezinso.
• Ukuhlolwa komchamo.

Yiziphi izindlela zokwelapha i-bulimia?

Udokotela angase ancome izindlela zokwelapha ezifana nalezi:

• Ukwelulekwa/Ukwelashwa : IkakhulukaziUkwelashwa Kokuziphatha Kokuqonda (i-CBT) kuyindlela ewusizo kakhulu yokwelapha ngenkulumo. Kulokhu, uhlangana nodokotela wezokwelapha bese usebenzisana naye ukushintsha indlela imicabango yakho ethinta ngayo ukuziphatha kwakho.
• Ukwelulekwa ngokudla okunempilo : Lokhu kuhilela ukusebenza nodokotela wezokudla obhalisiwe noma umeluleki ukuze akusize wakhe ubuhlobo obunempilo nokudla okudlayo.
• Imithi : Ngezinye izikhathi kusetshenziswa imithi yokucindezeleka ekilasini lemithi ebizwa ngokuthi i-Selective Serotonin Reuptake Inhibitors (SSRIs) . Lokhu kunganciphisa ukudla ngokweqile nokuhlanza. Kungasiza futhi ekwelapheni ukukhathazeka nokudangala.
• Amaqembu okusekelana : Lokhu kungaba usizo kakhulu uma kuhlanganiswa nezinye izindlela zokwelapha. Ukuxhumana nabanye abaye badlula kokuhlangenwe nakho okufanayo kungaba usizo ohambweni lwakho lokululama.

Khumbula, indlela eyodwa yokwelapha ayisebenzi kuwo wonke umuntu . Kungase kudingeke uzame izindlela ezahlukene nezindlela ezahlukene ukuze ufinyelele imigomo yakho.

Kufanele ubonane nini nodokotela?

Uma uzizwa ucindezelekile ngenxa yobuhlobo bakho nokudla, noma uma kuphazamisa impilo yakho yansuku zonke, kufanele nakanjani ukhulume nodokotela.

Uma unalezi zimpawu , funa usizo lwezokwelapha ngokushesha :

• Ubuhlungu besifuba.
• Isiyezi.
• Ukuquleka.
• Ukuzwa ukushaya kwenhliziyo okungajwayelekile (ukushaya kwenhliziyo okungavamile).
• Ukuphelelwa umoya / Ukuphelelwa umoya.
• Umphimbo obuhlungu kakhulu.

Uma unemicabango yokuzibulala, sicela ungahlupheki wedwa . Kukhona umuntu ongakusiza. (ESri Lanka, ungashayela izinhlangano ezifana neSumithrayo ku-0112692909). Ngisho noma ungekho enkingeni enkulu, unganqikazi ukukhuluma. Uma usesimeni esiphuthumayo, shayela ku-1990 (Suvaseriya) noma esiteshini samaphoyisa esiseduze.

Mayelana nokululama ku-bulimia

Ukululama kungenzeka nakanjani. Kodwa kuthatha isikhathi. Odokotela bakho kanye nabelaphi bazosebenzisana nawe ukudala uhlelo lokwelapha olusebenzela wena kanye nezimpawu zakho. Umelaphi wakho uzokusiza ukuthi uzibekele imigomo enengqondo futhi usebenzele ukuyifinyelela.

Kubalulekile ukwazi ukuthi ngezinye izikhathi izimpawu zingaphinde zibuye (ziphinde zibuye).. "Ukubuyela emuva" yilapho ubuyela ekuziphatheni okungenampilo ngemva kwesikhathi semikhuba enempilo. Uma "ubuyela emuva," kungazwakala sengathi ubuyela emuva okukhulu, kodwa akusikho ukwahlulela ukuthi ungubani. Ukululama kuyinselele futhi kuwumsebenzi onzima. Kodwa khumbula, awuwedwa neze. Ithimba lakho lokunakekela lizokusiza ukuthi ubuyele endleleni efanele. Bazokwenza izinguquko ohlelweni lwakho lokwelashwa njengoba kudingeka.

Uma ungelashwa, ungaba nezinkinga ezinkulu, ezivame ukusongela impilo. Ngakho-ke uma ungakaqali ukwelashwa, kubalulekile ukukuthola ngokushesha .

Kunjani ukuphila ne-bulimia?

Okuhlangenwe nakho kwawo wonke umuntu ngalesi sifo sokudla kuhlukile. Ukuphila ne-bulimia kungase kuzizwe futhi kucabange izinto ezinjengalezi:

• "Ngiyesaba ukuphuma ngiyodla ngoba ngikhathazekile ngokuthi ngizodla kakhulu ngokushesha bese ngingakwazi ukuthola indlu yokugezela."
• "Angithandi ukuzibuka esibukweni, ngoba angiyithandi indlela engibukeka ngayo."
• "Nginomuzwa wokuthi okuwukuphela kwento engingayilawula empilweni yami 'ukuhlanza'."
• "Ukudla ukudla okuningi kuyaduduza uma ngicindezelekile, kodwa ngidla ngokushesha kangangokuthi angikwazisi ngempela ukunambitheka kokudla."
• "Ngemva kokudla, ngizizwa nginecala elikhulu (njengokungathi ngenze ubugebengu obukhulu). Nginomuzwa wokuthi okuwukuphela kwendlela yokulungisa lelo phutha 'ukuhlanza'."

Uma le micabango izwakala ijwayelekile kuwe, sekuyisikhathi sokubona udokotela noma umeluleki wezempilo yengqondo . Bangakusiza wakhe ubuhlobo obungcono ngokudla kanye nesithombe sakho.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule

Kuvamile ukukhathazeka ngokuthi udlani kanye nosayizi womzimba wakho. Kodwa i-bulimia ingaphezu kwalokho. Yisimo esijulile esingaholela ezinkingeni eziningi zempilo . Uma ucabanga ukuthi unalesi simo, ungangabazi ukufuna usizo. Ngokwelashwa okufanele kanye nokusekelwa kwempilo yengqondo, ukululama kungenzeka nakanjani. Ukukhuluma nodokotela kuyisinyathelo sokuqala sokuvikela inhlalakahle yakho. Awuwedwa, futhi usizo luhlala lukhona.

I- Bulimia nervosa, izinkinga zokudla, ukudla ngokweqile, ukuhlanza, impilo yengqondo, ukudla okunomsoco, ukwelashwa kwe-bulimia