I-Bulimia nervosa - izimbangela, izimpawu, ukwelashwa kanye nemiphumela. Kuyini lokhu?

Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.

Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.

I-bulimia nervosa, eyaziwa nangokuthi i-bulimia nervosa, isifo sokudla esihlanganisa ukudla okuphoqelekile isikhathi esifushane, okulandelwa ukuziphatha okuyisinxephezelo okuhlanganisa ukubuyisela ukudla okudliwe, noma ukubeka ukudla okuqinile okuhambisana nokuzila ukudla.

I-Bulimia nervosa, njengoba igama lesiLatini lalesi sifo lizwakala, libonakala ngeziqephu eziphindaphindayo nezivamile zesifiso sokudla esingavinjelwe - okungukuthi ukudla ukudla okuningi ngesikhathi esifushane - kuhlangene nokulahlekelwa ukulawula inqubo yokudla.

I-Bulimik ingadla amakhalori afika kwangu-3,400 ngaphansi kwehora. Kukhona futhi amacala aziwayo okusetshenziswa kwezinkulungwane ezingama-20. ama-calories emahoreni ayisishiyagalombili. Abantu abane-bulimia bavame ukuqaphela inkinga yabo futhi bayesaba iqiniso lokuthi abakwazi ukunqamula umjikelezo oqhubekayo bebodwa. Udumo luholela esigabeni sokuhlanza, okuhlanganisa ukucasula ukuhlanza noma ukuphoqelela ukudla okuqinile, okuvame ukubeka impilo yomuntu engozini. Ukuminza kanye nokulahla ama-kilojoule amaningi ngokuvamile kwenzeka ekusithekeni kwabanye, kuhlanganiswe nomuzwa wokuhlazeka nokukhululeka.

Ngokuphambene ne-anorexia nervosa, abantu abane-bulimia nervosa bayakwazi ukugcina isisindo esivamile ngokweminyaka yabo. Ngakolunye uhlangothi, ngokufana ne-anorexia, bahlala besaba ukuthi bazokhuluphala ngokweqile, bengazinaki izimfanelo zemizimba yabo, okuchaza ngokwengxenye ukuthi kungani imisebenzi ye-bulimic ivame ukwenzeka ngasese. Umjikelezo wokudla nokuhlanza okuphoqelekile kwenzeka izikhathi eziningana ngeviki futhi ngokuvamile uhambisana nezinkinga ezingokwengqondo ezifana nokusebenzisa kabi izidakamizwa, ukucindezeleka, nomuzwa oqhubekayo wokukhathazeka. Ngaphandle kwabo, kunezimpawu zomzimba: i-avitaminosis, ukwehla kwe-electrolyte, ukulimala koqweqwe lwamazinyo, isikhathi esingavamile, ubuthakathaka benhliziyo nesibindi.

I-bulimia nervosa ivame kakhulu kwabesifazane ngokuphindwe kathathu kuya kahlanu kunakwabesilisa. Ngokwezibalo, kuye ngezwe kanye neqembu elihloliwe leziguli, i-bulimia yokuphila konke iyahlukahluka kusuka ku-0,3 kuya ku-9,4%. abesifazane futhi kusukela kumaphesenti angu-0,1 kuya ku-1,4. amadoda. Lesi sifo sithinta kakhulu abantu abakhuthele ngokomzimba okudingeka banake kakhulu isibalo sabo. Ithinta ikakhulukazi intsha, kakhulu phakathi kwabamhlophe. Uma ingalashwa, ingahlala ize ibe neminyaka engama-40.

I-bulimia - izimbangela

I-bulimia nakanjani ingaphezu nje kwenkinga yokudla. Izikhathi zokuxhashazwa zingahlotshaniswa nokusabela ekucindezelekeni, intukuthelo noma ukudabuka. Ukuhlanza, nakho, kuyimpendulo ekuzuzeni isisindo okungenzeka kanye nomzamo wokubuyisela ukulawula impilo yakho. Ayikho imbangela efakazelwe ye-bulimia, kodwa siyazi ukuthi ubungozi bokuvela kwayo bukhuphuka ngezinto ezinjengalezi: isiko elithile lapho isiguli sikhuliswa khona, umkhathi emndenini, izinguquko ezinkulu empilweni kanye nokuchayeka ekucindezelekeni, ukuzethemba okuphansi kanye nezinqumo zofuzo.

  1. I-bulimia iyinkinga engathinti impilo yengqondo kuphela, kodwa futhi nempilo yomzimba. Khuluma nodokotela wezengqondo noma isazi sokusebenza kwengqondo ku-inthanethi ukuze uqale ngobuhlakani ukwelashwa kwe-bulimia nervosa

I-bulimia ngeshwa ihlobene eduze nokucindezeleka. Enkambweni yayo (njengokucindezeleka) kukhona ukuntula ukuzethemba nokunganeliseki ngokubukeka komuntu. Iziguli azikwazi ukulawula ukudla kwazo kuphela, kodwa nemizwelo yazo. Kunezimo zokukhathazeka kanye nomthamo omkhulu wokucindezeleka, okuthinta kakhulu ingqondo yomuntu ophethwe yi-bulimia. Ukucindezeleka kuyadliwa futhi umzimba uphathwa njengomgqomo kadoti. Izimo ezicindezelayo ngokuvamile ziholela ekuzibulaleni. Ngaphezu kwalokho, ukuluthwa kwezidakamizwa notshwala kuvamile kubantu abane-bulimia nervosa.

Uma ukhuluma ngezimpawu ze-bulimia nervosa, kunezici ezinhlanu eziyinhloko ezibonisa i-bulimia yezinzwa. Abantu abanalolu hlobo lwesimo:

  1. bahlala bedla ngokweqile, bangadla isamba esikhulu sokudla ngesikhathi esisodwa, ngaphandle kokukulawula,
  2. ngemva kokudla ngakunye, babangela ukuhlanza ukuze bagweme ukukhuluphala. Ukwengeza, iziguli zithatha isamba esikhulu semithi yokuthambisa futhi zilambe kanye nokuvivinya umzimba ngamandla;
  3. ngokombono wabanye, ababonakali benezinkinga zokudla;
  4. uhlushwa isifiso sokudla futhi ngesikhathi esifanayo ufuna ukukususa;
  5. banake kuphela isisindo somzimba wabo nokubukeka kwabo; lezi yizici ezimbili ezithonya kakhulu ukuzethemba kwesiguli.

I-Bulimia ingaba:

1.i-laxative - isiguli sivame ukuhlanza futhi siphuze ama-laxatives, ama-diuretics, futhi ezimweni ezimbi kakhulu i-enema. Inqubo enjalo ngokuvamile iholela ekuluthweni kwama-laxatives, okwenza ukwelashwa kube nzima kakhulu;

2. ukungahlanzwa - lolu hlobo lwe-bulimia lubonakala ngokuzivocavoca okukhulu nokuzila ukudla. Isiguli ngokuvamile asibangeli ukuhlanza njalo futhi asiwaphuzi ama-laxative.

I-Bulimics ivame ukuhlela iziqephu zokuzitika ngokuzitika. Bese bedla inani elikhulu lemikhiqizo enamandla amakhulu, okungukuthi amaswidi, ukudla okusheshayo nama-creams okulula ukuwadla. Izihlobo zesiguli ngokuvamile azinalo ulwazi ngale nkinga ngoba ifihliwe. Ukudla kakhulu ngokuvamile kwenzeka ebusuku lapho wonke umuntu elele nasemini lapho umndeni usemsebenzini noma esikoleni. Ukulahlekelwa ukulawula isikhashana ukuziphatha komuntu siqu kuvinjwa ubuhlungu besisu obuvela ngenxa yokuchichima kwayo. Ukuvela komuntu wesibili nakho kuyambangela amahloni umuntu one-bulimic.

I-bulimia yisifo esingalapheki esiyingozi, ezimweni ezimbi kakhulu, esingaholela ngisho nasekufeni. Uphawu oluphawulekayo lwe-bulimia nervosa ukuvuvukala kwezindlala ze-parotid kanye nokubhujiswa koqweqwe lwawo lwamazinyo. Lapho uxilonga i-bulimia, lezi zindlela ezilandelayo ziyabhekwa:

  1. ukugxila komuntu ogulayo kuphela ekudleni kanye nesifiso esinamandla sokudla okuthile;
  2. ukwenzeka kweziqephu zokudla ngokuzitika okungenani kabili ngesonto phakathi nezinyanga ezintathu; ngalesi sikhathi, isiguli sidla ukudla okuningi;
  3. ukuzethemba kwesiguli - uzibona ekhuluphele; uyesaba ukuzuza isisindo ngaso sonke isikhathi, okuphenduka ukucindezeleka ngokuhamba kwesikhathi;
  4. ukugwema ukukhuluphala ngokubangela ukuhlanza; indlala; ukubangela isifo sohudo; ukusetshenziswa kwama-diuretics kanye nezidakamizwa zokucindezela ukudla.

Ukwelashwa kwe-bulimia nervosa

Njengasendabeni ye-anorexia nervosa, ukwelashwa kwe-bulimia nervosa kudinga inhlanganisela yezindlela eziningi ezahlukene futhi kusekelwe ezimweni ezingokwengqondo zesiguli. Ungase udinge ukubonana nodokotela wezokudla kanye nesazi sokusebenza kwengqondo ukuze unqamule umjikelezo wokudla nokuhlanza okuphoqelekile. Kubonakale kuphumelela ikakhulukazi ngesikhathi socwaningo lokulwa ne-bulimia ukwelashwa kokuziphatha kwengqondo (kusekelwe ekucabangeni ukuthi indlela yokucabanga engalungile yomzimba engaphansi kwe-bulimia nervosa ingaqashelwa futhi ishintshwe) kanye nemithi efana ne-antidepressant fluoxetine. Ngokuhlanganiswa komunye nomunye, baqeda imikhuba yemishini yokufinyelela ukudla futhi bathuthukise isimo sengqondo esijwayelekile sesiguli, imbangela evame ukuba ngumthombo wenkinga.

Izinkinga nge-bulimia zivame ukuqala esemncane, ngakho-ke kufanelekile ukubonisana nodokotela wengqondo yengane ngokushesha lapho sibona izimpawu zokuqala eziphazamisayo. Thatha ithuba lokunikezwa kwesikhungo sezokwelapha esizimele.

Bheka futhi: Yiziphi izidakamizwa eziqukethe i-fluoxetine?

Ukwelashwa okusiza ukubhekana ne-bulimia kwenziwa kokubili ngabanye namaqembu. Ukwelashwa komndeni kuletha imiphumela emihle kokubili ezigulini ezisencane nabadala. Abazali noma ababheki abavame ukuzizwa benecala ngalesi simo. Ukuhileleka kwabazali ekuguleni kwengane yabo kuyasiza ekulweni nokuphazamiseka kwemikhuba yokudla.

Kwesinye isikhathi abelaphi bethula idayari yokudla kwesiguli kanye nemizwelo kanye nezici zokwelapha kwengqondo. Inikeza imiphumela emihle kakhulu.

I-Bulimia nemiphumela yayo

Isifo se-bulimia sesikhathi eside singaholela ezinkingeni cishe kuwo wonke umzimba. Izinkinga zenhliziyo zimi kanje:

  1. ukuphazamiseka kwezinga le-potassium elithinta ukusebenza kahle kwenhliziyo nohlelo lokujikeleza kwegazi (kuhlanganise ne-calcium namavithamini);
  2. ukuphazamiseka kwezinqubo ze-metabolic;
  3. ukuphelelwa umoya;
  4. ukulimala ohlelweni lwezinzwa oluphakathi nendawo.

I-bulimia ilimaza kakhulu uhlelo lokugaya ukudla. Ezigulini, ngenxa yokukhathala okukhulu nokuhlanza okuvamile, ukulimala komzimba nezitho kwenzeka. Ngenxa yalokho, kungase kube khona: umonakalo odongeni lwangemuva lomphimbo; ukuxega kwesisu; ukulimala komgudu, noma ngisho nokuphazamiseka kokuqhubeka kwawo; ukwakheka kwe-erosions ku-esophagus nesisu; i-pancreatitis engapheli; ukulimala koqweqwe lwawo lwamazinyo (ukuxhumana kwe-hydrochloric acid esiswini); ukuguguleka kodonga lwangemuva lwe-pharynx; ukubola kwamazinyo kanye ne-gingivitis; ukwanda kwezindlala ze-salivary; izilonda ezitholakala ngemuva kwesandla kanye nokoma kwesikhumba kanye nama-stretch marks esikhumbeni. Kwabesifazane, i-bulimia nayo ingaholela ekubeni i-amenorrhea nezinkinga zokuzala.

shiya impendulo