Kunzima ukuphuma ku-bulimia ngaphandle kokuxhaswa. Ukuqokwa kwezidakamizwa kanye nesiphakamiso sokwelashwa kwengqondo kungabhekwa njengokwelapha i-bulimia. Kwesinye isikhathi kungadingeka ukwelashwa okukhethekile esibhedlela.

Ukuphathwa kwemithi

izinzuzo izidakamizwa ingahle inqunyelwe ukunciphisa izimpawu ze-bulimia (ukwehla kwenani lokuquleka) kepha futhi kuya phatha izifo ezihambisanayo njengokukhathazeka nokudangala. Ekugcineni, ngemuva kokuhlolwa kwezokwelapha kwe- imiphumela yomzimba imigqa yokuhlanza (ukugaya ukudla, inso, inhliziyo, ukuphazamiseka kwe-endocrine, njll.) udokotela anga-oda ukuhlolwa (ukuhlolwa kwegazi) nemithi yokwelapha lezi zinkinga.

The antidepressant kungasiza ukunciphisa izimpawu ze-bulimia. Ukuphathwa Kwezokudla Nezidakamizwa kuncoma umuthi okhethiwe we-fluoxetine (Prozac) kumongo we-bulimia. Le anti-depressant ingeyesigaba se-anti-depressants esebenza ukuvimbela i-serotonin reuptake (SSRI). Lo muthi usebenza ngokwandisa inani le-neurotransmitter serotonin kuma-synapses (ukuhlangana phakathi kwama-neurons amabili). Ukuba khona okwandisiwe kwe-serotonin kusiza ukudlula kolwazi lwezinzwa.

Kodwa-ke, ngokuya ngezifo ezethulwe yisiguli sakhe (ezinye izifo ezihambisana ne-psychopathological), udokotela anganquma okunye antidepressant noma imithi (ikakhulukazi i-anxiolytics ethile) yokwelapha i-bulimia.

Ukwesekwa kwengqondo

Ama-Psychotherapies anikezwa ingxenye enkulu, kusuka ku- ngamunye noma ngamaqembu, kepha konke kunezinjongo: ukuthuthukisa ukuqonda nokuzethemba komuntu one-bulimic nokusebenza izingxabano ezithile.

• Izindlela Zokuziphatha Nezokuqonda (CBT)

Zisebenza kahle kakhulu ekwelapheni izimpawu ze-bulimia ngoba kuhilela ukuthola isiguli ukuthi siziqaphele indlela aziphethe ngayo (lapha, kuzoba ngumbuzo wezinkinga kepha nokuziphatha kokuhlanzwa) bese ukuguqula. Inhloso ye-TBI akukhona ukuthola izimbangela noma umsuka walesi sifo kepha ukwenza ngokusobala.

Le isazi sengqondo ingenelela ezinqubweni zengqondo (izindlela zokucabanga) kanye nemizwa elawula isimilo sesiguli futhi isimkhuthaze ukuthi ahlaziye kabusha izinqumo ezimenze wanikezela enkingeni.

Isiguli sisebenza kakhulu ku-CBT, kuzofanele sigcwalise amafomu amaningi nemibuzo. Ngokwesimo se-bulimia, ngokuvamile cishe izikhathi ezingamashumi amabili ziyadingeka ukuze kubuzwe futhi kuguqulwe imicabango yesiguli engasebenzi kahle mayelanaukudla, isisindo futhi isithombe somzimba, L 'ukuzethembaNjll…

• Ukwelashwa komndeni okuhleliwe

Lokhu kwelashwa kubizwa ngokuthi ” uhlelo Ngoba ubheka iqembu lomndeni njengohlelo kanye neqoqo lezinto ezincikene. Kulokhu, umndeni ubungeke wakhiwe ngezinto ezizimele (abazali / izingane), kepha izinhlangano ezinomthelela komunye nomunye.

Ukwelashwa okuhlelekile komndeni kufunda izindlela zokuxhumana kanye nokuxhumana okuhlukile ngaphakathi komndeni ukuze kamuva uzame ukwenza ngcono ubudlelwane bangaphakathi. Lapho ilungu elilodwa lomndeni lithinteka ukugula okufana ne-bulimia, amanye amalungu azothinteka. Ngokwesibonelo, izikhathi zokudla kungaba nzima kakhulu emndenini ukuphatha. Izenzo namazwi omunye nomunye kungasiza noma kunalokho kulimaze isiguli. Akuwona umbuzo wokwenza omunye nomunye azizwe enecala, noma ukubenza babe necala le-bulimia, kepha ukuthatha kwabo ukuhlupheka nokwenza wonke umuntu ahambe ngendlela efanele yena kepha nesiguli.

• I-Psychodynamic psychotherapy

Le psychotherapy iphefumulelwe yi ukuhlolwa kwengqondo. Kusetshenziswa kabanzi ukuxhasa isiguli ekufuneni izingxabano (ezomuntu siqu, ezokuxhumana nabantu, ezaziyo nezingazi lutho, njll.) Ezingaba umsuka wokuvela kwezinkinga zokudla.

• Ukwelashwa kwengqondo komuntu

Lokhu kwelashwa okufishane, okusetshenziselwa ukwelapha ukudangala, kufakazelwe ukuthi kusiza abantu abanenkinga yokudla. Ngesikhathi sokwelashwa kwengqondo phakathi kwabantu, le ndaba ngeke kube ukudla kepha ubunzima besimanje besiguli obuba nemiphumela ekuziphatheni kwayo kokudla.

• Ukwelashwa kokudla okunempilo

Lokhu kwelashwa kwengqondo nokufundisa kubaluleke kakhulu futhi kuyasebenza ngaphezu kwe-psychotherapy. Ngempela, izinzuzo ezingaletha azihlali uma zenziwa zodwa, i-bulimia imane nje iyisibonakaliso esikhombisa ubuhlungu obujulile.

Isetshenziswa ngabantu ababhekene nezinye izinkinga zokudla.

Ukwelashwa kokudla okunempilo kuzovumela isiguli ukuthi sifunde kabusha ukuthi singadla kanjani: qala kabusha ukudla okunomsoco, qonda ukudla okwenziwa ngamathebhu (ikakhulukazi okunoshukela, okwenze ukuthi kube nokuhlanza), udle ushukela ophuzayo futhi ukuze ugweme ukuquleka, ujwayele ukudla futhi etafuleni, ama-4 ngosuku, ngobuningi obufanele. Imininingwane ehlobene nesisindo nokudla izonikezwa futhi ichazwe, isibonelo ithiyori yesisindo semvelo. Ngale ndlela yokwelashwa, sizama ukuguqula ubudlelwano isiguli esinabo nokudla. Ekugcineni, le ndlela futhi inentshisekelo ekuziphatheni okuphoqelela ukopha okusetshenziswa yisiguli. Ngakho-ke futhi kuhlose ukumenza alahlekelwe umkhuba wokusebenzisa izindlela ezinjengalezi zokuthambisa uma ngabe bekunjalo ngokumnikeza imininingwane yezinkolelo ezochaza ukungasebenzi kahle kwalezi zindlela zokuziphatha.

Isibhedlela

Kwesinye isikhathi a esibhedlela kungadingeka ukwengeza amathuba okululama kwesiguli, ngemuva kokwehluleka kokwelashwa kweziguli nalapho kutholakala izinkinga ezinkulu zempilo. Ngokuya ngokusungulwa, ukunikezwa esibhedlela okuvamile noma esibhedlela kunganikezwa. Kulaba bokugcina, umuntu uzoya esibhedlela zonke izinsuku zeviki eyokwelashwa futhi uzobuyela ekhaya lakhe kusihlwa.

Ensizakalweni esebenza ngokukhethekile ekuphatheni kokuphazamiseka kwemikhuba yokudla, isiguli sithola ukunakekelwa okunikezwa yithimba elenza imikhakha ehlukahlukene (udokotela, isazi sokudla, isazi sokusebenza kwengqondo, njll.). Ukwelashwa kuvame ukufaka i-a ukuvuselelwa kokudla okunempilo, i ukwesekwa ngokwengqondo nezemfundo nokulandelela i-psychotherapy.