Lokhu kuphazamiseka kwemikhuba yokudla kuhlotshaniswa nokwangempela ukucindezeleka okuphoqelekile kanye a ukulahlekelwa ukulawula ingqondo phezu komzimba, Yingakho ke imisebenzi yansuku zonke njengokudla ukudla emphakathini kungaba inselele yangempela kubantu abane-bulimia.

• Izigaba ze ukudla ngokudla lapho umuntu ezodla aze afike ezingeni lokungaphatheki kahle noma ubuhlungu. Ukudla kuyoba ngaphezulu kakhulu kunalokho okuthathwe ngesikhathi sokudla okujwayelekile noma i-snack;
• Izigaba zokuzila ukudla zicabanga ukuthi zizokwazi ukubuyisela isisindo;
• oluhlanzayo okubangelwa ngemva kokudla;
• Ukwenza isisu, ama-laxatives ou enema ;
• Ukuzijwayeza kwezemidlalo okujulile ;
• Ukuba Wedwa ; 
• Imizwa iyashintsha, ukucasuka, ukudabuka, icala, amahloni ;
• Ukukhathazeka okungavamile mayelana nokuma komzimba nesisindo okuholela embonweni ongalungile wesithombe somzimba.

Inkambo yokuhlasela kwe-bulimia

I-pre-crisis

Le ukuphelela eqondisa umuntu one-bulimic kudala ukungezwani kwangaphakathi kanye nomuzwa wokuntula, ukukhathazeka nokucasuka.

Crisis

A ukulahlekelwa kokulawula futhi  isidingo sokwanelisa umfutho angakwazi ukuhlasela umuntu one-bulimic. Ukuqala kwesimo esibucayi kuhambisana nesikhathi lapho intando idedela khona lokhu kushayela okungabekezeleleki nalapho umuntu onebulimia ezozama ukunxephezela lokho okuvame ukuzwakala njengokungabi nalutho kwangaphakathi.

Ukwenza kanjalo, uyahamba dla inani elikhulu lokudla ngesikhathi esifushane kakhulu, okulimaza umbono wokuzijabulisa. Ukudla kuyakhethwa futhi kungcono amnandi futhi aphezulu ngama-calories.

Umuzwa wecala uzodlula ukwaneliseka kokubona umfutho weneliseka futhi kuzoholela esigabeni sokuhlanza. Kumayelana a ukuhlanza kwangempela, okufanele ukuletha okuthile impumuzo. Kwezinye izimo, oluhlanzayo kungase futhi kuhambisane nama-laxatives, ama-diuretics noma ngisho ne-enemas.

Ngemva kwenhlekelele

Amahloni nomuzwa wecala bese unikeza indlela yokuzizwa ukudeka, okuyoholela esifisweni sokuphinde uzilawule futhi ungaphindi. Kodwa lezi zinhlekelele ziyingxenye ye-a umbuthano ononya okunzima ukuphuma emandleni nje ngoba, ngaphezu komkhuba nje, ukudla ngokweqile kuyingxenye ye isiko.

Ukuhlolwa kwengqondo

Ukusungula a ukuxilongwa kwe-bulimia, izici ezihlukahlukene kumelwe zibhekwe ekuziphatheni komuntu.

ENyakatho Melika, ithuluzi elijwayelekile lokuhlola i- Incwadi Yokuhlola Nezibalo Zezinkinga Zengqondo (DSM-IV) eshicilelwe yi-American Psychiatric Association. EYurophu nakwezinye izindawo emhlabeni, ochwepheshe bezokunakekelwa kwempilo ngokuvamile basebenzisa Ukwahlukaniswa Kwezifo Komhlaba Wonke (ICD-10).

Ngamafuphi, ukuvusa ukuphazamiseka kwe-bulimic, kuyadingeka ukuqaphela ukuba khona kwaso ukudla ukudla lapho umuntu eba nomuzwa wokuthi ulahlekelwa ngokuphelele ukulawula ukuziphatha kwakhe okuzomholela ekubeni agwinye ngesikhathi esilinganiselwe isamba sokudla esikhulu kakhulu kunokuvamile. Okokugcina, ukuba khona kokuziphatha okuyisinxephezelo kuyadingeka ukuze ukhulume nge-bulimia wazi ukuthi izinkinga kanye nokuziphatha okuyisinxephezelo kufanele kwenzeke ngokwesilinganiso izikhathi ezingu-2 ngesonto izinyanga ezingu-3 ezilandelanayo. Ekugcineni, udokotela uzohlolaukuzethemba womuntu ukuze abone ukuthi ngabe lo uthonywe ngokweqile yini isisindo kanye ne-silhouette njengoba kwenzeka kubantu abanesifo se-bulimic.

Ukuhlola kwe-Somatic

Ngaphezu kweukuhlolwa kwengqondo, ukuhlolwa okuphelele komzimba ngokuvamile kuyadingeka ukuze kuhlolwe imiphumela yokuhlanzwa nokunye ukuziphatha okuyisinxephezelo empilweni yesiguli.

Ukuhlolwa kuzobheka izinkinga:

• inhliziyo njengokuphazamiseka kwesigqi senhliziyo;
• amazinyo kuhlanganise nokuguguleka koqweqwe lwawo lwamazinyo;
• amathumbu njengokuphazamiseka kokuhamba kwamathumbu;
• izaphulelo, ikakhulukazi ukuncipha kwamathambo amaminerali;
• izinso ;
• i-dermatological.

Ukuhlolwa kokuhlolwa kwe-EAT-26

Ukuhlolwa kwe-EAT-26 kungahlola abantu okungenzeka bahlushwa izinkinga zokudla. Lolu uhlu lwemibuzo olunezinto ezingama-26 isiguli esilugcwalisayo sodwa bese silunikeza uchwepheshe oluhlaziyayo. Imibuzo izosivumela ukuba sibuze ubukhona kanye nezikhathi zokudla, ukuziphatha okunxephezela kanye nokulawula umuntu akusebenzisayo phezu kokuziphatha kwakhe kokudla.

Umthombo: Ngenguqulo yesiFulentshi yokuhlolwa kwe-EAT-26, u-Leichner et al. 1994⁹

Izinkinga ze-bulimia

Izinkinga eziyinhloko ze-bulimia wukuphazamiseka kwengqondo okungathí sina kakhulu noma okuncane okubangelwa ukuziphatha okunxephezela ukopha.

The oluhlanzayo ukugula okuphindaphindiwe kungabangela izifo ezihlukahlukene njengokuthi: ukuguguleka koqweqwe lwamazinyo, ukuvuvukala komminzo, ukuvuvukala kwezindlala zamathe nokwehla kwezinga le-potassium elingabangela ukuphazamiseka kwesigqi noma ngisho nenhliziyo.

La ukuthatha ama-laxatives iphinde ibangele iziyaluyalu eziningi phakathi kwazo lapho umuntu angabona khona i-atony yamathumbu (ukuntuleka kwethoni yomgudu wokugaya ukudla) okubangela ukuqunjelwa, ukuphelelwa amanzi emzimbeni, i-edema ngisho nokwehla kwezinga le-sodium okungaholela ekuhlulekeni kwezinso.

Mayelana nalokho imikhawulo yokudla, lezi zingabangela i-anemia, i-amenorrhea (ukuphela kokuya esikhathini), i-hypotension, ukwehla kwenhliziyo kanye nokwehla kwamazinga e-calcium okungabangela ukukhumuzeka kwamathambo.

Okokugcina, ukusetshenziswa kabi kwezidakamizwa (izidakamizwa notshwala), okuvame ukuba khona kubantu abane-bulimia, kungaholela kwezinye izifo ze-somatic. Ngaphezu kwalokho, ukusetshenziswa kwalezi zinto kungase kuholele umuntu ekuziphatheni okuyingozi ngenxa yokuvinjelwa (ubulili obungavikelekile, njll.).