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Bulimia nervosa, inozivikanwawo se bulimia nervosa, chirwere chekudya chinosanganisira kudya kwekumanikidzira kwenguva pfupi, kuteverwa nekugadzirisa hunhu hunosanganisira kudzorera chikafu chakadyiwa, kana kuisa chikafu chakasimba chinoganhurana nekutsanya.
Bulimia nervosa, sezita rechiLatini rechirwere chinonzwika, rinoratidzirwa nekudzokorora uye nguva dzose zvikamu zvechido chisingadziviriki - kureva kudya zvokudya zvakawanda munguva pfupi - pamwe chete nekurasikirwa kwekutonga pamusoro pekudya.
Bulimik inogona kudya kusvika ku3,400 macalories mukati meawa isingasviki. Kunewo zviitiko zvinozivikanwa zvekudyiwa kwe20 zviuru. macalorie mumaawa masere. Vanhu vane bulimia vanowanzoziva nezvedambudziko ravo uye vanotya chokwadi chekuti havagone kuputsa kutenderera kunowanzoitika vari voga. Kubwinya kunotungamirira kudanho rokucheneswa, rinobatanidza kunyandura kurutsa kana kuti kumanikidzira kudya kwakasimba, kazhinji kazhinji kuchiisa mungozi utano hwomunhu. Kudyisa uye kubvisa macalorie akawandisa zvinowanzoitika pachivande kubva kune vamwe, zvichipindirana nekunzwa kunyara uye kurerukirwa.
Kusiyana neanorexia nervosa, vanhu vane bulimia nervosa vanokwanisa kuchengetedza huremu hwemazuva ose hwezera ravo. Ukuwo, zvakafanana neanorexia, vanogara vachitya kuti vachawedzera uremu, vachiregeredza hunhu hwemuviri wavo, izvo zvinotsanangura chikonzero nei mabasa ebulimic achiwanzoitika muchivande. Kutenderera kwekumanikidzira kudya uye kuchenesa kunoitika kakawanda pasvondo uye kunowanzogara nezvinetso zvepfungwa zvakadai sekushandisa zvinodhaka, kuora mwoyo, uye kugara uchifunganya. Kunze kwavo, panewo zviratidzo zvemuviri: avitaminosis, kudonha kwe electrolytes, kukuvadza kune enamel yemazino, nguva isina kukwana, kupera simba kwemoyo uye chiropa.
Bulimia nervosa inopetwa katatu kana kashanu muvakadzi kupfuura varume. Zvichienderana, zvichienderana nenyika uye boka rakaongororwa revarwere, hupenyu hwebulimia hunosiyana kubva ku0,3 kusvika ku9,4%. vakadzi uye kubva pa0,1 kusvika 1,4 muzana. varume. Chirwere ichi chinonyanya kubata vanhu vanoita zvemuviri vanoda kubhadhara zvakanyanya kumufananidzo wavo. Zvinonyanya kubata vechidiki, zvakanyanya pakati pevachena. Kana isina kurapwa, inogona kugara kusvika kumakore makumi mana.
Bulimia - zvikonzero
Bulimia zvechokwadi inopfuura dambudziko rekudya. Nguva dzekudheerera dzinogona kubatanidzwa nemhinduro kune kushushikana, kutsamwa kana kusuruvara. Kuchenesa, zvakare, imhinduro kune inogona kuwedzera uremu uye kuedza kuwanazve kutonga pamusoro pehupenyu hwako. Hapana chikonzero chinopupurirwa chebulimia, asi tinoziva kuti njodzi yekuitika kwayo inowedzerwa nezvinhu zvakadai se: tsika chaiyo iyo murwere anokwidziridzwa, mamiriro ekunze mumhuri, kuchinja kukuru kwehupenyu uye kutarisana nekushungurudzika, kuderera kwekuzviremekedza uye genetic determinants.
- Bulimia idambudziko rinokanganisa kwete hutano hwepfungwa chete, asiwo hutano hwemuviri. Taura nachiremba wepfungwa kana chiremba wepfungwa pamhepo kuti utange nekuchenjera kurapwa kwebulimia nervosa
Bulimia inosuruvarisa yakabatana zvikuru nekuora mwoyo. Mukufamba kwayo (sekuora mwoyo) pane kushayikwa kwekuzviremekedza uye kusagutsikana nechitarisiko chomunhu. Varwere havagoni kudzora kwete zvokudya zvavo chete, asiwo manzwiro avo. Kune mamiriro ekufunganya uye huwandu hukuru hwekushushikana, hunokanganisa zvakanyanya psyche yemunhu anotambura nebulimia. Stress inodyiwa uye muviri unobatwa segaba remarara. Kuora mwoyo kunowanzokonzera kuzviuraya. Mukuwedzera, kupindwa muropa nezvinodhaka nedoro kwakajairika muvanhu vane bulimia nervosa.
Kana tichitaura nezvezviratidzo zvebulimia nervosa, pane zvinhu zvishanu zvikuru zvinoratidza kutya bulimia. Vanhu vane rudzi urwu rwechimiro:
- vanogara vachidya zvakanyanya, vanogona kudya chikafu chakakura panguva imwe chete, pasina chekutonga pamusoro pacho,
- mushure mekudya kwega kwega, vanomutsa kurutsa kuti vadzivise kuwedzera. Mukuwedzera, varwere vanotora zvakawanda zvemishonga uye vanofa nenzara pamwe chete nekurovedza muviri kwakasimba;
- mukuona kwevamwe, havaratidziki kuva nezvinetso zvezvokudya;
- vanotambura nechishuvo chinoparadza uye panguva imwe chete vanoda kuibvisa;
- teerera chete kune uremu hwemuviri wavo uye chitarisiko; izvi zvinhu zviviri zvinopesvedzera zvikuru kuzviremekedza kwomurwere.
Bulimia inogona kuva:
1.laxative - murwere anogara achitsamwisa uye anotora laxatives, diuretics, uye mumamiriro ezvinhu akaoma anema. Maitiro akadaro anowanzo kutungamirira mukupindwa muropa nemishonga inodhaka, iyo inoita kuti kurapa kuve kwakaoma;
2. kusanatsa - iyi mhando yebulimia inoratidzirwa nekurovedza muviri kwakanyanya uye kutsanya. Murwere kazhinji haagari achikurudzira kurutsa uye haatore laxatives.
Bulimics kazhinji inoronga kunyanyisa kudya episodhi. Zvadaro vanodya huwandu hwakawanda hwezvigadzirwa zvine simba guru, kureva masiwiti, zvokudya zvinokurumidza uye zviri nyore kudya-mafuta. Hama dzemurwere kazhinji hadzina ruzivo nezvedambudziko iri nekuti rakavanzwa. Kunyanya kudya kunowanzoitika usiku kana munhu wose akarara uye masikati apo mhuri inenge iri kubasa kana kuchikoro. Kurasikirwa kwekudzora kwechinguvana pamusoro pemaitiro ako pachako kunongodziviswa nemarwadzo emudumbu anoitika semugumisiro wekufashukira kwayo. Chitarisiko chemunhu wechipiri chinonyadzisawo ane bulimia.
Bulimia chirwere chisingaperi chine ngozi icho, muzviitiko zvakanyanyisa, chinogona kutotungamirira kurufu. Chiratidzo chechimiro chebulimia nervosa kuzvimba kweparotid glands uye kuparadzwa kwezino enamel. Paunenge uchiongorora bulimia, zvinotevera zvinotariswa:
- Murwere anotarisa pazvokudya uye chido chakasimba chekudya chimwe chinhu;
- kuitika kwekudya zvakanyanya kaviri pavhiki mukati memwedzi mitatu; panguva iyi, murwere anodya zvokudya zvakawanda;
- kuzviremekedza kwemurwere - anozviona seakafuta; anotya kuwedzera uremu nguva dzose, iyo inoshanduka kuva kuora mwoyo nekufamba kwenguva;
- kudzivisa kuwedzera uremu nekuita kuti kurutsa; nzara inorova; kukonzera manyoka; kushandisa diuretics uye appetite suppressants.
Kurapa kwebulimia nervosa
Sezviri munyaya yeanorexia nervosa, kurapwa kwebulimia nervosa kunoda kusanganiswa kwenzira dzakawanda dzakasiyana uye kunobva pane mumwe munhu wepfungwa dzemurwere. Ungangoda kuona chiremba wezvekudya uye wepfungwa kuti aputse kutenderera kwekumanikidza kudya uye kuchenesa. Zvakazonyanya kushanda munguva yekutsvaga kurwisa bulimia kusanganisa maitiro therapy (zvinobva pafungidziro yekuti mafungiro asina kunaka emuviri ari pasi pebulimia nervosa anogona kuzivikanwa nekushandurwa) nemishonga yakadai seye antidepressant fluoxetine. Mukubatana pamwe chete, vanobvisa maitiro emagetsi ekusvika pakudya uye anovandudza mamiriro epfungwa emurwere, izvo zvinokonzeresa izvo zvinowanzova izvo zvinokonzeresa dambudziko.
Matambudziko ane bulimia anowanzotanga achiri mudiki, saka zvakakosha kubvunza mwana psycho-dietician nekukurumidza patinoona zviratidzo zvekutanga zvinoshungurudza. Tora mukana wekupihwa kwenzvimbo yekurapa yakazvimirira.
Onawo: Ndeipi mishonga ine fluoxetine?
Kurapa kunobatsira kubata nebulimia kunoitwa mumwe nemumwe uye mumapoka. Kurapa kwemhuri kunounza migumisiro yakanaka muvarwere vaduku nevakwegura. Vabereki kana vachengeti ndivo vanowanzonzwa vaine mhosva nekuda kwemamiriro ezvinhu. Kubatanidzwa kwevabereki muchirwere chemwana wavo kunobatsira kurwisa zvirwere zvekudya.
Dzimwe nguva varapi vanosuma chikafu chemurwere uye diary yemanzwiro pamwe chete nezvinhu zve psychodynamic therapy. Inopa mhedzisiro yakanaka kwazvo.
Bulimia nemigumisiro yayo
Chirwere chebulimia chenguva refu chinogona kutungamirira kumatambudziko anenge ari mumuviri wose. Cardiovascular complications ndeaya anotevera:
- kuvhiringidzika muzinga re potassium rinokanganisa kushanda kwakanaka kwemoyo uye circulatory system (kusanganisira calcium uye mavitamini);
- kukanganisa kwemetabolism nzira;
- mweya wekufema;
- kukuvadzwa kwepakati uye peripheral nervous system.
Bulimia inonyanya kukuvadza hurongwa hwekudya. Mune varwere, semugumisiro wekuneta kwakanyanya uye kurutsa nguva dzose, kukanganisa kwemuviri uye nhengo kunoitika. Somugumisiro, panogona kuva ne: kukanganisa kumadziro kumashure kwehuro; gastric laxity; kukuvadza kune esophagus, kana kunyange kukanganisa kuenderera kwayo; kuumbwa kwekukurwa kwegurokuro uye mudumbu; chisingaperi pancreatitis; kukanganisa kune enamel yemeno (kupindirana kwehydrochloric acid mudumbu); kukukurwa kwemadziro kumashure kwe pharynx; mazino uye gingivitis; kuwedzera kwe salivary glands; maronda ari kuseri kweruoko uye kuoma kweganda uye kutambanudza mavanga paganda. Muvakadzi, bulimia inogonawo kutungamirira kuamenorrhea uye matambudziko nekubereka.