Zvakaoma kubuda mubulimia pasina rutsigiro. Kunyorerwa kwemishonga uye chikumbiro chekuita psychotherapy chinogona kuzoonekwa sekurapa bulimia. Dzimwe nguva kuchipatara kungava kuri madikanwa.

Kutarisira mishonga

zvinobatsira Pharmaceuticals inogona kurongerwa kuderedza zviratidzo zvebulimia (kuderera kwenhamba yekubatwa) asiwo kune kurapa zvirwere zvakabatana zvakadai sekuzvidya mwoyo uye kuora mwoyo. Pakupedzisira, mushure mekuongororwa kwechiremba kwe physiological effects kuchenesa mitsara (kugaya, renal, cardiac, endocrine disorders, nezvimwewo) chiremba anogona kuraira bvunzo (kuongorora ropa) uye mishonga yekurapa zvirwere izvi.

The Antidepressants inogona kubatsira kuderedza zviratidzo zvebulimia. Chikafu neDrug Administration inokurudzira kunyorerwa kwakasarudzika kwefluoxetine (Prozac) mumamiriro ezvinhu ebulimia. Iyi antidepressant ndeyekirasi yemishonga inodzvinyirira iyo inoshanda kuvharidzira serotonin reuptake (SSRI). Mushonga uyu unoshanda nekuwedzera huwandu hweserotonin neurotransmitter mu synapses (junction pakati pemaneuron maviri). Kuwedzera kuvapo kwe serotonin kunofambisa kufamba kweruzivo rwetsinga.

Nekudaro, zvichienderana nekusawirirana kunoratidzwa nemurwere wake (zvimwe zvine chekuita nepsychopathological disorders), chiremba anogona kuraira zvimwe. Antidepressants kana mishonga (kunyanya mamwe anxiolytics) kurapa bulimia.

Psychotherapeutic rutsigiro

Psychotherapies inopiwa kune yakawanda chikamu, kubva mumwe nemumwe kana mumapoka, asi zvose zvine zvinangwa: kuvandudza maonero uye kuzviremekedza kwemunhu ane bulimia uye kushanda pane mamwe makakatanwa.

• Maitiro uye Cognitive Therapies (CBT)

Vanoshanda zvakanyanya mukurapa zviratidzo zvebulimia sezvo zvinosanganisira kuita kuti murwere aone maitiro ake pathological (pano, unenge uri mubvunzo wematambudziko asiwo wemaitiro ekuchenesa) wobva waagadzirisa. Chinangwa cheTBI hachisi chekutsvaga zvikonzero kana mavambo echirwere asi kuita pachiri.

Le psychotherapist inopindira pamaitiro epfungwa (maitiro epfungwa) uye manzwiro anodzora maitiro emurwere uye anomukurudzira kuti aongorore zvakare sarudzo dzakamuita kuti apinze mudambudziko.

Murwere ari kushanda zvakanyanya muCBT, achafanirwa kuzadza akawanda mafomu uye mibvunzo. Muchirevo che bulimia, kazhinji zvikamu makumi maviri zvinodikanwa kuitira kubvunza uye kugadzirisa pfungwa dzisina kunaka dzemurwere maererano nechikafu, uremu uye body image, L 'kuzvitembaEtc. …

• Systemic mhuri kurapwa

Mushonga uyu unonzi ” systemic Nokuti anoona boka remhuri segadziriro uye seti yezvinhu zvinopindirana. Muchiitiko ichi, mhuri yaisazoumbwa nezvinhu zvakazvimirira (vabereki / vana), asi nemasangano anopesvedzera mumwe nemumwe.

Family systemic therapy inodzidza nzira dzekukurukurirana uye kudyidzana kwakasiyana mumhuri kuitira kuzoedza kuvandudza hukama hwemukati. Kana mumwe wemumhuri akabatwa nechirwere chakafanana ne<em>bulimia, dzimwe nhengo dzacho dzinobatwawo. Semuyenzaniso, nguva dzekudya zvinogona kunyanya kuomera mhuri kutarisira. Zviito nemashoko eumwe neumwe zvinogona kubatsira kana kuti zvinopesana nemurwere. Haisi nyaya yekuita kuti mumwe nemumwe anzwe aine mhosva, kana yekuvapa mhosva yebulimia, asi yekutora yavo kutambura uye kuita kuti munhu wese afambe nenzira kwayo asi kumurwerewo.

• Psychodynamic psychotherapy

Iyi psychotherapy inokurudzirwa ne psychoanalysis. Inoshandiswa zvakanyanya kutsigira murwere mukutsvaga kukakavara (pachedu, kushamwaridzana, kuziva uye kusaziva, nezvimwewo) zvinogona kunge zviri pamavambo ekuonekwa kwekudya kusagadzikana.

• Interpersonal psychotherapy

Kurapa kupfupi uku, kunonyanya kushandiswa kurapa kuora mwoyo, kwakaratidza kubatsira vanhu vane matambudziko ekudya. Panguva yekurapa kwepfungwa dzevanhu, nyaya yacho haizove chikafu asi zvinonetsa zvemurwere zvazvino izvo zvine mhedzisiro pamaitiro ake ekudya.

• Nutritional therapy

Iyi psycho-educational therapy yakakosha uye inoshanda mukuwedzera kune psychotherapy. Chokwadi, mabhenefiti aanogona kuunza haagare kana akaitwa ega, bulimia inowanzova chiratidzo chinoratidza kurwadziwa kwakanyanya.

Inoshandiswa nevanhu vanotamburawo nezvimwe zvirwere zvekudya.

Nutritional therapy inobvumira murwere kuti adzidzezve kudya: tangazve kudya kwakadzikama, nzwisisa chikafu chetaboo (kunyanya kutapira, izvo zvakaita kuti zvibvirire kurutsa), idya shuga inononoka zvakare kuti udzivise kubatwa, jaira kudya zvakare patafura, 4 pazuva, muhuwandu hunonzwisisika. Ruzivo rwakabatana nehuremu uye kudya kuchapihwa nekutsanangurwa, semuenzaniso dzidziso yehuremu hwepanyama. Nekurapa uku, tinoedza kugadzirisa hukama hwemurwere nechikafu. Chekupedzisira, nzira iyi inofarirawo kutsiva kubuda ropa kwaishandiswa nemurwere. Naizvozvo zvakare ine chinangwa chekuti arasikirwe nekatsika kekushandisa nzira dzakaita semushonga kana zviri izvo kuburikidza nekumupa ruzivo rwechifungidziro rwunozotsanangura kusashanda kwemaitiro akadai.

Hospitalization

Dzimwe nguva a kuiswa muchipatara zvingave zvakakosha kuwedzera mikana yekupora kwemurwere, mushure mekukundikana kwekurapa kwekunze uye apo matambudziko makuru ehutano akaonekwa. Zvichienderana nekugadzwa, kuchipatara kwakajairika nyanzvi kana kuchipatara kwezuva kunogona kupihwa. Kune vekupedzisira, munhu wacho achaenda kuchipatara mazuva ose evhiki kunorapwa uye anodzokera kumba kwavo manheru.

Musevhisi inobata manejimendi ekusagadzikana kwekudya, murwere anogashira rubatsiro rwunopihwa neboka remarudzi akawanda (chiremba, nyanzvi yezvekudya, chiremba wepfungwa, nezvimwewo). Kurapa kunowanzo sanganisira a kuvandudzwa kwezvokudya, ye psycho-dzidzo rubatsiro uye kutevera psychotherapy.