Ichi chirwere chekudya chinobatanidzwa kune chaicho compulsive crisis uye a kurasikirwa kwekudzora pfungwa pamusoro pemuviri, Ndosaka zviitiko zvezuva nezuva kufanana nokudya zvokudya munzanga kunogona kuva denho chaiyoiyo kuvanhu vane bulimia.

• Zvikamu zve kudya kwazvo panguva iyo munhu achadya kusvika asvika pakusagadzikana kana kurwadziwa. Kudya kwekudya kuchave kwakakwirira kudarika iyo inotorwa panguva yekudya kwakajairika kana snack;
• Kutsanya nhanho vachifunga kuti vachakwanisa kudzoreredza uremu;
• kurutsa zvinokonzerwa mushure mekudya;
• Kuita diuretics, laxatives ou enemas ;
• Intensive sports practice ;
• Isolation ; 
• Kuchinja kwemoyo, kutsamwa, kusuwa, mhosva, kunyadziswa ;
• Kunetseka kusiri kwenguva dzose pamusoro pechimiro chemuviri uye uremu zvichikonzera maonero asina kunaka echimiro chemuviri.

Nzira yekurwisa bulimia

The pre-dambudziko

Le kukanganisa iyo inotungamira munhu ane bulimia inogadzira kusawirirana kwemukati pamwe nekunzwa kwekushaiwa, kunetseka uye kushatirwa.

dambudziko

A kurasikirwa kwekutonga uye  zvinoda kugutsa pfungwa ipapo inogona kubata munhu ane bulimia. Kutanga kwedambudziko kunoenderana nenguva iyo kuda kunopa nzira kune iyi dhiraivha iyo inove isingatsungirike uye apo munhu ane bulimia achaedza kutsiva izvo zvinowanzo nzwikwa sekusava nemukati kwemukati.

Kuti aite kudaro, anoenda kunwa chikafu chikuru munguva pfupi pfupi, kukuvadza pfungwa yokufara. Zvokudya zvinosarudzwa uye zviri nani inotapira uye yakakwirira mumakori.

Manzwiro emhosva achapfuura kugutsikana kwekuona mafungiro achigutsikana uye zvinotungamirira kuchikamu chekurutsa. Zviri pamusoro a kuchenesa chaiko, inofanirwa kuunza zvakati rubatsiro. Mune zvimwe zviitiko, kurutsa Inogonawo kuperekedzwa nelaxatives, diuretics kana kunyange enemas.

Mushure medambudziko

Nyadzi uye mhosva wobva wapa nzira yekunzwa kwe kunyangadza, izvo zvinozotungamirira kuchishuvo chokuwanazve kudzora pamusoro pako uye kusazviitazve. Asi matambudziko aya chikamu che denderedzwa yakaipa izvo zvakaoma kubuda kunze kwekuda chete nekuti, kupfuura kungoita tsika, kudya zvakanyanya chikamu che tsika.

Psychopathological kuongorora

Kugadzira a kuongororwa kwebulimia, zvinhu zvakasiyana-siyana zvinofanira kuonekwa mumafambiro omunhu.

MuNorth America, chinowanzoitwa chekuongorora chishandiso ndiyo Kuongororwa uye Statistical Manual yeMental Disorders (DSM-IV) rakaburitswa neAmerican Psychiatric Association. MuEurope nekune dzimwe nzvimbo pasi rose, vashandi vezvehutano vanowanzoshandisa iyo Dzepasi Pose Zvirwere (ICD-10).

Muchidimbu, kumutsa chirwere chebulimic, zvakakosha kucherechedza kuvapo kwe kudya kudya panguva iyo munhu anenge aine fungidziro yekuti anotadza zvachose kudzora maitiro ake izvo zvichamutungamirira kumedza munhambo yakaganhurirwa yenguva chitsama chezvokudya zvikuru zvikuru kupfuura zvenguva dzose. Chekupedzisira, kuvepo kwekutsiva maitiro kunofanirwa kutaura nezve bulimia uchiziva kuti matambudziko uye maitiro ekubhadhara anofanirwa kuitika paavhareji kaviri pasvondo kwemwedzi mitatu yakatevedzana. Pakupedzisira, chiremba achaongororakuzvitemba zvemunhu kuitira kuti vaone kana uyu ari kunyanya kukanganiswa nehuremu uye silhouette sezvinoitika muvanhu vane bulimia.

Kuongorora kweSomatic

Kuwedzerapsychopathological assessment, kuongorora kwakakwana kwemuviri kunowanzodiwa kuitira kuti uongorore migumisiro yekuchenesa uye mamwe maitiro ekubhadhara pahutano hwemurwere.

Bvunzo ichatsvaga matambudziko:

• mwoyo zvakadai sekuvhiringidza kwemwoyo rhythm;
• mazino kusanganisira kukukurwa kwezino enamel;
• utumbo zvakadai sekukanganiswa kwekufamba kwematumbo;
• zvakanaka, kunyanya kuderera kwepfupa mineral density;
• itsvo ;
• dermatologic.

EAT-26 kuongorora bvunzo

Muedzo weEAT-26 unogona kuongorora vanhu vanogona kunge vachirwara nedambudziko rekudya. Iyi 26-chinhu chemibvunzo yemubvunzo iyo murwere anozadza mukati mega obva aipa iyo nyanzvi inoiongorora. Iyo mibvunzo ichatibvumidza kubvunza kuvapo uye kuwanda kwezvikafu, maitiro ekubhadhara uye kutonga uko munhu anoshandisa pamusoro pemaitiro ake ekudya.

Kwayaka: Yeiyo French vhezheni yeEAT-26 bvunzo yekuongorora, Leichner et al. 1994⁹

Matambudziko ebulimia

Matambudziko makuru ebulimia ndiko kuwanda kana kushoma kwekusagadzikana kwemuviri kunokonzerwa nekugadzirisa kubuda kweropa.

The kurutsa zvirwere zvinodzokororwa zvinogona kukonzera zvirwere zvakasiyana-siyana zvakadai se: kukukurwa kwemazino, kuzvimba kwegurokuro, kuzvimba kwetsinga dzemate uye kuderera kwemazinga e potassium izvo zvinogona kukonzera kukanganisa mutinhimira kana kutotadza kushanda zvakanaka kwemoyo.

La kutora laxatives iyo inokonzerawo zvirwere zvakawanda pakati peiyo munhu anogona kutarisa intestinal atony (kushaya toni yegumbo rekudya) zvichikonzera kuvimbiswa, kupera simba, edema uye kunyange kudonha kwe sodium level iyo inogona kutungamirira kukundikana kwetsvo.

About the kurambidzwa kwekudya, izvi zvinogona kukonzera kupererwa neropa, amenorrhea (kurega kuenda kumwedzi), hypotension, kuderera kwemwoyo uye kuderera kwemazinga e calcium izvo zvinogona kukonzera osteoporosis.

Pakupedzisira, kushandisa zvinodhaka (zvinodhaka nedoro), zvinowanzovapo kune vanhu vane bulimia, zvinogona kutungamirira kune dzimwe zvirwere zvesomatic. Mukuwedzera, kushandiswa kwezvinhu izvi kunogonawo kutungamirira munhu kutora maitiro ane ngozi nekuda kwekudzivirira (bonde risina kudzivirirwa, nezvimwewo).