IBulimia

I-Bulimia sisifo sokutya apho umntu eneziqendu eziqhelekileyo zokutya isixa esikhulu kakhulu sokutya (ukuzinkcinkca) ngexesha apho umntu eziva elahlekile kulawulo lokutya. Umntu ke usebenzisa iindlela ezahlukileyo, njengokugabha okanye laxatives (ukucoca), ukuthintela ukutyeba.

Abantu abaninzi abane-bulimia banayo i-anorexia.

Uninzi lwabasetyhini kunamadoda bane-bulimia. Esi sifo sixhaphake kakhulu kumantombazana akwishumi elivisayo nakwabasetyhini abasebatsha. Umntu uhlala eyazi ukuba indlela yakhe yokutya ayiqhelekanga. Unokuziva esoyika okanye enetyala ngeziqwengana zokuzinkcinkca ngotywala.

Oyena nobangela we-bulimia akaziwa. Imfuzo, ezengqondo, usapho, uluntu, okanye izinto zenkcubeko zinokudlala indima. I-Bulimia inokwenzeka ngenxa yezinto ezingaphezulu kwesinye.

Nge-bulimia, ukutya ii-binges kunokwenzeka rhoqo kangangezihlandlo ezininzi ngosuku kwiinyanga ezininzi. Umntu uhlala etya izixa ezikhulu zokutya okuphezulu kweekhalori, zihlala ngasese. Ngexesha lezi ziqendu, umntu uziva eswelekile kulawulo lokutya.

Iibhini zikhokelela ekuzenyanyeni, okubangela ukuhlanjululwa ukukhusela ukuzuza ubunzima. Ukucoca kunokubandakanya:

• Ukuzinyanzela ukuba ugabhe
• Ukuzilolonga kakhulu
• Sebenzisa laxatives, enemas, okanye diuretics (iipilisi zamanzi)

Ukucoca kuhlala kuzisa imeko yokukhululeka.

Abantu abane-bulimia bahlala bebunzima obuqhelekileyo, kodwa banokuzibona ngathi batyebile. Ngenxa yokuba ubunzima bomntu buhlala buqhelekileyo, abanye abantu abanakuyibona le ngxaki yokutya.

Iimpawu ezinokubonwa ngabanye abantu zibandakanya:

• Ukuchitha ixesha elininzi usenza umthambo
• Ngequbuliso ukutya izixa ezikhulu zokutya okanye ukuthenga ukutya okuninzi okunyamalala kwangoko
• Rhoqo usiya kwindlu yangasese kanye emva kokutya
• Ukulahla iipakeji zelaxatives, iipilisi zokutya, iiemetics (iziyobisi ezibangela ukugabha), okanye umchamo

Uvavanyo lwamazinyo lunokubonisa imingxunya okanye usulelo lweentsini (njenge-gingivitis). I-enamel yamazinyo inokuthi igugwe okanye ikhutshwe ngenxa yokuvezwa kakhulu kwi-asidi ekugabheni.

Uvavanyo lomzimba lunokubonisa:

• Imithambo yegazi eyaphukileyo emehlweni (ukusuka kuxinzelelo lokugabha)
• Umlomo owomileyo
• Ingqengqelo ijonge izidlele
• Irhashalala kunye namaqhakuva
• Ukucheba okuncinci kunye nokutsala umnxeba ngaphezulu kwentloko yamalungu ngokudibanisa nokuzinyanzela ukuba ugabhe

Uvavanyo lwegazi lunokubonisa ukungalingani kwe-electrolyte (njengeqondo eliphantsi le-potassium) okanye ukuphelelwa ngamanzi emzimbeni.

Abantu abane-bulimia kunqabile ukuba baye esibhedlele, ngaphandle kokuba:

• Yiba neanorexia
• Unokudakumba okukhulu
• Kufuneka amayeza awancede ayeke ukucoca

Rhoqo, indlela yokunyathela isetyenziselwa ukunyanga i-bulimia. Unyango luxhomekeke kubunzima be-bulimia, kunye nempendulo yomntu kunyango:

• Amaqela enkxaso anokuba luncedo kwi-bulimia emnene ngaphandle kwezinye iingxaki zempilo.
• Ingcebiso, njengonyango lwentetho kunye nonyango lwesondlo zonyango lokuqala lwe-bulimia engaphenduliyo kumaqela enkxaso.
• Amayeza aphatha nokudakumba, okwaziwa njenge-serotonin-reuptake inhibitors (SSRIs) ekhethiweyo ihlala isetyenziselwa i-bulimia. Ukudibanisa unyango lwentetho kunye nee-SSRI kunokunceda, ukuba unyango lwenyani alusebenzi.

Abantu banokuyeka iinkqubo ukuba banethemba lokufumana unyango "lonyango" kuphela. Ngaphambi kokuba inkqubo iqale, abantu kufuneka bazi ukuba:

• Unyango olwahlukeneyo luya kufuneka ukulawula le ngxaki.
• Kuqhelekile ukuba i-bulimia ibuye (ibuye kwakhona), kwaye oku ayisosizathu sokuphelelwa lithemba.
• Inkqubo ibuhlungu, kwaye umntu kunye nosapho kuya kufuneka basebenze nzima.

Uxinzelelo lokugula lunokuncitshiswa ngokujoyina iqela lenkxaso. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda ungaziva ulilolo.

I-Bulimia sisifo sexesha elide. Uninzi lwabantu luya kuba neempawu ezithile, nokuba unyango.

Abantu abaneengxaki zonyango ezimbalwa ze-bulimia kwaye abo bazimiseleyo kwaye banako ukuthatha inxaxheba kunyango banethuba elingcono lokuphola.

IBulimia inokuba yingozi. Ingakhokelela kwiingxaki ezinzulu zempilo ngokuhamba kwexesha. Umzekelo, ukugabha ngokuphindaphindiweyo kunokubangela:

• Isisu esiswini kwi-esophagus (ityhubhu ehambisa ukutya ukusuka emlonyeni ukuya esiswini). Oku kungakhokelela kumonakalo osisigxina wale ndawo.
• Iinyembezi kumqala.
• Imingxunya yamazinyo.
• Ukudumba komqala.

Ukugabha nokusetyenziswa gwenxa kwee-enemas okanye i-laxatives kunokukhokelela ku:

• Umzimba wakho awunawo amanzi amaninzi kunye nolwelo njengoko kufanelekile
• Inqanaba eliphantsi le-potassium egazini, elinokukhokelela kwiingxaki zesingqi esinobungozi
• Izitulo ezinzima okanye ukuqhina
• Iimpawu
• Ukonakala kwepancreas

Biza ukuqeshwa kunye nomboneleli wakho wezempilo ukuba wena okanye umntwana wakho uneempawu zesifo sokutya.

Bulimia amanosa; Ukuziphatha kweBinge-purge; Ukuphazamiseka kwindlela yokutya-i-bulimia

• Inkqubo ephezulu yesisu

Umbutho wezengqondo zaseMelika. Ukutya kunye neengxaki zokutya. Ku: Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika. Ngo-2013: 329-354.

I-Kreipe RE, iStarr yesifo sephepha. Ukuphazamiseka kwindlela yokutya. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 41.

Tshixa J, La Via MC; I-American Academy yabantwana kunye neKomiti yezeMpilo yoLutsha yaBafikisayo (AACAP) kwiMicimbi yoMgangatho (CQI). Ziqhelise ipharamitha yovavanyo kunye nonyango lwabantwana nakwishumi elivisayo abanengxaki yokutya. J Am Acad Umntwana ofikisayo kwi-Psychiatry. Ngo-2015; 54 (5): 412-425.IINKCUKACHA: 25901778 pubmed.ncbi.nlm.nih.gov/25901778/.

UTanofsky-Kraff M. Ukuphazamiseka kwindlela yokutya. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 206.

UThomas JJ, uMickley DW, uDerenne JL, uKlibanski A, uMurray HB, uEddy KT. Ukuphazamiseka kwindlela yokutya: uvavanyo kunye nolawulo. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahluko 37.