Mogwirizana ndi cholinga chake, Board of Editorial Board ya MedTvoiLokony imayesetsa kupereka zodalirika zachipatala mothandizidwa ndi chidziwitso chaposachedwa cha sayansi. Mbendera yowonjezerapo "Zofufuza Zomwe Zili" zikuwonetsa kuti nkhaniyi idawunikidwa kapena kulembedwa ndi dokotala mwachindunji. Kutsimikiza kwa magawo awiri awa: mtolankhani wazachipatala komanso dokotala amatilola kuti tipereke zomwe zili zapamwamba kwambiri mogwirizana ndi chidziwitso chamankhwala chamakono.
Kudzipereka kwathu m'derali kwayamikiridwa, pakati pa ena, ndi Association of Journalists for Health, yomwe inapatsa Bungwe la Editorial la MedTvoiLokony ndi mutu waulemu wa Mphunzitsi Wamkulu.
Bulimia nervosa, yomwe imadziwikanso kuti bulimia nervosa, ndi vuto la kudya lomwe limaphatikizapo kudya mokakamiza kwa nthawi yochepa, kutsatiridwa ndi khalidwe lobwezera lomwe limaphatikizapo kubwezera chakudya chomwe chadyedwa, kapena kukakamiza zakudya zolimbitsa thupi zomwe zimayenderana ndi kusala kudya.
Bulimia nervosa, monga dzina lachilatini la matendawa likumveka, limadziwika ndi zochitika zobwerezabwereza komanso zafupipafupi za chilakolako chosalephereka - mwachitsanzo, kudya zakudya zambiri panthawi yochepa - kuphatikizapo kutaya mphamvu pakudya.
Bulimik imatha kudya ma calories 3,400 pasanathe ola limodzi. Palinso odziwika milandu kumwa 20 zikwi. zopatsa mphamvu mu maola eyiti. Anthu omwe ali ndi bulimia nthawi zambiri amadziwa za vuto lawo ndipo amachita mantha podziwa kuti sangathe kuthetsa vutoli okha. Ulemerero umatsogolera ku siteji yoyeretsa, yomwe imaphatikizapo kusanza kapena kukakamiza kudya kwambiri, nthawi zambiri kuyika thanzi la munthu pangozi. Kususuka ndi kuchotsa zopatsa mphamvu zochulukirapo nthawi zambiri kumachitika mobisa kwa ena, kophatikizana ndi manyazi komanso mpumulo.
Mosiyana ndi anorexia nervosa, anthu omwe ali ndi bulimia nervosa amatha kukhala ndi kulemera kwabwino kwa msinkhu wawo. Kumbali ina, mofanana ndi anorexia, amakhala ndi mantha nthawi zonse kuti adzanenepa kwambiri, kunyalanyaza makhalidwe a thupi lawo, zomwe zimalongosola chifukwa chake zochitika za bulimia nthawi zambiri zimachitika mobisa. Kudya mokakamiza ndi kuyeretsa kumachitika kangapo pa sabata ndipo nthawi zambiri kumakhala ndi zovuta zamaganizidwe monga kugwiritsa ntchito mankhwala osokoneza bongo, kukhumudwa, komanso kukhala ndi nkhawa nthawi zonse. Kupatula apo, palinso zizindikiro zakuthupi: avitaminosis, kutsika kwa electrolyte, kuwonongeka kwa enamel ya mano, nthawi yosakhazikika, kufooka kwa mtima ndi chiwindi.
Bulimia nervosa imapezeka kwambiri mwa akazi kuwirikiza katatu kapena kasanu kuposa amuna. Kuwerengera, kutengera dzikolo ndi gulu lomwe lafunsidwa la odwala, bulimia ya moyo wonse imasiyanasiyana kuchokera ku 0,3 mpaka 9,4%. akazi ndi 0,1 mpaka 1,4 peresenti. amuna. Matendawa amakhudza makamaka anthu ochita masewera olimbitsa thupi omwe amafunika kusamala kwambiri ndi chiwerengero chawo. Zimakhudza kwambiri achinyamata, makamaka pakati pa azungu. Akapanda kuthandizidwa, amatha mpaka zaka 40.
Bulimia - zimayambitsa
Bulimia ndithudi si vuto la kudya. Nthawi zovutitsidwa zimatha kulumikizidwa ndi kuyankha kupsinjika, mkwiyo kapena chisoni. Kutsuka, ndiyeno, ndi kuyankha zotheka kulemera ndi kuyesa kuyambiranso kulamulira moyo wanu. Palibe chifukwa chotsimikiziridwa cha bulimia, koma tikudziwa kuti chiwopsezo cha zochitika zake chikuwonjezeka ndi zinthu monga: chikhalidwe chapadera chomwe wodwalayo amaleredwa, mlengalenga m'banja, kusintha kwakukulu m'moyo ndi kupsinjika maganizo, kudzidalira kotsika komanso zodziwikiratu.
- Bulimia ndi vuto lomwe limakhudza osati thanzi labwino, komanso thanzi. Lankhulani ndi katswiri wazamisala kapena wazamisala pa intaneti kuti muyambe mwanzeru chithandizo cha bulimia nervosa
Bulimia mwatsoka imagwirizana kwambiri ndi kuvutika maganizo. M'kupita kwake (monga kupsinjika maganizo) pali kusadzidalira komanso kusakhutira ndi maonekedwe a munthu. Odwala sangathe kulamulira osati chakudya chawo chokha, komanso maganizo awo. Pali nkhawa limati ndi lalikulu mlingo wa nkhawa, amene kwambiri amakhudza psyche munthu akudwala bulimia. Kupsyinjika kumadyedwa ndipo thupi limatengedwa ngati chinyalala. Mikhalidwe yovutika maganizo nthawi zambiri imayambitsa kudzipha. Kuonjezera apo, kumwa mankhwala osokoneza bongo ndi mowa ndi kofala kwa anthu omwe ali ndi bulimia nervosa.
Polankhula za zizindikiro za bulimia nervosa, pali zinthu zisanu zazikulu zomwe zimasonyeza bulimia yamanjenje. Anthu omwe ali ndi vutoli:
- amadya mopitirira muyeso, amatha kudya chakudya chambiri nthawi imodzi, popanda kuwongolera;
- pambuyo pa chakudya chilichonse, amayambitsa kusanza kuti apewe kulemera. Kuonjezera apo, odwala amamwa mankhwala otsekemera kwambiri ndi njala pamodzi ndi kuchita masewera olimbitsa thupi mwamphamvu;
- kwa ena, samawoneka kuti ali ndi vuto lililonse la kudya;
- amavutika ndi njala yolusa ndipo nthawi yomweyo amafuna kuchotsa;
- tcherani khutu kulemera kwa thupi ndi maonekedwe awo; izi ndi zinthu ziwiri zomwe zimakhudza kwambiri kudzidalira kwa wodwalayo.
Bulimia ikhoza kukhala:
1. mankhwala ofewetsa tuvi tolimba - wodwalayo amayambitsa kusanza nthawi zonse ndipo amamwa mankhwala otsekemera, okodzetsa, ndipo nthawi zambiri amakhala ndi enema. Njira yotereyi nthawi zambiri imayambitsa kuledzera kwa mankhwala otsekemera, zomwe zimapangitsa kuti chithandizo chikhale chovuta;
2. osatsuka - mtundu uwu wa bulimia umadziwika ndi kuchita masewera olimbitsa thupi kwambiri komanso kusala kudya. Wodwala nthawi zambiri samayambitsa kusanza komanso samwa mankhwala otsekemera.
Bulimics nthawi zambiri imapanga magawo akudya mopambanitsa. Kenako amadya kuchuluka kwa zinthu zopatsa mphamvu kwambiri, mwachitsanzo, maswiti, chakudya chofulumira komanso zotsekemera zosavuta kudya. Achibale a wodwalayo nthawi zambiri samadziwa za vutoli chifukwa zimabisika. Kudya mopambanitsa kaŵirikaŵiri kumachitika usiku pamene aliyense ali mtulo ndi masana pamene banja lili kuntchito kapena kusukulu. Kutaya kulamulira kwakanthawi pa khalidwe laumwini kumangolepheretsedwa ndi ululu wa m'mimba umene umachitika chifukwa cha kusefukira kwake. Maonekedwe a munthu wachiwiri amachititsanso manyazi munthu wa bulimia.
Bulimia ndi matenda owopsa omwe, nthawi zambiri, amatha kufa. Chizindikiro chodziwika bwino cha bulimia nervosa ndi kutupa kwa glands za parotid ndi kuwonongeka kwa enamel ya dzino. Pozindikira bulimia, njira zotsatirazi zimaganiziridwa:
- Wodwala amayang'ana kwambiri chakudya ndi chikhumbo chofuna kudya chinachake;
- kukhalapo kwa zochitika za kudya mopambanitsa osachepera kawiri pa sabata mkati mwa miyezi itatu; panthawiyi, wodwalayo amadya zakudya zambiri;
- kudzidalira kwa wodwala - amadziona kuti ndi wonenepa; amawopa kunenepa nthawi zonse, zomwe zimasanduka kukhumudwa pakapita nthawi;
- kupewa kunenepa poyambitsa kusanza; njala; kutsekula m'mimba; kugwiritsa ntchito ma diuretics ndi ochepetsa chilakolako.
Chithandizo cha bulimia nervosa
Monga pankhani ya anorexia nervosa, chithandizo cha bulimia nervosa chimafuna kuphatikiza njira zambiri zosiyana ndipo zimachokera pamaganizo a wodwalayo. Mungafunike kuonana ndi katswiri wa zamaganizo ndi katswiri wa zamaganizo kuti athetse vuto la kudya mokakamiza ndi kuyeretsa. Zinakhala zothandiza makamaka pofufuza za kulimbana ndi bulimia chithandizo chamaganizo (zimachokera ku lingaliro lakuti malingaliro olakwika a thupi omwe amayambitsa bulimia nervosa akhoza kuzindikirika ndi kusinthidwa) ndi mankhwala monga antidepressant fluoxetine. Kuphatikizana wina ndi mzake, amachotsa zizolowezi zamakina zofikira chakudya ndikuwongolera mkhalidwe wamaganizidwe a wodwala, zomwe zimayambitsa zomwe nthawi zambiri zimakhala gwero la vutoli.
Mavuto ndi bulimia nthawi zambiri amayamba ali aang'ono, choncho ndi bwino kukaonana ndi mwana psycho-dietician mwamsanga tiwona zizindikiro zoyamba zosokoneza. Gwiritsani ntchito mwayi woperekedwa ndi chipatala chayekha.
Onaninso: Ndi mankhwala ati omwe ali ndi fluoxetine?
Mankhwala othandizira kuthana ndi bulimia amachitidwa payekha komanso m'magulu. Thandizo la banja limabweretsa zotsatira zabwino mwa odwala achichepere ndi achikulire omwe. Ndi makolo kapena owalera amene nthawi zambiri amadziimba mlandu. Makolo kutenga nawo mbali pa matenda a mwana wawo amathandiza kuthana ndi vuto la kudya.
Nthawi zina, othandizira amawonetsa zolemba zazakudya za wodwala komanso momwe akumvera komanso zinthu za psychodynamic therapy. Zimapereka zotsatira zabwino kwambiri.
Bulimia ndi zotsatira zake
Matenda a bulimia a nthawi yayitali amatha kubweretsa zovuta m'thupi lonse. Matenda a mtima ndi awa:
- kusokonezeka kwa potaziyamu yomwe imakhudza kugwira ntchito bwino kwa mtima ndi kayendedwe ka magazi (kuphatikizapo calcium ndi mavitamini);
- kusokonezeka kwa njira za metabolic;
- kupuma movutikira;
- kuwonongeka kwa chapakati ndi zotumphukira mantha dongosolo.
Bulimia imawononga kwambiri kugaya chakudya. Odwala, chifukwa cha kutopa kwakukulu ndi kusanza nthawi zonse, kuwonongeka kwa thupi ndi ziwalo kumachitika. Chifukwa chake, pakhoza kukhala: kuwonongeka kwa khoma lakumbuyo la mmero; kufooka kwa m'mimba; kuwonongeka kwa mmero, kapena kusokoneza kupitiriza kwake; mapangidwe kukokoloka mu kum'mero ndi m'mimba; pancreatitis yosatha; kuwonongeka kwa enamel ya mano (kuyanjana kwa hydrochloric acid m'mimba); kukokoloka kwa khoma lakumbuyo la pharynx; kuwonongeka kwa mano ndi gingivitis; kukula kwa glands za salivary; zilonda ili kumbuyo kwa dzanja ndi kuyanika kwa khungu ndi kutambasula zipsera pa khungu. Kwa amayi, bulimia ingayambitsenso amenorrhea komanso mavuto okhudzana ndi chonde.