Ndizovuta kutuluka bulimia popanda chithandizo. Kupereka mankhwala ndi malingaliro opangira psychotherapy zitha kuganiziridwa ngati kuchiza bulimia. Nthawi zina kugonekedwa kwapadera kungafunike.

Kusamalira mankhwala

ubwino Mankhwala atha kuperekedwa kuti achepetse zizindikiro za bulimia (kuchepa kwa kukomoka) komanso kuti kuchiza matenda okhudzana nawo monga nkhawa ndi kupsinjika maganizo. Pomaliza, pambuyo pakuwunika kwachipatala zotsatira za thupi kuyeretsa mizere (m'mimba, aimpso, mtima, endocrine matenda, etc.) dokotala akhoza kuyitanitsa mayeso (magazi kuyezetsa) ndi mankhwala kuchiza matenda.

The Kudetsa nkhaŵa zingathandize kuchepetsa zizindikiro za bulimia. Bungwe la Food and Drug Administration limalimbikitsa kuperekedwa kwapadera kwa fluoxetine (Prozac) m'nkhani ya bulimia. Mankhwalawa ndi a gulu la antidepressants omwe amagwira ntchito kuletsa serotonin reuptake (SSRI). Mankhwalawa amagwira ntchito powonjezera kuchuluka kwa serotonin ya neurotransmitter mu ma synapses (kulumikizana pakati pa ma neuron awiri). Kuchuluka kwa serotonin kumathandizira kupititsa patsogolo chidziwitso cha mitsempha.

Komabe, kutengera zovuta zomwe wodwala wake amakumana nazo (matenda ena okhudzana ndi psychopathological), adokotala atha kumuuza zina. Kudetsa nkhaŵa kapena mankhwala (makamaka anxiolytics) ochiza bulimia.

Thandizo la Psychotherapeutic

Psychotherapies amaperekedwa nthawi zambiri, kuchokera payekha kapena m'magulu, koma onse ali ndi zolinga: kuwongolera malingaliro ndi kudzidalira kwa munthu wodwala bulimia ndi kuthana ndi mikangano ina.

• Behavioral and Cognitive Therapies (CBT)

Ndiwothandiza kwambiri pochiza zizindikiro za bulimia chifukwa zimatengera kuti wodwalayo aziwona zotsatira zake za pathological (apa, lidzakhala funso la zovuta komanso zamakhalidwe oyeretsa) ndiye kuti muwasinthe. Cholinga cha TBI sikupeza zomwe zimayambitsa kapena chiyambi cha vutoli koma kuchitapo kanthu.

Le katswiri wa maganizo amalowerera pamalingaliro (malingaliro) ndi malingaliro omwe amawongolera machitidwe a wodwalayo ndikumulimbikitsa kuti aunikenso zisankho zomwe zidamupangitsa kuti achite zovuta.

Wodwalayo akugwira ntchito kwambiri mu CBT, ayenera kulemba mafomu ambiri ndi mafunso. Pankhani ya bulimia, pafupifupi magawo makumi awiri ndi ofunikira kuti afunse mafunso ndikusintha malingaliro osokonekera a wodwalayo okhudzana ndichakudya, kulemera ndi chithunzi cha thupi, L 'kudzidaliraNdi zina…

• Zokhudza dongosolo labanja

Thandizo limeneli limatchedwa ” zantchito Chifukwa amaona gulu labanja ngati dongosolo komanso gulu la zinthu zodalirana. Pamenepa, banja silingapangidwe ndi zinthu zodziyimira pawokha (makolo / ana), koma mabungwe omwe amakhudza wina ndi mnzake.

Family systemic therapy amaphunzira za njira zolankhulirana ndi mayanjano osiyanasiyana m'banja kuti kenako ayese kukonza ubale wamkati. Mmodzi wa m’banja akadwala matenda monga bulimia, enawo amakhudzidwa. Mwachitsanzo, nthawi ya chakudya zingakhale zovuta makamaka kuti banja lizitha kusamalira bwino. Zochita ndi mawu a wina ndi mnzake zitha kukhala zothandiza kapena m'malo mwake zovulaza wodwalayo. Si funso lopangitsa wina ndi mnzake kudzimva kuti ndi wolakwa, kapena kuwapangitsa kukhala ndi liwongo la bulimia, koma kutenga awo mavuto ndi kupangitsa aliyense kuyenda munjira yoyenera kwa iwo komanso kwa wodwala.

• Psychodynamic psychotherapy

Psychotherapy iyi imalimbikitsidwa ndi psychoanalysis. Amagwiritsidwa ntchito kwambiri pothandizira wodwalayo pofufuza mikangano (yaumwini, yaumwini, yozindikira komanso yosazindikira, ndi zina zotero) zomwe zingakhale chiyambi cha maonekedwe a matenda a kudya.

• Interpersonal psychotherapy

Thandizo lalifupili, lomwe makamaka limagwiritsidwa ntchito pochiza kuvutika maganizo, latsimikiziridwa kuti limathandiza anthu omwe ali ndi vuto la kudya. Pa interpersonal psychotherapy, nkhaniyo siidzakhala chakudya koma zovuta zamakono zomwe wodwalayo ali nazo zomwe zimakhala ndi zotsatira zake pakudya kwake.

• Chithandizo chamankhwala

Thandizo la psycho-maphunziro ndi lofunika kwambiri komanso lothandiza kuwonjezera pa psychotherapy. Zowonadi, mapindu omwe angabweretse sakhalitsa ngati atachitidwa yekha, bulimia nthawi zambiri imakhala chizindikiro chokha chomwe chimawonetsa kupweteka kwambiri.

Amagwiritsidwa ntchito ndi anthu omwe amavutikanso ndi zovuta zina zakudya.

Thandizo lopatsa thanzi limalola wodwalayo kuti aphunzirenso kudya: yambiranso kudya zakudya zopatsa thanzi, kumvetsetsa zakudya zoletsedwa (makamaka okoma, omwe adapangitsa kuti azisanza), idyaninso shuga pang'onopang'ono kuti mupewe kukomoka, zolowereninso kudya patebulo, 4 patsiku, mokwanira. Zambiri zokhudzana ndi kulemera ndi zakudya zidzaperekedwa ndikufotokozedwa, mwachitsanzo chiphunzitso cha kulemera kwachilengedwe. Ndi chithandizochi, timayesa kusintha ubale womwe wodwala amakhala nawo ndi chakudya. Pomaliza, njirayi imakhudzidwanso ndi machitidwe olipira magazi omwe wodwalayo amagwiritsa ntchito. Choncho cholinga chakenso n’kumuthandiza kuti asiye chizolowezi chogwiritsa ntchito njira monga mankhwala otsekemera ngati zili choncho pomupatsa mfundo zongofotokoza za kusagwira ntchito kwa makhalidwe amenewa.

Kuchipatala

Nthawi zina a kuchipatala kungakhale kofunikira kuonjezera mwayi wochira wodwalayo, pambuyo polephera chithandizo chachipatala komanso pamene mavuto aakulu azaumoyo adziwika. Kutengera kukhazikitsidwa, ochiritsira katswiri m'chipatala kapena tsiku kuchipatala angaperekedwe. Kwa omalizirawo, munthuyo amapita kuchipatala tsiku lililonse lamlungu kuti akalandire chithandizo ndipo amabwerera kunyumba kwawo madzulo.

Muutumiki wokhazikika pakuwongolera zovuta za kadyedwe, wodwalayo amalandira chisamaliro choperekedwa ndi gulu lamitundu yosiyanasiyana (dotolo, katswiri wazakudya, katswiri wama psychologist, etc.). Chithandizo nthawi zambiri chimaphatikizapo a kukonzanso zakudya, ya chithandizo cha psycho-maphunziro ndi kutsatira psychotherapy.