IBulimia

I-Bulimia ukuphazamiseka kokudla lapho umuntu eneziqephu ezivamile zokudla inani elikhulu kakhulu lokudla (ukuzitika ngokweqile) lapho umuntu ezizwa elahlekelwe ukulawula ukudla. Umuntu ube esesebenzisa izindlela ezahlukahlukene, njengokuhlanza noma i-laxatives (purging), ukuvimbela ukuzuza kwesisindo.

Abantu abaningi abane-bulimia nabo bane-anorexia.

Abesifazane abaningi kakhulu kunabesilisa bane-bulimia. Lesi sifo sivame kakhulu emantombazaneni asemasha nakwabesifazane abasebasha. Umuntu uvame ukwazi ukuthi indlela yakhe yokudla ayijwayelekile. Angazizwa esaba noma enecala ngeziqephu ze-binge-purge.

Imbangela ngqo ye-bulimia ayikaziwa. Izakhi zofuzo, ezengqondo, umndeni, umphakathi, noma amasiko angadlala indima. I-Bulimia kungenzeka ingenxa yezici ezingaphezu kwesisodwa.

Nge-bulimia, ama-binges okudla kungenzeka kaningi kaningana ngosuku izinyanga eziningi. Umuntu uvame ukudla inani elikhulu lokudla okunama-kilojoule amaningi, imvamisa ngasese. Phakathi nalezi ziqephu, umuntu uzizwa engenakho ukulawula phezu kokudla.

Ama-Binges aholela ekuzenyanyeni, okubangela ukuhlanzwa ukuvimbela ukuzuza kwesisindo. Ukuhlanza kungafaka:

• Ukuziphoqa ukuthi uhlanze
• Ukuvivinya umzimba ngokweqile
• Sebenzisa laxatives, enemas, noma diuretics (amaphilisi amanzi)

Ukuhlanza kaningi kuletha umuzwa wokukhululeka.

Abantu abane-bulimia bavame ukuba nesisindo esijwayelekile, kodwa bangazibona sebekhuluphele ngokweqile. Ngoba isisindo somuntu sivame ukujwayelekile, abanye abantu kungenzeka bangaboni le nkinga yokudla.

Izimpawu abanye abantu abangazibona zifaka:

• Ukuchitha isikhathi esiningi uvivinya umzimba
• Ngokungazelelwe udla inqwaba yokudla noma uthenga ukudla okuningi okunyamalala ngaso leso sikhathi
• Ukuya njalo endlini yangasese ngemuva nje kokudla
• Ukulahla amaphakheji ama-laxatives, amaphilisi okudla, ama-emetics (izidakamizwa ezibangela ukuhlanza), noma isisu

Ukuhlolwa kwamazinyo kungabonisa ukutheleleka noma izifo zezinsini (njenge-gingivitis). Uqweqwe lwamazinyo lungahle luguqulwe noma luphonswe ngenxa yokuchayeka ngokweqile ku-asidi ekuhlanzweni.

Ukuhlolwa ngokomzimba kungakhombisa futhi:

• Imithambo yegazi ephukile emehlweni (kusuka kuhlobo lokuhlanza)
• Umlomo owomile
• Ukubukeka okufana nesikhwama ezihlathini
• Ukuqhuma nezinduna
• Ukusikeka okuncane nama-calluses ngaphesheya kweziqongo zamalunga omunwe kusuka ekuphoqeleleni wena ukuba uhlanze

Ukuhlolwa kwegazi kungakhombisa ukungalingani kwe-electrolyte (okufana nezinga eliphansi le-potassium) noma ukwehla emzimbeni.

Abantu abane-bulimia akuvamile ukuthi baye esibhedlela, ngaphandle kwalapho:

• Yiba ne-anorexia
• Yiba nokudangala okukhulu
• Udinga imithi yokubasiza bayeke ukuhlanza

Imvamisa, indlela esetshenziswayo isetshenziselwa ukwelapha i-bulimia. Ukwelashwa kuya ngokuthi i-bulimia inzima kangakanani, nempendulo yomuntu ekwelashweni:

• Amaqembu okusekela angasiza kwi-bulimia emnene ngaphandle kwezinye izinkinga zempilo.
• Ukwelulekwa ngokomqondo, njengokwelashwa kokukhuluma nokwelashwa kokudla okunempilo yizona zindlela zokuqala zokwelapha i-bulimia engaphenduli kumaqembu okusekela.
• Imithi futhi elapha ukudangala, eyaziwa ngokuthi i-serotonin-reuptake inhibitors (SSRIs) ekhethiwe ivame ukusetshenziselwa i-bulimia. Ukuhlanganisa ukwelashwa kokukhuluma nama-SSRI kungasiza, uma ukwelashwa kokukhuluma kukodwa kungasebenzi.

Abantu bangashiya phansi izinhlelo uma benamathemba angenangqondo okuthi "bazokwelashwa" ngokwelashwa kuphela. Ngaphambi kokuba uhlelo luqale, abantu kufanele bazi ukuthi:

• Izindlela zokwelashwa ezahlukahlukene kungenzeka zidingeke ukuphatha lesi sifo.
• Kuvamile ukuthi i-bulimia ibuye (ibuyele emuva), futhi lokhu akusona isizathu sokuphelelwa yithemba.
• Le nqubo ibuhlungu, futhi lowo muntu nomndeni wakhe kuzodingeka basebenze kanzima.

Ingcindezi yokugula ingancishiswa ngokujoyina iqembu lokusekela. Ukwabelana nabanye abanokuhlangenwe nakho okuvamile nezinkinga kungakusiza ungazizwa uwedwa.

IBulimia yisifo esihlala isikhathi eside. Abantu abaningi basazoba nezimpawu ezithile, noma ngabe belashwa.

Abantu abanezinkinga ezimbalwa zezokwelapha ze-bulimia nalabo abazimisele futhi abakwazi ukubamba iqhaza ekwelashweni banethuba elingcono lokululama.

I-Bulimia ingaba yingozi. Kungaholela ezinkingeni ezinkulu zempilo ngokuhamba kwesikhathi. Isibonelo, ukuhlanza kaninginingi kungadala:

• I-asidi esiswini esigaxeni (ishubhu elihambisa ukudla lisuke emlonyeni liye esiswini). Lokhu kungaholela ekulimaleni unomphela kwale ndawo.
• Izinyembezi esimbeni.
• Izimbobo zamazinyo.
• Ukuvuvukala komphimbo.

Ukuhlanza nokusetshenziswa ngokweqile kwama-enemas noma ama-laxatives kungaholela ku:

• Umzimba wakho awunawo amanzi namanzi amaningi njengoba kufanele
• Izinga eliphansi le-potassium egazini, okungaholela ezinkingeni zesigqi senhliziyo esiyingozi
• Izitulo ezinzima noma ukuqunjelwa
• Ama-hemorrhoids
• Ukulimala kwamanyikwe

Shayela i-aphoyintimenti nomhlinzeki wakho wezokunakekelwa kwempilo uma wena noma ingane yakho unezimpawu zesifo sokudla.

Bulimia amanosa; Ukuziphatha kwe-Binge-purge; Ukuphazamiseka kokudla - i-bulimia

• Isistimu ephezulu yamathumbu

I-American Psychiatric Association. Ukondla nokuphazamiseka kokudla. Ku: Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika. 2013: 329-354.

I-Kreipe RE, i-Starr TB. Izinkinga zokudla. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 41.

Khiya J, La Via MC; Ikomidi le-American Academy of Child and Adolescent Psychiatry (AACAP) Lezinkinga Zekhwalithi (CQI). Prakthiza ipharamitha yokuhlola nokwelashwa kwezingane nentsha enezinkinga zokudla. J Am Acad Ingane Yentsha Yentsha. 2015; 54 (5): 412-425.I-PMID: 25901778 pubmed.ncbi.nlm.nih.gov/25901778/.

Tanofsky-Kraff M. Ukuphazamiseka kokudla. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 206.

UThomas JJ, uMickley DW, uDerenne JL, uKlibanski A, uMurray HB, u-Eddy KT. Izinkinga zokudla: ukuhlolwa nokuphathwa. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 37.