I-Pica

I-Pica iphethini yokudla izinto ezingezona zokudla, njengokungcola noma iphepha.

I-Pica ibonakala kakhulu ezinganeni ezincane kunabantu abadala. Kufika kwengxenye eyodwa kwezintathu zezingane ezineminyaka engu-1 kuya ku-6 zinalezi ziphatha zokudla. Akucaci ukuthi zingaki izingane ezine-pica ezidla ngamabomu ukungcola (geophagy).

I-Pica nayo ingenzeka ngesikhathi sokukhulelwa. Kwezinye izimo, ukuntuleka kwezakhi ezithile zomzimba, njenge-ayoni ne-zinc, kungadala izifiso ezingavamile. I-Pica nayo ingenzeka kubantu abadala abafisa ukuthungwa okuthile emlonyeni wabo.

Izingane nabantu abadala abane-pica bangadla:

• Indle yezilwane
• Ubumba
• Ukungcola
• Izinwele
• Iqhwa
• Upende
• Isihlabathi

Le ndlela yokudla kufanele ihlale okungenani inyanga eyodwa ukulingana nokuxilongwa kwe-pica.

Ngokuya ngokuthi yini okudliwayo nokuthi kungakanani, izimpawu zezinye izinkinga zingaba khona, njenge:

• Ubuhlungu besisu, isicanucanu, nokuqunjelwa kubangelwa ukuvimba esiswini noma emathunjini
• Ukukhathala, izinkinga zokuziphatha, izinkinga zesikole nokunye okutholwe ubuthi bomthofu noma ukungondleki kahle

Asikho isivivinyo esisodwa se-pica. Ngoba i-pica ingenzeka kubantu abanokudla okunomsoco, umhlinzeki wezokunakekelwa kwempilo angahlola amazinga egazi e-iron ne-zinc.

Ukuhlolwa kwegazi kungenziwa futhi ukuhlola i-anemia. Amazinga okuhola kufanele ahlolwe njalo ezinganeni okungenzeka ukuthi zidle upende noma izinto ezihlanganiswe ngothuli wopende womthofu ukuze kuhlolwe ubuthi bomthofu.

Umhlinzeki angahlola nokutheleleka uma ngabe umuntu ubedla inhlabathi engcolile noma udoti wezilwane.

Ukwelashwa kufanele kuqala kubhekane nanoma iziphi izakhi ezilahlekile noma ezinye izinkinga zezokwelapha, ezinjengobuthi bomthofu.

Ukwelapha i-pica kufaka isimilo, imvelo kanye nemfundo yomndeni. Uhlobo olulodwa lwezokwelapha luhlobanisa indlela yokuziphatha kwe-pica nemiphumela emibi noma ukujeziswa (i-mild aversion therapy). Ngemuva kwalokho umuntu uthola umvuzo ngokudla ukudla okujwayelekile.

Imithi ingasiza ekwehliseni indlela yokuziphatha engadli kahle uma i-pica iyingxenye yesifo sokukhula njengokukhubazeka kwengqondo.

Impumelelo yokwelashwa iyahlukahluka. Ezimweni eziningi, lesi sifo sithatha izinyanga ezimbalwa bese sinyamalala sisodwa. Kwezinye izimo, ingaqhubeka iye eminyakeni yobusha noma ebudaleni, ikakhulukazi lapho kwenzeka ngezifo zokukhula.

Izinkinga zifaka:

• I-Bezoar (inqwaba yezinto ezingadleki ezibhajwe ngaphakathi emzimbeni, imvamisa esiswini)
• Ukutheleleka

Shayela umhlinzeki wakho uma ubona ukuthi ingane (noma umuntu omdala) idla izinto ezingezona zokudla.

Akukho ukuvimbela okuqondile. Ukuthola umsoco owanele kungasiza.

I-Geophagy; Ubuthi bomthofu - pica

ICamaschella C. Microcytic ne-hepochromic anemias. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 150.

UKatzman DK, uNorris ML. Ukondla nokuphazamiseka kokudla. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 9.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Rumination kanye ne-pica. 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 36.