Okuzwakala Kufana Ukuba Ne-Borderline Binge Eating Disorder

-Delile

• Ikholi Yami Yokuvuka
• Indlala vs. Imidlalo Yekhanda
• Ukuwa kuWagon
• Ingabe Ukuzitika Ngotshwala?
• Nip Isiqephu Sakho Esilandelayo Sokuzitika ku-Bud
• Buyekeza kwe-

Uma ungibuka, ubungeke ucabange ukuthi ngidla ngokweqile. Kodwa kane ngenyanga, ngizithola ngidla ukudla okungaphezu kwalokho engingakwazi. Ake ngihlanganyele kancane mayelana nokuthi kunjani ngempela ukubhekana nesiqephu sokuzitika ngokuzitika nokuthi ngifunde kanjani ukubhekana nenkinga yami yokudla.

Ikholi Yami Yokuvuka

Ngesonto eledlule ngiphumele ukudla kwaseMexico. Ubhasikidi owodwa wama-chips, inkomishi ye-salsa, ama-margarita amathathu, isitsha se-guacamole, i-steak burrito embozwe ukhilimu omuncu, kanye ne-side order yerayisi nobhontshisi kamuva, ngangifuna ukuhlanza. Ngibambe isisu sami ebesiphumile ngibheke phezulu ngizwa ubuhlungu ngibuka isoka lami langimbambatha isisu sangihleka. "Uphindile futhi," esho.

Angizange ngihleke. Ngezwa ngikhuluphele, ngingasalawuleki.

Abazali bami babehlale bethi nginesifiso sokudla somshayeli weloli. Futhi ngiyakwenza. Ngingadla ngidle ... bese ngibona ukuthi sengizogula kakhulu. Ngikhumbula ukuvakasha kwami ​​endlini yolwandle nomndeni wami lapho ngineminyaka eyisithupha. Ngemva kwesidlo sakusihlwa, nganyonyobela efrijini futhi ngadla imbiza yonke yamakhukhamba e-dill. Ngo-2 ekuseni, umama wami wayehlanza umhlanzo embhedeni wami wokulala. Kunjengokungathi ngintula indlela yobuchopho yokungitshela ukuthi ngigcwele. (Izindaba ezimnandi: Kunezindlela ezinempilo zokubhekana nokudla ngokweqile.)

Uma ungibheka—amafidi amahlanu nesishiyagalombili namakhilogremu angu-145—awungeke ucabange ukuthi ngingumuntu ozidlayo. Mhlawumbe ngibusiswe ngemetabolism enhle, noma ngihlala ngisebenza ngokwanele ngokugijima nokuhamba ngebhayisikili kangangokuthi ama-calories engeziwe angangithinti kakhulu. Noma ngabe ikuphi, ngiyazi ukuthi engikwenzayo akujwayelekile, futhi akunampilo. Futhi uma izibalo zifakazela, ekugcineni kuzongenza ngikhuluphale ngokweqile.

Ngokushesha ngemva kwesibonelo sami sesiqephu sokuzitika endaweni yokudlela yase-Mexico, nginqume ukuthi kwase kudlule isikhathi sokubhekana nenkinga yami. Isitobhi sokuqala: amajenali ezempilo. Ngokwesifundo sango-2007 sabantu baseMelika abangaphezu kwezi-9,000, amaphesenti ama-3.5 abesifazane anenkinga yokudla ngokweqile (BED). Igama lizwakala kabi njengalokhu engikwenzayo, kodwa ngokwencazelo yomtholampilo—“ukudla inani elikhulu lokudla kunokujwayelekile phakathi nenkathi yamahora amabili okungenani kabili ngesonto izinyanga eziyisithupha”—angifaneleki. (Okwami ​​kungaphezu komkhuba wemizuzu engu-30, izikhathi ezine ngenyanga.) Pho kungani ngisenomuzwa wokuthi nginenkinga?

Ngifuna ukucaciselwa, ngashayela uMartin Binks, PhD, umqondisi wezempilo yokuziphatha nocwaningo eDuke Diet and Fitness Centre eDurham, eNorth Carolina. "Ukuthi awuhlangabezani nenqubo yokuxilonga akusho ukuthi awuhlupheki," uBinks wangiqinisekisa. "Kukhona ukuqhubeka kokudla—" amazinga ahlukahlukene okudla 'ukungalawulwa.' Ama-mini binges ajwayelekile, ngokwesibonelo [amakhulu esikhundleni sezinkulungwane zama-kilojoule engeziwe ngosuku] ekugcineni agcina esenezelwa, futhi umonakalo wengqondo nowezempilo ungaba mkhulu kakhulu. "

Ngicabanga emuva ngobusuku lapho bengigcwele khona isidlo sakusihlwa kodwa ngisakwazi ukwehlisa ama-Oreos ayisikhombisa noma ayisishiyagalombili. Noma ukudla kwasemini lapho ngidle isemishi lami ngesikhathi sokurekhoda-bese ngidlulela kuma-chips asepuletini lomngane wami. Ngiyakhothama. Ukuhlala onqenqemeni lwenkinga yokudla kuyindawo ekhohlisayo yokuzitholela. Ngakolunye uhlangothi, ngivulelekile ngakho nabangani. Lapho ngiyalela enye inja eshisayo ngemuva kokushwabadela ezimbili zami zokuqala, kuba ihlaya: "Uyibeka kuphi leyo, uzwane lwakho olukhulu?" Sihleke kumnandi, bese bechaphaza izindebe zabo ngamanabukeni mina ngiqhubeka nokuququda. Ngakolunye uhlangothi, kunezikhathi lapho nginesizungu lapho ngesaba ukuthi uma ngingakwazi ukulawula okuthile okuyisisekelo njengokudla, kufanele ngizilawule kanjani ezinye izici zobudala, njengokukhokha imali yendlu nokukhulisa izingane? (Akukho nokukodwa engingazama ukukuzama.)

Indlala vs. Imidlalo Yekhanda

Izinkinga zami zokudla ziphikisana ne-psychoanalysis yendabuko: Ngangingenakho okuhlangenwe nakho okubuhlungu kokudla ekuqaleni lapho abazali abanenzondo babamba i-dessert njengesijeziso. Angikaze ngibhekane nentukuthelo ngokudla i-pizza enkulu kakhulu egxishiwe. Ngangiyingane ejabule; isikhathi esiningi, ngingumuntu omdala ojabule. Ngibuza uBinks ukuthi ucabangani ukuthi kubangela ukuziphathisa ngokweqile. "Indlala," usho njalo.

Oh.

"Phakathi kwezinye izizathu, abantu abakhawulela ukudla kwabo bazibekele ukuzitika," kusho uBinks. "Dubula ukudla okuthathu, ukudla okune-fiber eningi, nokudla okulula njalo emahoreni amathathu kuya kwamane. Ukuhlelela ozokudla kusengaphambili kukwenza ungabi mancane amathuba okuvumela ukulangazelela okungazelelwe."

Kuyazwakala. Kepha kuthiwani ngalezo zikhathi lapho ngidle ngokungaguquguquki usuku lonke futhi ngisazizwa nginesidingo sokuthola usizo lwesithathu esidlweni sakusihlwa? Impela akuyona indlala eqhuba lezo zibonelo zeziqephu zokuzitika ngokudla. Ngidayela inombolo yomelaphi u-Judith Matz, umqondisi we-Chicago Centre for Overeating kanye nomdidiyeli we-The Diet Survivor's Handbook, ngemicabango yakhe. Ingxoxo yethu ihamba kanjena.

Mina: "Nansi inkinga yami: ngiyadla, kodwa akwenele ukutholakala ngine-BED."

Matz: "Ngabe ukudla ngokweqile kukwenza uzizwe unecala?"

Mina: "Yebo."

Matz: "Ucabanga ukuthi kungani kunjalo?"

Mina: "Ngoba angifanele ukukwenza."

Matz: "Kungani ucabanga kanjalo?"

Mina: "Ngoba ngizokhuluphala."

Matz: "Ngakho-ke inkinga ngempela ukwesaba ukukhuluphala."

Mina: "Um ... (to self: Is it? ...) Ngicabanga kanjalo. Kodwa kungani ngizozitika ngidla uma ngingafuni ukukhuluphala? Lokho akuzwakali kahle kakhulu."

UMatz uqhubeka nokungitshela ukuthi siphila esikweni le-fat phobia, lapho abesifazane beziphika ukudla "okubi", okubuyisela emuva lapho singasakwazi ukumelana nokuncishwa. Kuzwakala okushiwo nguBinks: Uma umzimba wakho uzizwa ulambile, uzodla kakhulu kunalokho obekufanele ukwenze. Bese..."Ukudla yindlela esaduduzwa ngayo siseyizingane," kusho uMatz. (Ha! Ngangazi ukuthi izinto zobuntwana ziyeza.) "Ngakho-ke kunengqondo ukuthi sikuthola kududuza njengabantu abadala. Nginike isibonelo lapho udle ngenxa yemizwa hhayi indlala." Ngicabanga umzuzu, bese ngimtshela ukuthi ngenkathi mina nesoka lami sisebudlelwaneni obude, ngangivame ukuzitika ngotshwala ngemuva kokuba sibe nempelasonto ndawonye, ​​futhi kwesinye isikhathi ngangizibuza ukuthi kungenxa yokuthi ngangimkhumbule. (Uma kukhulunywa ngokudla okungokomzwelo, ungakholelwa kulenganekwane.)

"Mhlawumbe isizungu kwakuwumzwelo owawungakhululekile, ngakho wafuna indlela yokuziphazamisa," esho. "Uphendukele ekudleni, kepha njengoba ubuzitika ngocansi mhlawumbe ubuzitshela ukuthi kuzokukhuluphela kanjani nokuthi uzosebenza kanjani kahle isonto lonke futhi udle kuphela ukudla 'okuhle' ..." (Wazi kanjani lokho ?!) "... kodwa qagela ini? Ngokwenza lokho, ususe ukugxila kwisizungu sakho."

Hewu. Ukuzitika ngotshwala ukuze ngikwazi ukucindezela ngokukhuluphala esikhundleni sokucindezela ngokuba nesizungu. Lokho kuphazamisekile, kepha kungenzeka impela. Ngikhathele ngenxa yakho konke lokhu kuhlaziya (manje ngiyazi ukuthi kungani abantu belala kulawo masofa), nokho nginelukuluku lokwazi ukuthi uMatz ucabangani ukuthi iyindlela engcono kakhulu yokunqamula umjikelezo. "Ngokuzayo lapho welula ukudla, zibuze, 'Ngabe ngilambile?'" Usho njalo. "Uma impendulo ingu-cha, kusalungile ukudla, kodwa yazi ukuthi ukwenzela ukunethezeka futhi uyeke ukukhuza ngaphakathi. Uma usuzinikezile imvume yokudla, ngeke ube nalutho oluyophambukisa ukunaka kwakho emuzwa wakho sizama ukweqa. " Ekugcineni, uthi, ukuzitika ngotshwala kuzolahlekelwa isikhalazo. Kungenzeka. (Okuhlobene: Izinto eziyi-10 Lo wesifazane Afisa Ukuthi Azazi Ekuphakameni Kwenkinga Yakhe Yokudla)

Ukuwa kuWagon

Ngihlome ngale mibono emisha, ngivuka ngoMsombuluko ekuseni ngizimisele ngokuba neviki elingenazo iziqephu. Izinsuku ezimbalwa zokuqala zilungile. Ngilandela izincomo zikaBinks futhi ngithola ukuthi ukudla izingxenyana ezincane kane noma kahlanu ngosuku kungigcina ngingazizwa ngincishwa okuthile nokuthi nginezifiso ezimbalwa. Akunzima ngisho nokusenqaba isiphakamiso sesoka lami sokuyofuna amaphiko nobhiya ngoLwesithathu ebusuku; Sengivele ngikuhlelile ukusiphekela isidlo esinempilo salmon, i-zucchini casserole, namazambane abhakiwe.

Bese kufika impelasonto. Ngizoshayela amahora amane ngivakashele udadewethu ngimsize ukupenda indlu yakhe entsha. Ukuhamba ngo-10 ekuseni kusho ukuthi ngizobe ngima endleleni yokudla kwasemini. Njengoba ngihamba ngejubane phakathi komgwaqo, ngiqala ukuhlela ukudla okunempilo engizokuthola eSubway. Ulethisi, utamatisi, noshizi onamafutha amancane—”amayintshi ayisithupha, hhayi ubude bezinyawo. Ngo-12: 30, isisu sami siyabhonga; Ngisuka lapho ephumayo elandelayo. Ayikho i-Subway ebonakalayo, ngakho-ke ngijikela kwaWendy. Ngizomane ngithole ukudla kwezingane, ngicabanga. (Okuhlobene: Ukubala Amakhalori Kungisizile Ukwehlisa Isisindo — Kodwa-ke Ngibe Nesifo Sokudla)

"I-Baconator, amafriji amakhulu, neVanilla Frosty," ngisho ebhokisini lezipikha. Ngokusobala, kanye nebhulashi lami lamazinyo, ngishiye amandla ami ekhaya.

Ngihogela ukudla konke, ngihlikihle isisu sami sikaBuddha futhi ngizame ukungaziba icala elingidlayo isikhathi sonke sokushayela. Ukuhlanganisa izinto, udadewethu uyala i-pizza ngesidlo sasebusuku ngalobo busuku. Sengivele ngikumoshile ukudla kwami ​​kosuku, ngiyazitshela, ngilungiselela i-gorge-fest. Ngesikhathi sokurekhoda, ngidonsa izingcezu ezinhlanu.

Ngemva kwehora, angisakwazi ukuzimela. Ngiyisehluleki. Ukwehluleka ukudla njengomuntu ojwayelekile, nokwehluleka ukulungisa imikhuba yami emibi. Ngemva kwesidlo sakusihlwa, ngilala kusofa futhi ngiqale ukububula. Udadewethu unginikina ikhanda futhi uzama ukungiphazamisa ebuhlungwini engizibangela bona. "Usebenza ngani kulezinsuku?" uyabuza. Ngiqala ukuhleka phakathi kokububula. "Indatshana ekhuluma ngokudla ngokweqile."

Ngikhumbula amaBinks engitshela ukuthi indlela engizizwa ngayo ngemuva kokuzitika ngophuzo ibalulekile nokuthi kufanele ngizame ukukhulula noma iliphi icala ngokuzivocavoca umzimba. Ukuhamba ushesha uzungeze ibhlokhi akukudambisi ncamashi ukuqunjelwa, kodwa kufanele ngivume, ngesikhathi ngibuyela endlini icala liye laba ngcono kancane. (Ukuzivocavoca kwasiza lona wesifazane ukuba anqobe ukuphazamiseka kwakhe kokudla.)

Ingabe Ukuzitika Ngotshwala?

Emuva efulethini lami, ngihlangabezane nocwaningo lwakamuva oluthi ukudla ngokweqile kungaba yizakhi zofuzo: Abaphenyi baseYunivesithi yaseBuffalo bathole ukuthi abantu abanezakhi zofuzo ezimbalwa ze-chemical dopamine ezwa kahle bathola ukudla okunomvuzo kakhulu kunabantu abangenayo leyo genotype. Obabekazi bami ababili babenenkinga yesisindo—bobabili bahlinzwa i-gastric bypass. Ngiyazibuza ukuthi ngiyayizwa yini imiphumela yomndeni wami. Ngingathanda, noma kunjalo, ukukholelwa ukuthi ukuzitika ngotshwala ekugcineni kuyisinqumo sami, noma ngabe kubi kakhulu ngakho-ke ngikwazi ukukulawula.

Angithandi ukuzizwa nginecala noma ngikhuluphele. Angikuthandi ukususa isandla sesoka lami esiswini sami ngemuva kokudla okukhulu ngoba nginamahloni okuthi lisithinte. Njengezinkinga eziningi, ukuzitika ngokweqile akunakulungiswa ngobusuku obubodwa. "Ngitshela iziguli zami ukuthi lokhu kumayelana nokuphikelela emizamweni yabo kunokuyeka i-turkey ebandayo," kusho uBinks. "Kuthatha isikhathi ukuhlaziya indlela odla ngayo bese uthola ukuthi ungakunqoba kanjani."

Ngemva kwesonto, phakathi nesidlo sakusihlwa nesoka lami, ngisukuma etafuleni ukuze ngithole usizo olwengeziwe lwamazambane esitofini. I-Channel Matz, ngime ngizibuze ukuthi ngilambile yini. Impendulo ithi cha, ngihlale phansi ngiqede ukumtshela ngosuku lwami, ngiziqhenya ngokungadlile ukuze ngidle. Isinyathelo esisodwa esincane, kodwa okungenani sisendleleni efanele. (Okuhlobene: Ukushintsha Ukudla Kwami Kungisize Kanjani Ukubhekana Nokukhathazeka)

Manje sekuphele inyanga kusukela ukungenelela kwami ​​kokuzibophezela, futhi noma kungumzabalazo wansuku zonke, ngiya ngilawula kancane kancane ekudleni kwami. Angisabheki ukudla njengokuhle noma kubi—indlela uMatz athi kufanele senze ngayo—okungisiza ngizizwe ngingenacala uma ngi-oda ama-french fries esikhundleni sesaladi. Lokhu empeleni kunqande izifiso zami, ngoba ngiyazi ukuthi ngingakwazi ukuzitika uma ngikhetha. Ukudla kwaseMexico kuseyi-kryptonite yami, kepha ngiyaqiniseka ukuthi kumane kungumkhuba omubi: Senginesikhathi eside ngidla ngokweqile ezindaweni zokudlela zaseMexico, izandla zami zihlelelwe ukufaka ukudla emlonyeni wami lapho ngifika. Ngakho-ke ngiqale ukusebenza ngenza ezinye izinguquko: ama-servings engxenyeni eyodwa, i-margarita eyodwa encane futhi, yebo yebo, isandla somfana wami siphumule ngothando okhalweni lwami ngaphambi kokuba kwenzeke noma yisiphi isibonelo sesiqephu sokudla ngokweqile, ukungikhumbuza ukuthi kungcono ngizwe sexy kunokuqunjelwa.

Nip Isiqephu Sakho Esilandelayo Sokuzitika ku-Bud

Ukunciphisa ukudla okungalawuleki kuyisinyathelo sokuqala sokuthola isibambo esisindweni sakho. Ukuvimbela isibonelo sesiqephu sokudla ngokweqile kuqala ngalezi zinyathelo ezilula.

• Ekhaya: Yidla ukudla kwakho nokudla okulula ngenkathi uhleli etafuleni; phaka ukudla okuvela esitofini futhi ugcine okwengeziwe ekhishini. Ngaleyo ndlela, ukuzisiza imizuzwana kudinga ukusukuma uhambe uye kwelinye igumbi.
• Endaweni Yokudlela: Prakthiza ukushiya okunye ukudla epuletini lakho lapho usuthe kahle. Ungasebenzisi imali njengezaba — ukhokhela indawo yokudlela emnandi, hhayi ukuze uzizwe ugula. (Isikhwama se-Doggie uma kufanele, kodwa qaphela ukuhlasela kwesiqandisi phakathi kwamabili.)
• Emcimbini: "Zama ukudala umgoqo ophathekayo phakathi kwakho nanoma yini oyengwa ngayo," kuphakamisa uBinks. "Uma ama-chip kungubuthakathaka bakho, gcwalisa isobho noma imifino ngaphambi kokuthatha isitsha se-guacamole."

Buyekeza kwe-