Ukufa nokuPhalaliswa kokutya
Sivame ukuva malunga neengozi zokunyanya, kodwa siziva ngokuqhelekileyo malunga neengozi zokuphazamiseka kokutya. Ukuphazamiseka kokutya kunokubonakala kubonakala kunobunzima, kodwa le ngongoma . Yonke imizuzu engama-62 umntu ufa njengesiphumo esisisiphumo sokutya kwesifo.
Ukungenelela kwangethuba ngokukhawuleza kuphucula umphumo wonyango, esi sizathu esinye sokuqinisekisa abantu abaneentsholongwane zokutya ezifumana ukuxilongwa ngokukhawuleza kunye nokufikelela kunyango , ngokubhekiselele kubonisa ukuba kusekelwe apho kunokwenzeka khona.
Iimali zokufa
Iingxelo zoPhicotho ziyahlukahluka kwiirhafu zokufa kwiintlungu zokutya, kodwa kukho iziphumo eziqhelekileyo. Ngokubambisana, ukuphazamiseka kwezidlo ezineziphumo eziphezulu zokufa phakathi kwazo zonke izifo zengqondo. Kwiinkoliso ezininzi, i- anorexia nervosa inezinga eliphezulu kakhulu lokufa kweengxaki ezahlukeneyo zokutya. Kuphononongo olutshanje olwenziwa nguFichter kunye nabalingane, abantu abane-anorexia nervosa bafumana isantya sokufa se-5.0 esifanelekileyo-oko kukuthi, babesenokuba ngamashumi amahlanu amathuba okuba bafe ngaphezu kwexesha lokufunda kuneentanga ezilingana nabantu abadala. Abantu abane- bulimia nervosa kunye nokutya okuxilisayo babenomlinganiselo ofanayo wokufa we-1.5 (bekunamathuba ama-1.5 okufa ngaphezu koontanga abangenayo ingxaki yokutya).
Uhlalutyo lweemeta olwenziwa nguArcelus kunye noogxa bafumana amanani afanayo okufa okufanayo afanayo kwi-Fichter yophando: 5.86 ye-anorexia nervosa, 1.93 ye-bulimia nervosa, kunye ne-1.92 yokutya kwesifo ngaphandle kokuchazwa ngenye indlela (EDNOS).
Uphando lubonise izinga eliphezulu lokufa kwebholimia nervosa kunye ne-EDNOS kunamanani. Ngokomnye uphando, izinga lokufa kwe-anorexia nervosa ezineminyaka engama-25 ukuya ku-44 zilandelwa emva kokukhutshwa kwezibhedlele zaba ngamaxesha angama-14 aneminyaka engalinganiyo yokutya abangaboniyo. (Ezi zihlandlo ezili-14!)
Izizathu Zokufa
Ukuphazamiseka kokutya kubangela ubuninzi beengxaki zonyango.
Ayikho inkqubo yomzimba ikhuselekile kwimiphumo yokungondleki. Ngenxa yezizathu zokufa, ukuzibulala kunye neengxaki ze-cardiovascular top ohlwini. I-Fichter kunye nabalingane bafumene ukuba iigumbi ezintathu zokufa kwezigulane ezine-anorexia nervosa ukuxilongwa ngenxa yeengxaki ze-cardiovascular related to weight body weight. Uphononongo olwenziwa nguHuas kunye noogqirha bafumanisa ukuba kukho ezimbini ezibalulekileyo zokufa kwabantu ngabanye abane-bulimia nervosa: imbali yokuzama ukuzibulala kwangaphambili kunye ne-BMI ephantsi. Kule ninzi yezifundo, ukuzibulala kubangelwa yinto ebangela ukufa, kwaye inqanaba lokuzibulala eliphezulu lifunyenwe kuzo zonke izifo ezixilongwa. Ucwaningo luye lwabonisa ukuba malunga nama-20% abantu abane-anorexia abaye bafa bazinikele, kwaye i-23% ye-bulimia nervosa yokufa yazibulala.
Amaphetheni kunye nokuQala kwangaphambili kokufa
Izigulane ezine-anorexia nervosa zibonakala zifuna ukufa ngexesha elidlulileyo kunezo zine-bulimia nervosa okanye i-binge yokutya ingxaki. Ixesha elifutshane lokufa liquka isibalo esiphezulu sokutya kwezidlo zokugula esibhedlele, ukukhulelwa kwangaphambili kwiphedlele, ukusetyenziswa kakubi kotywala, ukuguqulwa kokutya kokugula, ukuguqulwa koluntu oluhle, kunye nesicatshulwa somzimba esezantsi ngexesha lokubhedlelelwa esibhedlele.
Ukuphazamiseka kokutya kudinga ukuba kuthathwa ngokungathandekiyo
Ngokuqhelekileyo, abantu abaneengxaki zokutya abazi ukuba banenkinga okanye ingxaki yokutya. Kuqhelekileyo kwizigulana ezineengxaki zokutya ukuba zingakholelwa ukuba ingxaki yabo iyingozi . Ukuba ungumthandayo womntu onesifo sokutya, nceda ukhuthaze wakho umthandayo ukuba ancede. Ukuba unentsholongwane yokutya kwaye awukho unyango, nceda ufikelele kwingcali yonyango. Ngonyango, abaninzi abantu abaneengxaki zokutya baphula!
> Imithombo
> Arcelus J, Mitchell AJ, Wales J, Nielsen S. Ukufa kwamazinga kwizigulane ezine-anorexia nervosa kunye nezinye izifo zokutya. IiNgcaciso zeeNgcaciso zengqondo ka-2011; 68.
> I-Crow SJ, uPetererson CB, uSyanson SA, uRaymond NC, i-Specker S, uEckert ED, iMitchell JE. Ukwanda kwee-mortal in bulimia nervosa kunye nezinye izifo zokutya. I-American Journal of Psychiatry 2009; 166: 1342-1346.
> Fichter, M., & Quadflieg, N. (2016). Ukufa kwiinkathazo zokutya - Iziphumo zentsholongwane enkulu yeklinikhi yokufunda ixesha elide. I-International Journal Yokudliwayo Kwokutya .
> I-Hoang U, i-Goldacre M, i-James A. Mortality elandela ukukhutshwa kwesibhedlele ngokuxilongwa kwesifo sokutya: I-National Record Consolidation Study, eNgilani, 2001-2009 (2014). I-International Journal Yokuphazamiseka kokutya, 47 (5): 507-515.
> Huas C, Caille A, Godart N, Foulon C, Pham-Scottez A, Divac S, Dechartres A et al. (2011). Abadluli bokufa kwabantu abaneminyaka elishumi kwi-anorexia nervosa ezigulane. I- cta i-Psychiatrica Scandinavica, 123: 62-70.
> Huas C, Godart N, Caille A, Pham-Scottez A, Foulon C, Divac SM et al. (2013). Ukufa kunye neengqiqo zayo kwizigulane ezinkulu ze-bulimia nervosa. Ukuhlaziywa kwe-Europe Eating Disorders Review, 21: 15-19.
> Keel PK, DJ DJ, Eddy KT, Franko D, Charatan DL, Herzog DB. (2003). Ukuqhelana nokufa kwabantu kwiintlungu zokutya. Arch Gen Psychiatry.
> Warren, CS, Schafer, KJ, Crowley, ME, & Olivardia, R. (2012). Uhlalutyo olulungeleleneyo lokutshiswa komsebenzi ekunikezeni ababoneleli bezonyango zokutya. Ukuphazamiseka kokutya , 20 , 175-195.