Olunye uhlobo oluNgcacisayo lokutya okanye ukugula kwe-disorder okanye i-OSFED, isifo sokutya esidlulileyo esaziwa njenge-EDNOS (Ukugula kwesifo ngaphandle kokucacileyo) esaziwa kakhulu kunokuba i- anorexia nervosa , i- bulimia nervosa , kunye nokutya okuxilisayo . Nangona kunjalo, ngokwenene, yinto eqhelekileyo, emele i-32% ukuya kuma-53 ekhulwini kubo bonke abantu abaneengxaki zokutya.
Enye ingxaki ngokuxilongwa ngengqondo, ngokubanzi, kukuba izigulane ezininzi azihambelani ngokufanelekileyo kwiindidi zokuxilonga. Akusoloko ichanekile. Ngamanye amaxesha abantu badibanisa kakhulu kodwa akusiyo yonke imigaqo yokuxilongwa. Kwimeko yokukhathazeka kokutya, umntu ongafanelanga ukuxilongwa ethile uza kufakwa njenge-OSFED. Incwadana yokuCatshulwa kunye neSatisatisti yeengxaki zeMental, i-5 Edition (DSM-5) iquka imizekelo emihlanu yezigulane eziza kubalwa njenge-OSFED:
1. I- Anorexia Nervosa e-Atypical: Oku kuza kubandakanya abantu abadibanisa amaninzi kodwa akuyiyo yonke imigaqo ye- anorexia nervosa . Ngokomzekelo, banokuthintela ukutya kunye nokubonakalisa ezinye iimpawu ze-anorexia nervosa ngaphandle kokuhlangabezana nemigangatho ephantsi.
2. I- Bulimia Nervosa yexesha eliphantsi kunye / okanye ixesha eliphantsi : Umntu unokuhlangabezana nemigangatho ye- bulimia nervosa , kodwa ukuxilongwa kunye / okanye ukuhlanjululwa kwenzeka kwixesha eliphantsi kunye / okanye ixesha elide.
3. Ukuxhatshazwa kwintlungu yokutya kwexesha eliphantsi kunye / okanye ixesha elilinganiselweyo : Umntu udibana neendlela zokudliwayo kwintlungu yokutya kodwa ukutya okuxhamlayo kubonakala ngexesha eliphantsi kunye / okanye ixesha elide. 4. Ukuguquka kweengxaki : Umntu usebenza ekucoceni kweekhalori (ngokuhlanza, ukusetyenziswa kakubi kwelaxatives okanye i-diuretics, kunye / okanye ukusetyenziswa ngokugqithiseleyo) kuhloswe ukuchaphazela isisindo okanye ukuma, kodwa akayidli intlanzi, yinto ebangela ukuba le nto iphazamise bulimia nervosa.
5. Ubusuku bokutya okuhlwayo : Umntu uhlala kwiindawo ezidliwayo zokutya ebusuku, ukutya emva kokuvuka ebuthongweni, okanye usebenzise ukutya okudlulileyo emva kwesidlo sakusihlwa. Kukhona ukuqaphela nokukhumbula kokutya.
Eziphambili ziyimimiselo nje; I-OSFED ineminye imiqondiso eminingi.
Enye into engaqondakaliyo malunga ne-OSFED kukuba ayibi kakhulu okanye i-subclinical. Oku akunjalo ngokwenene, kwaye igcina abantu abaninzi abahluphekayo ekufuneni uncedo. Kwisifundo ngo-Fairburn kunye noogxa be-2007 ngo-2007 ye-EDNOS (i-OSFED yaziwa ngaphambili ngokuthi 'ukutya kwesifo ngaphandle kokuchazwa ngenye indlela'), abaphandi bafumanisa ukuba ezininzi iimeko ze-EDNOS "zixutywe" kumntu kwaye zingagcini iifom ze-anorexia nervosa okanye i-bulimia nervosa : "Iinkalo zekliniki ze-anorexia nervosa kunye ne-bulimia nervosa zikhoyo kodwa zidibaniswe kwiindlela ezahlukileyo eziya kubonakala kwizinto ezikhoyo ezikhoyo ngoku."
Nangona abanye abantu abafunyaniswayo abane-OSFED banokufumana iingxaki ezixinzelelekileyo, abaninzi abantu abane-OSFED banesifo esibi sokutya njengabo bahlangabezana neempendulo ze-anorexia nervosa, i-bulimia nervosa, kunye nokutya okuxilisayo. I-Fairburn kunye noogxa baqaphele ukuba "ukutya kweengxaki ze-NOS ziqhelekileyo, zinzima kwaye ziphikelela." Abantu abane-OSFED baya kuba neengozi zempilo ezifana nezinye zeengxaki zokutya.
Ubuncinane isifundo esithile sangaphambili sasibonisa ukuba izinga lokufa kwi-EDNOS laliphezulu kubantu abahlangabezana nemingcele ye-anorexia.
Ukongeza koko, ekubeni ukutya kweengxaki ezixilongweni akuzinzi ngokugqithiseleyo kwexesha, akukho siqhelo ukuba abantu bahlangabezane nokuxilongwa kwe-OSFED endleleni yabo yokuxilongwa ngokugcweleyo kwe-anorexia, i-bulimia, okanye i-binge yokutya ukuphazamiseka, okanye indlela yokubuyela kuyo. Kwesinye isifundo se-EDNOS, i-Agras kunye noogxa baqukumbele, "EDNOS yindlela-esiteshini kwabo bahamba kwi-ED epheleleyo okanye ukusuka ekuxolelweni kwenye i-ED."
Khumbula, akusoloko kuluhlu oluqinileyo phakathi kwemingcipheko kunye nempilo kwaye kukho imibala emininzi yegrey phakathi.
Uphando luxhasa ukuba ukungenelela kwangaphambili kwenza umehluko omkhulu ekubuyiseni. Ukwelapha Ukuziphatha Ngengqondo (CBT okanye i-CBT-E) enye yeyona mpiliso ephumelele kakhulu kwi-bulimia nervosa kunye nokutya okuxilisayo kunye nokusetyenziswa ngokuphumelelayo kubantu abane-OSFED, ingakumbi abantu abaye bafumana iifayile ezibonakalisa ezifana nezi ngxaki.
Nangona amava akho engabonakali afanelekile ukuxilongwa, ukuba unobandezeleka obuhlobene nokutya, ukuzivocavoca, ukuma, kunye nesisindo, kufuneka udibane nochwepheshe.
Imithombo :
Agras et al. Umfundi oneminyaka engama-4 ekufundeni i-Disorder Disorder NOS xa kuthelekiswa nokutya okupheleleyo kokutya kwesifo. I-International Journal Yokudliwayo Kwokutya . 2009.
Crow S et al. Ukunyuka kweMpilo kwiBulimia Nervosa kunye nezinye izifo zokutya. I-American Journal ye-Psychiatry . 2009.
Fairburn et al. Ubunzima kunye nesimo sokutya kwesifo i-NOS: Impembelelo ye-DSM-V. Uphando loPhando kunye noPhando . 2007.
Keel P, Brown T, Holm-Denoma J, Bodell LP. Ukuthelekiswa kwe-DSM-IV ngokubhekiselele kwiinkqubo zokuxilongwa kwe-DSM-5 yokuxilongwa kokutya: ukunciphisa ukugula kwesifo ngaphandle kokuchazwa ngenye indlela kunye nokuqinisekiswa. I-International Journal Yokudliwayo Kwokutya . 2011.
Ornstein et al. Ukusabalalisa ukuphazamiseka kokutya kubantwana nakwishumi elivisayo usebenzisa i-DSM-5 imigaqo yokucetyiswa kokutya kunye nokutya kwezidlo. Umbhalo wezeMpilo yabantwana . 2013.
Thomas J, Vartanian L, Brownell K. Ulwalamano oluphakathi kokugula kwesifo akuchazwe ngenye indlela (EDNOS) kwaye luqaphela ngokusemthethweni ukuphazamiseka kokutya: imeta-analysis and implications for DSM. I-Psychological Bulletin . 2009.