Ukuba unayo i-bulimia nervosa, ngaba uyayazi ukuba ekubeni ubunzima obunzima kakhulu kumzimba wakho kunokuba yingxaki kwaye ingaba ukuqhuba ukutya kwakho kunye nokuziphatha okunye?
Abantu abaninzi bayazi ukuba izigulane ezine- anorexia nervosa zifuna ukuzuza ubunzima ukuze zibuyele , kodwa bambalwa abantu bayazi ukuba le nto ingasetyenziswa kwizigulane nge- bulimia nervosa .
Eli nqaku liza kuxubusha uphando malunga nendima yesigxina esedlulileyo kunye nokuqhubekayo ekuphuhliseni nasekugcinweni kwe-bulimia nervosa.
Yintoni Isisindo sokuSuswa kunye Nokuba Kutheni Ingxaki?
Ukunyusa ukunyusa kukuhlukana phakathi kobunzima bomzimba obukhulu bomntu kunye nesisindo samanje. Inokucatshangelwa njengokuba ubuninzi besisindo selahlekile kwisisindo esiphezulu esidlulileyo, ngokuqhelekileyo ekuphenduleni ukutya.
Iibutho zoluntu zenzelwe ukuba ziintlobo ezahlukeneyo kunye nobukhulu. Xa umntu ozalwe ngokomzimba ukuba abe ngumzimba omkhulu uzama ukunciphisa ubukhulu bakhe kumncinci kunokuba kuhloswe yi-genetics, ukutya ngokutya kunokuthi kube ngumzimba wendalo wokukhusela ukuphepha ukubulawa yindlala nokubuyisela umzimba kumlinganiselo ophilileyo. umzimba.
Ukulahlekelwa kwesisindo, kunye nabantu abanobuchopho, kunciphisa umonakalo kunye nomlinganiselo wamandla umzimba uphisa. Kwakhona kubonakala ukwandisa ukutya. I-hormone leptin, ethumela izibonakaliso ezinobomi kwiingqondo, ikholelwa ukuba idlala indima kule nkqubo.
Uphononongo lubonisa ukuba abantu abanexinzelelo lokunyuka okuphezulu kubonakala banamanqanaba athatywayo e-leptin. Ngenxa yezi zizathu, kukho ukulungelelaniswa kwezinto eziphilayo ukuze uphinde uphinde ukhululeke.
Uphando lo kuqala
Ngomnyaka we-1979, uGerald Russell wapapasha iphepha lokuzimela elaqala ukuchaza i-bulimia nervosa njengento eyahlukileyo ye-anorexia nervosa.
Kulo phepha, wathi ukuxinwa kwesisindo kubonakala kudlala indima ekuphuhliseni i-bulimia nervosa. Wachaza ezi gulane njengokuba uzama ukuqhuba ubunzima bawo ngaphantsi komzimba obunempilo kwaye, ngenxa yoko, uqala ukuxilonga nokucoca.
Kwisifundo sokuqala sikaRussell malunga nezigulane ezingama-30 ezine-bulimia nervosa, ezili-17 ngaphambili zidibene neendlela ezipheleleyo zokufumana i-anorexia nervosa, kubandakanywa nesisindo esiphantsi. Ezinye izigulane ezisixhenxe zaye zalahleka ubunzima kodwa zanele ngokwaneleyo ukuxilongwa kwe-anorexia nervosa. Zonke izigulane kodwa omnye wafumana ubuncinane ubunzima bokulahleka komzimba ngaphambi kokuqala kwe-bulimia nervosa.
Nangona le ngxelo yokuqala, ngaphambi kweminyaka eyi-10 edluleyo, kwakungekho uphando oluninzi malunga nokunciphisa ubunzima. Kwiminyaka emininzi edlulileyo, abaphandi phantsi kolawulo lukaDkt. Michael Lowe, uprofesa wezesengqondweni kwiYunivesithi yaseDrexel, baye baqala ukufundisisa impembelelo yezinto ezikhoyo zangaphambili nezidlulileyo kwizidlo zokutya. Nangona kusekuqaleni kwenkqubo, olu phando lusinceda siqonde ngakumbi ingozi yokunciphisa ubunzima.
Uphando olutsha
Uphando lubonisa ukuba ngaphambi kokuqala kokugula kwabo, izigulane ezine-bulimia nervosa zivame ukuqala ngesisindo somzimba esiphezulu kunezo zi-anorexia. Njengoko i-disorder disorder ikhula, izigulane ezine-bulimia nervosa zibonakala zilahlekelwa ngumlinganiselo obalulekileyo.
Ngethuba elinikezela unyango, ngokuqhelekileyo ngaphakathi kwinto ekubhekiswe kuyo "isiqhelo" sesisindo somzimba-kodwa ngokugqithiseleyo, bajwayele ukuba baphantsi kwezona zikhulu eziphezulu. Olunye uphando olulinganisa izinga lokunciphisa ubunzima kwizigulane ezine-bulimia zifumene umyinge olinganiselweyo wesisindo obuncitshiweyo wawungama-pounds angama-30.
Ukunciphisa ubunzima kubonakala kuhambelana nempawu ezininzi ze-bulimic kunye nobude obude obugulayo. Ukunciphisa ubunzima buninzi kuqikelela ukufumana ubunzima kwizigulane ezine-bulimia nervosa kokubili nangemva kwonyango. Indima yokunciphisa ubunzima kubalulekile kuba ibonisa ukuba i-bulimia nervosa ayibangelwa yimiba yengqondo kuphela, kodwa ukuba kukho izinto eziyinkimbinkimbi zezinto eziphilayo.
Izigulane zokunciphisa umzimba kunye ne-bulimia nervosa ezixakeke ekufezekiseni ubunzima obuphantsi kubonakala zihlanganisiwe kwi-bio-behavioral binding. Ukunyusa kwabo ubunzima kubangela ukuba bafumane ubuninzi bokuzuza ubunzima-kodwa ukukhathazeka ngokunyaniseka kwenza ukuba lo bunzima buzuke kakhulu.
Abaphandi abayiqondi ngokugcwele izinto ezithile ezenza ingxaki yokunciphisa ubunzima. Ngokomzekelo, abazi ukuba ingaba ziincinci ezintlanu zokunciphisa ubunzima bunzima, nokuba ngaba zikhulu kuphela zokunciphisa ubunzima. Abazi nokuba ingaba imiphumo yokunciphisa umzimba ikhulu xa umntu esesisindo esiphakeme ixesha elide okanye nokuba ubunzima bakhe buye buncitshiswa ixesha elide. Ezi ziphakathi kweempendulo abaphandi abazenzayo zokunciphisa ubunzima bethemba lokukwazi ukuphendula.
Yintoni Ethetha Ngayo Izigulane NgeBulimia Nervosa?
I-Juarascio kunye nabalingane (2017) bakhombisa ukuba ezinye izigulane ezingaphathwa ngempumelelo ngempumelelo yeCandelo loLwazi lweZenzo (CBT) ze-bulimia nervosa zinokuphucula ukubuyiswa kwazo ngokufumana ubunzima. Kubonakala ukuba inzuzo yokunciphisa umzimba inganciphisa intshutshiso yokuzincoma kwaye ihlambuluke.
Ziyacetyiswa ukuba iikliniki rhoqo kwaye zihlolisise ukuba zibone ukuba isigulane okwangoku singaphantsi kwesisindo esiphakeme, kwaye singakanani. Baphakamisa ukuba izigulane ezinokuxinzelela ubunzima kunye nabanobunzima ngexesha lokuqalisa ukutya rhoqo kufuneka bafumane imfundo eyongezelelweyo malunga nefuthe lokunciphisa ubunzima kwiimpawu ze-bulimia nervosa. Bacetyisa ukuba oogqirha bafundisa izigulane malunga nexesha lokuba ukudlula ixesha, ukutya okungafaneki kukukhokelela ekulahlekeni kwesisindo kwaye ngokuqhelekileyo kukhokelela ekuzuzeni ubunzima.
Impatho ephumelelayo yesifo sakho sokutya kunokuthetha ukufikelela nokuphila kwisisindo esiphakeme kunokuba ufuna. Ubunzima bethu bomzimba kunye nesimo salo sichaza into ephilileyo neyesiqhelo. Unokuphila kakuhle, uzive ulungile kunye nomzimba wakho, kwaye ujabulele ukutya ngokuqhelekileyo ngaphandle kokunyanzelisa umzimba wakho ukuba ufanelane nesimo esingesizo.
Ukwamkela ngokwakho kunokuba ngumsebenzi onzima wengqondo, kodwa oogqirha kunye nabasondlo abasebenzisana nezigulane abaneengxaki zokutya banokukunceda. Qhubeka ukhumbule ukuba enye indlela yokwamkela ingabakho ukuqhubeka utywala kwaye uhlambulule. Ngokuhamba kwexesha, oku kungakhokelela ekuzuzeni ubunzima obukhulu.
Abaqinisekisi, kwimigudu yabo kwiinkcukacha-zintlawulo, banokunciphisa unyango ngaphambi kokuba isiguli sifinyelele kwisisindo esaneleyo sokugcina. Unokufuna ukukhuthaza unyango olongezelelweyo wena okanye othandekayo.
Ndingazi Njani Ukuba Ubunzima Bwam Buxinzelelwe?
Eminye imibuzo ekufuneka uyiqwalasele:
- Ngaba ubunzima bakho buncinci ngaphezu kobunzima bakho bakhulu?
- Ngaba uxakeke ngeengcinga malunga nokutya?
- Ngaba ufumana iziqwenga zokutya apho udla khona ukutya okungaqhelekanga ngexesha elifutshane kwaye uzive ungakhange ulawulo xa usenza njalo?
- Ngaba uyidla ngokukhawuleza-xa ungacwangcanga-okanye uhlanganyele ekudleni ngokomzwelo?
Ukuba ngaphezu kweyodwa kwezi zingentla, qwa lasela ukufuna uncedo nokufumana ubunzima. Ukufikelela kwisisindo esinqunyiwe ngokubhekiselele kwizinto eziphilayo, kungakhathaliseki ukuba unani le nxalenye kwimigangatho yoluntu, ngokuqhelekileyo iphilile. Asinakho uphando olwaneleyo ukuze wazi ukuba uya kufuneka ubuyele kwisisindo sakho esiphezulu, okanye ukuba uphinde uphinde ufumane isisindo esithinteleyo. Unokufumanisa ukuba ukufumana ubunzima buza kunciphisa ubuninzi bokutya, ukunciphisa iimpawu ze-bulimia nervosa, kwaye ngokubanzi uphucula umgangatho wobomi bakho. Unokufumanisa ukuba imiphumo emibi yokufumana ubunzima obunokuba uyamoyikayo ayifuni.
Xa ubunzima bungaxhaswanga unako ukuzonwabisa ngokugqibeleleyo ukutya ukutya ezahlukeneyo ngaphandle kokukhathazeka okungapheliyo kwaye uphile ubomi ngokubanzi. Unako ukuphuma ukuze udle kwaye ujabulele isiselo, ungene kwiqebengela lokuzalwa komntu osebenza naye, kwaye uhambe uye kummandla ohlukeneyo kwaye ujonge i-cuisine yonke yangaphandle ngaphandle kokuxhalabisa.
> Imithombo:
> Juarascio, Adrienne, uElin L. Lantz, uAlexandra Muratore kunye noMichael Lowe. 2017. "Ukubhekiselele ekunciphiseni isisindo sokuPhucula ukuPhucula umPhumo weBulimia Nervosa. https://doi.org/ 10.1016 / j.cbpra.2017.09.004.
> Keel, Pamela K., Lindsay P. Bodell, uAlissa A. Haedt-Matt, u-Diana L. Williams kunye noJonathan Appelbaum. 2017. "Isisindo sokuPhukisa nokuThuthukiswa kweSilly Syndrome: Iziphumo zokuQala ukuPhathwa kweLeptin." I-International Journal ye-Disorders 50 (12): 1432-36. https://doi.org/ 10.1002 / udle.22788.
> Keel, Pamela K., noToyd F. Heatherton. Ngo-2010. "Ukunyusa ukuPhukisa kuXela ukuSondeza nokuThathwa kweMigodi yaseBulimic ekulandelelweni kweminyaka eyi-10." I- Journal ye-Psychology engaqhelekanga 119 (2): 268-75. https://doi.org/ 10.1037 / a0019190.
> L Butryn, Meghan, Michael Lowe, Debra Safe, kunye noW Stewart Agras. 2006. Isisindo sokunciphisa i-Predictor of Outcome kwi-Cognitive-Behavioral Treatment of Bulimia Nervosa . Vol. 115. https://doi.org/ 10.1037 / 0021-843X.115.1.62.
> URussell, G. 1979. "UBulimia Nervosa: Into ehamba phambili yeAnorexia Nervosa." Iingcali zengqondo 9 (3): 429-48.