Abasetyhini bavame ukwesaba iinyanga zabo zenyanga. Nangona kunjalo, ukutya kwezifo zengxaki zonyango zivame ukuba nemihlali xa isiguli sigxeka emva kokuyeka ngenxa yokugula kwesifo. Nangona i-amenorrhea (ukungabikho kwimizuzu yokulandelana kwemizi emithathu elandelelanayo kwindoda yokubeletha ubudala) isuswe kwiNcwadana yokuHlola kunye neSatisti yeNgqondo yeNgxaki, i-Fifth Edition ( DSM-5 ) njengesigxina se-diagnostic for anorexia nervosa-kunye Ukuqala kwakhona kwemilinganiselo akuyona yodwa imilinganiselo yokubuyisela-ihlala ingummakishi obalulekileyo wokugula kwabaninzi.
(Kubalulekile ukuba uqaphele ukuba akubona kuphela amabhinqa aphethwe zizidlo zokutya, kwaye abafana bafumana amazinga aphezulu kunokuba babecatshangelwe. , ezinokubangela isethi sayo sempawu. Kodwa eli nqaku liza kulungisa i-amenorrhea kuphela.)
Ukuphazamiseka kokutya kunye ne-Amenorrhea
Amashumi amathandathu anesithandathu ukuya kuma-84 ekhulwini kwabasetyhini abane- anorexia nervosa bafumana i-amenorrhea, kunye neyesongezelelo ezi-6 ukuya kuma-11 ezifumana ixesha eliqhelekileyo okanye elingaqhelekanga ukuya esikhathini. Malunga nama-7 ukuya kuma-40 ekhulwini kwabasetyhini abane- bulimia nervosa babika i-amenorrhea. Umntwana osemncinci unokufumana ukuqala kokulibaziseka kwexesha lakhe lokuqala ngenxa yesifo sokugula. I-Amenorrhea ivela ngokuqhelekileyo xa umzimba unesimo "sokungakwazi ukufikelela kwamandla," apho i-caloric ingeniso ayifanelekanga ngokumalunga nokushiswa kwamandla.
Oku kuphazamisa umjikelezo we-hormone olawula ii-mens. Amanye amantombazana anesifo se-anorexia, nangona kunjalo, aqhubeke nokuya esikhathini ekugula kwakhe. Amanye amantombazana ayeke ukuya emkhathini ngaphambi kokuba aqale ukulahlekelwa isisindo. Ukutya okudliwayo kuye kwafunyanwa kubangela ukuphazamiseka kokuya esikhathini.
Ukuphelelwa kwexesha kwintombazana eselula kunye nesifo sokutya kukulinganisa ukuqala kokuphuma kwesisu.
Iimpawu ezinxulumene nazo zinokuquka ukutshintsha kwemizwelo, ukukhupha ebusuku, ubunzima bokulala, iingxaki zokuqonda, kunye nama-ovary shrunken kunye nesisu.
Esinye seziphumo eziphambili zeenguqu ze-hormone yi- osteopenia , ukuchithwa kwe-calcium emathanjeni. Amathambo aswelekileyo ayinkxalabo enkulu kuba aphuka kumazinga aphezulu. Kwixesha elide, i-osteopenia ingakhokelela kwiingxaki ezingapheliyo nezingapheliyo ezifana ne-osteoporosis (amathambo ahlambulukileyo).
Kwizigulane ezine-anorexia nervosa, ezinjengeenyanga ezimbalwa ze-amenorrhea zinokudityaniswa nokunciphisa amathambo kunye nokunyuka kwamazinga okuhlukana. Iinyanga ezingama-20 ze-amenorrhea ziye zadibaniswa nethambo elibi kakhulu. Ngokutsho kweDr. Mehler noMackenzie,
Oku kubaluleke ngakumbi ukuba phantse enye yesithathu yezigulane ezibuyiselwe ngesisindo esine-AN esele i-amenorrheic, mhlawumbi ihambelana nokungalingani kwamandla okuqhubekayo. (2009, iphepha 197)
(Ukungalingani kwamandla kubonisa ukuba abanakudla okwaneleyo okanye baxakeka kakhulu.)
Iingcamango Ngokufumana Ixesha Lakho Elibuyile:
Inkolelo: Iipilisi zokulawula ukuzalwa zingasombulula ingxaki ye-amenorrhea ngenxa yesifo sokugula.
Iipilisi zokulawula ukuzalwa ziqhelekelelwe kwizame zokuqalisa kwakhona iindleko kunye nokunciphisa ubuthakathaka besithambo. Uphando olunye luhlolisise oogqirha bafumanisa ukuba i-78 ekhulwini ibeke iipilisi zokulawula ukuzalwa kwezigulane zabo ezine-anorexia nervosa.
Nangona kunjalo, uphando lubonisa ukuba iipilisi zokulawula ukuzalwa akuncedi ukuguqula i-osteopenia.
Benza kuphela ixesha lokuzibandakanya kwaye abafumani entliziyweni yengxaki okanye uncedo ngethambo lomnxeba. Enyanisweni, ngenxa yokuba iipilisi ziyakunceda ingxaki (ukungabi nanyangeni), azinconywanga ngeenjongo ezingaphezu kokulawulwa kokubeleka (kungekhona ukuzinika kwezesini ezithintekayo ngokwesini).
Ngokutsho kweDr. Mehler noMackenzie,
Ukongezelela, isizathu esongezelelweyo sokugwema ukusebenzisa i-hormonal therapy kukuba kungabangela ukuqala kwakhona kweementi eziza kunika ingqiqo yamanga yokunyanga nokuqinisa ukuphika kwabasetyhini abasesisindo esiphantsi. (2009, iphepha 197)
Inkolelo: Ukuzivocavoca kuya kuqinisa amathambo amabhinqa aneengxaki zokutya kunye ne-amenorrhea.
Nangona ukuvuthwa okunyamezelayo kunceda kunceda ukuqinisa nokwakha isifuba, oku akunjalo kwiigulane ezine-anorexia nervosa. Misra kunye noogxa babhala:
[Kanye] baba yi-amenorrheic, umphumo wokukhusela wokukhusela ulahlekile. Okwangoku, akukho ubungqina bokuba ukunyamezela ngamandla kwimeko yokulahlekelwa kwesisindo kunye ne-amenorrhea kukukhusela kwisithambo samathambo [i-anorexia nervosa]. (2015, p.12)
Ukongezelela, ukuzivocavoca ngokweqile kunokukhokelela ekunqongeni kwe-estrogen kunye ne-amenorrhea, okwandisa ingxaki.
Inyaniso Ngokufumana Ixesha Lakho Elibuyayo
Inyaniso: Isicwangciso esiphepheleyo nesona siphumelele sokuphucula uxinzelelo lweethambo kwi-anorexia nervosa ubuyela kwisisindo esifanelekileyo njengetshathi yokukhula kunye nembali, nokubuyiswa kwemvelo kokusebenza kwimihla.
Kula mabhinqa, amathambo akayi kuqina ngakumbi ngaphandle kwe-estrogen eyaneleyo, efuna ukuqaliswa okanye ukuqaliswa kwexesha. Ukuphela kwonyango lokwenziwa kwakhona kweementi kwanele kwaye kuzinzileyo ukubuyiswa kwesisindo ngokuphelisa nokutya ngokuqhelekileyo kokutya (kubandakanywa ukuyeka ukuzincipha nokujikeleza ).
Kwiimeko ezininzi apho izigulane ziphuculwe kwaye zicatshangwe zonyango, i-amenorrhea iyaqhubeka. Kungathatha iinyanga ezi-ezintandathu ukwenzela ukuba uhlaziye kwakhona emva kokuba ubunzima bubuyiselwe. Ukunyamekela kwe-amenorrhea ngaphaya kweli nqanaba kunokubonisa ukuba umntu akayi kubuyiselwa ngokupheleleyo.
Uphando olwenziwa nguFaust kunye noogxa (2013) lubonise ukuba iinjongo zonyango zokutya eziqhelekileyo zingenakho ukulungisa i-amenorrhea. Olu phepha luthi:
- Injongo yesingqinisiso yonyango yezigulane zabantu abadala zifezekisa iipesenti ezingama-90 zesisindo somzimba (esekelwe kwisalathisi somzimba, ukuphakama, ubudala kunye nesondo).
- Phakathi kolutsha olune-anorexia nervosa ekufundeni, ukubuyela kwe-mens kwenzeka kwimiyinge engama-95 ekhulwini lomlinganiselo womzimba, kulindeleke ukuba ubuncinane ubunzima bezinto ezifunekayo ukwenzela ukubuyisela umonakalo kwiintsholongwane. "
- Bathi, "Ukwahlukana komntu ngamnye kwimizila yesigxina kufuneka kuthathelwe ingqalelo," (umz. 5) ezininzi izigulane zinokuba nezikhundla eziphezulu (kwaye ke, izisindo apho ama-mens azoqala khona) kunokuba umlinganiselo wabantu uza kubonisa.
- Bhekisela kwenye uphando olubonisa ukuba akusiyo i-atypical kubantwana abaselula ukuba babuyisele imilinganiselo kwiisisindo ezingaphezu kwama-5 iipounds ngaphezu kobunzima obuxhasa ama-mens ngaphambi kokuqala kwe-amenorrhea.
Ngelishwa, ezinye izigulane, ngokuxhomekeka ngobude, ubunzima, kunye nobudala ekuqalekeni kokugula, ukuxinwa kwamathambo akunakuze kufikeleleke ngokugcwele, kodwa amathuba okuphuculwa kakhulu ngonyango olusasaqalayo nolushushu.
Isiphelo
Ekugqibeleni, ukulahleka kwemilinganiselo ngexesha lokugula kwesifo kukubangela enkulu inkxalabo ekulungiswe kakuhle ngokubuyiswa kokunyusa okukhawuleza, ukulungelelaniswa kokuziphatha kokutya kunye nokutya okunomsoco. Ukuba wena okanye umntu omthandayo ukholelwa ukuba uyabuyiselwa ngokupheleleyo kodwa akafumani ngexesha lokuhamba, kunengqondo efanelekileyo ukuzama ukukhula ubunzima kwaye ubone ukuba ukubuyiswa kweemali kubuyela. Oku kunikeza ithuba elihle lokunciphisa imiphumo ephazamisayo yobomi ngenxa yokubuthathaka kwethambo.
> Imithombo:
> Faust, JP, Goldschmidt, AB, Anderson, KE, Glunz, C., Brown, M., Loeb, Kl, Katzman, DK, kunye neLe Grange, DL (2013). Ukuqaliswa kwemitha kwi-anorexia nervosa ngethuba lokunikwa kwintsapho-unyango, iNgcaciso yokuXhatshazwa kokutya, 1 : 12.
> Kimmel, MC, Ferguson, EH, Zerwas, S., Bulik, CM kunye noMeltzer-Brody, S. (2015), iingxaki zokuzimela kunye neentsholongwane ezinxulumene nokuphazamiseka kokutya. I-International Journal Yokudliwayo Kwokutya .
> Mehler, P & MacKenzie, T. (2009). Unyango lwe-osteopenia kunye ne-osteoporosis kwi-anorexia nervosa: uhlalutyo oluchanekileyo lwencwadi. I-International Journal Yokukhathazeka kokutya, 42 (3): 195-201.
> Misra, M., Golden, NH kunye neKatzman, DK (2015), Uhlobo lwezobugcisa bokuhlaziywa kwezifo zethambo kwi-anorexia nervosa. I-International Journal Yokudliwayo Kwokutya.
> Robinson, E., Bachrach, L., Katzman, D (2000). Ukusetyenziswa kwe-hormone yonyango yokutshintsha indawo yokunciphisa umngcipheko we-osteopenia kumantombazana asetsheni kunye ne-anorexia nervosa, I- Journal ye-Health Adolescent, 26 (5): 343 - 348.