Xa kudla ukuphazamiseka komntu kunye nomda wobunqamle
Ukuphazamiseka kokutya kunye nokuphazamiseka komntu ongenamkhawulo (BPD) rhoqo rhoqo, kodwa kude kube kutshanje, kuncinci kakhulu kwaziwa malunga nobuhlobo phakathi kwababini. Uphando olutsha luchaza indlela i-BPD kunye neengxaki zokutya eziye zenzeka ngayo, kutheni zingadibana kunye nendlela yokuphatha ezi zimbini iintlungu xa zenzekile.
Ziziphi iingxaki zokutya?
Iziphazamiso zokutya ziyizifo zengqondo ezijongene neengxaki ezinzima zokuziphatha kokutya.
I- Manual Diagnostic and Statistical of Mental Disorders, i-Fourth Edition (DSM-IV) , isikhokelo esisisigxina sokuxilongwa kweengxaki zengqondo ezisetyenziswe ngababoneleli bempilo yengqondo, iyaziqonda iintlobo ezimbini zezidlo zokutya: i-anorexia nervosa kunye ne-bulimia nervosa.
Anorexia Nervosa kunye noBulimia Nervosa
Inxalenye ephambili ye-anorexia nervosa yenqaba ukugcina ubunzima bomzimba obuqhelekileyo (ubunzima bomzimba ngaphezu kwama-85 ekhulwini alindelekileyo kumntu ngamnye nobude bakhe).
Ngokwahlukileyo, into ebalulekileyo ye-bulimia nervosa kukukho kokutya okudliwayo, kulandelwa ziziphathamandla ezizama ukuhlawula ukutya okudliwayo, njengokuhlanza okuzenzekelayo, ukusetyenziswa ngokugqithiseleyo kwelaxatives, ukuzivocavoca ngokweqile kunye nabanye.
Kukho ukungabikho kwempawu phakathi kwezi zimbini. Ngokomzekelo, umntu unokubandakanyeka ekudleni okuninzi kunye nokuhlanjululwa, kodwa ungakufuni ukugcina ubunzima bomzimba obuqhelekileyo.
Kule meko, umntu unokuthi ufumane i-anorexia nervosa, ukutya ukutya / ukuhlanjululwa.
Ukuphazamiseka kokutya kunye noBuntu obuPhezulu
Abantu abanokukhubazeka komntu ongenamkhawulo banokuxhaphaka ngakumbi kwezidlo zokutya kunabantu abasemaphandleni.
Ngokomzekelo, isifundo esicatshulwe ngokubanzi nguDkt. Mary Zanarini kunye noogxa lakhe kwisibhedlele saseMcLean safumanisa ukuba ama-53.8 ekhulwini kwizigulane ezineBPD nazo zadibana neendlela zokutya ezixilisayo (xa kuthelekiswa nama-24.6 ekhulwini kwezigulane ezinezinye izifo zobuntu).
Kule sifundo, ama-21.7 eepesenti zezigulane ezineBPD zidibana ne-anorexia nervosa kunye neephesenti ezingama-24.1 ze-bulimia nervosa.
Ngokuqinisekileyo, oku akuthethi ukuba abantu abaneengxaki zokutya kufuneka babe nomngcipheko wobuntu obumda. Enyanisweni, uninzi lwabantu abaneengxaki zokutya abanalo iBPD. Kubonakala ukuba izinga le-BPD kubantu abaneengxaki zokutya liphakanyisiwe xa kuthelekiswa noluntu jikelele (malunga nama-6 kuya kwe-11 ekhulwini, xa kuthelekiswa nama-2 kuya kwe-4 ekhulwini).
Ezinye izidlo ezidityanisiweyo zixhamene nomngcipheko ophezulu we-BPD kunabanye. Olunye uphando lufumene ukuba abantu abane-bulimia nervosa, uhlobo lokuhlanza lunokubakho mngcipheko omkhulu kwi-BPD (kunye neepesenti ezili-11 ezidibeneyo neentlanganiso ze-BPD) kunabantu abane-anorexia nervosa, uhlobo lokutya lokutya / ukuhlanza (kunye neepesenti ezi-4 zentlanganiso ye-BPD criteria).
Ukukhathazeka kokutya kunye noBuntu obuPhezulu obunxulumene njani?
Kutheni abantu abane-BPD kubonakala benokuphazamiseka kokutya kwizinga eliphezulu kakhulu kunabantu abemi? Iingcali ziye zaphawula ukuba enye inkcazo enokwenzeka kukuba i-BPD kunye neengxaki zokutya (ikakhulukazi i-bulimia nervosa) yabelana nomngcipheko ochaphazelekayo: Ezi zombini zidibene neembali zoxinzelelo lwabantwana , ezifana nokuphathwa kakubi ngokomzimba, ngokwesondo nangokomzwelo.
Kungenzeka kukuba ukuba neengxaki zengxaki yomntwana zibeka umngcipheko omkhulu kwi-BPD kunye nokuphazamiseka kokutya.
Ukongezelela, ezinye iingcali zicebise ukuba mhlawumbi ukuba iimpawu zeBPD zibeka umngcipheko wokuphuhlisa ingxaki yokutya. Ngokomzekelo, ukunyamezela okungapheliyo kunye nokukhuthaza ukuba uzilimaze kunokukhokelela umntu ukuba ahlanganyele ekuziphatheni kokutya okunengxaki, okungathi ngokuhamba kwexesha kufike kwinqanaba lokutya kwesifo. Ukuzibandakanya ekudleni ukuziphatha okuphazamisekileyo kunokukhokelela kumava oxinzelelo (umz., Ukuhlazeka okukhulu, ukunakekelwa kwezibhedlele, ukuphazamiseka kweentsapho) ezinokubangela ukuba i-BPD ibe nomntu obunobungozi bokuzalwa kwegazi .
Unyango lweZingxaki zokutya kunye noBuntu obuPhezulu
Yintoni enokuyenza malunga ne-BPD kunye ne-co-occurring disorders? Iindaba ezilungileyo kukuba kukho iindlela zonyango ezifumanekayo kwiintlobo zeemeko zombini. Nangona ezinye izifundo zibonise ukuba abantu abane-BPD abaphenduli kunye nokutya unyango lweengxaki, ezinye iingcali azifumani nantlukwano kwimpendulo yonyango phakathi kwabantu abaneengxaki zokutya kunye okanye ngaphandle kwe-BPD.
Yiyiphi ingxaki kufuneka iphathwe kuqala? Kungenzeka ukuba zombini ukuphazamiseka kwesifo kunye neempawu zeBPD zingaphathwa ngexesha elifanayo, kodwa oku kunokuthi kugqitywe kwiimeko ezithile ngamatyala. Ngokomzekelo, abanye abantu badla iimpawu zeengxaki eziyingozi kakhulu ngokukhawuleza zisongela ubomi. Kule meko, ukulaliswa esibhedlele kwimpawu zengxaki yokutya kunokufuneka ukuba unyango lweMpawu zeBPD ziqale. Ngenye indlela, kumntu onempawu ezinzima kakhulu ze-BPD ezinobungozi bokuphila okanye ezisongela ukunciphisa amandla abo okubandakanya unyango, iimpawu ze-BPD zingaphathwa kuqala.
Ukufumana Uncedo malunga neengxaki zokutya kunye ne-BPD
Ukuba ucinga ukuba (okanye umthandayo) unokuthi ube ne-BPD kunye / okanye ingxaki yokutya, isinyathelo sokuqala kukufumana umboneleli wezempilo yengqondo onokuyifumanisa kakuhle. Ukufumana ulwazi oluninzi malunga nokufumana unyango, khangela ezi nqaku:
Imithombo:
I-Godt K. Ukuphazamiseka kobuntu ngo-545 iziguli ezineengxaki zokutya. Ukuhlaziywa kweengxaki zokutya kweYurophu. 2008. 16: 94-99.
UPapa HG, u-Hudson JI. Ngaba ukuphazamiseka kokutya okuxhamle ne-Borderline Personality Disorder? Uhlolo oluBalulekileyo. I-International Journal Yokudliwayo Kwokutya. 1989. 8: 1-9.
Sansone RA, iSansone LA. Ubuthathaka Bantwana, Ubuntu Bomda, kunye Neengxaki zokutya: I-Cascade ephuhlisayo. Ukuphazamiseka kokutya: I-Journal Treatment & Prevention. 2007. 15: 333-346.
Zanarini MC, Frankenburg FR, uHennen J, Reich DB, uSilk KR. I-Axis I I-Comorbidity kwizigulane ezine-Disorder Personality Disorder: Ukulandelelwa Kwama-6-minyaka kunye nokubikezelwa kwexesha lokuKhutshwa. I-American Journal ye-Psychiatry. 2004. 161: 2108-2114.
Zeeck A, Birindelli E, Sandholz A, Joos A, Herzog T, Hartmann A. Isimpawu Sobunzima kunye Nonyango Inkqubo yezigulane zaseBulimic ezingenazo i-Borderline Personality Disorder. Ukuhlaziywa kweengxaki zokutya kweYurophu. 2007. 15 (6): 430-43.