Iingqinisiso zokuxilonga kwi-Binge-Eating Disorder
Ukuxilwa kwesidlo sokugula (BED) yintlupheko yokutya eyenziwa ngo-2013 kwisiqulatho sesihlanu seNcwadana yokuHlola kunye neSatistim of Disabilities (DSM-5) . Nangona esanda kuqaphela njengengxaki ehlukileyo, yinto edlalelekileyo yokutya, ixhaphake ngakumbi kune- anorexia nervosa kunye ne- bulimia nervosa . Kulinganiselwa ukuba phakathi kwama -2 ekhulwini kunye ne-3.5 ekhulwini yabesifazane kunye ne-0.9 yeepesenti kunye ne-2.0 ekhulwini yabesilisa baya kuhlakulela ingxaki yokutya.
Phantse ama-40 ekhulwini abo banomdla wokutya ngokugqithiseleyo bangamadoda. I-BED iqala rhoqo ekupheleni kweentshumi okanye ezisekuqaleni kwe-20s, nangona kuye kwaxelwa kubantwana abancinci kunye nabantu abadala.
Ukuxilwa kwe-binge-yokutya kudla ngamanye amaxesha kunokuchasana nokutya, okungesiyo i-disord disorder disorder. Ngelixa inani elikhulu labantu abanomdla wokutya ngokugqithiseleyo bahlala kwiimpawu ezinkulu, i-BED ingafumaneka nakubantu abanesisindo esifanelekileyo. Njengoko abantu baninzi kakhulu kwaye banamafutha angenayo i-BED, kubalulekile ukuba ungadityanisi ukukhuluphala, okuyiyona ingxaki, kodwa isayizi yomzimba, ngokuxhalabisa ukutya.
Nangona abantu abaninzi banokucinga ngengxaki yokutya ngokugqithiseleyo njengengxaki engaphantsi kwe-anorexia nervosa okanye i-bulimia nervosa, inokuba nzima kakhulu, inokulimaza, nokuba isongela ubomi .
Iingqinisiso ze-Binge-Eating Disorder Diagnosis
Ukufumanisa ukuba utywala ukutya, kufuneka umntu abe neempawu ezilandelayo:
- Iziqwenga zokutya ngokutya okuthetha ukuba umntu udla isamba esikhulu sokutya ngexesha elithile. Ngethuba le siqendu baya kuziva ukuba bengakwazi ukulawula ukutya kwabo, kwaye abanakuyeka ukutya okanye ukulawula indlela abadla ngayo okanye nokuba badla ntoni.
- Ukuzila ukutya kuhlolwe iziganeko ezintathu (okanye ngaphezulu) kwezi zilandelayo:
- Ukutya ngokukhawuleza kunokuba kuqhelekileyo
- Ukutya kude kube nzima ngokugcwele
- Ukutya ukutya okuninzi nangona kungasweleki ngokwenyama
- Ukutya yodwa ngenxa yokuhlazeka ngokutya okungakanani
- Uziva udidekile, uzixinezele okanye unetyala emva koko
- Ukutya ukutya kukubangela uxinzelelo kwaye kubakho ubuncinane kanye ngeveki kwiinyanga ezintathu.
- Ukwahlula okonahlukileyo ukuhlukana kwentsholongwane yokutya evela ku- bulimia nervosa kukuba akukho zihlandlo eziphindaphindiweyo ezisetyenziselwa ukuphepha ukufumana ubunzima okanye ukuhlawula ukutya okudliwayo ekudleni ukuxilwa kwesifo. Ezi ziphatha zibizwa ngokuba " ziphatha ngokuhlawula " ngabaqeqeshi kwaye zingabandakanywa ukuhlanjululwa okanye ukukhawulelana ngokweqile kokungenisa, phakathi kwabanye. Iimpawu zokutya ezidliwayo azikwazi ukuvela kuphela ngexesha le-anorexia nervosa. Imizamo ephindaphindiweyo yokuyeka ukutya ukutya, okanye ukuzama ukuphindaphinda, ungabandakanyi umntu ovela kwisifo sokutya.
Ukuxolelwa kwi-Binge-Eating Disorder
I-DSM-V ibuye ivumele ukuba oogqirha bachaze ukuba umntu unokholo okanye ukuxolelwa ngokugcwele (ukuphucula) kwi-disorder-eating disorder. Ubunzima, ngokusekelwe kwixesha eliqhelekileyo lokuzidla ngokutya, ziyakuchazwa kwakhona:
- Ubumnene: 1 ukuya kwi-3 iziqendu nganye ngeveki
- I-moderate: 4 ukuya kwi-7 iziqendu nganye ngeveki
- Ikhulu: 8 ukuya kwi-13 iziqendu nganye ngeveki
- Okudlulileyo: 14 okanye ngaphezulu iziqephu nganye ngeveki
Kungakhathaliseki ukuba kaninzi kangakanani, ukuba wena okanye umntu owaziyo unenkathazo yokutya okanye ukunyanzela ukutya, kubalulekile ukubona ugqirha, udokotela wezilwanyana okanye umqeqeshi wezempilo yengqondo ekuhloleni.
Unyango luyafumaneka kwaye ukubuyiswa kunokwenzeka.
Iingxaki zokuTya lokuTya
Iziganeko ezininzi zokutya okudliwayo ziye zabikwa kubantu abanomdla wokutya. Ezi ziquka ukuziva ungonwabi, uxhalabile okanye uneminye imizwa ephazamisayo, ngokukodwa ngomzimba, umzimba, okanye ngokutya. Ngamanye amaxesha, abantu bayabangela ukuba badle xa bethuka. Ukutya ngokutya ngexesha okanye emva kweengxaki kwiintsebenziswano eziqhelekileyo nazo ziqhelekileyo. Abantu abaninzi abanomdla wokuzila ukutya bafumana ukunyaniseka kokunyusa okungabangela ukwanda kokutya.
Ezi zizathu zengqondo ezibangelwa ukulawulwa, ukuziphatha okugqithisileyo kukunye ukufana phakathi kwesifo sokutya nokuphazamiseka kwezidakamizwa.
Abantu abahlakulela ukulahlwa kotywala kunye neziyobisi bafumana umnqweno wokusela okanye ukusebenzisa iziyobisi kakhulu xa zibangelwa yimvakalelo engathandekiyo, njengokuxinezeleka kunye nokuxhalaba, kunye nokuba bafumana ubunzima ebuhlotsheni babo nabanye, okanye xa ba xhwabile.
Unyango lwe-Binge Eating Disorder
Unyango lweengxaki zokutya okudliwayo zibandakanya amayeza kunye neengqondo zengqondo, ezifana nokunyangwa kwengqondo-yokuziphatha . Sebenza nogqirha wakho ukufumana unyango olungileyo.
> Imithombo:
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> Fischer, Sophia; Meyer, Andrea H .; Dremmel, uDaniela; Schlup, uBarbara; Munsch, uSimone. Ukunyanga-ngxaki yokuziphatha kwe-Binge Eating Disorder: Ixesha elide lokusebenza kunye nokuqikelela kwempumelelo yonyango lwexesha elide.Uphando lwezoPhando kunye noPhepha, iVol 58, Julayi, 2014 iphe. 36-42.
> IGrilo, uCarlos M. White, uMarney A. Masheb, uRobin M. Gueorguieva, uRalitza Ukuqikelela iziphumo eziPhambili kwiMithi kunye noNcedo lokuNcedisa ukuNyulwa kweBinge-Eating Primary Care: Ukubaluleka kokuphendula ngokukhawuleza. I-Psychology, uJan 26, 2015.
> Hudson JI, uHiripi E, uPapa HG Jr, kunye noKessler RC. (2007). Ukuxhaphaka kunye ne-correlates yokuphazamiseka kokutya kwi-National Comorbidity Survey Replication. I-Biological Psychiatry, 61 (3): 348-58. i-doi: 10.1016 / j.biopsych.2006.03.040.
> Stice E & Bohon C. (2012). Iingxaki zokutya. Kwi-Child and Adolescent Psychopathology, Edition 2, Theodore Beauchaine & Stephen Linshaw, eds. ENew York: iWiley.