Bulimia

Bulimia chirwere chekudya umo munhu anogara aine zvikamu zvenguva yekudya huwandu hwakawanda kwazvo hwechikafu (kubhawa) panguva iyo munhu anonzwa kurasikirwa kwekutonga pakudya. Munhu wacho anobva ashandisa nzira dzakasiyana, dzakadai sekurutsa kana laxatives (purging), kudzivirira kuwedzera uremu.

Vanhu vazhinji vane bulimia zvakare vane anorexia.

Vazhinji vakadzi kupfuura varume vane bulimia. Dambudziko iri rakajairika muvasikana vachiri kuyaruka uye vakadzi vadiki. Munhu wacho anowanzoziva kuti maitiro ake ekudya haana kujairika. Anogona kunzwa kutya kana mhosva nemabinge-purge episodes.

Icho chaicho chinokonzera bulimia hachizivikanwe. Majini, epfungwa, mhuri, nzanga, kana tsika zvinhu zvinogona kutora chinzvimbo. Bulimia inogona kunge yakakonzerwa nezvinopfuura chimwe chinhu.

Nebulimia, kudya mabheji kunogona kuitika kazhinji kazhinji kakati wandei pazuva kwemwedzi yakawanda. Munhu wacho anowanzodya huwandu hwakawanda hwezvakanyanya-koriori chikafu, kazhinji muchivande. Pakati pezvikamu izvi, munhu anonzwa kushomeka kwekutonga pane kudya.

Mabhini anotungamira mukuzvisema, izvo zvinoita kuti kuchenesa kudzivirira kuwedzera uremu. Kuchenesa kunogona kusanganisira:

• Kumanikidza iwe kurutsa
• Kunyanyisa kurovedza muviri
• Kushandisa laxatives, enemas, kana diuretics (mapiritsi emvura)

Kuchenesa kazhinji kunounza pfungwa yekusununguka.

Vanhu vane bulimia vanowanzove pahuremu hwakajairika, asi vanogona kuzviona sevanoremerwa. Nekuti huremu hwemunhu hunowanzoitika, vamwe vanhu vanogona kusazviona kusagadzikana kwekudya.

Zviratidzo izvo vamwe vanhu vanogona kuona zvinosanganisira:

• Kutora nguva yakawanda uchirovedza muviri
• Pakarepo kudya chikafu chakakura kana kutenga huwandu hwakawanda hwechikafu hunonyangarika ipapo ipapo
• Kugara uchienda kuchimbuzi mushure mekudya
• Kurasa mapakeji emashambadziro, mapiritsi edhayeti, emetiki (zvinodhaka zvinokonzeresa kurutsa), kana diuretics

Kuongororwa kwemazino kunogona kuratidza kutsemuka kana hutachiona hutachiona (senge gingivitis). Iyo enamel yemazino inogona kusakara kana kubvaruka nekuda kwekuwandisa kwakanyanya kune iyo acid mumarutsi.

Kuongorora kwepanyama kunogona zvakare kuratidza:

• Yakaputsika mitsipa yeropa mumaziso (kubva padambudziko rekurutsa)
• Muromo wakaoma
• Homwe-yakaita kutarisa kumatama
• Mapundu nemapundu
• Kudimburwa kudiki uye kufona pamusoro pemusoro wezvibatanidzo zvemunwe kubva kumanikidza wega kurutsa

Ropa bvunzo dzinogona kuratidza kusaenzana kwe electrolyte (senge yakaderera potassium level) kana kupera mvura.

Vanhu vane bulimia havawanzo kuenda kuchipatara, kunze kwekunge ivo:

• Iva neanorexia
• Iva nekuora mwoyo kukuru
• Vanoda mishonga inovabatsira kurega kuchenesa

Kazhinji kazhinji, nzira yekutsika inoshandiswa kurapa bulimia. Kurapa kunoenderana nekuti yakanyanya sei bulimia, uye mhinduro yemunhu kumarapirwo:

• Mapoka ekutsigira anogona kubatsira kune nyoro bulimia pasina mamwe matambudziko ehutano.
• Counselling, senge yekurapa kwekutaura uye kurapa kwekuvaka muviri ndiyo yekurapa kwekutanga kwebulimia isingapindure kumapoka ekutsigira.
• Mishonga inobatawo kushushikana, inozivikanwa sekusarudza serotonin-reuptake inhibitors (SSRIs) inowanzo shandiswa kubulimia. Kubatanidza kurapa kwekutaura neSSRIs kunogona kubatsira, kana hurukuro yekurapa yega isingashande.

Vanhu vanogona kusiya mapurogiramu kana vaine tarisiro dzisiri dzechokwadi dzeku "kurapwa" nachiremba chete. Chirongwa chisati chatanga, vanhu vanofanirwa kuziva kuti:

• Marapirwo akasiyana anogona kunge achidikanwa kubata chirwere ichi.
• Zvakajairika kuti bulimia idzoke (kudzokazve), uye ichi hachisi chikonzero chekuora mwoyo.
• Maitiro acho anorwadza, uye munhu uye mhuri yake vachada kushanda nesimba.

Kushungurudzika kwekurwara kunogona kurerutswa nekujoinha boka rekutsigira. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Bulimia chirwere chenguva refu. Vanhu vazhinji vacharamba vaine zvimwe zviratidzo, kunyangwe nekurapwa.

Vanhu vane matambudziko mashoma ekurapa ebulimia uye avo vanoda uye vanokwanisa kutora chikamu mune yekurapa vane mukana wakanaka wekupora.

Bulimia inogona kuva nengozi. Iyo inogona kutungamira kumatambudziko akakomba ehutano nekufamba kwenguva. Semuenzaniso, kurutsa kakawanda kunogona kukonzera:

• Dumbu asidi mukati medu (iyo chubhu inofambisa chikafu kubva pamuromo kuenda mudumbu). Izvi zvinogona kutungamira mukukuvara kusingaperi kwenzvimbo ino.
• Misodzi mugurokuro.
• Mazino mhango.
• Kuzvimba kwehuro.

Kurutsa uye kunyanyisa kushandisa enemas kana laxatives kunogona kutungamira ku:

• Muviri wako usina kana mvura yakawanda uye furuu sezvainofanirwa
• Iyo yakaderera mwero we potassium muropa, izvo zvinogona kutungamira kumatambudziko emoyo mutinhimira matambudziko
• Zvigaro zvakaoma kana kupatirwa
• Mamota
• Kukuvadza kwepancreas

Dana kuti usangane nemupi wako wezvehutano kana iwe kana mwana wako aine zviratidzo zvekusadya chirwere.

Bulimia nervosa; Binge-purge maitiro; Kudya kusagadzikana - bulimia

• Kumusoro mudumbu system

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Tanofsky-Kraff M. Kunetseka kwekudya. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 206.

Thomas JJ, Mickley DW, Derenne JL, Klibanski A, Murray HB, Eddy KT. Dambudziko rekudya: kuongorora uye manejimendi. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits. 37.