He aha te Bulimia? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te bulimia nervosa he mate kai e kai ana koe i te nui o te kai i roto i ngā wā poto, ka ngana ka whakakore i ngā calorie mā te ruaki, ngā rongoā whakahaere i te whakaheke, te whakakorikori nui rānei. Ka taea e tēnei huringa te āhua whakawehi me te kore mana, engari ehara koe i te kotahi anake i roto i tēnei whawhai.

Kāore i rite ki ētahi atu mate kai, ka pupuri tonu te hunga e pangia ana e te bulimia i te taumaha noa, ka uaua ai te kite i te āhuatanga. Ko te āhua ngaro o te bulimia, he tokomaha ngā tāngata e mamae ana i te wahangu mō ngā tau i mua i te tiki āwhina.

He aha ngā tohu o te bulimia?

Ka taka ngā tohu o te bulimia ki ngā āhuatanga whanonga me ngā tohu tinana e whanake ana i te wā. Ko te āhuatanga matua ko te huringa o te kai nui e whai ana i ngā whanonga whakakore hei aukati i te piki o te taumaha.

Ko ēnei ngā tohu whanonga matua ka kite pea koe:

• Te kai i te nui o te kai i roto i ngā wā poto (i roto i ngā haora e rua)
• Te āhua kore mana i roto i ēnei wā kai
• Te ruaki i muri i te kai, i te ngaro
• Te whakamahi i ngā rongoā whakahaere i te whakaheke, ngā diuretics, ngā rongoā kai rānei
• Te whakakorikori nui hei 'whakakore' i ngā calorie
• Te karo i ngā āhuatanga pāpori e pā ana ki te kai
• Te huna i te kai, te mārama rānei o te kai
• Ngā haerenga maha ki te ruuma i muri i ngā kai

Ka taea hoki e tō tinana te whakaatu i ngā tohu tinana mai i ngā whanonga whakakore. Ka taea e ēnei tohu te ngaro i te tīmatanga, engari ka kitea ake i te wā.

Ko ngā tohu tinana e whakaatu pinei:

• Ngā paparinga pupū, te wahi kauae rānei mai i te ruaki maha
• Ngā raruraru niho penei i te pirau o ngā niho, te pakaru rānei o te enamel
• Te mamae o te korokoro, te reo ngākau rānei
• Te ngakau mumura, te reflux waikawa rānei
• Ngā kotinga, ngā wahi mārō rānei i runga i ngā pūngāwerewere mai i te whakatenatena i te ruaki
• Te maroke me ngā koretake o te electrolyte
• Ngā wā marama koretake
• Te ngenge roa, te ngoikore rānei

Ka rereke haere te āhua o ēnei tohu mai i te tangata ki te tangata. Ka āwangawanga etahi i ngā pānga tinana nui i te tere, ā, ko ētahi atu pea ka whai tohu ngāwari noa iho mō ngā tau.

He aha ngā momo o te bulimia?

E rua ngā momo matua o te bulimia e mohiotia ana e ngā kaimahi hauora hinengaro, e whakaū ana i te āhua o te ngana a te tangata ki te whakakore i ngā wāhanga kai nui. Mā te mārama ki ēnei wehenga ka āwhina ngā tākua ki te whakatakoto i ngā mahere maimoatanga kairangi ake.

Ko te bulimia momo horoi e pā ana ki te whakamahi auau i te ruaki, i ngā rongoā whakahaere, i ngā diuretics, i ngā enemas rānei hei whakakore i te kai i muri i ngā wāhanga kai nui. Koinei te ahua tino noa o te bulimia e whakaaro ana te iwi ina rongo ratou i te kupu.

Ko te bulimia momo kore horoi e tikina ana e koe ētahi atu whāinga whakakore penei i te nohopuku mō ngā rā, i te whakakori nui rānei i muri i te kai nui. Kāo e ruaki auau ana koe, kāore rānei e whakamahi rongoā hei horoi i te kai i tō pūnaha.

Ka taea e ngā momo e rua te kino rite, ā, e hiahia ana ki te maimoatanga ngaio. Ka taea e ngā tūponotanga hauora me te pānga hinengaro te nui ahakoa tehea ngā whāinga whakakore e whakamahi ana koe.

He aha ngā take o te bulimia?

Ka whanake te bulimia mai i te whakaranu uaua o ngā take ira, hinengaro, me te hapori e mahi tahi ana. Kāore he take kotahi, ā, kāore rawa he he o tetahi tangata ina whanake tenei mate kai.

He maha ngā take ira ka taea te whakapiki i tō ngoikore ki te bulimia:

• Te hītori whānau o ngā mate kai, o ngā āhuatanga hauora hinengaro rānei
• Te tūāhua ira ki te manukanuka, ki te pouri rānei
• Ngā koretake o te matū o te roro e pā ana ki te ngākau me te mana whakahaere
• Ngā huringa homoni i te wā o te whānautanga, i ngā whakawhitiwhitinga nui o te ora rānei
• Te hītori o te kai kai, o te whakakore kai rānei e whakaroa ana i ngā tohu kai noa

Ka takaro auau ngā take hinengaro i tetahi wā nui i te whanaketanga o te bulimia. Ka taea e ēnei wheako o roto te hanga i te āhuatanga tino pai mō ngā tauira kai koretake ki te puta.

Ko ngā wāhanga tohutoro hinengaro noa e whai ake nei:

• He iti te whakaaro nui ki a koe ano, kāore rānei e pai te ahua o tō tinana
• Ngā āhuatanga whakaotinga rānei te hiahia ki te whakahaere
• He hītori o te mōrehu, te tukino, te whakaraerae rānei
• Te manukanuka, te pouri, ngā āhuatanga hauora hinengaro rānei
• Te uaua ki te whakahaere i ngā kare āroha, te ahotea rānei
• Ngā pūkenga whakautu iti mō ngā wero o te ora

Ka taea hoki e ngā take pāpori me te taiao te whakaoho, te whakaiti rānei i ngā tohu o te bulimia. Ko ngā karere a to tātou ahurea e pā ana ki te kai, te taumaha, me te ahua ka tino kino ki ngā tangata ngoikore.

Ko ngā āhuatanga o te taiao e whai ake nei:

• Te pehanga ahurea kia angiangi, kia tutuki rānei ngā paerewa tinana kaore e tutuki
• Te whai wāhi ki ngā mahi e whakanui ana i te taumaha, te ahua rānei (penei i te mahi kaiwhakaatu, te tauira rānei)
• Ngā ahuatanga whānau e pā ana ki te kai, te taumaha, te ahua rānei
• Te pehanga o ngā hoa, te tukino rānei mō te rahi o te tinana
• Ngā ahotea nui o te ora, ngā huringa rānei
• Te whakaatu pāpāho pāpori ki ngā whakaahua tinana kaore e tutuki

Mā te mōhio ki ēnei take, ka taea e koe te mohio kē kaore te bulimia he whiringa, he hapa o te āhua. He āhuatanga hauora hinengaro nui tēnei e whanake ana ina huihui ngā take morearea maha.

Nōhea te haere ki te taote mō te bulimia?

Me tono awhina ngaio koe i te wa tonu e kite ai koe i ētahi tohu o te bulimia i roto i a koe, i tetahi tangata e arohaina ana e koe rānei. Ka taea e te whakauru wawe te aukati i ngā raruraru hauora nui, me te whakahaere ngāwari ake i te ora.

Rapua te tiaki hauora tūturu mena ka pāngia koe e ngā tohu tinana nui. E whakaatu ana ēnei tohu whakatūpato kei te whawhai tō tinana ki ngā pānga o te bulimia, me te hiahia ki te tiaki wawe.

Ngā āhuatanga āwangawanga:

• Te ngauwai nui me te māuiui, te ngaro ngākau rānei
• Te mamae o te uma, te ngākau rereke rānei
• Ngā koretake o te waikawa nui e pā ana ki te ngoikore o ngā uaua
• Te ruaki tonu kaore e mutu
• Ngā whakaaro ki te whakamomori, ki te whakamate rānei i a koe
• Te mamae o ngā niho nui, te ngaro rānei o ngā niho i te ruaki maha

Kāore e tika te tatari kia puta he raruraru kia rapu awhina ai. Whakapa atu ki te kaiwhakarato hauora mena kei te manukanuka koe mō ō āhuatanga kai, kei te pāngia rānei tō oranga o ia rā e ngā tohu o te bulimia.

Whakaarohia te whakarite i tetahi whakatau i te wā ka kite koe i ngā tauira haere tonu penei i te kai nui tonu e whai ake ana i te whakakī, ngā whakaaro ngākau nui mō te kai me te taumaha, te motu hapori rānei nā ngā whāinga kai. Ka taea e tō tākuta te aromatawai i tō āhuatanga me te hono atu ki ngā rauemi āwhina tika.

He aha ngā take tūponotanga mō te bulimia?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te bulimia, ahakoa te mea he take tūponotanga, ehara i te tikanga ka whanake koe i tēnei mate kai. Ka taea e te mōhiotanga ki ēnei take te āwhina i a koe ki te mohio i te wā ka hiahiatia pea te tautoko atu.

Ka whakaatu ngā take taupori ka pā te bulimia ki te iwi i runga i ngā rōpū rerekē. Ahakoa tetahi ka taea te whanake i te bulimia, ka puta mai ētahi tauira i te hunga tino ngoikore.

Ngā rōpū tūponotanga teitei:

• Ngā kōtiro taitamariki me ngā wāhine taitamariki (ahakoa ka taea e ngā tāne te whanake i te bulimia)
• Ngā tāngata e whai wāhi ana ki ngā mahi e arotahi ana ki te ahua penei i te kanikani, te mahi pūmau, te tauira rānei
• Ngā tāngata mai i ngā whānau he hītori mate kai
• Ngā hunga he ngākau tino pai, heitei rānei te pehanga o te angitu
• Ngā tāngata i wheako i te kai kai i te wā iti, i te whakahi i te taumaha rānei

Ka taea hoki e ngā take hītori whaiaro te whakapiki ake i te tūponotanga o te bulimia. Ka taea e ēnei wheako te whakapakari i a koe ki te whanake i ngā tauira kai koretake ina puta mai ētahi atu āwangawanga.

Ngā take tūponotanga nui:

• Hītori o te mamae tamariki, te tukino, te whakahawea rānei
• Ngā mate kai o mua, te kai kai roa rānei
• Ngā āhuatanga hauora hinengaro penei i te manukanuka, te pouri, te PTSD rānei
• Ngā raruraru whakamahi matū i roto i a koe, i roto rānei i ngā mema whānau
• Ngā whakawhitiwhitinga ora nui, ngā kaupapa āwangawanga rānei
• Te motu hapori, te uaua rānei ki te pupuri i ngā whānauhoa

Ahakoa he maha ngā take tūponotanga, ehara tena te tikanga ka puta tonu te bulimia. He tokomaha ngā tangata he take tūponotanga kei a rātou, kāore rawa e whāiti te mate kai, ā, ko ētahi atu he iti ngā tūponotanga e kitea ana, ka whawhai ki te bulimia.

He aha ngā raruraru pea o te bulimia?

Ka taea e te bulimia te whakaeke i ngā raruraru hauora nui puta noa i tō tinana ki te kore e whakaora. Ko te huringa ā-wā o te kai nui me te whakatauketuke ka tino pēhi i ngā pūnaha whekau maha i te wā roa.

Ko ngā raruraru o te pūnaha nakunaku tetahi o ngā pānga tino noa me te tino kino o te bulimia. Ko te ruaki maha me te whakamahinga o ngā rongoā whakaheke ka taea te whakarawe i tō ara nakunaku katoa mai i te waha ki ngā whekau.

Ko ngā raruraru nakunaku e tino kitea ana:

• Te whakaiti kino o ngā niho me te ngāwhā o te enamel mai i te waikawa o te kopu
• Te ngakau mumura roa me te mate reflux waikawa
• Ngā whekau waipiro pupū e whakaeke ana i te pupū o te mata
• Te kore kai roa mai i te whakamahinga kino o ngā rongoā whakaheke
• Ngā mate kopu, te gastritis rānei mai i te ruaki maha
• Ngā pakaru i te esophagus mai i te ruaki kaha

Ka taea hoki e tō ngakau me tō rere toto te whiwhi i te kino nui mai i ngā pānga o te bulimia ki te toenga matū o tō tinana. Ko ngā koretake o te electrolyte mai i ngā whāinga whakatauketuke ka taea te hanga i ngā raruraru ngakau e wehi ai te ora.

Ko ngā raruraru o te ngakau e āhei ana:

• Te tukituki ngakau koretake, te pupuhi ngakau rānei
• Te iti o te toto me ngā manawa ngāwari
• Te kino o te uaua ngakau mai i ngā koretake o te electrolyte
• Te piki o te tūponotanga o te mate ngakau, ina koa i ngā take kino
• Ngā raruraru toto toto mai i te maroke

Ka taea hoki te pānga o ētahi atu pūnaha tinana e te pānga o te bulimia ki te kai me te wai. Ka taea e ēnei raruraru te pānga ki tō mahi o ia rā me tō hauora roa.

Ko ētahi atu raruraru e whai ake nei:

• Ngā iwi wheka me te nui haere o te tūponotanga ki te whati iwi
• Te kino o te whatukuhu nā te maroke roa
• Te ngaro o te makawe me ngā marau pakaru nā te kore kai pai
• Ngā wā o te wā marama kāhore rānei e pēnei ana
• Te nui haere o te tūponotanga ki te manukanuka me te pouri
• Te motu whānau me ngā raruraru whānau

Ko te rongo pai, ka taea te whakapai ake rānei te whakakore i te nuinga o ēnei raruraru mā te rongoā tika me te ora. He kaha whakaora whakamiharo tōu tinana ina hoatu te wā.

Me pēhea te aukati i te bulimia?

Ahakoa kaore e taea e koe te aukati katoa i te bulimia, ka taea e ētahi rautaki te whakaiti i te tūponotanga me te whakatairanga i ngā whanaungatanga hauora ki te kai me te ahua o te tinana. Ko te aukati e arotahi ana ki te hanga i te uaua me te whakahaere i ngā take tūponotanga i mua i te arahi ki te kai koretake.

Ko te whanaketanga o ngā pūkenga whakahaere hauora i te tīmatanga ka tiaki i a koe kei tahuri ki ngā whāinga e pā ana ki te kai i ngā wā raruraru. Ko te ako ki te whakahaere i ngā kare-a-roto me te ahotea i ngā huarahi hua ka hanga i te turanga kaha mō te hauora hinengaro.

Ko ngā rautaki tiaki e whai ake nei:

• Te ako i ngā tikanga whakahaere ahotea hauora penei i te whakaaroaro rānei i te tuhituhi rangitaki
• Te hanga i ngā hononga whānau kaha me ngā pūnaha tautoko
• Te whanaketanga i ngā mahi whakangahau me ngā hiahia i tua atu o te ahua rānei o te taumaha
• Te mahi i te aroha ki a koe me ngā tauira whakaaro pono
• Te tiki i te awhina ngaio mō ngā take hauora hinengaro i te tīmatanga
• Te karo i te kai kai pakari rānei i ngā herenga kai nui

Ko te hanga i te taiao pai e pā ana ki te kai me te ahua o te tinana ka taea hoki te whakaiti i te tūponotanga o te bulimia. Kei roto i tēnei ngā whiringa whaiaro me ngā huringa ahurea whānui i te āhua e kōrero ai tātou mō te taumaha me te ahua.

Ko te tiaki taiao e whai ake nei:

• Te whakaiti i te whakakitenga ki ngā karere o te ahurea kai me ngā whakaahua tinana kīhai i te pono
• Te kōwhiri i ngā mahi e whakanui ana i te mea ka taea e tō tinana te mahi, ehara i te āhua anake
• Te whakapapa atu ki ngā tāngata e tautoko ana i te rerekētanga o te tinana
• Te ako mō ngā huringa tinana noa i ngā wāhanga oranga rerekē
• Te rapu awhina ngaio i ngā tohu tuatahi o te kai raru

Ki te maha ngā take tūponotanga mō te bulimia, whakaarohia te mahi tahi me tetahi tohunga hauora hinengaro hei aukati. Ka taea e rātou te āwhina i a koe ki te whakawhanake i ngā rautaki whaiaro mō te pupuri i te whānau hauora me te kai me tō tinana.

Pehea te whakatau i te bulimia?

Ko te whakatau i te bulimia ko te aromatawai whānui e tetahi tohunga hauora hinengaro whai pūkenga, rānei te taote e whai wheako ana i ngā mate kai. Kāhore he whakamātautau kotahi mō te bulimia, na reira ko te whakatau ka whakawhirinaki ki te aromatawai ata whai kiko o ō tohu me ō whāinga.

Ka tīmata tō kaiwhakarato hauora ki te uiui taipitopito mō ō tauira kai, ngā whakaaro mō te kai me te taumaha, me ngā whāinga horoi katoa. Ka ui anō rātou mō tō hītori hauora, hauora hinengaro, me te papamuri whānau.

Ko te tukanga whakatau i te nuinga o te wā e whakauru ana:

• Ngā pātai taipitopito mō ngā wāhanga kai nui me te auau
• Te aromatawai i ngā whāinga utu nui penei i te ruaki, i te whakamahinga rānei o ngā rongoā whakaheke
• Te aromatawai i ngā whakaaro me ngā ngākau mō te taumaha tinana me te āhua
• Te arotake i ngā tohu hauora me ngā raruraru tinana
• Te tātaritanga hauora hinengaro mō te pouri, te manukanuka, i ētahi atu āhuatanga rānei
• Te hītori whānau o ngā mate kai, i ngā take hauora hinengaro rānei

Ko te whakamātautau tinana me ngā whakamātautau hauora ka āwhina i te kimi i ngā raruraru hauora mai i te bulimia. Me mōhio tō taote ki te āhua o te pānga o te mate kai ki tō tinana kia waiho ai te mahere maimoatanga pai.

Ko te aromatawai hauora i te nuinga o te wā e whakauru ana:

• Arotake tinana hei tirotiro i ngā tohu o te whakahaerenga kai rānei te whakaheke kai
• Ngā whakamātau toto hei tirotiro i ngā taumata o ngā hiko-waikura me te mahi o ngā kōpū
• Te whakamātau i te ngākau hei aromatawai i ngā āwangawanga koretake
• Te whakamātau niho hei aromatawai i te pakaru o ngā niho
• Te whakamātau i te mātotorutanga wheua mēnā he roa te whakaheke kai

Ka whakakorekore hoki tō tākuta i ētahi atu āhuatanga hauora ka pāngia e ngā tohu rite. Ka taea e ētahi mate tinana te whakaeke i te ruaki maha, i ngā huringa kai rānei ka raru pea ki te bulimia.

He aha te rongoā mō te bulimia?

Ko te rongoā bulimia te nuinga o te wā he mahi whānau e whakauru ana i te whakaora hinengaro, te tirotiro hauora, ā, i etahi wā te rongoā. Ko te whāinga ko te āwhina i a koe ki te whakawhanake i te whanaungatanga hauora ki te kai me te whakatika i ngā take ngakau.

Ko te whakaora hinengaro te pūtake o te rongoā bulimia. He maha ngā momo whakaora kua whai hua ki te āwhina i te iwi ki te ora mai i tēnei mate kai, ā, ki te pupuri i te oranga pai mo te wā roa.

Ko ngā huarahi whakaora whai hua e whai ake nei:

• Te Whakaora Aronganui Whāinga (CBT) hei whakarereke i ngā whakaaro kino mō te kai me te ahua o te tinana
• Te Whakaora Aronganui Rōpū (DBT) hei whakawhanake i ngā pūkenga whakahaere kare-a-roto pai ake
• Te Whakaora Whānau mō ngā taitamariki e whakauru ana i ngā mātua ki te ora
• Te Whakaora Whakawhitiwhiti e arotahi ana ki ngā tauira whanaungatanga ka pāngia pea e ngā tohu
• Te whakaora rōpū e whakarato ana i te tautoko hoa me ngā rautaki whakahaere e tutaki ana

Ka whakarite te tirotiro hauora kia pumau tō hauora tinana i te wā e ora ana. Ka aroturuki tō rōpū hauora i ngā tohu nui, ngā uara taiwhanga, me te tūāhua hauora katoa i te wā o te rongoā.

Ko te tiaki hauora te nuinga o te wā e whakauru ana i:

• Whārangi tirotiro tūturu hei aroturuki i te auau o te ngākau me te toto toto
• Whakamātau toto hei aroturuki i te toenga o te waikawa me te mahi o ngā kōpū
• Tohutohu kai hei whakahoki i ngā tikanga kai hauora
• Rongoā niho hei whakatika i te kino o ngā niho mai i te ruaki maha
• Te rongoā i ngā raruraru hauora mai i te bulimia

Ka taea te awhina o te rongoā ki ētahi tāngata e pangia ana e te bulimia, inā koa ka haere tahi te pouri, te manukanuka rānei me te mate kai. Kua whakaatuhia te whakamahinga o ngā rongoā anti-depressant hei whakaiti i ngā wāhanga kai nui me te whakaheke.

Ko ngā rongoā noa ko ngā kaihoroi serotonin reuptake (SSRIs) penei i te fluoxetine, kua whakaaetia motuhake mō te maimoatanga bulimia. Ka kōrero tō tākuta mēnā he pai te rongoā mō tō āhuatanga motuhake.

Me pēhea te whakahaere i te bulimia i te kāinga i te wā e maimoatia ana?

Me hono tonu te whakahaere o te kāinga o te bulimia ki te maimoatanga ngaio, kaua rawa e whakakapi. Ka tautoko ēnei rautaki i tō mahi whakaora, ā, ka āwhina i a koe ki te pupuri i te ahunga whakamua i waenga i ngā hui whakaora.

Ka taea te awhina o te hanganga hanga huri noa i ngā kai ki te whakaiti i te raruraru e ngāwari ana te kai i te wā e pangia ana koe e te bulimia. Ko te wā kai tūturu me te kai tōtika e tautoko ana i te whakaora tinana me te hinengaro.

Ko ētahi rautaki kai whai hua ko:

• Te kai i ngā kai me ngā kai iti i ngā wā tuturu i ia rā
• Te whakarite i ngā kai i mua kia whakaitihia te manukanuka mō ngā kōwhiringa kai
• Te kai tahi me ngā mema whānau tautoko, me ngā hoa rānei ki te taea
• Te karo i te pupuri i ngā kai whakaohooho e āhei ana ki te whakaohooho i ngā wāhanga kai nui
• Te noho makuku me te wai i te rā katoa
• Te mahi tahi me te kaiwhakaako kai rehitatia hei whakawhanake i ngā mahere kai

Ka taea te awhina o te whakawhanake i ngā pūkenga whakahaere hauora ki te whakahaere i ngā kare-a-roto kaore e huri ki ngā whāinga bulimia. Ka hoatu ēnei huarahi whakakapinga ki a koe ngā huarahi hanganga hei whakahaere i te ahotea, te manukanuka rānei, i ētahi atu kare-a-roto uaua rānei.

Ko ētahi rautaki whakahaere whai hua ko:

• Te whakamahi i te hā o te manawa hohonu, te whakaaroaro rānei ina hiahia koe ki te kai nui, ki te whakahoki rānei
• Te pupuri i te pukapuka tūtohi hei whakatau i ngā mea whakaohooho o ngā tohu
• Te whakauru ki ngā mahi tinana ngawari penei i te hikoi, te yoga rānei
• Te karanga atu ki tētahi hoa tautoko, ki tētahi mema whānau rānei ina raruraru
• Te whakamahi i ngā huarahi auaha penei i te toi, te waiata, te tuhituhi rānei hei whakaatu i ngā kare-a-roto
• Te whai i te kaupapa moe noa hei tautoko i te whakahaere i ngā kare-a-roto

Kia mahara ehara te ora i te mea tika, ā, ehara ngā whakahekenga i te kore angitu. Kia manawanui ki a koe ano, kia mau tonu te hononga ki tō rōpū maimoatanga i te katoa o te tukanga.

Me pēhea te whakarite mō tō whakatau atu ki te taote?

Ko te whakarite mō tō whakatau atu ki te taote mō te bulimia ka āhei te awhina i a koe ki te whiwhi i te hua nui rawa atu i tō haerenga, ā, kia whakarite ai koe ka whiwhi koe i te tiaki tika. He mea nui te pono me te tino tika ki tō kaiwhakarato hauora mō te tautuhi me te maimoatanga tika.

I mua i tō whakatau atu, whakapau wā ki te aroturuki i ō tohu me ngā tauira kai. Ka āhei tēnei mōhiohio ki te taote ki te mārama ki te kaha me te auau o ō ngā whāinga bulimia.

Ko ngā mōhiohio whai hua hei kohikohi:

• Te auau o ngā wāhanga kai nui i roto i te marama kua pahure
• Ngā momo me te auau o ngā whāinga whakakapi (te ruaki, ngā rongoā whakaheke, te whakakori tinana)
• Tetahi tohu tinana kua kite koe penei i ngā raruraru niho, te ngenge rānei
• Ngā rongoā, ngā taapiri, ngā hua rongoā-kore rānei e whakamahi ana koe i tēnei wā
• Te hītori whānau o ngā mate kai, o ngā āhuatanga hauora hinengaro rānei
• Rārangi o ngā pūrongo, o ngā āwangawanga rānei e hiahia ana koe ki te kōrero

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei ki tō whakatau atu mena ka pai koe ki te mahi pērā. Ka āhei te tautoko ki te awhina i a koe ki te mahara ki ngā mōhiohio nui, ā, kia iti ake te manukanuka i te wā o te haerenga.

I te wā o te whakawhitiwhiti kōrero, kia tika te kōrero mō ō tou tohu, ahakoa ka whakama koe. Kua kite te taakuta i ēnei take i mua, e kore hoki e whakahe ki a koe. Ko te nui o ngā korero tika e hoatu ana e koe, ka nui ake te āwhina ka taea e rātou ki a koe.

Kaua e whakaroa ki te uiui i ngā mea kaore koe e mōhio, tae atu ki te whakatau, ngā huarahi whakaora, te aha rānei e tumanakohia ana i te wā o te ora. Ko tēnei te wā mōu ki te tiki i ngā korero me te tautoko e hiahia ana koe.

He aha te mea nui e pā ana ki te bulimia?

He mate kai nui, engari ka taea te whakaora te bulimia, e pā ana ki te miriona o te iwi puta noa te ao. Ko te mea nui rawa atu hei mārama ko te ora tonu ka taea ki te whakaora ngaio tika me te tautoko.

Ehara tenei āhuatanga i te whiringa, te ngoikoretanga o te ahua, te tohu ranei o te ngoikore. Ka puta mai te bulimia i te huinga uaua o ngā take whānau, hinengaro, me te hapori e huihui ana i roto i ngā tangata ngoikore.

Ka pai ake ngā hua o te whakauru wawe, na kaua e tatari ki te rapu awhina mena kei te whawhai koe ki ngā tohu bulimia. Ka taea e tō kaiwhakarato hauora te hono atu ki a koe ki te maimoatanga mate kai motuhake e whakahaere ana i ngā āhuatanga tinana me ngā āhuatanga wairua o tēnei āhuatanga.

Ka roa te whakaora me te manawanui, engari kua angitu te tokomaha o te iwi ki te wikitoria i te bulimia, a kua ora tonu, ora hauora. Ma te pūnaha tautoko tika me te huarahi whakaora, ka taea e koe te whakawhanake i te whanaungatanga ata noho ki te kai me tō tinana.

Ngā pūrongo e uiui pinepinetia ana e pā ana ki te bulimia

Ka taea te bulimia me te pupuri tonu i te taumaha noa?

Ae, he tokomaha ngā tāngata e mate ana i te bulimia e pupuri ana i te taumaha noa, kei te taumaha rawa rānei, e āhei ai te kitenga o te āhuatanga i te mate kai atu. Kāore te huringa kai nui-whakaheke i te hua tonu ki te ngaro nui o te taumaha, na te mea kāore ngā tikanga whakaheke i te whai hua katoa ki te whakakore i ngā kalori.

Koinei tetahi take e kore ai e kitea te mate kai ngaungaunau mō ngā tau maha. Arā, e kore pea ngā whānau me ngā hoa e mōhio kei te whawhai tetahi, nā te mea kāhore rātou e "kite" he mate kai kei a rātou.

He nui ake te kino o te mate kai ngaungaunau i ētahi atu mate kai?

He mate kino katoa ngā mate kai, ā, e taea te kī he rite tonu te kino o te mate kai ngaungaunau ki te anorexia, ki ētahi atu rātou. Ko ngā mahi horoi tūāitia o te mate kai ngaungaunau ka taea te whakaeke i ngā uaua hāora e pā ana ki te mahi o te ngākau, ā, e taea te mate.

Ko te rerekētanga matua ko ngā raruraru hauora o te mate kai ngaungaunau pea kāhore e kitea i te tīmatanga, ā, ka taea te whakaroa i te āhua kia rapu tetahi i te rongoā. Heoi, ko ngā pānga hauora roa ka rite tonu te kino.

E hia te roa o te ora ake i te mate kai ngaungaunau?

He rerekē te roa o te ora ake mō ia tangata, kei runga i ngā take penei i te roa o tō mate kai ngaungaunau, te kaha o ngā tohu, me te tere o tō whakautu ki te rongoā. Ka kite ētahi i te whakapainga i roto i ngā marama, engari pea ka hiahia ētahi atu ki ngā tau maha o te tautoko tonu.

Ko te mea nui kia mahara ko te ora ake he tukanga, ehara i te tūāwhiti. He tokomaha tonu te mahi tonu ki to rātou hononga ki te kai me te ahua o te tinana i o rātou oranga katoa, engari ka taea tonu e rātou te ora i ngā oranga whai hua, hauora.

Ka taea e ngā tāne te whiwhi i te mate kai ngaungaunau?

Ae, ka taea e ngā tāne te whiwhi i te mate kai ngaungaunau, ahakoa he iti ake te maha i ngā wāhine. Pea ka āhei ngā tāne e mate ana i te mate kai ngaungaunau ki ētahi atu wero, nā te mea ko ngā mate kai he "mate wāhine" te ahua, ā, ka taea te aukati i a rātou kei te rapu awhina.

He tino tūmanako ngā tāne ki te hanga uaua i te ngaro taumaha, ā, pea ka puta hei mahi whakakori nui atu i ngā mahi horoi tuku iho. Heoi, ko ngā āhuatanga matua o te mate kai ngaungaunau he rite tonu ahakoa te ira tangata.

Me aha ahau mēnā e whakaaro ana ahau kei te mate kai ngaungaunau tētahi hoa?

Whakawhāititia tō hoa me te aroha, ā, kaua e whakahe, kei whakatupu whawhai rātou mō ō rātou tikanga kai. Whakaatuhia ō manukanuka mā te whakamahi i ngā kōrero ‘au’ penei i te ‘Kua kite ahau kei te pēhia koe i te wā kai’ kaua e whakapae.

Whakatenatena rātou kia kōrero ki tētahi kaiwhakarato hauora, ki tētahi kaiāwhina rānei, ā, āwhina rātou ki te kimi rauemi, ā, haere tahi atu rānei ki te whakarite whakatau. Kia mahara kaore e taea e koe te whakakī i tetahi ki te rongoā, engari ka taea e tō tautoko te whakarereke nui ki ō rātou hiahia ki te rapu awhina.