Bulimia ni iki? Ibimenyetso, Intandaro, n'Umuti

Bulimia nervosa ni indwara yo kurya aho usubiramo ukarya ibiryo byinshi mu gihe gito, hanyuma ugerageza gukuraho calorie binyuze mu kuruka, imiti igogora, cyangwa imyitozo ngororamubiri myinshi. Uyu mzunguko ushobora kumva ukomeye kandi udashobora kugenzura, ariko nturi wenyine muri uru rugamba.

Bitandukanye n'izindi ndwara zo kurya, abantu barwaye bulimia bakunze kugira ibiro bisanzwe, ibyo bishobora gutuma iyi ndwara igoye kubona. Kuba bulimia ari ibanga bisobanura ko abantu benshi bababara mu mutima imyaka myinshi mbere yo kubona ubufasha.

Ibimenyetso bya bulimia ni ibihe?

Ibimenyetso bya bulimia bigabanuka mu myitwarire n'ibimenyetso by'umubiri bikura buhoro buhoro. Ikintu nyamukuru ni umuzunguko wo kurya cyane ukakurikirwa n'imyitwarire yo kugabanya ibiro kugira ngo wirinde kwiyongera kw'ibiro.

Dore ibimenyetso by'imyitwarire nyamukuru ushobora kubona:

• Kurya ibiryo byinshi mu gihe gito (akenshi mu masaha abiri)
• Kumva udashobora kugenzura ibyo kurya
• Kurukira nyuma yo kurya, akenshi mu ibanga
• Gukoresha imiti igogora, imiti y'amazi, cyangwa imiti igabanya ibiro buri gihe
• Gukora imyitozo ngororamubiri myinshi kugira ngo 'ukureho' calorie
• Kwima amateraniro rusange aho hari ibiryo
• Guhisha ibiryo cyangwa ibimenyetso byo kurya
• Kujya mu bwiherero kenshi nyuma yo kurya

Umubiri wawe ushobora kandi kugaragaza ibimenyetso by'umubiri biterwa no gusukura kenshi. Ibi bimenyetso bishobora kuba bito mu ntangiriro ariko bikaba byiyongera uko igihe gihita.

Ibimenyetso by'umubiri bikunze kuba:

• Amaso cyangwa umunwa byibutswe kubera kuruka kenshi
• Ibibazo by'amenyo nko kubora kw'amenyo cyangwa kwangirika kw'enamel
• Umuhogo ubabara cyangwa ijwi ridafite imbaraga
• Umuriro w'umutima cyangwa reflux ya acide kenshi
• Ibyago cyangwa ibibyimba ku ntoki kubera gutera kuruka
• Kuma kw'umubiri no kutagira ubusugire bw'amara
• Igihe cy'ukwezi kidahwitse
• Umunaniro ukabije cyangwa intege nke

Ibi bimenyetso bishobora gutandukana cyane ukurikije umuntu ku wundi. Bamwe bagira ingaruka zikomeye ku mubiri vuba, abandi bashobora kugira ibimenyetso bito mu myaka myinshi.

Ni iyihe mityo ya bulimia?

Abahanga mu buvuzi bw’ubuzima bwo mu mutwe bazi ubwoko bubiri nyamukuru bwa bulimia bushingiye ku buryo umuntu agerageza kwishyura ibyo kurya cyane. Gusobanukirwa itandukaniro ryabyo bifasha abaganga gutegura gahunda zivura zibereye.

Bulimia yo gukuraho ibiryo ikoresha kenshi kugarura ibyo kurya, imiti igabanya ububobere, imiti igabanya amazi, cyangwa imiti isukura mu nda kugira ngo ikureho ibiryo nyuma yo kurya cyane. Ni yo mityo ya bulimia ikunze kumenyekana iyo abantu bumvise iryo jambo.

Bulimia idakurwamo ibiryo bivuga ko ukoresha ubundi buryo bwo kwishyura nko gusiba iminsi cyangwa gukora imyitozo ngororamubiri cyane nyuma yo kurya cyane. Ntukagarura ibiryo cyangwa gukoresha imiti yo gukuraho ibiryo mu mubiri wawe.

Ubu bwoko bombi bushobora kuba bukomeye kandi busaba ubuvuzi bw’umwuga. Ibyago ku buzima n’ingaruka ku marangamutima bishobora kuba bikomeye bitari uko ukoresha uburyo bwo kwishyura.

Ni iki giteza bulimia?

Bulimia iterwa n’ivangura ry’ibintu byinshi by’umubiri, imitekerereze, n’imibanire bikorera hamwe. Nta kintu kimwe giteza, kandi nta n’umuntu n’umwe uba afite icyaha iyo iyi ndwara yo kurya itera.

Ibintu byinshi by’umubiri bishobora kongera uko uri mu kaga ko kurwara bulimia:

• Amateka y’umuryango w’indwara zo kurya cyangwa ibibazo byo mu mutwe
• Gutangira kwibasirwa n’umunaniro cyangwa agahinda
• Kudahuza neza kw’imisemburo mu bwonko bigira ingaruka ku mimerere n’ubushobozi bwo kwifata
• Guhinduka kw’imisemburo mu gihe cy’ubwangavu cyangwa impinduka zikomeye mu buzima
• Amateka yo kugabanya ibiryo cyangwa kubuzwa ibiryo bihungabanya ibimenyetso bisanzwe by’inzara

Ibintu byo mu mutwe bikunze kugira uruhare rukomeye mu iterambere rya bulimia. Ibyo byiyumvo byo imbere bishobora gutera ikibazo gikomeye cyo kudahuza neza imirire.

Ibitera ibibazo byo mu mutwe bikunze kuba:

• Ikizere gito cyangwa isura mbi y’umubiri
• Guhora ushaka ubutungane cyangwa gukunda kuyobora ibintu
• Amateka y’ibibazo bikomeye, ihohoterwa, cyangwa kwirengagizwa
• Ubwoba, agahinda, cyangwa izindi ndwara zo mu mutwe
• Gukora nabi mu gucunga amarangamutima cyangwa umunaniro
• Uburyo buke bwo guhangana n’ibibazo byo mu buzima

Ibintu byo mu muryango n’ibidukikije bishobora kandi gutera cyangwa kurushaho kuba bibi ibimenyetso bya bulimia. Ubutumwa bw’umuco wacu ku biribwa, ibiro, n’isura bishobora kuba bibabaza cyane abantu bahangayitse.

Ibintu byo mu bidukikije bikunze kuba birimo:

• Igitsure cy’umuco cyo kugira umubiri mwiza cyangwa kugera ku bipimo by’umubiri bidakwiye
• Kwitabira ibikorwa byibanda ku biro cyangwa isura (nka siporo cyangwa imideli)
• Uburyo umuryango utekereza ku biribwa, ibiro, cyangwa isura
• Igitsure cy’inshuti cyangwa gutotezwa kubera ingano y’umubiri
• Ibintu bikomeye byo mu buzima cyangwa impinduka
• Kureba imbuga nkoranyambaga zigaragaza isura y’umubiri idakwiye

Kumva ibi bintu bishobora kugufasha kumenya ko bulimia atari amahitamo cyangwa ikosa ry’umuntu. Ni indwara ikomeye yo mu mutwe itera iyo hari impamvu nyinshi zihuriye hamwe.

Ni ryari ukwiye kujya kwa muganga kubera bulimia?

Wagomba gushaka ubufasha bw’umwuga mu gihe cyose ubona ibimenyetso bya bulimia kuri wowe cyangwa umuntu ukunda. Kugira ubufasha hakiri kare bishobora gukumira ibibazo bikomeye by’ubuzima kandi bigatuma gukira birushaho koroherera.

Shaka ubufasha bwihuse bw’abaganga niba ufite ibimenyetso bikomeye by’umubiri. Ibi bimenyetso by’uburwayi bigaragaza ko umubiri wawe uhanganye n’ingaruka za bulimia kandi ukeneye ubufasha bwihuse.

Ibintu byihutirwa birimo:

• Kumara amazi cyane ukagira uburwayi cyangwa ugucika intege
• Kubabara mu gituza cyangwa gutera kw’umutima
• Kudahuza neza kw’ibintu by’ingenzi mu mubiri bigatera intege nke z’imitsi
• Kuruka kudasiba
• Gutekereza kwibabaza cyangwa kwiyahura
• Kubabara cyane amenyo cyangwa kubura amenyo kubera kuruka kenshi

Ntugomba gutegereza ikibazo gikomeye ngo ushake ubufasha. Suhuza n’umuganga niba uhangayikishijwe n’imikorere yawe yo kurya cyangwa niba ibimenyetso bya bulimia bikugiraho ingaruka mu buzima bwa buri munsi.

Teganya gukora ijonjora iyo ubona imikorere ikomeza kubaho nk’ukurya cyane bikurikirwa no kwivuza, guhora utekereza ku biribwa n’uburemere, cyangwa kwikura mu bandi kubera imyitwarire yo kurya. Muganga wawe ashobora gusuzuma uko uhagaze akakujyana aho wakwirwa neza.

Ni ibihe bintu byongera ibyago bya bulimia?

Hari ibintu bimwe na bimwe bishobora kongera amahirwe yo kurwara bulimia, nubwo kuba ufite ibyago ntibisobanura ko uzayirwara. Gusobanukirwa ibi bintu bishobora kugufasha kumenya igihe ubufasha bwihariye bwakubera ingirakamaro.

Ibintu bijyanye n’imibereho bigaragaza ko bulimia igira ingaruka zitandukanye ku bantu mu matsinda atandukanye. Nubwo uwo ari we wese ashobora kurwara bulimia, hari imikorere imwe n’imwe igaragara ku bantu bahura nayo cyane.

Amatsinda afite ibyago byinshi harimo:

• Abakobwa bakiri bato n’abagore bato (nubwo abagabo nabo bashobora kurwara bulimia)
• Abantu bakora ibikorwa byibanda ku isura nk’imbyino, imikino ngororamubiri, cyangwa imideri
• Abantu bakomoka mu miryango ifite amateka y’indwara yo kurya
• Abafite imico yo gushaka ubutungane cyangwa bafite igitutu cyo kugera ku ntsinzi
• Abantu bagiye bakora za diet mbere cyangwa bagize ibibazo bijyanye n’uburemere

Amateka y’umuntu ku giti cye ashobora kandi kongera ibyago bya bulimia. Ibi bintu bishobora gutuma ugira ubwicanyi bwo kugira imyitwarire mibi yo kurya igihe hari ibindi bibazo.

Ibintu byongera ibyago cyane harimo:

• Amateka y’ihohoterwa, guhohoterwa, cyangwa kwirengagizwa mu bwana
• Indwara zo kurya mbere cyangwa gukora za diet buri gihe
• Uburwayi bwo mu mutwe nko guhangayika, kwiheba, cyangwa PTSD
• Ibibazo byo kunywa ibiyobyabwenge kuri wowe cyangwa mu muryango wawe
• Impinduka zikomeye mu buzima cyangwa ibibazo bikomeye
• Kwikura mu bandi cyangwa kugorana kubana n’abandi

Kugira ibintu byinshi bishobora gutera bulimiya ntibisobanura ko bulimiya izakubaho. Abantu benshi bafite ibyo bintu bishobora gutera bulimiya ntibagira iyi ndwara, mu gihe abandi bafite ibyago bike bagira bulimiya.

Ni iki gishobora guterwa na bulimiya?

Bulimiya ishobora gutera ibibazo bikomeye by’ubuzima mu mubiri wose iyo idakuweho. Gusubiramo gukora ibyaha byo kurya cyane no kuruka bishyira umuvuduko ukomeye ku bice byinshi by’umubiri igihe kirekire.

Ibibazo byo mu buryo bw’igogorwa biri mu ngaruka zisanzwe kandi zikomeye za bulimiya. Kuruka kenshi no gukoresha imiti igogorora bishobora kwangiza igogorwa ryose kuva mu kanwa kugera mu mara.

Ibibazo byo mu buryo bw’igogorwa bikunze kuba birimo:

• Ukwangirika kw’amenyo n’umunyamera bikabije biturutse ku mwanda w’igifu
• Umuriro w’igifu uhoraho n’indwara y’umuriro w’igifu
• Umuhogo w’ibice byo mu kanwa bituma mu maso hababuka
• Impatwe ihoraho iturutse ku ikoreshwa ry’imiti igogorora
• Umuhondo w’igifu cyangwa gastritis biturutse ku kuruka kenshi
• Gusaduka kw’umuyoboro w’ibiryo biturutse ku kuruka gukomeye

Umutima wawe n’imijyana y’amaraso na byo bishobora kwangirika bikomeye biturutse ku ngaruka za bulimiya ku mubiri wawe. Kugira ibibazo by’imyunyu y’amashanyarazi biturutse ku kuruka bishobora gutera ibibazo by’umutima bishobora kwica.

Ibibazo by’umutima bishobora kuba birimo:

• Gukubita kw’umutima kutameze neza cyangwa guhumeka k’umutima
• Igitsure cy’amaraso gito no guta ubwenge
• Kwangirikwa kw’imitsi y’umutima biturutse ku kubura imyunyu y’amashanyarazi
• Ibyago byiyongereye byo kurwara umutima, cyane cyane mu bihe bikomeye
• Ibibazo byo gukomera kw’amaraso biturutse ku kukama

Ibindi bice by’umubiri bishobora kandi kugira ingaruka za bulimiya ku mirire n’amazi. Ibi bibazo bishobora kugira ingaruka ku mikorere yawe ya buri munsi n’ubuzima bwawe bw’igihe kirekire.

Ibindi bibazo birimo:

• Ubusembwa bw’amagufa n’uburyo bwo kwiyongera kw’amahirwe yo kuvunika
• Iguma ry’impyiko iterwa no kubura amazi mu mubiri igihe kirekire
• Gutakaza umusatsi n’imisumari idakomeye kubera imirire mibi
• Igihe cy’uburumbuke kidakurikiza uko bikwiye cyangwa kidahari
• Ibyago byiyongera byo kugira imihangayiko n’agahinda
• Kwikurura mu bandi no kugira ibibazo mu mibanire

Inkuru nziza ni uko byinshi muri ibyo bibazo bishobora kuzahuka cyangwa bikakira neza hakoreshejwe ubuvuzi bukwiye no gukira. Umubiri wawe ufite ubushobozi bwo gukira butangaje iyo uhawe amahirwe.

Uburyo bwo gukumira bulimiya?

Nubwo utazi gukumira bulimiya burundu, hari uburyo bumwe na bumwe bushobora kugabanya ibyago no guteza imbere imibanire myiza n’ibiribwa n’isura y’umubiri. Gukumira byibanda ku kubaka ubudahangarwa no guhangana n’ibyago mbere y’uko bigera ku kurya kudakurikije uko bikwiye.

Guteza imbere ubuhanga bwo guhangana n’ibibazo hakiri kare bishobora kukurinda kwifashisha imyitwarire ifitanye isano n’ibiribwa mu bihe by’akaga. Kwiga gucunga amarangamutima n’umunaniro mu buryo bwubaka bushingiye ku buzima bwiza bwo mu mutwe.

Uburyo bwo kurinda burimo:

• Kwiga ubuhanga bwo gucunga umunaniro nk’imyitozo yo gutekereza cyangwa kwandika
• Kubaka imibanire myiza n’abantu ndetse n’ubufasha
• Guteza imbere ibikorwa n’inyungu zirenga isura cyangwa ibiro
• Kwigirira impuhwe no kugira imitekerereze ihuje n’ukuri
• Gushaka ubufasha bw’umwuga ku bibazo byo mu mutwe hakiri kare
• Kwirinda indyo zikomeye cyangwa kuzigama ibiryo cyane

Guhanga ibidukikije byiza ku biribwa n’isura y’umubiri bishobora kandi kugabanya ibyago bya bulimiya. Ibi birimo amahitamo bwite n’impinduka zikomeye mu muco w’uburyo tuvuga ku birebana n’ibiro n’isura.

Kurinda ibidukikije birimo:

• Kugabanya ubushyuhe bwo kwibanda ku mirire n’ibishushanyo by’umubiri bidakwiye
• Guhitamo ibikorwa bishima ibyo umubiri wawe ushobora gukora, atari uko usa gusa
• Kwikikije abantu bashyigikira ubwoko butandukanye bw’imibiri
• Kumenya impinduka zisanzwe z’umubiri mu bihe bitandukanye by’ubuzima
• Gushaka ubufasha bw’umwuga mu gihe cy’ibimenyetso bya mbere byo kurya nabi

Niba ufite ibintu byinshi bishobora gutera bulimia, tekereza gukorana n’umuhanga mu buzima bwo mu mutwe mu buryo bw’ubwirinzi. Bashobora kugufasha guteza imbere ingamba zihariye zo kugumana umubano muzima n’ibiribwa n’umubiri wawe.

Bulimia imenyekanwa gute?

Kumenya bulimia bisaba isuzuma rirambuye rikorewe n’umuhanga mu buzima bwo mu mutwe cyangwa muganga ufite ubunararibonye mu kurya nabi. Nta kizami kimwe cya bulimia, bityo kumenya iyi ndwara bishingira ku isuzuma ry’ibimenyetso na comportements.

Umuvuzi wawe azatangira aganira nawe byimbitse ku migenzo yawe yo kurya, ibitekerezo ku biribwa n’uburemere, n’imyitwarire iyo ari yo yose yo kwivuza. Azakubaza kandi amateka yawe y’ubuzima, ubuzima bwo mu mutwe, n’ishingiro ryawe ry’umuryango.

Uburyo bwo kuvura busanzwe burimo:

• Ibibazo birambuye ku bijyanye n’ibyiciro byo kurya cyane n’ubunini bwabyo
• Isuzuma ry’imyitwarire yo kwivuza nko kuruka cyangwa gukoresha imiti y’amavunja
• Isuzuma ry’ibitekerezo n’ibyiyumvo ku bijyanye n’uburemere bw’umubiri n’isura
• Suzuma ibimenyetso by’ubuzima n’ingaruka z’umubiri
• Isuzuma ry’ubuzima bwo mu mutwe ku bijyanye n’agahinda, imihangayiko, cyangwa izindi ndwara
• Amateka y’umuryango w’indwara zo kurya nabi cyangwa ibibazo byo mu mutwe

Isuzuma ry’umubiri n’ibizamini by’ubuzima bifasha kumenya ingaruka z’ubuzima ziterwa na bulimia. Muganga wawe akeneye gusobanukirwa uko indwara yo kurya nabi yagize ingaruka ku mubiri wawe kugira ngo akore gahunda nziza y’ubuvuzi.

Isuzuma ry’ubuvuzi rikunda kuba ririmo:

• Suzuma umubiri ushaka ibimenyetso byo kuruka cyangwa imirire mibi
• Ibizamini by'amaraso kugira ngo urebe urwego rw'amara ya electrolyte n'imikorere y'imigongo
• Gukurikirana umutima kugira ngo harebwe imiterere idasanzwe
• Isuzuma ry'amenyo kugira ngo harebwe ibibazo by'amenyo
• Kureba uburemere bw'amagufa niba bulimia imaze igihe kinini

Muganga wawe azakurinda kandi izindi ndwara zishobora gutera ibimenyetso nk'ibyo. Indwara zimwe na zimwe zishobora gutera kuruka kenshi cyangwa guhindura imirire bishobora kwitiranywa na bulimia.

Ubuvuzi bwa bulimia ni bwoki?

Ubuvuzi bwa bulimia busanzwe bukorerwa n'itsinda ry'abaganga bahuza ubuvuzi bw'imitekerereze, gukurikirana ubuzima, rimwe na rimwe n'imiti. Intego ni ugufasha guteza imbere imibanire myiza n'ibiribwa mu gihe uhangana n'ibibazo by'amarangamutima.

Ubuvuzi bw'imitekerereze ni wo mufatiro w'ubuvuzi bwa bulimia. Ubwoko butandukanye bw'ubuvuzi bwaragaragaye ko bugira umumaro mu gufasha abantu gukira iyi ndwara yo kurya no kubungabunga ubuzima bwiza igihe kirekire.

Uburyo bw'ubuvuzi bugira umumaro burimo:

• Ubuvuzi bwo guhindura imitekerereze (CBT) kugira ngo guhindura imitekerereze mibi ku biribwa n'isura y'umubiri
• Ubuvuzi bwo guhangana n'amarangamutima (DBT) kugira ngo habeho iterambere ry'ubushobozi bwo kugenzura amarangamutima
• Ubuvuzi bushingiye ku muryango ku rubyiruko rushyira ababyeyi mu nzira yo gukira
• Ubuvuzi bushingiye ku mibanire y'abantu bugamije imikorere y'imibanire ishobora gutera ibimenyetso
• Ubuvuzi bwa groupe butanga inkunga ya bagenzi bawe n'ingamba zo guhangana zisangiwe

Gukurikirana ubuzima bugaragaza ko ubuzima bwawe bwiza buhagaze neza mu gihe cyo gukira. Ikipe yawe y'ubuvuzi izakurikirana ibimenyetso by'ingenzi, ibipimo bya laboratoire, n'imiterere y'ubuzima muri rusange mu gihe cy'ubuvuzi.

Ubuvuzi busanzwe burimo:

• Kwizigenzura buri gihe kugira ngo hagenzurwe imiterere y’umutima n’umuvuduko w’amaraso
• Ibizamini by’amaraso kugira ngo hakurikiranwe uko imyunyu iri mu mubiri imeze n’imikorere y’imigongo
• Inama ku mirire kugira ngo hagarurwe imirire myiza
• Kwita ku menyo kugira ngo hakemurwe ibibazo by’amenyo byatewe no kugaragaza inshuro nyinshi
• Kuvura ibibazo byose by’ubuzima bituruka kuri bulimia

Imiti ishobora gufasha bamwe mu barwaye bulimia, cyane cyane iyo kwiheba cyangwa guhangayika biherekeje iyi ndwara yo kurya. Imiti yo kuvura kwiheba yagaragaje icyizere cyihariye mu kugabanya ibikorwa byo kurya cyane no kuruka.

Imiti ikunze gukoreshwa irimo imiti igabanya serotonin (SSRIs) nka fluoxetine, yemewe cyane cyane mu kuvura bulimia. Muganga wawe azakubwira niba imiti ishobora kugufasha mu mimerere yawe.

Nigute wakwita kuri bulimia iwawe mu gihe cyo kuvurwa?

Kwita kuri bulimia iwawe bigomba buri gihe kujyana no kuvurwa n’abaganga, ntabwo bikaba ibyo gukoresha. Izi ngamba zishobora gufasha mu rugendo rwawe rwo gukira no kugufasha gukomeza gutera imbere hagati y’ibyiciro byo kuvurwa.

Kugira gahunda yo kurya bishobora kugabanya akavuyo gakunze kubaho mu gihe cyo kurya iyo ufite bulimia. Kurya igihe kimwe n’imirire yuzuye biterwa imbaraga umubiri n’umutima.

Ingamba zo kurya zifasha zirimo:

• Kurya ibiryo bisanzwe n’utuntu duto igihe kimwe buri munsi
• Gutegura ibiryo mbere kugira ngo ugabanye impungenge ku biribwa ugomba guhitamo
• Kurya hamwe n’abo mu muryango cyangwa inshuti bagufasha igihe bishoboka
• Kwirinda kubika ibiryo bikurura ikifuzo cyo kurya cyane
• Kunywa amazi ahagije umunsi wose
• Gukorana n’umuhanga mu mirire kugira ngo utegure gahunda y’ibiryo

Guteza imbere uburyo bwo guhangana neza bishobora kugufasha guhangana n’amarangamutima ataguhindura imyitwarire ya bulimia. Ibi bintu byiza biguha uburyo bwiza bwo guhangana n’umunaniro, guhangayika, cyangwa ibindi byiyumvo bitoroshye.

Uburyo bwo guhangana bufatika burimo:

• Gukora imyitozo yo guhumeka cyane cyangwa gukora meditation iyo wumva ufite irari ryo kurya cyane cyangwa kuruka
• Kwandika mu gitabo kugira ngo umenye ibyo bikurura ibibazo
• Gukora imyitozo ngororamubiri yoroheje nko kugenda cyangwa yoga
• Guhamagara inshuti cyangwa umuryango mugihe ugize ikibazo
• Koresha ubuhanga bwo guhanga nk’ubugeni, umuziki, cyangwa kwandika kugira ngo ugaragaze ibyiyumvo byawe
• Kuryama igihe kimwe kugira ngo ufashe mu gukosora ibyiyumvo

Ibuke ko gukira atari ibintu byoroshye, kandi ko gusubira inyuma ntibisobanura gutsindwa. Jya wihangana kandi ukomeze kuvugana n’abaganga bawe mu gihe cyose cyo kuvurwa.

Wategura gute uruzinduko kwa muganga?

Gutegura uruzinduko kwa muganga ku bijyanye na bulimia bishobora kugufasha kubona byinshi mu ruzinduko rwawe kandi bikaguha ubufasha bukwiye. Kuvuga ukuri no kuba umunyakuri ku muganga wawe ni ingenzi kugira ngo ubone ubuvuzi bukwiye.

Mbere y’uruzinduko rwawe, fata umwanya wo gukurikirana ibimenyetso byawe n’imirire yawe. Aya makuru afasha muganga wawe kumva uburemere n’ubwinshi bw’imyitwarire yawe ya bulimia.

Amakuru afasha gukusanya arimo:

• Ubwinshi bw’ibihe byo kurya cyane mu kwezi gishize
• Ubwoko n’ubwinshi bw’imyitwarire yo kwivuza (kuruka, imiti yo kunanura, imyitozo ngororamubiri)
• Ibibazo by’umubiri wabonye nko kubabara amenyo cyangwa umunaniro
• Imiti, ibinyobwa, cyangwa ibicuruzwa ukoresha ubu
• Amateka y’umuryango w’indwara z’imirire cyangwa ibibazo byo mu mutwe
• Urutonde rw’ibibazo cyangwa impungenge ushaka kuganiraho

Tekereza kuzana inshuti cyangwa umuryango wizeye mu ruzinduko rwawe niba ubona ko ari byiza. Kugira umuntu ugufasha bishobora kugufasha kwibuka amakuru y’ingenzi no kugabanya impungenge mu gihe cy’uruzinduko.

Mu gihe cy’isura, ubanze ube umunyamwete mu kuvuga ibimenyetso byawe, n’ubwo waba ufite ipfunwe. Muganga wawe amaze kubona ibibazo nk’ibi kandi ntazakuboshya. Amakuru yuzuye utanze, niyo azamufasha kurushaho.

Ntugatinye kubabaza ibyo utahaye, harimo uko uburwayi bwawe bumenyekanye, uburyo bwo kuvurwa, cyangwa ibyo witeze mu gihe cyo gukira. Iki ni cyo gihe cyawe cyo kubona amakuru n’ubufasha ukeneye.

Ni iki gikuru wakuramo ku bulimiya?

Bulimiya ni indwara ikomeye ariko ivurwa y’imirire ikuraho abantu babarirwa muri za miriyoni ku isi hose. Ikintu gikomeye cyo gusobanukirwa ni uko gukira bishoboka rwose ukoresheje ubuvuzi n’ubufasha bw’inzobere.

Iyi ndwara si amahitamo, ikosa rya kamere, cyangwa ikimenyetso cy’intege nke. Bulimiya iterwa n’imiterere ikomeye y’ibintu bya biologiya, imitekerereze, n’imibanire y’abantu bahura hamwe mu bantu bafite intege nke.

Kuvura hakiri kare bigira ingaruka nziza, nuko ntuzategereze gusaba ubufasha niba uri guhangana n’ibimenyetso bya bulimiya. Umuganga wawe ashobora kukubera umuhuza n’ubuvuzi bw’indwara z’imirire buzwi, bufasha haba ku mubiri no mu mitekerereze.

Gukira bisaba igihe no kwihangana, ariko abantu babarirwa mu bihumbi baratsinze bulimiya kandi bakabaho ubuzima buuzuye kandi bwiza. Ufite uburyo bwiza bwo gufashwa n’uburyo bwiza bwo kuvurwa, ushobora kugira umubano mwiza n’ibiribwa n’umubiri wawe.

Ibibazo byakajya bibazwa kuri bulimiya

Waba ufite bulimiya kandi ukagira ibiro bisanzwe?

Yego, abantu benshi bafite bulimiya bagira ibiro bisanzwe cyangwa ndetse banaremereye, bituma iyi ndwara igoye kubona kurusha izindi ndwara z’imirire. Icyiciro cyo kurya cyane no kwivuza ntibihora bigira ingaruka ku kugabanya ibiro kuko uburyo bwo kwivuza ntabwo buhora bugira ingaruka ku gukuraho calorie.

Iyi ni imwe mu mpamvu bulimia ikunze kudakira igihe kirekire. Abagize umuryango n'inshuti bashobora kutamenya ko hari umuntu uhanganye nayo kuko badasa nkaho bafite ikibazo cyo kurya.

Bulimia mbi kurusha izindi ndwara zo kurya?

Indwara zose zo kurya zigira ingaruka zikomeye ku buzima, kandi bulimia ishobora kuba mbi nk'anorexia cyangwa izindi ndwara. Imikorere yo kwivuza kenshi muri bulimia ishobora gutera ibibazo bikomeye byo kubura umunyu mu mubiri bigira ingaruka ku mikorere y'umutima kandi bishobora kuba bibi cyane.

Itandukaniro nyamukuru ni uko ingaruka za bulimia ku buzima zishobora kugaragara gake mu ntangiro, bituma iyi ndwara ikomeza igihe kirekire mbere y'uko umuntu ashaka ubuvuzi. Ariko kandi, ingaruka ku buzima mu gihe kirekire zishobora kuba zikomeye.

Biramarara gute gukira bulimia?

Igihe cyo gukira gitandukanye cyane ukurikije umuntu bitewe n'ibintu nko kuba umaze igihe ufite bulimia, uburemere bw'ibimenyetso, n'uburyo wihutira kuvurwa. Bamwe bagaragaza iterambere mu mezi make, abandi bashobora gukenera inkunga igihe kirekire cy'imyaka myinshi.

Ikintu gikomeye cyo kwibuka ni uko gukira ari inzira, atari iherezo. Abantu benshi bakomeza gukora ku mibanire yabo n'ibiribwa n'isura y'umubiri wabo mu buzima bwabo bwose, ariko barashobora kubaho neza, bafite ubuzima bwiza.

Abagabo bashobora kurwara bulimia?

Yego, abagabo barashobora kurwara bulimia, nubwo bidahagaragara cyane kurusha abagore. Abagabo barwaye bulimia bashobora guhura n'ibibazo by'inyongera kuko indwara zo kurya zifatwa nk'ibibazo by'abagore, ibyo bishobora kubabuza gushaka ubufasha.

Abagabo bashobora kwita cyane ku kubaka imitsi aho kwita ku kugabanya ibiro, ibyo bishobora kugaragara nk'imyitozo ikabije aho kuba imikorere yo kwivuza isanzwe. Ariko, ibintu by'ingenzi bya bulimia biguma kimwe bitari uko igitsina kimeze.

Ndagomba gukora iki niba ntekereza ko inshuti yanjye ifite bulimia?

Egera inshuti yawe ufite imbabazi kandi wirinda gucira urubanza cyangwa gutongana ku myitwarire yabo yo kurya. Garagaza impungenge zawe ukoresheje amagambo atangira n’“jye” nka “Nabonye usa n’uhangayitse igihe cyo kurya” aho gushinja.

Shishikariza kuvugana n’umuganga cyangwa umujyanama, kandi umufashe kubona ibikoresho cyangwa umujyane no kwa muganga. Ibuka ko udashobora guhatira umuntu kuvurwa, ariko ubufasha bwawe bushobora kugira uruhare runini mu bushake bwe bwo gushaka ubufasha.