Chii chinonzi chiso chebulimia?

Bulimia nervosa, inowanzowanzwawo sebulimia, chirwere chakakomba chekudya. Inosanganisira kutenderera kwekudya zvokudya zvakawanda munguva pfupi, kunonzi binge eating, uye wobva wanyatsoedza kubvisa chikafu nekuita manyoka, kusadya, kana kurovedza muviri zvakanyanya. Chirwere ichi chinogona kukanganisa vanhu vemazera ese, asi chinonyanya kuzivikanwa pakati pevakadzi vaduku nevana vechidiki. Anenge 1%–3% evakadzi vari mumapoka aya emakore vanofungidzirwa kuti vanotambura nebulimia.

Mhedzisiro yebulimia inopfuura kungochinja uremu ne tsika dzekudya; inogona zvakare kutungamirira kumatambudziko mazhinji ehutano. Kugara uchizviita manyoka kunogona kukonzera matambudziko akakomba ezino, matambudziko anemakemikari emuviri, matambudziko emudumbu, nematambudziko emwoyo. Mupfungwa, avo vane bulimia kazhinji vanosangana nemanzwiro ekutya, kusuruvara, uye kunyara nezvekuti vanodya sei. Izvi zvinogona kutungamirira kunzwa uri wega uye kugadzira kutenderera kurwadziwa kwepfungwa.

Zvakakosha kunzwisisa kuti bulimia yakapararira sei uye inokanganisa vanhu sei. Ruzivo urwu runogona kubatsira kusimudzira kuziva uye kudzidzisa vamwe nezvematambudziko ekudya. Vazhinji vangasione zviratidzo zvebulimia kusvika zvikanganisa zvakanyanya hutano hwavo, zvese mumuviri nepfungwa. Kuwana rubatsiro pakutanga kunogona kutungamirira pakurapwa kwakanaka uye mukana mukuru wekupora. Kana iwe kana mumwe munhu waunoziva ari kutambura, zvakakosha kukumbira rubatsiro nerutsigiro.

Chii chinonzi 'Bulimia Face'?

"Bulimia face" inoreva chitarisiko chemuviri chinogona kukura muvanhu vanotambura nebulimia nervosa, chirwere chekudya chinoratidzirwa nekutenderera kwekudya zvakanyanya kunoteverwa nekuita zvinhu zvekubvisa, sekumanikidza kana kushandisa laxatives zvakanyanya. Nekufamba kwenguva, kuita manyoka kakawanda kunogona kutungamirira kuchinja kunooneka pachiso.

1. Kuchema kwechiso

Kuita manyoka kakawanda kunogona kutungamirira pakuchema kwema salivary glands, kunyanya parotid glands, iri pedyo nemata. Izvi zvinogona kukonzera chitarisiko che“puffy” kana kuchema pachiso, kazhinji kunonzi "chipmunk cheeks."

2. Kuchinja kweGanda

Ganda rinogona kuva rakasviba, rakaoma, kana rakasvibira nekuda kwekushaya zvokudya zvakanaka uye kuoma kwemuviri, izvo zvinowanzoitika muvanhu vane bulimia. Izvi zvinogona kuwedzera chitarisiko chakapfava kana chisina hutano.

3. Matambudziko eJaw neMeno

Kuita manyoka nguva dzose kunoratidza mazino kuasidhi emudumbu, zvichikonzera enamel erosion, kuora kwemazino, uye chirwere chegumbo. Izvi zvinogona kukonzera kukuvara kunooneka kwemazino uye kuseka kusina kunaka.

4. Kuchinja Kurema

Kuchinja uremu kakawanda nekuda kwekutenderera kwekudya zvakanyanya uye kuita manyoka kunogona zvakare kukanganisa chiso, kuchizviita sechinotyisa kana kuzvimba panguva dzakasiyana.

Zvinokonzera uye Zviratidzo zveBulimia Face

Chikonzero	Tsananguro
Kuita Manyoka Kakawanda	Kuita manyoka kakawanda kana kushandisa laxative kunotungamirira pakuoma kwemuviri uye kuchema kwe salivary glands, zvichiguma ne"chipmunk cheeks."
Kushayikwa kweZvokudya Zvakakwana	Zvokudya zvisina kukwana uye kusawirirana kwe electrolytes kunokanganisa hutano hwepande, zvichiita kuti rive rakasviba, rakaoma, uye rakasvibira.
Kuomesa Kwemuviri	Kuita zvinhu zvekubvisa kunotungamirira pakurasikirwa nemvura, zvichiwedzera kuoma kwepande uye chitarisiko chisina hutano.
Kuonekwa kweAsidhi yemudumbu	Kuita manyoka kakawanda kunoratidza mazino kuasidhi emudumbu, zvichikonzera enamel erosion, kuora kwemazino, uye chirwere chegumbo, izvo zvinogona kukanganisa chitarisiko chechiso.
Kuchinja Kurema	Kuchinja uremu nguva dzose kunokonzera kuchinja pachiso, kuchizviita sechinotyisa kana kuzvimba zvichienderana neuremu hwemunhu.

Chiratidzo	Tsananguro
Mata Akachema	Kuchema, kunyanya kutenderera kumeso, kunokonzerwa nema parotid glands akakura nekuda kwekuita manyoka kakawanda.
Ganda Rakasviba, Rakaoma	Ganda rinowedzera kusava nekunaka, rakaoma, uye dzimwe nguva rinopwanyika nekuda kwekushaya zvokudya zvakanaka uye kuoma kwemuviri.
Kukuvara kweMeno	Enamel erosion, kuchinja ruvara, uye kuora kwemazino nekuda kwekuonekwa kakawanda kuasidhi emudumbu kubva pakuita manyoka.
Kuchinja kwechiso	Kuchinja uremu kunogona kukonzera chiso kuita sechinotyisa kana kuzvimba, nekuchinja kunooneka chitarisiko nekufamba kwenguva.

Kutonga uye Sarudzo dzeKurapa

Kutonga nekurapa "bulimia face" kunoda nzira yakawanda inosangana nezviratidzo zvemuviri uye chirwere chekudya chinokonzera. Kurapa kazhinji kunosanganisira rubatsiro rwezvokurapa, zvepfungwa, uye zvekudya kubatsira vanhu kupora uye kuvandudza hutano hwavo hwese.

Kurapa kweZvokurapa
Kurapa kwezvokurapa kunokosha pakutonga mhedzisiro yemuviri yebulimia pachiso nemuviri. Kuchema kwe parotid glands, dambudziko rinowanzoitika kubva pakuita manyoka kakawanda, kunogona kugadziriswa nemishonga kana, mumamiriro ezvinhu akakomba, nzira dzekubvisa. Kurapa mazino zvakare chinhu chakakosha, sezvo kuita manyoka kakawanda kunogona kukonzera kukuvara kukuru kwemazino. Vadzidzisi vemazino vanogona kukurudzira fluoride treatments, bonding, kana veneers kugadzirisa enamel erosion uye kudzivirira kuora kwakawanda. Kuwedzera mvura mumuviri uye kudzoreredza electrolyte balance zvinokosha pakuderedza kuoma kwemuviri, izvo zvinogona kukonzera kuchema uye mamwe kuchinja kwechiso.

Kurapa kwePfungwa
Rutsigiro rwepfungwa runokosha pakurapa chikonzero chebulimia. Cognitive Behavioral Therapy (CBT) kurapa kunobudirira kunobatsira vanhu kuziva uye kuchinja mafungiro anokuvadza uye maitiro ane chekuita nezvokudya nemufananidzo wemiviri. Dialectical Behavior Therapy (DBT) inogona zvakare kushandiswa kugadzirisa matambudziko ekudzora manzwiro, kubatsira vanhu kudzora manzwiro akasimba anokonzera kudya kusina kunaka.

Zano reZvokudya
Kurapa kwezvokudya kunobatsira vanhu kudzoreredza tsika dzekudya dzakanaka uye kugadzirisa kushayikwa. Munyanzvi wezvokudya anogona kugadzira mapurani ezvokudya akasarudzika kuti asimudzire zvokudya zvakakwana uye kuvandudza hutano hwepande. Kune avo vane uremu hushoma, kudzoreredza uremu zvishoma nezvishoma kunokosha, uye kutungamirirwa kwenyanzvi kunoita kuti pave nenzira yakachengeteka yekupora.

Pfupiso

Kurapa "bulimia face" kunoda kusanganiswa kwezvokurapa, zvepfungwa, uye zvekudya. Kurapa kwezvokurapa kunotarisa pakuderedza kuchema kwe parotid glands kunokonzerwa nekuita manyoka uye kurapa mazino kugadzirisa kukuvara kwe enamel. Kuwedzera mvura mumuviri uye kudzoreredza electrolyte balance kunobatsira kutonga kuchema kunokonzerwa nekuoma kwemuviri. Kurapa kwepfungwa, sekunge cognitive behavioral therapy (CBT), kunogadzirisa maitiro ekudya anokuvadza uye matambudziko emufananidzo wemiviri, nepo dialectical behavior therapy (DBT) ichibatsira kudzora manzwiro.

Zano reZvokudya rinodzoreredza tsika dzekudya dzakanaka uye rinogadzirisa kushayikwa. Kudzoreredza uremu zvishoma nezvishoma kunokosha kune avo vane uremu hushoma. Nzira yakakwana inodiwa pakupora kwemuviri nepfungwa kubva ku bulimia.