I-bulimia nervosa, evame ebizwa ngokuthi yi-bulimia, luyifo lokudla elibuhlungu kakhulu. Ihilela ukujikeleza kokudla okuningi kokudla ngesikhathi esifushane, okuthiwa ukudla okukhulu, bese uzama ukususa ukudla ngokukhahlela, ukungadli, noma ukuzivocavoca kakhulu. Lesi sifo singathinta abantu bazo zonke izigaba, kodwa sivame kakhulu kubantu besifazane abasebancane nabasakhulayo. Cishe u-1%–3% wabesifazane kulawo maqembu eminyaka kukholelwa ukuthi bayehlushwa yi-bulimia.

Imiphumela ye-bulimia ayidluli nje ekuchithweni kwesisindo nasezindleleni zokudla; ingabangela nezinkinga eziningi zempilo ezingathi sína. Ukwenza ukuthi uzikhahlele njalo kungabangela izinkinga ezinzima zamahlombe, izinkinga zezinto ezikhiqizwa umzimba, izinkinga zesisu, nezinkinga zenhliziyo. Ngengqondo, labo abane-bulimia bavame ukubhekana nomuzwa wokukhathazeka, usizi, nokuhlanya ngendlela abadla ngayo. Lokhu kungabangela ukuzizwa wedwa futhi kudale ukujikeleza kobuhlungu obungokomzwelo.

Kubalulekile ukuqonda ukuthi i-bulimia ivame kangakanani nokuthi ibathinta kanjani abantu. Lolu lwazi lungasiza ekukhuliseni ukwaziswa nokuqeqesha abanye ngezifo zokudla. Abaningi bangase bangaboni izimpawu ze-bulimia kuze kube yilapho ithonya impilo yabo kakhulu, kokubili ngokomzimba nangokwengqondo. Ukuthola usizo ngokushesha kungabangela ukwelashwa okuhle kakhulu nethuba elikhulu lokuphulukisa. Uma wena noma othile omaziyo unezinkinga, kubalulekile ukucela usizo nokusekelwa.

Iyini i-'Bulimia Face'?

"I-Bulimia face" ibhekisela kubukeka bomzimba obungase bukhule kubantu abahlushwa yi-bulimia nervosa, isifo sokudla esiphawulwa ngokuphindaphinda kokudla okukhulu okulandelelwa ukuhlanza, njengokukhahlela noma ukusebenzisa kakhulu izidakamizwa. Ngokuhamba kwesikhathi, ukuhlanza okuphindaphindayo kungabangela ukushintsha okubonakalayo ebusweni.

1. Ukukhuluphala Kobuso

Ukuhlanza okuphindaphindayo kungabangela ukukhuluphala kwamagciwane aluhlaza, ikakhulukazi amagciwane e-parotid, atholakala eduze kwamagalikazi. Lokhu kungabangela ukubukeka "okukhuluphala" noma okukhulu ebusweni, okuvamile kubizwa ngokuthi "amagalikazi e-chipmunk."

2. Ukushintsha Kwesisu

Isisu singaba mnyama, somanzi, noma simhlophe ngenxa yokondleka okubi nokuphelelwa amanzi, okuvamile kubantu abane-bulimia. Lokhu kungase kube nomthelela ekuboneni okukhathele noma okungaphili.

3. Izinkinga Zomhlathi Namahlombe

Ukukhahlela okuqhubekayo kubonisa amahlombe ama-asidi esisu, okubangela ukubola kwa-enamel, ukubola kwamahlombe, nesifo samahlombe. Lokhu kungabangela umonakalo obonakalayo wamazinyo nokusema okungakhanyi.

4. Ukuguquguquka Kwesindo

Ukuguquguquka njalo kwesisindo ngenxa yokuphindaphinda kokudla okukhulu nokuhlanza kungathinta futhi ubuso, okwenza bube bukhulu noma bukhulu ngezikhathi ezahlukene.

Izimbangela Nempawu Ze-Bulimia Face

Imbangela	Inkulumo
Ukuhlanza Okuphindaphindayo	Ukukhahlela okuphindaphindayo noma ukusebenzisa izidakamizwa kukhokelela ekuphelelweni amanzi nokukhuluphala kwamagciwane aluhlaza, okuholela kumagalikazi e-chipmunk.
Ukondleka Okungafanele	Ukondleka okungafanele nokungalingani kwama-electrolyte kuthinta impilo yesisu, okwenza ibe mnyama, ibe yomile, futhi ibe mhlophe.
Ukuphelelwa Amanzi	Izenzo zokuhlanza ziholela ekulahlekelweni kwamanzi, okubangela ukumile kwesisu nokubukeka okungaphili.
Ukubonakaliswa Yi-Asidi Yesisu	Ukukhahlela okuphindaphindayo kubonisa amahlombe ama-asidi esisu, okubangela ukubola kwa-enamel, ukubola kwamahlombe, nesifo samahlombe, okungathinta ukubukeka kobuso.
Ukuguquguquka Kwesindo	Ukuguquguquka okuqhubekayo kwesisindo somzimba kubangela ukushintsha ebusweni, okwenza bube bukhulu noma bukhulu kuye ngesisindo samuntu.

Isimpawu	Inkulumo
Amagalikazi Akhulile	Ukukhuluphala, ikakhulukazi eduze komhlathi, kubangelwa amagciwane e-parotid akhulile ngenxa yokuhlanza okuphindaphindayo.
Isisu Esimnyama, Esimanzi	Isisu sibe singakhanyi, somanzi, futhi ngezinye izikhathi sibe yizicucu ngenxa yokondleka okungafanele nokuphelelwa amanzi.
Umonakalo Wamazinyo	Ukubola kwa-enamel, ukuguquka kombala, nama-cavity ngenxa yokubonakaliswa okuphindaphindayo kwama-asidi esisu okuvela ekukhahleleni.
Ukushintsha Kobuso	Ukushintsha kwesisindo kungabangela ubuso bube bukhulu noma bukhulu, ngokuguquguquka okubonakalayo ekuqaleni kwesikhathi.

Ukuphathwa Neminikelo Yokwelapha

Ukuphatha nokwelapha i- "bulimia face" kudinga indlela eminingi ehlanganisa kokubili izimpawu zomzimba nesifo sokudla esiyimbangela. Ukwelashwa kuvame ukubandakanya ukusekelwa kwezokwelapha, okwengqondo, nokondleka ukuze kusize abantu baqhubeke futhi bathuthukise impilo yabo yonke.

Ukungenelela Kwezokwelapha
Ukwelashwa kwezokwelapha kubalulekile ekuphatheni imiphumela yomzimba ye-bulimia ebusweni nasezimweni zomzimba. Ukukhuluphala kwamagciwane e-parotid, inkinga evamile ephuma ekuhlanzeni okuphindaphindayo, kungase kuphathwe ngemithi noma, ezimweni ezinzima kakhulu, izinqubo zokucutshungulwa. Ukunakekelwa kwamazinyo nakho kuyinto ebalulekile, njengoba ukukhahlela okuphindaphindayo kungabangela umonakalo omkhulu wamazinyo. Odokotela bamazinyo bangase bancome ukwelashwa kwe-fluoride, ukubopha, noma ama-veneers ukulungisa ukubola kwa-enamel nokuvimbela ukubola okuqhubekayo. Ukubuyisela amanzi emzimbeni nokubuyisela ukulingana kwama-electrolyte kubalulekile ekuqedeni ukuphelelwa amanzi, okungabangela ukukhuluphala nokushintsha kwabuso.

Ukwelashwa Kwengqondo
Ukusekelwa kwengqondo kubalulekile ekwelapheni imbangela yangempela ye-bulimia. I-Cognitive Behavioral Therapy (CBT) iyindlela yokwelapha ephumelelayo esiza abantu ukuthi baqonde futhi bashintshe izindlela zokucinga nezenzo eziyingozi ezihlobene nokudla nomfanekiso womzimba. I-Dialectical Behavior Therapy (DBT) ingasetshenziswa futhi ukulungisa ubunzima bokulawula imizwa, ukusiza abantu ukuthi baqonde imizwa eqinile eholela ekudleni okungaphili.

Ukubonisana Ngondleka
Ukwelashwa kokondleka kusiza abantu ukuthi babuyisele izindlela zokudla ezempilo futhi baqede ukushoda. Umdidiyeli obhalisiwe angakha ama-meal plan ahlukile ukuze athuthukise ukondleka okuqondile futhi athuthukise impilo yesisu. Kulabo abakhuluphala kakhulu, ukubuyisela isisindo ngokuhamba kwesikhathi kubalulekile, futhi isiqondiso sochwepheshe siqinisekisa indlela enempilo yokuphulukisa.

Isifinyezo

Ukwelapha i- "bulimia face" kudinga ukuhlanganiswa kokungenelela kwezokwelapha, kwengqondo, nokondleka. Ukwelashwa kwezokwelapha kugxile ekunciphiseni ukukhuluphala kwamagciwane e-parotid okubangelwa ukuhlanza nokunakekelwa kwamazinyo ukulungisa umonakalo we-enamel. Ukubuyisela amanzi emzimbeni nokubuyisela ukulingana kwama-electrolyte kusiza ekuphatheni ukukhuluphala okuhlobene nokuphelelwa amanzi. Ukwelashwa kwengqondo, njenge-cognitive behavioral therapy (CBT), kulungisa izenzo zokudla ezingozi nezinkinga zomfanekiso womzimba, kuyilapho i-dialectical behavior therapy (DBT) ikusiza ukuthi ulawule ukulungiswa kwemizwa.

Ukubonisana ngokondleka kubuyisela izindlela zokudla ezempilo futhi kulungisa ukushoda. Ukubuyisela isisindo ngokuhamba kwesikhathi kubalulekile kulabo abakhuluphala kakhulu. Indlela ehlanganisiwe iyadingeka kokubili ekuphulukiseni komzimba nangokwengqondo ekuphumeni e-bulimia.