Uyini i-Bulimia? Izimpawu, Izimbangela, & Ukwelashwa

I-Bulimia nervosa iwuhlobo lokuphazamiseka kokudla lapho uhlala udle ukudla okuningi ngezikhathi ezimfushane, bese uzama ukususa amakhalori ngokugabha, imithi yokukhulula isisu, noma ukuzivocavoca okukhulu. Lo mzungulu ungaba nomuzwa wokucindezela futhi ungaphezu kokulawula, kodwa awuwedwa kule nkinga.

Ngokungafani nezinye izinkinga zokudla, abantu abane-bulimia bavame ukugcina isisindo esijwayelekile, okwenza kube nzima ukubona isimo. Ubumfihlo be-bulimia kusho ukuthi abantu abaningi bahlupheka ngokuthula iminyaka eminingi ngaphambi kokuthola usizo.

Ziyini izimpawu ze-bulimia?

Izimpawu ze-bulimia ziwela ezimisweni zokuziphatha kanye nezimpawu zokomzimba ezithuthuka ngokuhamba kwesikhathi. Isici esiyinhloko iwumjikelezo wokudla okukhulu okulandelelwa ukuziphatha okuqondene nokuvimbela ukwanda kwesisindo.

Nawa ama-sintoma abalulekile wokuziphatha ongawaqaphela:

• Ukudla okuningi okungavamile kokudla ngezikhathi ezimfushane (ngokuvamile phakathi namahora amabili)
• Ukuba nomuzwa wokulahlekelwa ukulawula ngesikhathi salezi zikhathi zokudla
• Ukugabha ngemva kokudla, ngokuvamile ngasese
• Ukusebenzisa imithi yokukhulula isisu, imithi yokunciphisa amanzi, noma amaphilisi okudla njalo
• Ukuzivocavoca ngokweqile ukuze "ushishe" amakhalori
• Ukugwema izimo zenhlalo ezihilela ukudla
• Ukufihla ukudla noma ubufakazi bokudla
• Ukuya njalo emathrotheni ngemva kokudla

Umkhaya wakho ungabonisa futhi izimpawu zokomzimba ezivela ekuziphatheni okuphindaphindayo kokususwa. Lezi zimpawu zingaba zimbi ekuqaleni kodwa zibe nomuzwa ngokuhamba kwesikhathi.

Izimpawu zokomzimba zivame ukufaka:

• Ukuvuvukala kwamabele noma indawo yomhlathi evela ekugebeni okuphindaphindayo
• Izinkinga zamahlombe njengokudumeka kwamazinyo noma ukubola kwenamel
• Ubuhlungu obungapheli bomphimbo noma izwi elihlwithwe
• Ukushisa kwesisu okuvamile noma ukubuyela emuva kwesisu
• Ukusika noma ama-calluses ezinzwini ezivela ekuqinisweni kokugabha
• Ukuphelelwa amanzi emzimbeni kanye nokungahluzeki kwama-electrolyte
• Izikhathi zenyanga ezingavamile
• Ukukhathala okungapheli noma ubuthakathaka

Lezi zimpawu zingase zihluke kakhulu kumuntu ngamunye. Abanye abantu baye bahlangabezane nemiphumela emibi yomzimba ngokushesha, kanti abanye bangase babe nezibonakaliso ezingabonakali iminyaka eminingi.

Imikhakha ye-bulimia yini?

Ochwepheshe bezempilo yengqondo bayaqaphela izinhlobo ezimbili eziyinhloko ze-bulimia ngokusekelwe endleleni umuntu azama ukuhlanganisa ngayo ukudla okukhulu. Ukuqonda le miqondo kusiza odokotela ukuba benze izinhlelo zokwelapha ezithuthukile.

Uhlobo lwe-bulimia oluhlanza luhilela ukusebenzisa njalo ukugabha, izidakamizwa, izidakamizwa zokunciphisa amanzi, noma ama-enemas ukuze kususwe ukudla ngemuva kokudla okukhulu. Lena yindlela evamile kakhulu ye-bulimia abantu abayicabanga uma bezwa leli gama.

Uhlobo lwe-bulimia olungahlanzi luthetha ukuthi usebenzisa ezinye izenzo zokuhlanganisa njengokuzila ukudla izinsuku noma ukuzivocavoca ngokweqile ngemuva kokudla okukhulu. Awugabhi njalo noma usebenzisi izidakamizwa ukususa ukudla emzimbeni wakho.

Zombili izinhlobo zingaba nzima ngokulinganayo futhi zidinga ukwelashwa kwabasebenzi bezempilo. Izingozi zezempilo nethonya lokuzwelana zingaba zinkulu kungakhathaliseki ukuthi yiziphi izenzo zokuhlanganisa ozisebenzisayo.

Yini ebangela i-bulimia?

I-Bulimia ithuthukiswa yihlanganisela enzima yezinto zobiological, ezingokwengqondo, nezentlalo ezisebenza ndawonye. Ayikho imbangela eyodwa, futhi akuyona iphutha lomuntu uma leli gciwane lokudla lithuthuka.

Izinto eziningi zobiological zingandisa ukulimala kwakho kwi-bulimia:

• Umlando womndeni wezifo zokudla noma izimo zempilo yengqondo
• Ukuthambekela kwezakhiwo ekuhluphekeni noma ekudidekeni
• Ukungahlangani kahle kwe-kemistri yengqondo okuthinta isimo sengqondo nokulawula izikhuthazo
• Ukushintsha kwamahomoni phakathi kwesikhathi sokuqala noma izinguquko ezinkulu zokuphila
• Umlando wokudla noma ukunciphisa ukudla okuyephula izibonakaliso zendlala evamile

Izinto ezingokwengqondo zivame ukudlala indima ebalulekile ekuthuthukiseni i-bulimia. Lezi zinto zangaphakathi zingadala isimo esifanelekile sokuthi izindlela zokudla ezingalungile zivele.

Abanikela ngezinto ezingokwengqondo abavamile bafaka:

• Ukuzidelela okukhulu noma umbono omubi ngomzimba
• Ukuba nomkhuba wokuphelelisa noma isidingo sokulawula
• Umlando wokulimalwa, ukuxhashazwa, noma ukunakekelwa okungekho kahle
• Ukukhathazeka, ukucindezeleka, noma ezinye izimo zempilo yengqondo
• Ubunzima bokulawula imizwelo noma ukucindezeleka
• Amakhono amancane okuqondana nezinselele zokuphila

Izici zomphakathi nezokuzungezile zingabuye zibangele noma zenzima izimpawu ze-bulimia. Imiyalezo yomphakathi yethu mayelana nokudla, isisindo, nobuhle ingaba yingozi kakhulu kubantu abanobuthakathaka.

Imiphumela yezindawo ezizungezile ihlala ifaka:

• Ukungcindezelwa komphakathi kokuba mncinci noma ukufeza izindinganiso zomzimba ezingaqondakali
• Ukuhileleka emisebenzini egcizelela isisindo noma ubuhle (njengokugijima noma ukwenza imodeli)
• Izimo zomndeni eziphathelene nokudla, isisindo, noma ubuhle
• Ukungcindezelwa ngontanga noma ukuxhashazwa ngosayizi womzimba
• Izinkinga ezinkulu zokuphila noma ukuguqulwa
• Ukudalulwa kwezokuxhumana nabantu ngezithombe zomzimba ezingaqondakali

Ukuqonda lezi zici kungakusiza ukuqaphela ukuthi i-bulimia ayisiyona ukukhetha noma isiphoso sobuntu. Iyisimo esinzima sempilo yengqondo esikhula lapho izici eziningi ezingozi zihlangana.

Nini kufanele ubona udokotela nge-bulimia?

Kufanele ufuna usizo lochwepheshe ngokushesha nje lapho uqaphela noma yiziphi izimpawu ze-bulimia kuwe noma kumuntu omkhulu. Ukungenelela kwasekuqaleni kungavimbela izinkinga ezinkulu zempilo futhi kwenze ukuphulukisa kube lula.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinzima zomzimba. Lezi zimpawu zexwayiso zibonisa ukuthi umzimba wakho ulwa nemiphumela ye-bulimia futhi udinga ukunakekelwa okusheshayo.

Isimo esiphuthumayo sifaka:

• Ukuphelelwa amanzi okukhulu ngokukhathazeka noma ukuhlupheka
• Ubuhlungu esifubeni noma ukushaya kwenhliziyo okungajwayelekile
• Ukungahlangani kahle kwama-electrolyte okubangela ubuthakathaka bemisipha
• Ukugabha okuqhubekayo okungapheli
• Imicabango yokulimaza noma ukuzibulala
• Ubuhlungu obukhulu bezinyo noma ukulahlekelwa amazinyo ngenxa yokugabha okuvamile

Akukafuni ukulinda inhlekelele ukuze ucele usizo. Xhumana nodokotela uma ukhathazekile ngezindlela zakho zokudla noma uma izimpawu ze-bulimia zithinta impilo yakho yansuku zonke.

Cabanga ukuhlela i-aphoyintimenti uma ubona izindlela eziqhubekayo njengokudla okuningi okulandela ukuhlanza, imicabango ehlala ikhona ngokudla nesisindo, noma ukuzihlukanisa ngenxa yezenzo zokudla. Udokotela wakho angahlola isimo sakho futhi akuxhumanise nezinsiza zokwelashwa ezifanele.

Ziyini izimbangela zengozi ze-bulimia?

Izici ezithile zingandisa amathuba akho okukhula kwe-bulimia, nakuba ukuba nezici zengozi akusho ukuthi uzokuthola ngokuqinisekile leli cala lokudla. Ukuqonda lezi zici kungakusiza ukuthi uqaphele ukuthi nini ukwesekwa okwengeziwe kungaba usizo.

Izici zedemografikhi zibonisa ukuthi i-bulimia ibathinta abantu ngezindlela ezahlukene emagqabini ahlukahlukene. Nakuba noma ubani angaba ne-bulimia, izindlela ezithile zivela kulabo abathinteka kakhulu.

Amaqembu asemngciphekweni ophezulu afaka:

• Amantombazane asebasha nabesifazane abasebasha (nakuba amadoda angaba ne-bulimia futhi)
• Abantu abahilelekile emisebenzini egxile kakhulu kubukeka njengodansi, ijimnastic, noma ukumodela
• Abantu abavela emindenini enomlando wokuhlupheka kokudla
• Labo abanobunzima bobuntu noma abaphuthuma kakhulu
• Abantu ababekade bedla ukudla okuncane noma behlelwa yisikhathi eside

Izici zomlando siqu zingakhuphula futhi ingozi ye-bulimia. Lezi zenzakalo zingakwenza ube sengozini kakhulu yokuthuthukisa izindlela zokudla ezingalungile lapho ezinye izinto ezikucindezelayo zenzeka.

Izici ezibalulekile zengozi zifaka:

• Umlindo wokulimaza, ukuxhashazwa, noma ukunakekelwa okungafanele ebuntwaneni
• Ukudla okungalungile ngaphambili noma ukudla okuncane okungapheli
• Isimo sengqondo njengokukhathazeka, ukucindezeleka, noma i-PTSD
• Izinkinga zokusebenzisa izidakamizwa kuwe noma ezinye izilwane zakho
• Ukushintsha okukhulu empilweni noma izenzakalo ezikucindezelayo
• Ukuzihlukanisa noma ubunzima bokuhlala ubudlelwano

Ukuba nezingozi eziningi akusho ukuthi ukugula kokudla okungapheli kuyaphoqeleka. Abantu abaningi abanengozi abazitholi izinkinga zokudla, kanti abanye abanengozi embalwa ebonakalayo bayalwa nokugula kokudla okungapheli.

Ziyini izinhlungu ezingase zenzeke ngenxa yokugula kokudla okungapheli?

Ukugula kokudla okungapheli kungabangela izinkinga ezinkulu zempilo emzimbeni wakho uma kungaphathwa. Ukuphindaphinda kokudla okuningi nokuhlanza kubangela ukucindezeleka okukhulu ezinhlotsheni eziningi zamalungu emzimbeni isikhathi eside.

Izinhlungu zesisu ziyizona eziqheleke kakhulu futhi ezinzima kakhulu zokugula kokudla okungapheli. Ukuhlanza njalo nokusebenzisa imithi yokukhulula isisu kungalimaza umgudu wakho wesisu kusukela emlonyeni kuya ezibindini.

Izinhlungu zesisu zivame ukufaka:

• Ukonakala kwamazinyo okukhulu nokuwohloka kwesikhumba samaqanda esisu
• Ukushisa kwesisu okuqhubekayo nesifo sokugabha
• Amagxolo ahlunguluwe abangela ukukhuluphala kobuso
• Isibindi esiqhubekayo ngenxa yokusebenzisa kabi imithi yokukhulula isisu
• Izihlamba zesisu noma isifo sesisu ngenxa yokugabha okuphindaphindayo
• Ukuklebuka komphimbo ngenxa yokugabha okunamandla

Inhliziyo yakho nokujikeleza kwegazi kungalimazeka kakhulu ngenxa yemiphumela yokugula kokudla okungapheli ezingeni lemikhiqizo yekhemikhali yomzimba wakho. Ukungalingani kwama-electrolyte ngenxa yokuziphatha kokuhlambalaza kungadala izinkinga zenhliziyo ezisongela ukuphila.

Izinhlungu zenhliziyo zingafaka:

• Ukushona kwenhliziyo okungajwayelekile noma ukushaya kwenhliziyo okusheshayo
• Uxinzelelo lwegazi oluphansi nokuphelelwa amandla
• Ukonakala kwemisipha yenhliziyo ngenxa yokungalingani kwama-electrolyte
• Ukungena engozini enkulu yokuhlaselwa yinhliziyo, ikakhulukazi ezimweni ezinkulu
• Izinkinga zokugandeka kwegazi ngenxa yokuphelelwa amanzi

Ezinye izinhlangothi zomzimba zingathinteka nayo ngenxa yemiphumela yokugula kokudla okungapheli ekudleni nasemanzini. Lezi zinhlungu zingathinta ukusebenza kwakho kwansuku zonke nempilo yakho yesikhathi eside.

Ezinye izinhlungu zifaka:

• Ubuthakathaka bethambo kanye nokukhuluphala komngcipheko wokwephulwa kwamathambo
• Ukonakala kwesibindi ngenxa yokuphelelwa amanzi emzimbeni okuqhubekayo
• Ukwehluleka kwenwele nezindebe ezicwebezelayo ngenxa yokondleka okungalungile
• Izikhathi zokuthola isikhathi esingavamile noma esingatholakali
• Ukukhuluphala komngcipheko wokukhathazeka nokucindezeleka
• Ukuzihlukanisa komphakathi nezingxabano zobuhlobo

Izindaba ezinhle ukuthi izinhlanganisela eziningi zalezi zingathuthuka noma ziphele ngokuphelele ngokwelashwa okufanele nokuphulukisa. Umzimba wakho unamakhono okuphulukisa amangalisayo uma unikezwa ithuba.

Kungenzeka kanjani ukuvimbela i-bulimia?

Nakuba ungakwazi ukuvimbela ngokuphelele i-bulimia, amasu athile anganciphisa ingozi futhi akhuthaze ubuhlobo obunempilo nokudla nomfanekiso womzimba. Ukuvimbela kugxile ekwakheni ukumelana nokubhekana nezici ezingozi ngaphambi kokuba ziholele ekudleni okungapheli.

Ukuthuthukisa amakhono okumelana anempilo kusenesikhathi kungakuvikela ekuguquleni imikhuba ehlobene nokudla ngezikhathi ezinzima. Ukufunda ukuphatha imizwa nokucindezeleka ngezindlela ezizuzisayo kwakha isisekelo esiqinile sempilo yengqondo.

Amasu okuvikela afaka:

• Ukufunda amasu okulawula ukucindezeleka anempilo njengokucamngca noma ukubhala iphephabhuku
• Ukwakha ubuhlobo obuqinile bomphakathi namasiko wokusekela
• Ukuthuthukisa izinto zokuzilibazisa nezintshisekelo ngaphandle kokubonakala noma isisindo
• Ukuzikhathalela nokucabanga ngezindlela ezizenzakalelayo
• Ukuthola usizo lochwepheshe ngezinkinga zempilo yengqondo kusenesikhathi
• Ukugwema ukudla okunqanyuliwe noma ukunciphisa ukudla okukhulu

Ukwakha indawo enhle ngokudla nomfanekiso womzimba kunganciphisa futhi ingozi ye-bulimia. Lokhu kufaka kokubili izinqumo zomuntu siqu kanye nezinguquko ezinkulu zocultuur endleleni esikhuluma ngayo ngesisindo nokuvela.

Ukuvikelwa kwendawo kubandakanya:

• Ukunciphisa ukubonisana nemiyalezo yekudla nokufana komzimba okungelona iqiniso
• Ukukhetha imisebenzi edumisa lokho umzimba wakho ongakwenza, hhayi indlela obukeka ngayo kuphela
• Ukuzizungezile ngabantu abasekela ukuhlukahluka komzimba
• Ukufunda ngezinguquko zomzimba ezijwayelekile ngezigaba ezahlukene zokuphila
• Ukufuna usizo lochwepheshe ezimpawu zokuqala zokudla okungajwayelekile

Uma unezinhlangothi eziningi ezingozi ze-bulimia, cabanga ukusebenza nochwepheshe wezempilo yengqondo ngokuthintela. Bangakusiza ukuba uthuthukise amasu okuqondisa ngokwakho okusekelwe ekwakheni ubudlelwano obuphilile nokudla nomzimba wakho.

I-bulimia ihlonishwa kanjani?

Ukuhlonishwa kwe-bulimia kuhilela ukuhlolwa okubanzi nguchwepheshe wezempilo yengqondo noma udokotela onolwazi ngezinkinga zokudla. Ayikho ivivi elilodwa le-bulimia, ngakho ukuhlonishwa kuxhomeke ekulinganisweni ngokucophelela izimpawu zakho nokuziphatha.

Umhlinzeki wakho wezempilo uzoqala ngengxoxo eningiliziwe mayelana nezindlela zakho zokudla, imicabango mayelana nokudla nokukhuluphala, nanoma yikuphi ukuziphatha kokususwa. Bayobuza futhi ngomlando wakho wezokwelapha, impilo yengqondo, nangemuva lomndeni.

Inqubo yokuhlola ngokuvamile ihlanganisa:

• Imibuzo eningiliziwe mayelana neziqephu zokudla okukhulu kanye nokuvamile
• Ukuhlolwa kwezenzo zokubuyisela njengokuhlanza noma ukusetshenziswa kwe-laxative
• Ukuhlolwa kwemicabango nemizwa mayelana nokukhuluphala komzimba nendlela
• Ukuhlaziywa kwezimpawu zezokwelapha nezinhlungu zomzimba
• Ukuhlolwa kwezempilo yengqondo ngokudangala, ukukhathazeka, noma ezinye izimo
• Umbukiso womndeni wezinkinga zokudla noma izinkinga zezempilo yengqondo

Ukuhlolwa komzimba kanye nezivivinyo zezokwelapha kusiza ekutholeni noma yikuphi ukuphazamiseka kwezempilo okuvela e-bulimia. Udokotela wakho udinga ukuqonda ukuthi ukuphazamiseka kokudla kuye kwathinta kanjani umzimba wakho ukuze udale uhlelo lokwelapha oluhle kakhulu.

Ukuhlolwa kwezokwelapha ngokuvamile kuhlanganisa:

• Ukuhlolwa komzimba ukuhlola izimpawu zokuhlanza noma ukondleka okungalungile
• Izivivinyo zegazi ukuhlola amazinga e-electrolyte kanye nomsebenzi wezinso
• Ukuqapha inhliziyo ukuhlola izindlela ezingavamile
• Ukuhlolwa kwamazinyo ukuhlola ukulimala kwamazinyo
• Ukuhlolwa kobunzima lwamathambo uma i-bulimia isikhathi eside

Udokotela wakho uzophinde akhiphe ezinye izimo zezokwelapha ezingase zibangele izimpawu ezifanayo. Ezinye izifo zomzimba zingabangela ukugabha okuvamile noma ukushintsha emathendeni okudla okungase kuphikiswe ne-bulimia.

Iyini impilo yokuwelapha i-bulimia?

Ukuphathwa kwe-bulimia kuvame ukubandakanya indlela yeqembu ehlanganisa i-psychotherapy, ukuqapha kwezokwelapha, kanye ngezinye izikhathi imithi. Umgomo ukukusiza uthuthukise ubuhlobo obuhle nokudla ngenkathi ubhekana nezinkinga zengqondo.

I-psychotherapy iyisisekelo sokwelapha i-bulimia. Izinhlobo eziningi zokwelapha ziye zafakazelwa ukuthi ziphumelela ekusizeni abantu ukuphulukiswa kuleli gciwane lokudla nokugcina impilo ehlala njalo.

Izindlela zokwelapha eziphumelelayo zihlanganisa:

• I-Cognitive Behavioral Therapy (CBT) ukushintsha izindlela zokucabanga eziyingozi mayelana nokudla nomfanekiso womzimba
• I-Dialectical Behavior Therapy (DBT) ukuthuthukisa amakhono angcono okulawula imizwelo
• Ukuphathwa komndeni kwentsha ebandakanya abazali ekuphulukiseni
• I-Interpersonal Therapy egxile ezimisweni zobuhlobo ezingase zibangele izimpawu
• I-group therapy enikeza ukwesekwa ngontanga kanye namasu okuqondana ahlanganyelwe

Ukuqapha kwezokwelapha kuqinisekisa ukuthi impilo yakho yomzimba ihlala iqinile ngesikhathi sokuphulukisa. Iqembu lakho lokunakekelwa kwezempilo lizoqapha izimpawu ezibalulekile, amanani elabhoratri, kanye nesimo sezokwelapha sonke ngesikhathi sokwelapha.

Ukukhathalela kwezokwelapha kuvame ukubandakanya:

• Ukuhlolwa njalo ukuqapha izinga lokushona kwenhliziyo kanye nokucindezeleka kwegazi
• Izivivinyo zegazi ukuqapha ukulingana kwama-electrolyte kanye nomsebenzi wezinso
• Uwelwesi lokudla ukubuyisela amasiko okudla okunempilo
• Ukukhathalela kwamazinyo ukulungisa ukonakala kwamazinyo okuvela ekukhahleleni okuvamile
• Ukuphathwa kwanoma yiziphi izinkinga zezokwelapha ezivela kubulimiya

Imithi ingasiza abantu abane-bulimia, ikakhulukazi uma ukucindezeleka noma ukukhathazeka kuhambisana nesifo sokudla. Imithi yokulwa nokucindezeleka ibonise ithemba elikhethekile ekuthuthukiseni izehlakalo zokudla okukhulu nokuhlanza.

Imithi evamile ihlanganisa i-selective serotonin reuptake inhibitors (SSRIs) efana ne-fluoxetine, eqinisekisiwe ngokukhethekile ekwelapheni i-bulimia. Udokotela wakho uzoxoxa uma imithi ingaba usizo esimweni sakho esithile.

Indlela yokuphatha i-bulimia ekhaya ngesikhathi sokwelashwa?

Ukuphathwa kwekhaya le-bulimia kufanele kuhlale kuhambisana nokuphathwa kwezobuchwepheshe, kungalokothi kulibambe indawo. Lezi zindlela zingasekela inqubo yakho yokutakula futhi zikusize ugcine intuthuko phakathi kwemihlangano yokwelapha.

Ukudala isimo esiqondile ngokudla kungasiza ekuthuthukiseni ukuphazamiseka okuvamile okuzungezile ukudla uma une-bulimia. Isikhathi sokudla esiqondile nokudla okulinganiselayo kusekela kokubili ukululama komzimba nangokomzwelo.

Izindlela zokudla eziwusizo zihlanganisa:

• Ukudla ukudla okuvamile kanye nezidlo ezincane ngezikhathi ezifanayo nsuku zonke
• Ukuhlela ukudla kusengaphambili ukuthuthukisa ukukhathazeka ngokukhetha ukudla
• Ukudla nabalandeli abasekelayo bomndeni noma abangane uma kungenzeka
• Ukugwema ukugcina ukudla okubangela ukudla okukhulu
• Ukuhlala uthambile ngamanzi usuku lonke
• Ukusebenza nodokotela wezondlo ukuthuthukisa izinhlelo zokudla

Ukuthuthukisa amakhono okuqondisa anempilo kungakusiza uphathe imizwa ngaphandle kokuguqula imikhuba ye-bulimia. Lezi zindlela ezihlukile zikunika izindlela ezakhayo zokuphatha ukucindezeleka, ukukhathazeka, noma ezinye izinzwa ezinzima.

Izindlela zokuphatha ezisebenzayo zihlanganisa:

• Ukwenza ukuphumula okunzulu noma ukuzindla uma uzizwa unesifiso sokuphuza kakhulu noma ukuhlanza.
• Ukugcina idayari ukuze ubone izinto ezikuphazamisayo ezingokomzwelo eziholela ezimpaweni.
• Ukuhileleka emisebenzini yomzimba elula njengokuhamba noma i-yoga.
• Ukubiza umngani noma ilungu lomndeni elisekela uma uhlupheka.
• Ukusebenzisa izindlela zokudala njengezobuciko, umculo, noma ukubhala ukuze ubonise imizwa.
• Ukulandela isimiso sokulala esiqondile ukuze usekele ukulungiswa komzwelo.

Khumbula ukuthi ukuphulukiswa akuyona into eqondile, futhi ukwehluleka akusho ukuthi uhlulekile. Bekezela ngawe futhi uhlale uxhumana neqembu lakho lokwelashwa kulo lonke leli khondo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela ngokuqondene ne-bulimia kungakusiza ukuthi uthole okuningi kakhulu ekuhambeleni kwakho futhi kuqinisekise ukuthi uthola ukunakekelwa okufanele. Ukuthembeka nokuqonda ngokuphelele nomhlinzeki wakho wezinsizakalo zezempilo kubalulekile ekuxilongweni nasekwelapheni okufanele.

Ngaphambi kwe-aphoyintimenti yakho, thatha isikhathi sokulandelela izimpawu zakho nezindlela zakho zokudla. Lolu lwazi lusiza udokotela wakho ukuthi aqonde ububi nokuvamile kokuziphatha kwakho kwe-bulimia.

Ulwazi oluwusizo olumele uqokelele luhlanganisa:

• Ukuvamile kwezindaba zokudla okungaphezu kwalokho okudingekayo ngenyanga edlule.
• Izinhlobo nokuvamile kokuziphatha okuqeda (ukugabha, imithi yokukhulula isisu, ukuzivocavoca).
• Izimpawu zempilo zomzimba ozibonile njengezinkinga zamahlombe noma ukukhathala.
• Imithi, izithasiselo, noma imikhiqizo yokuthengwa ngaphandle owasebenzisayo.
• Umbukiso womndeni wezinkinga zokudla noma izimo zempilo yengqondo.
• Uhlu lwemibuzo noma izinkinga ofuna ukuzixoxa.

Cabanga ukuthi ulethe umngani noma ilungu lomndeni omethembayo e-aphoyintimenti yakho uma uzizwa ukhululekile ukwenza kanjalo. Ukuba nokusekelwa kungakusiza ukuba ukhumbule ulwazi olubalulekile futhi uzizwe ungakhathazeki kakhulu ngesikhathi sokuvakasha.

Phakathi nokubonisana, qinisani ngangokunokwenzeka ngezimpawu zenu, ngisho noma kunzima ukukhuluma ngazo. Udokotela wakho ubone izinkinga ezinjengalezi ngaphambili futhi ngeke akuhlasele. Ulwazi olunembile olukuphayo, luzosiza kangcono.

Ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi, kufaka phakathi ukuxilongwa, izinketho zokwelashwa, noma okumele ukulindele ngesikhathi sokuphulukana. Lesi yisikhathi sakho sokuthola ulwazi nokusekelwa okudingayo.

Iyini into ebaluleke kakhulu mayelana ne-bulimia?

I-Bulimia yisifo esibuhlungu kodwa esingelashwa sokudla esithinta izigidi zabantu emhlabeni jikelele. Into ebaluleke kakhulu okumele uyiqonde ukuthi ukuphulukana kunokwenzeka ngokuphelele ngokwelashwa okufanele kwabasebenzi bezempilo nokusekelwa.

Lesi simo akuyona into yokukhetha, iphutha lobuntu, noma uphawu lobuthakathaka. I-Bulimia ithuthukiswa yiqoqo elikhulu lezizathu zezinto eziphilayo, ezingokwengqondo, nezenhlalo ezihlangana kubantu abanobuthakathaka.

Ukungenela kwangaphambi kwesikhathi kuholela eziphumeleni ezinhle, ngakho ungalindi ukufuna usizo uma ulwa nezimpawu ze-bulimia. Umhlinzeki wakho wezinsizakalo zezempilo angakuxhumanisa nokwelashwa okukhethekile kwesifo sokudla okuqondisa kokubili izici zokomzimba nezingokwengqondo zalesi simo.

Ukuphulukana kudinga isikhathi nokubekezela, kodwa izinkulungwane zabantu baye bakwazi ukuqeda i-bulimia futhi baphile impilo egcwele, enempilo. Ngokusekelwa okuhle kanye nendlela yokwelashwa, ungakha ubuhlobo obuthule nokuthile nomzimba wakho.

Imibuzo evame ukubuzwa mayelana ne-bulimia

Ungaba ne-bulimia futhi ugcine ube nobunzima obujwayelekile?

Yebo, abantu abaningi abane-bulimia bagcina ubunzima obujwayelekile noma banesisindo esiningi, okwenza lesi simo sibe nzima ukusibona kunamanye ama-eating disorders. I-binge-purge cycle ayihlali iholela ekwehleni okukhulu kwesisindo ngoba izindlela zokuhlanza azisebenzi ngokuphelele ekususeni ama-calories.

Lesi yisizathu esisodwa sokuba i-bulimia ivame ukungatholakali iminyaka eminingi. Abakwa-ndlu nabangane bangase bangazi ukuthi umuntu uyalwela ngoba ababonakali ‘njengoba’ benesifo sokudla.

Ingabe i-bulimia iyingozi kakhulu kunamanye ama-eating disorder?

Wonke ama-eating disorder anezinkinga zempilo ezinzima, futhi i-bulimia ingaba yingozi njenge-anorexia noma ezinye izimo. Ukwenza izinto zokuhlanza njalo e-bulimia kungabangela ukungalingani okukhulu kwama-electrolyte okuthinta umsebenzi wenhliziyo futhi kungaba yingozi eyingozi.

Umehluko oyinhloko ukuthi izinkinga zezokwelapha ze-bulimia zingase zingabonakali ekuqaleni, okuvumela isimo siqhubeke isikhathi eside ngaphambi kokuba umuntu afune ukwelashwa. Noma kunjalo, imiphumela yempilo yesikhathi eside ingaba nzima.

Kuthatha isikhathi esingakanani ukuphulukana ne-bulimia?

Isikhathi sokuphulukana sihluka kakhulu kumuntu ngamunye kuye ngezinto ezifana nokuthi uke waba ne-bulimia isikhathi esingakanani, ubukhulu bezimpawu, nokuthi uphendula ngokushesha kangakanani ekwelapheni. Abanye abantu babona ukuthuthuka phakathi nezinyanga, kanti abanye bangadinga ukwesekwa okuqhubekayo iminyaka eminingi.

Into ebalulekile okumele uyikhumbule ukuthi ukuphulukana kuyinqubo, hhayi indawo yokufika. Abantu abaningi baqhubeka besebenza ebuhlotsheni babo nokudla nomfanekiso womzimba impilo yabo yonke, kodwa bangaphila impilo egcwele, enempilo.

Ingabe amadoda angaba ne-bulimia?

Yebo, amadoda angaba ne-bulimia, nakuba kungavamile kunabesifazane. Amadoda ane-bulimia angase abhekane nezinselele ezengeziwe ngoba ama-eating disorder avame ukubhekwa njengezinkinga ‘zabesifazane,’ okungabavimbela ekufuneni usizo.

Amadoda amaningi cishe agxile ekwakheni imisipha kunokulahlekelwa isisindo, okungase kubonakale njengokuvivinya umzimba okukhulu kunokwenza izinto zokuhlanza ngendlela evamile. Noma kunjalo, izici eziyinhloko ze-bulimia zihlala zifana kungakhathaliseki ubulili.

Kufanele ngenzeni uma ngicabanga ukuthi umngane une-bulimia?

Sondela umngane wakho ngobubele futhi ugweme ukuba nomqondo wokwahlulela noma ukuphikisana ngezindlela zabo zokudla. Veza ukukhathazeka kwakho usebenzisa amagama athi "mina" afana nokuthi "Ngiphawulile ukuthi ubonakala ucindezelekile lapho kudliwa" kunokuba kube ukusola.

Bakhuthaze ukuba bakhulume nodokotela noma umeluleki, futhi ubazise ukuthi uzobasiza ukuthola izinsiza noma uhambe nabo ekuyokwelashweni. Khumbula ukuthi awukwazi ukuphoqa umuntu ekutholeni ukwelashwa, kodwa ukusekela kwakho kungenza umehluko omkhulu ekuzimenzeleni kwabo ukufuna usizo.