Zvimwe Zvichinyatsojekesa Kudyisa kana Kudya Zvokudya kana OSFED, chirwere chinodyiwa chaimbozivikanwa seDNOS (Eating Disorder Pasina Zvimwe Chaziviswa) hachizivikanwi kupfuura anorexia nervosa , bulimia nervosa , uye binge kudya chirwere . Kunyange zvakadaro, inonyanya kupararira, inomiririra inofungidzirwa 32 muzana kusvika 53 muzana yevanhu vose vane zvinetso zvekudya.
Chimwe chinetso chepfungwa dzezvepfungwa, munharaunda, ndeyekuti varwere vakawanda havafananidzi zvakanaka mune zvinyorwa zvekuongorora zvirwere. Haisi nguva dzose yakajeka-yakatemwa. Dzimwe nguva vanhu vanosangana nevakawanda asi kwete zvose zvinotarisirwa kugadziriswa. Mukusangana kwezvinetso zvekudya, munhu asingakodzeri kuongororwa zvakananga angarongedzerwa se OSFED. Bhuku Rekuongorora uye Rokusimudzira reMental Disorders, 5th Edition (DSM-5) rinosanganisira mienzaniso miviri yevarwere avo vaizove vakaiswa sa OSFED:
1. Atypical Anorexia Nervosa: Izvi zvinosanganisira vanhu vanosangana nevakawanda asi kwete zvose zvinotarisirwa kuti anorexia nervosa . Semuenzaniso, vanogona kurega kudya kwekudya uye kuratidza zvimwe zviitiko zve anorexia nervosa pasina kusangana nemutengo unorema.
2. Bulimia Nervosa yepasi pfupi uye / kana nguva shoma : Munhu wacho angasangana nematambudziko akawanda ehulimia nervosa , asi kudya kwebinge uye / kana kuchenesa kunowanikwa panguva yakaderera uye / kana kuti kwenguva shoma.
3. Binge Eating Dambudziko rekudzivirira kwepasi uye / kana nguva shoma : Munhu anoenderana nemutemo wekudya binge zvinodhaka asi kudya binge kunowanikwa panguva yakaderera uye / kana kwehuwandu hushoma. 4. Kufuridza Matambudziko : Munhu anoshanda mukucheneswa kweakoriyori (nekurutsa, kusashandiswa kwemaxatives kana kuti diuretics, uye / kana kunyanyisa kushandisa) chinotarisirwa kuwedzera kukura kana kumira, asi hazvirevi kudya, ndicho icho chinosiyanisa chirwere ichi kubva kuri bulimia nervosa.
5. Eating Eight Syndrome : Munhu anowanzoita zvikamu zvekare zvekudya, achidya mushure mekumuka kubva kurara, kana kupinda mune zvakanyanya kudya zvokudya mushure mekudya kwemanheru. Iko kuziva nekuyeuka kwekudya.
Izvo zvakapfuura zvinongova mienzaniso; OSFED ine zvimwe zviratidzo zvakawanda.
Imwe pfungwa isina kururama pamusoro peS OSFED ndeyokuti haina kunyanyisa kana kuti zvishoma. Izvi hazvirevi chokwadi, uye zvinochengetedza vanhu vazhinji vari kutambura nekutsvaka rubatsiro. Mune chidzidzo cha Fairburn uye vashandi pamwe chete muna 2007 nezveEDNOS (OSFED yaimbozivikanwa se 'chirwere chekudya chisina kutaurwa'), vatsvakurudzi vakaona kuti maitiro akawanda eDNOS "akavhenganiswa" muhutano uye kwete subthreshold mafomu anorexia nervosa kana bulimia nervosa : "Makiriniki anosanganisira anorexia nervosa uye bulimia nervosa aripo asi akabatanidza nenzira dzakasiyana-siyana kune avo vanoonekwa mumaviri maviri anonzi syndromes."
Nepo vamwe vevanhu vanoonekwa kuti vane OSFED vangave vasina zvirwere zvishoma zvakanyanya, vazhinji vevanhu vane OSFED vane dambudziko rekudya zvakanyanya sevaya vanosangana nemirairo yeanorexia nervosa, bulimia nervosa, uye binge kudya chirwere. Fairburn nevamwe vaaishanda vakaona kuti "chirwere chekudya NOS chakakurumbira, chakasimba uye chinopfuurira." Vanhu vane OSFED vachawana njodzi dzehutano dzakafanana nedzimwewo dambudziko rekudya.
Pane imwe nguva yapfuura yakaratidza chiyero chekufa kweDNOS chakanga chakanyanya kufanana nevanhu vanoona miviri yeanorexia.
Uyezve, sezvo kudya chirwere chepfungwa chinenge chisina kugadziriswa kwekufamba kwenguva zvakare hazvishamisi kuti vanhu vasangane nechirwere cheS OSFED pavanenge vachienda kunotsvaga kuongororwa kweanorexia, bulimia, kana kubata chirwere chekudya, kana kuti pakufamba kwavo. Mune imwe nyanzvi yeDDOS, Agras nevamwe vaaishanda navo vakapedzisa, "EDNOS inzira-nzvimbo yevaya vanofamba kubva kuEED yakazara kana kubva kuregererwa kune imwe ED."
Yeuka, hapasi nguva dzose mutsara wakasimba pakati pehutano uye hutano uye kune maverengi emasere emvura mukati.
Kutsvakurudza kunotsigira kuti kupindira kwepakutanga kunoita kusiyana kukuru mukudzoka. Cognitive Behavioral Therapy (CBT kana CBT-E) ndeimwe yemishonga inobatsira zvikuru kune bulimia nervosa uye binge kudya chirwere uye yakashandiswa zvakajeka kune vanhu vane OSFED, kunyanya vanhu avo vasina OSFED nemashoko ezviratidzo akafanana nematambudziko aya.
Kunyange kana ruzivo rwako rusingaoneki rwakakodzera kufungidzirwa, kana uri kutambudzika kunobatana nekudya, kurovedza muviri, chimiro, uye kuyerwa, unofanira kubvunza nyanzvi.
Sources :
Agras et al. Aine makore makumi mana ekudzidza kudzidza Eating Disorder NOS yakaenzaniswa nehupenyu hwose hwekudya chirwere chepfungwa. International Journal of Eating Disorders . 2009.
Crow S et al. Kuwedzera Kufa muBulimia Nervosa uye Zvimwe Zvokudya Zvinetso. The American Journal of Psychiatry . 2009.
Fairburn et al. Kuoma uye chiremera chekudya chirwere NOS: Zvinokonzera DSM-V. Maitiro Okutsvakurudza uye Therapy . 2007.
Keel P, Brown T, Holm-Denoma J, Bodell LP. Kufananidza kweDMM-IV kusinganzwisisika chirongwa cheDMM-5 chinoratidzirwa chekushaiwa kwekudya: kuderedzwa kwechirwere chekudya chisina kutsanangurwa uye kuvimbika. International Journal of Eating Disorders . 2011.
Ornstein et al. Kupararira kwezvinetso zvekudya kuvana nevechiri kuyaruka vachishandisa chirongwa chinonzi chirongwa cheDMM-5 chekudya nekudya kwekudya. Zvinyorwa zveMakore ekuyaruka Utano . 2013.
Thomas J, Vartanian L, Brownell K. Ukama huri pakati pekudya chirwere chisina kutsanangurwa (EDNOS) uye zvakagamuchirwa zvakagadziriswa kudya kudya: meta-analysis uye zvinoreva DSM. Psychological Bulletin . 2009.