Chirongwa Chekudya Zvirwere Zvokurapa
Kana iwe kana munhu waunoda akaonekwa kuti ane chirwere chekudya, ungangodaro unotya uye usingazivi kuti chii chaunotevera. Kusiyana nehumwe humwe hutano hwepfungwa, kushungurudzwa kwekudya kunogona kukonzera kukanganisa kwemishonga . Somugumisiro, ivo vanowanzotarisirwa neboka revashandi.
Chimwe chikamu nokuti kushaiwa kwekudya kwakaoma kwazvo, kuziva kuti kuenda kupi kunotora kurapa uye kuti ungaiwana sei kunogona kunzwa kunetseka.
Varwere vane zvinetso zvekudya vanogona kugamuchira kurapwa mune zvakasiyana-siyana zvigaro kusanganisira kliniki yekunze, chipatara, kana chimwe chinhu chiri pakati.
Kuziva zvakawanda pamusoro pezvinhu zvekurapa-kusanganisira zvinangwa, vatengesi vezvokurapa, zvirongwa zvekurapa, zvikamu zvekurapa, uye kubhadhara uye nenyaya dzekuteerera-zvinogona kukubatsira kunzwa zvakanyanya kugadzirira kutora danho rako rokutanga mumugwagwa mberi.
Ndezvipi Zvirongwa Zvokudya Zvirwere Zvokurapa Zvinoitika?
Nokuti vanopa inshuwarisi vanowanzotaurira kuti maitiro ekurapa avo vanoda kubhadhara mari, munogona kunge musina zvakawanda zvekutaura pamusoro pekugadzirisa kwaunoitwa iwe (kunze kwekuti iwe uchida uye unokwanisa kubhadhara kurapwa kubva muhomwe).
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Zvikonzero Zvokuwedzera Zvokudya Zvakasiyana-siyana Mukudya Kuora Kwekugadzirisa
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Mishonga Inoshandiswa Kuita Kudya Kwekudya
Zvakajairika kutanga nehuwandu hwehutano hwekurapa uye kufambira mberi kumazinga ekutarisira sezvinodiwa. Uyezve, kana iwe ukawana kurapwa kwakanyanya, iwe ungangodaro uchinonoka uchienda kune zvishoma nezvishoma kutarisirwa kwepamusoro apo chirwere chinopfuurira uye iwe unovandudza. Izvi zvinowanzogadziriswa nhengo dzeboka rekurapa pamwe chete nevanishuwarenzi vapeji.
Izvo zvakasiyana-siyana kubva kune zvishoma kusvika kune dzakawanda zvakanyanya zvinosanganisira:
- Kunze kwekurapa kunowanzosanganisira munhu mumwe chete, maawa mashomanana kamwechete kana kaviri pavhiki nemunhu mumwe nomumwe mupi zvake.
- Kunyanya kurapwa kwenguva refu (IOP) kunogona kuva zvikamu zviviri kusvika zvitatu pavhiki, maawa mashomanana nguva imwe neimwe, iwe uchigara kumba uye zvichida kushanda kana kuenda kuchikoro.
- Zvimwe zvirongwa zvekuchengetedza zvirwere (PHP) zvinowanzobatwa mazuva mashanu pavhiki kwemaawa matanhatu kusvika ku11 pazuva, zvichiita kuti iwe ugone kumba.
- Dzimba dzekugara zvekugara (RTC) dzinopa maawa makumi maviri nemaviri kutarisirwa kune avo vane mishonga yakasimba asi vanoda kutarisirwa.
- Zvirwere zvekurapa zvinopa maawa makumi maviri nemaviri kutarisira kune avo vanoda kurapwa kwechiremba.
Pakati pezvizhinji zvakakosha zvehutano hwepamusoro zvakaderedza kushungurudzika, kunyanya kutarisira kurapwa, kuwedzera kukuchengetedza, kutsigirwa mupfungwa, uye kutsigirwa kwezvokudya .
Ndiani Ari paEating Disorder Treatment Team?
Nokuti kushaiwa kwekudya kwezvirwere zvepfungwa, nhengo huru yeboka rekurapa kazhinji ari chiremba wepfungwa uyo angave ari chiremba wepfungwa, chiremba chepfungwa, unyanzvi hwehutano hwevanhu, kana mumwe mupi anopa mvumo. Dare racho rinowanzowanzobatanidza chiremba, sechiremba wokutanga wevana kana vanachiremba, chiremba wezvokudya zvakanyorwa, uye chiremba chepfungwa. Nzira yeboka inobvumira kuti zvikamu zvakasiyana-siyana zvechirwere chekudya zviitwe.
Kubatana pakati pevamwe nhengo kunokosha.
Kana iwe usati uri munharaunda yekurapwa, iwe unogona kuve nechinzvimbo mukuunganidza boka rako. Icho chikonzero chakanaka chekuita kuti vatsigiri vako vave neruzivo nezvinetso zvekudya. Dzimwe nguva vatsigiri vangave vane mazano kune dzimwe nhengo dzeboka iro vavanoda kushamwaridzana navo, izvo zvingakubatsira kuvaka tende rako.
Zvinangwa Zvokurapa
Zvinangwa zvekurapa, maererano neC Academy for Eating Disorders 'Medical Care Standards Committee (2016), inosanganisira:
- Nutritional rehabilitation
- Kudzoka kwemahombekedzo (pane zvakakodzera)
- Kurapa kusimbiswa nekudzivirira kukanganisika kwezvoutano zvakakomba
- Kupera kwekudya zvakanyanya uye / kana kuchenesa mafambiro
- Kugadziriswa kwekusagadzikana kudya kana tsika dzekudya kudya
- Kuvandudzwa kwemufananidzo wemuviri
- Kudzorerwa kwemaitiro ekudya anosimudzira utano
- Kudzorerwazve kwekushamwaridzana kwevanhu
Nutritional Therapy
Imwe yemabasa ekutanga ekugadzirisa ndeye kugadzirisa kushama kwehutano uye hutano, uye normalizing kudya kudya uye maitiro. Utachiona hwehutano hunowanzotungamirirwa nemunhu anonyora zvokudya .
Mumwe muzvokudya anowanzoongorora nhuro yako yehutano, zvido zvekurapa, uye zvokudya zvinotarisirwa. Anobatsirawo nekushandira pamwe nekugadzira chirongwa chekudya chinopa chikafu chinodiwa, pamwe nekuisa kune zvokudya zvinotya nechinangwa chekuwedzera kuchinja .
Chirapi
Kurapwa kwevarwere vane zvinetso zvekudya kunonyatsotarisirwa nechiremba ane ruzivo rwakananga mukurapa kwezvinetso zvekudya, saka zvirwere zvingangodaro zvinokonzerwa nehutano hwekudya zvinogona kugadzirirwa zvakanaka. The Academy for Eating Disorders ' Pfungwa Dzakakosha Yokutanga Kuzivikanwa uye Mutungamiri Wezvokurapa Kwemishonga Mukuchengetedzwa Kwevanhu Nekudya Kwekudhawa kunopa mazano kuvarapi vezvokurapa.
Kurapwa kunowanzosanganisira:
- Kuongororwa kwemasvini
- Kuongororwa kwebhizinesi uye kutevedza ukuru
- Kuwedzerwa kuongororwa kuti kuongorore mwoyo inoshanda uye bone
- Kutarisa kwezviratidzo zvepanyama zvichibva mukugadzikana kwepamuviri kusvika kumatambudziko emwoyo
Psychological Treatments for Eating Disorders
Mushonga unodzidza zvakanakisisa wekutambudzika kwekudya ndeyekufungidzira -behavioral therapy (CBT).
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Idzi Ndidzo Inorayirwa Mishonga yeBinge Eating Disorder
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Kuchenjerera Kuita Maitiro Okurapa Matambudziko
Yakaratidza kuti inoshanda kune vanhu vakuru vane bulimia nervosa , binge kudya chirwere , kumwe kudya kwakananga uye kudya chirwere , uye anorexia nervosa . Iyo dzimwe nguva inoshandiswa kune vakwegura vachiri kuyaruka.
Mukufungisisa kwehutano hwehutano, chinotanga kutarisa ndechekutarisa zviratidzo uye nekuchinja kwekuita. Zvikamu zvehutano hwe CBT zvinowanzobatanidza:
- Kuzvicherechedza zvakadai sokuchengeta diary food
- Kudya kudya
- Kutanga kudya nguva dzose
- Kuvhiringidza maitiro ekuvadza zvakadai sekudya, kudya binge, uye kuzvipira
- Kutaura pamusoro pekuongorora-kutarisa kwechimiro uye uremu
- Kuoma mitemo yezvokudya
- Kutaura nemufananidzo wemuviri
- Kunyoresa zvokudya zvinorambidzwa
- Kudzokera kudzivirira
Kunyange zvazvo CBT iri kurapa kwakanakisisa kune vanhu vakuru, nzira yekurapa inoratidza uchapupu hwakanakisisa hwekurapa kwevechiri kuyaruka neyeorexia nervosa uye bulimia nervosa ndeyemhuri-based treatment (FBT). Kutsvakurudza kwepakutanga uye zvidzidzo zvekare zvinoratidza zvakare kuti FBT inzira inogamuchirwa yevechidiki.
Mhuri-yakagadzirwa kurapwa mushonga unogadziriswa unoitwa mumisangano yevhiki nevhiki nemumwe mupfungwa wepfungwa anosangana nemhuri yose. Vabereki vane simba rokutamba basa rakaoma mukurapa. Mwana wechidiki anoramba ari mumba uye vabereki vanopa rubatsiro rwekudya kuti vabatsire kuisa tsika yekudya.
Mukuwedzera kune CBT neFBT, mamwe maitiro e-psychotherapy anoratidza kuti akabudirira (asi asinganyatsogadziridzwa) mukurapwa kwezvinetso zvekudya anosanganisira zvinotevera:
- Interpersonal therapy (IPT) yebulimia nervosa uye binge kudya chirwere
- Dialectical behavior therapy (DBT) yebulimia nervosa uye binge kudya chirwere
- Kubvuma uye kuzvipira kurapa (ACT) ye anorexia nervosa, bulimia nervosa, uye binge kudya chirwere
- Kubatana kwepfungwa-affective therapy (ICAT) yebulimia nervosa
- Cognitive remediation therapy (CRT) ye anorexia nervosa
- Special supportive clinic management (SSCM) yekusingaperi anorexia nervosa
- Kungwarira-based based eating training training (MB-EAT) yekudhakwa kwekudya
- Kuzvibatsira-kutungamirirwa / kubatsira-kubatsira (yakabva kune CBT) yebulimia nervosa uye binge kudya chirwere
Nhamba iyi, asi isiri yakakwana, inoratidza kuti pane maitiro akawanda ekugadzirisa pfungwa dzepfungwa akashandiswa uye akaongororwa mukurapa kwezvinetso zvekudya.
Psychiatric Medication
Kudya zvinetso zvingangodaro hutano hwepfungwa hupi hupi hupi hupi hupi hunobatsira nemishonga yepfungwa.
- Hapana mishonga yakaratidzwa kuti inonyanya kubudirira mumakiriniki ekuedzwa kweanorexia nervosa.
- Anodzvinyirira, zvakadai seSSSR uye anticonvulsant Topiramate, vakaratidza kupa rubatsiro mukuderedza kubheji nekuchenesa kune varwere vane bulimia nervosa.
- Anti-depressants-kunyanya kusarudza serotonin reuptake inhibitors (SSRIs), mishonga yeHDHV vaVivanse, uye Mhuka yeHumambo-yakaratidzwa kuti inobatsira pakurapwa kwepfungwa yekudya .
Mumwe chiremba wepfungwa (kana dzimwe nguva chiremba wezvechiremba) anoita zvisarudzo pamusoro pemishonga yekurapa kwepfungwa pane imwe nyaya nemhosva. Zvinodzvinyirira zvinogona kurongerwa kana kuora mwoyo kana zvimwe zviratidzo zvekuzvidya mwoyo zviripo pamwe nekushaya chirwere. Kazhinji, mishonga inoshandiswa pamwe chete nemapfungwa.
Nzira Yokuwana Kurapa
Kuwana kurapwa iwe pachako kana munhu waunoda kunogona kunzwa kunetseka. Imwe nzvimbo yakanaka yekutanga ndeyewawo mukuru wezvokurapa mupiki, internist, kana vanachiremba vevana. Regai vazive zvamunofunga uye bvunzai kutumira. Sangano re National Eating Disorders Association rine chinyararire, mari yebhadharo. Iwe unogona kudana uye utaure kune munhu akazvipira akazvipira anokwanisa kupa rubatsiro uye kutumira kutumira. Nhamba yacho iri 800-931-2237.
Kubhadhara Kurapa
Kurapa kwekutambudzika kwekudya kunogona kudhura, asi kazhinji kunowanikwa nehutano inshuwarisi. Kudana yako inishuwarenzi mupiro uye kukumbira pamusoro pekugoverwa ishato inorudzirwa. Ramba uchifunga, zvisinei, kuti makambani einishuwarenzi dzimwe nguva anoramba kuparidzirwa kwekutambudzika kwekudya. Nokudaro, iwe unogona kunge uchitsigira kune wako kana wekunoda, kunyanya kumazinga akakwirira ekutarisira.
Kana iwe usina inshuwarisi, zvisarudzo zvinowedzera. Mamwe masangano ekurapa uye masangano akadai seProjekthi Heal anopa rubatsiro kune vamwe. Zvinosuruvarisa, kazhinji kakawanda nzvimbo dzehutano hwehutano hwehutano uye hurongwa hwehutano hwehutano hwehutano hunokundikana kupa mishonga uye kugoverwa kwezvinetso zvekudya.
Ko Kana Mudiwa Wangu Anoramba Kurapwa?
Hazvishamisi kuvarwere vane zvinetso zvekudya kuti vasatenda kuti vane chirwere chekudya nekuramba kurapwa. Ndapota usarega izvi zvichikudzivisa. Kana iwe uri mubereki wevechiri kuyaruka (kana kuti munhu wechidiki akwegura ane mari), unofanirwa kutsvaga kurapwa panzvimbo yavo kunyange kana vasingadi. Kudya zvinetso zvinogona kuva nemigumisiro yakakomba uye inonyatsorapwa apo inotaurirwa nguva isati yapera kurwara. Mhuri-based treatment inopa mhuri mukana wekutsvaga kuponesa pamwana.
Kana mudiwa wako ari munhu mukuru, izvi zvinogona kuva zvakaoma. Mitemo yevhangeri uye kodzero dzevarwere dzinoita kuti zvive zvakaoma kumanikidzira munhu mukuru kuti ave mushonga. Zvisinei, ndapota musarega paanoda. Vanhu vazhinji vane dambudziko rekudya vakadzoka nokuti vamwe vaida kudzorera ivo. Iwe unogona kukwanisa kuparadzanisa kupindira kana, mumamiriro ezvinhu akaipisisa, kuwana chekuchengetedza kana kuchengetedza.
Pasinei nokuti, danho guru rekutanga nderokuwana vamwe vakadzidza. Zvizivikanise nemashoko ari mumapeji aya uye iwe uchaenda nenzira yakareba mukubatsira wako waunoda.
Ko Zvakadini Nokudzokazve?
Zvinosuruvarisa, kudzoka zvakare hakuna kuwanzana. Vanogona kuora mwoyo, asi hazvirevi kuti iwe wakundikana kana kuti iwe hauzogadziri zvakakwana. Icho chikamu chechigarire chekugadzirisa uye kukubvumira kuti uite zvakanaka kutora unyanzvi hwako hwekugadzirisa.
Shoko Rinobva
Kutanga kurapwa kunogona kuva kwakaoma uye kunotyisa kune vose vanobatanidzwa. Kudzoka pachako kunogona kuva nepamusoro uye pasi, uye zvinogona kunge zvakaoma. Zvinogona kubatsira kuti urambe wakaisa pfungwa pamagumo ekupedzisira, izvo hupenyu husina dambudziko rekudya.
> Sources:
> Academy yeEating Disorders, Medical Care Standards Standards Task Force. (2016). Kudya kushungurudzwa: Pfungwa dzinokosha dzokuzivikanwa kwokutanga uye kurapwa kwehutano mune zvekutarisira vanhu vane zvinetso zvekudya [Bhurocha].
> McElroy, SL, Guerdjikova, AI, Mori, N. et al. (2015) Psychopharmacologic kurapwa kwezvinetso zvekudya: kukurumidza kuwanikwa. Iye zvino Psychiatry Repor ts 17: 35. chii: 10.1007 / s11920-015-0573-1
> Spotts-De Lazzer, A., & Muhlheim, L. (2016). Kudya kushungurudzika uye huwandu hunyanzvi hwevepfungwa dzepfungwa dzakabuda kunze. Dzidzira Kuvandudza , 1 (2), 89-104. http://doi.org/ 10.1037 / pri0000021