Kupa Chivako, Kutsigira uye Kuchengetedzwa Kwechiremba
Kudya zvinetso zvinogona kuva nengozi zvikuru uye zvirwere zvinogona kuuraya . Vanhu vane zvinetso zvekudya vanowanzotarisana nezvinetso zvezvechiremba, izvo zvingakanganisa maitiro ese emuviri. Somugumisiro, dzimwe nguva vanhu vane zvinetso zvekudya , kusanganisira anorexia nervosa uye bulimia nervosa , uye binge kudya chirwere chinogona kudiwa kurapwa muchipatara kana muzinda wekurapa (RTC).
Vose vari muchipatara muzvipatara uye mishonga yekugara kurapwa kwekutambudzika kwekudya vanopa varwere vane rubatsiro rwakawedzerwa, sangano, kurapwa uye kuongororwa. Zvingave zvinobatsira kunzwisisa zvinenge zvichiitika mune izvi zvirongwa zvekudya chirwere.
Hospitalization nokuda kweDambudziko rekudya
Inpatient hospitalization ndiyo yakanyanya kunyanya kurapwa. Chikonzero chikuru chekuchengetwa kwepachipatara muchipatara ndechekusaziva kwehutano. Somugumisiro, kudya kwehutano varwere vanoda chipatara chechipatara vanowanzobvumirwa kune zvipatara zvezvipatara, panzvimbo yezvikwata zvepfungwa apo varwere vane zvimwe zvirwere zvepfungwa vanowanzobatwa.
Pose pazvinenge zvichibvira, kudya chirwere chepachipatara kunofanirwa kuitika mune imwe chiremba yehutano yezvinetso zvekudya zvichienderana nehuwandu hwehutano kana hutano hwepfungwa. Kudya zvinetso zvinoda kubatana kwakasiyana-siyana pakati pevanyori vezvehutano nehutano hwehutano uye zvipatara zvese zvinogona kusasarudzwa kuti zvive nehanya zvakakodzera.
Nokuti zvipatara zvinodhura zvikuru, zvinowanzouya kwenguva pfupi. Varwere vakawanda vanongoramba vari muchengeti wekuchengetwa kwepfungwa kusvikira vagara vakagadzikana zvakakwana kuti varambe vachirapa pane imwe nzvimbo yepamusoro yekuchengetedza. Iro kurapa kurapwa kunowanika muhutano hwepwere hunokosha zvikuru.
Varwere vakawanda vanoda kuongororwa kwemasvini, mvura inopisa, mishonga, uye kuongorora kwema laboratori.
Varwere vanoongororwa nevanamukoti vese-clock. Chirwere chekurapa muchipatara chisingaregi kazhinji chinowanzobatwa navanachiremba, vezvepfungwa, vanorwara, varaiti, uye vanamukoti. Inogonawo kusanganisira dzimwe nyanzvi kana zvichidikanwa. Vachiremba varwere vanowanzobatanidzwa kana kuti vanobatanidzwa nechipatara chakazara chinogona kupa ruzivo rwevanyori vezvehutano vakasiyana, kusanganisira cardiologists, neurologists, gastroenterologists, nezvimwewo.
Vashandi vezvipatara vacharamba vachipa ruzivo rwekudya zvakakosha uye mazano ekudya, uye munhu anodya zvokudya achagadzirira kudya. Kana murwere asingakwanisi kudya zvakakwana kuti adzoke zvakare kana kugadzirisa uremu, vanachiremba nevamwe veboka rekurapa vanogona kukurudzira kurapwa kwechiremba , izvo zvinosanganisira kuisa bhuti mumuromo wemurwere kusvikira mukati mudumbu. Iyi tube inogona kutakura chikafu zvakananga kumudumbu. Kurapa kwechiremba ndechimwe chezvinhu zvakasiyana-siyana izvo chirwere chepachipatara chinogona kupa.
Imwe nzira yekutsigirwa iyo inpatient hospitalization inokwanisa kupa zvikafu zvinotsigirwa . Nhengo dzevashandi dzichagara dzichitarisira kudya kwevarwere kuti vatsigire uye vatarise kudya.
Zvichave zviripo kare uye shure kwekudya, kugadzirisa chero zvinokurudzira izvo varwere vari kutarisana nazvo uye kutsigira varwere panguva idzi dzinoita kuti vanhu vazvidye mwoyo.
Varwere vepachipatara vacharamba vachipiwa mazano pamwe chete nemudzidzisi uye kuongororwa nenyanzvi dzepfungwa.
Ndivanaani Vachembera Hospitalized?
Chero nguva chero munhu ari kutarisana nezvinetso zvezvehutano nekuda kwehutano hwavo hwekudya kusanganisira asi husingarevi kune moyo usina tsvimbo yemwoyo kana kuwedzerwa kweropa, kupera, kana kubuda kubva mukurutsa, vanofanirwa kuongororwa kuti vapinde mumba. Varwere vangada kuti vaparidzirwe kana vakanyanyisa kudya uye / kana kuti varasikirwa nehuwandu hwehutano uye vari pangozi yekudzivirira chirwere
Kunyange zvazvo kuchipatara kunogona kutyisa, iyo inonyanyawo chikamu chinokosha chekurapa kwevanhu vakawanda. Kana murapi wako, chiremba kana chireyiti ari kukurudzira kuchipatara, tapota enda. Inogona kuponesa hupenyu hwako. Kusarudza kuenda kuchipatara kana zvichidikanwa kunogona kuva nengozi zvikuru.
Varwere vangawanzoendeswa kuchirongwa chekugara kana kuti chirongwa chechipatara chisina kukwana kana mavheti avo akasimba, ivo vakatangazve kudya ivo pachavo nekugadzirisa, uye vakawana kuwanda. Vangaramba vachitsvaga mazinga ekutsigira uye sarudzo, asi izvi zvinowanzogoverwa pane imwe nzvimbo isingatariswi yekugara mishonga yekurapa kana chirongwa chechipatara chakasarudzwa, icho murwere anoenda masikati, asi anodzokera kumba usiku kuti avete.
Residential Treatment Center
Residential Treatment Centers vanogarawo nevarwere maawa 24 pazuva, asi izvi hazvisi izvo zvinokonzerwa nehurumende zvinopa dzimba, kudya, uye mitemo yakawanda. Kugara kwekugara kunokodzera kuvarwere vane mishonga yakagadzikana asi vanoda kuongororwa zvakakwana kugadzirisa zvirwere zvinorwara zvirwere zvakadai sokurutsa, kuwedzera muviri , kushandiswa kwemalasi, uye kurambidza kudya. Inogonawo kuva yakakodzera kana mumwe munhu achizviuraya, kana murwere achigara kure nevatapi vezvehutano, kana pane kusava nerutsigiro rwevanhu, kana kuti kune zvimwe zvinonetsa zvinodhaka kana zvepfungwa.
Chinangwa chekugara mishonga ndeyokuvandudza utano hwepanyama uye hwepfungwa. Ivhareji urefu hwekugara mune imwe nzvimbo yekurapa inzvimbo mazuva 83.
Varwere vanowana zvokudya zvinotarisirwa. Kunyanya kwepfungwa dzepfungwa, kana kupa mazano, kazhinji kunowanzotora chirwere chekugara. Nemhaka yokuti varwere vari munzvimbo dzokugara dzokurapa masangano 24 maawa masikati, mazuva manomwe pavhiki, varwere vanogona kukwanisa kuita zvirongwa pamwe nevarapi nguva dzakawanda kupfuura pane zvekupedzisira. Mune dzimwe nzvimbo, vangave vakakwanisa kusangana nemushandi wavo pachavo kakawanda munguva yevhiki. Vachange vachiwanzopinda kumapoka ekurapwa kweboka uye mhuri therapy sessions.
Full Continuum of Care
Kuenderera mberi kwekutarisira zvinetso zvekudya zvinosanganisira kunze kwekuchengetedza, maitiro ekurapa kunze kwezvirongwa (IOP), mazuva ekurapwa kana mapurogiramu epachipatara asingasaruri (PHP), zvirongwa zvekugara, uye chirwere chekurapa muchipatara. Murwere anogona kufamba mune imwe nzira kuburikidza nehutano hwakasiyana-siyana hwehutano hunobva pane zvimwe zvinhu zvinosanganisira zviratidzo zvakasimba, hutano hwehutano, huchikurudzira kurapwa, nhoroondo yekare yekurapa, uye mari yehutano.
> Sources
> American Psychiatric Association. American Psychiatric Association Practice Guidelines yekurapwa kwepfungwa dzepfungwa: kunyorwa 2006 . American Psychiatric Pub, 2006.
> Anderson, Leslie K., Erin E. Reilly, Laura Berner, Christina E. Wivereng, Michelle D. Jones, Tiffany A. Brown, Walter H. Kaye, uye Anne Cusack. 2017. "Kuchengetedza Kushungurudzwa Kwezvokudya Kumatunhu Akare Okutarisira: Musoro uye Matambudziko." Nhoroondo dzeNhep Psychiatry 19 (8): 48.