Kuwedzeredza Kuwedzeredza: Inogona Kuva Chiratidzo cheDambudziko Rokudya Here?

Kuwedzerwa Kwokurovedza Kwakawandisa Kunova Rini Zvinetso?

Kudzidzira muviri kunowanzoonekwa semunhu akanaka; saka, unogona kushamisika kuti ingave yakaipa sei kwauri. Kune vanhu vazhinji, kurovedza muviri kunopa hutano hunokosha uye hutano hwepfungwa. Zvisinei, kune avo vane zvinetso zvekudya, kupfurikidza kwekurovedza muviri chiratidzo chakakurumbira uye chinogona kuita basa mukuvandudza nekugadzirisa dambudziko racho. Kupemberera kwemitambo yedu yekuita zvekuita kunoita kuti zviitwe zvekuita zvekuita zvakanyanya hazvizivikanwe kana kutorwa zvakanyanya sezvinofanira.

Nyaya ino icharondedzera kushandiswa kwakanyanya sezvakadzidza nekudya kwevatsvakurudzi vezvekutsvaga, uye wozoongorora kuti kunyanyisa muviri kunoratidze sei mune zvakasiyana-siyana zvinetso zvekudya, njodzi dzekunyanyisa, uye kuti ungaitei kana iwe uchifunga (kana kuti unodiwa) uri kuita mune zvakawanda zvekurovedza muviri.

Overview

Kunyange zvazvo vanhu vazhinji vaizonzwisisa kushushikana kwekuzvitsvaga kuti vave nharo yekushaya chirwere chepfungwa, havazofungi zvakafanana zvekudzidzira. Vaya vanoita zvakanyanyisa vanowanzorumbidzwa nekuda kwezvavanoda uye kuzvidzora. Asi zvakatorwa zvakanyanya, izvi zvinogona kuva nemigumisiro yakakomba.

Mune imwe yezvidzidzo zvakakura pakuita zvekuita zvakanyanya mukushungurudza kwekudya, kurovedza muviri kwakanyanya kunotsanangurwa seimwe yeiyi inotevera:

  1. Ita basa rinopesana nemabasa anokosha
  2. Ita maitiro anodarika maawa matatu pazuva uye kukonzera kushushikana kana munhu wacho asingagoni kushandisa
  1. Kuramba uchiita zvekuita panguva dzisina kukodzera uye nzvimbo uye zvishoma kana kuti kwete kuedza kudzivisa maitiro
  2. Kushandisa pasinei nekukuvadza kwakakomba, chirwere kana kukanganisa kwechiremba

Kubatanidza Kudya Zvokudya

Kuwedzeredza kana kushandiswa kwekutengesa chinhu chinowanzogadzirwa chemarudzi akasiyana-siyana ekutambudzika kwekudya. Inogona kuwanika pakati pevarwere vane anorexia nervosa , bulimia nervosa , uye musikana dysmorphia , pamwe chete nedzimwewo kudyidzana nekudya chirwere (OSFED) uye zvinyorwa zvinyorwa zvinyorwa.

Mune mamiriro ekudzivirira zvinetso zvekudya, kusanganisira anorexia, pane humwe humwe uchapupu hwokuti kuwedzerwa muviri kunogona kuva chinhu chinokosha chezvakaberekwa.

Chiitiko-Kubva Anorexia muRats. Zvidzidzo zvemhuka zvakaratidza kuti zvinetso zvekudya zvinogona kukonzera kuwedzera kwekuita maitiro ekuita muviri, nekuderedza izvo zvinonzi "Basa-Based Anorexia" mumakonzo. Apo vatsvakurudzi vanorega kuti rats 'idye kudya kana vachivapa kukwana kusingagumi kwegumbo, makonzo anotanga kushanda zvakanyanya. Zvinoshamisika kuti, makonzo aya anosarudza kuramba achimhanya panzvimbo yekudya munguva dzenguva pfupi dzekudya zvinowanikwa kwavari. Kana zvichibvumirwa, ivo vachamhanya vachienda kurufu.

Aya makonzo anoratidzira mufambiro unoshungurudza wekushaya nenyota unoratidzwa mune anorexia nervosa. Mumwe angatarisira kuti makonzo (uye vanhu) avo vane nzara vaizova vashoma, panzvimbo pekuwedzera, kushanda. Asi muvana vaduku vanokurudzira anorexia nervosa, kudya zvisingabvumirwi kunowanzoendeswa nemabasa akawanda. Vechidiki vane anorexia vanowanzouya sevasina simba -havazogadziri, vanogara, uye vanowanzomhanyira pasina. Havatauri chiedza chekuedza kupisa makorikori nenzira iyo vakuru vakwegura nevakuru vanoita.

Nokudaro, basa rakawandisa kana kuti kurovedza muviri kunotarirwa kuva imwe motokari huru inotenderedzwa nekusawirirana kwesimba kwekuregererwa kudya.

Dzidzira muAnorexia Nervosa . Kunyanya kushamisika chiratidzo, chinonakidza, uye chakanyatsoratidzwa chiratidzo che anorexia nervosa, chakataurwa kare muna 1873 nechiremba wechiFrench Ernest-Charles Lasègue, mumwe wevanyori vekutanga kunyora nezvechirwere. Lasègue akacherechedza kuti varwere vane anorexia vakaratidza huwandu hwakawanda hwebasa hunoratidzika kusingabvumirwi nehurombo hwavo husina hurombo:

Imwe yakanyatsozivikanwa ndeyekuti, kuti kure kure nemasimba emasimba ari kuderedzwa, kuzvidzora uku kunowedzera kuwedzera kukwanisa kwekufamba. Murwere anonzwa aine chiedza uye anoshingaira, akatasva bhiza [mutsara wechiFrench anotaura zvakare: 'kufamba kwenguva refu-kutarisa'], anogamuchira uye anokweretedza kushanyira, uye anokwanisa kutsvaka hupenyu hunotyisa munyika asi asingaoni maitiro aanozoita pane imwe nguva dzakanyunyuta pamusoro. (Lasègue, 1873, p.

Mune imwe chidzidzo, 37 muzana kusvika 54 kubva muzana yevarwere vane anorexia nervosa (zvichienderana nekaini) vanoita basa rakawandisa. Varwere vangave vasina kufungidzira nguva yakawanda yavanoita mubasa rekuita, zvichiita kuti zvive nyore kune vatarisi uye vashandi vekurapa kuti vaongorore zvizere.

Kudzidzira mu anorexia nervosa inowanzosanangurwa nevarwere sevanotungamirirwa kana kuti vanomanikidza. Zviratidzo zvekuneta zvinoregererwa sezvo varwere vachiri kudzidzira pasinei nekurwara uye kupera simba. Mumwe murwere mukudzidza pamusoro pekurovedza muviri akati:

Ndisati ndaenda kuchiremba, ini ndakangogara pasi panguva dzezvokudya, kana zvisinei ndakafunga kuti handina kukodzera kugara. Ndakanga ndisinganzwisisiki, saka zvakanga zvakaoma kuporesa ... Ndinonzwa sokuti ndiri kumanikidzwa kushandisa ....

Kuita zvekuita zvakanyanya mu anorexia nervosa kunobatanidza nezera duku uye mazinga akakwirira ekufunganya / obsessional uye kukwana.

Dzidzira muBulimia Nervosa. Kuita zvekuita zvakanyanya kwakabatanidzwa muzviitiko zvekuongororwa zvebulimia nervosa kubvira pakabudiswa DSM-III-R muna 1987. Ikozvino maitiro ekuongorora (DSM-5) yebulimia nervosa inotsanangura kuti pane maitiro ekubhadhara kwekudya zvakadyiwa zvinogona kusanganisira kuzvidzora- kukanganisa kurutsa, asiwo kudya kwepakatikati, kushandiswa kwemafuta, diuretics, uye kurovedza muviri.

Kuita zvekunyanyisa kunyanzvi kunowanzoita kuti munhu ave nemhosva yekudzikinura kune vanhu vane bulimia nervosa. Mune rumwe ruzivo, 20 muzana kusvika 24 muzana yevarwere vane bulimia nervosa vanoita basa rakawandisa. Pakati pevarwere vane bulimia nervosa, kurovedza muviri kwakanyanyisa kunobatanidza nechepamusoro yezvokudya zvinokonzera kushungurudzika kwakanyanya pamwe chete nehutano hwakashata.

Dzidzira Muviri Dysmorphia . Kuita zvekunyanyisa kunyanzvi chiratidzo chinowanzosvibisa musimba dysmorphia, mamiriro ezvinhu anobuda anokanganisa zvikuru varimi. Vamwe vatsvakurudzi vanofunga kuti ichine kusiyana kweanorexia nervosa inoratidzwa nevarwere vane humwe hutsika hwevanhukadzi. Iye zvino, chirwere ichi chinorondedzerwa kuongororwa sechimiro chemuviri dysmorphic disorder pamwe nekudya chirwere.

Tsvina dysmorphia inoratidzirwa nekutenda kusingaperi kuti mumwe haasi musimba zvakakwana uye mafungiro akabatanidzwa ane chokuita nekuwedzera kwechimiro chinosanganisira chirongwa chakanyanyisa zvekuvhima uye kudya kwezvokudya zvinogadzirirwa kuvakira vanhu vakawanda (kazhinji nechinangwa chepuroteni). Zvimwe zviyo uye steroid dzimwe nguva zvinoshandiswa mukutsvaka misi. Pakati pevarume vane musuru dysmorphia, inenge 71 muzana inosimudza zvisikwa zvakanyanya uye 64 muzana vanoita zvakanyanya.

Kunyanyisa Kuita muviri muS OSFED uye Subclinical Disordered Eating. Pane zvitsvakurudzo zvishoma pamusoro pekuita zvekuita zvakanyanya mu OSFED. Muchikamu chemukatikati, hukama huripo pakati pekudzidzira muviri uye huwandu hwakawanda pamusoro pezviyero zvekudya psychopathology hwakanyatsosimbiswa. Maitiro akadai sokudya uye kuita zvekuita zvinowanzobatana uye kusimbisa mumwe. Izvozvowo ndezvekuti kunyanya kushandisa muviri mukusavapo kwekusagadzikana kudya kana kusagadzikana kudya mafungiro kunofungidzirwa kuti haisi kliniki inokosha uye inowedzera kuora mwoyo.

Ngozi

Kudzidzira muvarwere vane zvinetso zvekudya uye kudya kunetseka kunogona kuva nengozi. Varwere vanogona kushandisa muviri uye kwete mafuta, vachizviisa pangozi yehutano hwakasiyana-siyana hwehutano hwakakomba. Izvo zvinetso zvinogona kusanganisira kusaenzana kwe electrolyte, zvinetso zvemwoyo, kushungurudza kwemisungo, kukuvadzwa, uye kamwe kamwe kufa. Varwere vane anorexia vanowanzova nemapfupa asina simba uye saka vangangowanzove vane mikana yekuwana fractures; kunetseka kwepanyama kunobatanidza nekudarika-kushandisa kunowedzera ngozi iyi.

Kuvapo kwekushandisa zvakanyanya pakati pevarwere vane anorexia nervosa kunobatanidza nekugara kwenguva refu yekurapa kwenguva refu uye nguva shomanana yekudzoka zvakare. Kuita zvekuita zvakanyanya pakati pevanhu vane chirwere chisina kunaka kunobatanidzwawo nehuwandu hwekuzviuraya.

Kudzorera

Kuita zvekunyanyisa kunyanzvi nguva pfupi mushure mekuregererwa kwechipatara kunokosha kunofanirwa kudzoka zvakare. Kudzidzira muviri kunogona kuchengetedza zvitendero zvinochengetedza munhu akabatwa mune chirwere chekudya uye haazogadziriswi kana uremu hunova chinangwa chekurapa.

Nokuda kweizvi nezvimwe zvikonzero, zvinowanzoitika kune vashandi vekurapa kurumbidza kupera kwekuita muviri muvanhu vane zvinetso zvekudya kusvikira vakagadzikana mukudzoka. Pfungwa yekubvumira mumwe munhu kuti aenderere mberi achipindira mumutambo sechishuvo chekudzoka chinonyengedza, asi kazhinji chinopomerwa nekuda kwezvikonzero zvinotaurwa pamusoro apa.

Zviratidzo nezviratidzo

Kuita muviri kwakanyanya kunogona kuoma kusiyanisa, kunyanya pakati pevatambi. Chinhu chinokosha chinogadzirisa kana basa racho riri dambudziko rematauri zvishoma kudarika kwehuwandu hwebasa pane zvazvinoita mune zvinokurudzirwa uye mafungiro ari shure kwayo: kunzwa manzwiro sekumanikidza; kushandisa zvikuru kunyanya kuchinja maitiro uye kuyerwa; uye manzwiro ekuzvipa mhosva mushure mekushayikwa chirongwa chekudzidzira. Mumwe mutambi wechidiki angashanda nguva yakawanda yekudzidzira nguva kupfuura munhu ane chirwere chekudya, asi tinogona kutsanangura chirwere chekudya kwehutano hwemunhu zvakanyanya sezvakawedzerwa apo mutambi wechidiki angasave nemafungiro ezvo kurovedza muviri angaita kuti ave akawandisa kana akaoma.

Inofanira kuonekwawo kuti kupararira kwekusawirirana kwekudya kwakakwirira pakati pevatambi, kunyanya avo vari mumitambo inosimbisa kuonda pane zvazviri munharaunda yose. Nokudaro, vatambi vari kuratidza zviratidzo zvekudya kwekudya vanofanira kuongororwa.

Kana iwe (kana munhu waunoda) uchibvumira chimwe kana zvimwe zvezvinhu izvi zvinotevera, funga kana iwe ungabatsirwa nekutsvaka rubatsiro:

Kudzorera mutsigiri Jenni Schaefer kwakaita kuti Compulsive Exercise Test, chiyero chinoshandiswa kuongorora kurovedza muviri kwakanyanya, chinowanikwa pawebsite yepaiti.

Kurapa

Kana iwe kana mumwe munhu waunoziva ari kuratidza zviratidzo zvekuvhima kwakanyanya uye / kana chirwere chekudya, kudya chirwere chepfungwa, kusanganisira psychotherapy, kunogona kubatsira kugadzirisa zvose chirwere chekudya uye kushandiswa kwemaitiro. Kuziva-maitiro-behavioral therapy, iyo inobatsira kuchinja maitiro pamwe nekutenda kwepfungwa pamusoro pekuita basa, inogona kubatsira vanhu kukudziridza kuenzanisa nekuenzanisa. Kana iwe uri mubereki wemwana mukurapa, zvingakubatsira iwe kuti ubatsire kugadzirisa kana kurega basa ravo.

Sources :

Gutierrez, E. (2013). Nyore iri mu labyrinth ye anorexia nervosa: Mipiro yebasa-based anorexia rodent muenzaniso kune kunzwisisa kwe anorexia nervosa. International Journal of Eating Disorders , 46 (4), 289-301.

Kolnes, L.-J. (2016). "Manzwiro ane simba kudarika kufunga": zviitiko zvinopesana zvekuita muviri muvakadzi vane anorexia nervosa. Nhoroondo yeDambudziko rekudya , 4 , 6.

Meyer, C., Taranis, L., Goodwin, H., & Haycraft, E. (2011). Kumanikidzika muviri uye zvinetso zvekudya. Kudya kweEuropean Disorders Review , 19 (3), 174-189.

Mond, JM, & Calogero, RM (2009). Kuita zvekuita zvakanyanya mukudya chirwere chevarwere uye mune vakadzi vane utano. Magazini yeAustralia neNew Zealand ye Psychiatry , 43 (3), 227-234.

Smith, AR, Fink, EL, Anestis, MD, Ribeiro, JD, Gordon, KH, Davis, H., Joiner Jr., TE (2013). Ivai vakangwarira: Kuita zvepabonde kunobatanidza kuzviuraya kune vanhu vane chirwere chisina kunaka. Psychiatry Research , 206 (2-3), 246-255.

Thomas JJ, Schaefer J. Almost Anorexic: Ndiwe (Kana Kuti Wangu Wadiwa) Ukama Nekudya Nechinetso? Centre City, MN: Hazelden / Harvard Health Publications; 2013.