Bulimia

ʻO Bulimia kahi maʻi ʻai a kahi kanaka e loaʻa ai nā hanana maʻamau o ka ʻai ʻana i kahi nui o nā meaʻai (bingeing) i ka manawa e manaʻo ai ke kanaka i ka nalo ʻana o ka kaohi i ka ʻai ʻana. Hoʻohana ke kanaka i nā ʻano ʻokoʻa, e like me ka luaʻi a i ʻole nā ​​laxatives (hoʻomaʻemaʻe), e pale ai i ka loaʻa ʻana o ke kaumaha.

Nui ka poʻe me ka bulimia i loaʻa i ka anorexia.

ʻOi aku ka nui o nā wahine ma mua o nā kāne i ka bulimia. ʻO ka maʻi maʻamau loa i nā kaikamahine ʻōpio a me nā wahine ʻōpio. ʻIke pinepine ke kanaka he ʻano maʻamau kāna ʻano ʻai. ʻIke paha ʻo ia i ka makaʻu a i ʻole ka hewa me nā ʻāpana binge-purge.

ʻAʻole ʻike ʻia ke kumu kūpono o bulimia. Pili paha ke ʻano genetic, psychological, ʻohana, kaiāulu, a i ʻole nā ​​mea moʻomeheu. ʻO Bulimia paha ma muli o nā mea ʻoi aku ma mua o hoʻokahi.

Me ka bulimia, ʻai pinepine paha nā binges i nā manawa he nui i ka lā no nā mahina he nui. ʻAi pinepine ke kanaka i ka nui o nā meaʻai calorie kiʻekiʻe, maʻamau i kahi huna. I loko o kēia mau kaʻina, manaʻo ke kanaka i ka nele o ka kaohi o ka ʻai ʻana.

Alakaʻi nā Binges i ka hoʻowahāwahā iā ʻoe iho, kahi e hoʻomaʻemaʻe ai e pale i ka loaʻa ʻana o ke kaupaona. Hiki ke hoʻopili i ka hoʻomaʻemaʻe:

• Ke koi nei iā ʻoe iho e luaʻi
• Hoʻoikaika nui loa
• Ke hoʻohana nei i nā laxatives, enemas, a i ʻole diuretics (paila wai)

Lawe pinepine ka hoʻomaʻemaʻe i kahi ʻano hoʻomaha.

ʻO ka poʻe me ka bulimia i ka manawa ma ke kaupaona maʻamau, akā ʻike paha lākou iā lākou iho he keu keu. Ma muli o ka maʻa pinepine o ke kaumaha o ke kanaka, ʻaʻole paha e ʻike ka poʻe ʻē aʻe i kēia maʻi ʻai.

Nā hōʻailona e hiki i nā poʻe ʻē aʻe ke ʻike pū:

• Ke hoʻohana nei i ka manawa nui i ka hoʻoikaika kino
• ʻAi koke i ka nui o nā meaʻai a i ʻole ke kūʻai ʻana i nā meaʻai he nui i nalo koke
• Hele mau i ka lua i ka lua ma hope pono o ka ʻai
• Ka hoʻolei ʻana i nā pūʻolo o nā laxatives, nā pilaʻai, nā emetics (nā lāʻau e kumu ai ka luaʻi), a i ʻole nā ​​diuretics

Hiki i kahi hōʻike niho ke hōʻike i nā ʻeha a i ʻole nā ​​maʻi gum (e like me gingivitis). Luhi a pitted paha ka enamel o nā niho no ka nui o ka hopena o ka waikawa i ka luaʻi.

E hōʻike paha kahi hōʻike kino:

• Nā kīʻaha koko naha i nā maka (mai ke ʻano o ka luaʻi)
• Waha maloo
• ʻIke ʻeke e like me ka papalina
• Nā Rashes a me nā pimples
• ʻO nā ʻoki liʻiliʻi a kāhea i nā piko o nā hono manamana mai ka hoʻoikaika ʻana iā ʻoe iho e luaʻi

Hōʻike paha nā hōʻike koko i kahi kaulike electrolyte (e like me ka pae potassium haʻahaʻa) a i ʻole ka make wai.

ʻAʻole hele ka poʻe me bulimia i ka haukapila, ke ʻole lākou:

• Loaʻa anorexia
• Loaʻa kaumaha nui
• Pono i nā lāʻau e kōkua iā lākou e hōʻoki i ka hoʻomaʻemaʻe

ʻO ka pinepine, hoʻohana ʻia kahi ala i mua e mālama ai i ka bulimia. Pili ka mālama ʻana i ka nui o ka bulimia, a me ka pane a ke kanaka i nā mālama.

• Kōkua paha nā hui kākoʻo no ka bulimia māmā me ka ʻole o nā pilikia olakino ʻē aʻe.
• ʻO ka ʻōlelo aʻoaʻo, e like me ka talk therapy a me ka nutritional therapy nā lapaʻau mua loa no ka bulimia e pane ʻole i nā hui kākoʻo.
• Hoʻohana pinepine ʻia nā lāʻau e mālama pū ai i ke kaumaha, i ʻike ʻia ma ke ʻano he mea koho selotonin-reuptake inhibitors (SSRI) no bulimia. Hiki ke kōkua i ka hoʻohui ʻana i ka therapy talk me SSRI, inā ʻaʻole holo pono ka walaʻau kamaʻilio wale nō.

Hiki paha i ka poʻe ke hāʻule i waho o nā papahana inā he manaʻolana kūpono ʻole ko lākou e "hoʻōla ʻia" e ka therapy wale nō. Ma mua o ka hoʻomaka ʻana o kahi papahana, pono e ʻike ka poʻe i:

• E pono paha nā therapies like ʻole e mālama i kēia maʻi.
• He mea maʻamau ia no ka hoʻi ʻana o bulimia (hoʻi hou), a ʻaʻohe kumu o ke kaumaha.
• He ʻeha ka hana, a pono ka hana a ke kanaka a me ko lākou ʻohana.

Hiki ke hōʻemi ʻia ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻO Bulimia kahi maʻi lōʻihi. Nui nā poʻe e loaʻa kekahi mau ʻōuli, ʻoiai me ka lāʻau.

ʻO ka poʻe me ka liʻiliʻi o nā pilikia olakino o bulimia a me ka poʻe makemake a hiki ke lawe i ka lāʻau ʻoi aku ka manawa kūpono o ka hoʻōla.

Hiki ke weliweli i ka Bulimia. Hiki iā ia ke alakaʻi i nā pilikia olakino koʻikoʻi i ka manawa. ʻO kahi laʻana, hiki i ka luaʻi pinepine ʻana ke kumu:

• ʻO ka waikawa ʻōpū i loko o ka esophagus (ka paipu e hoʻoneʻe i ka meaʻai mai ka waha a i ka ʻōpū). Hiki i kēia ke alakaʻi i ka hōʻino mau o kēia wahi.
• Ka waimaka i ka esophagus.
• Kahua niho kahua niho.
• Pehu o ka ʻāʻī.

ʻO ka inu ʻana a me ka hoʻohana nui ʻana i nā enemas a i ʻole nā ​​laxatives hiki ke alakaʻi iā:

• ʻAʻohe o kou kino i ka wai a me ka wai e like me ka mea e pono ai
• ʻO ke kūlana haʻahaʻa o ka potassium i ke koko, i alakaʻi ʻia ai i nā pilikia puʻuwai puʻuwai weliweli
• Paʻa paʻalulu a paʻa paʻa paha
• Hemorrhoids
• Poino o ka pancreas

Kāhea i kahi hālāwai me kāu kahu mālama ola inā ʻoe a ʻo kāu keiki paha he mau ʻōuli no ka maʻi ʻai.

Bulimia nervosa; Hana Binge-purge; ʻAnoʻai - bulimia

• ʻŌnaehana gastrointestinal luna

ʻAhahui Psychiatric ʻAmelika. Nā maʻi hānai a me ka ʻai ʻana. I: Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka Hoʻolaha Psychiatric ʻAmelika. 2013: 329-354.

Kreipe RE, Starr TB. Nā maʻi ʻai. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 41.

Laka J, La Via MC; Ke Kōmike ʻAmelika Hui Pū ʻIa a me nā Haumāna ʻōpio (AACAP) Kōmike e pili ana i nā pilikia e like me (CQI). Hoʻomaʻamaʻa parameter no ka loiloi a me ka mālama ʻana i nā keiki a me nā ʻōpio me nā maʻi ʻai. ʻO J Am Acad keiki ʻōpio Psychiatry. 2015; 54 (5): 412-425.PMID: 25901778 pubmed.ncbi.nlm.nih.gov/25901778/.

ʻO Tanofsky-Kraff M. Nā maʻi ʻai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 206.

ʻO Thomas JJ, Mickley DW, Derenne JL, Klibanski A, Murray HB, Eddy KT. Nā maʻi ʻai: ka loiloi a me ka hoʻokele. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 37.