Ekubeni, bangabonakala befana neengxaki ezimbini ezahlukileyo kodwa ukunyamezela kwabantwana kunye nokuphazamiseka kokutya kunomlinganiselo ofanayo. Ezi zombini iimeko ziquka iipatheni zokutya ezingenampilo, ubuncinane okanye ukuzivocavoca kakhulu, kunye nemiba engokwengqondo efana neyokuzithoba okanye ukuziphatha kakubi komzimba. Ayaziwa ukuba zingaphi iintsana ezigqithiseleyo zihlupheke kwi-disorder disorder e-US, kodwa isifundo esivela eJamani safumanisa ukuba ama-43 ekhulwini abathatsayo abathatha inxaxheba kwindlela yokuphila yokulahleka kwesisindo badibanisa imigaqo yokutya kwesifo.
Ngubani osemngciphekweni kunye nesizathu
Ngokuzondeka ngokwalo ngoku kubonwa njengengozi yokutya okuphazamisayo, kubandakanya ukukhathazeka kokutya (okungabangela nokuba kukunyameka) kunye ne-anorexia nervosa kunye ne-bulimia. Iiphando ezimbini zifumene ukuba ukugqithisa ngokweqile kweentsholongwane kunamathuba ama-2 1/2 ukuya kuma-5 angaphezulu kwengozi yokuphuhliswa kweengxaki zokutya kunentsholongwane enobuchule obunempilo. Loo mbini weengcaphephe ufumanise ukuba abatsha abanamaqondo aphantsi okusebenza ngokomzimba banomngcipheko we-2 kuya kwe-4 omkhulu wokuphucula izidlo zokutya.
Okwangoku, abantwana abancinci abalahlekelwa isisindo baqwalaselwa engozini yokuphucula izifo zokutya ezifana ne-anorexia nervosa kunye ne-bulimia. Nasi isizathu: Xa beqala ukukhawulelana nokutya kwabo okanye baqala ukusebenzisa ngamandla ukuze kuncinci, le mizamo inokuba yinto ebaluleke kakhulu, iholele abantwana ukuba balahleke ubunzima obuninzi kwaye baqhutywe ukuqhubela phambili ukuziphatha okutsha, ngokuqhelekileyo ukuya kwixesha elide , ngoomphandi eMa Clinic eRochester, eMinnesota.
Abantwana abaneengxaki zokutya badla ngokuzithemba okuphantsi kunye nokuzimelela. Ngokukhathazeka kokutya, iinzame zokulawula ukuziphatha ngokutya zidla ngokubonakalayo kweengxaki zengqondo, mhlawumbi ziziva zingenakulawulwa kwezinye iindawo zobomi babo. Ukunyameka kungabandakanya le miba engundoqo, ngokubeka abantwana abagqithiseleyo abaneengxaki zokutya kwiimeko ezimbini.
Iinkalo zentlalo zinokubangela inxaxheba kulo mngcipheko. Uhlolisiso olubandakanya abangama-130 abancinci abaselula bafumanisa ukuba abo bahlala behlekwa ngamalungu entsapho kunye noontanga babe nethuba elingakumbi lokutya iingcamango nokuziphatha, kunye nokudandatheka, ukuxhalabisa nokuzithemba. Ngakumbi la bantwana baxutywa ngobunzima babo kwaye xa bebandezeleka ngokuklolokra, iimeko ezingakumbi ziza kuba nezigaba ezinzima zokutya, ngokukodwa.
Amanyathelo okukhusela
Ukukwabelana ngokutya njengentsapho kunokuncedisa ukunyusa ukutya okunempilo kubantwana kunye nokunciphisa amathuba abo ekuphuhliseni imikhuba yokutya ephazamisekileyo (njengokuzibhinqa nokuhlanjululwa, ukuhlanza, ukutya ukutya, ukutya ukutya okuncinci, nokusebenzisa i-diuretics), ngokutsho kwe ukuphononongwa kwezifundo ngabaphandi kwiYunivesithi yase-Illinois Urbana-Champaign. Ngoko unako ukutshintsha ingqalelo ekugqibeleni. Isifundo esivela kwiYunivesithi yeSouth Florida sifumene ukuba abagqithisileyo abaphantsi kwamagqabantshintshi abafumana amazwana athile ngokumalunga nomzimba wabo babenokunganeliseki komzimba. Ngokuqinisekileyo, oku kunokubakhusela ukuba baye ekude ubude bokuba banciphise ubunzima kunye nokuphuhliswa kwengxaki yokutya kwinkqubo.
Ukushiya ugxininiso ekhaya kuya kunceda. Abazali abahlala bexubusha kwiinkxalabo ezinxulumene nesisindo banokuthi babe neentsholongwane ezitya ukutya, basebenzise ukuziphatha okunyanzelekileyo kokuziphatha, kwaye bathe ngokutya, ngokutsho kophando oluvela kwiYunivesithi yaseMinnesota Medical School. Ngokwahlukileyo, abantwana abanomdla oomama babo, ngokukodwa, bagxininisa ingxoxo yabo ngokutya okunempilo ayinako ukutya kunye nokusebenzisa iziphathamandla ezingalawulwa ngumzimba.
I-Call-Up Call
Ngenxa yokuba ubunzima babo buba yinto ephakamileyo, iimpawu zokutya kweengxaki kwiintsana ezigqithiseleyo zihlala zingabonakali kwaye zingaphathwa.
Okuyoyikisayo kuba le ngxaki ingaba nemiphumo emibi kwimpilo yomntwana nophuhliso. Abazali kunye noogqirha bezilwanyana eziphambili kufuneka bajonge imiqondiso yokuba umntwana unokuhlakulela ingxaki yokutya. Ezi ziquka ukulahleka kokunciphisa ngokukhawuleza, ukuqhutyelwa ekusebenziseni, ukukhawulelana okudliwayo, ukutya ukutya, ukuziphatha okuhlawulelwayo (njengokuhlanjululwa), ukukhathazeka okungathí sina kunye nesimo somzimba kunye nesimo esifanelekileyo, umfanekiso wesimo esingalunganga, ukuhoxiswa kwezenhlalakahle, ukunyanzeliswa, nokunyaniseka.
Ukuba ubona umntwana wakho ogqithiseleyo ulahlekelwa isisindo ngokukhawuleza okanye engaqondakaliyo, cela malunga nokutya kwakhe kunye nokuba uyadla ukudla, ulambile, okanye usebenzise ngokugqithiseleyo. Ngelixa kubonakala ngathi luncedo kwintsana ekhulayo yokunciphisa umzimba, ukuba iindlela zigqithiseleyo, iziphelo azithethi zendlela-kwaye umntwana okanye umntwana angasidinga ukuphathwa ngongxaki yokutya. Kungakhathaliseki ukuba kuqulethwe inkqubo yokugulisa isigulane, unyango lwangaphantsi kwesifo, unyango oluthile lokuziphatha okanye unyango oluthile, unyango olukhawuleza luqalisiwe, ngcono amathuba okuba umntwana uya kubuyiselwa kwisifo sokutya.
> Imithombo:
Berge JM, Maclehose R, Loth KA, Eisenberg M, Bucchianeri MM, Neumark-Sztainer D. Ingxoxo yoMzali Ngokutya okunempilo kunye nobunzima: Amashishini kunye ne-Adolescent Disordered Eating Behaviors. I-JAMA Iipediatrics, ngo-Agasti 1, 2013; 167 (8): 746-53.
I-Campbell K, i-Peebles R. Ukuphazamiseka kokutya kwabantwana kunye no-Adolescents: I-State of Art Art Review. I-Pediatrics, Septemba 2014; 134 (3): 582-592.
Giel KE, iZiffel S, iSwewezer R, Braun R, Ranke MB, Binder G, Ehehalt S. Ukuxhalabisa i-Disability Pathology kwi-Adolescents Ukuthatha inxaxheba kwi-Indlela yokuphila yokuPhalaliswa kobukhulu: Iintlangano kunye noTshintsho loTshintsho, i-Psychopathology ne-Quality-Related Quality of Life. Ukunyaniseka kwezinto, 2013; 6 (4): 307-16.
I-Hammons AJ, i-Fiese BH. Ngaba amaxesha amaninzi okutya kunye neentsapho ezixhamliweyo zixhomekeke kwiNtsholongwane yeMpilo yabantwana kunye nabantwana abancinci. Izifo zonyango, ngoJuni 2011; 127 (6): e1565-74.
ULebow J, uSim LA, Kransdorf LM. Ukunyamekela kweMbali yokuKhululeka komzimba kunye nokunyaniseka kwi-Adolescents With Restrictive Eating Disorders. Umbhalo wezeMpilo ye-Adolescent, ngoJulayi 18, 2014; S1054-139X.
Libbey HP, Indaba MT, Neumark-Sztainer DR, uBoutelle KN. Ukuhlaziya, ukuphazamiseka kokutya ukutya, kunye neengqondo zengqondo phakathi kwama-Adolescents Overweight. Ukunyanya, u-Novemba 2008; I-Suppl 2: S24-9.
U-Sim LA, uLebow J, uBillings M. Ukuphazamiseka kokutya kwi-Adolescents With History of Obesity. Iidanga, Oktobha 2013; 1 32 (4): e1026-30.
I-AM, uMartinez-Gomez D, Gomez-Martinez S, Vicente-Rodriguez G, uCastillo R, Ortega FB, Gonzalez-Gross M, Calle ME, Vega OL, Marcos A. Ukuzilolonga ngokomzimba, Ukukhululeka komzimba kunye neengozi yokuphazamiseka kokutya kwi-Adolescents . Izifundo ze-AVENA ne-AFINOS. Ubunzima bezilwanyana, uFebruwari 2014; 9 (1): 1-9.
U-Wang ML, uPetererson KE, i-Richmond TK, iSpadano-Gasbarro J, iGraney ML, iMegegebu S, uMcCormick M, uAustin SB. Umsebenzi Wokwenyama Umzimba kunye neZenzo zokutya ezidibaniswa nokulawulwa kobunzima bokunqongophala. Pediatric Academic. Julayi-Agasti 2013; 13 (4): 379-85.