Bulimia nervosa, lossis bulimia kom luv, yog lub sijhawm kho mob rau cov txheej txheem uas paub ntau yam hu ua 'binge and purge.' Cov tib neeg yuav noj zaub mov ntau hauv lub sijhawm luv (binging), tab sis tom qab ntawd tshem tawm cov zaub mov (tshem tawm). Muaj ntau txoj hauv kev sib txawv kom tshem tawm cov zaub mov lossis "ua kom" rau kev haus cawv. Cov no tuaj yeem yog yam xws li ntuav, tawm dag zog ntau dhau, noj tshuaj diuretics, yoo mov, thiab lwm yam. Ib tus neeg tawm tsam bulimia feem ntau yuav muaj kev nyuaj siab thiab/lossis lwm yam teeb meem kev noj qab haus huv ib yam. Kev tsis meej pem tuaj yeem tshwm sim los ntawm kev hloov pauv lub neej hnyav lossis kev ntxhov siab. Yog tias koj lossis ib tus neeg uas koj mob siab txog cuam tshuam nrog bulimia, nrhiav kev kho mob tam sim.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Nrhiav Lub Cev Lub Cev Qhia Tus Kheej yog tias Ib Tus Neeg Bulimic
Kauj Ruam 1. Nrhiav qhov muag liab thiab o ntawm lub puab tsaig
Yog tias ib tus neeg ua rau ntuav, feem ntau lawv yuav muaj lub puab tsaig o thiab sab plhu. Nws kuj tseem yog ib qho rau lawv kom tawv heev uas lawv tawg hlab ntsha hauv lawv qhov muag. Qhov no yuav ua rau lub qhov muag liab thiab yog ib qho cim ntawm bulimia.
Kauj Ruam 2. Txheeb xyuas ntawm ib qho calluses lossis nti ntawm lawv txhais tes thiab ntiv tes
Thaum koj ntuav, cov kua qaub plab tuaj nrog zaub mov. Kev kis tus kab mob no ntau zaus tuaj yeem ua rau tawv nqaij thiab ntsia hlau puas rau ntawm tus neeg txhais tes thiab ntiv tes. Nws kuj tseem muaj rau ib tus neeg cuam tshuam nrog bulimia kom muaj nti ntawm lawv txhais tes thiab pob txha los ntawm tsoo lawv cov hniav thaum sim ua rau ntuav.
Kauj Ruam 3. Ua tib zoo saib lawv hnov tsw li cas
Ib txoj hauv kev huv huv yog ua kom ntuav. Qhov no yog qhov hnov ntxhiab nyuaj rau npog, thiab yog tias koj tau mloog zoo koj yuav pom nws. Yog tias ib tus neeg hnov zoo li ntuav ib zaug, lawv tsuas yog mob (thiab tej zaum tseem txaj muag ntawm nws). Yog tias koj hnov hnov ntuav ntawm ib tus neeg nquag, nws zoo li qhov no tuaj yeem yog txoj hauv kev tshem tawm.
Kauj Ruam 4. Saib xyuas qhov hloov pauv ntawm qhov hnyav
Kev tshem tawm tsis yog txoj hauv kev zoo los tshem tawm cov calories los ntawm koj lub cev (uas feem ntau yog lub hom phiaj), thiab yog li tus neeg nrog bulimia feem ntau yuav tsis rog. Cov neeg feem coob uas muaj teeb meem no hnyav me ntsis lossis hnyav ib txwm. Nws yog ib qho, txawm li cas los xij, rau ib tus neeg tawm tsam bulimia kom hloov pauv hnyav nyob rau hauv hnyav (piv txwv li, poob kaum phaus lub hlis no, tom qab ntawd nce kaum tsib lub hlis tom ntej, tom qab ntawd poob kaum xya sai tom qab).
Kauj Ruam 5. Saib lawv lub qhov ncauj
Yog tias ib tus neeg tau ntxuav los ntawm kev ntuav ntuav, lawv yuav zoo li qhuav, tawg daim di ncauj. Lwm qhov cim qhia yog cov pos hniav los ntshav lossis cov hniav tsis zoo. Ib tus kws kho hniav lossis kws kho mob tej zaum yuav pom cov qog qaub ncaug o lossis cov hniav txha hniav laus, thiab.
Kauj Ruam 6. Tham nrog koj cov kev txhawj xeeb nrog lawv tus kws kho mob
Yog tias tus neeg koj txhawj xeeb txog yog menyuam yaus (thiab koj yog lawv tus neeg saib xyuas) ces koj tuaj yeem tham txog koj qhov kev txhawj xeeb nrog lawv tus kws kho mob. Tus kws kho mob tuaj yeem nrhiav cov tsos mob ntawm bulimia xws li metabolic acidosis lossis alkalosis. Cov roj (cholesterol) siab kuj tseem tuaj yeem yog ib qho cim ntawm bulimia.
Txoj Kev 2 ntawm 3: Nrhiav Tus Cwj Pwm Coj Tus Cwj Pwm los Qhia Yog Tias Ib Tus Neeg Tsis Txaus Siab
Kauj Ruam 1. Nco ntsoov tias lawv mus qhov twg tom qab noj mov
Yog tias ib tus neeg binging thiab tshem tawm, lawv feem ntau yuav zam txim rau lawv tus kheej los ntawm lub rooj ua ntej lwm tus. Lawv tseem yuav mus tshem tawm yog tias lawv xav tias lawv tau noj ntau dhau lossis noj zaub mov tsis raug. Qhov no feem ntau txhais tau tias lawv yuav mus rau chav dej, tab sis tsis tas li. Koj yuav tsum ua tib zoo mloog tom qab noj zaub mov zoo.
Kauj Ruam 2. Ua tib zoo saib tus cwj pwm hauv chav dej
Nws yog ib txwm muaj rau ib tus neeg ntxuav hauv chav dej kom khiav cov dej kom npog lub suab ntawm kev ntxuav. Lawv kuj tseem tuaj yeem tso quav tso zis ntau zaus, vim tias tsis hnov ntxhiab nyob hauv nruab nrab ntawm kev tshem tawm. Cov ntu no feem ntau tshwm sim sai tom qab noj mov.
Kauj Ruam 3. Tshaj tawm ib qho cim ntawm kev thim nyiaj
Thaum ib tus neeg tab tom tawm tsam bulimia, muaj cov hauv paus ntawm kev ua txhaum thiab kev saib tus kheej qis. Qhov no yuav ua rau ib tus neeg tsis txhob koom nrog kev sib raug zoo, xws li ua qhov muag. Nws kuj tseem tuaj yeem ua rau ib tus neeg tsis txhob koom nrog lub cev thiab kev xav hauv kev sib raug zoo.
Kauj Ruam 4. Txheeb xyuas lub sijhawm noj mov zoo ib yam
Nws yog ib txwm rau ib tus neeg nrog bulimia kom muaj teeb meem ua raws lub sijhawm noj mov. Lawv tuaj yeem hla pluas mov thiab lawv noj ntau qhov loj, nres tsuas yog thaum lawv lub cev tsis xis nyob. Qee lub sij hawm pom tseeb ntawm kev noj ntau dhau thiab tom qab yoo mov yuav pom tseeb. Cov no yog tag nrho cov cim ntawm bulimia.
Kauj Ruam 5. Mloog rau ib qho cim ntawm kev xav tsis thoob ib puag ncig lub cev
Cov kev xav tsis zoo no tuaj yeem nkag siab thiab zais zoo nyob rau hauv lub tswv yim ntawm "kev txhawj xeeb txog kev noj qab haus huv." Cov kev xav hauv lub cev feem ntau suav nrog kev noj zaub mov tsis zoo, suav cov calories thiab cov zaub mov poob qis, kev tawm dag zog ntau dhau, txhawj xeeb tas li txog zaub mov thiab hnyav, thiab tsis quav ntsej txoj kev uas lawv saib. Thaum nws muaj kev noj qab haus huv los saib xyuas ib tus kheej, kev xav ntau dhau ntawm "kev noj qab haus huv" lossis "zoo li" tuaj yeem yog ib qho cim ntawm kev sib daj sib deev.
Kauj Ruam 6. Ua tib zoo saib tus cwj pwm tiv thaiv
Yog tias ib tus neeg koj saib xyuas tau zais bulimia, lawv tsis xav kom koj nrhiav. Qhov ua txhaum thiab txaj muag uas ua rau muaj kev sib tsoo thiab tshem tawm mus kuj tseem ua rau kev xav raug ntes tsis tau rau feem ntau. Yog tias koj nqa zaub mov lossis kev noj zaub mov zoo, nws yuav zoo li ib tus neeg uas tawm tsam nrog bulimia yuav dhau los ua qhov tsis muaj kev tiv thaiv.
Kauj Ruam 7. Nco ntsoov siv cov pa ua pa ntau dua
Yog tias ib tus neeg tau ntxuav tawm los ntawm kev ntuav ntuav, lawv yuav siv cov tshuaj tsw qab ua kom zoo dua (piv txwv li, cov pos hniav, tshuaj yaug qhov ncauj, lossis tshuaj tsw qab) los npog lawv cov pa. Yog tias koj tab tom pom lwm yam cim qhia ntawm bulimia, lossis muaj qhov ua xyem xyav ntawm bulimia, qhov no yog lwm lub cim los saib xyuas. Nco ntsoov tias tsuas yog muaj cov pos hniav tsis yog qhov ua rau ua xyem xyav.
Kauj Ruam 8. Ceev faj txog lwm tus cwj pwm uas cuam tshuam nrog kev ua plees ua yi
Bulimia tshwm sim los ntawm kev xav thiab kev hwm tus kheej. Nws yog qhov ntau heev uas ib tus neeg nrog bulimia yuav koom nrog lwm tus cwj pwm uas cuam tshuam txog cov kev tawm tsam no. Kev siv yeeb tshuaj, kev nyuaj siab, ntxhov siab vim, thiab kev mob anorexia yog txhua yam tshwm sim hauv tib neeg tawm tsam nrog bulimia.
Txoj Kev 3 ntawm 3: Nrhiav Lwm Cov Cim Qhia Qhia Yog tias Ib Tus Neeg Bulimic
Kauj Ruam 1. Saib xyuas zaub mov kom ploj mus
Rau ib tus neeg nrog bulimia, kev noj mov feem ntau yog ib yam uas yuav txaj muag. Nws yog ib txwm muaj rau ib tus neeg uas muaj tus mob bulimia mus nyiag lossis nyiag zaub mov thiab noj nws yam tsis pub lwm tus paub. Yog tias cov zaub mov loj ploj mus ntau zaus, qhov no tsim nyog koj mloog.
Kauj Ruam 2. Saib xyuas cov thoob khib nyiab lossis rov ua dua tshiab
Yog tias ib tus neeg noj zaub mov tsis pub lwm tus paub, lawv yuav zoo li yuav pov tseg cov pov thawj. Txawm hais tias koj tsis pom cov zaub mov ploj mus, cov ntim ntau lossis cov ntim khoom noj uas raug pov tseg tuaj yeem hais qhia tias binging. Nco ntsoov saib hauv cov thoob khib nyiab lossis rov ua dua tshiab kom raug ua ntej nqa mus, vim tias ib tus neeg mob siab rau zais cov ntawv qhwv yuav tos txog thaum feeb kawg los pov tseg lawv.
Kauj Ruam 3. Nrhiav kev ntxuav cov khoom
Tsis yog txhua tus neeg tawm tsam nrog bulimia tshem tawm los ntawm kev ua kom ntuav. Nws yog ib txwm siv laxatives lossis diuretics los tshem tawm. Cov tshuaj noj thiab txo qis qab zib kuj tseem tuaj yeem siv los pab ua kom yoo mov.
Kauj Ruam 4. Ua tib zoo saib txhua yam uas hnov tsw zoo li ntuav
Qee zaum nws nyuaj rau pom tus ntxhiab tsw ntawm ib tus neeg tom qab lawv tshem tawm. Txawm li cas los xij, koj yuav pom tias chav dej feem ntau hnov tsw zoo li ntuav. Koj tseem tuaj yeem sau tseg seb lawv cov khaub ncaws qias neeg zoo li ntuav. Cov no yuav yog cov cim ntawm bulimia.
Kauj Ruam 5. Nco tseg qhov chaw tso dej tawm
Tsis yog txhua qhov ntuav ntuav tshwm sim hauv chav dej. Qee tus neeg xaiv ntuav hauv lub dab dej, thiab lwm tus pom pom da dej kom yooj yim heev vim tias cov dej npog lub suab ntawm kev ntxuav. Yog tias koj muaj teeb meem ntws tawm, qhov no tuaj yeem yog lub cim qhia tias ib tus neeg tab tom tawm tsam nrog bulimia.
Yees duab - Los ntawm kev siv qhov kev pabcuam no, qee cov ntaub ntawv yuav raug muab qhia rau YouTube
Lub tswv yim
- Nco ntsoov tias cov neeg noj zaub mov tsis zoo feem ntau tsis tuaj yeem tso tseg lawv tus cwj pwm. Kev thuam lawv rau lawv tus cwj pwm tuaj yeem ua rau lawv muaj kev ntseeg tus kheej qis thiab ua rau tus cwj pwm tsis zoo. Yog tias ib tus neeg koj paub tab cuam tshuam nrog bulimia, nrhiav kev pab tshaj lij.
- Nco ntsoov tias kev noj zaub mov tsis raug txwv rau qee lub hnub nyoog lossis poj niam txiv neej. Ib tus neeg, txiv neej lossis poj niam, tuaj yeem tawm tsam nrog bulimia ntawm txhua lub hnub nyoog.
- Qee tus neeg muaj peev xwm tshem tawm ntsiag to heev.
- Yog tias koj tus phooj ywg/tsev neeg raug kev txom nyem, txhawb nqa tab sis tsis txhob hais lus txog lawv qhov tsos. Hloov chaw, sim ua txhawb nqa los ntawm kev ceeb toom rau lawv tias koj nyob ntawd los pab lawv, thiab tias lawv tsis tas yuav ua rau muaj kev sib thab/tsis zoo nyob mus ib txhis. Yeej muaj kev cia siab.
Lus ceeb toom
- Tsis txhob ntsib ib tus neeg txog koj cov kev txhawj xeeb ua ntej ntawm lwm tus neeg.
- Tsis txhob nyuaj siab rau ib tus neeg los qhia koj yog tias lawv tawm tsam nrog kev noj zaub mov tsis zoo. Nws yuav siv tshuaj kho mob kom lawv lees paub nws.
- Tsuas yog vim tias ib tus neeg qhia pom tias muaj tus mob bulimia tsis txhais tau tias lawv muaj teeb meem.
- Yog tias koj xav tias ib tus neeg muaj bulimia, nqis tes ua tam sim ntawd. Bulimia tuaj yeem ua mob rau tus neeg sai heev, thiab nws yog qhov tseem ceeb kom tau txais kev pab sai li sai tau.
