Abantu abanenkinga yokudla i-ARFID banciphisa kakhulu ukudla kwabo ngokwenani noma ukuhlukahluka, okuholela ekukhubazekeni ngokomzimba nangokwengqondo. Lesi sifo sivame ukuqala ebuntwaneni futhi sifundwe ikakhulukazi ezinganeni noma kubantu abanesisindo esiphansi. Ucwaningo olusha oluvela eLeipzig University Hospital manje lubonisa ukuthi abantu abadala abanesisindo somzimba esiphezulu nabo bangahlushwa yi-ARFID.
Kubantu abaningi, ukudla kuhlotshaniswa nenjabulo - kodwa kulabo abathintekayo yi-ARFID (Avoidant/Restrictive Food Intake Disorder), ngokuvamile kuhlotshaniswa nokukhathazeka, ukucindezeleka, noma ukunengeka. Lesi sifo sizibonakalisa ngokwenqaba ukudla okuthile, isibonelo, ngenxa yephunga lakho, ukungaguquguquki, noma ukwesaba ukuminyanisa noma ukuhlanza. Inzalo enciphe kakhulu ekudleni nayo ingaba uphawu. Ngokungafani nezinye izinkinga zokudla njenge-anorexia, isifiso sokwehlisa isisindo asisona isizathu. Noma kunjalo, ingozi yokungondleki kanye nezifo ezilandelayo iphezulu ngokufanayo.
Ithimba eliholwa uDkt. Ricarda Schmidt kanye noProf. UDkt. Anja Hilbert sebeneminyaka becwaninga nge-ARFID e-Leipzig University Medical Center. Phakathi kokunye basungule inhlolokhono yokuxilonga ukuze bathole lesi sifo esisetshenziswa emhlabeni wonke. "Imiphumela yethu yamanje ibonisa ukuthi i-ARFID iphinde yenzeke kubantu abadala abanesisindo somzimba esiphezulu - nakuba ngezinye izikhathi izimpawu ezihlukene. Lezi ziguli zidinga ukuxilongwa okuqondile kanye nezinketho zokwelapha eziguquliwe, "kusho uDkt Ricarda Schmidt, inhloko yocwaningo.
Ocwaningweni lwamanje, abantu abadala abangama-369 bahlolwe ku-inthanethi; abanye babuye baqeda inhlolokhono yomtholampilo. Lokhu kuvumele kokubili izimpawu zokuzibika ngokwakho kanye nokuxilongwa okusemthethweni ukuthi kurekhodwe futhi kuhlotshaniswe nesisindo somzimba nezinye izici zezempilo. Ucwaningo lwembula ukuthi amaphesenti angu-34 abantu abadala abane-ARFID babekhuluphele ngokweqile. Leli qembu lalinethuba elikhulu kunalawo anesisindo esincane sokukhombisa imikhuba yokudla ekhethiwe, ukucindezeleka okukhulu kwansuku zonke, kanye nengozi eyengeziwe yezifo ze-metabolic. Okumangalisa kakhulu: Amaphesenti angu-100 alabo abanesisindo esingaphezu kwamandla abike ukukhubazeka kwengqondo - uma kuqhathaniswa namaphesenti angu-65 alabo abanesisindo esingaphansi.
Isici esasinganakiwe ngaphambili: Abaningi babantu abakhuluphele okwaxoxwa nabo bathi babekhathazeke kakhulu ngomzimba nesisindo sabo. Kodwa-ke, lokhu kukhathazeka kuvame ukuhunyushwa ngokungeyikho emisebenzini yomtholampilo yansuku zonke. "Ikakhulukazi kubantu abanesisindo somzimba esiphezulu, i-ARFID ngokuvamile ayitholakali ngenxa yokuthi ukukhathazeka ngesisindo kuchazwa ngephutha njengenkomba yezinye izinkinga zokudla noma ngenxa yokuziphatha kokudla," kuchaza uSchmidt. Ngenxa yalokho, ukuxilongwa okunembile ngokuvamile akwenziwa - ngemiphumela engaba yingozi yokunakekelwa, usosayensi ukholelwa. Ukushintsha lokhu, ukuxilonga kufanele kubuyekezwe futhi ochwepheshe bezokwelapha baziswe. Izinqubo zokuhlola ezikhona kufanele zengezwe ngenqubo yokuthola enganciki isisindo. Izindlela zokwelapha kufanele futhi zishintshwe - kokubili i-psychotherapeutic kanye ne-pharmacological, batusa ababhali bocwaningo.
"Ngemiphumela yethu yamanje, sivala igebe elibalulekile locwaningo futhi sandise ukuqonda kwethu lesi sifo ukuze sifake iqembu elalinganakwa ngaphambilini," kusho uSchmidt, usosayensi wezokwelapha ngokuziphatha. Izifundo zokulandelela mayelana nokuthuthukiswa nokwelashwa kwalesi sifo sezivele zihlelwa eLeipzig University Medical Center.
Ukushicilelwa kwangempela
Isihloko sokuqala sokushicilelwa kwe-Psychotherapy and Psychosomatics:
"I-Psychopathology Kubantu Abadala abane-Co-occurring Avoidant/Restrictive Food Intake Disorder (ARFID) kanye Nesisindo Esiphezulu," https://doi.org/10.1159/000547450
Funda futhi
Naphezu kokusutha, usahalela uphudingi: Ubuchopho buvuza isifiso samaswidi | I-Pugnalom
I-Meta-study ifakazela okokuqala: Umdlavuza omncane ngokudla okunobungani bemvelo | I-Pugnalom
