Ngaphezulu, zingase zibukeke njengezinkinga ezimbili ezihlukene kodwa ukukhuluphala kwengane nokukhathazeka kokudla kunenani elilinganayo elifanayo. Zombili lezi zimo zibandakanya amaphethini angadli kahle, okuncane kakhulu noma ukuzivocavoca ngokweqile, kanye nezinkinga ezingokwengqondo ezinjengezansi ukuzethemba noma isithombe esibi emzimbeni. Ayaziwa ukuthi zingaki izingane ezikhungathekile nazo ezihlukunyezwa yi-disorder yokudla e-US, kodwa isifundo esivela eJalimane sathola ukuthi amaphesenti angama-43 abesilisa abathobekile abambe iqhaza ekungeneni kokuphila kokunciphisa umzimba bahlangabezana nemigomo yokudabuka kokudla.
Ngubani osengozini futhi kungani
Ngokukhuluphala ngokweqile manje kubhekwa njengengozi engozini yokukhathazeka kokudla, kubandakanya ukungaboni kahle kokudla (okungase kube imbangela yokukhuluphala) kanye ne-anorexia nervosa ne-bulimia. Ucwaningo oluthile lubuthole ukuthi intsha engaphezu kwesisindo sinezinkinga ezingaphezu kwezingu-2 kuya kwezingu-5 eziphakeme zokuthuthukisa ukukhathazeka kokudla kunezinsizwa ezinesisindo esinempilo. Lezi zifundo ezimbili nazo zathola ukuthi intsha enamazinga aphansi okusebenza ngokomzimba inezikhathi eziphindwe kabili kuya kwezingu-4 ezinkulu zokuthuthukisa ukuphazamiseka kokudla.
Phakathi naleso sikhathi, izingane ezikhuluphele ezithwala isisindo zibhekwa njengengozini yokuthuthukisa izifo zokudla ezifana ne-anorexia nervosa ne-bulimia. Yingakho: Uma beqala ukuvimbela ukudla kwabo noma baqala ukuzivocavoca ukuze bahlehlise phansi, le mizamo ingaba yinto ebaluleke kakhulu, eholele izingane ukuba zilahlekelwe isisindo esiningi futhi ziqhutshwe ukuze ziqhubeke nalezi zindlela zokuziphatha ezintsha, ngokuvamile zibe zide kakhulu , ngokusho kwabacwaningi eMayo Clinic eRochester, Minnesota.
Izingane ezinenkinga yokudla zivame ukuzethemba okuncane futhi zikwazi ukuzimela kahle. Ngokukhathazeka kokudla, umzamo wokulawula ukuziphatha kokudla ngokuvamile ukubonakaliswa kwezimpikiswano ezingokwengqondo ezingaphansi, mhlawumbe uzizwa ungalawulwa kwezinye izindawo zokuphila kwazo. Ukukhuluphala kungase kuhlanganise lezi zimpikiswano, ngaleyondlela ukubeka izingane ezinomsoco ngokukhathazeka kokudla esimweni sezinselele ezimbili.
Izinto zomphakathi zingaba negalelo kule ngozi. Ucwaningo olubandakanya izingane ezingama-130 ezikhulu ngokweqile zathola ukuthi labo abavame ukuhlekwa usulu ngamalungu omndeni nabangane babo babe nethuba elikhulu lokudla imicabango nokuziphatheka kabi, kanye nokucindezeleka, ukukhathazeka nokuzihlonipha. Lapho laba bantwana bebhekwa kakhulu ngesisindo sabo futhi lapho bekhathazeka kakhulu ngokuhlekwa, ukukhathazeka okukhulu ukuthi babezoba namazinga amakhulu okudla, ikakhulukazi.
Izinyathelo Zokuzivikela
Ukuhlanganyela ukudla ndawonye njengomndeni kungasiza ekukhuliseni imikhuba yokudla enempilo ezinganeni futhi kunciphise amathuba abo okuthuthukisa imikhuba yokudla engaxilwanga (njengokuzibamba nokuhlanza, ukuhlanza okuzenzekelayo, ukuzila ukudla, ukudla ukudla okuncane kakhulu, nokusebenzisa izidakamizwa), ngokusho ukubuyekezwa kocwaningo ngabacwaningi eNyuvesi yase-Illinois Urbana-Champaign. Ngakho-ke kungashintsha ukugxila ekugqibeleni. Ucwaningo oluvela eNyuvesi yaseSouth Florida lithole ukuthi abathobekile abaphansi abathola imibono emihle mayelana nomumo wabo womzimba babevame ukunganeliseki ngokomzimba. Ngokusobala, lokhu kungabasiza ukuba bavikele ekubhekaneni nobude obukhulu ukuze banciphise isisindo futhi bathuthukise ukuphazamiseka kokudla kuhlelo.
Ukushicilela ukugxila ekhaya nakho kungasiza. Abazali abavame ukuzibandakanya ezinkingeni ezihlobene nesisindo cishe banomdlavuza, basebenzise ukuziphatha okuyisisindo esingahambi kahle, futhi bahlanganyele ekudleni okudliwayo, ngokusho kocwaningo oluvela e-University of Minnesota Medical School. Ngokuphambene nalokho, kunabantwana abancane abanomama, ikakhulukazi, abagxila ezingxoxweni zabo ekudleni okunempilo kungencane kakhulu ekudleni futhi basebenzise ukuziphatha okungavumelani nesisindo sokuziphatha.
Ikholi Yokuvusa
Ngenxa yokuthi isisindo sabo sibheke phezulu, izimpawu zokuphazamiseka kokudla ezinganeni ezikhulu kakhulu zivame ukungabonakali futhi zingaphathwa kabi.
Lokhu kuyadabukisa ngoba lezi zinkinga zingaba nemiphumela emibi empilweni yengane nentuthuko. Abazali kanye nodokotela abazinakekela kakhulu kumele babheke izibonakaliso ukuthi ingane ingase ihlakulele isifo sokudla. Lokhu kufaka phakathi ukulahlekelwa kwesisindo esisheshayo, ukuxoshwa ekusebenziseni umzimba, ukuvinjelwa ngokweqile kokudla, ukuzitika ngokweqile, ukuziphatha okunemali (njengokuhlanza), ukukhathazeka okungenabungozi ngesisindo somzimba nesimo somzimba, isithombe esingalungile somzimba, ukuhoxiswa komphakathi, ukucasula nokuqina.
Uma ubona ingane yakho yokuphuza ngokweqile ilahlekelwa isisindo ngokuzumayo noma engaqondakali, buza mayelana nemikhuba yakhe yokudla nokuthi ngabe uyadla ukudla, ulambe, noma usebenzise ngokweqile. Yize kungase kubonakale kunenzuzo kumntwana othobekile ukuba ulahlekelwe isisindo, uma izindlela zidlulele, ukuphela akuphelelanga izindlela-futhi ingane noma intombazane ingadinga ukwelashwa isifo sokudla. Kungakhathaliseki ukuthi kuhilela uhlelo lwesifo sofuba, ukwelashwa okuphulukisiwe, ukuphathwa kokwelashwa kwengqondo noma ukwelashwa komuntu ngamunye, ukwelashwa okusheshayo sekuqalile, kungcono amathuba ukuthi ingane izophola ekudleni kokudla.
> Imithombo:
Berge JM, Maclehose R, Loth KA, Eisenberg M, Bucchianeri MM, Neumark-Sztainer D. Izingxoxo Zomzali Ngokudla Okunempilo Nesisindo: Izinhlangano Nezingane Ezinezinkinga Ezidliwayo. I-JAMA Pediatrics, Agasti 1, 2013; 167 (8): 746-53.
I-Campbell K, i-Peebles R. Yokudla Ukukhathazeka Kwezingane Nezingane Zengane: I-State Review Art. I-Pediatrics, September 2014; 134 (3): 582-592.
Giel KE, Zipfel S, Schweizer R, Braun R, Ranke MB, Binder G, Ehehalt S. Eating Disorder Ukukhubazeka Kwabantwana Abathintekayo Ukungenelela Kwendlela Yokuphila Yokukhuluphala: Ukubambisana Nokuguqulwa Kwesisindo, I-General Psychopathology ne-Quality-Related Quality of Life. Imininingwane Yokukhuluphala, 2013; 6 (4): 307-16.
I-Hammons AJ, Fiese BH. Ingabe Ukudla Kwabelwane Ngomndeni Okuhlobene Nempilo Yempilo Yezingane Nezingane Ezitholakalayo. I-Pediatrics, ngoJuni 2011; 127 (6): e1565-74.
Lebow J, Sim LA, Kransdorf LM. Ukuqhathaniswa komlando wokuqhathanisa nokukhuluphala kwabantwana abasha abanezinkinga zokudla okuvimbelayo. Umagazini Wezempilo Yengane, uJulayi 18, 2014; S1054-139X.
Libbey HP, Indaba MT, Neumark-Sztainer DR, Boutelle KN. Ukuhlaziya, Ukuphazamiseka Ukudla Ukunciphisa, Nezinzwa Zengqondo Phakathi Kwama-Adolescents Overweight. Ukukhuluphala, ngoNovemba 2008; Isondlo 2: S24-9.
I-Sim LA, uLebow J, uBillings M. Ukudla Kwezinkinga Ezisebuntwaneni Ngomlando Wokukhuluphala. Ukwelashwa kwezingane, Okthoba 2013; 1 32 (4): e1026-30.
Amageyimu AM, Martinez-Gomez D, Gomez-Martinez S, Vicente-Rodriguez G, Castillo R, Ortega FB, Gonzalez-Gross M, Calle ME, Veiga OL, Marcos A. Ukuzivocavoca umzimba, Ukuqhathaniswa nokuqhathaniswa nengozi yokudangala kokudla kwabantwana . Ucwaningo lwe-AVENA ne-AFINOS. Ukukhuluphala kwezingane, February 2014; 9 (1): 1-9.
Wang ML, Peterson KE, Richmond TK, Spadano-Gasbarro J, Greaney ML, Mezgebu S, McCormick M, Austin SB. Umsebenzi womzimba womzimba kanye nezenzo zokudla ezihambisana nokulawulwa kwesisindo esingavuthiwe Izisusa kuMsombuluko Wama-Multiethnic we-Youth-School School. Izingane zokufunda zezemfundo. Julayi-Agasti 2013; 13 (4): 379-85.