Kuyang'ana pa matenda a psychiatric disorder pica
Ku Haiti, anthu osauka amakakamizidwa kuthetsa mavuto a njala ndi ma coki opangidwa ndi dothi. Tsoka ilo, dothi la chikasu losakanizidwa ndi mchere ndi kufupikitsa ndi "chakudya" chokha chomwe ambiri mwa anthuwa angathe. United Nations ikuyesa kuti pafupifupi anthu mamiliyoni 800 padziko lonse alibe chakudya chokwanira, ndipo anthu a ku Haiti omwe amadya ma cookies amakhala amodzi mwa iwo.
Ndi anthu ochepa chabe a ku Haiti omwe amadya ma cookies oipa.
Komabe, pali matenda a maganizo omwe amatchedwa pica omwe amawakakamiza anthu ena omwe ali ndi thanzi labwino kuti adye dothi, miyala, sopo, utoto, ayezi, tsitsi, zinyama komanso zinthu zina zopanda thanzi ... zinthu zomwe siziyenera kudyedwa konse.
Pica imapezeka mu anthu oposa zaka ziwiri omwe amadya chinthu chimodzi kapena zingapo zomwe sizinso chakudya kwa mwezi umodzi kapena kuposerapo. Pica kawirikawiri imakhudza ana, amayi apakati, ndi anthu omwe akukhala m'masewera.
Pofuna kupezeka ndi pica, munthu sayenera kudya zinthu zopanda phindu kumbali ya chikhulupiliro kapena ngati chizindikiro cha kusowa kwa zakudya.
Anthu omwe ali ndi pica alibe chosowa chachikulu pa chakudya koma amakonda kudya dothi, dongo, ayezi, phulusa, mapepala, kapena zina zotero.
Pakati pa 10 ndi 32 peresenti ya ana onse ali ndi pica kapena maonekedwe a pica-monga machitidwe ndi ambiri a ana awa akusonyeza kukonda za dothi (geophagy).
Amayi oyembekezera omwe ali ndi pica amapezeka m'magulu anayi: (1) omwe amakonda kudya chipale (pagophagia), (2) amene amakonda kudya dongo kapena dothi (geophagy), (3) omwe amakonda kudya (amylophagia) , ndi (4) amene amadya chotupitsa.
Mu 2004, ofufuza a pa yunivesite ya Alabama adayesa kudya zakudya za amayi 3,000 omwe ali ndi pakati ndipo anapeza kuti 4 peresenti ya ophunzirawo anali pica.
Ngakhale akatswiri samadziwa chimene chimayambitsa pica, amakhala ndi mfundo ziwiri.
Choyamba, pica ikhoza kuwonedwa ndi kusowa kwachitsulo komwe kumayambitsa chilakolako cha mchere.
Chachiwiri, kwa ana, pica ikhoza kuimirira chitukuko chochedwa. Makamaka makamaka, makanda amafufuza dziko lonse ndi pakamwa pawo, ndipo ana omwe ali ndi pica sangathe kukulirakulira. Pica kwa ana imapezeka kawirikawiri pakati pa anthu omwe ali osauka kapena omwe ali ndi vuto la maganizo.
Zindikirani, sizikudziwikanso ngati pica imayamba chifukwa cha kusowa kwa chitsulo kapena zimayambitsa kusowa kwa chitsulo . Komabe, kuchepa kwachitsulo kumayambiriro kwa anthu ambiri-koma osati onse-anthu okhala ndi pica.
Zinthu zambiri zovulaza zingachitike kwa anthu omwe amadya zakudya zopanda phindu kuphatikizapo:
- kutsitsa poizoni (kuganiza chithunzi)
- kusowa zakudya m'thupi
- matumbo a m'mimba
- malabsorption
- m'mimba perforation
- phindu lolemera
- matenda
- mbuzi (tsitsi kapena tsitsi linalake lomwe limapezeka m'mimba)
Chithandizo cha pica choyamba chiyenera kuyang'anitsitsa kuthetsa zofooka zilizonse zowonjezera zakudya-makamaka makamaka kuchepa kwa magazi m'thupi. Chithandizo choyamba chiyeneranso kuthana ndi zotsatira za pica, monga poizoni kapena matenda.
Chithandizo cha maganizo cha pica ndi chovuta.
Psychotherapy iyenera kuganizira za makhalidwe, chilengedwe ndi maphunziro a mamembala. Mwachindunji, mankhwala ochepetsa ubongo amatsimikizira kuti ndi othandiza pochita pica.
Kwa anthu ena omwe ali ndi pica, matendawa amatha patapita miyezi ingapo-amachoka yekha. Pakati pa amayi oyembekezera, zowonjezera zitsulo kuti zithetse kuchepa kwa magazi m'thupi zimatha kuyimitsa pica. Komabe, mwa iwo omwe ali ndi vuto la chitukuko omwe amayamba kukhala pica muunyamata, matendawa amapitirira kupyolera mwa akuluakulu.
Pansi
Ngati inu kapena mwana wanu muli ndi pica, ndi kofunika kudziwitsa dokotala wanu ndi kukacheza ndi katswiri wa zamaganizo.
Ngati pica yosasamalidwe ndi yosatulutsidwa, ikhoza kukhala yoopsa. Chonde kumbukirani kuti chithandizo cha pica kawirikawiri chimafuna kutenga nawo mbali, kuthandizidwa, ndi kuthandizidwa ndi mamembala onse.
Zosankha Zosankhidwa
Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. Kusamalira amayi asanakwatire. Mu: Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. eds. Williams Obstetrics, Chigawo Chamasanu ndi Zinayi . New York, NY: Hill ya McGraw; 2013.
Lacey EP: Phenomenology ya pica. Ana Achichepere Clinic Psychiatr N Am 1993; 2: 75.
McAdam DB, Sherman JA, Sheldon JB, Napolitano DA: Njira zothandizira kuchepetsa pica ya anthu omwe ali ndi zolemala. Behav Modif 2004; 28: 45-72.