A kutarisa chirwere chepfungwa chepfungwa pica
MuHaiti, varombo vanomanikidzirwa kuderedza nzara kurwadziwa nekiki yakagadzirwa nedota. Zvinosuruvarisa, tsvina yemazuva yakavhenganiswa nemunyu nekuderedza ndeye "chikafu" chete chevanhu ava vanogona kuwana. Sangano reUnited Nations rinofungidzira kuti vanenge vanhu vanosvika mamiriyoni 800 munyika yose havana zvakakwana kudya, uye vaHaitian vanodya tsvina yemidziyo vari pakati pavo.
Vashomanana vechiHaiti vanodya tsvina tsvina vanodaro nechisarudzo.
Zvisinei, kune chirwere chepfungwa chinonzi pica chinomanikidza vanhu vane utano hwakanaka avo vanogona kuwana zvokudya zvekudya kuti vagare vachidya tsvina, mabwe, sese, pende, ice, vhudzi, mhuka dzemhuka uye zvimwe zvakasiyana siyana zvimwe zvinhu zvisina chikafu ... zvinhu zvisingambofaniri kupedzwa.
Pica inotaridzirwa mune vanhu vanopfuura makore maviri emakore vanodya imwe kana zvimwe zvisiri zvekudya kwemwedzi kana kupfuura. Pica kazhinji inobata vana, vakadzi vane pamuviri, uye vanhu vanogara munzvimbo dzakagadzirwa.
Kuti zviwanikwe ne pica, munhu haafaniri kudya zvinhu zvisina kudya zvishoma kune zvechitendero kana sechiratidzo chekushaiwa kwekudya.
Vanhu vane pica havana chinangwa chekudya kune zvimwe zvokudya asi vanosarudza kudya ivhu, ivhu, ice, ivhu, pepa, kana zvakadaro.
Pakati pe10 ne32 muzana yevana vose vane pica kana kuratidza pica-kufanana nemafambiro nehuwandu hwevana ava vachitaura nezvekuda kwevhu (geophagy).
Vakadzi vane pamuviri vane pica vanowanzova mumapoka mana: (1) avo vanoda kusadya ice (pagophagia), (2) avo vanosarudza kudya ivhu kana tsvina (geophagy), (3) avo vanoda kudya kudya (amylophagia) , uye (4) avo vanodya chiswawi.
Muna 2004, vatsvakurudzi veYunivhesiti yeAlabama vakaongorora mamiriro ekudya evanhu 3000 vakadzi vane pamuviri uye vakawana kuti 4 muzana yevadzidzi vaive ne pica.
Kunyange zvazvo nyanzvi dzisinganzwisisi zvinokonzera pica, dzine zvingano zviviri.
Chokutanga, pica inogona kukonzerwa nekushayikwa kwesimbi kunokonzera kudya kwemaminerari.
Chechipiri, muvana, pica inogona kunge ichimirira kukurumidza kusimbiswa. Kunyanya kunyanya, vacheche vanowanzoongorora nyika nemiromo yavo, uye vana vane pica vangave vasati vakura kubva panharaunda iyi. Pica muvana inonyanya kuonekwa pakati pevaya vari munharaunda yevanhu vanotambura kana avo vane kurasika kwepfungwa.
Nyaya, hazvinyatsonzwisisiki kana pica inokonzerwa nekushayikwa kwesimbi kana kuti inokonzera kutadza kwesimbi . Kunyange zvakadaro, kupera kwesimbi kunowanikwa pakati pevakawanda-asi kwete vose-vanhu vane pica.
Zvinhu zvakawanda zvinokuvadza zvinogona kuitika kune avo vanogara vachidya zvinhu zvisina kudya zvinosanganisira:
- kutora chepfu (funga pepa)
- kusagadzikana
- chibereko chemukati
- malabsorption
- chibereko chemukati
- kurema kuwanikwa
- utachiona
- bhanga (bvudzi kana bvudzi dzezvimwe zvinotengeswa zvinowanikwa mudumbu)
Kurapa kwe pica kunofanira kutanga kuisa pfungwa pakugadzirisa chero upi zvake hwehutachiona hunokonzerwa nehutano hwezvokudya-kunyanya kushaya simba kweanemia. Kurapa kwokutanga kunofanirawo kutarisana nemigumisiro chero ipi zvayo ye pica, yakadai sokutungamirira chepfu kana utachiona.
Kurapa kwepfungwa kwepika kwakaoma.
Psychotherapy inofanira kuisa pfungwa kune maitiro, mamiriro ezvinhu uye dzidzo yemhuri. Kunyanya, unyoro hwekudzivirira hunyoro hwakaratidza kuti hunobatsira pakubata pica.
Kune vamwe vanhu vane pica, chirwere chinopera pashure pemwedzi inoverengeka-chinenge chichienda pachako pachako. Mumadzimai ane pamuviri, kuwedzerwa kwesimbi kunogadzirisa kusakwana kwesimbi kunogonawo kushanda kumira pica. Zvisinei, kune avo vane matambudziko okukura avo vanotanga kukura mu pica muhuduku, chirwere chinowanzoenderera kuburikidza nekukura.
Pasi Pasi
Kana iwe kana mwana wako ari kuine pica, zvakakosha kuzivisa chiremba wako uye kushanyira nechiremba chepfungwa.
Kana isina kusiyiwa uye isingateereri, pica inogona kuva yengozi. Ndapota yeuka kuti mushonga we pica unoda kubatanidzwa, rubatsiro, uye rubatsiro rwemhuri yese.
Sarudzo Sources
Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. Kuchengetwa kwepabonde. Mu: Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. eds. Williams Obstetrics, Twenty-Fourth Edition . New York, NY: McGraw-Hill; 2013.
Lacey EP: Phenomenology ye pica. Mwana Adolesc Psychiatr Clin N Am 1993; 2: 75.
McAdam DB, Sherman JA, Sheldon JB, Napolitano DA: Kupindira kwekuita kuti kuderedze pica yevanhu vane hutachiona hwekukura. Behav Modif 2004; 28: 45-72.