The reception was a young (25-28 years) woman (Svetlana K) with restless eyes and intense facial expressions. - "Doctor, why we always want to eat? To me these past six months has attacked some "Jordan." As a magnet draws to a refrigerator, home wince and look askance when I shut the locker. What's wrong with me? What should I do? Already and the food itself is not happy, but I can not stop. I do not want. Ask the patient, although I see it, "heaviness", "double chin": "As with weight?" Answer: about 80 kg - is growing at a 1m 65cm. In line with the well-known formula "weight (in kilograms) should + / - 2.5 kg correspond to digit growth in cm (- 1m) overweight patients about 10-12 kg. This has already begun obesity. When viewed on her abdomen and waist "bunch of fat removal," the hips are characteristic pinkish-purple bands (striae), indicating an endocrine imbalance of the heart began degeneration of muscle tissue. For the past 2-3 months irregular periods, the signs of mastitis. Obviously, the problem has grown from a psychological and cosmetic phase in the physical, physiological. But it is aware of, and the patient, otherwise it is not sought medical attention. Namely, for psychotherapy, as the persuasion of doctors of other profiles (internist-cardiologist, an endocrinologist, gynecologist) sharply restrict calorie food, and its total, to do physical exercises, "hung in the air." Thus, there is a patient "fashionable" problem of excess weight on the background of increased appetite and low physical activity (television, romp with children, chores around the house). Svetlana already half a year working as a Manager for almost financial "collapse" of the mediation firm. And then there's Leonid (husband) is 2-3 months suspiciously long "delays on the job." Therefore Svetlana at heart anxiously, she often cries (privately), became smoke from time to time (somewhere I heard that the alleged nicotine promotes weight loss). But what happens to Svetlana with medical and scientific point of view? Reply - Bulimia (increased appetite, increased food intake). But what is it? According to modern medical and psychological representations of a typical psychosomatic illness, bulimia reason lies in the dysfunction of brain centers that regulate hunger and satiety. They are located in deep parts of the brain, the hypothalamus, which is part of the so-called "limbic-reticular complex," where are the nucleus, the neurons that regulate the internal physiological and biological processes in the body. Why then is it a failure? The reasons are many, and most of them has a psychological nature. Namely, due to emotional stress, stress, anxiety and sometimes fear of disruption of the functions of the hypothalamus. Much clarified in this illness psychoanalytic theory, Freudian and neofreydistskie concept. According to them, bulimia is a kind of psychological defense reaction (for depression, many neuroses and crises of everyday situations). Pleasure, comfort, "high" from eating (usually fatty, sweet) to some extent muffles the alarm, internal discomfort, longing. A role played by unconscious desire to show his wife his "home", loyalty, devotion to him, as well as home and children. What should reflect also the rejection of coquetry, the claims on appeal. Ignored, however, other "crumpet" a serious threat for overweight for endocrine, cardiovascular, nervous and other systems. But, paradoxically, many women have the time to convince themselves and others that they do not eat much. On a scientific language, this phenomenon is called "crowding out", and doctors often use the term "anosognosia." Simple, perhaps, they think something broken in the endocrine system. Start a visit to the relevant specialists, who for minor changes to ultrasound, biochemical (hormonal) are indeed some violations, even put "diagnoses", most often by the thyroid gland, even the pituitary gland. It starts with hormonal therapy, which is in the best case, makes no positive results. After all, these parallel changes also occurred because of disorders of neurohumoral self-regulation, due to stress. And just by chance, and sometimes a "miracle" they come to the attention therapist or health psychologist, which at first causes in patients disappointment and resentment. "Because I have to psyche all right. I do not need a psychotherapist or psychoanalyst. I just have no luck with an endocrinologist, who can not help" lose weight, find the right treatment. "To start searching for" magic "and" miraculous "drugs to" weight loss "." peck "on a massive advertising frantic diverse quack medicine. Try and Chinese teas, pills and Thai, and Herbalife, and the overseas dozens of patented drugs. spend a fortune, and the weight is not reduced. But there are additional problems with allergy potions even getting used to it, especially if they contain substances psychoactivating, "hitters" appetite suppressing the hunger center in the brain. There are problems in the stomach, intestines, until erosion, gastritis, colitis. There is a "vicious circle", a dead end. Strategic out of it, only one - keep your fat cells "in a black body," not to indulge their greed. What to do? young mothers need to remember that due to improper feeding baby (or rather overfeeding) can occur hypertrophy of fat cells. And life the child is predisposed to be overweight increased appetite with all the attendant problems. Fighting "zhorom" and as a consequence of obesity should be systematic, long-term, persistent. dieters need to set it up right away. "Serving the muses of beauty can not stand vanity" . The struggle with overeating, "wolfish appetite, excessive weight rests on three" pillars ", effective natural (ie not only harmless but useful, of course), as well as medical and psychological principles. 1. continuously, daily, independent on mood and weather exercise, exercise, recreational sport. It allows you to "flush out" from fat cells surpluses and reserves. 2. Read eaten every morsel, mouthful of fatty foods. especially if the fat of animal origin: sour cream, butter, milk, mayonnaise , kebabs, pies, etc. Whenever possible, choose vegetable oil. Prefer anything that contains lots of fiber (apples, pears, dried fruit). If you really really want to drink tea with a sweetly - a bit of dried apricots, figs, raisins. Very useful for "safe" saturation porridge. especially buckwheat, oats, barley, rice, even. 3. And finally, the third important aspect of competent struggle with food addiction is psychotherapy (this hypnosis and autogenic training, and neurolinguistic programming, and group psycho-correction and something else), and reflexology. The latter includes a range of methods (not just acupuncture), allowing a management neurophysiological processes to reduce the excessive excitability of the hunger center in the brain. And finally, some "behavioral" recommendations. If Bender said: "Do not make a meal out of the cult, "that modern science-savvy doctors are advised to the contrary:" Do the cult of food. "Do not need to eat where and how horrible," something and somehow. "Do not eat, staring at the TV screen: You can swallow a lot superfluous. Try to eat beautifully on elegantly set table with a tablecloth, preferably in a nice community. And then the fat, the surplus itself will dissolve, dissolve. The physician of the highest category of medical-psychological center of personality, professor of psychotherapy PKI doctors Ministry of Health, Academy of Natural Sciences and Henri Shaposhnikov Evgeny
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