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طلب مساعدة
طلب مساعدة
السلام عليكم: أريد شرح باللغة العربية للتالي : Bulimia nervosa Definition: Bulimia nervosa is characterized by recurrent episodes of binge eating and a feeling of lack of control over eating behavior during these episodes, with associated inappropriate methods to prevent weight gain, including self-induced vomiting, excessive use of laxatives, diuretics, fasting, or excessive exercise. These episodes occur at least twice per week for 3 months. Self-image is significantly influenced by body weight and shape. Signs and symptoms: • The course of the disease may be chronic or intermittent during many years. • Weight is usually maintained within **rmal range or may be significantly elevated or decreased. • Binge eating may be followed by inappropriate compensatory mechanisms, including self-induced vomiting, self-induced diarrhea through the use of laxatives or cathartics, the use of diuretics, excessive fasting, and excessive exercise. • Physical signs may include calluses or skin changes on hands and fingers, loss of dental enamel, swollen lymph **des, and bad breath or mouthwash smell on breath because of self-induced vomiting. • Endocrine changes, such as ame**rrhea, may be present. Medical complication: • Fluid and electrolyte disturbances, particularly hypokalemia, metabolic alkalosis, and associated cardiac dysrhythmias. • Obesity or a**rexia nervosa. • Dental erosion. • Esophageal tear or gastric rupture. Natural history: • Bulimia typically begins in adolescence or young adulthood in individuals consciously trying to stay slim. Some report a history of A**rexia Nervosa and others report a history of obesity. The onset often follows changes in living situations such as leaving home, starting college, changing jobs, or becoming involved in new relationships. Differential diag**sis: • Serum chemistry for electrolytes, , and creatinine, and bicarbonate—may be ab**rmal, indicating fluid and electrolyte imbalances. • Additional tests may include thyroid function tests , estrogen, and electrocardiogram to determine effects of bulimia on body. جزاكم الله خير المصدر: Forums 'gf lshu]m |
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