Ðe nèsena le ɖokuiwò me hã be yeƒe ŋutilã ƒe akpa aɖe menye ye tɔ oa? (Body Integrity Identity Disorder - BIID) Mina míaƒo nu tso esia ŋu!

Ðe nèse le ɖokuiwò me kpɔ be yeƒe ŋutilã ƒe akpa aɖe si le lãmesẽ me, ɖewohĩ alɔ alo afɔ gɔ̃ hã, menye ye tɔ o, abe ɖe mele be wòanɔ afima o enea? Ate ŋu anye nuteƒekpɔkpɔ si wɔ nuku ŋutɔ, eye wòagbã dzi na ame, si ŋu màte ŋu agblɔe na ame aɖeke gɔ̃ hã o. Egbea míele nu ƒom tso susumedɔ aɖe si mebɔ o gake wòsẽ ŋutɔ si woyɔna be Body Integrity Identity Disorder (BIID) ŋu .

Nuka tututue nye BIID?

Kpuie ko la, Body Integrity Identity Disorder (BIID) , si woyɔna ɣeaɖewoɣi be Body Integrity Dysphoria , nye susumedɔléle si me nèsena le ɖokuiwò me be yeƒe ŋutilã ƒe akpa aɖe si le lãmesẽ me, abe alɔ, afɔ, asibidɛ, alo ŋku ene, menye ye tɔ ŋutɔŋutɔ o. Nu vevitɔe nye be nànya be wò ŋutilã ƒe akpa aɖe le lãmesẽ me, àte ŋu ase egɔme, azãe, ahaʋuʋui. Gake dzizizi sesẽ aɖe le mewò si gblɔna be, "Menye tɔnyee nye esia o, esia mate ŋu anɔ afisia o." Èdi vevie be yeanɔ agbe yeƒe ŋutilã ƒe akpa ma manɔmee.

Eyata àte ŋu abia tso ɖɔkta aɖe si be wòawɔ dɔ na wò ŋutilã ƒe akpa si le lãmesẽ me (lãɖeɖe). Alo esi màte ŋu ado dzi le nyaƒoɖeamenua me o ta la, àte ŋu adze agbagba be ye ŋutɔ yeaɖe akpaa ɖa. Esia nye afɔku gã aɖe eye ate ŋu ade ame ƒe agbe afɔku me. Nusi dona tso BIID me mlɔebae nye ŋutilã me nuwɔametɔnyenye.

Didi be yeaɖe yeƒe ŋutilã ƒe akpa sia ɖa, alo be yeazu nuwɔametɔ le ŋutilã me, ate ŋu ana nàse le ɖokuiwò me be ye “de blibo” – abe ɖe wò ŋutilã ŋutɔŋutɔ va wɔ ɖeka kple wò amenyenye ememetɔ mlɔeba ene. Gake nublanuitɔe la, mɔ aɖeke meli si dzi nàto anya ne lãɖeɖe akpe ɖe ŋuwò nàɖo taɖodzinu sia gbɔ o. Atikewɔwɔ siwo menye amekoko o li woatsɔ akpɔ nɔnɔme sia gbɔe.

Ŋutilã ƒe akpa kawoe BIID gblẽa nu le?

BIID ate ŋu akpɔ ŋusẽ ɖe wò ŋutilã ƒe akpa ɖesiaɖe dzi. Zi geɖe la, esiawoe nye wò ŋutilã ƒe akpa siwo sena le wo ɖokui me be yewomenye yewo tɔ o, abe ɖe womenye wò akpa aɖeke o ene:

• Afɔ aɖe
• Asi aɖe
• Asibidɛ aɖe
• Afɔbidɛ aɖe
• Ŋkuwo (ɖeka alo evea siaa) .
• To (ɖeka alo evea siaa) .
• Aɖuwo

Numekuku aɖe ɖee fia be miamefɔe nye abɔ kple afɔ si ŋu wògblẽ nu le wu le mɔ sia nu. Ame siwo kpɔ gome le numekuku ma me dometɔ aɖewo gblɔ be yewoƒe ɖusifɔ ɖea vi na yewo, le kpɔɖeŋu me, elabena yewohiã yewoƒe ɖusifɔ hafi ate ŋu aku ʋu, eyata yewodi be yewoalée ɖe te. Eyata wodi be yewoalé yewoƒe ɖusifɔ ɖe te. Bu alesi seselelãme sia sesẽe ŋu kpɔ!

Aleke gbegbee BIID bɔe?

Le nyateƒe me la , BIID nye nɔnɔme si mebɔ kura o . Ame geɖe media atike nɛ o, alo woɣlaa woƒe dzesiwo ɖe ame bubuwo. Esi wònye nusi gɔmesese sesẽ na hadomegbenɔnɔ ta la, ate ŋu ahe nuwo abe ŋukpe kple vɔvɔ̃ ene vɛ. Eyata esesẽ be míagblɔ alesi tututu nɔnɔme sia kaka ɖe xexeamee.

Nukae nye BIID ƒe dzesiwo?

Ame si ŋu BIID le ate ŋu aɖe dzesiwo abe:

• Didi vevie le ame me be yeazu nuwɔametɔ le ŋutilã me alo be yeanɔ agbe ŋutilã ƒe akpa aɖeke manɔmee. Menye didi dzro aɖe koe esia nye o, ewɔna nam abe agba kpekpe aɖee wònye na dzi ene.
• Ate ŋu anye nusi me dziɖeleameƒo le ŋutɔ eye wòasesẽ be nàse le ɖokuiwò me be yeƒe ŋutilã ƒe akpa aɖe si le lãmesẽ me mesɔ na ye alo ye tɔ o.
• Esi wobua ame ŋutɔ ƒe dzodzro siawo ŋu ɣesiaɣi ta la, woɖea wo ɖokui ɖa tso hadede, ƒomedodo kple ame bubuwo, kple nusiwo wɔwɔ doa dzidzɔ na wo gɔ̃ hã gbɔ.
• Togbɔ be menye nuwɔametɔwoe wonye ŋutɔŋutɔ o hã la, wodina be yewoawɔ nu abe nuwɔametɔwo ene. Ðewohĩ wozãa bunɔkeke alo atizɔtiwo.
• Wotea wo kpɔ be yewoawɔ nuvevi yewo ɖokui alo agblẽ yewoƒe ŋutilã ƒe akpa aɖe si yewose le wo ɖokui me be menye yewo tɔ o (ɖokuitsotso).

Dzesi siawo ate ŋu anɔ bɔbɔe ŋutɔ na ame aɖewo (seselelãme sesẽwo ɖe wò ŋutilã ŋu ko), alo woate ŋu asẽ ŋutɔ na ame bubuwo (vaseɖe esime nàdze agbagba be yeagblẽ nu le ɖokuiwò ŋu). Eto vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Aleke amesi ŋu BIID le sena le eɖokui me?

Ne BIID le asiwò la, àte ŋu ato nusiwo gbɔna me:

• Seselelãme be "hyper-perfection" alo seselelãme be nane bu/egbɔdzɔ le wò ŋutilã ƒe nɔnɔme si li fifia ŋu. Eyae nye be, seselelãme be ŋutilãa "yɔ fũ akpa" le akpa ma si se le eɖokui me be "mehiã o" ta.
• Ðeɖi tea wo ŋu vevie eye ɖeɖi tea wo ŋu elabena wodzea agbagba be yewoaɣla yewoƒe seselelãme vavãwo ɖe ame bubuwo.
• Èbua wò ŋutilã ŋu ɣesiaɣi (susu siwo xɔa susu me na wò).
• Èsea nuteɖeamedzi alo dzimaɖitsitsi geɖe le esi màte ŋu aɖe wò ŋutilã ŋutɔŋutɔ afia xexeame abe alesi nèkpɔe ene o ta.
• Blanuiléle ate ŋu ado mo ɖa ne ame mate ŋu anɔ agbe le ame ŋutɔŋutɔ me ŋutilã me tɔtrɔ manɔmee o.

Ɣekaɣie seselelãme siawo dzea egɔme?

Zi geɖe la, seselelãme siawo dzea egɔme tso ɖevime kple ƒewuiwo ƒe gɔmedzedze , zi geɖe la, woxɔa tso ƒe 5 va ɖo ƒe 10.

Nukae hea BIID vɛ?

Ne míagblɔe tututu la, ɖɔktawo menya nusi tututu hea BIID vɛ haɖe o . Gake numekuku siwo wowɔ fifia ɖee fia be ate ŋu atso ahɔhɔ̃a ƒe akpa siwo kpɔa ŋusẽ ɖe míaƒe ŋutilã ƒe nukpɔsusu dzi ƒe wɔwɔme ƒe tɔtrɔ gbɔ. Ahɔhɔ̃a ƒe akpa siwo wu ɖeka kpɔa gome le alesi míebua míaƒe ŋutilãe me. Le kpɔɖeŋu me:

• Somatosensory cortex kple akɔta ƒe lãkusi.
• Insula (si le occipital kple frontal lobes dome).

Wosusui fifia be tɔtrɔ aɖewo le ahɔhɔ̃a ƒe akpa siawo ƒe dɔwɔwɔ me ate ŋu anye nusi gbɔ nɔnɔme sia tso.

Nukawoe nye kuxi siwo ate ŋu ado tso BIID me?

BIID ateŋu ana nàdi be yeawɔ nuvevi ye ɖokui be yeaɖo yeƒe taɖodzinuwo gbɔ, abe ŋutilã ƒe akpa ma "si mèdi o" ɖeɖe ɖa ene. Ðewohĩ màkpɔe be enye "nuveviwɔwɔ ame ɖokui," gake ate ŋu ahe kuxi sesẽwo vɛ, abe:

• Ʋu si dona le ame ŋu si dzi womate ŋu aɖu o.
• Dɔdzedze.
• Lãmetsiŋusẽ ƒe gbegblẽ.
• Vevesese sesẽ.
• Phantom abɔ kple afɔ ƒe vevesese le lãɖeɖe vɔ megbe.

Agbagbadzedze be ye ŋutɔ yeatso ŋutilã ƒe akpa aɖewo nye afɔku gã aɖe. Ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Ðewohĩ didi si nèsena le ɖokuiwò me ɣemaɣi la nu sẽ ale gbegbe be afɔku siawo adze nu evelia na wò. Gake taflatse se egɔme, nusiwo esia ate ŋu agblẽ la gbɔ susu me.

Ne èse le ɖokuiwò me be yeawɔ nuvevi ye ɖokui la, taflatse yi ɖɔkta gbɔ enumake, alo ƒo ka na wò nutoa me ƒe xexlẽdzesi kpata. Le Sri Lanka la, habɔbɔwo abe Sumithrayo (0112692909, 0112696666, 0112682535) ene li siwo nàte ŋu aƒo ka na agblɔ wò susuwo. Woakpe ɖe ŋuwò.

Aleke nàwɔ anya ne BIID le asiwò?

Zi geɖe la, tagbɔdɔdala ye kpɔa BIID. Aƒo nu tso alesi nèsena le ɖokuiwò me ɖe wò ŋutilã ŋu na wò eye wòado wò ŋutilã kpɔ be wòakpɔ egbɔ be ŋutilã ƒe akpa si nèdi be yeaɖe ɖa la le lãmesẽ me.

Zi geɖe la, womekpɔa dɔléle sia le amesiwo ŋu dɔléle sia le ŋu o, alo ne wowɔ nuvevi wo ɖokui eye wova nɔa xɔ si me wowɔa dɔ kpata le alo ne wodi kpekpeɖeŋu tso amekola gbɔ be woaɖe woƒe ŋutilã ƒe akpa aɖe si le lãmesẽ me ɖa ko hafi wokpɔa dɔlélea le wo ŋu.

Ne susu siwo nɔa anyi ɖaa, siwo ɖea fu na ame, kple esiwo dzi màte ŋu aɖu o le wò ŋutilã tɔtrɔ ŋu la, taflatse yi ɖɔkta gbɔ. Wole afima be woakpe ɖe ŋuwò nàkpɔ susu siawo gbɔ eye nàkpɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wò.

Ðe nɔnɔmea nye BIID le DSM-5 la mea?

Womeŋlɔ BIID be enye dɔléle si to vovo le Amerika Tagbɔdɔlélawo ƒe Habɔbɔ ƒe Diagnostic and Statistical Manual of Mental Illnesses (DSM-5-TR) si li fifia me o. Gake BIID kpe ɖe nɔnɔme aɖe si woyɔna be Body Dysmorphic Disorder ŋu ​​le DSM-5-TR la me.

Gake le Xexeame ƒe Lãmesẽ Habɔbɔ ƒe Dukɔwo Dome Dɔlélewo ƒe Ƒomedodo (ICD-11) , si nye xexlẽdzesi si ɖɔktawo zãna tsɔ dia dɔlélewo hedea wo hatsotsowo me la, wotsɔ ŋkɔ na nɔnɔme sia be ‘Ŋutilã ƒe Nuteƒewɔwɔ ƒe Dɔmawɔmawɔ nyuie’ .

Nukawoe nye atike siwo wozãna na BIID?

Ne míagblɔe tututu la, BIID dada sesẽ vie.Atike aɖeke koŋ meli na BIID o. Zi geɖe la, ɖɔktawo dzea agbagba be yewoaxe mɔ ɖe ŋutilã ƒe akpa siwo le lãmesẽ me ɖeɖe ɖa nu eye woakpe ɖe ŋuwò nàdzudzɔ nuwɔna siwo gblẽa nu le ame ŋu la wɔwɔ. Esia ate ŋu abia be woatsɔ atikewɔmɔnu vovovowo awɔ dɔe. Esiawo ate ŋu anye:

• Cognitive Behavioral Therapy (CBT): Esia nye susumedɔdada ƒomevi aɖe si kpena ɖe ŋuwò nèdea dzesi wò tamebubu kple nuwɔna eye nètrɔa asi le wo ŋu.
• Atike siwo woatsɔ aɖe blanuiléle kple dzimaɖitsitsi dzi akpɔtɔ: Atike siawo ate ŋu akpe ɖe ame ŋu be woaɖe nuteɖeamedzi si dona tso BIID me dzi akpɔtɔ.
• Ametia ƒe ŋutilã dodo, bunɔkeke alo atizɔti zazã: Ame aɖewo ate ŋu akpɔ gbɔdzɔe hena ɣeyiɣi aɖe tso "nuwɔametɔnyenye" ​​me toto le mɔ sia nu.
• Virtual Reality (VR) Zazã: Mɔ̃ɖaŋununya sia na nète ŋu srɔ̃a alesi wòanɔ ne èle agbe wò ŋutilã ƒe akpa aɖeke manɔmee.

Le go geɖe me la, atikewo kple atikewɔwɔ ate ŋu akpe ɖe ame ŋu be woaɖe BIID ƒe dzesi aɖewo dzi akpɔtɔ. Nu vevitɔe nye be atikewɔwɔ siawo maɖe didi be yeanɔ agbe wò ŋutilã ƒe akpa aɖeke manɔmee ɖa keŋkeŋ o. Gake woate ŋu akpe ɖe ŋuwò nàɖe nuteɖeamedzi si nèsena le ɖokuiwò me dzi akpɔtɔ, aɖe tamesusu siawo ƒe zi gbɔ zi geɖe dzi akpɔtɔ, eye woakpe ɖe ŋuwò nànɔ agbe ɖe nɔnɔmea nu ɣeyiɣi didi.

Wò ɖɔkta ate ŋu ado susua ɖa hã be nàkpɔ gome le dɔdamɔnu dodokpɔwo alo numekukuwo me be nànya nu geɖe tso dɔlélea ŋu eye nàdi atike yeyewo.

Ðe lãmetutudɔ daa BIIDa?

Esia nye nyabiase si ŋu ŋuɖoɖo sesẽ ŋutɔ eye wòsesẽ ŋutɔ. Ðewohĩ àsusu be lãɖeɖe ana wò didiwo nava eme eye wòada BIID. Ðewohĩ mave wò be woɖe abɔ kple afɔ si le lãmesẽ me o. Gake ate ŋu ana wò agbe nasesẽ eye wòanye nuteɖeamedzi wu alesi wòle xoxo. Kakaɖedzi aɖeke meli be abɔ kple afɔ si le lãmesẽ me ɖeɖe ana nàse le ɖokuiwò me be yele blibo o. Esia tae amekoko ƒe ŋutilã ƒe akpa aɖewo ɖeɖe ɖa hena BIID va zu nya si ŋu woʋlia nya le vevie le atikewɔlawo dome ɖo.

Le agbenyuinɔnɔ gome la, amekolawo kple ɖɔktawo meɖea ŋutilã ƒe akpa siwo le lãmesẽ me ɖa ne atikewɔwɔ ƒe hiahiã si me kɔ o. Etsi tre ɖe atikewɔwɔ ƒe gɔmeɖose si nye "mègawɔ nuvevi aɖeke o" ŋu. Amekoko ƒe ŋutilã ƒe akpa aɖe ɖeɖe ɖa me tsonuwo kple afɔku siwo ate ŋu ado tso eme ate ŋu anye ame ƒe agbemeŋkekewo katã, afɔku, eye wòawu ame gɔ̃ hã.

Ðewohĩ ŋutilã ƒe akpa aɖe ɖeɖeɖa makpɔ susu me kuxi siwo le eme si nèdoa goe gbɔ keŋkeŋ o. Ðewohĩ adze abe egbɔkpɔnu ɖeka kolia na wò fifia ene, gake mɔ aɖeke meli si dzi nàto anya nenye be wò ŋutilã ƒe akpa aɖe ɖeɖeɖa ana nu siwo nèle mɔ kpɔm na la ado tso eme o.

Lãɖeɖe le lãme na ame nɔa anyi ɖaa. Màte ŋu atrɔ amekoko sia tɔgbe ne emetsonuwo medzɔ dzi na wò o.

Nukae wòle be amesi ŋu BIID le nakpɔ mɔ na?

BIID nye nɔnɔme sesẽ aɖe ŋutɔ si dzi woakpɔ gbesiagbe. Ate ŋu ama wò ɖa tso wò lɔlɔ̃tɔwo kple nusiwo doa dzidzɔ na wò gbɔ. Lãɖeɖe nye BIID me tsonu si nɔa anyi ɖaa eye zi geɖe la, afɔku le eme. Mègadze agbagba gbeɖe be ye ŋutɔ yeaɖe ŋutilã ƒe akpa aɖewo ɖa o.

Ne tamesusu siwo nɔa anyi ɖaa, siwo ɖea fu na wò, siwo nana nèdina be yeawɔ nuvevi ye ɖokui la, yi ɖɔkta gbɔ. Togbɔ be ɖewohĩ atikewɔwɔ siwo li fifia maɖe wò didiwo ɖa keŋkeŋ o hã la, woate ŋu ana wòanɔ bɔbɔe be nànɔ agbe ɖe wo nu eye woaɖe tamesusu siwo ɖea fu na wò siwo doa kplamatse wò gbesiagbegbenɔnɔ dzi akpɔtɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne susu siwo hea ame ƒe susu nɔa ŋuwò enuenu be yeatso yeƒe ŋutilã ƒe akpa aɖe si le lãmesẽ me la, taflatse ƒo nu kple ɖɔkta. Ne èle nɔnɔme kpata aɖe me, alo ne èle vɔvɔ̃m be yeawɔ nuvevi ye ɖokui la, ƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ enumake.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• Atikewɔwɔ ka ƒomevie nèkafu nam?
• Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
• Ðe lãɖeɖe ana nye lãme nasẽa?
• Nukae mawɔ ne aɖaŋuɖoɖo kple atikewɔwɔ bubuwo mewɔ dɔ o?

Ðe BIID nye tagbɔdɔlélea?

Ẽ, Body Integrity Dysphoria , alo Body Integrity Identity Disorder (BIID) nye susumedɔléle . Numekukuwo ɖee fia be nusi gbɔ nɔnɔme sia tso ate ŋu atso alesi wò ahɔhɔ̃a tsi le ɖevime gbɔ. Esia tae zi geɖe la, dzesiawo dzea egɔme tso ɖevime. Ahɔhɔ̃a ƒe akpa aɖewo ƒe tsitsi si mesɔ o ate ŋu akpɔ ŋusẽ ɖe alesi nèbua wò ŋutilã, alo wò ŋutilã ƒe nɔnɔmetatae dzi.

Agbenɔnɔ kple BIID ate ŋu anye nuteƒekpɔkpɔ sesẽ aɖe si ɖea ame ɖe aga. Ne ètsɔ ɖokuiwò de afɔku me kpɔ be yeagblɔ yeƒe didiwo na ye xɔlɔ̃wo alo yeƒe ƒometɔwo la, ke ɖewohĩ amewo ƒe mo wɔ yaa eye amewo wɔ nu ɖe ​​ŋuwò le mɔ gbegblẽ nu. Ðewohĩ wogbe wò susuwo be wonye "ameflunyawo" alo "tagbɔsesẽ." Gake nya ma to vovo kura tso nyateƒea gbɔ.

Wò tamesusuwo kple seselelãmewo nye nu ŋutɔŋutɔwo. Susu aɖe li si tae. Ðeko nèdi be yeawɔ ye ŋutɔ yeƒe nɔnɔmetata, ye ŋutɔ yeƒe ŋutilã me nu ŋutɔŋutɔ, wòanye ŋutilã me nu ŋutɔŋutɔ. Esia ate ŋu asesẽ ŋutɔ na ame bubu, ɖɔkta gɔ̃ hã, be wòase egɔme negbe ɖe wònɔ wò afɔkpa me kpɔ hafi. Gake ɖo ŋku edzi be menye wò ɖeka koe o, eye kpekpeɖeŋu li.

Kpuie ko la, nusiwo dzi wòle be nàɖo ŋkui

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, esiawoe nye nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui:

• BIID nye susu ƒe nɔnɔme ŋutɔŋutɔ. Menye wò susu me nuwɔna aɖe koe wònye o.
• Nɔnɔme sia ƒe nɔnɔme vevi aɖee nye seselelãme be ŋutilã ƒe akpa si le lãmesẽ me menye ame aɖe tɔ o eye be ehiã be woaɖee ɖa.
• Mègadze agbagba be ye ŋutɔ yeaɖe ŋutilã ƒe akpa aɖewo ɖa le susu aɖeke ta o; edea ame ƒe agbe afɔku me.
• Atikewɔwɔ, vevietɔ susuŋutinunya ƒe aɖaŋuɖoɖo kple ne ehiã la, atikewo ate ŋu akpe ɖe ŋuwò nàkpɔ nɔnɔme sia gbɔ eye wòaɖe nuteɖeamedzi si nèsena le ɖokuiwò me dzi akpɔtɔ.
• Menye wò ɖeka koe o. Mègavɔ̃ be yeaƒo nu tso esia ŋu eye nàdi kpekpeɖeŋu tso ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola si dzi nèka ɖo gbɔ o .

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu, alo ne seselelãme siawo dometɔ aɖe le mewò la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo.

` BIID, ŋutilã ƒe blibonyenye ƒe dzesidede dɔléle, susu ƒe lãmesẽ, ŋutilã ƒe blibonyenye, ŋutilã ƒe akpa aɖewo ɖeɖeɖa, blanuiléle, ŋutilã ƒe nɔnɔmetata