Ke ʻōʻō nei hoʻi ʻoe i kou ʻili a huki paha i kou lauoho ke noho hoʻokahi ʻoe? He ʻano hana hou e pili ana i ke kino (BFRB) anei kēia?

Ke ʻike nei ʻoe iā ʻoe iho e ʻohi ana i kou mau kui, e huki ana i kou lauoho, a e nahu ana paha i kou mau lehelehe? Manaʻo paha ʻoe he mau "ʻano hopohopo" liʻiliʻi wale nō kēia. Akā hiki iā lākou ke ʻoi aku ka paʻakikī ma mua o kēlā. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau ʻano a mākou e hana ai e hōʻino i ko mākou kino ponoʻī me ka ʻike ʻole. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia mau ʻo Body-Focused Repetitive Behaviors (BFRBs).

He aha nā ʻano hana hou i hoʻoikaika ʻia e ke kino (BFRBs)?

I ka ʻōlelo maʻalahi, ʻo ka ``(BFRB)`` he hana āu e hana pinepine ai me kahi mea ma kou kino. ʻO ka mea e hana ʻia, me ka ʻike ʻole ʻoe, hana ʻoe i nā hōʻino liʻiliʻi i kou kino ponoʻī. Manaʻo ka poʻe he nui i kēia mau mea he "mea hopohopo wale nō." Eia kekahi laʻana, nā mea e like me ke nahu ʻana i ka ʻili a puni kou mau kui ke luhi ʻoe a i ʻole ka puhi ʻana i kou mau manamana lima.

Akā, ʻaʻole kēia wale nō nā mea a mākou e hana ai e hoʻopau i ka manawa. Hōʻike ka noiʻi ʻana ua hoʻoikaika ko mākou mau genes, ke ʻano o ka lolo, a me nā manaʻo i kēia mau ʻano. Ua hoʻāʻo paha ʻoe e hōʻemi i kēia mau mea, akā ua ʻike paha ʻoe he paʻakikī ke hoʻōki. He makemake ikaika a hiki ʻole ke kāohi ʻia ka BFRB. A, e manaʻo paha ʻoe i kahi leʻaleʻa a ʻoluʻolu paha mai ka hana ʻana. Akā, mai hopohopo, aia nā lāʻau lapaʻau i loaʻa inā makemake ʻoe i ke kōkua.

He aha nā ʻano nui o kēia mau `(BFRB)`?

Aia kekahi mau ʻano o `(BFRB)`. ʻO nā ʻano nui ʻelua a ʻo nā mea maʻamau:

• ʻOhi ʻili a i ʻole ka ʻohi ʻili: Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo "Excoriation" a i ʻole "Dermatillomania." Pili kēia i ka ʻohi pinepine ʻana, ke kahakaha ʻana, a me ka ʻeli ʻana i nā wahi o ka ʻili.
• Ka huki lauoho: Ua kapa ʻia kēia ʻo "Trichotillomania." Pili kēia i ka huki ʻana i ka lauoho mai nā wahi e like me ke poʻo, nā kuʻemaka, a me nā makamaka.

ʻO kēia mau ʻano ʻelua nā mea nui i ʻike ʻia ma ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) o ka American Psychiatric Association.

Aia kekahi mau ʻano ʻē aʻe o `(BFRB)`?

ʻAe, aia kekahi mau ʻano ʻē aʻe o `(BFRB)`. ʻO lākou kēia:

• Ke wili ʻana o nā niho: `(Bruxism)`
• Ka haki ʻana o nā manamana lima: `(Crepitus)` (ʻAʻole kēia he mea ʻino, akā hana kekahi poʻe ia mea ma ke ʻano he maʻamau)
• Ke nahu ʻana i ka ʻili: `(Dermatophagia)`
• ʻOmo ʻana i ka manamana lima: `(ʻOmo ʻana i ka manamana lima)` (He mea maʻamau kēia i waena o nā keiki ʻōpio, akā hiki nō hoʻi ke hana ʻia i kekahi mau mākua)
• ʻO ke keratosis nahu lehelehe:
• Ke nahu ʻana i loko o nā papālina: `(Morsicatio buccarum)`
• Ke nahu ʻana i nā kui: `(Onychophagia)`
• Ke nahu ʻana/haʻihaʻi ʻana i nā kui: `(Onychotillomania)`
• Ke kohi ihu: `(Rhinotillexomania)` (He mea kēia a ka poʻe he nui e hana ai ma ke ʻano he maʻamau)
• ʻAi lauoho: `(Trichophagnia)` (Huki lauoho)

ʻOiai ʻaʻole i ʻōlelo kikoʻī ʻia kēia mau ʻano ʻē aʻe ma ka DSM-5-TR, hiki i ke kauka ke ʻike iā lākou ma ke kau ʻana iā lākou i ka māhele BFRB kūpono.

Pehea ka maʻamau o kēia mau kūlana?

Wahi a nā noiʻi like ʻole, ua ʻike kūhelu nā kauka ma waena o 0.5% a me 4.4% o ka heluna kanaka he BFRB. Eia nō naʻe, ʻoi aku ka nui o ka helu maoli. ʻO kēia no ka mea ʻaʻole nui ka poʻe e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau no kēia ʻano. Malia paha no ka hilahila, a no ka mea ʻaʻole lākou i ʻike he maʻi ia.

He aha nā hōʻailona o ka `(BFRB)`?

ʻO nā ʻano hana "(BFRB)" i ʻike pinepine ʻia:

• Ke huki ʻana, ke kahakaha ʻana, a me ka uhaʻi ʻana i kou lauoho, nā kui, a me ka ʻili.
• Ke nahu ʻana i nā kui, nā lehelehe, nā papālina.
• Nā manamana lima pahū, nā hono pahū.
• Ke wili ʻana i nā niho.

Ke hana ʻoe i kēia mau mea, e manaʻo paha ʻoe penei:

• Ma mua o ka hana ʻana i kēlā ʻano hana, manaʻo nui ʻoe i ka hopohopo a me ke kaomi , a ma hope o ka hana ʻana, manaʻo ʻoe i ka hoʻomaha manawa pōkole .
• Me he mea lā ʻaʻohe ou mana ke hana ʻoe i kēlā (me he mea lā ʻaʻole hiki iā ʻoe ke ho'ōki).
• I kekahi manawa hana ʻoe ia me ka ʻike (me ka ʻike) , a i kekahi manawa hana ʻoe ia me ka ʻike ʻole (me ka ʻike ʻole) . E noʻonoʻo, ʻoiai ʻoe e nānā ana i ke TV a heluhelu paha i kahi puke, ua ʻoki hewa ʻoe i kou manamana lima a huki paha i kahi lauoho.

No ke aha i hana ʻia ai kēia `(BFRB)`? He aha nā kumu?

ʻAʻole maopopo i nā kauka ke kumu o nā BFRB, akā ua ʻike ʻia e ka noiʻi e hiki i kēia mau mea ke kōkua:

• ʻO ke ʻano o ka lolo a me nā genes: Loaʻa i ko kākou lolo nā ʻāpana e kāohi ana i nā mea e like me ka hauʻoli a me ka ʻoluʻolu. A me nā ʻāpana e kāohi ana i nā manaʻo. Hiki i kekahi mau loli i ke ʻano o kēia mau ʻāpana ke hana i nā BFRB. Hoʻoholo ko kākou mau genes i ke ʻano o ka hoʻokumu ʻia ʻana o kēia mau ʻāpana o ka lolo a pehea lākou e hana ai. Eia kekahi, hiki i nā genes ke hoʻopilikia inā ʻaʻole i hoʻoponopono pono ʻia nā kemika e kāohi ana i ko kākou ʻano a me nā impulses, e like me Serotonin a me Dopamine, i loko o ka lolo.
• Ke Kāohi ʻana i nā Manaʻo: I kekahi manawa, hiki i kēia mau "(BFRB)" ke lilo i ala a mākou e hoʻohana ai i ko mākou kino e lawelawe ai a pale aku paha i nā manaʻo maikaʻi ʻole e like me ka hilahila, ka hilahila, ka luhi, a me ke kaumaha.
• Hoʻohilahila: Ke kaumaha a hoʻonāukiuki nui ʻia paha ʻoe, hiki i kēia "(BFRB)" ke lilo i ala e hoʻohilahila ai iā ʻoe iho. ʻO ia hoʻi, hiki i kēia mau ʻano ke kōkua iā ʻoe e hōʻemi i ke kaumaha, ka ʻoluʻolu ʻole, a hoʻohilahila iā ʻoe iho mai nā mea e hana nei a puni ʻoe.

ʻO ka mea nui, ʻaʻole i hoʻokumu ʻia kēia `(BFRB)` e ka makemake e hoʻomaikaʻi i kou kiʻi a hoʻololi paha i kou helehelena. Aia kekahi mau kūlana noʻonoʻo ʻē aʻe i hiki ke hoʻokumu ʻia e ia mau mea, akā ʻaʻole like ia me `(BFRB)`.

ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i nā BFRB?

ʻO ka poʻe me kēia mau kumu e ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā BFRB:

• ʻOiai he wahine.
• Ma muli o ka hōʻike ʻia ʻana i kekahi ʻano hana ʻino a i ʻole ka trauma koʻikoʻi i ka wā kamaliʻi a ma hope paha o ke ola.
• ʻO ka loaʻa ʻana o kahi lālā o ka ʻohana me kahi maʻi (pili pili i ka biology) "(BFRB)".
• Haʻahaʻa ka manaʻo ponoʻī.
• Loaʻa i ka maʻi Obsessive-Compulsive (OCD)
• Loaʻa i kahi maʻi hoʻohana lāʻau a i ʻole ka hoʻopili ʻana i nā lāʻau lapaʻau a i ʻole ka waiʻona.

He aha nā pilikia e hiki mai ana ma muli o kēia `(BFRB)`?

ʻO ka nau mau ʻana, ka ʻohi ʻana, a me ka huki ʻana i nā ʻāpana like ʻole o kou kino e hiki ke alakaʻi i nā pilikia e like me:

• Nā maʻi bacteria: Hiki ke maʻalahi nā maʻi ke hōʻeha ʻia ka ʻili.
• Ke kahe ʻana o ke koko: I kekahi manawa, hiki i nā ʻeha ke kahe ke koko.
• ʻO ka nalowale o ka lauoho: ʻO ka huki pinepine ʻana i ka lauoho hiki ke hana i nā kiko ʻōhule.
• Ka ʻōpala: Hiki i ka hōʻino ʻana i ka ʻili ke hana i nā ʻōpala mau loa.

Ke hoʻololi ʻia kou helehelena e kāu mau hana ponoʻī me ka ʻike ʻole ʻia, hiki iā ia ke hoʻopilikia i kou ʻano, kou manaʻo ponoʻī, a me kou hilinaʻi. Hiki iā ʻoe ke ʻimi i ke kōkua mai kahi kākāʻōlelo olakino noʻonoʻo e hoʻokele i kēia mau manaʻo.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka `(BFRB)`?

ʻO kāu kauka mālama mua, kauka ʻili, a kauka niho paha ka mea mua e ʻike iā ʻoe inā he BFRB kou. No ka laʻana, inā he pilikia ʻili kou, manaʻo paha kāu kauka e ʻōʻō mau ana ʻoe i kou ʻili. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou manaʻo. A laila e kuhikuhi paha lākou iā ʻoe i kahi loea olakino noʻonoʻo, e like me ke kauka noʻonoʻo a i ʻole ke kauka noʻonoʻo.

E nānā kekahi kākā'ōlelo olakino noʻonoʻo iā ʻoe e ʻike inā kūpono kāu mau hōʻailona i nā pae hoʻohālikelike no ka ʻike ʻana i ka BFRB:

• Ke komo nei ʻoe i nā hana hou e hōʻino ana i kou kino.
• Ke hoʻāʻo nei ʻoe e hoʻōki (a hōʻemi paha) i kēia ʻano, akā ʻaʻole hiki iā ʻoe.
• Hoʻopilikia kēia ʻano iā ʻoe a hoʻopilikia paha i kou hiki ke hana pono i kāu mau hana o kēlā me kēia lā.

He aha nā lāʻau lapaʻau no ka `(BFRB)`?

Hiki ke hoʻohana ʻia kekahi a i ʻole nā ​​​​mea ʻelua o kēia mau mea e like me nā lāʻau lapaʻau no nā BFRB:

• Lapaʻau: E aʻo aku kekahi kākāʻōlelo olakino noʻonoʻo iā ʻoe i ke aʻo ʻana i ka hoʻohuli ʻana i ka maʻa ma o kahi ʻano lapaʻau i kapa ʻia ʻo Cognitive Behavioral Therapy (CBT). E kōkua kēia iā ʻoe e ʻike hou aku i nā mea hoʻonāukiuki e hoʻonāukiuki ai i kēia mau ʻano. E aʻo ʻia hoʻi ʻoe e ʻimi i nā ala ʻē aʻe e pane aku ai iā lākou ma kahi o ka hana ʻana iā lākou. E noʻonoʻo i kēlā me kēia manawa āu e makemake ai e kuʻi i kekahi, e aʻo ʻoe e ʻomi i kahi pōpō liʻiliʻi a hana paha i kahi mea ʻē aʻe.
• Nā lāʻau lapaʻau: ʻAʻohe lāʻau lapaʻau i ʻāpono kūikawā ʻia e ka US Food and Drug Administration (FDA) no BFRB i kēia manawa. Eia nō naʻe, aia nā lāʻau lapaʻau e hiki ke kōkua i ka hoʻokele ʻana i nā hōʻailona. Hiki i ke kauka ke kuhikuhi i nā antidepressants i kapa ʻia ʻo Selective Serotonin Reuptake Inhibitors (SSRIs). Hiki i kahi mea hoʻohui i kapa ʻia ʻo NAC (N-acetylcysteine) ke kōkua no kekahi poʻe.

ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻana me kāu hoʻolālā lapaʻau, ʻoiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi. E lawe i kāu mau lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe. Mai hana i kekahi hoʻololi i kāu hoʻolālā lapaʻau me ka ʻae ʻole o kāu kauka.

He aha ke ʻano o ka ʻike o kekahi me `(BFRB)`?

Hiki i kahi BFRB ke ʻokoʻa ke ʻano a me ke ʻano i kēlā me kēia kanaka. Hiki iā ʻoe ke hopohopo, hoʻomaha, a kaumaha paha. He mea paʻakikī ke ʻike pono i ka wā e makemake ai ʻoe e hana. I kekahi manawa, ʻaʻole ʻoe e ʻike e hana ana ʻoe a hiki i ka wā e kuhikuhi aku ai kekahi iā ʻoe. I ka hala ʻana o ka manawa, hiki i kēia mau ʻano ke hōʻino i kou kino, hana i nā ʻeha, a alakaʻi i nā maʻi.

Akā, mai hopohopo. ʻO ka lāʻau lapaʻau, ʻo ia hoʻi ka hui pū ʻana o ke aʻo ʻana a me ka lāʻau lapaʻau, hiki ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona BFRB. Pono ka manawa a me ka hoʻomaʻamaʻa - ʻaʻole hiki iā ʻoe ke hoʻōki i kēia mau ʻano i ka pō hoʻokahi. Inā he mau nīnau kāu e pili ana i kēia hoʻolālā lapaʻau, e kamaʻilio me kāu kauka.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe nā hana hoʻomau e pili ana i ke kino āu e makemake ai e hoʻōki akā ke pilikia nei ʻoe i ka hoʻokele ʻana iā ʻoe iho. Hiki i kēia ke komo pū me ka ʻohi ʻili, ka wili ʻana i nā niho, a me ka huki lauoho.

Eia kekahi, inā he mau hōʻailona o ka maʻi mai kahi ʻeha, e like me ka ʻeha, ka pehu, a i ʻole ka pus, e hoʻomaopopo koke i ke kauka.

He aha nā nīnau āu e nīnau ai i kāu kauka?

Hiki iā ʻoe ke nīnau i kēia mau nīnau ke ʻike ʻoe i ke kauka:

• Pehea e hoʻōki ai i kēia `(BFRB)`?
• Pono anei au e kamaʻilio me ke kākā'ōlelo olakino noʻonoʻo ?
• Ke paipai mai nei ʻoe iaʻu e lawe i ka lāʻau lapaʻau?
• Hiki i ka lawe ʻana i ka lāʻau lapaʻau ke hana i nā hopena ʻaoʻao?

ʻO ka ʻōlelo a mākou e lawe ai mai kēia

ʻAʻohe mea makemake e manaʻo ua nalowale ʻoe i ka mana ma luna o kā lākou mau hana ponoʻī. ʻOiai pehea kou hoʻāʻo ʻana e hoʻōki i kēia mau mea, i kekahi manawa manaʻo ʻia ʻaʻohe mea e hana ana. ʻO ia ka ʻoiaʻiʻo no kekahi kanaka me kahi ʻano hana hou e pili ana i ke kino (BFRB).

Akā ʻo ka nūhou maikaʻi, ʻaʻole pono ʻoe e hoʻomau i ka ʻeha me kēia mau ʻano. Hiki i ke kauka ke kōkua iā ʻoe e loaʻa kahi hopena.

He nui ka poʻe e hoʻokele pono i kēia mau hōʻailona me ke aʻo ʻana a me/a i ʻole ka lāʻau lapaʻau. Hiki ke hala kekahi mau mahina no ʻoe e ʻoluʻolu a ʻike i nā hopena. Akā e kōkua kāu hui lapaʻau iā ʻoe e hoʻokele i kēia kūlana "(BFRB)" no ke koena o kou ola. No laila, ʻaʻole loa e lohi ke noi ʻana i ke kōkua, a mai hilahila.

ʻAno Hana Hou i Hoʻoikaika ʻia e ke Kino, BFRB, ʻohi ʻili, huki lauoho, nahu kui, wili niho, olakino noʻonoʻo, lāʻau lapaʻau noʻonoʻo