Era buli kiseera osika oba olonda olususu lwo? Kino (Dermatillomania) (Okunoga Olususu)? Ka twogere!

Oluusi olina omuze gw’okulonda akatundu akatono, akatundu oba akatundu akalala akatono ku lususu lwo, ka obeere ng’otudde awo, ng’olaba ttivvi oba ng’olowooza ku kintu? Kikuzibuwalira okukomya ng’omaze okutandika? Mpozzi n’okukuleetera ekiwundu oba enkovu ku lususu. Kino kiyinza okuba eky’amaanyi katono okusinga bw’olowooza era nga kintu ky’olina okweraliikirira. Leero tugenda kwogera ku mbeera eno, nga ye `(Dermatillomania)`, oba obulwadde bw'okulonda oba okukunya olususu.

`(Obulwadde bw'olususu)` kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, `(Dermatillomania)` mbeera ya bulamu bwa bwongo. Ekibaawo wano omuntu okuwalirizibwa okusika, okusima oba okumenya olususu lwe. Kino kiyinza okuvaako obuvune ku lususu n’enkovu. Kino era kiyitibwa `(Excoriation Disorder)`. Embeera eno egwa mu kiti kya `(Obsessive-Compulsive Disorders - OCDs)`. Wabula buno si bulwadde bwe bumu ddala ne `(OCD)`, waliwo enjawulo entonotono. Embeera eno bw’ereeta enkovu n’ebiwundu eby’amaanyi ku lususu, esobola okukosa ennyo obulamu bw’omuntu obw’omutwe, obulamu bwe obwa bulijjo n’omutindo gw’obulamu bwe.

Teebereza, ekigambo `(Dermatillomania)` (der-ma-til-o-mania) nakyo kikoleddwa mu bigambo bisatu eby'Oluyonaani:

• `Derma`: kitegeeza 'olususu'.
• `Tillo`: kitegeeza 'okusika' oba 'okumenya/okusika'.
• `Mania`: kitegeeza 'enneeyisa oba omulimu oguyitiridde'.

Njawulo ki eri wakati wa `(Dermatillomania)` ne `(Obuzibu bw'okulowooza ennyo - OCD)`?

Twagamba nti wadde nga `(Dermatillomania)` eri mu kiti kya `(OCD)`, waliwo enjawulo okuva ku bulwadde obwenjawulo `(OCD)`. Kati ka tulabe kye bali:

• Obsessions: Omuntu alina OCD afuna ebirowoozo oba okusikiriza ebitafugibwa, ebitayagala (ebiyitibwa obsessions). Kyokka mu Dermatillomania, obsessions ng’ezo tezibaawo.
• Okuwulira obuweerero: Abantu abalina obulwadde bw’olususu bawulira enneewulira ennungi ng’obuweerero, essanyu, n’okuwummuzibwa ku situleesi nga balonda oba okukunya olususu lwabwe. Kino si bwe kiri ku OCD.
• Okwetuusaako obulabe: Okwetuusaako obulabe mu mubiri tekitera kubaawo mu OCD, naye okwetuusaako obulabe, i.e., okusala olususu, kitera nnyo mu Dermatillomania.

Ani asinga okukosebwa embeera eno?

Edda kyalowoozebwa nti embeera eno yasinga kukwata bakyala. Wabula okunoonyereza okupya kulaga nti abantu nga 55% abalina embeera eno bakyala. Kyokka mu abo abanoonya obujjanjabi ku kizibu kino, abakyala be basinga okukosebwa.

Embeera eno etera okubaawo mu myaka gy’obuvubuka.Ebiseera ebisinga butandikira mu buto, naye buyinza okubaawo ku myaka gyonna. Ekirala, abantu abalina embeera z’olususu ng’embalabe oba eczema batera okufuna embeera eno. Kubanga kitera kuva ku bizibu by’olususu ng’ebyo olususu ne lutandika okusooka okusiiwa.

Embeera eno ya bulijjo etya?

Dermatillomania mu butuufu mbeera etali ya bulijjo. Kiteeberezebwa nti abantu nga 2% bayinza okubufuna mu kiseera kyonna. Abantu nga 5.4% bayinza okufuna embeera eno mu bulamu bwabwe.

Embeera eno ekosa etya omubiri gwo?

Dermatillomania mbeera omuntu gy’alonda olususu lwe nga tafugibwa. Ku bantu abamu, kino kibaawo mu ngeri ey’otoma . Bayinza n’obutamanya nti balonda. Abalala bakikola nga bamanyi , naye tebasobola kulekera awo.

Abantu abamu bakunya ebitundu by’olususu lwabwe ebikaluba, gamba ng’embalabe, ebizimba oba ebiwundu ebiva ku biwundu eby’emabega. Okukunya kuno kuyinza okuvaako ebiwundu ebipya okutondebwawo, ebiwundu eby’edda okuddamu okuvaayo, okuvaamu omusaayi, n’okuleeta enkovu.

Lowooza, embeera eno bw’efuuka ey’amaanyi, oluusi olususu lwonooneka nnyo ne wabaawo n’emisango nga kyetaagisa okulongoosebwa nga ``Skin grafting`` okuluddaabiriza. Singa ekiwundu kifuna obuwuka, oyinza n'okumira eddagala lya ``antibiotic``.

Tekitera nnyo, ebiwundu bino bisobola okuleeta obuwuka okusaasaana mu mubiri gwonna, ekivaako abaserikale b’omubiri okukola ekisusse. Kino kiyitibwa sepsis. Eno mbeera ya mangu ey’obujjanjabi eyinza okutta omuntu.

Enkosa ku bulamu bw’obwongo

Emirundi mingi, abantu abalina embeera eno bakwatibwa ensonyi, beeraliikirivu, era banakuwavu nnyo olw’ebiwundu n’enkovu eziri ku lususu lwabwe. Bagezaako okuzikweka n’engoye ne mekaapu. Olw’ensonga eno, bagezaako okwewala abantu n’okubeera bokka. Ebizibu by‟omutwe ng‟ okweraliikirira n‟okwennyamira nabyo bisobola okubaawo. Oluusi kino kiyinza okukosa enkolagana ku mulimu ne n’emikwano.

Bubonero ki obwa `(Dermatillomania)`?

Akabonero akakulu kwe kulonda, okukutuka oba okukunya olususu mu ngeri etafugibwa. Abasawo bakozesa ebigambo ebirala okunnyonnyola okukunya kuno okw’olususu:

• Okukunya
• Okusima
• Okusikambula
• Okusiiga

Ebiseera ebisinga, kino kikolebwa n’engalo n’emisumaali. Wabula oluusi n’olususu lukamula n’amannyo (naddala olususu olwetoolodde emimwa). Abantu abamu bayinza n’okukozesa ebintu ebisongovu nga ebisiba oba ppini.

Waliwo engeri bbiri ez’okusenya olususu.

Enkola eno ebaawo mu ngeri bbiri enkulu: "Automatic" ne "Focused".

• Okusiba okutali kwa kigendererwa `(Automatic)`:Kino kitera okubaawo ng’omuntu takirowoozezzaako wadde. Oluusi kiyitibwa "okusika." Kino kiri bwe kityo kubanga omukono oba engalo ze zikozesebwa okuzuula ekifo ku lususu ekiwulira nga kya njawulo ku bitundu ebirala. Ekifo ng'ekyo bwe kizuulibwa, kiyinza okufuuka "ekikunya ekigendereddwamu."
• Essira: Kino kizingiramu "okutunuulira" olususu mu kitundu ekigere. Kino kiyinza okukolebwa okumala essaawa eziwera. Okukunya okw’ekika kino kwe kusinga okubeera okw’amaanyi era kwe kusinga okwonoona olususu.

Kino kibeera wa mu mubiri?

Ebiseera ebisinga, okunyiga olususu kubaawo mu bifo ebyangu okutuukako:

• Omutwe: ffeesi, ekiwanga, ensingo.
• Emikono: engalo, engalo, emikono egy’omu maaso.
• Amagulu: ebisambi, ennyana, ebigere, engalo.

Ensonga ki eziviiriddeko embeera eno?

Ekituufu ekivaako `(Dermatillomania)` tekinnamanyika. Kyokka abakugu balowooza nti ensonga eziwerako eziyinza okukiviirako:

• Ensengekera y’obuzaale: Abantu abalina obulwadde bwa Dermatillomania batera okuba n’omuntu ow’omu maka ow’oku lusegere (i.e. omuzadde, muganda waabwe, oba omwana) naye alina embeera eno.
• Enkyukakyuka mu nsengeka y’obwongo: Kizuuliddwa nti abantu abalina obulwadde bw’olususu balina enkyukakyuka ezimu mu nsengeka y’ebitundu by’obwongo ebifuga engeri emize gye gikolebwamu n’engeri gye bayigamu.
• Situleesi, Okweraliikirira oba Embeera Endala: Obulwadde bw’olususu buyinza okuba enkola y’okugumira embeera ekozesebwa okukola ku bizibu ebirala oba embeera z’obwongo. Oba kiyinza okuba nga kiva ku bukoowu oba ebizibu ebirala.

Embeera endala eziyinza okubaawo ne `(Dermatillomania)`

Abantu abalina `(Dermatillomania)` batera okuba n'embeera endala ez'omutwe oba ez'obujjanjabi. Ebimu ku byo bye bino:

• OCD oba embeera endala ezikwatagana ne OCD, gamba ng’okusika enviiri (trichotillomania) oba okuluma emisumaali (onychophagia).
• Ennaku.
• Obuzibu bw‟okweraliikirira.
• `(Obulwadde bwa bipolar disorder)`.
• `(Obulwadde bwa Prader-Willi)`.

Kino kikwata?

Nedda, `(Dermatillomania)` si mbeera ya kusiigibwa. Tebusaasaana okuva ku muntu omu okudda ku mulala.

Kino tukitegeera otya?

Bw’ozuula obulwadde bwa `(Dermatillomania)`, omusawo ajja kukukebera mu mubiri okulaba oba olina obubonero bwonna obw’embeera eno. Era bajja kukubuuza ebibuuzo ebikwata ku byafaayo byo eby’obujjanjabi, engeri gy’obeeramu, n’enneeyisa yo eziyinza okuba nga zeekuusa ku mbeera eno. Okukebera mu laboratory kuyinza okuyamba okugaana embeera endala, naye ebiseera ebisinga tezeetaagisa kukakasa nti omuntu azuuliddwa.

Okusobola okutegeera akakwakkulizo kano, bino byonna ebitaano birina okutuukirira:

1. Okusika/okumenya olususu emirundi mingi oba obutasalako.

2. Nfubye emirundi egiwera okukomya oba okukendeeza ku lususu olusereba.

3. Okuwulira ng’oswadde n’okweraliikirira bikoze kibi ku mirimu gyo egya bulijjo n’obulamu bwo obw’omukwano.

4. Enneeyisa y’okukunya olususu teva ku mbeera ndala ya bujjanjabi (okugeza, obulwadde bw’olususu ng’enkwaso) oba eddagala (ery’okwesanyusaamu oba ery’omusawo).

5. Enneeyisa y’okulonda olususu teva ku mbeera ndala ya bwongo (okugeza, ``Body Dysmorphic Disorder`` - kwe kugamba, okulowooza obubi ku ndabika y’omuntu n’okulonda olususu lw’omuntu okulutereeza).

Okukebera kwa ngeri ki okukolebwa okuzuula kino?

Okukebera embeera eno mu by’obujjanjabi kutera okukolebwa okugaana embeera endala ez’obujjanjabi. Omusawo ajja kukunnyonnyola ddala okukeberebwa okwetaagisa ku mbeera yo entongole n’ensonga lwaki.

Obulwadde bwa Dermatillomania bujjanjabwa butya? Waliwo eddagala eriwonya?

Obulwadde bw'olususu butera okujjanjabibwa n'eddagala n'obujjanjabi bw'eby'omutwe . Okunoonyereza kulaga nti byombi bwe bigattibwa wamu kikola bulungi okusinga obujjanjabi bwonna bwokka.

Eddagala

Eddagala abasawo lye basinga okuwandiika okujjanjaba embeera eno lye:

• Eddagala eriweweeza ku kweraliikirira: Ku zino ezisinga okukozesebwa ze zino: Selective Serotonin Reuptake Inhibitors (SSRIs).
• Eddagala eriweweeza ku kukonziba: Lamotrigine ddagala eriyamba ku kutambula kw’ebinywa mu ngeri etafugibwa. Okunoonyereza kulaga nti ayamba abantu abamu abalina obulwadde bw’olususu.
• Eddagala eriweweeza ku bwongo: Eddagala lino liyamba nga likyusa bbalansi y’eddagala mu bwongo. Eddagala lino litera okukozesebwa okujjanjaba embeera nnyingi, omuli obulwadde bw’okubulwa amagezi, obulwadde bw’okuwuguka, n’obulwadde bw’okutabuka emitwe. Abanoonyereza era banoonyereza ku ngeri gye bayinza okuyambamu embeera ng’obulwadde bw’olususu.
• Ebirungo ebizimba omubiri: Bino biba birimu ebiriisa ebiyinza okuyamba okujjanjaba embeera z’obujjanjabi oba ez’omutwe. Ku bulwadde bw’olususu, ekirungo kya amino acid supplement N-acetylcysteine ​​kizuuliddwa nti kiyamba okukendeeza ku kwagala okulonda ku lususu.

Obujjanjabi bw'eby'omutwe `(Eby'obujjanjabi)`

Okubudaabudibwa kuyinza okujjanjaba embeera eno mu ngeri ez’enjawulo, okusinziira ku nkola y’okubudaabudibwa ekozesebwa.

• Habit Reversal Therapy: Enkola eno ekumanyisa ennyo enneeyisa yo n’engeri gy’okolamu emirimu gyo. Bw’okola bw’otyo, kikuyigiriza okumenyawo emize, gamba ng’okunoga olususu.
• Obujjanjabi mu bibinja n‟obuyambi bwa bannaabwe: Abantu abalina obulwadde bw‟olususu bayinza okuganyulwa mu bujjanjabi obw‟enjawulo obw‟ekibinja oba ebibinja ebiyamba.
• Cognitive Behavioral Therapy (CBT): Enkola eno esomesa obukodyo n‟obukodyo bw‟okugumira embeera eziyamba okukyusa enneeyisa.
• Enzijanjaba y’okukkiriza n’okwewaayo: Obujjanjabi buno buyamba abantu okukkiriza enneewulira embi ezivaako enneeyisa ng’okulonda olususu era bubayamba okukyusa enneeyisa ezo. Okulowooza n’obukodyo obulala obulungi obw’okugumira embeera nabyo bulina ekifo wano.

Enzijanjaba endala ku `(Dermatillomania)`

Abantu abalina okwonooneka okw’amaanyi ku lususu oba ebitundu ebibeera wansi bayinza okwetaaga obujjanjabi obw’enjawulo n’okulabirira. Omusawo wo ajja kusobola bulungi okunnyonnyola obujjanjabi bwe bakuwa amagezi (nga okulongoosa, okusimbuliza olususu, oba eddagala eritta obuwuka).

Bizibu ki/ebizibu ebiva mu bujjanjabi bye biruwa?

Ebizibu ebiyinza okuvaamu n’ebizibu ebiyinza okuvaamu bisinziira ku buzibu bw’embeera eyo, embeera yo ey’obuntu, n’ensonga endala. Omusawo wo y’asinga okukuwa amawulire ku by’osuubira oba by’olina okwegendereza, kubanga asobola okukuwa amawulire agatuukana n’embeera yo entongole.

Nnyinza ntya okwerabirira n’okuddukanya obubonero bwange?

Obulwadde bw’olususu si kintu ky’osaanidde okwekebejja. Omukugu mu kubudaabuda abantu ku by’obulamu bw’obwongo omutendeke, alina obumanyirivu, alina okusalawo oba olina obulwadde bwa Dermatillomania oba obulwadde obulala. Ate era si kirungi kugijjanjaba wekka. Eddagala, okubudaabudibwa, n’obujjanjabi obulala byetaagisa omusawo okumuwandiika oba okulambika.

Nja kuwulira mangu ki nga mmaze okujjanjabibwa?

Omusawo asobola okukubuulira ebisingawo ku by’oyinza okusuubira mu kiseera ky’obujjanjabi bwo n’ebiyinza okukuyamba okuyita mu nkola eno. Kubanga obudde bw’okudda engulu n’ebbanga ly’otwala okuwulira obulungi bisinziira ku bintu bingi. Omusawo wo asobola okulowooza ku nsonga zino zonna n’akubuulira ky’osuubira.

Nnyinza ntya okukendeeza oba okuziyiza obulabe bw’embeera eno okubaawo?

Newankubadde `(Dermatillomania)` mbeera ya bulamu bwa bwongo, abakugu n'okutuusa kati tebamanyi bulungi kiki ekigireeta. Kino kitegeeza nti tekitegeerekeka era tekiyinza kuziyizibwa. Tewali ngeri yonna gye tuyinza kukendeeza ku bulabe bw’okubufuna.

Kiki kye nsuubira singa mba n’embeera eno?

Dermatillomania si mbeera ya maanyi nnyo oba ya bulabe. Obulabe obusinga obuli mu mbeera eno ge mabwa agaggule. Ziyinza okukwatibwa akawuka olw’okukunya oba okwonooneka buli kiseera. Wadde ng’embeera eno si ya bulabe butereevu, eyinza okukosa ennyo omutindo gw’obulamu bwo n’obulamu bwo okutwalira awamu.

Olw’okuba abantu abalina obulwadde bw’olususu batera okuswala oba okweraliikirira, abantu bangi beewala okunoonya obujjanjabi. Okwewala oba okulwawo obujjanjabi kyongera obulabe bw’okufuna enkovu ez’olubeerera n’ebizibu ebirala eby’obulamu bw’obwongo.

`(Dermatillomania)` ewangaala bbanga ki?

`(Obulwadde bw'olususu)` kye ki?Kitwalibwa ng’embeera ey’obulamu bwonna olw’obulabe bw’okuddamu okulwala. Wabula abantu abalina embeera eno basobola okugenda mu kusonyiyibwa - ekitegeeza nti tebakyawulira kwagala kusenya oba basobola okwewala okumala ebbanga eddene, oluusi ekiseera ekitali kigere.

Embeera eno etunuuliddwa etya?

Endowooza y’embeera eno esinziira ku ngeri gy’eri ey’amaanyi n’ensonga endala. Abantu abasinga obungi abalina embeera eno tebafuna buzibu bwonna obw’amaanyi mu mubiri. Wabula , awatali bujjanjabi, abantu bangi abalina embeera eno batawaanyizibwa ebizibu by‟omutwe nga okweraliikirira, okuswala, oba okweraliikirira.

Nze nneerabirira ntya? (Amagezi amalala)

Bwoba olina `(Dermatillomania)`, kikulu nnyo okulaba omusawo (oba abasawo abawerako, okusinziira ku byetaago byo ebitongole) omutendeke era alina obumanyirivu mu kujjanjaba embeera eno. Basobola okukuwa obulagirizi obusinga obulungi ku kulabirira kwo n’okukubuulira ky’oyinza okukola okulongoosa embeera yo.

Okutwaliza awamu, olina okukola ebintu bino:

• Beera mwesimbu ku mbeera gy’olimu. Dermatillomania mbeera ya bulamu bw’obwongo ekosa ebirowoozo byo n’enneeyisa yo. Nga bwe wandilabye omusawo ku bulwadde bw’amatu oba omutima, olina okulaba omusawo ku mbeera z’obwongo nga Dermatillomania. Ziyinza okuyamba okujjanjaba ebikosa embeera yo mu mubiri ne mu birowoozo.
• Laba omusawo wo (abasawo) nga bwe kiragiddwa. Kino kikulu nnyo naddala mu biseera by‟okubudaabudibwa, okusisinkana abalwadde b‟obwongo, n‟okulabirira okulala kwonna kw‟oyinza okwetaaga.
• Eddagala lyo limira singa oba likulagidde. Weewale okukola ku by’oyagala okukukunya olususu. Eddagala liyinza okuleeta enjawulo nnene.
• Bwe kiba kisoboka, weewale ebikuviirako. Abantu abalina obulwadde bw’olususu batera okulonda olususu lwabwe mu mbeera oba embeera ezitali zimu. Okwewala ebintu ebyo ebikuviirako omuntu kiyinza okuleeta enjawulo nnene.
• Ggyawo emikisa gy’okukunya. Abantu abalina obulwadde bwa dermatotillomania bayinza okuganyulwa mu byuma ebiwunyiriza oba emirimu emirala egikuuma emikono gyabwe nga gikola era ne gibayamba okwewala okukunya. Engeri endala ez’okwewala okukunya mulimu okwambala amasokisi oba okwambala engoye ezitangira okukunya.

Ddi lwe nnina okugenda mu kisenge ky’abalwadde ab’amangu (ETU) ?

Abantu abalina `(Dermatillomania)` ebiseera ebisinga tebeetaaga bujjanjabi bwa mangu okuggyako nga bafunye obuvune obw'amaanyi olw'embeera eno. Olina okugenda ew’omusawo singa oba ovaamu omusaayi mungi oba ng’olina obubonero obulaga nti olina obulwadde. Obubonero bw'okukwatibwa obulwadde, omuli n'embeera eziteeka obulamu mu matigga nga `(Sepsis),` mulimu:

• Okuzimba, okumyuuka oba langi endala ekyukakyuka okwetooloola ekiwundu.
• Omutima okukuba amangu oba okussa.
• Omusujja oba okuwunya.
• Okutabulwa oba okuwuguka.
• Okuziyira oba okuzirika olw’omusaayi okukka.

N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .

Dermatillomania mbeera ya bulamu bwa bwongo eyinza okukosa ennyo obulamu bwo. Okuwulira ensonyi, okweraliikirira, n’okwesalira omusango bitera okubaawo. Naye toli wekka. Okulaba omusawo kiyinza okukuyamba okuvvuunuka enneewulira zino n’ofuna obujjanjabi ku mbeera eno. Abasawo balina okutendekebwa okw’enjawulo n’obumanyirivu mu kujjanjaba embeera zino n’ebikosa. Era zisobola okukuyamba okuwulira obulungi ng’ofuna obujjanjabi bwe weetaaga.

Nga bafunye obujjanjabi, abantu bangi basobola okufuga oba okuvvuunuka embeera eno. Kino kitegeeza nti osobola okussa essira ku bintu by’oyagala okukola mu bulamu mu kifo ky’okweraliikirira abantu bye banaakulaba oba bye banaakulowoozaako. Kale, bw’oba ​​olina obubonero buno, nsaba onoonye omusawo amagezi.

` Dermatillomania, Okulonda olususu, Obuzibu bw’okufulumya olususu, Okulonda olususu mu ngeri ewalirizibwa, Obulamu bw’obwongo, OCD related, Okwonooneka kw’olususu, Okulonda olususu, Okumenya olususu, Obulamu bw’obwongo, Endwadde z’olususu