I vun pawh i scratch emaw pick emaw reng em? Hei hi (Dermatillomania) (Skin Picking) a ni em? Kan sawi dun teh ang!

I vun hrual te tak te, hmun te, a nih loh leh i vun hmun tenau dang emaw, i thut mai mai emaw, TV en mai mai emaw, thil engemaw i ngaihtuah lai emaw pawh ni se, i pickup thin tih i nei fo em? Vawikhat i tan tawh chuan chawlhsan harsa i ti em? I vunah hliam emaw, hliam emaw a siam pawh a ni mai thei. Hei hi i ngaihtuah aiin a pawi deuh thei a, ngaihtuah tur a ni bawk. Vawiin hian he natna hi kan sawi dawn a, chu chu `(Dermatillomania)` emaw, vun picking emaw scratching emaw natna a ni.

`(Dermatillomania)` tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin `(Dermatillomania)` hi rilru lam natna a ni. Heta thil thleng hi mi pakhatin a vun ngeiin a tihbuai, a lai emaw, a tihchhiat emaw hi a ni. Hei hian vun hliam leh hliam a thlen thei a ni. Hei hi `(Excoriation Disorder)` an ti bawk. He natna hi `(Obsessive-Compulsive Disorders - OCDs)` category-ah a tla a ni. Mahse, hei hi `(OCD)` nen hian natna inang chiah chiah a ni lo, danglamna tlem a awm. Hetiang dinhmun hian vun hliam na tak leh hliam na tak a thlen hian mi rilru hriselna, nitin nun leh nunphungah nghawng lian tak a nei thei a ni.

Ngaihtuah teh, `(Dermatillomania)` (der-ma-til-o-mania) tih thumal hi Grik tawng thumal pathum atanga siam a ni bawk:

• `Derma`: tih awmzia chu 'vun' tihna a ni.
• `Tillo`: tih awmzia chu 'hnukdawk' emaw, 'chhe/chheh' tihna a ni.
• `Mania`: tih awmzia chu ‘nungchang emaw thiltih tam lutuk’ tihna a ni.

`(Dermatillomania)` leh `(Obsessive-Compulsive Disorder - OCD)` te hi eng nge an danglamna?

`(Dermatillomania)` hi `(OCD)` category-ah awm mahse, natna bik `(OCD)` nen hian danglamna a awm tih kan sawi a. Tunah chuan eng nge an nih i en ang u:

• Obsessions: OCD vei chuan thunun theih loh, duh loh ngaihtuahna emaw, duhthusam (obsessions an tih) a tawng thin. Mahse, Dermatillomania-ah chuan chutiang obsession chu a awm lo.
• Relief feeling: Dermatolmania vei te hian an vun an pick emaw an scratch emaw hian positive emotions an nei a, chu chu hahdamna, hlimna leh stress atanga relief te hi a ni. Hei hi OCD-ah chuan a ni lo.
• Mahni intihhlum: OCD-ah hian taksa lama mahni intihhlum hi a tlem hle a, mahse Dermatillomania-ah chuan mahni intihhlum, i.e., vun tan hi a tam hle.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Tun hma chuan he natna hian hmeichhia a nghawng tam ber nia ngaih a ni. Mahse, zirchianna thar atanga a lan dan chuan he natna vei zinga 55% vel chu hmeichhia an ni. Amaherawhchu, he harsatna enkawlna zawngtute zingah hian hmeichhiate hian an tuar nasa zawk.

Hetiang dinhmun hi puitlin laiin a thleng tlangpui.Naupan lai atanga tan a ni tlangpui a, mahse kum eng pawhah a thleng thei. Tin, vun natna nei, acne emaw eczema emaw nei te pawhin he natna hi an vei tam zawk bawk. A chhan chu chutiang vun lama harsatna avang chuan vun hi a na hmasa ber thin a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dermatillomania hi a takah chuan a awm lo hle. Mipui 2% velin engtik lai pawhin an nei thei niin an chhut. Mi 5.4% vel chuan an dam chhungin he natna hi an nei thei a ni.

He dinhmun hian engtin nge i taksa a nghawng?

Dermatillomania hi mi pakhatin a vun chu thunun theih loha a pickup thinna a ni. Mi thenkhat tan chuan hei hi a thleng nghal mai thin . An picking tih pawh an hre lo mai thei. Mi dangte chuan consciously , mahse an titawp thei lo.

Mi thenkhat chuan an vun hmun hrual, a hmaa hliam, hmai vun, hliam emaw, vun hring emaw ang chi te chu an hrual thin. He scratching hian hliam thar a siam thei a, hliam hlui a rawn lang leh thei a, thisen a chhuak thei a, hliam a siam thei bawk.

Ngaihtuah teh, he natna hi a nasat chuan a chang chuan vun hi a chhe lutuk a, siamthat nan ``Skin grafting'' ang chi surgery neih ngai pawh a awm thin. Hliam chu a kai a nih chuan ``antibiotics'' i ei a ngai thei bawk.

A tlem hle a, heng hliamte hian taksa pum puiah natna hrik a darh thei a, chu chuan immune system a ti nasa lutuk a ni. Hei hi sepsis an ti a. Hei hi medical emergency a ni a, nunna atana hlauhawm thei a ni.

Rilru hriselna a nghawng dan

Vawi tam tak chu he natna vei te hi an vunah hliam leh hliam te hian an mualpho a, an lungngai a, an lungngai hle bawk . Thawmhnaw leh makeup hmangin thup an tum thin. Chumi avang chuan khawtlang atanga inthiarfihlim a, mahni chauha awm an tum thin. Rilru lama harsatna, lungkhamna leh lungngaihna te pawh a awm thei bawk. A châng chuan hei hian hnathawhna hmun leh ṭhiante nêna inlaichînna a nghawng thei a ni.

`(Dermatillomania)` natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu vun thunun theih loha picking, tearing, scratching a ni. Doctor-te chuan he vun hrual hi sawina atan hian thumal dang an hmang a:

• Scratching a awm
• Digging a ni
• A hrual chhuak
• Rubbing a ni

A tam zawkah chuan hei hi kut zungtang leh nail hmanga tih a ni. Mahse, a chang chuan vun hi ha (a bik takin hmui vel vun) nen pawh an chew thin. Mi thenkhat chuan thil nalh tak tak, tweezer emaw pin emaw pawh an hmang thei bawk.

Vun hrual dan hi kawng hnih a awm a.

Hetiang kalphung hi kawng hnih a thleng a, chungte chu "Automatic" leh "Focused" te an ni.

• Tum loh taka khar `(Automatic)`:Hei hi miin ngaihtuah pawh ngaihtuah lovin a thleng fo thin. A chang chuan "scanning" an ti bawk. Hei hi a chhan chu kut emaw kut zungtang emaw hmanga vunah hmun dang aiin hmun dang aiin a danglam zawka hriatna hmun zawn a ni. Chutiang hmun chu hmuh a nih chuan "targeted scratch" a lo ni thei.
• Focused: Hei hian hmun bik pakhata vun "target" a huam a ni. Hei hi darkar tam tak chhung tih theih a ni. Hetiang chi scratching hi a na ber a, vun tichhe ber a ni.

Taksaah khawiah nge hetiang hi a thlen?

A tam zawkah chuan vun abrasion hi hmun awlsam tak takah a thleng thin:

• Lu: hmai, luruh, kawng.
• Kut: kut zungtang, kutphah, kut hmawr.
• Ke: kekawr, bawnghnute, ke, ke ruh.

Hetiang dinhmun a lo awm chhan te hi engte nge ni?

`(Dermatillomania)` awm chhan dik tak hi hriat a la ni lo. Mahse, mithiamte chuan thil engemaw zatin a thlen thei niin an ngai a:

• Genetics: Dermatillomania vei te hian chhungkaw member hnai tak (i.e. nu leh pa, unau, emaw fa) an nei tam zawk a, chu pawh chuan he natna hi a nei ve bawk.
• Thluak insiam dan inthlak danglamna: Dermatotillomania vei te hian an thluak peng hrang hrang, tih dan siam dan leh an zir dan tur thununtu hmun hrang hranga inthlak danglamna engemaw zat an nei tih hmuhchhuah a ni.
• Stress, Lungkhamna, A nih loh leh Thil Dang: Dermatillomania hi harsatna dang emaw, rilru lam dinhmun dang emaw hmachhawn nâna hman ṭhin, hmachhawn dân a ni thei. A nih loh leh boredom emaw, harsatna dang emaw vang pawh a ni thei.

`(Dermatillomania)` nena lo awm thei dinhmun dang

`(Dermatillomania)` vei te hian rilru lam emaw, damdawi lam natna dang emaw an nei tam zawk. Chung zinga ṭhenkhat chu:

• OCD emaw OCD nena inzawm thil dang, sam hrual (trichotillomania) emaw, nail biting (onychophagia) emaw te pawh a awm thei.
• Lungngaihna.
• Lungkhamna (anxiety disorder) a awm.
• `(Bipolar natna)`.
• `(Prader-Willi natna)`.

Hei hi hri kai theih a ni em?

Ni lo, `(Dermatillomania)` hi natna hrik kai theih a ni lo. Mi pakhat atanga mi dangah a darh lo.

Engtin nge hei hi kan hriat theih ang?

`(Dermatillomania)` i hmuhchhuah hunah i doctor chuan taksa lamah a enfiah ang che, he natna lanchhuahna i neih leh neih loh a enfiah ang che. Tin, i damdawi lam chanchin, i nunphung leh i thiltih dan, chu natna nena inzawm thei thilte chungchâng pawh zawhna an zawt bawk ang che. Laboratory test hian natna dang a awm loh nan a pui thei a, mahse a natna hriat chian nan a ngai lo tlangpui.

He condition hi hriat theih nan a hnuaia mi pangate hi zawm vek tur a ni:

1. Vawi tam emaw, vun hrual chhunzawm zel emaw.

2. Vawi tam tak vun sagging hi tihtawp emaw tihtlem emaw ka tum tawh.

3. Mualphona leh lungkhamna anga inhriatna hian i nitin thiltih leh khawtlang nunah nghawng tha lo tak a nei a.

4. Vun hrualna hi damdawi lam thil dang (entir nan, vun natna, vun natna ang chi) emaw, damdawi (recreational emaw prescription emaw) avanga lo awm a ni lo.

5. Vun picking behavior hi rilru lam dinhmun dang (entir nan, ``Body Dysmorphic Disorder`` - chu chu mahni hmel tha lo ngaihtuah a, siamthat nan vun picking tihna a ni lo).

Hei hi hriat chian nan hian eng ang test nge tih thin?

Hetiang dinhmun hi medical test-ah hian medical condition dang awm lo turin an ti fo thin. I doctor chuan i dinhmun bik atan eng test nge mamawh tih leh a chhan chiang takin a hrilhfiah ang che.

Dermatillomania hi engtin nge enkawl a nih? Damdawi a awm em?

Dermatillomania hi damdawi leh psychotherapy hmanga enkawl a ni tlangpui . Research atanga a lan dan chuan a pahnih inkawp hian enkawlna pakhat chauh aiin a hlawk zawk a ni.

Damdawi chi hrang hrang

He natna enkawlna atana doctor-te’n damdawi an pek tam berte chu:

• Antidepressant: Chung zinga hman lar ber chu Selective Serotonin Reuptake Inhibitors (SSRI) te hi an ni.
• Anticonvulsants: Lamotrigine hi damdawi a ni a, taksa ruh chetna thunun loh nan a pui a ni. Research atanga a lan dan chuan dermatotillomania vei thenkhat a pui thin.
• Antipsychotics: Heng damdawi te hian thluaka chemical balance tihdanglamna hmangin a pui thin. Heng damdawi te hi natna tam tak enkawlna atan an hmang tlangpui a, chung zingah chuan dementia, bipolar disorder, leh schizophrenia te pawh a tel. Researcher te chuan dermatillomania ang chi condition te hi engtin nge an puih theih ang tih an zirchiang mek bawk.
• Nutraceuticals: Hengte hi damdawi lam emaw rilru lam emaw enkawlna atana \angkai thei nutritional products an ni. Dermatolism tan chuan amino acid supplement N-acetylcysteine ​​hian vunah pick at duhna a tihziaawm tih hmuhchhuah a ni.

Psychotherapy `(Therapies)` tih a ni

Counselling hian he natna hi kawng hrang hrangin a enkawl thei a, counseling hman dan azirin a enkawl thei bawk.

• Habit Reversal Therapy: Hetiang method hian i nungchang leh i thiltih dan a hriat chian phah hle. Chutianga i tih chuan, vun hrual ang chi tih dânte chu bansan tûrin a zirtîr che a ni.
• Group therapy leh peer support: Dermatotillomania vei te hian specialized group therapy emaw support group emaw hmangin hlawkna an hmu thei a ni.
• Cognitive Behavioral Therapy (CBT): He method hian nungchang thlak danglam thei tur coping technique leh strategy te a zirtir thin.
• Acceptance and Commitment Therapy: He therapy hian miten vun hrual ang chi nungchang siamtu rilru natna (negative emotions) te chu pawm turin a pui a, chutiang nungchang chu an thlak danglam thei bawk. Hetah hian mindfulness leh positive coping technique dangte pawhin hmun a chang ve bawk.

`(Dermatillomania)` enkawlna dang

Vun emaw, a hnuaia tissue emaw chhiatna nasa tak nei te chuan damdawi lam enkawlna leh enkawlna dang an mamawh thei a ni. I doctor chuan an enkawl dan tur (surgery, skin grafting, emaw antibiotics ang chi) te chu a hrilhfiah thei ber ang.

Enkawlna avanga harsatna/side effects awmte chu engte nge ni?

Side effect leh complication awm thei te chu i natna nasat dan te, i mimal dinhmun te, leh thil dangteah a innghat a ni. I doctor chu i beisei tur emaw, fimkhur tur emaw chungchangah hriatna tha ber a ni a, i dinhmun bik ang zela thu hriat tur a pe thei a ni.

Engtin nge ka in enkawl ang a, ka symptoms te hi ka enkawl ang?

Dermatillomania hi nangmah ngeiin i hriat chian tur thil a ni lo. Mental health counselor trained, tawnhriat ngah tak chuan Dermatillomania emaw, natna dang emaw i neih leh neih loh a rel tur a ni. Tin , nangmah ngeiin enkawl a tha lo bawk. Damdawi te, counselling te, leh inenkawlna dangte chuan Doctor prescription emaw, kaihhruaina emaw a ngai a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I doctor chuan i enkawlna chhunga i beisei theih turte leh a kalphung tur atana pui thei tur che chu a hrilh belh thei che a ni. A chhan chu dam leh hun leh i rilru hahdamna hun rei zawng chu thil tam takah a innghat a ni. I doctor chuan heng zawng zawng hi a ngaihtuah thei a, i beisei tur a hrilh thei che a ni.

Engtin nge he natna lo awm theihna hi ka tihtlem theih ang emaw, ka ven theih ang?

`(Dermatillomania)` hi rilru lam natna ni mah se, a chhan dik tak chu mithiamte chuan an la hre lo. Chumi awmzia chu sawi lawk theih loh leh ven theih a ni lo tihna a ni. A vei theihna tur tihziaawmna tur a awm lo.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

Dermatillomania hi natna khirh tak leh hlauhawm tak a ni lo. Hetiang dinhmun a hlauhawm ber chu open sores a ni. An hrual reng emaw, an chhiat reng emaw avangin an kai thei a ni. He dinhmun hi direct-a hlauhawm ni lo mah se, i nunphung leh i hriselna zawng zawngah nghawng ṭha lo tak a nei thei a ni.

Dermatotillomania vei te hi an mualpho emaw, an lungkham fo thin avangin mi tam tak chuan enkawlna zawng an pumpelh thin. Enkawlna pumpelh emaw, tihkhawtlai emaw hian hliam nghet leh rilru lam harsatna dang a thlen theihna a tipung a ni.

`(Dermatillomania)` hi eng chen nge a awm?

`(Dermatillomania)` tih hi eng nge ni?A lo let leh theihna a nih avangin dam chhung zawnga natna anga ngaih a ni. Mahse, he natna vei te hi remission-ah an kal thei - chu chu scratch duhna an nei tawh lo emaw, rei tak, a chang chuan hun tiam nei lovin an insum thei tihna a ni.

Hetiang dinhmun hi eng nge a thlir ang?

He dinhmun thlirna hi a nasat dan leh thil dang dangah a innghat a ni. Hetiang natna vei tam zawk hian taksa lamah nghawng na tak an nei lo. Mahse , enkawlna tel lo chuan he natna vei tam tak hian rilru lam thil, lungkhamna, mualphona, emaw, lungkhamna emaw an tuar a ni.

Engtin nge ka in enkawl ang? (Tips dang pawh)

`(Dermatillomania)` i vei a nih chuan he natna enkawlna lama training leh tawnhriat ngah doctor (or doctor engemaw zat, i mamawh bik a zirin) pan a pawimawh hle. I enkawlna tur kaihhruaina tha ber an pe thei che a, i dinhmun siam\hatna tura i tih theih turte pawh an hrilh thei bawk che a ni.

A tlangpuiin hengte hi i ti tur a ni:

• I dinhmun chungchangah hian rinawm takin awm rawh. Dermatillomania hi rilru lam natna a ni a, i rilru leh nungchang a nghawng nasa hle. Beng natna emaw, thinlung natna emaw avanga doctor i hmuh ang bawkin, Dermatillomania ang chi rilru lam natna nei tan doctor i pan tur a ni. I dinhmun taksa leh rilru lama nghawng a neihte enkawlnaah an pui thei a ni.
• I doctor(s) te chu a rawt angin hmu rawh. Hei hi counseling session, rilru lam hriselna appointment, leh enkawlna dang i mamawh theih apiang atan a pawimawh hle.
• Damdawi pek a nih chuan ei rawh. I vun hrual tura i duhna angin thil tih loh tur. Damdawi hian danglamna nasa tak a thlen thei a ni.
• A theih chuan triggers te hi pumpelh rawh. Dermatolism vei te hian thil awmdan emaw, dinhmun bik emaw ah an vun an pickup fo thin. Chutiang trigger-te pumpelh chuan danglamna nasa tak a thlen thei a ni.
• Scratch theihna hun remchangte chu paih bo rawh. Dermatotillomania vei te hian fidget device emaw thil dang emaw hmangin hlawkna an hmu thei a, chu chuan an kut a ti buai thei a, an hrual loh nan a pui thei bawk. Scratching pumpelh dan dangte chu socks bun emaw, scratching venna thawmhnaw hak emaw a ni.

Engtikah nge emergency room (ETU) ah ka kal ang ?

`(Dermatillomania)` vei te hian an natna avanga hliam na tak an tuar loh chuan emergency medical treatment an mamawh lo tlangpui. Thisen chhuak nasa emaw, hri kai chhinchhiahna i neih emaw chuan damdawi lam pan tur a ni. Infection chhinchhiahna, nunna atana hlauhawm tak tak `(Sepsis),` ang chi te pawh a tel:

• Hliam vel chu a hring, a sen emaw, a rawng dang emaw a inthlak thin.
• Thinlung thawk chak tak emaw thawk hah.
• Khawsik emaw, khawsik emaw.
• Confusion emaw delirium emaw a awm.
• Thisen sang hniam avanga luak chhuak emaw, muthilh emaw.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Dermatillomania hi rilru lam natna a ni a, i nunah nghawng lian tak a nei thei a ni. Mualphona te, lungkhamna te, leh sualna te hi a awm fo thin. Mahse, nangmah chauh i ni lo. Doctor hmuh hian heng rilru put hmangte hi hnehin, chu natna enkawlna dawng turin a pui thei che a ni. Doctor-te hian heng natna leh a nghawng dan enkawlna kawngah hian training leh tawnhriat bik an nei a ni. I mamawh enkawlna dawng turin i rilru a hahdam thei bawk.

Enkawlna hmang hian mi tam tak chuan he natna hi an thunun thei a, an hneh thei bawk. Chumi awmzia chu miten eng nge an hmuh ang che emaw, eng nge an ngaihtuah ang che tih ngaihtuah ai chuan nunah i thil tih duh zawng zawngah i rilru i pe thei tihna a ni. Chuvangin, heng symptoms te hi i neih chuan doctor rawn la.

` Dermatillomania, Vun picking, Excoriation disorder, Compulsive skin picking, Rilru hriselna, OCD kaihhnawih, Vun chhiatna, Vun picking, Vun chhe, Rilru hriselna, Vun natna