Ka kōwhiria rānei e koe tō kiri, ka kumea rānei ō makawe ina noho mokemoke koe? He whanonga auau e aro ana ki te tinana (BFRB) tēnei?

Kei te kitea koe i ētahi wā e ngau ana i ō maikuku, e kukume ana i ō makawe, e ngau ana rānei i ō ngutu? Tērā pea ka whakaarohia ēnei he "tikanga manukanuka" iti noa iho, he wā poto noa iho. Engari he uaua ake i tēnā. I tēnei rā, ka kōrero tātou mō ēnei tikanga e mahia ana e tātou hei whakakino i ō tātou ake tinana, me te kore e mōhio. I roto i ngā kupu hauora, ka kiia ēnei ko ngā Whanoketanga Whakahou e Arotahi Ana ki te Tinana (BFRBs).

He aha tonu ngā whanonga auau e aro ana ki te tinana (BFRBs)?

Ki te kī ngāwari, ko te ``(BFRB)`` he mahi e mahia ana e koe i ngā wā katoa me tetahi mea kei runga i tō tinana. Ko te mea ka tupu, me te kore koe e mōhio, ka pā kino koe ki tō tinana. He maha ngā tāngata e kite ana i ēnei he "mea whakararuraru noa iho." Hei tauira, ko ngā mea pēnei i te ngau i te kiri huri noa i ō maikuku ina hoha koe, te pupuhi rānei i ō maihao.

Engari ehara ēnei i te mea hei whakangahau noa iho. E whakaatu ana ngā rangahau he pānga ō tātou ira, hanganga roro, me ngā kare ā-roto ki ēnei whanonga. Kua ngana pea koe ki te whakaiti i ēnei mea, engari kua kitea pea e koe he uaua ki te whakamutu. He hiahia kaha, he hiahia kore e taea te whakahaere te BFRB. Ā, tera pea ka pārekareka koe ki te mahi i tēnei. Kaua e manukanuka, kei reira ngā maimoatanga e wātea ana mēnā e hiahia ana koe ki te āwhina.

He aha ngā momo matua o ēnei `(BFRB)`?

He maha ngā momo o te `(BFRB)`. Ko ngā momo matua e rua, ko ngā momo tino noa:

• Te ngau kiri, te ngau kiri rānei: E mōhiotia ana tēnei i roto i te rongoā ko te "Excoriation" ko te "Dermatillomania" rānei. Ko te tikanga o tēnei ko te ngau tonu, te waru, me te keri i ngā wāhi o te kiri.
• Te tō makawe: Ka kiia tēnei ko te "Trichotillomania." Ko te tō i ngā makawe mai i ngā wāhi pēnei i te tumuaki, ngā tukemata, me ngā kamo.

Ko ēnei momo e rua hoki ngā momo matua kua tautuhia i roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) a te American Psychiatric Association.

He momo `(BFRB)` anō kei reira?

Āe, he maha atu anō ngā momo `(BFRB)`. Ko ēnei:

• Te ngau niho: `(Bruxism)`
• Te pakaru o ngā maihao: `(Crepitus)` (Kāore tēnei i te kino i te nuinga o te wā, engari he tikanga noa iho tēnei mā ētahi tāngata)
• Ngau kiri: `(Dermatophagia)`
• Te ngote maihao: `(Te ngote maihao)` (He mea noa tēnei i waenga i ngā tamariki nohinohi, engari ka taea hoki te pā ki ētahi pakeke)
• Te keratosis o te ngau ngutu:
• Te ngau i te taha o roto o ngā paparinga: `(Morsicatio buccarum)`
• Ngau whao: `(Onychophagia)`
• Ngau/pakaru o te whao: `(Onychotillomania)`
• Te kohi ihu: `(Rhinotillexomania)` (He mahi anō tēnei e mahia ana e te tini tāngata)
• Kai-makawe: `(Trichophagnia)` (Te kukume-makawe)

Ahakoa kāore ēnei momo kē atu i te whakahuatia motuhake i roto i te DSM-5-TR, ka taea e te tākuta te tautuhi i a rātou mā te whakanoho i a rātou ki te kāwai BFRB e tika ana.

E hia te auau o ēnei āhuatanga?

E ai ki ngā rangahau maha, kua tautuhia e ngā tākuta i waenga i te 0.5% me te 4.4% o te taupori he BFRB. Heoi, he nui ake pea te tau tuturu. Nā te mea he tokomaha te hunga kāore e rapu tohutohu hauora mō tēnei mate. Nā te whakama pea, nā te mea rānei kāore rātou i te mōhio he mate tēnei.

He aha ngā tohu o te `(BFRB)`?

Ko ngā whanonga "(BFRB)" e kitea whānuitia ana ko:

• Te kukume, te rakuraku, me te whati i ō makawe, ō maikuku, me tō kiri.
• Te ngau i ngā maikuku, ngutu, paparinga.
• Ngā maihao e pahū ana, ngā hononga e pahū ana.
• Te korikori i ngā niho.

Ina mahi koe i ēnei mea, tera pea ka pēnei tō whakaaro:

• I mua i te mahi i taua whanonga, ka nui te manukanuka me te pēhanga ka pā ki a koe, ā, i muri i te mahi i taua mea, ka pā ki a koe he whakamarie wā poto .
• Me te mea kāore he mana whakahaere i a koe ina mahi koe i tēnā (me te mea kāore e taea e koe te mutu).
• I ētahi wā ka mahia e koe me te mōhio (me te mōhio) , ā, i ētahi wā ka mahia e koe me te kore mōhio (me te kore mōhio) . Whakaarohia, i a koe e mātaki ana i te pouaka whakaata, e pānui ana rānei i tētahi pukapuka, ka tapahia tō maihao, ka kumea rānei e koe tētahi whenu makawe.

He aha i puta ai tēnei `(BFRB)`? He aha ngā take?

Kāore anō kia tino mōhiotia e ngā tākuta he aha te take o ngā BFRB, engari kua kitea e ngā rangahau ka whai wāhi pea ēnei āhuatanga:

• Hanganga roro me ngā ira: Kei roto i ō tātou roro ngā wāhanga e whakahaere ana i ngā mea pēnei i te harikoa me te makona. Me ngā wāhanga e whakahaere ana i ngā kare ā-roto. Ka taea e ētahi huringa o te hanganga o ēnei wāhanga te whakaputa i ngā BFRB. Ka whakatauhia e ō tātou ira te hanganga o ēnei wāhanga o te roro me te āhua o tā rātou mahi. Waihoki, ka taea e ngā ira te pā ki te kore e whakahaere tikahia i roto i te roro ngā matū e whakahaere ana i ō tātou kare ā-roto me ngā hihiri, pēnei i te Serotonin me te Dopamine.
• Te Whakahaere i ngā Kare ā-roto: I ētahi wā, ko ēnei "(BFRB)" he huarahi e whakamahia ai e tātou ō tātou tinana hei whakatau, hei karo rānei i ngā kare ā-roto kino pēnei i te whakama, te whakamā, te hoha, me te pouri.
• Whakararuraru: Ina pāngia koe e te ahotea, e te nui rawa rānei o te hihiri, ka taea e tēnei "(BFRB)" te waiho hei huarahi hei whakararuraru i a koe anō. Arā, ko ēnei whanonga te āhua nei ka āwhina i a koe ki te whakaiti i te ahotea, te mamae, me te whakararuraru i a koe anō i ngā mea e tū ana i tō taha.

Ko te mea nui, ehara tēnei `(BFRB)` i te mea nā te hiahia ki te whakapai ake i tō ahua, ki te whakarerekē rānei i tō āhua. Tērā atu anō ngā āhuatanga hinengaro ka puta mai i ēnei momo āhuatanga, engari ehara i te mea pērā te `(BFRB)`.

Ko wai te hunga tino mōrearea ki te whakawhanake i ngā BFRB?

Ko te hunga whai i ēnei āhuatanga ka nui ake te tūponotanga ki te whakawhanake i ngā BFRB:

• Te noho hei wahine.
• Kua pāngia koe e tētahi momo tukino, e tētahi whara kino rānei i a koe e tamariki ana, i muri mai rānei i tōu ao.
• He mema whānau kei a ia tētahi mate "(BFRB)" (e pā ana ki te koiora).
• He iti te whakaaro ki a ia anō.
• He Mate Whakararuraru-Ārai (OCD)
• He mate whakamahi matū, he waranga rānei ki ngā raau taero, ki te waipiro rānei.

He aha ngā raruraru ka puta mai i tēnei `(BFRB)`?

Mā te ngaungau tonu, te toia, me te kukume i ngā wāhanga rerekē o tō tinana ka arahi pea ki ngā raruraru pēnei i:

• Ngā mate kitakita: Ka pā ngāwari ngā mate ina whara te kiri.
• Te toto: I ētahi wā, ka toto ngā patunga.
• Te ngaro o te makawe: Ka pākira pea ngā ira mā te huti pinepine i te makawe.
• Te whara: Ka taea e te kino o te kiri te whakaputa whara pumau.

Ina whakarerekētia tō āhua e ō mahi ake, kāore i te mōhiotia, ka pā ki tō wairua, tō whakaaro nui ki a koe anō, me tō whakapono ki a koe anō. Ka taea e koe te rapu āwhina mai i tētahi kaitohutohu hauora hinengaro hei whakahaere i ēnei kare ā-roto.

Me pēhea e mōhio ai koe mēnā kei a koe te `(BFRB)`?

Ko tō tākuta tiaki tuatahi, tō kiri, tō tākuta niho rānei, ko rātou pea te tuatahi ki te kite i a koe mēnā he BFRB tōu. Hei tauira, mēnā he raruraru kiri tōu, tera pea ka whakaaro tō tākuta kei te ngenge tonu koe i tō kiri. Ka pātai atu te tākuta ki a koe mō ō tohu me ō kare ā-roto. Kātahi ka tukuna koe e rātou ki tētahi tohunga hauora hinengaro, pērā i te tohunga hinengaro, te tohunga hinengaro rānei.

Ka tirotirohia koe e te kaitohutohu hauora hinengaro kia kite ai mēnā e tutuki ana ō tohu i ngā paearu mō te tautuhi i te BFRB:

• Ka uru koe ki ngā whanonga auau e kino ana ki tō tinana.
• Ka ngana koe ki te aukati (ki te whakaiti rānei) i tēnei whanonga, engari kāore e taea.
• Ka whakararuraru tēnei whanonga i a koe, ka whakararu rānei i tō kaha ki te mahi tika i ō mahi o ia rā.

He aha ngā maimoatanga mō te `(BFRB)`?

Ka taea te whakamahi i tētahi, i ngā mea e rua rānei hei rongoā mō ngā BFRB:

• Whakaora: Ka ako koe i te whakangungu whakahuri i ngā whanonga mā te tikanga maimoatanga e kiia nei ko te Whakaora Whanoke Hinengaro (CBT). Mā tēnei koe e āwhina kia mōhio ake ai ki ngā mea e whakaoho ana i ēnei whanonga. Ka whakangungua hoki koe ki te kimi huarahi kē atu hei whakautu atu ki aua whanonga, kaua ki te mahi. Whakaarohia i ia wā ka hiahia koe ki te patu i tētahi, ka ako koe ki te pēhi i tētahi pōro iti, ki te mahi rānei i tētahi atu mea.
• Ngā Rongoā: Kāore anō kia whakaaetia he rongoā e te US Food and Drug Administration (FDA) mō te BFRB i tēnei wā. Heoi, kei reira ētahi rongoā hei āwhina i te whakahaere i ngā tohumate. Ka tohua pea e te tākuta he rongoā ārai pouri e kiia nei ko te Selective Serotonin Reuptake Inhibitors (SSRIs). Tērā pea he āwhina anō hoki te tāpiringa e kiia nei ko te NAC (N-acetylcysteine) mō ētahi tāngata.

Ko te mea nui ko te haere tonu me tō mahere maimoatanga, ahakoa kua pai ake koe. Tangohia ō rongoā kia rite ki tā tō tākuta e tohutohu ana. Kaua e whakarerekē i tō mahere maimoatanga me te kore whakaae a tō tākuta.

He aha te momo wheako o te tangata e pāngia ana e te `(BFRB)`?

He rerekē te āhua me te āhua o te BFRB ki te katoa. Tērā pea ka pāngia koe e te manukanuka, te ngākau māhaki, te ahotea rānei. He uaua ki te mōhio āhea koe ka hiahia ki te mahi. I ētahi wā, kāore koe e mōhio kei te mahi koe i tēnei mahi kia tohua rā anō e tetahi ki a koe. I roto i te wā, ka taea e ēnei whanonga te kino i tō tinana, te whakararu, me te arahi ki ngā mate.

Kaua e manukanuka. Mā te maimoatanga, he huinga o te tohutohu me te rongoā, ka taea e koe te whakahaere i ō tohumate BFRB. He roa te wā me te mahi - kāore e taea e koe te whakamutu i ēnei whanonga i te pō kotahi. Mēnā he pātai āu mō tēnei mahere maimoatanga, kōrero ki tō tākuta.

Āhea koe me toro atu ki te tākuta?

Tirohia he tākuta mēnā he whanonga tinana auau āu e hiahia ana kia mutu engari kei te uaua ki te whakahaere i a koe anō. Kei roto i ēnei ko te tango kiri, te kuru niho, me te kukume makawe.

Waihoki, ki te puta mai ngā tohu o te mate mai i te patunga, pērā i te mamae, te pupuhi, te pupuhi rānei, me whakamōhio tonu atu ki te tākuta.

He aha ngā pātai me pātai atu koe ki tō tākuta?

Ka taea e koe te pātai i ēnei pātai ina kite koe i te tākuta:

• Me pēhea taku whakamutu i tēnei `(BFRB)`?
• Me kōrero ahau ki tētahi kaitohutohu hauora hinengaro ?
• Kei te tūtohu mai koe kia tangohia e au he rongoā?
• Ka pā mai pea ngā pānga taha i te tango rongoā?

Ko te karere me tango e tātou mai i tēnei

Kāore he tangata e pai ki te whakaaro kāore e taea e ia te whakahaere i āna ake mahi. Ahakoa te kaha o tāu ngana ki te aukati i ēnei mea, i ētahi wā ka rite ki te kore he mea e mahi ana. Koinei te āhua o te tangata he whanonga auau e aro ana ki te tinana (BFRB).

Engari ko te rongo pai, kāore koe e hiahia ki te mamae tonu i ēnei whanonga. Ka taea e te tākuta te āwhina i a koe ki te kimi i tētahi otinga.

He tokomaha ngā tāngata e angitu ana ki te whakahaere i ēnei tohu mā te tohutohu me/ranei te rongoā. Tērā pea ka roa ētahi marama kia pai ake ai tō wairua, kia kite ai hoki i ngā hua. Engari mā tō rōpū hauora koe e āwhina ki te whakahaere i tēnei āhuatanga "(BFRB)" mō te toenga o tō oranga. Nō reira, kāore i roa rawa te tono āwhina, kaua hoki e whakama.

` Te Whanoke Arotahi-Tinana, BFRB, te tango kiri, te tango makawe, te ngau maikuku, te huri niho, te hauora hinengaro, te whakaora whanonga