Kei te rakuraku tonu koe, kei te miro rānei i tō kiri? He (Dermatillomania) (Miro Kiri) tēnei? Me kōrero tāua!

He tikanga tōu ki te mimi i tētahi pītiti iti, i tētahi ira iti rānei o tō kiri, ahakoa kei te noho noa koe, kei te mātaki pouaka whakaata, kei te whakaaro rānei ki tētahi mea? He uaua ki a koe te mutu ina tīmata koe? Tērā pea kei te puta he patunga, he koha rānei ki tō kiri. He nui ake te kino o tēnei i tō whakaaro, ā, he mea hei āwangawanga māu. I tēnei rā ka kōrero tātou mō tēnei mate, arā, ko te `(Dermatillomania)`, te mate rānei o te mimi, te rakuraku rānei i te kiri.

He aha te `(Dermatillomania)`? He māmā noa iho...

Ki te kī māmā noa, ko te `(Dermatillomania)` he mate hinengaro. Ko te mea e tupu ana i konei ko te tangata e rakuraku ana , e keri ana, e pakaru ana rānei i tōna ake kiri. Ka taea e tēnei te whara me te whara o te kiri. Ka kiia hoki tēnei ko te `(Excoriation Disorder)`. Kei roto tēnei mate i te kāwai o `(Obsessive-Compulsive Disorders - OCDs)`. Heoi, ehara tēnei i te mate kotahi ki te `(OCD)`, he iti noa ngā rerekētanga. Ina puta he whara me he patunga kiri kino i tēnei mate, ka pā nui ki te hauora hinengaro o te tangata, te oranga o ia rā, me te kounga o te oranga.

Whakaarohia, ko te kupu `(Dermatillomania)` (der-ma-til-o-mania) he mea tito mai i ngā kupu Kariki e toru:

• `Derma`: ko tōna tikanga he 'kiri'.
• `Tillo`: ko tōna tikanga he 'huia' he 'whati/rarau' rānei.
• `Mania`: ko tōna tikanga he 'whanonga, he mahi nui rawa atu rānei'.

He aha te rerekētanga i waenga i te `(Dermatillomania)` me te `(Obsessive-Compulsive Disorder - OCD)`?

I kī mātou ahakoa kei roto te `(Dermatillomania)` i te kāwai `(OCD)`, he rerekētanga anō kei waenganui i te mate `(OCD)`. Nā, kia titiro tātou ki ēnei:

• Ngā āwangawanga: Ka pāngia te tangata whai OCD e ngā whakaaro, ngā hihiri rānei kāore e taea te whakahaere, kāore e hiahiatia (e kiia ana ko ngā āwangawanga). Heoi, i roto i te Dermatillomania, kāore aua āwangawanga e puta.
• Te ngawari o te ngākau: Ka rongo te hunga whai dermatolmania i ngā kare ā-roto pai pērā i te ngawari, te harikoa, me te ngawari o te ahotea ina mirimiri, ina waru rānei i ō rātou kiri. Kāore tēnei i te āhua o te OCD.
• Te whara i a koe anō: He onge te whara tinana i a koe anō i roto i te OCD, engari he mea tino noa te whara i a koe anō, arā, te tapahi kiri, i roto i te Dermatillomania.

Ko wai te mea tino pāngia e tēnei āhuatanga?

I mua, i whakaarohia ko ngā wāhine te nuinga o te hunga e pāngia ana e tēnei mate. Heoi, kua whakaatuhia e ngā rangahau hou e 55% o te hunga e pāngia ana e tēnei mate he wāhine. Heoi, i roto i te hunga e rapu maimoatanga ana mō tēnei raruraru, ko ngā wāhine te hunga e pāngia ana.

Ka puta tēnei āhuatanga i te wā o te pakeketanga.I te nuinga o te wā ka tīmata i te tamarikitanga, engari ka taea te pā mai i ngā tau katoa. Waihoki, ko te hunga he mate kiri pēnei i te hakihaki, te ekisema rānei, ka nui ake te tūponotanga ka pāngia e tēnei mate. Nā te mea he maha ngā wā ka tīmata te kiri ki te mākūkū i te tuatahi nā ēnei raruraru kiri.

He pēhea te noa o tēnei āhuatanga?

He āhua onge te mate kiriuhi kanohi. E kiia ana tata ki te 2% o te taupori ka pāngia e tēnei mate i tētahi wā. Tata ki te 5.4% o te tangata ka pāngia e tēnei mate i roto i ō rātou oranga.

He aha te pānga o tēnei āhuatanga ki tō tinana?

Ko te Dermatillomania he āhuatanga e kore ai e taea te whakahaere te tango i te kiri. Mō ētahi tāngata, ka puta aunoa tēnei . Kāore pea rātou e mōhio kei te tango rātou. Ko ētahi e mahi ana i tēnei me te mōhio , engari kāore e taea te mutu.

Ka rakuraku ētahi tāngata i ngā wāhi taratara o ō rātou kiri, pērā i te hakihaki, te ira, te kōpura rānei mai i ngā patunga o mua. Ka taea e tēnei rakuraku te puta ake he patunga hou, ka puta ake anō ngā patunga tawhito, ka toto, ka puta he koha.

Whakaarohia, ki te kino rawa atu tēnei mate, i ētahi wā ka tino kino te kiri, ā, ka hiahiatia he pokanga pēnei i te "tāpiri kiri" hei whakatika. Ki te pangia te patunga, me tango pea koe i ngā "paturopi".

He tino onge te horapa o te mate puta noa i te tinana i ēnei patunga, ka nui rawa te urupare a te pūnaha ārai mate. Ka kiia tēnei he sepsis. He āhuatanga ohorere hauora tēnei ka tūpono ki te ora.

Pānga ki te hauora hinengaro

He maha ngā wā, ka whakama, ka manukanuka, ka pouri hoki te hunga whai mate pēnei i ngā patunga me ngā koha i runga i ō rātou kiri. Ka ngana rātou ki te huna i aua patunga ki ngā kākahu me ngā mea hanga kanohi. Nā tēnei, ka ngana rātou ki te noho tawhiti atu i te hapori, kia noho mokemoke hoki. Ka puta pea ngā raruraru hinengaro pēnei i te manukanuka me te pouri . I ētahi wā ka pā tēnei ki ngā whanaungatanga i te mahi me ngā hoa.

He aha ngā tohu o te `(Dermatillomania)`?

Ko te tohu matua ko te kore e taea te whakahaere i te ngau, te haehae, te rakuraku rānei i te kiri. He kupu anō tā ngā tākuta hei whakaahua i tēnei rakuraku kiri:

• Te waruwaru
• Te keri
• Te pēhi
• Te mirimiri

I te nuinga o te wā, ka mahia tēnei mā ngā matimati me ngā maikuku. Heoi, i ētahi wā ka ngaua hoki te kiri mā ngā niho (ina koa ko te kiri huri noa i ngā ngutu). Ka whakamahia pea e ētahi tāngata ngā mea koi pērā i ngā tīpene, i ngā pine rānei.

E rua ngā huarahi hei heu i te kiri.

E rua ngā huarahi matua o tēnei tukanga: "Aunoa" me te "Arotahi".

• Te raka tūpono `(Aunoa)`:He maha ngā wā ka puta tēnei, kāore he tangata e whakaaro ana ki tēnā. I ētahi wā ka kiia ko te "matawai". Nā te mea ka whakamahia te ringa, ngā matimati rānei, hei kimi i tētahi wāhi i runga i te kiri e rerekē ana te āhua i ērā atu wāhi. Ina kitea tētahi wāhi pēnei, ka huri hei "karakura kua tohua".
• Arotahi: Ko te tikanga o tēnei ko te "arotahi" ki te kiri i tētahi wāhi motuhake. Ka taea tēnei te mahi mō ngā hāora. Ko tēnei momo rakuraku te mea tino kaha, ā, koia te mea tino kino ki te kiri.

Kei hea o te tinana tēnei e tupu ai?

I te nuinga o te wā, ka puta ngā karawarawa kiri i ngā wāhi e ngāwari ana te uru atu:

• Upoko: mata, angaanga, kaki.
• Ringa: maihao, nikau, pūkana.
• Waewae: huha, kuao kau, waewae, matimati.

He aha ngā take mō tēnei āhuatanga?

Kāore anō kia mōhiotia te tino pūtake o te `(Dermatillomania)`. Heoi, e whakapono ana ngā tohunga he maha ngā āhuatanga ka whai wāhi ki tēnei:

• Ira: Ko te hunga whai Dermatillomania he nui ake te tūponotanga he mema whānau tata (arā, he matua, he tuākana, he teina rānei, he tamaiti rānei) kei a rātou anō te mate.
• Ngā panonitanga o te hanganga o te roro: Kua whakaaturia he rerekētanga kei te hanganga o ngā wāhanga o te roro e whakahaere ana i te hanganga o ngā tikanga me te ako a te hunga whai dermatotillomania.
• Te ahotea, te manukanuka, ngā āhuatanga kē atu rānei: Ko te dermatillomania he tikanga pea hei whakatau i ētahi atu raruraru, āhuatanga hinengaro rānei. Tērā pea nā te hoha, nā ētahi atu raruraru rānei.

Ētahi atu āhuatanga ka pā mai pea me te `(Dermatillomania)`

Ko te hunga e pāngia ana e te `(Dermatillomania)` he nui ake te tūponotanga ka pāngia rātou e ētahi atu mate hinengaro, mate hauora rānei. Ko ētahi o ēnei:

• OCD, ētahi atu āhuatanga rānei e pā ana ki te OCD, pērā i te kukume makawe (trichotillomania) te ngau rānei i ngā maikuku (onychophagia).
• Te pouri.
• Ngā mate manukanuka.
• `(Te mate hinengaro rua)`.
• `(Te mate Prader-Willi)`

He mate hopuhopu tēnei?

Kāo, ehara te `(Dermatillomania)` i te mate hopuhopu. Kāore e horapa mai i tētahi tangata ki tētahi atu.

Me pēhea te mōhio ki tēnei?

I te wā e tātaritatia ana te `(Dermatillomania)`, ka tirotirohia koe e tō tākuta kia kite ai mēnā kei a koe ētahi tohu o te mate. Ka pātai atu hoki rātou ki a koe mō tō hītori hauora, tō momo noho, me ngā whanonga e pā ana ki te mate. Tērā pea ka āwhina ngā whakamātautau taiwhanga ki te whakakore i ētahi atu mate, engari kāore i te nuinga o te wā e hiahiatia ana hei whakaū i te tātaritanga.

Hei kite i tēnei āhuatanga, me tutuki katoa ēnei e rima:

1. Te rakuraku/te pakaru o te kiri i ngā wā maha, i ngā wā katoa rānei.

2. He maha ngā wā kua whakamātau ahau ki te aukati, ki te whakaiti rānei i te kiri e totoro ana.

3. Kua pā kino ngā kare ā-roto pēnei i te whakama me te manukanuka ki ō mahi o ia rā me tō oranga pāpori.

4. Kāore te whanonga rakuraku kiri i puta mai i tētahi atu mate hauora (hei tauira, he mate kiri pēnei i te hakihaki) i ngā rongoā rānei (he rongoā whakangahau, he rongoā whakahaunga rānei).

5. Kāore te whanonga haehae kiri i puta mai i tētahi atu mate hinengaro (hei tauira, "Te Mate Pūngāwerewere Tinana" - arā, te whakaaro kino mō te āhua o te tangata, me te haehae i tōna kiri hei whakatika).

He aha ngā momo whakamātautau e mahia ana hei tautuhi i tēnei?

He maha ngā whakamātautau hauora mō tēnei mate hei whakakore i ētahi atu mate hauora. Mā tō tākuta koe e whakamārama he aha ngā whakamātautau e hiahiatia ana mō tō mate, me te take hoki.

Me pēhea te rongoā i te Dermatillomania? He rongoā anō kei reira?

Ko te tikanga, ka rongoatia te dermatillomania mā te whakamahi i te rongoā me te hinengaro whakaora . Kua whakaatuhia e ngā rangahau he pai ake te whakamahi i te rongoā kotahi i te rongoā kotahi anake.

Ngā rongoā

Ko ngā rongoā e tohua ana e ngā tākuta hei rongoā i tēnei mate ko:

• Ngā rongoā ārai pouri: Ko ngā rongoā e whakamahia whānuitia ana ko ngā Selective Serotonin Reuptake Inhibitors (SSRIs).
• Ngā rongoā ārai i te haurangi: He rongoā a Lamotrigine e āwhina ana i ngā nekehanga uaua kāore i te whakahaerehia. Kua whakaatuhia e ngā rangahau he āwhina i ētahi tāngata e pāngia ana e te dermatotillomania.
• Ngā rongoā ārai hinengaro: Ka āwhina ēnei rongoā mā te whakarerekē i te taurite matū i roto i te roro. He mea noa te whakamahi i ēnei rongoā hei rongoā i ngā āhuatanga maha, tae atu ki te mate wareware, te mate hinengaro rua, me te mate hinengaro kōroiroi. Kei te rangahau hoki ngā kairangahau me pēhea e āwhina ai i ngā āhuatanga pēnei i te dermatillomania.
• Nutraceuticals: He hua kai ēnei hei āwhina i te rongoā i ngā mate hauora, hinengaro rānei. Mō te kiri kiri, kua kitea te tāpiringa waikawa amino N-acetylcysteine ​​​​hei āwhina i te whakaiti i te hiahia ki te mirimiri i te kiri.

Ngā Whakaora Hinengaro `(Ngā Whakaora)`

He rerekē ngā huarahi ka taea e te kaupapa tohutohu te rongoā i tēnei āhuatanga, i runga i te tikanga tohutohu e whakamahia ana.

• Te Whakaora Whakamuri i te Āhua: Mā tēnei tikanga koe e mōhio ake ai ki ō whanonga me ō tauira mahi. Mā te pera, ka ako koe ki te whakakore i ngā āhuatanga, pērā i te ngau kiri.
• Te whakaora rōpū me te tautoko a ngā hoa: Ka whai hua pea te hunga whai dermatotillomania mai i te whakaora rōpū motuhake, i ngā rōpū tautoko rānei.
• Te Whakaora Whanoke Hinengaro (CBT): Ka akohia e tēnei tikanga ngā tikanga me ngā rautaki hei āwhina i te whakarerekē i ngā whanonga.
• Whakaora Whakaae me te Whakapūmau: Ka āwhina tēnei whakaora i te tangata ki te whakaae ki ngā kare ā-roto kino e arahi ana ki ngā whanonga pēnei i te ngau kiri, ā, ka āwhina i a rātou ki te whakarerekē i aua whanonga. He wāhi anō tō te aroātahi me ētahi atu tikanga pai ki te aro atu ki tēnei.

Ētahi atu maimoatanga mō te `(Dermatillomania)`

Ko te hunga kua tino whara te kiri, te kiko rānei o raro, me hiahia pea ki ētahi atu maimoatanga hauora me te tiaki. Mā tō tākuta e whakamārama pai ngā maimoatanga e taunaki ana rātou (pēnei i te pokanga, te tāpiri kiri, te rongoā paturopi rānei).

He aha ngā raruraru/ngā pānga taha o te maimoatanga?

Ko ngā pānga taha me ngā raruraru ka pā mai pea, ka whakawhirinaki ki te kaha o te mate, ki tō āhua ake, me ētahi atu āhuatanga. Ko tō tākuta te puna mōhiohio pai rawa atu mō ngā mea hei tumanako atu, ngā mea rānei hei tūpato, nā te mea ka taea e ia te whakarato mōhiohio e hāngai ana ki tō āhua.

Me pēhea taku tiaki i ahau anō me te whakahaere i aku tohumate?

Ehara te mate kiriuhi i te mea me tātaritanga e koe anō. Me whakatau e te kaitohutohu hauora hinengaro whai mātauranga, whai wheako mēnā kei a koe te mate kiriuhi, tētahi atu mate rānei. Ehara hoki i te mea pai kia rongoā koe i a koe anō. Me whai tohutohu, me whai tohutohu rānei a te tākuta mō ngā rongoā, ngā tohutohu, me ētahi atu maimoatanga.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Ka taea e tō tākuta te kōrero atu ki a koe mō ngā mea ka taea e koe te tumanako i te wā o tō maimoatanga me ngā mea ka taea te āwhina i a koe i roto i te tukanga. Nā te mea ko te roa o te whakaoranga me te roa o te wā e pai ake ai koe ka whakawhirinaki ki ngā āhuatanga maha. Ka taea e tō tākuta te whai whakaaro ki ēnei āhuatanga katoa, me te kī atu ki a koe he aha ngā mea hei tumanako atu.

Me pēhea taku whakaiti, te ārai rānei i te mōrearea o tēnei āhuatanga?

Ahakoa he mate hinengaro te `(Dermatillomania)`, kāore anō kia tino mōhiotia e ngā tohunga te pūtake. Ko te tikanga he mea kore e taea te matapae, ā, kāore e taea te ārai. Kāore he huarahi hei whakaiti i te mōrearea o te whanaketanga.

He aha taku e tumanako atu ai mēnā kei a au tēnei āhuatanga?

Ehara te mate kiriuhi i te mate tino kino, i te mate morearea rānei. Ko te mōrearea matua o tēnei mate ko ngā mate tuwhera. Ka taea te pangia e te rakuraku tonu, e te pakaru rānei. Ahakoa ehara tēnei mate i te mea morearea tika, ka pā kino pea ki te kounga o tō oranga me tō oranga whānui.

Nā te mea he maha ngā wā ka whakama, ka manukanuka rānei te hunga e pāngia ana e te dermatotillomania, he tokomaha te hunga e karo ana i te rapu maimoatanga. Mā te karo, te whakaroa rānei i te maimoatanga ka nui ake te tūponotanga o te whara tuturu me ētahi atu raruraru hauora hinengaro.

Kia pēhea te roa o te `(Dermatillomania)`?

He aha te `(Dermatillomania)`?E kiia ana he mate mō te wā katoa nā te mea ka hoki anō te mate. Heoi, ka taea e te hunga whai mate te hoki ki te wā e māhorahora ai - arā, kāore e hiahia ana ki te rakuraku, ka taea rānei te karo i te kai mō te wā roa, i ētahi wā mō ake tonu atu.

He aha te tirohanga mō tēnei āhuatanga?

Ko te āhua o tēnei mate e whakawhirinaki ana ki tōna kaha me ētahi atu āhuatanga. Ko te nuinga o te hunga whai mate pēnei kāore e pāngia e ngā pānga kino ki te tinana. Heoi , ki te kore he maimoatanga, he maha te hunga whai mate pēnei e pāngia ana e ngā pānga hinengaro pēnei i te manukanuka, te whakama, te manukanuka rānei.

Me pēhea taku tiaki i ahau anō? (Ētahi atu tohutohu)

Mena kei a koe te `(Dermatillomania)`, he mea tino nui kia kite koe i tētahi tākuta (i ētahi atu tākuta rānei, i runga i ō hiahia) kua whakangungua, kua mātau hoki ki te rongoā i tēnei mate. Ka taea e rātou te tuku tohutohu pai rawa atu mō tō tiaki me te kōrero atu ki a koe he aha tāu e taea ai te mahi hei whakapai ake i tō mate.

I te nuinga o te wā, me mahi e koe ēnei mea:

• Kia pono ki tō āhua. Ko te Dermatillomania he āhua hauora hinengaro e pā ana ki tō hinengaro me tō whanonga. Pērā i tō haerenga ki te tākuta mō te mate taringa, te mate manawa rānei, me haere koe ki te tākuta mō ngā āhua hauora hinengaro pēnei i te Dermatillomania. Ka taea e ēnei te āwhina i te rongoā i ngā pānga tinana me te hinengaro o tō āhua.
• Tirohia tō tākuta (tō tākuta) e ai ki ngā taunakitanga. He mea nui rawa tēnei mō ngā wā whakawā, ngā wā whakarite hauora hinengaro, me ētahi atu tiaki e hiahiatia ana e koe.
• Tangohia tō rongoā mēnā kua tohua. Kaua e aro ki te hiahia ki te rakuraku i tō kiri. He nui te rerekētanga ka puta mai i te rongoā.
• Ki te taea, karohia ngā mea e whakaoho ana i te kiri. He maha ngā wā ka pāngia te kiri e te mate kiri i roto i ngā āhuatanga motuhake. Mā te karo i aua mea ka nui te pānga.
• Whakakorehia ngā whai wāhitanga ki te rakuraku. Tērā pea ka whai hua te hunga whai dermatotillomania i ngā taputapu korekore , i ētahi atu mahi rānei hei pupuri i ō rātou ringa kia pukumahi, hei āwhina hoki i a rātou kia kore e rakuraku. Ko ētahi atu huarahi hei karo i te rakuraku ko te mau tōkena, te mau kākahu rānei hei ārai i te rakuraku.

Āhea ahau me haere ki te rūma whawhati tata (ETU) ?

Ko te hunga e pāngia ana e te `(Dermatillomania)` kāore e hiahiatia he maimoatanga hauora ohorere mēnā kāore i pāngia e ngā whara kino nā te mate. Me rapu awhina hauora koe mēnā he nui te toto e totohu ana koe, he tohu rānei kei te pāngia koe e te mate. Ko ngā tohu o te mate, tae atu ki ngā mate e morearea ana ki te ora pērā i te `(Sepsis),` ko:

• Te pupuhi, te whero, ngā panoni tae rānei huri noa i te patunga.
• Te tere o te manawa, te tere rānei o te ngakau.
• Te kirika, te makariri rānei.
• Pōhēhē, pōrangi rānei.
• Te whanoke, te ngoikore rānei nā te iti o te toto toto.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate hinengaro te Dermatillomania ka pā nui ki tō oranga. He mea noa ngā kare ā-roto o te whakama, te manukanuka, me te hara. Engari ehara i te mea ko koe anake. Mā te toro atu ki te tākuta koe e āwhina ki te wikitoria i ēnei kare ā-roto me te whiwhi maimoatanga mō te mate. He whakangungu motuhake, he wheako hoki ā ngā tākuta ki te rongoā i ēnei mate me ō rātou pānga. Ka taea hoki e rātou te āwhina i a koe kia pai te whiwhi i te maimoatanga e hiahiatia ana e koe.

Mā te maimoatanga, ka taea e te tini o te tangata te whakahaere, te wikitoria rānei i tēnei mate. Ko te tikanga ka taea e koe te arotahi ki ngā mea e hiahia ana koe ki te mahi i te ao, kaua ki te manukanuka ki ngā mea ka kitea, ka whakaarohia rānei e te tangata mōu. Nō reira, ki te pāngia koe e ēnei tohu, rapua he tohutohu hauora.

` Te mate kiri, Te ngau kiri, Te mate tango kiri, Te ngau kiri ātete, Te hauora hinengaro, E pā ana ki te OCD, Te kino o te kiri, Te ngau kiri, Te pakaru o te kiri, Te hauora hinengaro, Ngā mate kiri