Kodi mumasankhanso khungu lanu kapena kukoka tsitsi lanu mukakhala nokha? Kodi iyi ndi njira yobwerezabwereza yoyang'ana thupi (BFRB)?

Kodi nthawi zina mumapeza kuti mukunyoza misomali yanu, kukoka tsitsi lanu, kapena kuluma milomo yanu? Mungaganize kuti izi ndi "zizolowezi zazing'ono" zomwe nthawi zina zimakhala zovuta kwambiri kuposa pamenepo. Lero, tikambirana za zizolowezi zomwe timachita kuti tiwononge matupi athu osazindikira. M'mawu azachipatala, izi zimatchedwa Makhalidwe Obwerezabwereza Okhazikika Mthupi (BFRBs).

Kodi machitidwe obwerezabwereza okhazikika pa thupi (BFRBs) kwenikweni ndi chiyani?

Mwachidule, ``(BFRB)`` ndi chinthu chomwe mumachita mobwerezabwereza ndi chinthu chomwe chili pathupi lanu. Chomwe chimachitika ndichakuti, popanda inu kuzindikira, mumayambitsa kuwonongeka pang'ono pathupi lanu. Anthu ambiri amaona izi ngati "zinthu zamanjenje" chabe. Mwachitsanzo, zinthu monga kuluma khungu lozungulira misomali yanu mukatopa kapena kupukusa zala zanu.

Koma izi sizinthu zomwe timachita kuti tidutse nthawi. Kafukufuku akusonyeza kuti majini athu, kapangidwe ka ubongo, ndi malingaliro athu zimakhudza machitidwe awa. Mwina mwayesapo kuchepetsa zinthuzi, koma mwina mwapeza kuti n'zovuta kuzisiya. BFRB ndi chilakolako champhamvu, chosalamulirika. Ndipo, mungamve chisangalalo pang'ono kapena kukhutira mukachita izi. Koma musadandaule, pali mankhwala omwe alipo ngati mukufuna thandizo.

Kodi mitundu ikuluikulu ya `(BFRB)` iyi ndi iti?

Pali mitundu ingapo ya `(BFRB)`. Mitundu iwiri yayikulu komanso yodziwika bwino ndi iyi:

• Kutola khungu kapena kuchotsa khungu: Izi zimadziwika ndi madokotala kuti ``Excoriation'' kapena ``Dermatillomania.'' Izi zimaphatikizapo kutola, kukanda, ndi kukumba mobwerezabwereza mbali za khungu.
• Kukoka tsitsi: Izi zimatchedwa ``Trichotillomania.`` Izi zimaphatikizapo kukoka tsitsi m'malo monga khungu la mutu, nsidze, ndi nsidze.

Mitundu iwiriyi ndi yomwenso ndi yayikulu yomwe yapezeka mu American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR).

Kodi pali mitundu ina ya `(BFRB)`?

Inde, pali mitundu ina ingapo ya `(BFRB)`. Iyi ndi:

• Kukukuta mano: `(Bruxism)`
• Kusweka kwa zala: `(Crepitus)` (Nthawi zambiri izi sizivulaza, koma anthu ena amachita izi ngati chizolowezi)
• Kuluma pakhungu: `(Dermatophagia)`
• Kuyamwa zala: `(Kuyamwa zala)` (Izi zimachitika kawirikawiri pakati pa ana aang'ono, komanso zimatha kuchitika kwa akuluakulu ena)
• Kuluma milomo keratosis:
• Kuluma mkati mwa masaya: `(Morsicatio buccarum)`
• Kuluma misomali: `(Onychophagia)`
• Kuluma/kuswa misomali: `(Onychotillomania)`
• Kutola mphuno: `(Rhinotillexomania)` (Ichi ndi chinthu chomwe anthu ambiri amachita ngati chizolowezi)
• Kudya Tsitsi: `(Trichophagnia)` (Kukoka Tsitsi)

Ngakhale kuti mitundu inayi siinatchulidwe mwachindunji mu DSM-5-TR, dokotala angaizindikire poiika mu gulu loyenera la BFRB.

Kodi matenda amenewa ndi ofala bwanji?

Malinga ndi kafukufuku wosiyanasiyana, madokotala azindikira mwalamulo kuti pakati pa 0.5% ndi 4.4% ya anthu ali ndi BFRB. Komabe, chiwerengero chenichenicho mwina n'chokwera kwambiri. Izi zili choncho chifukwa anthu ambiri safuna upangiri wachipatala pa vutoli. Mwina chifukwa cha manyazi, kapena chifukwa sakudziwa kuti ndi matenda.

Kodi zizindikiro za `(BFRB)` ndi ziti?

Makhalidwe omwe amawonedwa kwambiri ndi ``(BFRB)`` ndi awa:

• Kukoka, kukanda, ndi kuswa tsitsi lanu, misomali, ndi khungu lanu.
• Kuluma misomali, milomo, masaya.
• Zala zikuphulika, mafupa akuphulika.
• Kukukuta mano.

Mukachita izi, mungamve ngati:

• Musanayambe kuchita zimenezi, mumamva nkhawa komanso kupsinjika maganizo kwambiri , ndipo mukachita zimenezo, mumamva mpumulo kwakanthawi .
• Zikuoneka ngati mulibe mphamvu mukamachita zimenezo (ngati simungathe kusiya).
• Nthawi zina mumachita izi mwadala (mosadziwa) , ndipo nthawi zina mumachita mosadziwa (mosadziwa) . Tangoganizirani, pamene mukuonera TV kapena mukuwerenga buku, mwangozi mwadula chala chanu kapena kukoka tsitsi.

N’chifukwa chiyani `(BFRB)` imeneyi imachitika? Kodi zimayambitsa chiyani?

Madokotala sakudziwabe chomwe chimayambitsa BFRB, koma kafukufuku wapeza kuti zinthu izi zitha kuyambitsa:

• Kapangidwe ka ubongo ndi majini: Ubongo wathu uli ndi ziwalo zomwe zimalamulira zinthu monga chisangalalo ndi kukhutitsidwa. Ndipo ziwalo zomwe zimalamulira malingaliro. Kusintha kwina kwa kapangidwe ka ziwalo izi kungayambitse ma BFRB. Majini athu amatsimikiza momwe ziwalo izi za ubongo zimapangidwira komanso momwe zimagwirira ntchito. Komanso, majini amatha kusintha ngati mankhwala omwe amalamulira malingaliro athu ndi zilakolako zathu, monga Serotonin ndi Dopamine, sakuyendetsedwa bwino mu ubongo.
• Kulamulira Maganizo: Nthawi zina, "(BFRB)s" awa akhoza kukhala njira yomwe timagwiritsira ntchito matupi athu kuthana ndi kapena kupewa malingaliro oipa monga manyazi, manyazi, kusowa chochita, ndi chisoni.
• Kusokoneza Maganizo: Mukakumva kupsinjika maganizo kapena kusangalala kwambiri, ``(BFRB)`` iyi ingakhale njira yodzisokonezera. Izi zikutanthauza kuti, machitidwe awa angawoneke ngati akukuthandizani kuchepetsa nkhawa, kusasangalala, komanso kudzisokonezera pa zomwe zikuchitika mozungulira inu.

Chofunika ndichakuti `(BFRB)` iyi siimachitika chifukwa cha chikhumbo chofuna kukonza chithunzi chanu kapena kusintha mawonekedwe anu. Pali matenda ena amisala omwe angayambitsidwe ndi zinthu zotere, koma `(BFRB)` sizili choncho.

Ndani amene ali pachiwopsezo chachikulu chotenga ma BFRB?

Anthu omwe ali ndi zinthu izi akhoza kukhala pachiwopsezo chachikulu chotenga ma BFRB:

• Kukhala mkazi.
• Kukumana ndi nkhanza zinazake kapena kuvulala kwambiri ali mwana kapena atakula.
• Kukhala ndi wachibale amene ali ndi vuto (lokhudzana ndi zamoyo) ``(BFRB)```.
• Kukhala ndi kudzidalira pang'ono.
• Kukhala ndi Matenda Ovutika Maganizo (OCD)
• Kukhala ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo kapena kuledzera ndi mankhwala osokoneza bongo kapena mowa.

Ndi mavuto ati omwe angachitike chifukwa cha `(BFRB)` iyi?

Kutafuna nthawi zonse, kutola, ndi kukoka ziwalo zosiyanasiyana za thupi lanu kungayambitse mavuto monga:

• Matenda a bakiteriya: Matenda amatha kuchitika mosavuta khungu likavulala.
• Kutuluka magazi: Nthawi zina, mabala amatha kutuluka magazi.
• Kutaya tsitsi: Kuchotsa tsitsi pafupipafupi kungayambitse mabala a tsitsi.
• Zilonda: Kuwonongeka kwa khungu kungayambitse zilonda zosatha.

Ngati maonekedwe anu asintha mosadziwa chifukwa cha zochita zanu, zingakhudze momwe mumamvera, kudzidalira kwanu, komanso kudzidalira kwanu. Mutha kupempha thandizo kwa mlangizi wa zaumoyo wamaganizo kuti muthane ndi malingaliro amenewa.

Kodi mumadziwa bwanji ngati muli ndi `(BFRB)`?

Dokotala wanu wamkulu, dokotala wa khungu, kapena dokotala wa mano angakhale woyamba kukuonani ngati muli ndi BFRB. Mwachitsanzo, ngati muli ndi vuto la khungu, dokotala wanu angaganize kuti nthawi zonse mumakhala mukudzudzula khungu lanu. Dokotalayo adzakufunsani za zizindikiro zanu ndi momwe mukumvera. Kenako angakutumizireni kwa katswiri wa zamaganizo, monga dokotala wa matenda amisala kapena katswiri wa zamaganizo.

Mlangizi wa zaumoyo wamaganizo adzakuyang'anirani kuti awone ngati zizindikiro zanu zikugwirizana ndi zomwe zimafunika kuti mupeze matenda a BFRB:

• Mumachita zinthu mobwerezabwereza zomwe zimawononga thupi lanu.
• Mumayesetsa kusiya (kapena kuchepetsa) khalidweli, koma simungathe.
• Khalidweli limakupangitsani kupsinjika maganizo kapena kusokoneza luso lanu lochita bwino ntchito zanu za tsiku ndi tsiku.

Kodi mankhwala a `(BFRB)` ndi ati?

Chimodzi mwa izi kapena zonse ziwiri zingagwiritsidwe ntchito ngati mankhwala a BFRB:

• Chithandizo: Mlangizi wa zaumoyo wamaganizo adzakuphunzitsani maphunziro osintha zizolowezi pogwiritsa ntchito njira yochizira yotchedwa Cognitive Behavioral Therapy (CBT). Izi zikuthandizani kudziwa bwino zomwe zimayambitsa machitidwewa. Mudzaphunzitsidwanso kupeza njira zina zoyankhira m'malo mochita. Tangoganizirani kuti nthawi iliyonse mukafuna kumenya munthu, mudzaphunzira kufinya mpira wawung'ono kapena kuchita china chake m'malo mwake.
• Mankhwala: Pakadali pano palibe mankhwala omwe avomerezedwa ndi US Food and Drug Administration (FDA) a BFRB. Komabe, pali mankhwala omwe angathandize kuchepetsa zizindikiro. Dokotala angapereke mankhwala oletsa kuvutika maganizo otchedwa Selective Serotonin Reuptake Inhibitors (SSRIs). Chowonjezera chotchedwa NAC (N-acetylcysteine) chingathandizenso anthu ena.

Chofunika kwambiri ndikupitiriza ndi dongosolo lanu la chithandizo, ngakhale mutakhala bwino. Imwani mankhwala anu monga momwe dokotala wanu wanenera. Musasinthe dongosolo lanu la chithandizo popanda chilolezo cha dokotala wanu.

Kodi munthu amene ali ndi `(BFRB)` amakumana ndi zotani?

BFRB imatha kumveka komanso kuwoneka mosiyana ndi aliyense. Mutha kumva kuda nkhawa, kumasuka, kapena kupsinjika. N'zovuta kudziwa nthawi yeniyeni yomwe mudzamve chilakolako chochita izi. Nthawi zina, simudziwa ngakhale kuti mukuchita izi mpaka wina atakuuzani. Pakapita nthawi, machitidwe amenewa amatha kuwononga thupi lanu, kuyambitsa zipsera, komanso kubweretsa matenda.

Koma musadandaule. Chithandizo, chomwe nthawi zambiri chimakhala chophatikiza uphungu ndi mankhwala, chingakuthandizeni kuthana ndi zizindikiro zanu za BFRB. Zimatenga nthawi komanso kuchita masewera olimbitsa thupi - simungathe kusiya machitidwe awa usiku wonse. Ngati muli ndi mafunso okhudza dongosolo la chithandizochi, lankhulani ndi dokotala wanu.

Kodi muyenera kupita kwa dokotala liti?

Pitani kwa dokotala ngati muli ndi machitidwe obwerezabwereza okhudza thupi omwe mukufuna kusiya koma mukuvutika kuwathetsa nokha. Izi zingaphatikizepo kung'amba khungu, kupukuta mano, ndi kung'amba tsitsi.

Komanso, ngati muli ndi zizindikiro za matenda ochokera ku bala, monga kupweteka, kutupa, kapena mafinya, dziwitsani dokotala nthawi yomweyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Mungathe kufunsa mafunso awa mukapita kwa dokotala:

• Kodi ndingaletse bwanji izi `(BFRB)`?
• Kodi ndiyenera kulankhula ndi mlangizi wa zaumoyo wamaganizo ?
• Kodi mukundilangiza kuti ndimwe mankhwala?
• Kodi kumwa mankhwala kungayambitse zotsatirapo zake?

Uthenga womwe tiyenera kutenga kuchokera apa

Palibe amene amakonda kudzimva kuti sangathe kudziletsa pa zochita zake. Kaya muyese bwanji kuletsa zinthuzi, nthawi zina zimamveka ngati palibe chomwe chikuyenda bwino. Ndicho chenicheni cha munthu amene ali ndi khalidwe lobwerezabwereza loyang'ana thupi (BFRB).

Koma nkhani yabwino ndi yakuti, simuyenera kupitiriza kuvutika ndi makhalidwe amenewa. Dokotala angakuthandizeni kupeza yankho.

Anthu ambiri amatha kuthana ndi zizindikirozi bwino pogwiritsa ntchito uphungu ndi/kapena mankhwala. Zingatenge miyezi ingapo kuti mumve bwino ndikuwona zotsatira zake. Koma gulu lanu lachipatala lidzakuthandizani kuthana ndi vutoli la ``(BFRB)`` kwa moyo wanu wonse. Choncho sikuchedwa kupempha thandizo, ndipo musamachite manyazi.

Khalidwe Lobwerezabwereza Loyang'ana Thupi, BFRB, kudula khungu, kukoka tsitsi, kuluma misomali, kupukuta mano, thanzi la maganizo, chithandizo cha khalidwe