Kodi mumakanda kapena kukanda khungu lanu nthawi zonse? Kodi izi ndi (Dermatillomania) (Kutola Khungu)? Tiyeni tikambirane!

Kodi nthawi zina mumakhala ndi chizolowezi choyang'ana ziphuphu zazing'ono, malo, kapena malo ena ang'onoang'ono pakhungu lanu, kaya mukungokhala pamenepo, mukuonera TV, kapena mukuganiza zinazake? Kodi zimakuvutani kusiya mukangoyamba? Mwina zimayambitsa bala kapena chilonda pakhungu lanu. Izi zitha kukhala zovuta kwambiri kuposa momwe mukuganizira komanso chinthu chodetsa nkhawa nacho. Lero tikambirana za vutoli, lomwe ndi `(Dermatillomania)`, kapena matenda ong'ona kapena kukanda khungu.

Kodi `(Dermatillomania)` ndi chiyani? Mwachidule...

Mwachidule, `(Dermatillomania)` ndi matenda amisala. Chomwe chimachitika apa ndichakuti munthu amakanda, kukumba, kapena kuswa khungu lake mokakamiza . Izi zingayambitse kuvulala pakhungu ndi zipsera. Izi zimatchedwanso `(Excoriation Disorder)`. Matendawa ali m'gulu la `(Obsessive-Compulsive Disorders - OCDs)`. Komabe, matendawa si ofanana ndi `(OCD)`, pali kusiyana pang'ono. Matendawa akamayambitsa zipsera ndi mabala akuluakulu pakhungu, amatha kukhudza kwambiri thanzi la munthu la maganizo, moyo watsiku ndi tsiku, komanso moyo wabwino.

Tangoganizirani, mawu akuti `(Dermatillomania)` (der-ma-til-o-mania) amapangidwanso ndi mawu atatu achi Greek:

• `Derma`: amatanthauza 'khungu'.
• `Tillo`: amatanthauza 'kukoka' kapena 'kuswa/kukanda'.
• `Mania`: amatanthauza 'khalidwe kapena zochita zopitirira muyeso'.

Kodi kusiyana pakati pa `(Dermatillomania)` ndi `(Obsessive-Compulsive Disorder - OCD)` ndi kotani?

Tinanena kuti ngakhale kuti `(Dermatillomania)` ndi ya gulu la `(OCD)`, pali kusiyana kuchokera ku matenda enieni `(OCD)`. Tsopano tiyeni tiwone zomwe zili:

• Kuganizira Kwambiri: Munthu amene ali ndi OCD amakhala ndi maganizo kapena zilakolako zosalamulirika, zosafunikira (zotchedwa kusinkhasinkha). Komabe, mu Dermatillomania, kusinkhasinkha koteroko sikumachitika.
• Kumva mpumulo: Anthu omwe ali ndi dermatolmania amamva bwino monga mpumulo, chisangalalo, komanso mpumulo ku nkhawa akamakanda kapena kukanda khungu lawo. Izi sizili choncho ndi OCD.
• Kudzivulaza: Kudzivulaza thupi sikofala mu OCD, koma kudzivulaza, mwachitsanzo, kudula khungu, ndikofala kwambiri mu Dermatillomania.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Kale, anthu ankaganiza kuti vutoli linkakhudza kwambiri akazi. Komabe, kafukufuku watsopano wasonyeza kuti pafupifupi 55% ya anthu omwe ali ndi vutoli ndi akazi. Komabe, pakati pa omwe akufuna chithandizo cha vutoli, akazi ndi omwe ali ndi vutoli.

Matendawa nthawi zambiri amapezeka munthu akamatha msinkhu.Kawirikawiri zimayamba ali mwana, koma zimatha kuchitika pa msinkhu uliwonse. Komanso, anthu omwe ali ndi matenda a pakhungu monga ziphuphu kapena eczema amakhala ndi mwayi waukulu wopeza vutoli. Chifukwa nthawi zambiri chifukwa cha mavuto a pakhungu amenewa ndiye kuti khungu limayamba kuyabwa poyamba.

Kodi vutoli ndi lofala bwanji?

Matenda a Dermatillomania ndi matenda osazolowereka kwenikweni. Akuti pafupifupi 2% ya anthu akhoza kukhala nawo nthawi iliyonse. Pafupifupi 5.4% ya anthu akhoza kukhala ndi vutoli pa moyo wawo wonse.

Kodi vutoli limakhudza bwanji thupi lanu?

Dermatillomania ndi vuto limene munthu amasankha khungu lake mosadziletsa. Kwa anthu ena, izi zimachitika zokha . Sangadziwe kuti akusankha. Ena amachita izi mwadala , koma sangasiye.

Anthu ena amakanda malo ouma pakhungu lawo monga ziphuphu, zipsera, kapena ziphuphu zomwe zatuluka m'mabala akale. Kukanda kumeneku kungayambitse mabala atsopano, mabala akale kubwereranso, kutuluka magazi, komanso kuyambitsa zipsera.

Tangoganizani, ngati vutoli litakula kwambiri, nthawi zina khungu limawonongeka kwambiri moti nthawi zina pamafunika opaleshoni monga "Skin grafting" kuti likonze. Ngati balalo litayamba kudwala, mungafunikenso kumwa "antibiotics".

Kawirikawiri, mabala amenewa angayambitse matenda kufalikira m'thupi lonse, zomwe zimapangitsa kuti chitetezo cha mthupi chichite zinthu mopitirira muyeso. Izi zimatchedwa sepsis. Imeneyi ndi ngozi yachipatala yomwe ingakhale yoopsa kwa moyo.

Zotsatira pa thanzi la maganizo

Kawirikawiri, anthu omwe ali ndi vutoli amachita manyazi, amada nkhawa, komanso amamva chisoni kwambiri ndi mabala ndi zipsera pakhungu lawo. Amayesa kuzibisa ndi zovala ndi zodzoladzola. Chifukwa cha izi, amayesetsa kupewa anthu ndikukhala okha. Mavuto amisala monga nkhawa ndi kuvutika maganizo amathanso kuchitika. Nthawi zina izi zingakhudze ubale kuntchito komanso ndi abwenzi.

Kodi zizindikiro za `(Dermatillomania)` ndi ziti?

Chizindikiro chachikulu ndi kukanda khungu mosalamulirika. Madokotala amagwiritsa ntchito mawu ena pofotokoza kukanda khungu kumeneku:

• Kukanda
• Kukumba
• Kukanikiza
• Kupukuta

Kawirikawiri, izi zimachitika ndi zala ndi misomali. Komabe, nthawi zina khungu limatafunidwanso ndi mano (makamaka khungu lozungulira milomo). Anthu ena angagwiritsenso ntchito zinthu zakuthwa monga ma tweezers kapena ma pini.

Pali njira ziwiri zometera khungu.

Njirayi imachitika m'njira ziwiri zazikulu: "Yodziyimira payokha" ndi "Yokhazikika".

• Kutseka kosafuna `(Zokha)`:Izi nthawi zambiri zimachitika popanda munthu kuganizirapo za izo. Nthawi zina zimatchedwa "kusanthula." Izi zili choncho chifukwa dzanja kapena zala zimagwiritsidwa ntchito kupeza malo pakhungu omwe amamveka mosiyana ndi madera ena. Malo otere akapezeka, amatha kukhala "chikwapu cholunjika."
• Kuyang'ana kwambiri: Izi zimaphatikizapo "kuyang'ana" khungu pamalo enaake. Izi zitha kuchitika kwa maola ambiri. Kukanda kwamtunduwu ndikoopsa kwambiri ndipo kumayambitsa kuwonongeka kwakukulu pakhungu.

Kodi izi zimachitika kuti m'thupi?

Kawirikawiri, mikwingwirima pakhungu imachitika m'malo omwe kuli kosavuta kufikako:

• Mutu: nkhope, chigaza, khosi.
• Manja: zala, manja, mikono.
• Miyendo: ntchafu, ana a ng'ombe, mapazi, zala.

Kodi zifukwa zake ndi ziti?

Chifukwa chenicheni cha `(Dermatillomania)` sichikudziwikabe. Komabe, akatswiri amakhulupirira kuti pali zinthu zingapo zomwe zingayambitse vutoli:

• Majini: Anthu omwe ali ndi Dermatillomania amakhala ndi wachibale wapafupi (monga kholo, mchimwene, kapena mwana) yemwenso ali ndi vutoli.
• Kusintha kwa kapangidwe ka ubongo: Zawonetsedwa kuti anthu omwe ali ndi dermatotillomania ali ndi kusintha kwina mu kapangidwe ka ziwalo za ubongo zomwe zimawongolera momwe zizolowezi zimapangidwira komanso momwe zimaphunzirira.
• Kupsinjika Maganizo, Nkhawa, Kapena Mavuto Ena: Dermatillomania ikhoza kukhala njira yothanirana ndi mavuto ena kapena matenda amisala. Kapena ikhoza kukhala chifukwa cha kutopa kapena mavuto ena.

Matenda ena omwe angachitike ndi `(Dermatillomania)`

Anthu omwe ali ndi `(Dermatillomania)` ali ndi mwayi waukulu wokhala ndi matenda ena amisala kapena azachipatala. Ena mwa iwo ndi awa:

• OCD kapena matenda ena okhudzana ndi OCD, monga kukoka tsitsi (trichotillomania) kapena kuluma misomali (onychophagia).
• Kuvutika maganizo.
• Matenda a nkhawa.
• `(Matenda a Bipolar)`.
• `(Matenda a Prader-Willi)`.

Kodi izi ndi zopatsirana?

Ayi, `(Dermatillomania)` si matenda opatsirana. Sichifalikira kuchokera kwa munthu wina kupita kwa wina.

Kodi mungazindikire bwanji izi?

Mukazindikira `(Dermatillomania)`, dokotala wanu adzakuyang'anirani kuti aone ngati muli ndi zizindikiro zilizonse za matendawa. Adzakufunsaninso mafunso okhudza mbiri yanu yachipatala, moyo wanu, ndi makhalidwe omwe angakhale okhudzana ndi vutoli. Mayeso a labotale angathandize kuchotsa matenda ena, koma nthawi zambiri safunika kuti atsimikizire matendawa.

Kuti muzindikire izi, zonse zisanu zotsatirazi ziyenera kukwaniritsidwa:

1. Kukanda/kuswa khungu pafupipafupi kapena mosalekeza.

2. Ndayesa kangapo kuti ndisiye kapena kuchepetsa khungu lofooka.

3. Kumva ngati manyazi ndi nkhawa kwakhudza zochita zanu za tsiku ndi tsiku komanso moyo wanu watsiku ndi tsiku.

4. Khalidwe lodzikuza pakhungu silimayambitsidwa ndi matenda ena (monga matenda a pakhungu monga mphere) kapena mankhwala (omwe amaperekedwa ndi dokotala kapena ndi mankhwala oletsa kutopa).

5. Khalidwe lotola khungu silimayambitsidwa ndi vuto lina la maganizo (mwachitsanzo, ``Body Dysmorphic Disorder`` - kutanthauza kuganiza molakwika za mawonekedwe a munthu ndi kutola khungu lake kuti likonze).

Ndi mayeso amtundu wanji omwe amachitidwa kuti adziwe izi?

Mayeso azachipatala a vutoli nthawi zambiri amachitidwa kuti athetse matenda ena. Dokotala wanu adzakufotokozerani mayeso enieni omwe akufunika pa vuto lanu komanso chifukwa chake.

Kodi matenda a Dermatillomania amachiritsidwa bwanji? Kodi pali mankhwala ake?

Dermatillomania nthawi zambiri imachiritsidwa ndi mankhwala osakaniza ndi psychotherapy . Kafukufuku wasonyeza kuti kuphatikiza kwa zonsezi n'kothandiza kwambiri kuposa chithandizo chilichonse chokha.

Mankhwala

Mankhwala omwe madokotala nthawi zambiri amapereka pochiza vutoli ndi awa:

• Mankhwala Oletsa Kuvutika Maganizo: Omwe amagwiritsidwa ntchito kwambiri ndi Selective Serotonin Reuptake Inhibitors (SSRIs).
• Mankhwala Oletsa Kugwedezeka kwa Minofu: Lamotrigine ndi mankhwala omwe amathandiza mayendedwe osalamulirika a minofu. Kafukufuku wasonyeza kuti amathandiza anthu ena omwe ali ndi dermatotillomania.
• Mankhwala oletsa matenda amisala: Mankhwalawa amathandiza posintha momwe mankhwala amagwirira ntchito muubongo. Mankhwalawa amagwiritsidwa ntchito kwambiri pochiza matenda ambiri, kuphatikizapo matenda amisala, matenda a bipolar, ndi schizophrenia. Ofufuza akufufuzanso momwe angathandizire matenda monga dermatillomania.
• Zakudya Zopatsa Thanzi: Izi ndi zakudya zomwe zingathandize kuchiza matenda amisala kapena amisala. Pa matenda a khungu, amino acid yowonjezera N-acetylcysteine ​​​​yapezeka kuti imathandiza kuchepetsa chilakolako chofuna kuluma pakhungu.

Chithandizo cha Maganizo `(Machiritso)`

Uphungu ungachiritse vutoli m'njira zosiyanasiyana, kutengera njira yolangizira yomwe yagwiritsidwa ntchito.

• Chithandizo Chosintha Khalidwe: Njirayi imakupangitsani kudziwa bwino khalidwe lanu komanso zochita zanu. Pochita izi, imakuphunzitsani kusiya zizolowezi, monga kutsuka khungu.
• Chithandizo chamagulu ndi chithandizo cha anzawo: Anthu omwe ali ndi dermatotillomania angapindule ndi chithandizo chamagulu chapadera kapena magulu othandizira.
• Chithandizo cha Maganizo (CBT): Njirayi imaphunzitsa njira zothanirana ndi mavuto ndi njira zomwe zimathandiza kusintha makhalidwe.
• Chithandizo Chovomereza ndi Kudzipereka: Chithandizochi chimathandiza anthu kuvomereza malingaliro oipa omwe amawatsogolera ku makhalidwe monga kung'amba khungu ndikuwathandiza kusintha makhalidwe amenewo. Kusamala ndi njira zina zabwino zothanirana ndi mavuto zilinso ndi gawo pano.

Mankhwala ena a `(Dermatillomania)`

Anthu omwe ali ndi khungu lowonongeka kwambiri kapena minofu yapansi pa khungu angafunike chithandizo chamankhwala ndi chisamaliro china. Dokotala wanu adzatha kufotokoza bwino njira zomwe amalimbikitsa (monga opaleshoni, kulumikiza khungu, kapena maantibayotiki).

Kodi mavuto/zotsatira zake za chithandizo ndi ziti?

Zotsatirapo zake ndi zovuta zake zimadalira kuopsa kwa vutoli, momwe zinthu zilili, ndi zina. Dokotala wanu ndiye gwero labwino kwambiri la chidziwitso chokhudza zomwe mungayembekezere kapena zomwe muyenera kusamala nazo, chifukwa angapereke chidziwitso chogwirizana ndi vuto lanu.

Kodi ndingadzisamalire bwanji ndikusamalira zizindikiro zanga?

Matenda a Dermatillomania si chinthu chomwe muyenera kudzipeza nokha. Mlangizi wodziwa bwino za thanzi la maganizo ayenera kudziwa ngati muli ndi matenda a Dermatillomania kapena matenda ena. Sikoyeneranso kudzichiza nokha. Mankhwala, uphungu, ndi mankhwala ena amafunika kulembedwa ndi dokotala kapena chitsogozo.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Dokotala wanu angakuuzeni zambiri za zomwe mungayembekezere panthawi ya chithandizo chanu komanso zomwe zingakuthandizeni panjirayi. Chifukwa nthawi yochira komanso nthawi yomwe imatenga kuti mumve bwino zimadalira zinthu zambiri. Dokotala wanu angaganizire zonsezi ndikukuuzani zomwe mungayembekezere.

Kodi ndingachepetse kapena kuletsa bwanji chiopsezo cha vutoli?

Ngakhale kuti `(Dermatillomania)` ndi matenda amisala, akatswiri sakudziwabe chomwe chimayambitsa matendawa. Izi zikutanthauza kuti ndi osadziwika bwino ndipo sangapewedwe. Palibe njira yochepetsera chiopsezo chotenga matendawa.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi vutoli?

Dermatillomania si vuto lalikulu kapena loopsa. Chiwopsezo chachikulu cha vutoli ndi zilonda zotseguka. Zitha kutenga kachilomboka chifukwa chokanda kapena kuwonongeka nthawi zonse. Ngakhale kuti vutoli silili loopsa mwachindunji, likhoza kuwononga kwambiri moyo wanu komanso thanzi lanu lonse.

Popeza anthu omwe ali ndi dermatotillomania nthawi zambiri amakhala ndi manyazi kapena nkhawa, anthu ambiri amapewa kufunafuna chithandizo. Kupewa kapena kuchedwetsa chithandizo kumawonjezera chiopsezo cha zipsera zosatha komanso mavuto ena azaumoyo.

Kodi `(Dermatillomania)` imatenga nthawi yayitali bwanji?

Kodi `(Dermatillomania)` ndi chiyani?Amaonedwa kuti ndi vuto la moyo wonse chifukwa cha chiopsezo chobwereranso. Komabe, anthu omwe ali ndi vutoli amatha kuchira - zomwe zikutanthauza kuti sakumvanso chilakolako chofuna kukanda kapena sangathe kudziletsa kwa nthawi yayitali, nthawi zina kwamuyaya.

Kodi chiyembekezo cha vutoli n'chiyani?

Chiyembekezo cha vutoli chimadalira momwe lilili loopsa komanso zinthu zina. Anthu ambiri omwe ali ndi vutoli sakumana ndi mavuto aakulu akuthupi. Komabe , popanda chithandizo, anthu ambiri omwe ali ndi vutoli amakumana ndi mavuto amisala monga nkhawa, manyazi, kapena nkhawa.

Kodi ndimadzisamalira bwanji? (Malangizo ena)

Ngati muli ndi `(Dermatillomania)`, ndikofunikira kwambiri kuonana ndi dokotala (kapena madokotala angapo, kutengera zosowa zanu) omwe ali ophunzitsidwa komanso odziwa bwino ntchito yochiza vutoli. Angakupatseni malangizo abwino kwambiri pa chisamaliro chanu ndikukuuzani zomwe mungachite kuti muwongolere vuto lanu.

Kawirikawiri, muyenera kuchita izi:

• Khalani oona mtima pa vuto lanu. Dermatillomania ndi matenda amisala omwe amakhudza maganizo ndi khalidwe lanu. Monga momwe mungachitire ndi dokotala chifukwa cha matenda a khutu kapena matenda a mtima, muyeneranso kupita kwa dokotala chifukwa cha matenda amisala monga Dermatillomania. Angathandize kuchiza mavuto akuthupi ndi amisala omwe amabwera chifukwa cha vuto lanu.
• Pitani kwa dokotala wanu (adokotala) monga momwe mukufunira. Izi ndizofunikira makamaka pa nthawi ya uphungu, nthawi yokumana ndi anthu odwala matenda amisala, komanso chithandizo china chilichonse chomwe mungafune.
• Imwani mankhwala anu ngati mwapatsidwa mankhwala. Pewani kuchita zinthu zomwe zimakupangitsani kufuna kukanda khungu lanu. Mankhwala angathandize kwambiri.
• Ngati n'kotheka, pewani zinthu zomwe zimayambitsa khungu. Anthu omwe ali ndi matenda a khungu nthawi zambiri amakhudza khungu lawo pazochitika zinazake. Kupewa zinthu zomwe zimayambitsa khungu kungapangitse kusiyana kwakukulu.
• Pewani mwayi wokanda. Anthu omwe ali ndi dermatotillomania angapindule ndi zida zopumira kapena zochita zina zomwe zimawapangitsa kuti manja awo azivutika ndikuwathandiza kupewa kukanda. Njira zina zopewera kukanda ndi monga kuvala masokosi kapena kuvala zovala zomwe zimaletsa kukanda.

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti (ETU) ?

Anthu omwe ali ndi `(Dermatillomania)` nthawi zambiri safunika chithandizo chadzidzidzi pokhapokha atavulala kwambiri chifukwa cha vutoli. Muyenera kufunafuna chithandizo chamankhwala ngati mukutuluka magazi ambiri kapena muli ndi zizindikiro za matenda. Zizindikiro za matenda, kuphatikizapo matenda oopsa monga `(Sepsis),` zikuphatikizapo:

• Kutupa, kufiira, kapena kusintha kwina kwa mtundu kuzungulira bala.
• Kugunda kwa mtima mwachangu kapena kupuma.
• Malungo kapena kuzizira.
• Kusokonezeka maganizo kapena kusokonezeka maganizo.
• Kuzunguzika kapena kukomoka chifukwa cha kuthamanga kwa magazi.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Dermatillomania ndi matenda amisala omwe angakhudze kwambiri moyo wanu. Kumva manyazi, nkhawa, ndi kudzimva wolakwa n'kofala. Koma simuli nokha. Kukaonana ndi dokotala kungakuthandizeni kuthana ndi malingaliro amenewa ndikupeza chithandizo cha vutoli. Madokotala ali ndi maphunziro apadera komanso luso lochiza matenda awa ndi zotsatira zake. Angakuthandizeninso kukhala omasuka kulandira chithandizo chomwe mukufuna.

Ndi chithandizo, anthu ambiri amatha kuwongolera kapena kuthetsa vutoli. Izi zikutanthauza kuti mutha kuyang'ana kwambiri pazinthu zomwe mukufuna kuchita m'moyo m'malo modandaula ndi zomwe anthu adzakuonani kapena kuganiza za inu. Chifukwa chake, ngati muli ndi zizindikiro izi, chonde funsani upangiri kwa dokotala.

Dermatillomania , Kudula khungu, Matenda otupa, Kudula khungu mokakamiza, Thanzi la maganizo, zokhudzana ndi OCD, Kuwonongeka kwa khungu, Kudula khungu, Kusweka kwa khungu, Thanzi la maganizo, Matenda a khungu