Ngaba ngamanye amaxesha uzifumana ukrwempa iinzipho zakho, utsala iinwele zakho, okanye uluma imilebe yakho? Unokucinga ngezi zinto "njengemikhwa yovalo" emincinci, ngamanye amaxesha. Kodwa zinokuba nzima ngakumbi kunoko. Namhlanje, siza kuthetha ngezi mikhwa siyenzayo ukuze sonakalisa imizimba yethu ngaphandle kokuqaphela. Ngokwezonyango, ezi zibizwa ngokuba zii-Body-Focused Repetitive Behaviors (BFRBs).
Zithini kanye kanye iindlela zokuziphatha eziphindaphindayo ezigxile emzimbeni (iiBFRB)?
Ngamafutshane, i-``(BFRB)`` sisenzo osenza rhoqo ngento ethile emzimbeni wakho. Okwenzekayo kukuba, ngaphandle kokuba uqonde, ubangela umonakalo omncinci emzimbeni wakho. Abantu abaninzi babona oku njengezinto "ezibangela uvalo." Umzekelo, izinto ezifana nokuluma ulusu olujikeleze iinzipho zakho xa ukruqukile okanye ukuvuthela iminwe yakho.
Kodwa ezi asizozinto nje esizenzayo ukuze sichithe ixesha. Uphando lubonisa ukuba ii-genes zethu, ukwakheka kwengqondo, kunye neemvakalelo zethu ziyayichaphazela le mikhwa. Usenokuba uzame ukunciphisa ezi zinto, kodwa mhlawumbi ufumanise ukuba kunzima ukuziyeka. I-BFRB ngumnqweno onamandla, ongalawulekiyo. Kwaye, ungaziva wonwabile okanye wanelisekile ngokwenza oko. Kodwa ungakhathazeki, kukho unyango olufumanekayo ukuba ufuna uncedo.
Ziziphi iintlobo eziphambili zezi `(BFRB)`?
Kukho iintlobo ezahlukeneyo ze-`(BFRB)`. Iintlobo ezimbini eziphambili neziqhelekileyo zezi:
- Ukuchola ulusu okanye ukuchola ulusu: Oku kwaziwa ngokwezonyango njenge-"Excoriation" okanye "Dermatillomania." Oku kuquka ukuchola, ukukrwela, kunye nokumba iindawo zesikhumba ngokuphindaphindiweyo.
- Ukutsala iinwele: Oku kubizwa ngokuba yi-"Trichotillomania." Oku kuquka ukutsala iinwele kwiindawo ezifana nentloko, amashiya, kunye neenkophe.
Ezi ntlobo zimbini zezona ziphambili zichongiweyo kwi-American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR).
Ngaba zikho ezinye iintlobo ze-`(BFRB)`?
Ewe, kukho ezinye iintlobo ezininzi ze-`(BFRB)`. Nazi:
- Ukutshixiza amazinyo: `(Bruxism)`
- Ukuqhekeka kweminwe: `(Crepitus)` (Oku kudla ngokuba yingozi, kodwa abanye abantu bakwenza njengomkhwa)
- Ukuluma ulusu: `(Dermatophagia)`
- Ukumunca iminwe: `(Ukumunca iminwe)` (Oku kuqhelekile kubantwana abancinci, kodwa kuyenzeka nakubantu abadala)
- I-keratosis yokulunywa yimilebe:
- Ukuluma ngaphakathi kwezidlele: `(Morsicatio buccarum)`
- Ukuluma iinzipho: `(Onychophagia)`
- Ukuluma/ukuphula iinzipho: `(Onychotillomania)`
- Ukukha impumlo: `(Rhinotillexomania)` (Oku kukwayinto abantu abaninzi abayenzayo njengesiqhelo)
- Ukutya iinwele: `(Trichophagnia)` (Ukutsala iinwele)
Nangona ezi ntlobo zezinye zingakhankanywanga ngokukodwa kwi-DSM-5-TR, ugqirha unokuzichonga ngokuzibeka kudidi olufanelekileyo lwe-BFRB.
Zixhaphake kangakanani ezi meko?
Ngokwezifundo ezahlukeneyo, oogqirha baye bafumanisa ngokusesikweni phakathi kwe-0.5% kunye ne-4.4% yabemi njenge-BFRB. Nangona kunjalo, inani lokwenyani lisenokuba liphezulu kakhulu. Oku kungenxa yokuba abantu abaninzi abafuni ingcebiso yezonyango ngale meko. Mhlawumbi ngenxa yeentloni, okanye kuba bengazi ukuba sisifo.
Zithini iimpawu ze-`(BFRB)`?
Iindlela zokuziphatha eziqhele ukubonwa ``(BFRB)`` zezi:
- Ukutsala, ukukrwela, nokuphula iinwele zakho, iinzipho, kunye nolusu.
- Ukuluma iinzipho, imilebe, izidlele.
- Iminwe eqhumayo, amalungu aqhumayo.
- Ukutshixiza amazinyo.
Xa usenza ezi zinto, ungaziva ngathi:
- Ngaphambi kokuba wenze loo nto, uziva uxhalabile kwaye uxinezelekile , kwaye emva kokuba uyenzile, uziva ukhululekile okwethutyana .
- Kuvakala ngathi awunalo ulawulo xa usenza loo nto (njengokungathi awunakuyeka).
- Ngamanye amaxesha ukwenza oko ngabom (ngendlela eqondayo) , kwaye ngamanye amaxesha ukwenza oko ngabom (ngendlela eqondayo) . Khawuthelekelele, ngelixa ubukele iTV okanye ufunda incwadi, ngempazamo usika umnwe wakho okanye utsala umsonto weenwele.
Kutheni le nto `(BFRB)` isenzeka? Zithini izizathu?
Oogqirha abakayazi kakuhle into ebangela ii-BFRB, kodwa uphando lufumanise ukuba ezi zinto zinokuba negalelo:
- Ulwakhiwo lobuchopho kunye nejini: Iingqondo zethu zineendawo ezilawula izinto ezinje ngolonwabo nolwaneliseko. Kwaye iindawo ezilawula iimvakalelo. Utshintsho oluthile kwisakhiwo sale ndawo lunokubangela ii-BFRB. Iijini zethu zimisela indlela ezi nxalenye zobuchopho ezenziwe ngayo kunye nendlela ezisebenza ngayo. Kwakhona, iijini zinokuchaphazela ukuba iikhemikhali ezilawula iimvakalelo zethu kunye neemvakalelo, ezifana neSerotonin kunye neDopamine, azilawulwa ngokufanelekileyo engqondweni.
- Ukulawula Iimvakalelo: Ngamanye amaxesha, ezi "(BFRB)s" zinokuba yindlela esisebenzisa ngayo imizimba yethu ukujongana okanye ukuphepha iimvakalelo ezimbi ezifana neentloni, iintloni, ukudinwa, kunye nosizi.
- Ukuphazamiseka: Xa uziva uxinezelekile okanye uvuseleleke kakhulu, le ``(BFRB)`` inokuba yindlela yokuziphazamisa. Oko kukuthi, ezi ndlela zokuziphatha zinokubonakala zikunceda ukunciphisa uxinzelelo, ukungonwabi, kwaye uziphazamise kwizinto ezenzekayo ezikungqongileyo.
Into ebalulekileyo kukuba le `(BFRB)` ayibangelwanga ngumnqweno wokuphucula umfanekiso wakho okanye ukutshintsha inkangeleko yakho. Kukho ezinye iimeko zengqondo ezinokubangelwa zizinto ezinjalo, kodwa `(BFRB)` ayinjalo.
Ngubani osengozini enkulu yokuphuhlisa ii-BFRB?
Abantu abanezi zinto banokuba semngciphekweni omkhulu wokufumana ii-BFRB:
- Ukuba ngumfazi.
- Ukuba ukhe wachaphazeleka kuhlobo oluthile lokuxhatshazwa okanye ukwenzakala okukhulu ebuntwaneni okanye kamva ebomini.
- Ukuba nelungu losapho elinesifo (esinxulumene nebhayoloji) ``(BFRB)```.
- Ukuba nokuzithemba okuphantsi.
- Ukuba nesifo sokuphazamiseka kwengqondo (OCD)
- Ukuba nengxaki yokusebenzisa iziyobisi okanye ukuba likhoboka leziyobisi okanye utywala.
Zeziphi iingxaki ezinokwenzeka ngenxa yale `(BFRB)`?
Ukuhlala uhlafuna, ukha, kwaye utsala iindawo ezahlukeneyo zomzimba wakho kunokukhokelela kwiingxaki ezifana nezi:
- Usulelo lweentsholongwane: Usulelo lunokwenzeka lula xa ulusu lonzakele.
- Ukopha: Ngamanye amaxesha, amanxeba anokopha.
- Ukulahleka kweenwele: Ukuzitsala rhoqo iinwele kunokubangela amabala anempandla.
- Amanxeba: Ukonakala kwesikhumba kunokubangela amanxeba angapheliyo.
Xa inkangeleko yakho itshintshwa ngokungazi zizenzo zakho, oku kunokuchaphazela indlela ovakalelwa ngayo, ukuzithemba kwakho, kunye nokuzithemba. Ungacela uncedo kumcebisi wezempilo yengqondo ukulawula ezi mvakalelo.
Ufumanisa njani ukuba unayo `(BFRB)`?
Ugqirha wakho oyintloko, ugqirha wesikhumba, okanye ugqirha wamazinyo unokuba ngowokuqala ukukubona ukuba une-BFRB. Umzekelo, ukuba unengxaki yolusu, ugqirha wakho unokucinga ukuba uhlala egxeka ulusu lwakho. Ugqirha uza kukubuza ngeempawu zakho kunye nendlela oziva ngayo. Banokukuthumela kwingcali yezempilo yengqondo, efana nogqirha wengqondo okanye ingcali yezengqondo.
Umcebisi wezempilo yengqondo uza kukuhlola ukuze abone ukuba iimpawu zakho ziyahambelana na neendlela zokuchonga i-BFRB:
- Uzibandakanya kwiindlela eziphindaphindayo eziyonakalisa umzimba wakho.
- Uzame ukuyeka (okanye ukunciphisa) le ndlela yokuziphatha, kodwa awukwazi.
- Le ndlela yokuziphatha ikwenza uxinezeleke okanye iphazamise ubuchule bakho bokwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo.
Ziziphi iindlela zonyango ze-`(BFRB)`?
Enye okanye zombini ezi zingasetyenziswa njengonyango lwe-BFRBs:
- Unyango: Umcebisi wezempilo yengqondo uza kukufundisa uqeqesho lokuguqula umkhwa wakho ngendlela yonyango ebizwa ngokuba yiCognitive Behavioral Therapy (CBT). Oku kuya kukunceda ukuba uqaphele ngakumbi izinto ezibangela ezi mpawu. Uza kuqeqeshwa ukufumana ezinye iindlela zokuphendula kuzo endaweni yokuzenza. Khawuthelekelele ukuba ngalo lonke ixesha uziva ufuna ukubetha umntu, uya kufunda ukucinezela ibhola elincinci okanye ukwenza enye into endaweni yoko.
- Amayeza: Okwangoku akukho mayeza avunyiweyo ngokukodwa yi-US Food and Drug Administration (FDA) ye-BFRB. Nangona kunjalo, kukho amayeza anokunceda ukulawula iimpawu. Ugqirha angakunika amayeza okudakumba abizwa ngokuba yi-Selective Serotonin Reuptake Inhibitors (SSRIs). Isongezelelo esibizwa ngokuba yi-NAC (N-acetylcysteine) sinokuba luncedo kwabanye abantu.
Eyona nto ibalulekileyo kukuqhuba nesicwangciso sakho sonyango, nokuba uzive ungcono. Sela amayeza akho kanye njengoko ugqirha wakho ekuxelele. Musa ukwenza naluphi na utshintsho kwisicwangciso sakho sonyango ngaphandle kwemvume kagqirha wakho.
Luhlobo luni lwamava analo umntu one-`(BFRB)`?
I-BFRB ingavakala kwaye ibonakale yahlukile kuye wonke umntu. Ungaziva uxhalabile, ukhululekile, okanye uxinezelekile. Kunzima ukwazi ukuba uza kuthini kanye kanye xa ufuna ukuyenza. Ngamanye amaxesha, awuqondi nokuba uyayenza de umntu akuxelele. Ekuhambeni kwexesha, ezi ndlela zokuziphatha zingonakalisa umzimba wakho, zibangele amanxeba, kwaye zikhokelele kwiintsholongwane.
Kodwa ungakhathazeki. Unyango, oludla ngokuba yindibaniselwano yeengcebiso kunye namayeza, lunokukunceda ulawule iimpawu zakho ze-BFRB. Kuthatha ixesha kwaye uziqhelise - awunakuyiyeka le mikhwa ngobusuku obunye. Ukuba unemibuzo malunga nesi sicwangciso sonyango, thetha nogqirha wakho.
Ufanele uye nini kugqirha?
Bona ugqirha ukuba uneendlela zokuziphatha eziphindaphindayo ezijolise emzimbeni ofuna ukuziyeka kodwa unengxaki yokuzilawula wedwa. Ezi zinokubandakanya ukucola ulusu, ukutshixiza amazinyo, kunye nokutsala iinwele.
Kwakhona, ukuba uneempawu zosulelo oluvela kwinxeba, njengentlungu, ukudumba, okanye ubomvu, yazisa ugqirha ngoko nangoko.
Yeyiphi imibuzo omele uyibuze ugqirha wakho?
Ungabuza le mibuzo xa ubona ugqirha:
- Ndingayimisa njani le `(BFRB)`?
- Ngaba kufuneka ndithethe nomcebisi wezempilo yengqondo ?
- Ngaba ucebisa ukuba ndithathe amayeza?
- Ngaba ukuthatha amayeza kunokubangela iziphumo ebezingalindelekanga?
Umyalezo esifanele siwuthathe koku
Akukho mntu uthanda ukuziva engalawuleki kwizenzo zakhe. Nokuba uzama kangakanani na ukuyeka ezi zinto, ngamanye amaxesha kuvakala ngathi akukho nto isebenzayo. Yiyo loo nto iyenzeka kumntu onokuziphatha okuphindaphindwayo okugxile emzimbeni (BFRB).
Kodwa iindaba ezimnandi zezokuba, akufuneki uqhubeke ubandezeleka ngenxa yezi ndlela zokuziphatha. Ugqirha angakunceda ufumane isisombululo.
Abantu abaninzi bayakwazi ukulawula ezi mpawu ngempumelelo ngeengcebiso kunye/okanye amayeza. Kungathatha iinyanga ezininzi ukuba uzive ungcono kwaye ubone iziphumo. Kodwa iqela lakho lezonyango liza kukunceda ulawule le meko ``(BFRB)`` ubomi bakho bonke. Ngoko ke akukaze kube kudala ukucela uncedo, kwaye ungabi neentloni.
Ukuziphatha Okuphindaphindwayo Okugxile Emzimbeni , i-BFRB, ukukha ulusu, ukutsala iinwele, ukuluma iinzipho, ukutshixiza amazinyo, impilo yengqondo, unyango lokuziphatha











💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho