Ingabe nawe uhlala uklwebha noma uklwebha isikhumba sakho? Ingabe lokhu (i-Dermatillomania) (Ukuqoqwa Kwesikhumba)? Ake sixoxe!

Ingabe ngezinye izikhathi unomkhuba wokukhetha induna encane, indawo, noma enye indawo encane yesikhumba sakho, kungakhathaliseki ukuthi uhleli nje lapho, ubukele i-TV, noma ucabanga ngento ethile? Ingabe ukuthola kunzima ukuyeka uma usuqalile? Mhlawumbe kubangela ngisho nesilonda noma isilonda esikhumbeni sakho. Lokhu kungaba kubi kakhulu kunalokho okucabangayo futhi kube yinto okufanele ukhathazeke ngayo. Namuhla sizokhuluma ngalesi simo, okuyi-`(Dermatillomania)`, noma isifo sokuthatha noma ukuklwebha isikhumba.

Kuyini `(i-Dermatillomania)`? Kalula nje...

Kalula nje, `(I-Dermatillomania)` yisimo sempilo yengqondo. Okwenzekayo lapha ukuthi umuntu uyaziklwebha, azigubhe, noma aziphule isikhumba sakhe ngokuphoqelekile . Lokhu kungabangela ukulimala kwesikhumba kanye nezibazi. Lokhu kubizwa nangokuthi `(I-Excoriation Disorder)`. Lesi simo siwela ngaphansi kwesigaba `(I-Obsessive-Compulsive Disorders - ama-OCD)`. Kodwa-ke, lesi akusona isifo esifanayo ncamashi ne-`(OCD)`, kunomehluko omncane. Uma lesi simo sibangela izibazi zesikhumba ezinzima kanye namanxeba, singaba nomthelela omkhulu empilweni yengqondo yomuntu, empilweni yansuku zonke, kanye nekhwalithi yokuphila.

Cabanga nje, igama elithi `(Dermatillomania)` (der-ma-til-o-mania) nalo lakhiwe ngamagama amathathu esiGreki:

• `I-Derma`: isho 'isikhumba'.
• `Tillo`: kusho 'ukudonsa' noma 'ukuphula/ukuklwebha'.
• `Ukuhlanya`: kusho 'ukuziphatha noma umsebenzi oweqile'.

Uyini umehluko phakathi kwe-`(Dermatillomania)` kanye ne-`(Obsessive-Compulsive Disorder - OCD)`?

Sithe nakuba `(i-Dermatillomania)` ingeyesigaba `(i-OCD)`, kukhona umehluko kwisifo esithile `(i-OCD)`. Manje ake sibone ukuthi siyini:

• Ukuzidela: Umuntu one-OCD uhlangabezana nemicabango noma izifiso ezingalawuleki, ezingafuneki (ezibizwa ngokuthi ukuzidela). Kodwa-ke, ku-Dermatillomania, ukuzidela okunjalo akwenzeki.
• Ukuzizwa ukhululekile: Abantu abane-dermatolmania bazizwa benemizwa emihle njengokukhululeka, injabulo, kanye nokukhululeka ekucindezelekeni lapho bekhetha noma beklwebha isikhumba sabo. Lokhu akunjalo nge-OCD.
• Ukuzilimaza: Ukuzilimaza ngokomzimba akuvamile ku-OCD, kodwa ukuzilimaza, okungukuthi, ukusika isikhumba, kuvame kakhulu ku-Dermatillomania.

Ubani othinteka kakhulu yilesi simo?

Esikhathini esidlule, kwakucatshangwa ukuthi lesi simo sasithinta kakhulu abesifazane. Kodwa-ke, ucwaningo olusha lukhombisile ukuthi cishe abantu abangu-55% abanalesi simo bangabesifazane. Kodwa-ke, phakathi kwalabo abafuna ukwelashwa kwale nkinga, abesifazane banamathuba amaningi okuthintwa.

Lesi simo sivame ukwenzeka ngesikhathi sokuthomba.Ngokuvamile kuqala ebuntwaneni, kodwa kungenzeka kunoma yimuphi ubudala. Futhi, abantu abanezinkinga zesikhumba ezifana ne-acne noma i-eczema banamathuba amaningi okuthola lesi simo. Ngoba ngokuvamile kungenxa yezinkinga zesikhumba ezinjalo ukuthi isikhumba siqale ukulunywa kuqala.

Sivame kangakanani lesi simo?

I-Dermatillomania empeleni iyisimo esingavamile. Kulinganiselwa ukuthi cishe abantu abangu-2% bangaba naso nganoma yisiphi isikhathi. Abantu abangaba ngu-5.4% bangase babe nalesi simo ngesikhathi sokuphila kwabo.

Lesi simo sithinta kanjani umzimba wakho?

I-Dermatillomania yisimo lapho umuntu ekhetha isikhumba sakhe ngokungalawuleki. Kwabanye abantu, lokhu kwenzeka ngokuzenzakalelayo . Bangase bangazi nokuthi bayakhetha. Abanye bakwenza ngamabomu , kodwa abakwazi ukuyeka.

Abanye abantu baklwebha izindawo zesikhumba sabo eziqinile, njengezinduna, amabala, noma amabala avela emanxebeni angaphambilini. Lokhu kuklwebha kungabangela ukwakheka kwamanxeba amasha, amanxeba amadala aphinde avele, ophe igazi, futhi kubangele amanxeba.

Cabanga nje, uma lesi simo siba sibi kakhulu, ngezinye izikhathi isikhumba sonakala kangangokuthi kunezimo lapho kudingeka khona ukuhlinzwa okufana nokuthi "Skin grafting" ukuze kulungiswe. Uma inxeba litheleleka, kungadingeka futhi ukuthi uphuze "ama-antibiotic".

Akuvamile kakhulu, la manxeba angabangela ukutheleleka ukuthi kusabalale emzimbeni wonke, okwenza amasosha omzimba asabele ngokweqile. Lokhu kubizwa ngokuthi i-sepsis. Lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo.

Umthelela empilweni yengqondo

Ngokuvamile, abantu abanalesi simo banamahloni, bakhathazekile, futhi badabuka kakhulu ngamanxeba nezibazi esikhumbeni sabo. Bazama ukuwafihla ngezingubo kanye nezimonyo. Ngenxa yalokhu, bazama ukuhlala kude nomphakathi futhi babe bodwa. Izinkinga zengqondo ezifana nokukhathazeka nokucindezeleka nazo zingavela. Ngezinye izikhathi lokhu kungathinta ubudlelwano emsebenzini kanye nabangani.

Ziyini izimpawu ze-`(Dermatillomania)`?

Uphawu oluyinhloko ukuklwebha, ukuklwebha, noma ukuklwebha isikhumba okungalawuleki. Odokotela basebenzisa amanye amagama ukuchaza lokhu klwebha kwesikhumba:

• Ukuklwebha
• Ukumba
• Ukucindezela
• Ukuhlikihla

Ngokuvamile, lokhu kwenziwa ngeminwe nezinzipho. Kodwa-ke, ngezinye izikhathi isikhumba sihlafunwa nangamazinyo (ikakhulukazi isikhumba esizungeze izindebe). Abanye abantu bangasebenzisa nezinto ezibukhali njenge-tweezers noma amaphini.

Kunezindlela ezimbili zokushefa isikhumba.

Le nqubo yenzeka ngezindlela ezimbili eziyinhloko: "Okuzenzekelayo" kanye "Okugxile".

• Ukukhiya okungahlosiwe `(Okuzenzakalelayo)`:Lokhu kuvame ukwenzeka ngaphandle kokuthi umuntu acabange ngakho. Ngezinye izikhathi kubizwa ngokuthi "ukuskena." Lokhu kungenxa yokuthi isandla noma iminwe isetshenziselwa ukuthola indawo esikhumbeni ezwakala ihlukile kunezinye izindawo. Uma indawo enjalo itholakala, ingaba "umkrwelo oqondiwe."
• Ukugxila: Lokhu kuhilela "ukukhomba" isikhumba endaweni ethile. Lokhu kungenziwa amahora amaningi. Lolu hlobo lokuklwebheka lunzima kakhulu futhi lubangela umonakalo omkhulu esikhumbeni.

Lokhu kwenzeka kuphi emzimbeni?

Ngokuvamile, ukuklwebheka kwesikhumba kwenzeka ezindaweni ezifinyeleleka kalula:

• Ikhanda: ubuso, ugebhezi, intamo.
• Izandla: iminwe, izintende zezandla, izingalo.
• Imilenze: amathanga, amathole, izinyawo, izinzwane.

Yiziphi izizathu zalesi simo?

Imbangela eqondile ye-`(Dermatillomania)` ayaziwa okwamanje. Kodwa-ke, ochwepheshe bakholelwa ukuthi kunezici eziningana ezingaba nomthelela kulokhu:

• Izakhi zofuzo: Abantu abane-Dermatillomania banamathuba amaningi okuba nelungu lomndeni eliseduze (okungukuthi umzali, umfowabo, noma ingane) elinalesi simo.
• Izinguquko ekwakhiweni kobuchopho: Kuye kwabonakala ukuthi abantu abane-dermatotillomania banezinguquko ezithile ekwakhiweni kwezingxenye zobuchopho ezilawula indlela imikhuba eyakheka ngayo nendlela efunda ngayo.
• Ukucindezeleka, Ukukhathazeka, Noma Ezinye Izimo: I-Dermatillomania ingaba yindlela yokubhekana nezinkinga esetshenziswa ukubhekana nezinye izinkinga noma izimo zengqondo. Noma kungaba ngenxa yokudinwa noma ezinye izinkinga.

Ezinye izimo ezingase zenzeke nge-`(Dermatillomania)`

Abantu abane-`(Dermatillomania)` banamathuba amaningi okuba nezinye izimo zengqondo noma zezokwelapha. Ezinye zazo yilezi:

• I-OCD noma ezinye izimo ezihlobene ne-OCD, njengokudonsa izinwele (i-trichotillomania) noma ukuluma izinzipho (i-onychophagia).
• Ukucindezeleka.
• Izinkinga zokukhathazeka.
• `(Isifo se-Bipolar)`.
• `(Isifo sikaPrader-Willi)`.

Ingabe lokhu kuyathelelana?

Cha, `(I-Dermatillomania)` akuyona inkinga ethelelanayo. Ayisabalali isuka komunye umuntu iye komunye.

Ungakubona kanjani lokhu?

Uma uxilonga `(i-Dermatillomania)`, udokotela wakho uzokuxilonga ngokomzimba ukuze abone ukuthi unazo yini izimpawu zalesi simo. Bazokubuza nemibuzo mayelana nomlando wakho wezokwelapha, indlela yokuphila, kanye nokuziphatha okungase kuhlotshaniswe nalesi simo. Ukuhlolwa kwelebhu kungasiza ekuvimbeleni ezinye izimo, kodwa ngokuvamile akudingeki ukuqinisekisa ukuxilongwa.

Ukuze uqaphele lesi simo, zonke lezi zinto ezinhlanu ezilandelayo kumele zihlangatshezwe:

1. Ukuklwebha/ukuphula isikhumba njalo noma njalo.

2. Ngizame izikhathi eziningana ukuyeka noma ukunciphisa isikhumba esiwohlokayo.

3. Imizwa efana namahloni nokukhathazeka ibe nomthelela omubi emisebenzini yakho yansuku zonke kanye nempilo yakho yomphakathi.

4. Ukuziphatha kokuklwebheka kwesikhumba akubangelwa esinye isimo sezokwelapha (isibonelo, isifo sesikhumba njengokhwekhwe) noma yimithi (yokuzijabulisa noma kadokotela).

5. Ukuziphatha kokukhetha isikhumba akubangelwa esinye isimo sengqondo (isibonelo, "Ukuphazamiseka Komzimba Okungajwayelekile" - okungukuthi, ukucabanga kabi ngokubukeka komuntu nokugxeka isikhumba sakhe ukuze usilungise).

Hlobo luni lokuhlolwa olwenziwayo ukuze kutholakale lokhu?

Ukuhlolwa kwezokwelapha kwalesi simo kuvame ukwenziwa ukuze kususwe ezinye izimo zezokwelapha. Udokotela wakho uzokuchazela ngqo ukuthi yiziphi izivivinyo ezidingekayo ngesimo sakho esithile nokuthi kungani.

Iphathwa kanjani i-Dermatillomania? Ingabe ikhona ikhambi layo?

I-Dermatillomania ivame ukwelashwa ngenhlanganisela yemithi kanye nokwelashwa kwengqondo . Ucwaningo lukhombisile ukuthi inhlanganisela yakho kokubili isebenza kangcono kunokwelashwa kokubili kuphela.

Imithi

Imithi odokotela abavame ukuyinikeza ukwelapha lesi simo yile:

• Ama-antidepressants: Ama-antidepressants asetshenziswa kakhulu yi-Selective Serotonin Reuptake Inhibitors (SSRIs).
• Imithi Yokulwa Nokuxhuzula: I-Lamotrigine umuthi osiza ekunyakazeni kwemisipha okungalawuleki. Ucwaningo lukhombisile ukuthi uyasiza abanye abantu abane-dermatotillomania.
• Ama-antipsychotics: Le mithi isiza ngokushintsha ibhalansi yamakhemikhali ebuchosheni. Le mithi ivame ukusetshenziswa ukwelapha izimo eziningi, okuhlanganisa i-dementia, i-bipolar disorder, kanye ne-schizophrenia. Abacwaningi baphenya nokuthi ingasiza kanjani ezimweni ezifana ne-dermatillomania.
• Ama-Nutraceuticals: Le yimikhiqizo yokudla okunempilo engasiza ekwelapheni izimo zezokwelapha noma zengqondo. Ngezifo zesikhumba, isithasiselo se-amino acid i-N-acetylcysteine ​​​​sitholakale sisiza ekunciphiseni isifiso sokukha isikhumba.

Ukwelapha Ngengqondo `(Ukwelashwa)`

Ukwelulekwa kungalapha lesi simo ngezindlela ezahlukene, kuye ngendlela yokwelulekwa esetshenzisiwe.

• Ukwelapha Ngokuguqula Umkhuba: Le ndlela ikwenza uqaphele kakhulu ukuziphatha kwakho kanye nezindlela zakho zokusebenza. Ngokwenza kanjalo, ikufundisa ukuyeka imikhuba, njengokukha isikhumba.
• Ukwelashwa ngamaqembu kanye nokusekelwa kontanga: Abantu abane-dermatotillomania bangase bazuze ekwelashweni ngamaqembu okukhethekile noma emaqenjini okusekela.
• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Le ndlela ifundisa amasu okubhekana nezimo kanye namasu asiza ekushintsheni ukuziphatha.
• Ukwelashwa Kokwamukela Nokuzibophezela: Lokhu kwelashwa kusiza abantu ukwamukela imizwa emibi eholela ekuziphatheni okufana nokuqoba isikhumba futhi kubasize bashintshe lezo zindlela zokuziphatha. Ukuqaphela kanye nezinye izindlela ezinhle zokubhekana nesimo nazo zinendawo lapha.

Ezinye izindlela zokwelapha `(i-Dermatillomania)`

Abantu abanomonakalo omkhulu esikhumbeni noma ezicutshini ezingaphansi bangadinga ukwelashwa okwengeziwe kanye nokunakekelwa. Udokotela wakho uzokwazi kangcono ukuchaza izindlela zokwelapha abazincomayo (njengokuhlinzwa, ukufakelwa isikhumba, noma ama-antibiotic).

Yiziphi izinkinga/imiphumela emibi yokwelashwa?

Imiphumela emibi engaba khona kanye nezinkinga kuncike ebunzimeni besimo, isimo sakho somuntu siqu, kanye nezinye izici. Udokotela wakho ungumthombo ongcono kakhulu wolwazi mayelana nokuthi yini ongayilindela noma yini okufanele uyiqaphele, njengoba engakunikeza ulwazi oluhambisana nesimo sakho esithile.

Ngingazinakekela kanjani futhi ngiphathe izimpawu zami?

I-Dermatillomania akuyona into okufanele uzihlole yona. Umeluleki wezempilo yengqondo oqeqeshiwe nonolwazi kufanele anqume ukuthi une-Dermatillomania noma esinye isimo. Akuyona futhi umqondo omuhle ukuzelapha wena. Imithi, ukwelulekwa, kanye nezinye izindlela zokwelapha zidinga ukunikezwa udokotela noma isiqondiso.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Udokotela wakho angakutshela okwengeziwe ngalokho ongakulindela ngesikhathi sokwelashwa kwakho nokuthi yini engakusiza kule nqubo. Ngoba isikhathi sokululama nokuthi kuthatha isikhathi esingakanani ukuze uzizwe ungcono kuncike ezintweni eziningi. Udokotela wakho angacabangela zonke lezi zici futhi akutshele ukuthi yini ongayilindela.

Ngingayinciphisa noma ngiyivimbele kanjani ingozi yokuba lesi simo sivele?

Nakuba i-`(Dermatillomania)` iyisimo sempilo yengqondo, ochwepheshe abasazi kahle ukuthi siyimbangela yaso. Lokhu kusho ukuthi asibikezeleki futhi asinakuvinjelwa. Ayikho indlela yokunciphisa ingozi yokusithola.

Yini okufanele ngiyilindele uma nginalesi simo?

I-Dermatillomania akuyona into embi kakhulu noma eyingozi. Ingozi enkulu yalesi simo izilonda ezivulekile. Zingatheleleka ngenxa yokuklwebheka noma ukulimala njalo. Nakuba lesi simo singeyona ingozi ngqo, singaba nomthelela omubi kakhulu ezingeni lempilo yakho kanye nenhlalakahle yakho iyonke.

Ngenxa yokuthi abantu abane-dermatotillomania bavame ukuba namahloni noma bakhathazeke, abantu abaningi bayakugwema ukufuna ukwelashwa. Ukugwema noma ukulibazisa ukwelashwa kwandisa ingozi yezibazi ezingapheli kanye nezinye izinkinga zempilo yengqondo.

Ihlala isikhathi esingakanani i-`(Dermatillomania)`?

Kuyini `(i-Dermatillomania)`?Kubhekwa njengesimo sokuphila konke ngenxa yengozi yokubuyela emuva. Kodwa-ke, abantu abanalesi simo bangalulama - okusho ukuthi abasazizwa benesifiso sokuklwebha noma bangakwazi ukuzibamba isikhathi eside, ngezinye izikhathi unomphela.

Iyini ikusasa lalesi simo?

Umbono walesi simo uncike ekutheni sibi kangakanani kanye nezinye izici. Iningi labantu abanalesi simo alibi nemiphumela emibi emzimbeni. Kodwa-ke , ngaphandle kokwelashwa, abantu abaningi abanalesi simo bahlushwa imiphumela yengqondo njengokukhathazeka, amahloni, noma ukukhathazeka.

Ngizinakekela kanjani? (Amanye amathiphu)

Uma une-`(i-Dermatillomania)`, kubaluleke kakhulu ukubona udokotela (noma odokotela abaningana, kuye ngezidingo zakho ezithile) oqeqeshwe futhi onolwazi ekwelapheni lesi simo. Bangakunikeza isiqondiso esingcono kakhulu sokunakekelwa kwakho futhi bakutshele ukuthi yini ongayenza ukuze uthuthukise isimo sakho.

Ngokuvamile, kufanele wenze lezi zinto:

• Thembeka ngesimo sakho. I-Dermatillomania yisimo sempilo yengqondo esithinta ingqondo nokuziphatha kwakho. Njengoba nje ubungabona udokotela ngenxa yokutheleleka kwendlebe noma isifo senhliziyo, kufanele ubonane nodokotela ngenxa yezimo zempilo yengqondo ezifana ne-Dermatillomania. Zingasiza ekwelapheni imiphumela yomzimba neyengqondo yesimo sakho.
• Bonana nodokotela wakho (odokotela bakho) njengoba kunconywa. Lokhu kubaluleke kakhulu ngezikhathi zokwelulekwa, ama-aphoyintimenti ezempilo yengqondo, kanye nanoma yiluphi olunye ukunakekelwa ongaludinga.
• Phuza imithi yakho uma unikezwe udokotela. Gwema ukwenza ngokuvumelana nezifiso zakho zokuklwebha isikhumba sakho. Imithi ingenza umehluko omkhulu.
• Uma kungenzeka, gwema izinto ezibangela ukuvuvukala. Abantu abanesifo sofuba bavame ukulimaza isikhumba sabo ezimweni ezithile noma ezimweni ezithile. Ukugwema lezo zinto ezibangela ukuvuvukala kungenza umehluko omkhulu.
• Susa amathuba okuklwebha. Abantu abane-dermatotillomania bangase bazuze kumadivayisi okuklwebha noma eminye imisebenzi egcina izandla zabo zimatasa futhi ibasize bagweme ukuklwebha. Ezinye izindlela zokugwema ukuklwebha zifaka phakathi ukugqoka amasokisi noma ukugqoka izingubo ezivimbela ukuklwebha.

Kufanele ngiye nini egumbini lezimo eziphuthumayo (ETU) ?

Abantu abane-`(Dermatillomania)` ngokuvamile abadingi ukwelashwa okuphuthumayo ngaphandle kokuthi balimele kakhulu ngenxa yalesi simo. Kufanele ufune usizo lwezokwelapha uma wopha kakhulu noma unezimpawu zokutheleleka. Izimpawu zokutheleleka, okuhlanganisa izimo ezisongela ukuphila njenge-`(Sepsis)` zifaka:

• Ukuvuvukala, ukubomvu, noma olunye ushintsho lombala oluzungeze inxeba.
• Ukushaya kwenhliziyo okusheshayo noma ukuphefumula.
• Umkhuhlane noma ukubanda.
• Ukudideka noma ukuphambana kwengqondo.
• Ukuzizwa unesizungu noma ukuphelelwa amandla ngenxa yomfutho wegazi ophansi.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Dermatillomania yisimo sempilo yengqondo esingaba nomthelela omkhulu empilweni yakho. Imizwa yokuhlazeka, ukukhathazeka, kanye nomuzwa wecala ivamile. Kodwa awuwedwa. Ukubona udokotela kungakusiza ukunqoba le mizwa futhi uthole ukwelashwa kwalesi simo. Odokotela banokuqeqeshwa okukhethekile kanye nolwazi ekwelapheni lezi zimo kanye nemiphumela yazo. Bangakusiza futhi uzizwe ukhululekile ukuthola ukwelashwa okudingayo.

Ngokwelashwa, abantu abaningi bangakwazi ukulawula noma ukunqoba lesi simo. Lokhu kusho ukuthi ungagxila ezintweni ofuna ukuzenza empilweni esikhundleni sokukhathazeka ngalokho abantu abazokubona noma abazokucabanga ngawe. Ngakho-ke, uma unalezi zimpawu, sicela ufune iseluleko sezokwelapha.

I- Dermatillomania, Ukukhetha isikhumba, Isifo sokuphazamiseka kokukhathazeka, Ukukhetha isikhumba okuphoqelekile, Impilo yengqondo, okuhlobene ne-OCD, Ukulimala kwesikhumba, Ukukhetha isikhumba, Ukuphuka kwesikhumba, Impilo yengqondo, Izifo zesikhumba