I-Excoriation (Ukukhupha i-Skin) I-Disorder yintlupheko yengqondo eyenza ukukhetha ukuphindaphinda kwesikhumba sakho. Ukuxolisa kungokwakheko lwezinto eziziwayo ezibizwa ngokuba yi-Body-Foceditive Behaviors (BFRBs), ukuziphatha okuzihlambululayo apho abantu bakhupha, bathabatha, baqhekeza okanye bazilume iinwele zabo, isikhumba, okanye iikhonkwane, ezibangele umonakalo emzimbeni, kuquka i-trichotillomania kunye ne-onychophagia.
Ukuzikhethela phakathi kwe-"Obsessive Compulsive and Disorders" kwiNcwadana yokuHlola kunye neStatistical of Metal Distorders, iFifth Edition ( DSM-5 ), i-Disoriation Disorder ayiqhelekanga. Uphando lubonisa ukuba ukukhanda kwesikhumba se-pathological influences 1.4% - 5.4% yabantu abadala base-US, abangama-75% abo bafazi.
Inkqubo yokuxilonga i-DSM-5 ibandakanya:
- Ukukhethwa kwesikhumba okuphindaphindiweyo okubangela izilonda zesikhumba
- Imizamo ephindaphindiweyo yokuyeka ukuziphatha
- Iimpawu zibangelwa ukukhathazeka okanye ukukhubazeka kliniki
- Iimpawu azibangelwa yintsimbi okanye yonyango okanye imeko ye-dermatological
- Iimpawu azichazi kakuhle ngenye ingxaki yesifo sengqondo
Ukuziphatha kokuqoqa isikhumba ehlangabezana neendlela zokuxilonga kwi-Excoriation Disorder ede ngaphezu kweendlela "eziqhelekileyo" zokuzilungisa. Ukuziphatha kokuzilungisa kungenjenjalo ukucatshulwa njengento eyenzekayo ngokuqhubekayo, ngokuqhelekileyo, ukuhlamba, nokuxhuma kwisinye siphelo sesigxina, ngokunyuka ukukhetha, ukutshiza, okanye ukuguqa okubangelwa ukutshabalalisa okanye ukuphazamiseka kwesinye isigxina.
Ukuqala koxinzelelo lweNkcenkcesha kubonakala kwintsholongwane, nangona ukukhanda kwesikhumba kunokuqala nanini na. Inkambo yesi sifo ibhekwa ingapheliyo, kunye neempawu ezithatha ukuxhoma kunye nokuxhamla kwixesha. Kukho ubungqina obusandayo bokuthi ukukhanda kwesikhumba kukho kokusingqongileyo kunye nefuthe lezinto eziphilayo.
I-Disoriation Disorder ijwayele ukuba yintsholongwane. Abo babandakanyeka ekukhoneni isikhumba badla ukukhetha kwiindawo ezininzi zomzimba, ixesha elongezelelweyo, ukujolisa kwipilisi ephilileyo kunye naleyo eyonakaliswe ngaphambili. Iziza zomzimba zingatshintshwa ngokuhamba kwexesha. Nangona umsebenzi wokuziphatha uhluka, kudla ngokuba namava ekuncediseni ukusebenza komzwelo. Iziphumo eziqhelekileyo ezibangelwa zibandakanya: ukunyanzelisa okanye ukuxhatshazwa komzimba ngaphambi kokukhethwa, imizwa engathandekiyo, iingcamango (umzekelo, iingcamango zokunika imvume, iinkolelo malunga nendlela ilusu kufuneka lijonge okanye live ngayo), iimvakalelo (umzekelo, i-bump, indawo embi), kunye / okanye into engathandekiyo yokubonakala kwayo (umz., isiphako esingabonakaliyo). Amava achazwe ngokuqhelekileyo emva kokukhetha ukuziphatha kunokuquka ukunciphisa, ukukhululeka okanye ukuzonwabisa, ubunzima beengqondo okanye ukuhlazeka, ukuphepha, ukuveliswa kwemveliso, i-sequelae yeemvakalelo ezifana nokuxhalaba okanye ukuxinezeleka, izifo zesikhumba, izibazi, izilonda kunye / okanye ukuchithwa.
Igalelo leNkathazo yokuHlabalala ebomini yobomi ingaba yinto ebalulekileyo. Abantu abajongene nokukhanda kwesikhumba bangaphinda babe neentloni kunye neentloni, kwaye ngenxa yoko banokuphepha ezinye iimeko zentlalo, imisebenzi kunye nokunyangwa kwezempilo.
Ngaphezu koko, bahlala behamba ubude obukhulu ukufihla, ukufihla okanye ukukhupha isikhumba esikonakaliswe.
Ulwaphulo olusekelwe kwiNkcazo yokuLungulwa kweziNtu luquka uChnitive-Behavioral Treatment (CBT) -Uqeqesho loHlelo lokuHlaziya (HRT). I-HRT ifaka uqeqesho lokuqwashisa (oko kukuthi, ukuzamekela), ukuchongwa kwezixhobo zokuziphatha, ukulawula ukuvuselela (ukuguqula indawo yokunciphisa amathuba okukhetha ukuziphatha), kunye nokukhuphisana nokuqeqeshwa kweempendulo (ukuchonga indlela yokuziphatha okungahambelani nokukhangela isikhumba) . Ukwamkelwa kweNyango kunye nokuThatholwa kweNkqubo yokuCwangciswa koLwazi (DBT) ukuqeqeshwa kwezakhono, njengezicwangciso zokuzikhethela, kuboniswe ukuba luncedo ekunciphiseni ukuziphatha ukulungiswa kweengxaki kwizifundo zesifo esichaphazelekayo, i-trichotillomania.
Akukho nonyango ye-Pharmacy evunyiweyo ye-FDA ye-Excoriation Disorder. Abanye abantu bafumana i-anti-depressants inceda kakhulu (ngokukodwa, i-Selective Serotonin Reuptake Inhibitors [SSRIs]), ingakumbi ukuba kukho uxhaphazo olwenzekayo kunye nolwazi oluchaphazela ukuziphatha; nangona kunjalo, izifundo zixhasa ubungqina babo obusebenzayo obuhlanganisiweyo. I-N-Acetyl I-Cysteine (NAC), isongezelelo sokutya kunye ne-amino acid echaphazela amanqanaba e-glutamate ebuchosheni, ibonise isithembiso esithile ekunciphiseni ukuziphatha kwabasetyhini abadala.
Funda kabanzi malunga nombhali nomsebenzi wakhe.
Imithombo:
Umbutho wezeMpilo waseMerika. I-Diagnostic and Statistical Manual of Disabilities Disorders, Uhlobo lwesihlanu . 5. IWashington, DC: Umbutho wama-American Psychiatric; 2013: 251-4.
Grant, J., Odlaugh, B., Chamberlin, S., Keuthen, N., Lochner, C., & Stein, D. (2012). "Ukukhathazeka Kwesikhumba." Ngaba i-Psychiatry, i-169: 1143-1149.
Grant JE, Odlaug BL (2009). "Ukuhlaziywa kwi-picking skin". I-Curr Psychiatry I- 11 (4): 283-8.
Trichotillomania Isiko lokuFunda. (2011). Iingcebiso zoNyango lweZonyango zokuThengiswa kweTrochotillomania, ukuCoca kweeNgqamlezo, kunye nezinye iziThutho eziPhambili eziPhambili.