I-Trichotillomania

I-Trichotillomania ukulahleka kwezinwele kusuka ezinxuselweni eziphindaphindwayo zokudonsa noma ukusonta izinwele zize ziqhume. Abantu abakwazi ukuyeka lokhu kuziphatha, njengoba izinwele zabo ziba mncane.

I-Trichotillomania uhlobo lokuphazamiseka kokulawula okungalawuleki. Izimbangela zayo aziqondakali kahle.

Kungathinta kakhulu abantu abangafika ku-4%. Abesifazane basengozini ephindwe kane yokuthinteka kunamadoda.

Izimpawu zivame ukuqala ngaphambi kweminyaka yobudala eyi-17. Izinwele zingahle ziphume ngamachashazi ayindilinga noma ngaphesheya kwesikhumba. Umphumela ukubukeka okungalingani. Umuntu angakhipha ezinye izindawo ezinoboya, ezinjengamashiya, izinkophe, noma izinwele zomzimba.

Lezi zimpawu zivame ukubonakala ezinganeni:

• Ukubukeka okungalingani ezinweleni
• Amachashazi amaningi noma ukulahleka kwezinwele nxazonke
• Ukuvaleka kwamathumbu (isithiyo) uma abantu bedla izinwele abazikhiphayo
• Ukudonsa njalo, ukudonsa noma ukusonta izinwele
• Ukuphika ukudonsa izinwele
• Ukuhluma kabusha kwezinwele okuzizwa njengezinhlanga ezindaweni ezingenalutho
• Umqondo okhulayo wokungezwani ngaphambi kokudonsa izinwele
• Ezinye izindlela zokuzilimaza
• Umuzwa wokukhululeka, injabulo, noma ukuthokozisa ngemuva kokudonsa izinwele

Iningi labantu abanale nkinga futhi banezinkinga nge:

• Ukuzizwa udabukile noma ucindezelekile
• Ukukhathazeka
• Isithombe sakho esibi

Umhlinzeki wakho wezokunakekelwa kwempilo uzohlola isikhumba sakho, izinwele, nekhanda lakho. Ingcezu yesicubu ingasuswa (i-biopsy) ukuthola ezinye izimbangela, njengokutheleleka kwesikhumba, nokuchaza ukulahleka kwezinwele.

Ochwepheshe abavumelani ngokusetshenziswa kwemithi ekwelapheni. Kodwa-ke, i-naltrexone kanye ne-serotonin reuptake inhibitors ekhethiwe (SSRIs) ikhonjisiwe ukuthi iyasebenza ekunciphiseni ezinye izimpawu. Ukwelashwa kokuziphatha kanye nokuguqula umkhuba nakho kungasebenza.

I-Trichotillomania eqala ezinganeni ezincane (ezingaphansi kweminyaka engu-6 ubudala) ingahle ihambe ngaphandle kokwelashwa. Kubantu abaningi, ukudonsa izinwele kuphela phakathi nezinyanga eziyi-12.

Kwabanye, i-trichotillomania yisifo sempilo yonke. Kodwa-ke, ukwelashwa kuvame ukuthuthukisa ukudonsa izinwele kanye nemizwa yokudangala, ukukhathazeka, noma ukungaziboni kahle.

Abantu bangaba nezinkinga lapho bedla izinwele ezikhishiwe (i-trichophagia). Lokhu kungadala ukuvaleka emathunjini noma kuholele ekudleni okunomsoco.

Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokuvikela ngoba kuholela ekwelashweni kusenesikhathi. Ukwehla kwengcindezi kungasiza, ngoba ingcindezi ingakhuphula isimilo sokucindezela.

I-trichotillosis; Ukudonsa izinwele okuphoqayo

• I-Trichotillomania - phezulu kwekhanda

Iwebhusayithi yeAmerican Psychiatric Association. Izinkinga ezibukeka ngokweqile nokucindezela okuhlobene. Ku: I-American Psychiatric Association. Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika. 2013: 235-264.

UKen KM, uMartin KL. Ukuphazamiseka kwezinwele. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 682.

I-Weissman AR, iGould CM, iSanders KM. Ukuphazamiseka kokulawula umfutho. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 23.