Kungani Isixhumanisi Esiphakathi Kwengqondo Nesikhumba Sakho Singaqina Kunalokho Okucabangayo

-Delile

• Ukuxhumeka kwesikhumba kwengqondo
• Yini i-psychodermatology?
• Ukuphazamiseka kwengqondo
• Izinkinga eziyinhloko zengqondo
• Ukuphazamiseka kwengqondo kwesibili
• Ukukhathazeka nokudangala kuthinta kanjani isikhumba?
• Kusetshenziswa indlela ephelele
• Ukuthatha

Ukukhathazeka nokudangala, okuyizimo ezimbili ezivame kakhulu zempilo yengqondo yase-U.S. Zithinta kanjani isikhumba? Inkambu evelayo ye-psychodermatology ingahlinzeka ngempendulo - nesikhumba esicacile.

Kwesinye isikhathi, kuzwakala sengathi akukho lutho empilweni olucindezela ukwedlula ukuphuma kwesikhashana. Ngakho-ke, kubonakala kunengqondo ukuthi ukuhlanekezela nakho kungaba yiqiniso - imizwelo yakho ingathinta isikhumba sakho.

Futhi ukuxhumana phakathi kwengqondo nomzimba kuya kucaca ngezifundo ezintsha kwi-psychodermatology.

Ukuxhumeka kwesikhumba kwengqondo

URob Novak ubene-eczema kusukela esemncane. Kuwo wonke amabanga aphakeme nasekolishi, i-eczema yayithathe izandla zayo kwaze kwaba seqophelweni lokuthi ingakwazi ukuxhawula abantu, ukuphatha imifino eluhlaza, noma ukugeza izitsha ngoba isikhumba sayo besivuvukele kakhulu.

Odokotela besikhumba abakwazanga ukukhomba imbangela. Bammisela ama-corticosteroids aqeda ukulunywa isikhashana kepha ekugcineni anciphisa isikhumba sakhe, asishiya sithambekele ekuqhekekeni nasekutheleleni. Wayephinde abe nokukhathazeka nokudangala, okwakuqhubeka kuwo wonke umndeni wakhe.

UJess Vine uphinde waphila ne-eczema impilo yakhe yonke. Ama-steroid kanye nama-cortisol okhilimu odokotela bakhe abawanikeze ukuthi bazonciphisa izimpawu zakhe okwesikhashana, kepha ekugcineni ukuqubuka kuzovela kwenye indawo.

Uthi: “Iphuzu lapho ngangincike khona kwaba lapho umzimba wami wonke uqubuka kakhulu. Amehlo ami abedumbile avalekile. Kwakugcwele ebusweni bami. ”

Ngaleso sikhathi, wayebhekene nokukhathazeka okuningi, okwadala iluphu yokuphendula. "Ukukhathazeka ngesikhumba sami kwenze isikhumba sami saba sibi kakhulu, kwathi lapho isikhumba sami siba sibi kakhulu, ukukhathazeka kwami ​​kwaba kubi kakhulu," esho. “Bekungalawuleki. Bekufanele ngikuthole. ”

Maphakathi no-20s wakhe, uNovak uthathe indlela yokuhlanganisa. Ususe ukudla okuningi okungahle kube nokuvuvukala ekudleni kwakhe ngangokunokwenzeka, kufaka phakathi ama-nightshades, ukolweni, ummbila, amaqanda nobisi. Lokhu kuphumelele ekwehliseni ubunzima be-eczema yakhe, kepha kusamkhathaza.

Ukulungiswa kwesikhumba kusize kancane.

Uthole ukukhululeka kwangempela lapho eqala ukwenza ukwelashwa kwengqondo kwe-somatic futhi "ngokushaya imizwa ecindezelwe kakhulu futhi ezwakalisa imizwa," esho. Njengoba enza lokhu, i-eczema yahlanza ngokuphelele okokuqala ngqa empilweni yakhe.

Ukukhathazeka nokudangala kwakhe nakho kwathuthuka ngama-psychotherapies kanye nokukhululwa okungokomzwelo.

Eminyakeni eyalandela esikoleni sokuthweswa iziqu, enengcindezi engapheli nokudangala empilweni yakhe engokomzwelo ukuphatha umthwalo osindayo, i-eczema yaphinda yavela.

"Ngibonile ukuxhumana okuqinile phakathi kokuthi imizwa yami engiyicindezelayo, ingcindezi kanye ne-eczema ingakanani," kusho uNovak.

UVine uzifundise nge-eczema, wabhekana nezinkinga zokugaya ukudla, futhi wathola ukwesekwa ngokomzwelo okwelapha ukunciphisa ukukhathazeka kwakhe. Isikhumba sakhe siphendule. Manje i-eczema yakhe ilawulwa kakhulu, kepha iyakhanya ngezikhathi ezinzima.

Ukuxhuma impilo yengqondo nezimo zomzimba kungaba yinkinga. Uma kutholakala ukuthi izindaba zezempilo "zinengqondo," udokotela angahluleka ukuthola nokwelapha okungokoqobo ngokomzimba isimo.

Yebo, ezinye izimo zesikhumba zingokwemvelo kuphela futhi zisabela kahle ekwelashweni ngokomzimba. Kulezo zimo, umuntu akadingi ukubheka phambili.

Kepha kwabaningi abane-eczema engazweli ekwelashweni, umqubuko, i-psoriasis, nezinye izimo eziqhamuka nengcindezi, ukukhathazeka nokudangala, i-psychodermatology ingabamba ukhiye obalulekile ekwelapheni.

Yini i-psychodermatology?

I-Psychodermatology isiyalo esihlanganisa ingqondo (i-psychiatry ne-psychology) nesikhumba (i-dermatology).

Itholakala empambanweni yohlelo lwe-neuro-immuno-cutaneous. Lokhu ukuxhumana phakathi kwesistimu yezinzwa, isikhumba namasosha omzimba.

Amaseli emizwa, amasosha omzimba, nesikhumba abelana ngo "." Ngokwemibungu, konke kususelwa ku-ectoderm. Baqhubeka nokuxhumana futhi bayathintana kukho konke ukuphila komuntu.

Cabanga ngokwenzeka esikhunjeni sakho lapho uzizwa ululazekile noma uthukuthele. Ama-hormone okucindezeleka akhula futhi aqalise uchungechunge lwezenzakalo ezigcina zidale ukuthi imithambo yegazi ivuleke. Isikhumba sakho sibomvu futhi siyajuluka.

Imizwelo ingadala ukusabela okungokomzimba kakhulu. Ungabutha kuwo wonke ukhilimu wesikhumba owufunayo, kepha uma ukhuluma phambi kweqembu futhi unokwesaba ukukhuluma phambi kwabantu, isikhumba sakho sisengaba bomvu futhi sishise (kusuka ngaphakathi ngaphandle) ngaphandle kokuthi ubhekane nezimbangela ezingokomzwelo - ngo wehlise umoya.

Eqinisweni, ukuphathwa kwezimo zesikhumba kudinga ukubonisana nabagula ngengqondo ngaphezu kweziguli zesikhumba, kubike ukubuyekezwa kwango-2007.

Ngamanye amazwi, njengoba kuchaza uJosie Howard, MD, udokotela wezifo zengqondo onolwazi nge-psychodermatology, echaza: “Okungenani amaphesenti angama-30 eziguli angena ehhovisi lezesikhumba abaphila ngokubambisana ekukhathazekeni noma ekucindezelekeni, futhi mhlawumbe lokho kubukelwa phansi.”

Uprofesa waseHarvard Medical School kanye nodokotela wezengqondo uTed Grossbart, PhD, ulinganisela ukuthi amaphesenti angama-60 abantu abafuna usizo lwezokwelapha ezinkingeni zesikhumba nezinwele nabo banengcindezi ebalulekile empilweni.

Ukholelwa ukuthi ukuhlanganiswa kwemithi, ukungenelela kokwelashwa, nokwelashwa kwesikhumba kuvame ukudingeka ukuthola ukulawula izimo zesikhumba.

Izinkinga zePsychodermatologic zehlukaniswe izigaba ezintathu:

Ukuphazamiseka kwengqondo

Cabanga nge-eczema, i-psoriasis, induna, kanye nama-hives. Lokhu ukuphazamiseka kwesikhumba okuba kubi kakhulu noma, kwezinye izimo, okulethwa yingcindezi engokomzwelo.

Izimo ezithile zomzwelo zingaholela ekwandeni kokuvuvukala emzimbeni. Kulezi zimo, inhlanganisela yamakhambi wesikhumba, kanye namasu okuphumula nokuphathwa kwengcindezi, angasiza ukuphatha lesi simo.

Uma ukukhathazeka noma ukucindezelwa ngokomzwelo kunzima, imishanguzo yokulwa nokukhathazeka, njenge-serotonin reuptake inhibitors ekhethiwe (SSRIs), ingasebenza kakhulu.

Izinkinga eziyinhloko zengqondo

Lokhu kubandakanya izimo zengqondo eziholela ekuzilimazeni kwesikhumba okuzenzela, njenge-trichotillomania (ukukhipha izinwele), nezinye izimo zempilo yengqondo eziholela ekukhetheni noma ekusikeni isikhumba.

Ezimweni eziningi, izindlela zokwelashwa ezihamba phambili zalezi zinkinga yimithi ehlanganiswe nokwelashwa kokuziphatha kwengqondo.

Ukuphazamiseka kwengqondo kwesibili

Lezi yizinkinga zesikhumba ezidala izinkinga ezingokwengqondo. Isibonelo, ezinye izimo zesikhumba ziyakhishwa inyumbazana. Abantu bangabhekana nokubandlululwa, bazizwe behlukanisiwe emphakathini, futhi bazenyeze.

Izimo zesikhumba ezifana ne-cystic acne, psoriasis, vitiligo, nokuningi kungaholela ekucindezelekeni nasekukhathazekeni. Ngenkathi udokotela engakwazi ukwelapha isimo sesikhumba, ukusebenza nochwepheshe wezempilo yengqondo kungasiza ekunqobeni ukucindezeleka, ama-phobias ezenhlalo, kanye nokukhathazeka okuhlobene nakho.

Ukwelapha noma yikuphi ukuphazamiseka, indlela ephelele, yomzimba wonke ivame kakhulu.

Ukukhathazeka nokudangala kuthinta kanjani isikhumba?

Ngakho-ke, ingabe ukukhathazeka nokudangala, okuyizimo ezimbili ezivame kakhulu zezempilo yengqondo yase-U.S, kusithinta kanjani isikhumba?

"Kunezindlela ezintathu eziyisisekelo lapho isikhumba nengqondo zihlangana khona," kuchaza uHoward. “Ukukhathazeka nokudangala kungadala impendulo yokuvuvukala, okwenza buthaka ukusebenza kwesithiyo sesikhumba futhi kuvumele kalula izinto ezicasulayo. Isikhumba singalahlekelwa umswakama futhi siphole kancane, ”usho kanje. Izimo zokuvuvukala zibangelwa.

Okwesibili, indlela yokuziphatha kwezempilo iyashintsha lapho ukhathazekile noma ucindezelekile. “Abantu abadangele bangase bangakunaki ukunakekelwa kwesikhumba sabo, bangahambisani nenhlanzeko noma basebenzise izihloko abazidingayo ukuthola induna, i-eczema, noma i-psoriasis. Abantu abakhathazekile bangenza okuningi kakhulu - ukukha nokusebenzisa imikhiqizo eminingi kakhulu. Njengoba isikhumba sabo siphendula, baqala ukwenza okuningi nangaphezulu emjikelezweni obukhali, ”kusho uHoward.

Ekugcineni, ukukhathazeka nokudangala kungaguqula indlela umuntu azibona ngayo. "Lapho ukhathazekile noma ucindezelekile," kusho uHoward, "ukuhumusha kwakho isikhumba sakho kungashintsha kakhulu. Ngokushesha lezo zit ziba yinto enkulu kakhulu, engaholela ekungayi emsebenzini noma emicimbini yokuzijabulisa, nokugwema imisebenzi yomphakathi kungenza ukukhathazeka nokudangala kube kubi kakhulu. ”

Kusetshenziswa indlela ephelele

Iningi lama-psychodermatologists lisebenzisa indlela enamacala amathathu eyakhiwe ngemithi yokwelapha kanye nemfundo yokuzinakekela, imithi kanye nesikhumba.

Isibonelo, uHoward wasebenza nowesifazane osemusha owayenomqubuko omncane, odangele kakhulu kanye nokukhathazeka, kanye nokukha isikhumba kanye nokuphazamiseka komzimba kwe-dysmorphic. Isinyathelo sokuqala kwaba ukubhekana nokukhethwa kwesikhumba sakhe nokuthola ukwelashwa kwesikhumba somqubuko wakhe.

Ngokulandelayo, uHoward welapha ukukhathazeka nokudangala kwakhe nge-SSRI futhi waqala i-CBT ukuthola izindlela ezingcono zokuzitholela kunokukhetha nokuthimula. Ngenkathi imikhuba yesiguli sakhe kanye nesimo somzwelo sithuthuka, uWoward wakwazi ukubhekana nokuguquguquka okujulile kwabantu empilweni yowesifazane osemusha, okwakudala ukukhathazeka kwakhe okukhulu.

Ngenkathi i-psychodermatology ingumkhuba ocashile, ubufakazi obuningi bukhomba ekusebenzeni kwayo ekwelapheni ukuphazamiseka kwengqondo nobudoda.

bathole ukuthi labo abathole amasonto ayisithupha e-CBT ngaphezu kwemithi ejwayelekile ye-psoriasis babone ukwehla okukhulu kwezimpawu kunalezo ezitholakala emithini yodwa.

Abaphenyi baphinde bathola ukuthi ukucindezeleka ngokomzwelo kuyimbangela ejwayelekile yokuqubuka kwe-psoriasis, ngaphezu kwezifo, ukudla, imithi kanye nesimo sezulu. Cishe amaphesenti angama-75 ababambiqhaza abike ukuthi ukucindezeleka kuyimbangela.

Ukuthatha

Uma sicabanga emuva kusipika sethu somphakathi esijulukile nesibukeka sibomvu, akumangalisi ukuthi imizwa yethu nezimo zethu zengqondo zithinta isikhumba sethu, njengoba nje zithinta nezinye izingxenye zempilo yethu.

Lokhu akusho ukuthi ungacabanga umqubuko wakho noma uxazulule i-psoriasis ngaphandle kwemithi. Kodwa kuyasikisela ukuthi uma unenkinga yesikhumba enenkani engeke iphendule ekwelashweni kwesikhumba kukodwa, kungasiza ukuthola i-psychodermatologist ukukusiza uphile ngokunethezeka esikhunjeni okuso.

Umsebenzi kaGila Lyons uvele kwiThe New York Times, Cosmopolitan, Salon, Vox, nokuningi. Usemsebenzini wesikhumbuzo ngokufuna ukwelashwa kwemvelo kokukhathazeka nokuphazamiseka kwesifo kepha abe yisisulu somuntu ongaphansi komunye umnyakazo wezempilo. Izixhumanisi zomsebenzi oshicilelwe zingatholakala ku-www.gilalyons.com. Xhuma naye ku-Twitter, ku-Instagram naku-LinkedIn.