Trichotillomania

I-Trichotillomania yilahleko yeenwele ezivela kwizibongozo eziphindaphindwayo zokutsala okanye ukujija iinwele de ziyekwe. Abantu abakwazi ukuyeka le ndlela yokuziphatha, nanjengoko iinwele zabo zisiya zisiba mncinci.

I-Trichotillomania luhlobo lokuphazamiseka kolawulo olungxamisekileyo. Izizathu zayo aziqondakali ngokucacileyo.

Inokuthi ichaphazele kangange-4% yabemi. Abasetyhini banamaxesha ama-4 anokuchaphazeleka kunamadoda.

Iimpawu zihlala ziqala ngaphambi kweminyaka yobudala eyi-17. Iinwele zinokuphuma zikwimixokelelwane engqukuva okanye zinqumle entloko. Iziphumo zibonakala ngokungalingani. Umntu unokucoca ezinye iindawo ezinoboya, ezinje ngamashiya, iinkophe, okanye iinwele zomzimba.

Ezi mpawu zihlala zibonwa ebantwaneni:

• Inkangeleko engalinganiyo ezinweleni
• Amabala amdaka okanye macala onke (asasazeke) ilahleko yeenwele
• Ukuvaleka kwamathumbu (isithintelo) ukuba abantu batya iinwele abazikhuphileyo
• Ukutsala rhoqo, ukutsala okanye ukujija iinwele
• Ukukhanyela ukutsala iinwele
• Ukuphinda kweenwele eziva ngathi ziindiza kwiindawo ezingenanto
• Ukonyusa ukuqonda koxinzelelo phambi kokutsala kweenwele
• Ezinye iindlela zokuzenzakalisa
• Imvakalelo yokukhululeka, ukonwaba, okanye ukoneliseka emva kokutsala iinwele

Uninzi lwabantu abanale ngxaki banengxaki yoku:

• Ndiziva ndikhathazekile okanye ndidandathekile
• Ixhala
• Ukungaziphathi kakuhle

Umboneleli wakho wezempilo uya kuvavanya ulusu lwakho, iinwele kunye nentloko. Iqhekeza leethishu lingasuswa (i-biopsy) ukuze kufunyanwe ezinye izizathu, ezinjengosulelo entlonzeni, kunye nokuchaza ukulahleka kweenwele.

Iingcali azivumelani ngokusetyenziswa kweyeza kunyango. Nangona kunjalo, i-naltrexone kunye ne-serotonin reuptake inhibitors (SSRIs) ekhethiweyo ibonakalisiwe iyasebenza ekunciphiseni ezinye iimpawu. Unyango ngokuziphatha kunye nokuguqula umkhuba kunokusebenza.

I-Trichotillomania eqala kubantwana abancinci (engaphantsi kweminyaka emi-6 ubudala) inokuhamba ngaphandle konyango. Kubantu abaninzi, ukutsala iinwele kuyaphela kwiinyanga ezili-12.

Kwabanye, i-trichotillomania sisifo esingapheliyo. Nangona kunjalo, unyango luhlala luphucula ukutsala kweenwele kunye neemvakalelo zoxinzelelo, unxunguphalo, okanye ukungazibonakalisi.

Abantu banokuba neengxaki xa besitya iinwele ezikhutshiweyo (i-trichophagia). Oku kunokubangela ukuvaleka emathunjini okanye kukhokelele kwisondlo esibi.

Ukufumanisa kwangoko yeyona ndlela ilungileyo yokuthintela kuba kukhokelela kunyango lwakwangoko. Ukwehla koxinzelelo kunokunceda, kuba uxinzelelo lunokunyusa isimilo esinyanzelekileyo.

Trichotillosis; Ukutsala iinwele okunyanzelekileyo

• I-Trichotillomania - intloko ephezulu

Umbutho weAmerican Psychiatric Association iwebhusayithi. Ukujonga okungafunekiyo okunyanzelekileyo kunye nokunxulumene noko. Ku: Umbutho wezengqondo zaseMelika. Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika. Ngo-2013: 235-264.

UKen KM, uMartin KL. Ukuphazamiseka kweenwele. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 682.

I-Weissman AR, iGould CM, iSanders KM. Ukuphazamiseka kulawulo lwempembelelo. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2016: isahluko 23.