Kutheni ikhonkco phakathi kwengqondo yakho kunye nolusu kunokuba lomelele kunokuba ucinga

Umxholo

• Unxibelelwano lwengqondo lolusu
• Yintoni i-psychodermatology?
• Ukuphazamiseka kwengqondo
• Ukuphazamiseka kwengqondo okukuqala
• Ukuphazamiseka kwengqondo kwesekondari
• Uxinzelelo kunye noxinzelelo luchaphazela njani ulusu?
• Sebenzisa indlela ebanzi
• Ukuthatha

Ngaba uxinzelelo kunye noxinzelelo, ezona meko zixhaphakileyo zempilo yengqondo yase-U.S, ziluchaphazela njani ulusu? Indawo evelayo ye-psychodermatology inokubonelela ngempendulo-kunye nolusu olucacileyo.

Ngamanye amaxesha, kuvakalelwa ngathi akukho nto ebomini enoxinzelelo ngakumbi kunendlela yokuphuma ngexesha elibi. Ke, kubonakala ngathi inokwenzeka into yokuba ukubuyela umva kunokuba yinyani- iimvakalelo zakho zinokuchaphazela ulusu lwakho.

Kwaye unxibelelwano phakathi kwengqondo nomzimba luyacaca ngakumbi ngezifundo ezitsha kwi-psychodermatology.

Unxibelelwano lwengqondo lolusu

URob Novak uye waba ne-eczema okoko wayesengumntwana. Kuwo wonke amabanga aphakamileyo kunye nekholeji, i-eczema yayithathe izandla zayo ukuya kwinqanaba apho yayingakwaziyo ukuxhawula abantu izandla, ukuphatha imifuno eluhlaza, okanye ukuhlamba izitya kuba ulusu lwayo lwaludumbe kakhulu.

Oogqirha besikhumba abakwazanga kuchonga unobangela. Baye bammisela i-corticosteroids eyakunciphisa ukurhawuzelela okwethutyana kodwa ekugqibeleni wanciphisa isikhumba sakhe, esishiya sithanda ukuqhubeka nokuqhekeka kunye nosulelo. Wayenalo noxinzelelo kunye noxinzelelo, olwalugqitha kulo lonke usapho.

UJess Vine uye waphila ne-eczema ebomini bakhe bonke. I-steroid kunye ne-cortisol creams oogqirha bayo abayalele ukuba bayinciphise okwethutyana iimpawu zayo, kodwa ekugqibeleni irhashalala liza kuvela kwenye indawo.

Uthi: “Ingongoma yayikukuba umzimba wam uphela wabethwa ngumhlaza. Amehlo am ebedumbile. Bekugcwele ebusweni bam. ”

Ngelo xesha, wayejongana noxinzelelo oluninzi, olwabangela ukuba kubekho impendulo engapheliyo. "Ukuxhalaba kwesikhumba sam kwandenza ndanolusu, kwaye xa ulusu lwam luye lubi, ixhala lam laqina," utshilo. “Kwakungalawuleki. Kwafuneka ndiyifumene. ”

Kwiminyaka ye-20s, uNovak uthathe indlela yokudibanisa. Ukuphelisile ukutya okuninzi okunokubangela ukudumba kwindlela yakhe yokutya ngangokunokwenzeka, kubandakanya i-nightshades, ingqolowa, umbona, amaqanda, kunye nobisi. Oku kuphumelele ukunciphisa ubunzima be-eczema yakhe, kodwa yayisamkhathaza.

Unyango olwenziwe ngamalungu omzimba lwanceda kancinci.

Ufumene isiqabu sokwenyani xa aqala ukwenza i-somatic psychotherapy kwaye "ebetha kwiimvakalelo ezixinzekileyo kwaye ebonakalisa iimvakalelo," utshilo. Njengoko wenza oku, i-eczema yahlanjululwa ngokupheleleyo okokuqala ebomini bakhe.

Uxinzelelo kunye noxinzelelo kuye kwaphucuka novavanyo lwengqondo kunye nokukhululwa kweemvakalelo.

Kwiminyaka kamva kwisikolo sokuthweswa isidanga, ngoxinzelelo olungapheliyo kunye nokudakumba kubomi beemvakalelo zakhe ukulawula umthwalo onzima womsebenzi, i-eczema yaphinda yavela.

"Ndiqaphele unxibelelwano olomeleleyo phakathi kobungakanani beemvakalelo zam endizicinezelayo, uxinzelelo, kunye ne-eczema," utshilo uNovak.

Umdiliya uzifundisile malunga ne-eczema, wajongana nemicimbi yokwetyisa, kwaye wafumana unyango lwenkxaso yeemvakalelo ukunciphisa uxinzelelo. Ulusu lwakhe lwasabela. Ngoku i-eczema yakhe ilawulwa ikakhulu, kodwa ngaba iyavela ngexesha loxinzelelo.

Ukuqhagamshela impilo yengqondo kunye neemeko zomzimba kunokuba nzima. Ukuba imiba yezempilo ichongiwe "njengengqondo," ugqirha usenokungaphumeleli ukufumanisa kwaye anyange okwenyani ngokomzimba imeko.

Ewe, ezinye iimeko zolusu zizezendalo kuphela kwaye zisabela kakuhle kunyango lomzimba. Kwezo meko, akukho mfuneko yokuba ujonge phambili.

Kodwa uninzi lwe-eczema enganyangekiyo kunyango, i-acne, i-psoriasis, kunye nezinye iimeko ezinokubakho noxinzelelo, uxinzelelo kunye noxinzelelo, i-psychodermatology inokubamba isitshixo esibalulekileyo ekuphiliseni.

Yintoni i-psychodermatology?

I-Psychodermatology luqeqesho oludibanisa ingqondo (i-psychiatry kunye ne-psychology) kunye nesikhumba (i-dermatology).

Ikhona kwimpambano yenkqubo ye-neuro-immuno-cutaneous system. Oku kukunxibelelana phakathi kwenkqubo yemithambo-luvo, ulusu kunye namajoni omzimba.

Amathambo, amajoni omzimba kunye nolusu babelana ngo "." Ngembungu, zonke zivela kwi-ectoderm. Baqhubeka nokunxibelelana kunye nokuchaphazela omnye umntu kubo bonke ubomi bomntu.

Cinga ngento eyenzekayo kulusu lwakho xa uziva uthotyiwe okanye unomsindo. Uxinzelelo lwehomoni luyonyuka kwaye lusete uthotho lweziganeko ekugqibeleni ezibangela ukuba imithambo yegazi yande. Ulusu lwakho lubomvu krwe nokubila.

Iimvakalelo zinokubangela ukusabela ngokwasemzimbeni. Ungadibanisa zonke iikhrimu zesikhumba ozifunayo, kodwa ukuba uthetha phambi kweqela kwaye unoloyiko lokuthetha esidlangalaleni, ulusu lwakho lusenokuba bomvu kwaye lushushu (ngaphakathi nangaphandle) ngaphandle kokuba ulungise unobangela weemvakalelo- ngu uzole.

Ngapha koko, ukulawulwa kweemeko zolusu kufuna ukubonisana nabantu abagula ngengqondo ngaphezu kwezigulana ezinesikhumba, uxele uphononongo luka-2007.

Ngamanye amagama, njengoJosie Howard, MD, ugqirha wezifo zengqondo onobuchwephesha kwizifundo zengqondo, ucacisa esithi: "Ubuncinane iipesenti ezingama-30 zezigulana ezingena kwiofisi yesikhumba zikhona ukuba noxinezeleko okanye ukudakumba, kwaye loo nto inokuba yinto encinci."

Unjingalwazi weSikolo saseHarvard Medical kunye nochwephesha kwezonyango uTed Grossbart, PhD, uqikelela ukuba iipesenti ezingama-60 zabantu abafuna uncedo lwezonyango kwiingxaki zolusu neenwele nabo banexinzelelo lobomi.

Ukholelwa ukuba indibaniselwano yamayeza, ungenelelo lonyango, kunye nonyango lwesikhumba zihlala ziyimfuneko ukufumana ulawulo lweemeko zolusu.

Ukuphazamiseka kwengqondo kuhlukaniswe ngokwamacandelo amathathu:

Ukuphazamiseka kwengqondo

Cinga i-eczema, i-psoriasis, i-acne, kunye ne-hives. Oku kukuphazamiseka kolusu okuba mandundu okanye, kwezinye iimeko, kubangelwe luxinzelelo lweemvakalelo.

Imeko ezithile zeemvakalelo zinokukhokelela kukonyuka kokudumba emzimbeni. Kwezi meko, indibaniselwano yamayeza e-dermatological, kunye nokuphumla kunye neendlela zokulawula uxinzelelo, kunokunceda ukulawula imeko.

Ukuba uxinzelelo okanye uxinzelelo lweemvakalelo lukhulu, amayeza okulwa noxinzelelo, njengokukhetha i-serotonin reuptake inhibitors (i-SSRIs), inokusebenza kakhulu.

Ukuphazamiseka kwengqondo okukuqala

Oku kubandakanya iimeko zengqondo ezibangela ukonzakala okuzenzekelayo kwesikhumba, njenge-trichotillomania (ukukhupha iinwele), kunye nezinye iimeko zempilo yengqondo ezikhokelela ekukhetheni okanye ekususeni ulusu.

Kwiimeko ezininzi, olona nyango lulungileyo kwezi ngxaki lonyango ludibene nonyango lokuziphatha.

Ukuphazamiseka kwengqondo kwesekondari

Oku kukuphazamiseka kolusu okubangela iingxaki zengqondo. Umzekelo, ezinye iimeko zolusu zibekwa ibala. Abantu banokujamelana nocalucalulo, bazive bekhethelwe ekuhlaleni, kwaye bengajongi phantsi.

Iimeko zesikhumba ezinjenge-cystic acne, i-psoriasis, i-vitiligo, kunye nokunye kunokukhokelela kuxinzelelo kunye noxinzelelo. Ngelixa ugqirha engenakho ukunyanga imeko yolusu, ukusebenza ngengcali yezempilo yengqondo kunokunceda ukoyisa uxinzelelo, i-phobias yentlalo kunye noxinzelelo olunxulumene nayo.

Ukunyanga nakuphi na ukungahambi kakuhle, indlela yokujonga umzimba uphela, eyona nto ilunge kakhulu.

Uxinzelelo kunye noxinzelelo luchaphazela njani ulusu?

Ke, uxinzelelo kunye noxinzelelo, ezona meko zixhaphakileyo zempilo yengqondo yase-U.S, ziluchaphazela njani ulusu?

"Zintathu iindlela ezisisiseko zokuhlangana kolusu nengqondo," ucacisa uWoward. “Ukuxhalaba nokudakumba kunokubangela ukusabela okuvuthayo, okuwenza buthathaka umsebenzi wesithintelo solusu kwaye uvumele ngokulula kwizicaphukisi. Ulusu luyakwazi nokuphulukana nokufuma kwaye luphole kancinci, utshilo. Iimeko zokudumba zibangelwa.

Okwesibini, indlela oziphatha ngayo iyatshintsha xa uxhalabile okanye uxinezelekile. “Abantu abadandathekileyo banokulutyeshela ukhathalelo lwabo lolusu, bangahambelani nococeko okanye basebenzise izihloko abazifunayo kwi-acne, eczema, okanye kwi-psoriasis. Abantu abaxhalabileyo banokwenza okuninzi kakhulu - ukukhetha nokusebenzisa iimveliso ezininzi. Njengokuba ulusu lwabo lusabela, baqala ukwenza ngakumbi nangakumbi kumjikelo we-viscous, utshilo uHoward.

Okokugqibela, unxunguphalo kunye noxinzelelo kunokutshintsha indlela umntu azibona ngayo. "Xa unxunguphele okanye uxinezelekile," utshilo uHoward, "ukutolikwa kolusu lwakho kungatshintsha kakhulu. Ngequbuliso ezi zit iba yinto enkulu kakhulu, enokuthi ikhokelele ekubeni ungayi emsebenzini okanye kwitheko zoluntu, kwaye ukuthintela izinto zentlalo kunokubangela uxinzelelo noxinzelelo. ”

Sebenzisa indlela ebanzi

Uninzi lwee-psychodermatologists zisebenzisa indlela enamacala amathathu enziwe ngonyango kunye nemfundo yokuzinakekela, amayeza kunye nedermatology.

Umzekelo, uHoward wasebenza nebhinqa eliselula elaline-acne encinci, ukudakumba okukhulu kunye noxinzelelo, kunye nokukhetha ulusu kunye nokuphazamiseka komzimba kwi-dysmorphic disorder. Inyathelo lokuqala yayikukujongana nokukhetha ulusu kunye nokufumana unyango lwe-dermatological yamabala akhe.

Emva koko, uWoward waluphatha uxinzelelo kunye noxinzelelo nge-SSRI kwaye waqala nge-CBT ukufumana iindlela ezingcono zokuzonwabisa kunokukhetha kunye nokufunxa. Njengoko imikhwa yesigulana kunye nemeko yeemvakalelo yakhe yayiphucuka, uWoward wakwazi ukujongana neenguqu ezinzulu zabanye kubomi beli bhinqa liselula, ezazibangela uxinzelelo olukhulu kuye.

Ngelixa i-psychodermatology yinto ethile engacacanga, ubungqina obungakumbi bukhomba ekusebenzeni kwayo kunyango kokubini ukuphazamiseka kwengqondo kunye nolusu.

bafumanise ukuba abo bafumana iiveki ezintandathu ze-CBT ukongeza kumayeza asemgangathweni we-psoriasis bafumana ukuncipha okukhulu kweempawu kunalezo zonyango kuphela.

Abaphandi bafumanise uxinzelelo lweemvakalelo njengeyona nto ibangela ukuqhambuka kwe-psoriasis, ngaphezulu kokosuleleka, ukutya, amayeza kunye nemozulu. Phantse iipesenti ezingama-75 zabathathi-nxaxheba baxela ukuba uxinzelelo yinto ebangela.

Ukuthatha

Ukucinga emva kwisithethi esidlangalaleni esibilayo, esibomvu, ayothusi into yokuba iimvakalelo zethu kunye nemeko yethu yengqondo ichaphazela ulusu lwethu, njengoko zichaphazela ezinye iinxalenye zempilo yethu.

Oku akuthethi ukuba ungacinga i-acne yakho okanye usombulule i-psoriasis ngaphandle kweyeza. Kodwa iyacebisa ukuba ukuba unengxaki yolusu olunenkani engazukuphendula kunyango lwedermatological kuphela, kunokuba luncedo ukufuna ugqirha wezengqondo ukukunceda uphile kamnandi kulusu okulo.

Umsebenzi kaGila Lyons uvele kwiThe New York Times, kwiCosmopolitan, eSalon, Vox, nangaphezulu. Usebenza kwimemo malunga nokufuna unyango lwendalo loxinzelelo kunye noloyiko lokuphazamiseka kodwa esiwa lixhoba lesinyanzelo sentshukumo eyahlukileyo yempilo. Unxibelelwano nomsebenzi opapashiweyo unokufumaneka ku-www.gilalyons.com. Nxibelelana naye kwi-Twitter, kwi-Instagram, nakwi-LinkedIn.