Trichotillomania, dzimwe nguva kunonzi TTM kana kutengesa, chirwere umo munhu akawirwadza kazhinji anodurura bvudzi kubva kune chikamu chipi nechipi chemuviri nokuda kwezvikonzero zvisiri zvezora. Nokuda kwekumanikidzirwa kwehutano huno, inoratidzwa muShanduro yeChirangaridzo uye yeStatistical Manual yeMental Disorders (DSM-5) sechinhu chinokanganisa-chinokonzera kushungurudza chirwere .
Zviratidzo
Maererano neDSM-5, trichotillomania ine maitiro mashanu akasiyana:
- Kudzokorora kunokonzera kunze kwebvudzi redu kunokonzera kuonekwa kwebvudzi.
- Chimwe chikonzero chinowedzera chekukanganisika nguva isati yatanga kubvisa bvudzi kana kuti kuedza kudzivisa maitiro.
- Kunakidza, kugutsikana, kana kuregererwa paunodhonza bvudzi.
- Kuvhiringidzika hakusi nani kunoratidzirwa neimwe chirwere chepfungwa uye hachisi nekuda kwechirwere chechirwere chakadai sa alopecia areta.
- Kuvhiringidzika kunokonzera kliniki kunetseka kwakanyanya kana kuora mwoyo mumagariro evanhu, kushanda, kana zvimwe zviitiko zvinokosha zvekushanda.
Ndiani Anowana Trichotillomania?
Trichotillomania chirwere chisingawanzoitiki, chinokonzera kudarika 1% yevanhu. Trichotillomania inogona kukanganisa vanhu vezera rose; zvisinei, zvinoratidzika kuva zvakajairika pakati pevana nevechiri kuyaruka kupfuura vanhu vakuru. Inoratidzika zvakare kuti chimiro che trichotillomania chinoenderana nezera raanotanga.
Vechiduku Vana (Vasati Vapfuura Makore 5 Akare)
Muvana vaduku zvikuru, trichotillomania yakafananidzwa nemimwe miitiro yakadai sechigunwe chinomwa kana kusvetwa kwembambo. Vana vaduku pasi pemakore mashanu vanowanzobvisa vhudzi ravo vasingazivi kana kunyange pavanorara. Nenzira imwechete iyo iyo-kuyamwa kwechigunwe inomira zvisingatauri kuvana vazhinji, vazhinji vevana vanotanga kutora vhudzi ravo panguva ino yezera iri vachamira voga.
Preadolescents neVaduku Vakuru
Nguva yakanyanya kufanana nekutaridzika kwetatu kunotanga iri pakati pemakore 9 ne13. Zvinofadza kuti ruzhinji rwevanhu (70% kusvika ku90%) rwakakanganiswa ne trichotillomania panguva ino ndeyevakadzi. Pakati pevanhu vane trichotillomania vanotanga panguva ino, chirwere ichi chinowedzera kuva chisingaperi mumasikirwo. Mukuwedzera, vanhu ava vanowanzova nemitambo yemiromo inobatanidza nevhudzi revhu, zvakadai sekucheka kana kunyengera miromo kana kunyange kudya mvere.
Vakuru
Trichotillomania iyo inowanzoitika kwekutanga kune vanhu vakuru ingave yechipiri kune imwe chirwere chepfungwa . Kutaura nezvechirwere chikuru chepfungwa chinogona kuunza kuguma kune yechipiri trichotillomania.
Kuziva
Nokuti trichotillomania inogona kufanana nezvimwe zvirwere zvehutano zvinosanganiswa nevhudzi dzakadai seAlopecia areta, kuongororwa kwechirchotillomania kunowanzodikanwa dermatological uye nekuongorora kwepfungwa. Kuongororwa kunogona kunge kwakaoma sezvakaita alopecia isata pachake dzimwe nguva inotanga trichotillomania. Muvari kuyaruka nevakuru, chirwere che trichotillomania chinogona kunge chichidzivirirwa nekusavhiringidza kwomunhu kuti abudise maitiro avo ekudhonza bvudzi.
Kurapa
Kurapa kweTrochotillomania hakuwanzodiki kuvana vaduku chaizvo sezvavanowanzokura kubva.
Zvisinei, kune vanhu vane mazera ekuyaruka-kutanga trichotillomania, kurapwa kunogona kudiwa, kunyanya kana zvichifungidzirwa kuti munhu ari kupedza vhudzi ravo, izvo zvinogona kukonzera kuvhara kwengozi mumagadziriro emimba.
Mafungiro ehutano hwemagariro akaratidza humwe hutano mukurapa trichotillomania. Chinonyanya kukosha pakati peizvi ndiko tsika yekuchinja mishonga . Chirongwa chekuchinja chirapa chinosanganisira kuzviona-kutarisa kwezviito, kuvandudza maitiro ekugadzirisa matambudziko , kuwedzera rubatsiro rwevanhu uye kurapa kurapa .
Pari zvino, kune huwandu hushoma hwokuti mishonga yakadai sesarotonin reuptake inhibitors (SSRIs) kana tricyclic vanodzvinyirira (TCAs) inoshanda mukurapa trichotillomania, saka FDA haina kubvumira chero mishonga yekurapa.
Sources:
Sah, DE, Koo, J., & Price, VH (2008). "Trichotillomania" Dermatologic Therapy 2008 21: 13-21.
Bruce, TO, Barwick, LW, & Wright, HH (2005). "Kuongororwa uye Kutungamirirwa kweTrochotillomania muvana nevana vaduku" Mishonga yemishonga 2005 7: 365-376.
http://www.psychiatryadvisor.com/obsessive-compulsive-disorders/managing-trichotillomania-compulsive-hair-pulling/article/432260/