Trichotillomania: Zizindikiro ndi Zoyambitsa

Trichotillomania: Zizindikiro ndi Zoyambitsa

Trichotillomania, yomwe imadziwikanso kuti trichotillomania kapena trichotillomania, ndi mtundu wa matenda osokonekera omwe munthu amakhala ndi chikhumbo chofuna kukokera tsitsi mobwerezabwereza, kuchokera kumutu kapena nsidze. kutayika tsitsi kapena kuwonongeka kwa magwiridwe antchito, malinga ndi lipoti lofalitsidwa ndi tsamba la Boldsky, lomwe likukhudzana ndi zaumoyo.

Zomwe zimayambitsa kukokera tsitsi

Zomwe zimayambitsa TTM sizikudziwikabe, koma kupsinjika ndi nkhawa ndizomwe zimayambitsa vutoli. Zinthu zodetsa nkhawa komanso nkhawa zosatha zimalimbikitsa anthu kuzula tsitsi lawo kuti achotse kapena kuthana ndi malingaliro olakwika. Khalidweli limabweretsa kutengeka mtima kapena litha kukhala chizolowezi kwa odwala omwe amakoka tsitsi lawo mobwerezabwereza nthawi iliyonse akakhala ndi nkhawa.

Kupsyinjika ndi nkhawa zimatha kuyambitsidwa ndi kusalinganika kwa majini ndi magwiridwe antchito mu ma neurotransmitters muubongo kapena kupanga ubongo ndi zovuta zomwe zimagwirizanitsidwa ndi vuto lokakamiza motere:

• Zowonongeka muubongo: Kafukufuku akuwonetsa kuti kuchepetsedwa kwa cerebellar voliyumu ndi kukulitsa kwa gyrus yakutsogolo yakumanja (gawo la ubongo lomwe limayang'anira kuzindikira, chidwi, malingaliro, ndikulankhula) kungakhale ena mwamavuto omwe amapangidwa ndi ubongo omwe angayambitse TTM.

• chibadwa cholakwika: Zotsatira za kafukufuku pa TTM zidawonetsa mibadwo itatu ya mabanja. Zotsatira zikuwonetsa kuti TTM imalumikizidwa ndi kusiyanasiyana kosowa mu jini ya SLITRK1, yomwe imayambitsa kusokonezeka kwapang'onopang'ono mwa anthu, kenako ndi TTM. Kusintha kwa majini a Hoxb8 ndi Sapap3 kungayambitsenso machitidwe ngati TTM. Koma chibadwa cha TTM ndi mutu wovuta womwe umafunika kufufuza kwina.

• Kusintha kwa Gray matter: Kafukufuku wina adawona kusintha kwamapangidwe mu imvi yaubongo mwa odwala a TTM. Ofufuzawo akuti odwala omwe ali ndi TTM nthawi zambiri amapezeka kuti ali ndi kachulukidwe ka imvi kumanzere kwa striatum ndi zigawo zingapo za cortical.

• Kusalinganizika kwa ma neurotransmitters muubongo: Kafukufuku wina amati kusintha kwa ma neurotransmitters, monga dopamine, serotonin ndi GABA, kungayambitsenso trichotillomania, komwe kumawongolera kwambiri mkhalidwe wamalingaliro amunthu, ndipo kusintha kwawo kungayambitse mavuto monga obsessive-compulsive disorder, phobias kapena post- PTSD, yomwe ingayambitse TTM.

• zifukwa zina: Izi ndi monga kunyong’onyeka, kukhumudwa, zizindikiro za kuvutika maganizo, kugwiritsa ntchito mankhwala osokoneza bongo kapena kusuta fodya, ndipo akatswiri amakhulupirira kuti vuto la kukokera tsitsi lingakhale chifukwa cha zinthu zonse zimene zatchulidwa pamwambapa.

Zizindikiro zokoka tsitsi

• Kulakalaka kwambiri kuzula tsitsi m'mutu makamaka.
• Nthawi zina kumakoka tsitsi mosazindikira ndikuzindikira pambuyo pake mutawona tsitsi pansi, tebulo kapena tebulo.
• Kufunika kofulumira kuzula tsitsi mutaligwira.
• Kuvutana poyesa kukana kukokera tsitsi.
• Kokani tsitsi mosalekeza kwa ola limodzi kapena awiri.
• Nthawi zina, tsitsi lomwe lagwa pambuyo pozula limamezedwa.
• Kumva kumasuka kapena kukwaniritsidwa pambuyo pokoka tsitsi, nthawi yomweyo kutsatiridwa ndi manyazi.

zowopsa

Zina mwazinthu zomwe zingayambitse TTM ndi monga:

• zaka: TTM nthawi zambiri imayamba ali ndi zaka 10-13. Koma akatswiri amati palibe malire a zaka za TTM chifukwa amathanso kuyambira ali ndi zaka zinayi kapena mutatha zaka XNUMX.
• Jenda: Ambiri omwe ali ndi trichotillomania ndi akazi poyerekeza ndi amuna.
• mbiri yabanja: Zimakhudza anthu ambiri omwe ali ndi mbiri ya banja la obsessive-compulsive disorder, kapena TTM.
• kupsinjika: Kupsinjika kwakukulu kumatha kuyambitsa trichotillomania, ngakhale kwa omwe alibe vuto lililonse la chibadwa kapena magwiridwe antchito.

Zochuluka

Ngati sichimathandizidwa kwa nthawi yayitali, vuto la kukokera tsitsi lingayambitse zovuta monga:

• Kuthothoka tsitsi kosatha.
• Matenda a Trichobezoar, matenda omwe amadziwika ndi unyinji wa tsitsi m'matumbo am'mimba omwe amatsogolera kumavuto akulu am'mimba.
• Vixen.
• Kuwonongeka kwa khungu chifukwa chokoka tsitsi kwambiri.
• Mavuto okhudzana ndi maonekedwe.

Njira zodziwira matenda

Akatswiri amati kufunafuna kuti adziwe kuti ali ndi vutoli sikovuta chifukwa anthu omwe ali ndi TTM nthawi zambiri amaganiza kuti dokotala sangamvetse matenda awo. Zifukwa zina zingaphatikizepo manyazi, kusazindikira, kapena kuopa zochita za akatswiri.

TTM imadziwika makamaka poyang'ana zizindikiro monga kutayika tsitsi. Dokotala angayambe kufunsa mafunso kuti amvetsetse ngati vutoli ndi lachibadwa kapena logwirizana ndi OCD kapena zinthu zina monga kugwiritsa ntchito mankhwala osokoneza bongo.

Madokotala amawonanso machitidwe ena monga kuluma misomali pafupipafupi kapena kuluma pakhungu kuti adziwe momwe alili.

Ngati zizindikiro ndi machitidwe a thupi zimatsimikizira kukoka tsitsi, dokotala angafunikire kuyitanitsa X-ray ya mitsempha ya wodwalayo.

Kodi kukhala chete kulanga ndi chiyani?