Matenda

Trichotillomania amatayika tsitsi chifukwa chofunidwa mobwerezabwereza kuti akoke kapena kupotoza tsitsi mpaka litaduka. Anthu amalephera kusiya khalidweli, ngakhale tsitsi lawo limakhala locheperako.

Trichotillomania ndi mtundu wamatenda osokoneza bongo. Zomwe zimayambitsa sizikumveka bwino.

Zitha kukhudza anthu 4%. Amayi ali ndi mwayi wotenga kachilombo ka 4 kuposa amuna.

Zizindikiro nthawi zambiri zimayamba asanakwanitse zaka 17. Tsitsi limatha kutuluka kapena kuzungulira pamutu. Zotsatira zake ndi mawonekedwe osagwirizana. Munthuyo amatha kuthyola malo ena aubweya, monga nsidze, eyelashes, kapena tsitsi lamthupi.

Zizindikiro izi zimawoneka kawirikawiri mwa ana:

• Maonekedwe osagwirizana kutsitsi
• Zigamba kapena zoweta zonse (zozungulira) zotayika
• Kutsekeka kwa matumbo (kutsekeka) ngati anthu adya tsitsi lomwe amatulutsa
• Kukoka nthawi zonse, kukoka, kapena kupotoza tsitsi
• Kukana kukoka tsitsi
• Kubwezeretsanso tsitsi komwe kumamveka ngati chiputu m'malo opanda kanthu
• Kuchulukitsa kwakumverera tsitsi lisanakokedwe
• Zizolowezi zina zodzivulaza
• Kutonthoza, chisangalalo, kapena kukhutitsidwa pambuyo pakakoka tsitsi

Anthu ambiri omwe ali ndi vutoli amakhalanso ndi mavuto ndi:

• Kumva chisoni kapena kukhumudwa
• Nkhawa
• Chithunzi chosaoneka bwino

Wothandizira zaumoyo wanu amayang'ana khungu, tsitsi, ndi khungu lanu. Chidutswa cha minofu chimatha kuchotsedwa (biopsy) kuti mupeze zina, monga matenda am'mutu, ndikufotokozera kutayika kwa tsitsi.

Akatswiri savomereza za kugwiritsa ntchito mankhwala pochiza. Komabe, naltrexone komanso ma serotonin reuptake inhibitors (SSRIs) omwe asankhidwa awonetsedwa kuti ndi othandiza pakuchepetsa zizindikilo zina. Chithandizo chamakhalidwe ndikusintha chizolowezi chitha kukhala chothandiza.

Trichotillomania yomwe imayamba mwa ana aang'ono (ochepera zaka zisanu ndi chimodzi) itha kupita popanda chithandizo. Kwa anthu ambiri, kukoka tsitsi kumatha mkati mwa miyezi 12.

Kwa ena, trichotillomania ndimatenda amoyo wonse. Komabe, chithandizo nthawi zambiri chimakonza kukoka tsitsi komanso kumverera kwachisoni, kuda nkhawa, kapena kudziona ngati wopanda ntchito.

Anthu amatha kukhala ndi zovuta akamadya tsitsi lomwe latulutsidwa (trichophagia). Izi zitha kuyambitsa kutsekeka m'matumbo kapena kuyambitsa kuperewera kwa zakudya m'thupi.

Kuzindikira msanga ndiye njira yabwino kwambiri yodzitetezera chifukwa kumamuthandiza kulandira chithandizo mwachangu. Kuchepetsa kupsinjika kumatha kuthandizira, chifukwa kupsinjika kumatha kukulitsa machitidwe okakamiza.

Trichotillosis; Kukoka tsitsi mokakamiza

• Trichotillomania - pamwamba pamutu

Tsamba la American Psychiatric Association. Matenda osokoneza bongo komanso okhudzana nawo. Mu: American Psychiatric Association. Kusanthula ndi Buku Lophatikiza la Mavuto Amisala. 5th ed. Arlington, VA: Kusindikiza kwa Psychiatric kwa America. 2013: 235-264.

Ken KM, Martin KL. Kusokonezeka kwa tsitsi. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 682.

Weissman AR, Gould CM, Sanders KM. Zovuta zakuwongolera. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 23.