Chifukwa Cholumikizira Pakati Pa Maganizo Anu ndi Khungu Kungakhale Lolimba Kuposa Zomwe Mukuganiza

Zamkati

• Kulumikizana kwa khungu
• Kodi psychodermatology ndi chiyani?
• Matenda a psychophysiological
• Matenda oyambira amisala
• Matenda achiwiri amisala
• Kodi nkhawa ndi kukhumudwa zimakhudza bwanji khungu?
• Kugwiritsa ntchito njira yonse
• Kutenga

Kodi nkhawa ndi kukhumudwa, zomwe zimakhala zofala kwambiri ku United States, zimakhudza bwanji khungu? Gawo lomwe likubwera la psychodermatology lingapereke yankho - ndikhungu loyera.

Nthawi zina, zimangokhala ngati palibe chilichonse pamoyo chomwe chimasangalatsa kwambiri kuposa nthawi yopanda nthawi. Chifukwa chake, zikuwoneka zomveka kuti kusiyanako kungakhalenso kowona - zomwe mumamva zimakhudzanso khungu lanu.

Ndipo kulumikizana pakati pa malingaliro ndi thupi kukuwonekera bwino ndi maphunziro atsopano mu psychodermatology.

Kulumikizana kwa khungu

Rob Novak wakhala ndi chikanga kuyambira ali mwana. Munthawi yonse yasekondale komanso kukoleji, chikanga chidamugwira mpaka kufika polephera kugwirana chanza ndi anthu, kugwira masamba osaphika, kapena kutsuka mbale chifukwa khungu lake linali lotupa kwambiri.

Madokotala a khungu sakanatha kudziwa chifukwa. Anamupatsa ma corticosteroids omwe adachepetsa kuyabwa kwakanthawi koma pomalizira pake adachepetsa khungu lake, ndikusiya kuwonongeka ndi matenda. Anakhalanso ndi nkhawa komanso kukhumudwa, zomwe zimafikira banja lake lonse.

Jess Vine wakhalanso ndi chikanga pamoyo wake wonse. Steroid ndi mafuta a cortisol omwe madokotala ake adamuuza kuti athetse nkhawa zake kwakanthawi, koma pamapeto pake zidzadzala kwina.

Iye anati: “Ndinadabwa pamene thupi langa lonse linachita zotupa. Maso anga adatupa. Zonse zinali pankhope panga. ”

Panthawiyo, anali ndi nkhawa zambiri, zomwe zidapangitsa kuti mayankho abwere. "Kuda nkhawa ndi khungu langa kunapangitsa khungu langa kukulira, ndipo khungu langa litakula, nkhawa yanga idakulirakulira," akutero. “Zinali zosalamulirika. Ndinayenera kuzizindikira. ”

Pakati pa 20s, Novak adagwiritsa ntchito njira yophatikizira. Anachotsa zakudya zambiri zomwe zingakhale zotupa kuchokera pazakudya zake momwe angathere, kuphatikiza ma nightshades, tirigu, chimanga, mazira, ndi mkaka. Izi zidakwanitsa kuchepetsa kukula kwa chikanga chake, komabe zidamuvutabe.

Kutema mphini kunathandiza pang'ono.

Adangopeza mpumulo weniweni pomwe adayamba kuchita zamankhwala amisala komanso "kugundika kwambiri ndikufotokozera zakukhosi," akutero. Pamene amachita izi, chikanga chidachotsedweratu koyamba m'moyo wake.

Kuda nkhawa kwake komanso kukhumudwa kumathandizanso kuthana ndi ma psychotherapies ndikumasulidwa kwamalingaliro.

Zaka zingapo pambuyo pake pomaliza maphunziro kusukulu, ali ndi nkhawa yayitali komanso kukhumudwa pamalingaliro ake kuti athe kugwira ntchito yolemetsa, chikanga chidapezekanso.

"Ndazindikira kulumikizana kwamphamvu pakati pamalingaliro anga omwe ndikupondereza, kupsinjika, ndi chikanga," akutero Novak.

Vine adadziphunzitsa za chikanga, adathetsa mavuto am'mimba, ndikulimbikitsidwa. Khungu lake linayankha. Tsopano chikanga chake chimayang'aniridwa, koma chimayaka panthawi yamavuto.

Kulumikiza thanzi lamaganizidwe ndi thupi kumatha kukhala kovuta. Ngati nkhani zathanzi zimapezeka kuti ndi "zamaganizidwe," dokotala akhoza kulephera kuzindikira ndikuchiritsa zenizeni thupi chikhalidwe.

Inde, khungu lina limakhala lachilengedwe ndipo limayankha bwino ndikamalandira mankhwala. Zikatero, wina safunika kuyang'ananso kwina.

Koma kwa ambiri omwe ali ndi chikanga chosagwira mankhwala, ziphuphu, psoriasis, ndi zina zomwe zimachitika chifukwa cha kupsinjika, nkhawa, ndi kukhumudwa, psychodermatology imatha kukhala ndi chinsinsi chofunikira kuchira.

Kodi psychodermatology ndi chiyani?

Psychodermatology ndi chidziwitso chophatikiza malingaliro (psychiatry ndi psychology) ndi khungu (dermatology).

Ilipo pamphambano ya neuro-immuno-cutaneous system. Uku ndiko kulumikizana pakati pamanjenje, khungu, ndi chitetezo chamthupi.

Minyewa, chitetezo cha mthupi, ndi khungu zimagawana "." Embryonically, onse amachokera ku ectoderm. Amapitilizabe kulumikizana komanso kukhudzika wina ndi mnzake pamoyo wamunthu.

Ganizirani zomwe zimachitika pakhungu lanu mukamachita manyazi kapena kukwiya. Mahomoni opanikizika amakula ndikuyamba zochitika zingapo zomwe pamapeto pake zimapangitsa mitsempha yamagazi kutambalala. Khungu lanu limakhala lofiira komanso thukuta.

Maganizo angayambitse thupi kwambiri. Mutha kuchepa pamatenda onse omwe mukufuna, koma ngati mungayankhule pamaso pa gulu ndikuopa kuyankhula pagulu, khungu lanu limatha kufiira komanso kutentha (kuchokera mkati mpaka kunja) pokhapokha mutayankha kudekha mtima.

M'malo mwake, kasamalidwe ka khungu amafunika kufunsidwa ndi amisala kuposa odwala khungu, adatero kuwunika kwa 2007.

Mwanjira ina, monga a Josie Howard, MD, katswiri wazamisala yemwe ali ndi luso la psychodermatology, akufotokoza kuti: "Osachepera 30 peresenti ya odwala omwe amabwera ku ofesi yothandizira za khungu amakhala ndi nkhawa kapena kukhumudwa, ndipo mwina ndizoperewera."

Pulofesa wa Harvard Medical School komanso katswiri wazamisala Ted Grossbart, PhD, akuti 60% ya anthu omwe amafunafuna chithandizo chamankhwala pakhungu ndi tsitsi nawonso amakhala ndi nkhawa pamoyo wawo.

Amakhulupirira kuti kuphatikiza kwa mankhwala, njira zochiritsira, komanso chithandizo chamankhwala nthawi zambiri zimakhala zofunikira kuti muwongolere khungu.

Matenda a Psychodermatologic adagawika m'magulu atatu:

Matenda a psychophysiological

Ganizirani chikanga, psoriasis, ziphuphu, ndi ming'oma. Awa ndimatenda akhungu omwe amakula kapena, nthawi zina, amabwera chifukwa chovutika m'maganizo.

Zinthu zina zam'maganizo zimatha kubweretsa kutupa m'thupi. Pakadali pano, kuphatikiza kwa mankhwala othandizira pakhungu, komanso kupumula komanso njira zothanirana ndi nkhawa, zitha kuthandizira kuthana ndi vutoli.

Ngati nkhawa kapena kupsinjika kwamaganizidwe kumakhala kovuta, mankhwala olimbana ndi nkhawa, monga serotonin reuptake inhibitors (SSRIs), atha kukhala othandiza kwambiri.

Matenda oyambira amisala

Izi zimakhudzanso matenda amisala omwe amadzipangitsa kuti khungu lizidzivulaza, monga trichotillomania (kukoka tsitsi), ndi matenda ena amisala omwe amabweretsa kusankha kapena kudula khungu.

Nthaŵi zambiri, chithandizo chabwino kwambiri cha mavutowa ndi mankhwala ophatikizidwa ndi machitidwe azidziwitso.

Matenda achiwiri amisala

Awa ndimatenda akhungu omwe amabweretsa mavuto amisala. Mwachitsanzo, khungu lina limasalidwa. Anthu amatha kusalidwa, kudzimva kuti ali okhaokha, komanso kumadziderera.

Khungu monga cystic acne, psoriasis, vitiligo, ndi zina zambiri zimatha kubweretsa kukhumudwa ndi nkhawa. Ngakhale adotolo sangachiritse khungu, kugwira ntchito ndi katswiri wazachipatala kumatha kuthana ndi kukhumudwa, mantha a anthu, komanso nkhawa zokhudzana ndi izi.

Pofuna kuthana ndi vuto lililonse, kulumikizana kwathunthu, thupi lonse nthawi zambiri kumakhala bwino.

Kodi nkhawa ndi kukhumudwa zimakhudza bwanji khungu?

Chifukwa chake, nkhawa ndi kukhumudwa, zomwe ndizofala kwambiri ku United States zaumoyo, zimakhudza bwanji khungu?

"Pali njira zitatu zofunika pakhungu ndi m'maganizo," a Howard akufotokoza. "Kuda nkhawa komanso kukhumudwa kumatha kuyambitsa kutupa, komwe kumafooketsa chotchinga cha khungu ndikulola kosavuta kukwiya. Khungu amathanso kutaya chinyezi ndikumachira pang'onopang'ono, ”akutero. Zinthu zotupa zimayambitsidwa.

Kachiwiri, machitidwe azaumoyo amasintha mukakhala ndi nkhawa kapena kukhumudwa. “Anthu opsinjika mtima amatha kunyalanyaza chisamaliro cha khungu lawo, osasamala zaukhondo kapena kugwiritsa ntchito apakhungu ofunikira ziphuphu, chikanga, kapena psoriasis. Anthu kuda nkhawa atha kuchita zochuluka - kutola ndi kugwiritsa ntchito zinthu zambiri. Pakhungu lawo limachita, amayamba kuchita zambiri mozungulira, "akutero a Howard.

Pomaliza, nkhawa komanso kukhumudwa kumatha kusintha momwe munthu amadzionera. "Mukakhala ndi nkhawa kapena kukhumudwa," akutero a Howard, "kutanthauzira kwanu khungu lanu kumatha kusintha kwambiri. Zonsezi mwadzidzidzi zitakhala chinthu chachikulu kwambiri, chomwe chingapangitse kuti musapite kuntchito kapena kusangalala, komanso kupeŵa zochitika zina kumatha kukulitsa nkhawa komanso kukhumudwa. ”

Kugwiritsa ntchito njira yonse

Ambiri mwa ma psychodermatologists amagwiritsa ntchito njira zitatu zophatikizira maphunziro azodzisamalira, chithandizo chamankhwala, ndi khungu.

Mwachitsanzo, a Howard adagwira ntchito ndi mayi wachichepere yemwe anali ndi ziphuphu zochepa, kupsinjika kwakukulu komanso nkhawa, komanso kutola khungu komanso kusokonezeka kwa thupi. Gawo loyamba linali kumuyankha iye posankha khungu ndikumupatsa chithandizo cha khungu la ziphuphu.

Pambuyo pake, Howard adamuchitira nkhawa ndi kukhumudwa ndi SSRI ndikuyamba CBT kuti apeze njira zabwinoko zodzitonthozera kuposa kutola ndi kufinya. Momwe zizolowezi za wodwalayo komanso momwe amamvera mumtima mwake zikukula, Howard adatha kuthana ndi zovuta zomwe zimachitika pakati pa mtsikanayo, zomwe zimamupangitsa mavuto ambiri.

Ngakhale psychodermatology ndichizolowezi chobisika, umboni wambiri ukusonyeza kuti ndiwothandiza kuthana ndi zovuta zamaganizidwe ndi dermatological.

adapeza kuti omwe adalandira milungu isanu ndi umodzi ya CBT kuphatikiza pa mankhwala wamba a psoriasis adachepetsa kwambiri zizindikilo kuposa omwe amalandira mankhwala okha.

Ofufuzawo adapezanso kuti kupsinjika kwamaganizidwe ndi komwe kumayambitsa kuphulika kwa psoriasis, kuposa matenda, zakudya, mankhwala ndi nyengo. Pafupifupi 75% ya omwe akutenga nawo mbali anena kuti kupsinjika ndi komwe kumayambitsa.

Kutenga

Pokumbukira wolankhula pagulu wathu wotuluka thukuta, wofiira nkhope, sizosadabwitsa kuti malingaliro athu ndi malingaliro athu amakhudza khungu lathu, monganso momwe zimakhudzira mbali zina zathanzi lathu.

Izi sizikutanthauza kuti mutha kuganizira ziphuphu kapena kuthetsa psoriasis popanda mankhwala. Koma zikusonyeza kuti ngati muli ndi vuto la khungu louma lomwe silingayankhe kuchipatala kokha, kungakhale kothandiza kupeza katswiri wama psychopermatologist kuti akuthandizeni kukhala bwino pakhungu lomwe muli.

Ntchito ya Gila Lyons yawonekera mu The New York Times, Cosmopolitan, Salon, Vox, ndi zina zambiri. Ali pantchito yokumbutsa za kufunafuna mankhwala achilengedwe a nkhawa komanso mantha amantha koma kugwidwa ndi omwe akuyendetsa gulu lina lazachipatala. Maulalo a ntchito yofalitsidwa amapezeka pa www.gilalyons.com. Lumikizanani naye pa Twitter, Instagram, ndi LinkedIn.