Ndichifukwa Chiyani Ndimadya Zipamba Zanga?

Zamkati

• Nchiyani chimapangitsa anthu kudya nkhanambo?
• Kodi kuopsa kotola nkhanambo ndi chiyani?
• Kodi chithandizo chake ndikutenga ndi kudya nkhanambo?
• Njira zochiritsira
• Mankhwala apakamwa
• Mankhwala apakhungu
• Kodi chiyembekezo cha kutola ndi kudya nkhanambo ndi chiyani?

Chidule

Pafupifupi anthu onse amatenga ziphuphu kapena nkhanambo khungu lawo nthawi ndi nthawi. Koma kwa anthu ena, kusankha khungu kumawabweretsera mavuto, nkhawa, komanso mavuto azaumoyo. Izi zimatha kuchitika munthu akamatola nkhwangwa nthawi zonse ndikudya nkhanambo.

Nchiyani chimapangitsa anthu kudya nkhanambo?

Kutola ndi kudya nkhanambo kumatha kukhala ndi zoyambitsa zingapo. Nthawi zina, munthu amatha kusankha pakhungu lawo osazindikira ngakhale pang'ono kuti akuchita izi. Nthawi zina, munthu amatha kusankha pakhungu lake:

• monga njira yothanirana ndi nkhawa, mkwiyo, kapena chisoni
• monga poyankha magawo akulu azovuta kapena zovuta
• kuchokera kunyong'onyeka kapena chizolowezi
• chifukwa cha mbiri yabanja ya vutoli

Nthawi zina munthu amatha kumva kupumula akatola ndikudya nkhanambo. Komabe, malingaliro awa nthawi zambiri amatsatiridwa ndi manyazi komanso kudziimba mlandu.

Madokotala amatchula zovuta zobwereza khungu mobwerezabwereza monga machitidwe obwerezabwereza thupi (BFRBs). Zimachitika munthu akamatola khungu lake mobwerezabwereza ndipo nthawi zambiri amakhala ndi zolimbikitsa komanso malingaliro otola pakhungu, kuphatikiza kutola nkhanambo. Zitsanzo zina zimaphatikizapo kukoka tsitsi mobwerezabwereza ndikudya kapena kutola misomali yake.

Matendawa nthawi zambiri amawonedwa ngati matenda osokoneza bongo (OCD). Munthu yemwe ali ndi OCD amakhala ndimaganizo, zolimbikitsa, komanso zikhalidwe zomwe zitha kusokoneza moyo wawo watsiku ndi tsiku. Ma BFRB amathanso kuchitika ndi zovuta zamtundu wa thupi komanso kusokonekera.

Pakadali pano, kutola khungu (kuphatikiza kudya nkhanambo) kwalembedwa pamatenda "obsessiveive compulsive and related related" mu Diagnostic and Statistical Manual-5 (DSM-V). Ili ndiye buku lomwe akatswiri azamisala amagwiritsa ntchito pofufuza zovuta zamankhwala.

Malinga ndi The TLC Foundation for Body-Focused Repetitive Behaeve, anthu ambiri amayamba BFRB azaka zapakati pa 11 ndi 15. Kutola khungu kumayambira pazaka za 14 mpaka 15. Komabe, munthu amatha kukhala ndi vutoli msinkhu uliwonse.

Kodi kuopsa kotola nkhanambo ndi chiyani?

Vuto lomwe limakhudza kutola ndi kudya nkhanambo lingakukhudzeni mwakuthupi ndi m'maganizo. Anthu ena amatenga khungu lawo chifukwa chakumva kuda nkhawa komanso kukhumudwa, kapena chizolowezi ichi chingawapangitse kumva izi. Amatha kupewa mayanjano ndi zochitika zomwe zimafunikira kuwonetsa mbali za thupi lawo zomwe adazisankha. Izi zikuphatikizapo kupewa kupita kumalo ngati gombe, dziwe, kapena malo ochitira masewera olimbitsa thupi. Izi zitha kupangitsa kuti munthu azimva kuti akusungulumwa.

Kuphatikiza pa zomwe zimakhudza thanzi lam'mutu, kutola ndi kudya nkhanambo kungayambitse:

• zipsera
• matenda akhungu
• zilonda zosachira

Nthawi zambiri, munthu amatha kunyamula nkhanambo kwambiri kotero kuti mabala ake akhungu amakhala akuya ndikutenga matenda. Izi zitha kufuna chithandizo cha opaleshoni kuti muchepetse kufala kwa kachilomboka.

Kodi chithandizo chake ndikutenga ndi kudya nkhanambo?

Ngati simungaleke kutola ndi kudya nkhanambo nokha, muyenera kupita kuchipatala. Mutha kuyamba ndi dokotala wanu wamkulu kapena wamisala ngati muli nawo.

Njira zochiritsira

Othandizira amatha kugwiritsa ntchito njira, monga chidziwitso cha machitidwe amachitidwe (CBT), omwe atha kuphatikizira kuvomereza ndi kudzipereka kuchipatala (ACT).

Njira ina yothandizira ndi njira yolankhulirana (DBT). Njira yothandizirayi ili ndi ma module anayi omwe adapangidwa kuti athandize munthu yemwe ali ndi vuto lotola khungu:

• kulingalira
• kutengeka kwamalingaliro
• kulolerana mavuto
• zogwira mtima

Lingaliro la kulingalira limaphatikizapo kuzindikira zazomwe zingayambitse nkhanambo ndikuvomera pakakhala zofuna zakunyamula kapena kudya nkhanambo.

Malangizo okhudzika amatanthauza kuthandiza munthu kuzindikira momwe akumvera kuti athe kusintha malingaliro awo kapena momwe akumvera.

Kulolera pamavuto ndi pamene munthu amaphunzira kulekerera momwe akumvera ndikulandila zofuna zawo osagonja ndikubwerera kukatola ndi kudya nkhanambo.

Kuchita bwino pakati pa anthu atha kuphatikizira chithandizo chabanja chomwe chingathandizenso munthu amene akutola ndi kudya nkhanambo. Kutenga nawo mbali pothandizira gulu kungathandize kuphunzitsa anthu am'banja momwe angathandizire wokondedwa wawo.

Mankhwala apakamwa

Kuphatikiza pa njira zochiritsira, dokotala atha kupereka mankhwala kuti athetse nkhawa komanso kukhumudwa komwe kumatha kuyambitsa khungu.

Palibe mankhwala omwe asonyeza kuti amachepetsa kudya kwa nkhanambo. Nthawi zina mungafunike kuyesa mitundu ingapo ya mankhwala kapena mankhwala osakaniza kuti mudziwe chomwe chingakhale chothandiza kwambiri. Zitsanzo ndi izi:

• escitalopram (Lexapro)
• fluoxetine (Prozac)
• mankhwala (Zoloft)
• paroxetine (Paxil)

Mankhwalawa ndi serotonin reuptake inhibitors (SSRIs) yosankha, yomwe imathandizira kuti ma serotonin ambiri amtundu wa neurotransmitter athe kupezeka. Nthawi zina madokotala amapatsa mankhwala oteteza lamotrigine (Lamictal) kuti achepetse kuchuluka kwakunyamula khungu.

Mankhwala apakhungu

Zina zoyambitsa kutola ndi kudya nkhanambo ndi kumva kulasalasa kapena kutentha kwa khungu. Zotsatira zake, adotolo amalimbikitsa kugwiritsa ntchito mankhwala azitsamba kuti muchepetse izi.

Mafuta a antihistamine kapena ma topical steroids amatha kuchepetsa kuyabwa. Mafuta opaka mankhwala (monga lidocaine) kapena ma astringents amathanso kuthandizira kuchepetsa kukhudzidwa komwe kumatha kubweretsa kutola nkhanambo.

Mutha kupeza kuti mutha kuyimitsa kutola khungu kwakanthawi (chikhululukiro), koma nkupitanso patsogolo pambuyo pake (kubwereranso). Chifukwa cha izi, ndikofunikira kuti muzindikire chithandizo chamankhwala komanso chithandizo chamankhwala chomwe chilipo pochotsa khungu. Ngati kubwereranso kumachitika, onani dokotala. Thandizo lilipo.

Kodi chiyembekezo cha kutola ndi kudya nkhanambo ndi chiyani?

Maganizo monga BFRB amawerengedwa kuti ndi okhazikika. Izi zikutanthauza kuti pali mankhwala othandizira kuwachiza, koma vutoli limatha kukhala nthawi yayitali - ngakhale moyo wonse.

Kudziphunzitsa nokha zomwe zimayambitsa matenda anu komanso mankhwala omwe alipo pakadali pano angakuthandizeni kuyamba kuthana ndi vutoli.

Mutha kuyendera TLC Foundation ya Makhalidwe Abwino Obwerezabwereza Thupi kuti mumve zambiri komanso kafukufuku wokhudza mikhalidwe yakunyamula khungu.