Trichotillomania

Trichotillomania waa timo lumis ka timaadda soo noqnoqoshada in timaha la jiido ama la maroojiyo ilaa ay ka go'do. Dadku ma awoodaan inay joojiyaan dhaqankan, xitaa maadaama timahoodu khafiifayaan.

Trichotillomania waa nooc ka mid ah ciladaha xakameynta degdegga ah. Sababaheeda si cad looma fahmin.

Waxay saameyn ku yeelan kartaa ilaa 4% dadka. Haweenka 4 jeer ayey u badan tahay in ragga ay ku dhacdo.

Astaamuhu badanaa waxay bilaabmaan kahor da'da 17 jirka. Timaha waxaa laga yaabaa inay ku soo baxaan wareegyo wareegsan ama madaxa oo dhan. Saameyntu waa muuqaal aan sinnayn. Qofku waxaa laga yaabaa inuu ruugo aagag kale oo timo leh, sida sunnayaasha, baarkooda, ama timaha jirka.

Calaamadahaan waxaa badanaa lagu arkaa carruurta:

• Muuqaal aan sinnayn oo timaha ah
• Balastarro qaawan ama dhammaan timaha oo lumiya (baahin)
• Xiidmaha oo xirma (xannibaadda) haddii dadku cunaan timaha ay soo baxaan
• Jiididda joogtada ah, jiididda, ama qalloocinta timaha
• Diidida timaha jiidaya
• Timaha oo dib u soo baxa oo dareema sida xaab oo ku yaal meelaha qaawan
• Kordhinta dareenka kacsan ka hor timaha jiidaya
• Dabeecadaha kale ee is-dhaawaca
• Dareenka raaxada, raaxada, ama ku qanacsanaanta timaha jiida kadib

Dadka badankood ee cilladan qaba waxay sidoo kale dhibaatooyin kala kulmaan:

• Dareen murugo ama niyad jab
• Walaac
• Is-sawir xumo

Bixiyahaaga daryeelka caafimaad ayaa baari doona maqaarkaaga, timahaaga, iyo madaxaaga. Cad cad ayaa laga soo saari karaa (biopsy) si loo helo sababo kale, sida infekshinka madaxa, iyo in lagu sharxo timaha lumay.

Khubarada kuma heshiin isticmaalka daawada daaweynta. Si kastaba ha noqotee, naltrexone iyo serotonin reuptake inhibitors (SSRIs) ayaa la muujiyay inay wax ku ool u leeyihiin yareynta astaamaha qaar. Daaweynta habdhaqanka iyo ka noqoshada caado ayaa sidoo kale waxtar yeelan kara.

Trichotillomania oo ka bilaabata caruurta yar (wax ka yar 6 sano jir) ayaa laga yaabaa inuu baxo daaweyn la'aan. Dadka badankood, timaha jiidaya waxay ku dhammaanayaan 12 bilood gudahood.

Dadka kale, trichotillomania waa cillad nololeed oo dhan. Si kastaba ha noqotee, daaweyntu waxay inta badan hagaajisaa timaha jiidaya iyo dareenka niyad-jabka, walwalka, ama is-liidashada shakhsiga ah.

Dadku waxay yeelan karaan dhibaatooyin markii ay cunayaan timaha la soo saaray (trichophagia). Tani waxay sababi kartaa xannibaadda mindhicirada ama waxay u horseedi kartaa nafaqo xumo.

Ogaanshaha hore waa qaabka ugu fiican ee ka hortagga maxaa yeelay waxay u horseeddaa daaweyn hore. Hoos u dhaca culeyska fekerka ayaa caawin kara, maxaa yeelay buufiska wuxuu kordhin karaa dabeecadaha qasabka ah.

Trichotillosis; Timo qasab jiidaya

• Trichotillomania - madaxa sare

Websaytka Ururka Cilmi-nafsiga Mareykanka. Cilad-qasab ah iyo xanuunno la xiriira. Gudaha: Ururka Cilmi-nafsiga Mareykanka. Buug-tilmaameedka iyo tirakoobka ee Xanuunada Maskaxda. 5aad. Arlington, VA: Daabacaadda Maskaxda Mareykanka. 2013: 235-264.

Ken KM, Martin KL. Cilladaha timaha. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 682.

Weissman AR, Gould CM, Sanders KM. Ciladaha xakamaynta kicinta. Gudaha: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Isbitaalka Guud ee Massachusetts Isbitaalka Guud ee Caafimaadka Maskaxda. 2aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 23.