Nei kubatana pakati Pfungwa Dzako uye Ganda Ringave Rakasimba Kupfuura Zvaunofunga

Zvemukati

• Iko kwepfungwa-ganda kubatana
• Chii chinonzi psychodermatology?
• Psychophysiological kusagadzikana
• Matambudziko epfungwa epfungwa
• Sekondari kusagadzikana kwepfungwa
• Kushushikana uye kushushikana zvinokanganisa sei ganda?
• Uchishandisa nzira yakazara
• Kutora

Kushushikana uye kushushikana, izvo zviviri zvakajairika mamiriro ehutano hwepfungwa eU.S., zvinokanganisa sei ganda? Nzvimbo iri kubuda ye psychodermatology inogona kupa mhinduro - uye yakajeka ganda.

Dzimwe nguva, zvinoita sekunge hapana muhupenyu chinonyanya kunetsekana kupfuura kusakwana kwenguva kwakaputsika. Nekudaro, zvinoita kunge zvine musoro kuti iyo yekumashure inogona zvakare kuve yechokwadi - manzwiro ako anogona kukanganisa ganda rako.

Uye kubatana kuri pakati pepfungwa nemuviri kuri kujeka nezvidzidzo zvitsva mu psychodermatology.

Iko kwepfungwa-ganda kubatana

Rob Novak anga ane eczema kubvira achiri mudiki. Pachikoro chesekondari uye kukoreji, eczema yakanga yatora mawoko ayo kusvika panguva yekuti aisakwanisa kukwazisana nevanhu maoko, kubata miriwo mbishi, kana kusuka ndiro nekuti ganda rake rakanga razara.

Dermatologists haigone kuziva chikonzero. Vakamurongera corticosteroids iyo yakabvisa kurumwa kwenguva pfupi asi pakupedzisira yakapfava ganda rake, ichisiya ichitowedzera kupaza uye hutachiona. Aivewo nekushushikana uye kushushikana, izvo zvakamhanya mumhuri yake yese.

Jess Vine akagarawo neeczema muhupenyu hwake hwese. Steroid uye cortisol makemikari ayo vanachiremba vakaraira aigona kudzikamisa zviratidzo zvake kwechinguva, asi pakupedzisira mapundu aigona kubuda kumwe kunhu.

"Chinhu chidiki," anodaro, "pakanga pakaita muviri wangu wese nekumhanyisa kunotyisa. Maziso angu aive akazvimba kuvhara. Zvese zvaive kumeso kwangu. ”

Panguva iyoyo, aive achishushikana zvakanyanya, izvo zvakakonzera mhinduro loop. "Kushushikana nezveganda rangu kwakaita kuti ganda rangu riwedzere, uye kana ganda rangu rikanyanya, kushushikana kwangu kwakawedzera," anodaro. “Kwanga kusingadzoreki. Ndakatozozvifunga. ”

Pakati pemakumi maviri-makumi maviri, Novak akatora nzira yekubatanidza. Akabvisa chikafu chingave chakawandisa kubva mukudya kwake sezvaaigona, kusanganisira nightshades, gorosi, chibage, mazai, uye mukaka. Izvi zvakabudirira kudzikisira kuomarara kwechizema chake, asi zvakaramba zvichimunetsa.

Acupuncture yakabatsira zvishoma.

Akazongoona kusununguka chaiko paakatanga kurwara nepfungwa uye "kupinda mune zvakadzvinyirirwa zvakanyanya uye kuratidza manzwiro," anodaro. Sezvaakaita izvi, eczema yakachenesa zvachose kekutanga muhupenyu hwake.

Kushushikana kwake uye kushungurudzika zvakare kwakagadziridzwa pamwe nevepfungwa dzepfungwa uye kusunungurwa kwemanzwiro.

Makore gare gare muchikoro chekupedza kudzidza, aine kushushikana kusingaperi uye kushomeka kwehupenyu hwake hwepamoyo kugadzirisa basa rinorema, eczema yakawonekazve.

"Ndakaona kubatana kwakasimba pakati pehuwandu hwemanzwiro angu andiri kudzvinyirira, kushushikana, uye eczema," Novak anodaro.

Muzambiringa wakazvidzidzisa nezve eczema, akagadzirisa nyaya dzekugaya, uye akagamuchira kurapwa kwekusimbisa kushushikana. Ganda rake rakadaira. Iye zvino eczema yake inonyanyo kudzorwa, asi inoputika panguva dzinonetsa.

Kubatanidza hutano hwepfungwa nemamiriro epanyama kunogona kunyengera. Kana nyaya dzehutano dzikaonekwa se "dzepfungwa," chiremba anogona kutadza kuona uye kurapa chaicho chaicho muviri mamiriro.

Ehe, mamwe mamiriro eganda akanyatsoita muviri uye anopindura zvakanaka pakurapwa kwemuviri. Muzviitiko izvi, mumwe munhu haafanire kutarisa kumberi.

Asi kune vazhinji vane eczema isingarapike, acne, psoriasis, uye zvimwe zvinhu zvinomuka nekushushikana, kushushikana, uye kushushikana, psychodermatology inogona kubata kiyi yakakosha yekurapa.

Chii chinonzi psychodermatology?

Psychodermatology chirango chinosanganisa pfungwa (psychiatry uye psychology) uye ganda (dermatology).

Icho chiripo pamharadzano yeiyo neuro-immuno-cutaneous system. Uku ndiko kudyidzana pakati pehurongwa hwemitsipa, ganda, uye immune system.

Tsinga, immune, uye ganda maseru zvinogoverana "." Embryonically, iwo ese anobva kune ectoderm. Ivo vanoramba vachitaurirana uye kukanganisa mumwe nemumwe mukati mehupenyu hwomunhu.

Funga zvinoitika paganda rako kana iwe uchinzwa uchinyadziswa kana kutsamwa. Kushungurudzika mahormone kunowedzera uye kumisikidza kufamba kwakateerana kwezviitiko zvinokonzeresa kuti tsinga dzeropa dziwedzere. Ganda rako rinoita kutsvuka uye ziya.

Manzwiro anogona kukonzera maitiro epanyama. Unogona kutsvedza pane ese dermatological makirimu aunoda, asi kana ukataura pamberi peboka uye uchitya kutaura paruzhinji, ganda rako rinogona kuramba rakatsvuka uye richipisa (kubva mukati nekunze) kunze kwekunge wagadzirisa chinokonzeresa - na kuzvidzikamisa.

Muchokwadi, manejimendi ezveganda mamiriro anoda kurapwa kwepfungwa mune zvinopfuura zvevatariri vema dermatology, yakashuma ongororo ya2007.

Mune mamwe mazwi, saJosie Howard, MD, chiremba wepfungwa ane hunyanzvi mu psychodermatology, anotsanangura, kuti: "Vanosvika makumi matatu muzana yevarwere vanouya muhofisi yedermatology vane kurarama pamwe kwekushushikana kana kushushikana, uye izvo zvingangoita sekurerutsa."

Harvard Medical School purofesa uye chiremba wezvepfungwa Ted Grossbart, PhD, inofungidzira 60 muzana yevanhu vanotsvaga rubatsiro rwechiremba kumatambudziko eganda nemvere vane zvakare kunetseka kwehupenyu.

Iye anotenda musanganiswa wemishonga, kuporesa kwekurapa, uye kurapwa kwedermatological zvinowanzodiwa kuti uwane kutonga kwemamiriro eganda.

Psychodermatologic kusagadzikana kwakakamurwa muzvikamu zvitatu:

Psychophysiological kusagadzikana

Funga eczema, psoriasis, acne, uye mikoko. Uku ndiko kukanganisa kweganda kuri kuwedzera kana, mune dzimwe nguva, kunounzwa nekushushikana kwepfungwa.

Dzimwe pfungwa dzepfungwa dzinogona kutungamira mukuwedzera kuzvimba mumuviri. Muzviitiko izvi, mubatanidzwa wemishonga yedermatological, pamwe nekuzorora uye nehunyanzvi maneja ekugadzirisa, zvinogona kubatsira kubata mamiriro acho.

Kana kushushikana kana kushushikana kwepfungwa kwakanyanya, anti-kunetseka mishonga, senge inosarudza serotonin reuptake inhibitors (SSRIs), inogona kushanda zvakanyanya.

Matambudziko epfungwa epfungwa

Izvi zvinosanganisira mamiriro epfungwa anokonzeresa kukuvara kweganda-wega, senge trichotillomania (kudhonza bvudzi), uye mamwe mamiriro ehutano hwepfungwa anoguma nekutora kana kucheka ganda.

Muzviitiko zvakawanda, ekurapa akanakisa ezvinetso izvi mishonga inosanganisirwa neyekuziva maitiro ekurapa.

Sekondari kusagadzikana kwepfungwa

Aya matambudziko eganda anokonzera matambudziko epfungwa. Semuenzaniso, mamwe mamiriro eganda anosemwa. Vanhu vanogona kusangana nerusarura, kunzwa kusurukirwa munzanga, uye kuzvitarisira pasi.

Mamiriro eganda senge cystic acne, psoriasis, vitiligo, uye zvimwe zvinogona kutungamira mukushushikana uye kusagadzikana. Kunyange chiremba anga asingakwanise kurapa mamiriro eganda, kushanda neyehunyanzvi hutano hutano kunogona kubatsira kukunda kushushikana, kushamwaridzana kwevanhu, uye kushushikana kune hukama nazvo.

Kurapa chero nyonganiso, yakazara, -yese-muviri maitiro kazhinji anonyanya kunaka.

Kushushikana uye kushushikana zvinokanganisa sei ganda?

Saka, kushushikana uye kushushikana, izvo zviviri zvakajairika mamiriro ehutano hwepfungwa eU.S., zvinokanganisa sei ganda?

"Kune nzira nhatu dzinokosha dzinopindirana neganda nepfungwa," Howard anotsanangura. "Kufunganya uye kushushikana kunogona kukonzera kuzvimba, izvo zvinoita kuti ganda ridzivise kushanda uye zvinobvumidza zviri nyore mune zvinogumbura. Ganda rinokwanisa zvakare kurasikirwa nehunyoro uye kupora zvishoma nezvishoma, ”anodaro. Mamiriro ekuzvimba anokonzerwa.

Kechipiri, maitiro ehutano anochinja kana uchinetseka kana kushushikana. “Vanhu vakaora mwoyo vanogona kuregeredza ganda ravo, vasingateedzane nehutsanana kana kushandisa misoro yavanoda kuita acne, eczema, kana psoriasis. Vanhu vanonetseka vanogona kuita zvakawandisa - kunhonga nekushandisa zvakawandisa zvigadzirwa. Seganda ravo parinopindirana, vanotanga kuita zvakawanda nekuwedzera mukutenderera, ”anodaro Howard.

Chekupedzisira, kushushikana uye kushushikana kunogona kushandura kuzviona kwako. "Kana iwe uchinetseka kana kushushikana," anodaro Howard, "kududzira kwako kweganda rako kunogona kuchinja zvakanyanya. Zvese izvozvi zvinobva zvaita basa hombe kwazvo, izvo zvinogona kutungamira mukusaenda kubasa kana kumafaro, uye kudzivirirwa kwezviitiko zvemagariro kunogona kuita kuti kushushikana nekushushikana zvakanyanya. ”

Uchishandisa nzira yakazara

Mazhinji ma psychodermatologists anoshandisa nzira-yakatwasuka-nhatu inoumbwa neyekurapa uye dzidzo yekuzvitarisira, mishonga, uye dermatology.

Semuenzaniso, Howard akashanda nemukadzi wechidiki aive nehunhu hunyoro, kushushikana kwakanyanya uye kushushikana, pamwe nekutora ganda uye muviri dysmorphic kusagadzikana. Nhanho yekutanga yaive yekugadzirisa kwake kunhonga ganda uye kumurapa dermatological kurapwa kwake acne.

Tevere, Howard akamubata kushushikana uye kushushikana neSSRI uye akatanga CBT kutsvaga nzira dziri nani dzekuzvinyaradza pane kunhonga nekutora. Sezvo maitiro emurwere wake uye mamiriro emanzwiro zvaaiwedzera, Howard akakwanisa kugadzirisa masimba akadzika pakati pevamwe muhupenyu hwemukadzi mudiki, izvo zvaikonzera kushushikana kukuru.

Nepo psychodermatology iri imwe nzira isingazivikanwe, humwe humbowo huri kunongedzera mukushanda kwayo mukurapa zvese zvepfungwa uye dermatological kusagadzikana.

vakawana kuti avo vakagamuchira vhiki nhanhatu dzeCBT kuwedzera kune akajairwa psoriasis mishonga vakasangana nekudzikiswa kukuru kwezviratidzo kupfuura avo vari pamushonga chete.

Vatsvakurudzi vakawanawo kushushikana kwepfungwa kuve ndiyo inowanzo kukonzera kupisa kwe psoriasis, kupfuura kutapukirwa, kudya, mishonga uye mamiriro ekunze. Vanenge makumi manomwe neshanu muzana evatori vechikamu vakataura kuti kushushikana kunokonzera.

Kutora

Kufunga kumashure kune edu akadikitira, akatsvuka-akatarisana neruzhinji mutauri, hazvishamise kuti manzwiro edu uye mamiriro epfungwa anokanganisa ganda redu, sekukanganisa kwazvinoita zvimwe zvikamu zvehutano hwedu.

Izvi hazvireve kuti iwe unogona kufunga kubvisa acne yako kana kugadzirisa psoriasis pasina mushonga. Asi zvinoratidza kuti kana uine ganda rakaomarara risingazopindure pakurapwa dermatological chete, zvingave zvinobatsira kutsvaga psychodermatologist kuti ikubatsire kurarama wakasununguka paganda rauri.

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