ʻO Trichotillomania

ʻO Trichotillomania ka nalo ʻana o ka lauoho mai nā koi pinepine ʻana e huki a wili paha i ka lauoho a hiki i ka haki ʻana. ʻAʻole hiki i ka poʻe ke hōʻoki i kēia hana, ʻoiai ke lahilahi o ko lākou lauoho.

ʻO Trichotillomania kahi ʻano o ka maʻi ahulau impulsive. ʻAʻole maopopo maopopo kāna kumu.

Hoʻopili paha ia ma kahi o 4% o ka heluna kanaka. ʻOi aku ka hopena o ka wahine ma mua o nā kāne.

Hoʻomaka pinepine nā ʻōuli ma mua o ka makahiki 17. Hiki i ka lauoho ke puka i waho i nā pā pōʻai a i ʻole ka ʻili. ʻO ka hopena he helehelena kaulike ʻole. Hiki paha i ke kanaka ke ʻako i nā wahi huluhulu ʻē aʻe, e like me nā kuʻemaka, maka maka, a lauoho lauoho paha.

ʻIke pinepine ʻia kēia mau ʻōuli i nā keiki:

• ʻO kahi hiʻohiʻona kaulike ʻole i ka lauoho
• Pākuʻi ʻōiwi a puni paha (diffuse) nalo o ka lauoho
• Hoʻopili ka ʻōpū (keakea) inā ʻai ka poʻe i ka lauoho a lākou e huki ai
• Hoʻopili pinepine, huki, a wili paha o ka lauoho
• Ke hōʻole nei i ka huki ʻana o ka lauoho
• ʻO ka ulu hou ʻana o ka lauoho e like me ka ʻōpala i nā wahi ʻōlohelohe
• Hoʻonui i ka manaʻo o ka haunaele ma mua o ka huki ʻana o ka lauoho
• Nā hana ʻeha ʻē aʻe
• ʻO ke ʻoluʻolu, hauʻoli, a ʻoluʻolu paha ma hope o ka huki ʻana o ka lauoho

ʻO ka hapa nui o ka poʻe me kēia maʻi he pilikia pū kekahi me:

• Ke kaumaha a luʻuluʻu paha
• Hopohopo
• Kahi kūlana maikaʻi ʻole

E nānā kāu mea olakino i kou ʻili, lauoho, a me kou poʻo. Hiki ke wehe ʻia kahi ʻāpana o ke kiko (biopsy) e ʻike i nā kumu ʻē aʻe, e like me ka maʻi poʻo o ka ʻili, a wehewehe i ka nalo ʻana o ka lauoho.

ʻAʻole ʻae ka poʻe loea i ka hoʻohana ʻana i ka lāʻau no ka lāʻau. Eia nō naʻe, ua ʻike ʻia ka maikaʻi o ka naltrexone a me nā selotonin reuptake inhibitors (SSRI) i ka hōʻemi ʻana i kekahi mau hōʻailona. Maikaʻi paha ka hoʻomaʻamaʻomaʻomaʻomaʻomaʻomaʻomaʻomaʻo.

ʻO Trichotillomania e hoʻomaka i nā keiki ʻōpio (ma lalo o 6 mau makahiki) e hele me ka ʻole o ka lapaʻau. No ka hapanui o ka poʻe, hoʻopau ka lauoho huki i loko o 12 mau mahina.

No nā poʻe ʻē aʻe, ʻo ka trichotillomania kahi maʻi āpau. Eia nō naʻe, hoʻomaikaʻi pinepine ka hoʻomaʻamaʻa i ka huki ʻana o ka lauoho a me nā manaʻo o ke kaumaha, hopohopo, a me ke ʻano pilikino maikaʻi ʻole.

Hiki i nā kānaka ke loaʻa nā pilikia ke ʻai lākou i ka lauoho i huki ʻia (trichophagia). Hiki i kēia ke kumu i ka blockage i loko o nā ʻōpū a i ʻole ke alakaʻi i ka meaʻai maikaʻi ʻole.

ʻO ka ʻike mua ke ʻano ʻoi loa o ka pale no ka mea ke alakaʻi ia i ka mālama mua. Hiki ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi, no ka mea, hoʻonui ka stress i ka lawena koi.

Trichotillosis; Ka huki lauoho huki

• Trichotillomania - luna o ke poʻo

Pūnaewele ʻAmelika Psychiatric Association. Obsessive-koi a me nā maʻi e pili pū ana. I: ʻAhahui Psychiatric ʻAmelika. Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka Hoʻolaha Psychiatric ʻAmelika. 2013: 235-264.

Ken KM, Martin KL. Nā maʻi o ka lauoho. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 682.

Weissman AR, Gould CM, Sanders KM. Nā maʻi kūlohelohe. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 23.