Yaşlanma Korkusu
8 Eylül 2022
Kleptomani (Çalma Hastalığı)
16 Eylül 2022
Trikotilomani (Saç Koparma Hastalığı) Nedir?
Trikotilomani ya da halk arasında bilinen adıyla saç koparma hastalığı,
Kişinin saç çekme/koparma isteği duyduğu, tekrarlayıcı bir şekilde saç tellerini, kirpik, kaş ya da diğer vücut kıllarını kopararak kendisine zarar verme hastalığıdır. Bu hastalıkta kişi saç çekme veya koparma dürtüsü duyduğu zaman başka herhangi bir şeye odaklanamaz ancak bu dürtüye uygun davranarak saç çektiğinde ya da kopardığında stres düzeyi azalır ve kişi rahatlamış hisseder.
Saç koparma hastalığı olan hastalarda, saçlı deri zarar görebilir, ciddi saç kaybı ve kelleşme oluşabilir, daha ciddi vakalarda zarar gören doku enfekte olup daha ciddi sağlık sorunlarına sebep olabilir. Trikotilomani hastaları bazen kel bölgeleri saklamak için saçlarını uzatabilir veya daha farklı çözüm yolları deneyebilirler.
Kişinin saç çekme isteği farklı duygularla da bağlantılı olabilir. Anksiyete, stres, gerginlik, hayal kırıklığı gibi olumsuz duygularla başa çıkmak için veya saç koparma eylemi sırasında hissettiği tatmin gibi olumlu duyguları hissetmeye devam etmek için olabilir.
Trikotilomani çocukluk döneminde kız ve erkek çocuklarında eşit seviyede görülürken yetişkinlikte kadınlarda daha sık görülmektedir. Araştırmalara göre kadınlarda adet döngüleri ve hamilelik gibi hormonal değişikliklerle bir ilişkilidir. Dönemsel olarak artıp azalabilir.
Trikotilomaninin belirtileri
Kişilerde pek çok farklı belirtiler göstererek ortaya çıkabilir.
• Tekrarlayıcı bir biçimde saç, kirpik, kaş gibi vücut kıllarını koparma isteği
• Koparma isteği öncesinde, koparma isteğine direnmeye çalışırken gerginlik hissetme
• Koparma davranışı sonrası rahatlama hissi, tatmin
• Saçlı bölgede seyrekleşme, kelleşme
• Kendine ritüel oluşturma
• Koparılan saçları ısırma, çiğneme
• Koparılan saçı yeme bozukluğu (trikofaji)
• Saç koparma davranışı sebebiyle iş-okul hayatında zorluk yaşama
Tekrarlayan saç koparma davranışı sonucunda saç azalması veya kelleşme sonrası bazı psikolojik rahatsızlıklar ortaya çıkabilir veya trikotilomani aşağıdaki bazı mental rahatsızlıklara beraber ortaya çıkabilir.
• Obsesif Kompülsif Bozukluk (OKB)
• Anksiyete
• Depresyon
• Otizm
• Dikkat Eksikliği ve Hiperaktivite Bozukluğu (DEHB)
Sebebi tam olarak aydınlatılamamıştır ancak hastalığın gelişiminde hem çevresel hem de kalıtsal faktörlerin etkili olduğu düşünülmektedir.
Trikotilomaninin Tedavi Yöntemleri
Tedavi sürecinde psikoterapi ve ilaç tedavisi uygulanır. Genel olarak bilişsel davranışçı uygulanır, terapi planı semptomların şiddetine göre değişiklik göstermektedir. Saç-kıl yeme durumunda mide-bağırsak sistemi rahatsızlıkları da ortaya çıkabilir ve genel cerrahi desteği gerekebilir.
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