

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ukuhlupheka ngobuntu bomzimba (BDD) kuyisimo sengqondo lapho ugxila kakhulu ebuthongweni obubonakala kukhona ebukhoneni bakho, obunqunyiwe abanye abantu abangaluqapheli nhlobo noma abangaluqapheli. Lezi zinkathazo ziwedlula ukukhathazeka okuvamile ngokuthi ubukeka kanjani, futhi zingawuthatha wonke umsebenzi wakho wansuku zonke, zithinte ubuhlobo bakho, umsebenzi wakho, nokuthula kwakho kwengqondo.
Ungase uchithe amahora amaningi usuku ngalunye ucabanga ngalezi zici eziqondene nobuntu, uhlole izigqoko, noma uzame ukufihla noma ukulungisa lokho okubona njengengxaki. Usizi luzwakala lungenamanga, ngisho noma abanye bekuqinisekisa ukuthi ubukeka kahle. Ukuqonda i-BDD yisinyathelo sokuqala sokuthola ukwesekwa nokuphathwa okungakusiza uzizwe kangcono.
Ukuhlupheka ngobuntu bomzimba kuyisimo esinzima sengqondo esibangela ukuba ubona ubuthakathaka ebukhoneni bakho obukhulu noma obungabonakali kwabanye. Ubuchopho bakho buhlala bugxile kulezi ziphambano eziqondene nobuntu, kubenza bazizwe beqapheleke kakhulu futhi bebuhlungu kunalokho abangukona.
Lokhu akuyona into yokuzidla noma ukukhathazeka ngokweqile ngokubonakala. I-BDD ihilela usizi lwangempela lwengqondo olungaphazamisa ikhono lakho lokusebenza ngokujwayelekile. Isimo sihlupha cishe umuntu omunye ku-50, futhi singaqala eminyakeni yobusha, nakuba ngezinye izikhathi siqala ebuntwaneni noma ebudaleni.
Abantu abane-BDD bavame ukugxila ezindaweni ezithile zomzimba ezifana nokwanda kwesikhumba, izinwele, iphunga, noma usayizi wemisipha. Ukukhathazeka kuyaqina kangangokuthi kuthatha amahora amaningi usuku ngalunye futhi kuthinta kakhulu ikhwalithi yokuphila kwakho.
Izimpawu eziyinhloko ze-BDD zigxile ekugxileni okukhulu ebuthongweni obuqondene nobuntu ebukhoneni bakho. Ungase uzibone uchithe isikhathi esiningi ucabanga ngezigaba ezithile zomzimba noma izici ozikholelwa ukuthi zibonakala zingefanelekile noma zingajwayelekile.
Nawa ama-symptom avamile ongawavimba:
Lezi zindlela zivame ukunika impumuzo yesikhashana kuphela, uma kukhona. Ungase uzithole ubanjwe emjikelezweni lapho ukuhlola noma ukulungisa kukwenza uzizwe kubi kunokuba kuhle. Usizi lungaba lukhulu kangangokuthi luthinta ikhono lakho lokuhlala ugxile emsebenzini, esikoleni, noma ebuhlotsheni.
Abanye abantu abane-BDD nabo bahlangabezana ne-muscle dysmorphia, uhlobo oluthile lapho uba nomkhuba wecabanga lokuthi umzimba wakho awunamandla ngokwanele. Lokhu kungabangela ukuzivocavoca ngokweqile, ukusebenzisa ama-steroid, noma ukukhathazeka njalo ngokubonakala uncane noma ubuthakathaka.
I-BDD ngokuvamile iwa ezinhlotsheni ezimbili eziyinhloko ngokusekelwe ekuqapheleni kwakho imicabango yakho nokuziphatha kwakho. Ukuqonda lezi zinhlobo kungakusiza ukuthi uqaphele izindlela ekuphileni kwakho.
Uhlobo lokuqala luhilela ukuqonda okuhle noma okuhle, lapho uqaphela khona ukuthi ukukhathazeka kwakho ngokubukeka kungase kube okweqile noma kungelona iqiniso. Ungase uqonde ukuthi abanye ababoni iziphambeko ozikhathazeka ngazo, kodwa usengakwazi ukuyeka ukuzigxila kuzo.
Uhlobo lwesibili luhilela ukuqonda okubi noma izinkolelo eziyizinkolelo, lapho uqiniseka ngokuphelele khona ukuthi iziphambeko ozibona zicacile futhi zikhathaza abanye. Kulesi simo, ungase ungaqondi ukuthi ukukhathazeka kwakho akulingani nokuqondakala.
Kukhona futhi uhlobo oluthile oluthi yi-muscle dysmorphia, olukwaziwa ngokuthi "i-reverse anorexia." Lokhu kuthinta ikakhulu abantu ababa nokuzikhandla ngomqondo wokuthi imizimba yabo ayinabungo noma ayinamasikhakhane ngokwanele, ngisho noma empeleni bangase babe namasikhakhane kakhulu.
Izimbangela eziqondile ze-BDD aziqondakali ngokuphelele, kodwa ucwaningo luphakamisa ukuthi ithuthukiswa yihlanganisela yezinto eziphilayo, ezingokwengqondo, nezemvelo. Ikhemikhali yengqondo yakho, i-genetics, kanye namava okuphila konke kudlala indima ekutheni ungathuthukisa yini leli simo.
Izinto eziningi zingase zifake isandla ekuthuthukiseni i-BDD:
Kubalulekile ukuqonda ukuthi ukuthuthukisa i-BDD akuyona iphutha lakho. Lezi zinto zingasebenzisana ngezindlela eziyinkimbinkimbi, futhi ukuba nezinto eziyingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile lesimo. Abantu abaningi baba namahloni afanayo ngaphandle kokuthuthukisa i-BDD.
Ngezinye izikhathi i-BDD ivele ngemva komcimbi othile obangela, njengokuphawula okuthile ngobuhle bakho noma ushintsho olukhulu ekuphileni. Noma kunjalo, ubuthakathaka obukhona ngokuvamile bukhona ngaphambi kokuba kube khona i-trigger.
Kufanele ucabangele ukukhuluma nodokotela uma ukukhathazeka ngokubonakala kwakho kuthatha isikhathi esiningi nsuku zonke noma kuhlupha imisebenzi yakho evamile. Usizo lochwepheshe lubaluleke kakhulu uma lezi zinkathazo zithinta ubuhlobo bakho, umsebenzi, noma ukusebenza esikoleni.
Funani usizo lwezokwelapha uma uqaphela lezi zibonakaliso zexwayiso:
Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi ukuze ufuna usizo. Ukungenelela kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kungavimbela isimo ukuthi sithinte impilo yakho kakhulu. Khumbula ukuthi i-BDD iyimo elingaphatheka, futhi ochwepheshe bezempilo yengqondo banezinsiza ezisebenzayo zokusiza.
Uma unemicabango yokulimaza uqobo, funani usizo ngokushesha nge-hotline yengcindezelo, igumbi elijwayelekile, noma umuntu othembekile ekuphileni kwakho. Ukuphepha kwakho kuyinto ebaluleke kakhulu.
Izinto eziningi zingandisa amathuba akho okuthola i-BDD, nakuba ukuba nezinto ezingozi akusho ukuthi uzothola leli simo. Ukuqonda lezi zinto kungakusiza ukuthi uqaphele ubuthakathaka obungaba khona futhi ufuna usizo uma kudingeka.
Lezi zinto zilandelayo zingandisa ingozi yakho:
Izimfanelo zobuntu ezithile zingase futhi zinikeze ingozi, kufaka phakathi ukuzwela okuphezulu ekwenqatshweni, ukuzithoba okuphansi, noma ubunzima bokubekezelela ukungabaza. Izici zomphakathi nezamasiko, njengokudalulwa kwemigomo yobumuhle obungaqondakali ngeendaba, zingase futhi zidlale indima.
Ukuba nalezi zici zengozi akusho ukuthi uqondiswe ekuthuthukiseni i-BDD. Abantu abaningi abanazo izici eziningi zengozi abazithuthukisi le simo, kanti abanye abanazo izinsongo ezicacile bayenza. Ukuhlangana kwezici ezihlukahlukene kuyinkimbinkimbi futhi kuyiqembu.
Uma i-BDD ingaphathwa, ingabangela izinkinga ezinzima ezithinta izindawo eziningi zokuphila kwakho. Ukugxila okukhulu ekukhathazekeni ngokubonakala kungadala uchungechunge lwezinkinga ezidlula kakhulu kunendlela ozizwa ngayo ngokubonakala kwakho.
Izingozi ezivamile zihlanganisa:
Lesi simo singabangela lokho okubizwa ngokuthi "ukuzifihla emphakathini," lapho uthuthukisa khona amasiko amahle ukuze ufihle iziphambeko ozibona. Lokhu kungase kuhilele ukuchitha imali eningi ezingutsheni, ekuphambeni, noma ezesekeli, noma ukugwema ukukhanya okuthile noma izimo ngokuphelele.
Ezimweni ezinzima, abantu abane-BDD bangase babe abantu abagcina ekhaya noma bayeke ngokuphelele ukuxhumana nabantu. Izindaba ezinhle ukuthi ngokwelashwa okufanele, lezi zinkinga zingavikeleka noma ziphinde zilungiswe, zikuvumele ukuthi ubuyisele impilo yakho nobudlelwano bakho.
Nakuba kungekho ndlela eqinisekisiwe yokuvimbela i-BDD, amasu athile angasiza ekuthuthukiseni ingozi yakho noma ubanjwe lesi simo ngokushesha lapho silashwa kalula. Ukwakha ukumelana namakhono okubhekana nezimo ezempilo kungakwazi ukunikeza isivikelo ekuthuthukiseni izimpawu ezinzima.
Nazi ezinye izindlela zokuvimbela:
Kubazali nabantu abanamakhaya, ukwakha indawo ehlonipha abantu ngenxa yemvelo yabo, amakhono, nomusa kunokubonakala kungaba yisivikelo. Ukugwema amazwana ngokubonakala nokulingisa izimo ezempilo zomfanekiso womzimba kusiza futhi.
Uma ubona izimpawu zokuqala zokukhathazeka okukhulu ngokubonakala kuwe noma kumuntu omkhulu, ungalindi ukufuna usizo. Ukungenelela kwangaphambili kungavimbela i-BDD ekuthinteni kakhulu ukusebenza kwempilo.
Ukuxilongwa kwe-BDD kuhilela ukuhlolwa okuphelele ngumchwepheshe wezempilo yengqondo oqeqeshwe ezindabeni zobukhulu bomzimba noma izifo zokukhathazeka. Ayikho i-test eyodwa ye-BDD, ngakho ukuxilongwa kuxhomeke ekuqondeni izimpawu zakho, ukuziphatha kwakho, nokuthi kunomthelela kanjani ekuphileni kwakho kwansuku zonke.
Phakathi nenqubo yokuxilongwa, umhlinzeki wakho wezinsizakalo zezempilo uzokubuza imibuzo eminingana mayelana nezinkathazo zakho zokubonakala, kufaka phakathi isikhathi esiningi osiqeda ucabanga ngazo nokuthi yiziphi izenzo eziyibangela. Uzothanda ukuqonda ukuthi lezi zinkathazo zithinta kanjani umsebenzi wakho, ubuhlobo bakho, nokusebenza kwakho okuphelele.
Ukuxilongwa kwenziwa lapho kutholakale khona izici eziningi: uhlala uqaphela izici ezingabonakali kwabanye, lezi zinkathazo zibangela ukukhathazeka okukhulu noma ukungasebenzi kahle, futhi uhileleka ekuziphatheni okuphindaphindayo noma izenzo zengqondo njengomphendulo ezinkathalweni zakho zokubonakala.
Umhlinzeki wakho uzophinde ahlole ezinye izimo ezingase zibonakale kanye ne-BDD, njengokucindezeleka, izifo zokukhathazeka, isifo sokuqina okukhulu, noma izifo zokudla. Le ndlela ephelele iqinisekisa ukuthi uthola ukwelashwa okufanele kuzo zonke izici zezempilo yakho yengqondo.
Ngezinye izikhathi abantu abane-BDD bayazenza abafuni ukuxoxa ngezinkathazo zabo ngoba besaba ukwahlulelwa noma ukungathathwa ngokungathi sína. Khumbula ukuthi ochwepheshe bezempilo yengqondo bayeqeqeshwe ukuqonda nokuphatha lezi zimo ngobubele nobuchwepheshe.
Izindlela zokwelapha ezisebenza kakhulu ze-BDD yilokhu ukwelashwa kokuziphatha-ngokwengqondo (CBT) kanye nezinye izidakamizwa, ngokuvamile zisetshenziswa ndawonye. Lezi zindlela ezisekelwe ebufakazini zinganciphisa kakhulu izimpawu futhi zikusize ubuyisele ukulawula impilo yakho.
Ukwelashwa ngokuziphatha okuqondwayo okwakhelwe ngokukhethekile i-BDD kuzokusiza ukuthi ubone futhi uguqule izindlela zokucinga nokuziphatha okuqhubekisa ukukhathazeka kwakho ngokubonakala. Uzofunda amakhono okuhlola ukucabanga okuphambukile, ukunciphisa ukuhlola nokuqeda ukuziphatha, nokukhula ngezindlela ezempilo zokubhekana nokuhlupheka.
Imithi engasiza ihlanganisa:
Ukwelashwa kugxila ekusizeni ukuthi uqale uhlangane nezimo oziye wazigwema ngenxa yokukhathazeka ngokubonakala. Lo msebenzi wokudalula wenziwa kancane futhi ngokusekelayo, ukukusiza ukwakha ukuzethemba nokunciphisa ukukhathazeka ngokuhamba kwesikhathi.
Abanye abantu bayazuza emaqenjini wokusekela lapho bangaxhumana khona nabanye abaqonda okuhlangenwe nakho kwabo. Ukwelashwa komndeni kungase futhi kusize, ikakhulukazi kubantu abasebancane noma lapho ubuhlobo bomndeni buthinteke yizimpawu ze-BDD.
Nakuba ukwelashwa kochwepheshe kubalulekile kwi-BDD, kunezindlela eziningi ongazisebenzisa ekhaya ukuze usekele ukululama kwakho. Lezi zindlela zokunakekela ziyasebenza kangcono uma zihlanganiswe nokwelashwa nemithi, hhayi njengokushintsha usizo lochwepheshe.
Izindlela zansuku zonke ezingasiza zihlanganisa:
Dala uhlelo lwansuku zonke oluhlanganisa imisebenzi enenjongo engathintani nokuvela. Lokhu kungase kuhlanganise izinto ozithandayo, ukuzithandela, ukufunda amakhono amasha, noma ukuchitha isikhathi esemvelo. Umgomo ukwandisa ubuwena bakho ngaphezu kokubonakala komzimba.
Uma uqaphela ukuthi ubanjwe yimicabango noma imikhuba ehlobene nokuvela, zama iqhinga lelithi "MISA": Misa lokho okwenzayo, Thatha umoya, Qaphela imicabango nemizwelo yakho ngaphandle kokwahlulela, bese Uqhubeka nomsebenzi ohlelwe kahle, onosizo.
Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuba wenze okuningi ngesikhathi sakho nomhlinzeki wezinsizakalo zempilo futhi kuqinisekise ukuthi uthola ukwesekwa okudingayo. Ukulungiselela futhi kusiza ukunciphisa ukukhathazeka ngokuxoxa ngezihloko ezinzima ezihlobene nezinkathazo zakho zokubonakala.
Ngaphambi kwe-aphoyintimenti yakho, bhala izimpawu zakho, kufaka phakathi isikhathi esiningi osiqeda ucabanga ngezinkathazo zokubonakala nokuthi yimiphi imikhuba ethile oyenza. Qaphela ukuthi lezi zinkinga zithinta kanjani impilo yakho yansuku zonke, ubuhlobo, umsebenzi, noma ukusebenza esikoleni.
Letha uhlu lwemibuzo ofuna ukuyibuza:
Uma ukhululekile, cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni elingakunika umbono owengeziwe nokwesekela. Bangase baphawule izimpawu noma imiphumela ongaziqaphelile noma uzizwe ukhululekile ukuxoxa ngazo.
Tshela iqinisile ngazo zonke izimpawu zakho, ngisho noma uzizwa uhlanya noma uyahlanya. Khumbula ukuthi abahlinzeki bezempilo baye babona lezi zimo ngaphambili futhi bakhona ukusiza, hhayi ukwahlulela. Ukuvula kwakho kuzobaqondisa ukuba banikeze ukunakekelwa okuhle kakhulu esimweni sakho.
I-Body dysmorphic disorder iyisimo sengqondo sangempela, esingelashwa esibangela ukukhathazeka okukhulu ngeziphambeko ezibonwayo ezikhombayo. Uma uhlupheka ngezinkathazo ezikhulu zokubonakala eziphazamisa impilo yakho yansuku zonke, yazi ukuthi awuwedwa futhi usizo luyatholakala.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-BDD iphendula kahle ekwelapheni okulungile. Ngokuhlanganiswa okulungile kokwelashwa, imithi, nokwesekela, abantu abaningi bayabona ukuthuthuka okukhulu ezimpawu zabo nasekhwalithi yempilo.
Ungavumeli ihlazo noma ukukhathazeka kukuvimbe ekufuneni usizo. Ochwepheshe bezempilo yengqondo bayayiqonda i-BDD futhi banamathuluzi asebenzayo okusekela ukutakula kwakho. Uma uthintana nosizo ngokushesha, ngokushesha uzoqala ukuzizwa kangcono futhi ubuyisele impilo yakho ekuhluphekeni okuhlobene nokuvela.
Ukutakula kungenzeka, futhi ufanele uzizwe ukhululekile futhi uqiniseke ngokwakho. Thatha isinyathelo sokuqala sokuthola ukwesekela - wena wekusasa uzokubonga ngakho.
Cha, i-BDD ihlukile kakhulu ekubeni yigugu okuvamile noma ukungabi nesiqiniseko okuvamile ngokubonakala. Nakuba abantu abaningi banokukhathazeka okuthile ngokuthi babukeka kanjani, i-BDD ihilela ukukhathazeka okukhulu, okuqhubekayo okuphazamisa kakhulu ukusebenza kwansuku zonke. Abantu abane-BDD abakhethi ukugxila ekuqapheleni kwabo – ubuchopho babo buhlala buhlala ezintweni ezingalungile ngezindlela ezibangela usizi nokulimala okuqinisile.
I-BDD ayilula ukululama ngaphandle kokwelashwa kwabasebenzi bezempilo. Eqinisweni, izimpawu zivame ukuba zimbi ngokuhamba kwesikhathi ngaphandle kokungenelela, okuholela ekwanda kokuzihlukanisa, ukucindezeleka, nokulimala kokusebenza. Noma kunjalo, ngokwelashwa okuqondile okuhlanganisa ukwelashwa nokwelashwa ngezinye izikhathi, abantu abaningi bayabona ukuthuthuka okukhulu. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kuvimba isimo ekuphazamiseni impilo yakho kakhulu.
I-BDD ithonya abantu abangaba ngu-1 ku-50, okwenza kube yinto evamile kunalokho abantu abaningi abakwaziyo. Ithonya bonke ubulili, nakuba ezinye izifundo zikhomba ukuthi kungaba yinto evamile kakhulu kwabesifazane. Isimo sivame ukuqala eminyakeni yobusha kodwa singaqala ebuntwaneni noma ebuntwini. Abantu abaningi abane-BDD abafuni usizo ngenxa yokuhlazwa noma ukuhlanya, ngakho-ke izinombolo ezingezange zibikwe zingaba ziphezulu.
Izindlela zokuhlobisa umzimba azivame ukunika impumuzo ehlala njalo kubantu abane-BDD futhi zingenza izimpawu zibe zimbi nakakhulu. Ngisho noma izindlela ziphumelela ngokwezobuchwepheshe, abantu abane-BDD bavame ukuhlala benganelisekile noma bathuthukise ukukhathazeka okusha ngokubonakala. Kubalulekile ukubhekana ne-BDD eyingqondo ngokwelashwa kwempilo yengqondo okufanele ngaphambi kokucatshangelwa noma iyiphi indlela yokuhlobisa umzimba. Odokotela abaningi manje bayeqeqeshwe ukuqaphela i-BDD futhi bangase badlulisele iziguli ekuhlolweni kwengqondo kuqala.
Ukusekela umuntu onenkinga ye-BDD kuhilela ukuba nesineke, ububele, nokubakhuthaza ukuba bafune usizo lochwepheshe. Gwema ukubaqinisekisa ngokuphindaphindiwe ngokubonakala kwabo, njengoba lokhu kungaqinisa isimo. Esikhundleni salokho, gxila ezimfanelweni zabo ezinhle ezingahambelani nokuqala futhi ukhuthaze imisebenzi engagxili ekubonakaleni. Lalela ngaphandle kokwahlulela, funda nge-BDD ukuqonda kangcono isipiliyoni sabo, futhi unikeze ukubasiza ukuthola izinsiza zokwelashwa noma uhambe nabo emihlanganweni uma bekhululekile ngalokho.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.