Ðe vɔvɔ̃ si mesɔ o hã le ŋuwò be yeaɖe aɖuɖɔa? (Emetophobia) - Mina míaƒo nu tso esia ŋu!

Aɖuɖɔtoe menye nusi dzɔa dzi na ame aɖeke o. Ne míagblɔe tututu la, ewɔa nu nyɔŋu be woabu eŋu, alo? Gake ne èdze dɔ alo ɖu nu gbegblẽ la, míeŋlɔnɛ be le ɣeyiɣi aɖe megbe. Gake ɖe nèsena le ɖokuiwò me be yevɔ̃na hetsia dzimaɖi ɣesiaɣi ɖe ʋuʋudedi ŋu, abe ɖe wòle tsatsam le ta me ŋkeke bliboa enea? Ekema ŋutinya sia anɔ vevie na wò ŋutɔ. Esi wònye be menye vɔvɔ̃ vi aɖe koe esia nye o ta la, esia nye dɔléle si wonya le atikewɔwɔ me.

Nukae nye Emetophobia?

Kpuie ko la, emetophobia nye vɔvɔ̃ si gbɔ eme, si mesɔ o be yeaɖe aɖuɖɔ, alo be woakpɔ ye wòaɖe aɖuɖɔ. Enye susumedɔléle. Togbɔ be mía dometɔ aɖeke melɔ̃a ʋuʋudedi o hã la, le go sia me la, vɔvɔ̃a yia ŋgɔ wu alesi wòle be wòanɔ. Esia fia be aɖuɖɔtoe ŋu bubu ŋutɔ hea dzimaɖitsitsi kple nuxaxa gã aɖe vɛ.

Vɔvɔ̃ sia ate ŋu asẽ ale gbegbe be ate ŋu agblẽ nu le wò gbesiagbegbenɔnɔ, wò nyonyo, wò hadomekadodowo, kple wò nuɖuɖu kple nunono ƒe ŋutete gɔ̃ hã ŋu. Ne èse le ɖokuiwò me be yeaɖe aɖuɖɔ, alo ne èkpɔ ame aɖe wòle ʋu ɖum la, àte ŋu avɔ̃ na nusiwo le abe:

• Be nyemate ŋu adzudzɔ ʋuʋudedi o.
• Be ŋu akpe wò le ame bubuwo ŋkume.
• Ele be dɔléle sesẽ aɖewo nanɔ ŋutilãa me.
• Be womate ŋu aɖu wo ɖokui dzi o.

Esiae nye nusi woyɔna be "vɔvɔ̃ tɔxɛ" le Diagnostic and Statistical Manual of Mental Disorders (DSM-5) me. Eyae nye vɔvɔ̃ si mesɔ o na nu alo nɔnɔme aɖe koŋ.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, emetophobia nye nɔnɔme si mebɔ kura o. Woka nya ta be edzea xexeamenɔlawo ƒe 0.1% lɔƒo ko dzi. Ema ade ame ɖeka le akpe ɖeka me. Gake ebɔ vie le nyɔnuwo me wu ŋutsuwo.

Nukawoe nye emetophobia ƒe dzesiwo?

Ne emetophobia le ŋuwò la, àte ŋu akpɔ dzesi siwo gbɔna ne èse alo kpɔ ʋuʋudedi, alo nèse le ɖokuiwò me be yeƒe lãme le ʋuʋum:

Nusiwo sea le wo ɖokui me be yewole susu me:

• Dzimaɖitsitsi geɖe
• Dzimaɖitsitsi, dzimaɖitsitsi
• Nyaƒoɖeamenu sesẽ, susu ƒe fuɖename
• Vɔvɔ̃ ƒe amedzidzedze
• Ewɔna nam abe xexeame katã le gegem ɖe dzinye ene.

Dzesi siwo wosena le wo ɖokui me le ŋutilã me:

Tsɔ kpe ɖe susu ƒe nuteɖeamedzi sia ŋu la, wò ŋutilã ate ŋu aɖe dzesiwo abe esiawo ene hã afia:

• Dzi ƒe tsotso ƒe dzidziɖedzi (se le eɖokui me abe ɖe wòle ƒoƒom ene) .
• Fifia ƒe ʋuʋu
• Ŋutilã ƒe ʋuʋu
• Dɔgbo si le veve sem, ʋuʋudedi
• Sese le ɖokuiwò me abe ɖe wò akɔta xaxa ene
• Taɖuame (vertigo), alɔ̃madɔmadɔ

Nusiwo nèwɔna le vɔvɔ̃ sia ta (nuwɔna ƒe nɔnɔmewo):

Le vɔvɔ̃ si le asiwò be yeaɖe aɖuɖɔ ta la, ɖewohĩ èsrɔ̃ nu siawo tɔgbe wɔwɔ le manyamanya me be yeatsɔ adzra ɖokuiwò ɖo ɖe nusi ate ŋu adzɔ ŋu:

• Media tsileƒe le afisiafi si mayi, eye medzea agbagba be mate ɖe eŋu.
• Memlɔa gbeɖuɖɔgoe ɖe nye aba gbɔ.
• Ƒo asa na bɔs kple ʋu ƒe mɔzɔzɔ didiwo. Ƒo asa na tsi gbɔ yiyi, vevietɔ tɔdziʋuwo, kple roller coasters.
• Ƒo asa na atike siwo yɔa ʋuʋudedi alo ʋuʋudedi be enye eƒe nugbegblẽ le ame ŋu la nono.

Dzesi siwo fia be ɖewohĩ emetophobia le ŋuwò

Àte ŋu akpɔ dzesi siawo le ame aɖe si si vɔvɔ̃ sia le hã ŋu. Ðewohĩ èle nusiawo hã wɔm:

• Didi be yeate nuɖuɖu kple nunono yeyewo kpɔ o.
• Ƒo asa na fiase siwo me nèɖe aɖuɖɔ le va yi, alo nuɖuɖu mawo tɔgbe.
• Nya siwo ku ɖe ʋuʋudedi ŋu zazã ƒe didi ("aɖuɖɔtoe", "ʋuʋudedi").
• Ƒo asa na dɔnɔwo alo teƒe siwo dɔnɔwo le (abe kɔdziwo ene).
• Ƒo asa na nuɖuɖu le gota.
• Hadomewɔnawo kple mɔzɔzɔ dzi ɖeɖe kpɔtɔ.
• Vɔvɔ̃ be yeafɔ fu le ŋdi me dɔléle ta.

Ðewohĩ èle esia hã wɔm:

• Klɔ asi enuenu.
• Meléa ŋku ɖe nye dzoxɔxɔ ŋu ɣesiaɣi hekpɔnɛ ɖa be ŋutilã me kuxi aɖewo le ŋunye hã.
• Woɖoa seɖoƒe na nuɖuɖu agbɔsɔsɔme si woɖuna, eye womeɖua nu ʋɛ aɖewo ko.
• Woɖaa nuɖuɖu ɣeyiɣi didi aɖe be wòawu dɔlékuiwo.
• Tsɔ nuɖuɖu siwo gogo ɣeyiɣia ƒe nuwuwu ƒu gbe.
• Ne ame aɖe le nu ƒom tso aɖuɖɔtoe ŋu la, ewɔa mo si me wodea amii eye wòmiãa ŋku.

Nukawoe hea emetophobia vɛ?

Zi geɖe la , nuteƒekpɔkpɔ si medzea ame ŋu kura o alo esi ɖea fu na ame ŋutɔ si me ʋuʋudedi le gbɔe wòtsona be emetophobia. Bu nane si le abe esia ene ŋu kpɔ:

• Ne èɖe aɖuɖɔ le dutoƒo alo le ƒuƒoƒo aɖe ŋgɔ eye ŋu kpe wò.
• Ne dɔléle sesẽ aɖe abe dɔgbo me dzamezã, nuɖuɖu me aɖi, alo aha sesẽ ƒe aɖi ene le ŋuwò eye nèle ʋuʋum fũu akpa.
• Ne nuɖuɖu tsi wò ŋɔti me.

Nuteƒekpɔkpɔ sia tɔgbe ate ŋu aƒo ke ɖe to ɖe wò susu me vevie, eye vɔvɔ̃ sia ate ŋu aƒo xlãe.

Azɔ hã, emetophobia ate ŋu adzɔ le susu ƒe lãmesẽ ƒe nɔnɔme aɖewo me. Le kpɔɖeŋu me, amesi ŋu nɔnɔme aɖe abe ``Obsessive-Compulsive Disorder (OCD)`` (susu kple nuwɔna siwo womedi o) alo ``nuɖuɖu ƒe kuxi`` le la ate ŋu axɔ vɔvɔ̃ sia wu.

Nukawoe nye nu siawo siwo ʋãa ame?

`Triggers` nye nusiwo hea wò dzesiwo vɛ eye wòdzia ​​wò vɔvɔ̃ ɖe edzi. Le amesi ŋu emetophobia le gome la, nusiwo le abe esiawo ene ateŋu anye `nu siwo ʋãa ame`:

• Sese le eɖokui me be yeƒe lãme le ʋuʋum.
• Ame bubu kpɔkpɔ wòanɔ ʋuʋum.
• Nya siwo do ƒome kple ʋuʋudedi sese alo wo gbɔgblɔ.
• Ne èyi teƒe yeye aɖe la, elabena mènya afisi `(tsileƒe)` si te ɖe ŋuwò wu o.
• Nuɖuɖu kple nunono siwo nana ame ƒe ʋu ɖina tsã la gbɔ nɔnɔ.

Esia le abe tsatsam vɔ̃ɖi aɖe ene . Eyae nye be, ʋuʋudedi kple ʋuʋudedi ƒe dzesi siwo nèvɔ̃na na, siwo kpena ɖe wò vɔvɔ̃ ŋu zi geɖe la ate ŋu asẽ ɖe edzi emegbe. Aɖuɖɔtoea ate ŋu adzi ɖe edzi gɔ̃ hã le esi nèle vɔvɔ̃m ta.

Kuxi siwo ate ŋu ado tso emetophobia gbɔ

Ne womekpɔ vɔvɔ̃ sia gbɔ nyuie o la, ate ŋu ahe kuxi geɖe vɛ.

• Nunyuimakpɔɖu Kple Tsikunɔamesi: Nuɖuɖu kple nunono nyuie ate ŋu ana ŋutilãa nabu nunyiame kple tsi si wòhiã.
• Vɔvɔ̃ bubuwo: Le kpɔɖeŋu me, agoraphobia, si nye vɔvɔ̃ be woado go alo ayi teƒe siwo amewo sɔ gbɔ ɖo.
• Nuɖuɖukuxiwo: Nɔnɔmewo abe nuɖuɖumadzroame si ɖea nuɖuɖu dzi kpɔtɔna vevie.
• Amewo ɖeɖe ɖe aga le hadome: Amewo ate ŋu atsi akogo le esi woɖea woƒe hadomenuwɔnawo dzi kpɔtɔna eye woyia wɔnawo wɔƒe ta.
• Blanuiléle: Vɔvɔ̃ kple dzimaɖitsitsi atraɖii ate ŋu ana ame nabu dzidzɔkpɔkpɔ.

Aleke woawɔ anya emetophobia nyuie? (Dɔléle ƒe dzesi) .

Wò ƒomea ƒe ɖɔkta si nèwɔna edziedzi ate ŋu aɖo wò ɖe susuŋutinunyala alo tagbɔdɔdala gbɔ. Tagbɔdɔdalae nye amesi ate ŋu anya godoo nenye be emetophobia le ŋuwò.

Ðɔktaa abia nya aɖe wò tsitotsito tso wò ŋutinya, nuteƒekpɔkpɔwo, kple dzesiwo ŋu. Zi geɖe la, wosusua emetophobia ne vɔvɔ̃ kple dzimaɖitsitsi sesẽ sia le ŋuwò le ʋuʋudedi ŋu ɣleti ade ya teti .

Ðɔktawo zãa Diagnostic and Statistical Manual of Mental Disorders (DSM-5) tsɔ dea dzesi nɔnɔme siawo. Wodia ŋutilã alo susu me nu bubu siwo gbɔ wò dzesiawo tso hã.

Zi geɖe la, hafi woate ŋu ade dzesi vɔvɔ̃ aɖe la, ele be nu ene siawo ya teti nanɔ anyi:

1. Vɔvɔ̃ sesẽ si mebɔ o: Vɔvɔ̃ na ʋuʋudedi sɔ gbɔ sã wu alesi wòle dzɔdzɔmee eye susu mele eme o.

2. Dzimaɖitsitsi si wokpɔ mɔ na: Nɔnɔme siwo ate ŋu ana ame naɖe aɖuɖɔ ŋu bubu kple vɔvɔ̃ ɣesiaɣi.

3. Ƒo asa na: Ƒo asa na ʋuʋudedi kple nusiwo ate ŋu ado ƒome kplii alesi nàte ŋui. Ɣeaɖewoɣi la, nu siwo gbɔ eme wɔwɔ gɔ̃ hã be woaƒo asa nɛ.

4. Nudede gbesiagbedɔwo me: Vɔvɔ̃ sia doa kplamatse wò agbenɔnɔ kple dɔwɔna siwo sɔ le mɔ aɖe nu.

Nukawoe nye atike siwo wozãna na emetophobia?

Nya nyuiae nye be atike nyuiwo li na emetophobia. Wo dometɔ vevitɔ siwo wozãnae nye:

• Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) .
• Atikewɔwɔ si Wotsɔna Ðea Nuwoe
• Atikewo (le go aɖewo me) .

Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) .

Woyɔa esia be ``(CBT)``, susumedɔdada ƒomevi aɖe, si nye nuƒoƒo ƒe atikewɔwɔ ƒomevi aɖe. Ekpena ɖe ŋuwò nèkpɔa wò tamesusuwo kple nuwɔna siwo do ƒome kple wò vɔvɔ̃wo gbɔ. Ne èƒo nu kple atikewɔla aɖe la, àte ŋu:

• Kpɔ alesi vɔvɔ̃ sia do mo ɖa kple nusita wòhea nuteɖeamedzi geɖe vɛ na wò.
• Srɔ̃ mɔ siwo dzi nàto aɖu vɔvɔ̃ kple dzimaɖitsitsi dzi ne èse le ɖokuiwò me (abe gbɔgbɔ ƒe kamedede kple susu ƒe dziɖeɖi ƒe mɔnuwo ene).
• Dze ŋgɔ nɔnɔme siwo nèƒoa asa na (abe mɔzɔzɔ, hadomewɔnawo ene) eye nàdi mɔ siwo dzi nàto atrɔ ɖe wo ŋu.
• Srɔ̃ alesi nànɔ dedie le wò vɔvɔ̃wo nu kple alesi nàdze ŋgɔ nɔnɔme sesẽ siwo ana nànɔ vɔvɔ̃m.

`(CBT)` ƒe atikewɔwɔ xɔa ɣeyiɣi eye wòbia dzigbɔɖi. Ate ŋu asesẽ le gɔmedzedzea me be nàƒo nu tso wò seselelãmewo ŋu na ame yeye aɖe. Ðewohĩ ahiã be nàgbugbɔ ŋku alé ɖe ŋkuɖodzinya kple nɔnɔme siwo me vevesese le siwo nèle agbagba dzem be yeaŋlɔ be la ŋu. Gake ɖo ŋku edzi be wò atikewɔla li be yeakpe ɖe ŋuwò ahakpe ɖe ŋuwò le wò taɖodzinuwo gbɔ ɖoɖo me.

Atikewɔwɔ si Wotsɔna Ðea Nuwoe

Esia bia be nàɖe ɖokuiwò ɖe go vivivi le nusiwo nèvɔ̃na na me le nɔnɔme si dzi wokpɔ ŋusẽ ɖo, si le dedie me. Le ɣeyiɣi aɖe megbe la, esia aɖe wò vɔvɔ̃ kple dzimaɖitsitsi dzi akpɔtɔ, eye màgase veve ɖe ʋuʋudedi ŋu o. Atikewɔwɔ na ametofobia ate ŋu anye:

• Nya "ʋuʋudedi" alo nya siwo do ƒome kplii gbɔgblɔ alo sese ("aɖuɖɔtoe", "ʋuʋudedi").
• Trɔtrɔ le gotagome be wòana ame natsi dzodzodzoe, ne ɖɔkta da asi ɖe edzi.
• Dutoƒo teƒe aɖe si nèƒo asa na tsã la yiyi.
• TV dzi wɔna alo sinima aɖe si me nukpɔkpɔ siwo nana nèɖea aɖuɖɔ le la kpɔkpɔ.

Wowɔa `(Exposure Therapy)` sia afɔɖeɖe ɖesiaɖe. Mèyia afɔɖeɖe si kplɔe ɖo dzi o vaseɖe esime wò dzi dze eme keŋkeŋ le afɔɖeɖe ɖeka me. Afɔɖeɖe mamlɛtɔ, eye ɖewohĩ sesẽ wu, le `(Exposure Therapy)` me na emetophobia enye `(simulated vomiting)` . Le afisia la, ɖɔkta menaa nèɖea ʋu ŋutɔŋutɔ o. Ke boŋ wonaa nuɖuɖu si wofli, si le abe aŋe ene (abe `(bli si wotsɔ kreme wɔ)` alo `(gbe siwo woɖa)` ene, eye wobiana tso asiwò be nàtsɔ eƒe gaƒoƒo ɖeka atsɔe ade nugododeƒe alo gbeɖuɖɔgoe me, eye emegbe nàwɔ alesi wòsena le eɖokui me ne èɖe aɖuɖɔ la ƒe kpɔɖeŋu. Esiae nye akpa si sesẽna na ame geɖe wu. Wowɔa `(Exposure Therapy)` mɔnu siawo zi geɖe kpe ɖe `(CBT)` dɔdamɔnu ŋu.

Atikewo

Zi geɖe la, womeŋlɔa atikewo na vɔvɔ̃ tɔxɛwo, abe emetophobia ene o. Gake ɣeaɖewoɣi la, esime nèle susumedɔdada wɔm, alo ne womate ŋu aƒo asa nɛ o la, woate ŋu ana atike wò be wòaɖe wò vɔvɔ̃ kple dzimaɖitsitsi ƒe dzesiwo dzi akpɔtɔ hena ɣeyiɣi aɖe. Esiawo ate ŋu anye:

• Tagbɔdɔlékuiwutikewo: Kpɔɖeŋu aɖewoe nye benzodiazepines kple blanuilélenutsitikewo.
• Dɔgbometikewo: Atike siwo ɖea dɔgbo ƒe dɔmawɔmawɔ nyuie kple dɔgbo ƒe ʋuʋu dzi kpɔtɔna, abe atike siwo wua dɔgbo ƒe ʋuʋu ene.

Esi atike siawo ate ŋu agblẽ nu le ame ŋu ta la, ele be nàƒo nu tso wo ŋu na wò ɖɔkta eye nàwɔ ɖe woƒe mɔfiamewo dzi pɛpɛpɛ.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Ne ènya dze atikewɔwɔ gɔme ko, alo dze wò atikewo nono gɔme abe alesi wogblɔe ene ko la, wò lãme adze egɔme. Gake vɔvɔ̃ sia mava le zã ɖeka me o. Ðewohĩ axɔ ɣleti geɖe hafi nàsrɔ̃ alesi nànɔ agbe ɖe vɔvɔ̃ sia nu ahanɔ te ɖe enu. Menye amesiamee xɔa ɣeyiɣi ɖeka hafi wòhayana o.

Nukae nye emetophobia ƒe mɔkpɔkpɔ?

Togbɔ be vɔvɔ̃ na ame ate ŋu agbɔ eme hã la, atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàɖe vɔvɔ̃ kple dzimaɖitsitsi dzi akpɔtɔ. Ne wowɔ atike na wò la, wò nɔnɔmea ate ŋu anyo ɖe edzi ŋutɔ. Wò atikewɔlawo ƒe ƒuƒoƒo ate ŋu akpe ɖe ŋuwò nàtrɔ alesi nèbua tame kple alesi nèwɔa nui le ʋuʋudedi ŋu. Ne womewɔ atike na wò o la, emetophobia ate ŋu akpɔ ŋusẽ ɖe wò susu kple ŋutilã ƒe lãmesẽ dzi, kpakple wò hadomekadodowo kple kadodo kple wò lɔlɔ̃tɔwo hã.

Ðe woate ŋu axe mɔ ɖe emetophobia nua?

Mɔnu aɖeke meli si ŋu woke ɖo xoxo si axe mɔ na nɔnɔme sia be wòagadzɔ o.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne èse le ɖokuiwò me be vɔvɔ̃ sia le yeƒe susu me ɣesiaɣi, le wò nuwɔna dzi ɖum, eye wòle ŋusẽ kpɔm ɖe wò nyonyo dzi la, ke yi ɖɔkta gbɔ godoo. Atike aɖewo li na emetophobia, eyata mègavɔ̃ be yeabia kpekpeɖeŋu o.

Nya siwo wòle be nàbia wò ɖɔkta

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe ale be nàte ŋu ase nɔnɔmea gɔme nyuie wu:

• Nuka tae vɔvɔ̃ sia le menye?
• Atikewɔwɔ ka ƒomevie nèkafu nam?
• Nukawoe nye atike si woŋlɔ nam la ƒe nugbegblẽ le ame ŋu?
• Ɣeyiɣi didi kae wòhiã be made susumedɔdamɔnu?
• Nukae mawɔ ne nye nɔnɔmea gagblẽ ɖe edzi le atike si wozãna tsɔ doa alɔe ta?

Mlɔeba la, nu vevitɔ kekeake (Take-Home Message) .

Enye nusi sɔ be nàse vɔvɔ̃ kple "hũɖeɖe" ne èɖe aɖuɖɔ. Mía dometɔ aɖeke melɔ̃nɛ o. Gake ɣeaɖewoɣi la, nuteƒekpɔkpɔ gbegblẽ si dzɔna le ʋuʋudedi ŋu ate ŋu atrɔ alesi míebua eŋu, atrɔe wòazu vɔvɔ̃ si nɔa anyi ɖaa, si ɖua ame dzi.

Ne èse le ɖokuiwò me be vɔvɔ̃ sia le nu gblẽm le wò gbesiagbedɔwo, wò ŋutilã kple susu ƒe nyonyo ŋu la, taflatse yi ɖɔkta gbɔ. Atikewɔwɔ na emetophobia wɔa dɔ ŋutɔ, eye ate ŋu akpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe lãme sẽ. Mehiã be wò ɖeka nàwɔ avu kple esia o.

` Emetophobia, Vɔvɔ̃ na ʋuʋudedi, Vɔvɔ̃ na ʋuʋudedi, Susu ƒe lãmesẽ, Vɔvɔ̃, Dzimaɖitsitsi