Ke manaʻo nei ʻoe i kekahi manawa i ka makaʻu nui a me ke kuʻi ʻana i loko o kou umauma ke noʻonoʻo ʻoe e haʻalele i ka hale, e hele i ka hale kūʻai, a i ʻole e kau i kahi kaʻa? Ke ʻike nei ʻoe iā ʻoe iho i nā wahi āu e manaʻo ai ʻaʻole hiki iā ʻoe ke hele wale i kahi a ʻaʻohe mea nāna e kōkua iā ʻoe? Inā pēlā, he kumuhana kēia e lilo paha i mea nui loa iā ʻoe. Kāhea mākou i kēia ʻano ʻo Agoraphobia . ʻAʻole kēia he makaʻu wale nō, he ʻano olakino noʻonoʻo ia e pono ai ka mālama ʻana.
I ka ʻōlelo maʻalahi, he aha ka Agoraphobia?
ʻO Agoraphobia kahi maʻi hopohopo e hoʻoulu ai iā ʻoe i ka makaʻu nui i ka noho ʻana i kekahi mau kūlana ma waho o kou home, ʻoiai nā wahi kahi e paʻakikī ai iā ʻoe ke haʻalele koke a kahi e hiki ʻole ai iā ʻoe ke loaʻa ke kōkua. Hoʻopili pinepine ʻia kēia makaʻu me ka makaʻu i ka loaʻa ʻana o kahi hoʻouka kaua panic ma kahi āu e hopohopo nei.
Hiki i nā hōʻailona ke ʻano like ʻole mai ka ʻoluʻolu ʻole iki a i ka hoʻoweliweli ola. ʻOiai hiki i kekahi poʻe ke hele wale i kekahi mau wahi maʻa mau, hiki i kekahi ke koʻikoʻi loa a hiki ʻole iā lākou ke haʻalele i ka hale.
ʻO ka mea nui, ʻaʻole makaʻu ka mea me ka agoraphobia i ka manaʻo o haʻi iā lākou, akā, i ka manaʻo e pilikia ana lākou ma ia wahi a e nele lākou i ke kōkua me ke kōkua ʻole.
He like nā mea o Agoraphobia a me ka Social Anxiety?
ʻAe, he ʻokoʻa iki kēia mau mea ʻelua. Makaʻu ke kanaka me ka hopohopo pili kanaka i ka hilahila ʻia i mua o nā poʻe ʻē aʻe a me ka hoʻohewa ʻia. Akā ma Agoraphobia, ʻo ka makaʻu no ko lākou palekana ponoʻī. E wehewehe hou aku kākou i kēia ʻokoʻa me ka papa ma lalo nei.
| Kūlana | Ke kumu o ka makaʻu |
|---|---|
| ʻAgorafobia | ʻO ka makaʻu i ka paʻa ʻana i kahi, ʻaʻole hiki ke puka i waho, ʻaʻohe kōkua, a i ʻole ka loaʻa ʻana o kahi hoʻouka kaua hopohopo. |
| Hopohopo Kaiapili | Makaʻu i ka hilahila ʻia i mua o haʻi, i ka hoʻohewa ʻia ʻana mai o ʻoe e ka poʻe, a i ka hoʻohenehene ʻia ʻana mai. |
No ke aha lā e kū mai ai kēia kūlana?
ʻAʻole hiki i nā kauka ke ʻōlelo maopopo i ke kumu o kēia, akā ua ʻike lākou i kekahi mau kumu e hoʻonui ai i ka pilikia.
- Moʻolelo ʻohana : Inā loaʻa i kekahi o kou ʻohana, ʻoiai he kaikaina, ke ʻano o ke kūlana, ʻoi aku ka nui o kou manawa e loaʻa ai. ʻO ke ʻano kēia, aia paha kahi mana hoʻoilina.
- Ka Maʻi Panic a i ʻole nā Hoʻouka Panic: Inā he moʻolelo kou o nā hoʻouka panic, hiki iā ia ke alakaʻi i ka Agoraphobia. E noʻonoʻo i ka loaʻa ʻana o kahi hoʻouka panic i loko o kahi hale kūʻai. A laila hoʻomaka ʻoe e makaʻu i ka hele ʻana i nā hale kūʻai no ka mea ke manaʻo nei ʻoe e hana hou ʻia. Ke pale aku ʻoe i nā wahi e hoʻoweliweli iā ʻoe, hiki iā ia ke ulu mālie i Agoraphobia.
- Nā pilikia olakino noʻonoʻo ʻē aʻe: Hoʻonui ʻia kēia pilikia e nā kūlana e like me nā maʻi hopohopo i mālama ʻole ʻia, ke kaumaha, a me nā phobias (makaʻu nui i nā mea ʻē aʻe).
- Nā ʻike ola weliweli: ʻO nā hanana koʻikoʻi koʻikoʻi, ʻoiai ka hana ʻino ʻana i ka wā kamaliʻi, ka make ʻana o kahi makua , ka nalowale o ka hana, a me ka hemo male, hiki ke alakaʻi i kēia ʻano.
He aha nā hōʻailona o ka agoraphobia?
Inā loaʻa iā ʻoe ka agoraphobia, hiki iā ʻoe ke ʻike i ka makaʻu nui a me ka hopohopo i kekahi manawa. ʻOkoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka. E nānā kākou i nā hōʻailona nui.
| Nā hōʻailona maʻamau e pili ana me ka agoraphobia | |
|---|---|
| Nā kūlana a me nā wahi e hoʻoulu ai i ka makaʻu | |
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| Nā hōʻailona kino (e like me ka hoʻouka kaua weliweli) | |
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| Nā ʻano noʻonoʻo a me ke ʻano | |
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Ke hana nei kēia i nā keiki pū kekahi?
ʻAe, hiki i nā keiki ke loaʻa i ka agoraphobia. Hiki ke ʻike ʻia kēia ʻano me nā hoʻouka kaua panic, ʻoi aku hoʻi i nā keiki ʻōpio. Inā loaʻa i kahi keiki kēia ʻano, hiki iā lākou ke manaʻo i ka makaʻu nui ke hoʻokaʻawale ʻia mai ko lākou mau mākua, ma nā wahi piha kanaka, ma ka laina, a i ʻole e hele ana ma luna o kahi alahaka. Inā loaʻa i kāu keiki kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka a kamaʻilio e pili ana.
Pehea ʻoe e ʻike pono ai he maʻi kēia?
Ke ʻike ʻoe i kāu kauka, ʻaʻole ʻo ia e kapa koke iā ia he Agoraphobia. ʻO ka mea mua āna e hana ai, ʻo ia ke nānā i nā kūlana kino ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona.
- E nānā lākou iā ʻoe a e nīnau pono iā ʻoe e pili ana i kāu mau hōʻailona.
- Hiki ke hana ʻia kekahi mau hoʻāʻo koko.
- Hiki ke hana i nā hoʻokolohua (e like me ka ECG) e nānā i nā pilikia me ka puʻuwai a i ʻole nā māmā.
Ke hōʻoia ʻia ʻaʻohe kumu kino, e nīnau ke kauka e pili ana i kou kūlana noʻonoʻo a pehea e hoʻopilikia ai kēia makaʻu i kou ola o kēlā me kēia lā. Hiki ke kuhikuhi ʻia ʻoe i kahi kauka noʻonoʻo a i ʻole he loea noʻonoʻo.
I mea e ʻike ʻia ai, pono ʻoe e makaʻu nui i ʻelua a ʻoi aku paha o nā kūlana makaʻu i helu ʻia ma luna. Eia kekahi, pono e loaʻa i kēia makaʻu ka hopena koʻikoʻi i kāu hana, hoʻonaʻauao, a i ʻole nā pilina pilikanaka.
He aha nā lāʻau lapaʻau no kēia?
ʻO kēia ka mea nui loa. ʻO Agoraphobia kahi maʻi hiki ke mālama ʻia a kāohi maikaʻi loa. No laila, mai makaʻu. ʻElua ʻano nui o ka mālama ʻana.
1. Hoʻōla kamaʻilio
ʻO ke ala kūpono loa e hana ai i kēia ma o ka Cognitive Behavioral Therapy (CBT) . I ka ʻōlelo maʻalahi, kōkua kahi psychologist iā ʻoe e ʻike a hoʻololi i nā ʻano manaʻo maikaʻi ʻole e hoʻoulu ai i kou makaʻu. Aʻo pū lākou iā ʻoe i nā mea e like me nā hoʻomaʻamaʻa hanu e kōkua iā ʻoe e mālie ke makaʻu ʻoe.
Ma ke ʻano he ʻāpana o CBT, hana pū mākou i kahi mea i kapa ʻia ʻo Exposure Therapy . ʻO kā mākou hana, hoʻomaʻamaʻa mākou i ke alo ʻana i nā wahi āu e makaʻu ai me ke akahele, i kēlā me kēia ʻanuʻu, a me ka palekana. ʻO ka mea mua, e haʻi aku paha mākou iā ʻoe e noʻonoʻo e pili ana i ka hele ʻana i kahi hale kūʻai, a laila e haʻi aku mākou iā ʻoe e hele i ka puka o ka hale kūʻai, a laila e haʻi aku mākou iā ʻoe e komo iki i loko. Ma kēia ʻano, e kōkua mākou iā ʻoe e lanakila ma luna o kou makaʻu.
2. Ka mālama ʻana me ka lāʻau lapaʻau
I kekahi mau hihia, hāʻawi ʻia ka lāʻau lapaʻau me ka kamaʻilio lapaʻau.
- Nā Lāʻau Hoʻēmi i ke Kaumaha: ʻO ka papa lāʻau i hoʻohana nui ʻia ʻo SSRIs (Selective Serotonin Reuptake Inhibitors) . ʻO nā laʻana e like me Fluoxetine, Sertraline, a me Escitalopram. Pono e lawe ʻia kēia mau mea i kēlā me kēia lā, a hiki ke hala kekahi mau pule e ʻike ai i ka hopena piha.
- Nā lāʻau lapaʻau hoʻēmi hopohopo: Hiki ke kuhikuhi ʻia nā Benzodiazepines (e.g. Alprazolam, Clonazepam) no ka hoʻohana ʻana i ka hanana o kahi hoʻouka kaua hopohopo koke. Eia nō naʻe , pono e hoʻohana ʻia kēia mau mea me ke akahele loa a no ka manawa pōkole wale nō, no ka mea, he pilikia ko lākou o ka hoʻopili ʻia.
Pono e hoʻoholo ʻia kēia mau lāʻau lapaʻau a pau e kāu kauka ma muli o kou kūlana. He mea nui loa ia e pale aku i ka lawe ʻana i nā lāʻau lapaʻau ma kāu iho.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Inā haʻalele ʻole ʻia, hiki i ka agoraphobia ke hoʻopili i kēlā me kēia ʻano o kou ola.
- Hiki iā ʻoe ke noho mehameha a noho paʻa ma ka home.
- Hiki ke hoʻopilikia loa ʻia nā hana a me ka hoʻonaʻauao ʻana.
- E nalowale paha nā pilina pilikanaka.
- Hiki ke loaʻa nā maʻi noʻonoʻo ʻē aʻe e like me ke kaumaha.
- Hiki paha iā ʻoe ke lilo i mea hoʻopilikia i ka waiʻona a i ʻole nā lāʻau lapaʻau.
- I nā hihia koʻikoʻi loa, hiki nō ke kū mai nā manaʻo pepehi kanaka.
Inā ʻoe a i ʻole kekahi āu i ʻike ai e noʻonoʻo ana e hōʻeha iā lākou iho, e ʻoluʻolu e hele koke i ka Halemai Pilikia (ETU) kokoke loa a i ʻole e kelepona i ka National Institute of Mental Health ma 1926 no ke kōkua.
Leka Lawe-Home
- ʻAʻole wale ka Agoraphobia he makaʻu, akā, he maʻi hopohopo hiki ke mālama ʻia.
- ʻO ka makaʻu nui i kēia, ʻo ia ka manaʻo o ka paʻa ʻana i kahi a me ke kōkua ʻole me ke kōkua ʻole.
- Hiki ke mālama ʻia kēia kūlana me ka holomua nui me ka Cognitive Behavioral Therapy (CBT) a me ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu a hilahila paha e ʻike i ke kauka a noi i ke kōkua. ʻAʻole ʻoe hoʻokahi.
- Inā loaʻa kēia ʻano maʻi i kekahi o kou ʻohana a i ʻole kou hoaaloha, e kōkua iā lākou e hoʻomaopopo a kuhikuhi iā lākou no ka mālama ʻana.
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