Ke makaʻu nei hoʻi ʻoe i ka hele ʻana i kekahi mau wahi? Hiki paha kēia (Agoraphobia)? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ua loaʻa anei iā ʻoe kekahi o kēia mau ʻike? E noʻonoʻo, i kou wā i loko o kahi mākeke piha kanaka, e hele wale ana ma kahi hale kūʻai nui, a i ʻole e paʻa ana ma luna o kahi kaʻa, manaʻo koke ʻoe i ka piʻi ʻana o ka makaʻu a me ka hopohopo. Manaʻo ʻoe ua pilikia ʻoe i ka hanu ʻana, ke kuʻi nei kou umauma, ke hou nei ʻoe, a manaʻo ʻoe e holo aku. Inā loaʻa pinepine kēia mau ʻike iā ʻoe, ʻaʻole paha he mea maʻamau. Ke ʻeha nei paha ʻoe i kahi maʻi i kapa ʻia ʻo agoraphobia.

He aha kēia (Agoraphobia)?

I ka ʻōlelo maʻalahi, ʻo ka agoraphobia kahi maʻi hopohopo koʻikoʻi, kahi kūlana o ka makaʻu nui . Hiki iā ʻoe ke manaʻo he kōkua ʻole i kahi kūlana, ʻaʻole hiki ke pakele, ʻaʻole hiki ke noi i ke kōkua, a hilahila paha i mua o kekahi poʻe ma muli o ka hoʻouka kaua panic. Ma muli o kēia makaʻu nui, hiki paha iā ʻoe ke hoʻomaka e pale i kekahi mau wahi a me nā kūlana.

E noʻonoʻo, ʻo kou hoaaloha ʻo Nadeesha. Makaʻu loa ʻo ia i ka hele ʻana i nā hale kūʻai kūʻai. Ua ʻōlelo ʻo ia no ka mea ua piha a nui lākou, manaʻo ʻo ia e nalowale ana ʻo ia, e poniuniu, a ʻaʻohe mea e kōkua iā ia. No laila, ʻaʻole ʻo ia e hele kūʻai me nā hoaaloha, a ʻaʻole ʻo ia e hele hoʻokahi kokoke i nā hale kūʻai nui. ʻO kēia nā mea a ka mea me Agoraphobia e ʻike ai.

Eia nā wahi a me nā kūlana e pale pinepine ai ka poʻe me ka agoraphobia:

• Nā wahi ākea nui (e.g., nā kahua nui, nā alahaka) a i ʻole nā ​​​​wahi liʻiliʻi i paʻa loa (e.g., nā hale kiʻiʻoniʻoni, nā elevators/lifts).
• Nā wahi piha kanaka (e.g. nā mākeke, nā wahi kū kaʻa, nā ʻahaʻaina).
• Nā wahi ma waho o ko lākou home, ʻoiai ke noho mehameha lākou.
• Nā lawelawe halihali lehulehu (e.g. nā kaʻa ʻōhua, nā kaʻaahi).

He aha nā hōʻailona o ka Agoraphobia?

He mea maʻamau i nā kānaka a pau ke makaʻu a me ka hopohopo i kēlā me kēia manawa. Akā no kekahi me ka agoraphobia, ua nui loa ka makaʻu a hiki ke hoʻopilikia i nā hana o kēlā me kēia lā. Inā loaʻa iā ʻoe kēia ʻano, hiki iā ʻoe ke ʻike i nā hōʻailona o nā hoʻouka kaua panic (e like me ka hoʻouka kaua panic) ke hele ʻoe i kahi e makaʻu ai iā ʻoe, a i ʻole ke noʻonoʻo ʻoe e hele i kēlā wahi.

Hiki i kēia mau hōʻailona ke hoʻomaka koke a piʻi i loko o kekahi mau minuke. I kēia manawa, hiki iā ʻoe ke manaʻo:

• ʻEha ka umauma a i ʻole ka manaʻo o ka puʻuwai wikiwiki (e like me ka mea e wela ana i ka umauma).
• Ke manaʻo nei i ka haʻalulu, me he mea lā e haʻalulu ana ke kino, me ka makaʻu pū kekahi.
• Pono e hanu wikiwiki, me he mea lā e ʻūmiʻi ana ʻoe ('Hyperventilation').
• Manaʻo māmā a poniuniu paha.
• Anuanu koke a i ʻole ka ʻulaʻula.
• Ka hou nui ʻana (Hyperhidrosis).
• ʻŌpū ʻeha, manaʻo luaʻi, me he mea lā e huli ana kou ʻōpū.
• He manaʻo o ka hoʻokaʻawale ʻia ʻana mai ka ʻoiaʻiʻo, o ka mamao aku iā ʻoe iho.
• Makaʻu i ka nalowale ʻana o ka mana a i ʻole ka make ʻana.

Ua ʻike mākou he mea weliweli paha ia ke loaʻa iā ʻoe nā hōʻailona e like me kēia. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a aia ke kōkua no kēia kūlana.

He aha nā kumu a me nā kumu pilikia no ka agoraphobia?

ʻAʻole i ʻike ʻia e nā kānaka noiʻi ke kumu kikoʻī o ka agoraphobia. Eia nō naʻe, ua manaʻoʻiʻo ʻia ua pili pinepine kēia ʻano me kahi maʻi panic mua, ʻo ia hoʻi ka makaʻu koke a ikaika e hiki koke mai ana me ke kumu ʻole. Ma kahi o hoʻokahi hapakolu o ka poʻe me ka maʻi panic e hoʻomohala pū i ka agoraphobia. Eia nō naʻe, hiki ke hana i kekahi manawa me ka ʻole o ka agoraphobia a i ʻole me ka ʻole o ka agoraphobia.

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka agoraphobia:

• Nā hoʻouka kaua panic pinepine, ʻoiai inā hele pū lākou me ka makaʻu nui a me ka hopohopo.
• Loaʻa nā makaʻu ʻē aʻe (`phobias`) (e.g. makaʻu i ke kiʻekiʻe, makaʻu i nā holoholona).
• Ke ʻike nei i nā hanana ola koʻikoʻi, ʻoiai ka nalowale ʻana o ka wā kamaliʻi, ka hoʻouka kaua ʻana, a i ʻole ka hana ʻino ʻana.
• ʻOi aku ka naʻau i ka hopohopo a i ʻole ka loaʻa ʻana o nā maʻi hopohopo ʻē aʻe i loko o ka ʻohana.
• Loaʻa i kahi lālā pili o ka ʻohana ka agoraphobia (aia paha kahi mana hoʻoilina).
• He ʻano hilahila a makaʻu hoʻi ke ʻano.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka agoraphobia?

Inā manaʻo ʻoe he agoraphobia kou, a inā hoʻopilikia kēia hopohopo i kou ola o kēlā me kēia lā, kou mau pilina, a i ʻole kāu hana, pono ʻoe e ʻike i ke kauka ʻohana (kauka mālama mua) a i ʻole he loea olakino noʻonoʻo (e like me ke kauka psychiatrist a psychologist paha).

Malia paha ua makaʻu ʻoe i ka hele ʻana i ke kauka. Hiki i kēlā ke lilo i ʻāpana o ka maʻi. Inā pēlā, me ka ʻenehana i loaʻa i kēia lā, hiki iā ʻoe ke kamaʻilio me kāu kauka ma ke kelepona a i ʻole ma o kahi hālāwai wikiō. E nīnau e pili ana i kēlā.

E nīnau ke kauka iā ʻoe i nā nīnau e pili ana i kāu mau hōʻailona, ​​​​nā hanana o kou ola, a me kou mōʻaukala olakino ʻohana. Eia kekahi laʻana:

• "Ke manaʻo nei ʻoe i ka nui o ke kaomi a me ka makaʻu i kou noʻonoʻo ʻana e haʻalele i ka hale?"
• "Aia kekahi mau wahi a i ʻole nā ​​kūlana āu e pale aku ai no ka mea ua makaʻu ʻoe? No ke aha ʻoe e makaʻu ai iā lākou?"
• "Ke hilinaʻi nei ʻoe i nā poʻe ʻē aʻe e hana i ka hana ma kāu hale kūʻai?"

Hiki i ke kauka ke haʻi inā loaʻa iā ʻoe ka agoraphobia ma muli o kāu mau hōʻailona, ​​​​ka pinepine o ko lākou hanana ʻana, a me ke koʻikoʻi o lākou. He mea nui e wehe a ʻoiaʻiʻo me kāu kauka e pili ana i nā mea āpau. Aia kekahi mau pae hoʻohālikelike i waiho ʻia e nā hui lapaʻau i ʻike ʻia, e like me ka American Psychiatric Association. No laila, i mea e ʻike ʻia ai me ka agoraphobia, pono i ke kanaka ke ʻike i ka makaʻu nui a i ʻole ka panic ma ka liʻiliʻi ʻelua o nā kūlana aʻe:

• I ka wā e hoʻohana ai i ka halihali lehulehu (e like me nā kaʻa ʻōhua, nā kaʻaahi).
• Ke noho ʻoe ma kahi ākea a nui (e.g. kahi kahua nui, kahi kahua kaʻa).
• Ke noho ʻoe i loko o kahi pani paʻa a kiʻekiʻe hoʻi (e.g. hale kiʻiʻoniʻoni, lumi hālāwai, hale kūʻai liʻiliʻi).
• Inā paha ʻoe i loko o ka laina a i ʻole i loko o ka lehulehu.
• Ke haʻalele ʻoe i ka hale mehameha.

Eia kekahi, inā ʻoe e pale aku i kēlā mau wahi ma muli o kēia makaʻu, a inā ʻoe e hele wale i kēlā mau wahi me kekahi, hiki i kēlā ke lilo i hōʻailona o ka agoraphobia.

He aha nā lāʻau lapaʻau no ka agoraphobia?

ʻO ka nūhou maikaʻi, ʻo ka agoraphobia kahi maʻi hiki ke mālama maikaʻi ʻia me ka lāʻau lapaʻau. I ka manawa pinepine, hoʻohana ʻia ka hui pū ʻana o nā lāʻau lapaʻau:

• Psychotherapy - ʻo ia hoʻi, ka mālama ʻana ma o ke kamaʻilio ʻana.
• Lāʻau lapaʻau.
• Nā loli o ke ʻano o ka nohona.

Pehea e kōkua ai ka psychotherapy?

ʻO kēia ka lāʻau lapaʻau nui a maikaʻi loa no ka agoraphobia. Ma kēia, kōkua kahi mea lapaʻau i aʻo ʻia iā ʻoe e lanakila ma luna o kou makaʻu a kū i mua.

Aia kekahi ʻano lāʻau lapaʻau i kapa ʻia ʻo Cognitive Behavioral Therapy (CBT) . Kōkua ia iā ʻoe e ʻike i nā manaʻo maikaʻi ʻole a lapuwale hoʻi e hoʻoulu ai i kou hopohopo. A laila, aʻo ʻoe e hoʻololi i kēlā mau manaʻo me nā mea ʻoi aku ka maoli a maikaʻi a hoʻololi i ke ʻano āu e hana ai me kēlā mau makaʻu.

Hoʻohana pū ʻia nā ʻano hana hoʻomaha ( e like me nā hoʻomaʻamaʻa hanu hohonu) a me ka hoʻōla hōʻike (a i ʻole nā ​​​​ʻano hana desensitization) . Ma kēia, noi mua ka mea hoʻōla iā ʻoe e noʻonoʻo i kahi kūlana e hoʻoweliweli ai iā ʻoe a kōkua iā ʻoe e kāohi i kou mau manaʻo. A laila, mālie a akahele, paipai ʻia ʻoe e hele i nā wahi āu e makaʻu nui ai (me ka mea hoʻōla mua, a laila mehameha). I kou hōʻike mālie ʻia ʻana i kou mau makaʻu, ʻike kou lolo ʻaʻole ia mau wahi he mea weliweli. I ka hala ʻana o ka manawa, aʻo kēia mau lāʻau i kou lolo e noʻonoʻo a pane ʻokoʻa.

Kōkua mai ka lāʻau lapaʻau

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau me ka psychotherapy. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka hopohopo.

• Hoʻohana pinepine ʻia nā lāʻau antidepressants e like me Selective Serotonin Reuptake Inhibitors (SSRIs) a i ʻole Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs). He mau lāʻau lapaʻau kēia e kōkua i ke kaulike ʻana i nā pae o kekahi mau kemika kūlohelohe i loko o ka lolo (i kapa ʻia hoʻi he neurotransmitters, e hoʻopilikia ana i ko mākou ʻano a me nā manaʻo). Hiki i kēia mau lāʻau lapaʻau ke mālama i ke kaumaha a me nā maʻi hopohopo. ʻAʻole paha ʻoe e ʻike koke i nā hopena ke hoʻomaka ʻoe e lawe iā lākou, a hiki ke hala kekahi mau pule e ʻike ai i nā hopena.
• I kekahi manawa, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me "Benzodiazepines" no kahi manawa pōkole e hōʻemi koke i ka hopohopo. Eia naʻe, ʻaʻole i ʻōlelo ʻia kēia mau mea no ka hoʻohana lōʻihi ma muli o ka pilikia o ka maʻi ʻona.

He mea nui: Pono e hoʻohana ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ia he manaʻo maikaʻi e hoʻomaka, hoʻōki, a hoʻololi paha i ka nui o kekahi lāʻau lapaʻau ma kāu iho.

Nā loli o ke ʻano o ka nohona

Me ka mālama ʻana, ʻo ka hana ʻana i kekahi mau hoʻololi i kou nohona e hiki ke kōkua iā ʻoe e hoʻokele i ka agoraphobia:

• E hōʻalo i ka waiʻona, ka caffeine (i loaʻa i ke kī, ke kofe, a me kekahi mau mea inu palupalu), a me nā mea ʻino ʻē aʻe. Hiki i kēia ke hoʻonui i ka hopohopo.
• E ʻai i ka meaʻai olakino a kaulike . E ʻai i nā huaʻai, nā mea kanu, a me nā palaoa piha.
• E hoʻoikaika kino i nā manawa a pau. He mea maikaʻi inā hiki iā ʻoe ke hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā. Hoʻomaha ka hoʻoikaika kino i ka noʻonoʻo.
• E hoʻomaʻamaʻa i nā hoʻomaʻamaʻa hanu a me ka noʻonoʻo pono . Hiki i kēia mau mea ke kōkua i ka hōʻoluʻolu i ka noʻonoʻo a kaohi i ka hopohopo.
• E hiamoe pono . E ho'āʻo e hiamoe ma ka liʻiliʻi he 7-8 mau hola i ka lā.

Pehea e ola ai me ka Agoraphobia me ka pōmaikaʻi?

Hiki ke paʻakikī ka noho ʻana me ka agoraphobia, akā me ka mālama kūpono a me ke kākoʻo, hiki iā ʻoe ke hoʻokele i ke kūlana a ola i kahi ola hauʻoli a hoʻokō.

• Mālama pono ʻoe iā ʻoe iho.
• E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka.
• E hoʻokō i nā mea āu i aʻo ai mai ke kauka lapaʻau.
• ʻO ka mea nui loa, ʻo ia ke hoʻāʻo e kū i nā wahi a me nā kūlana e hoʻoweliweli iki iā ʻoe, me ka mālie. Mai hele i nā mea nui i ka manawa hoʻokahi. E hana i nā ʻanuʻu liʻiliʻi. ʻO ka pale ʻana iā lākou e hoʻonui wale i kou makaʻu.
• E kamaʻilio me kou ʻohana a me kou mau hoaaloha e pili ana i kēia. ʻO kā lākou kākoʻo he kumu ikaika nui ia nou.
• Inā hiki iā ʻoe ke hui pū me kahi hui kākoʻo me nā poʻe i loaʻa nā ʻike like, he mea kōkua nui nō hoʻi kēlā.

Hiki i ka Agoraphobia ke hoʻoweliweli iā ʻoe, mehameha, a me ke kōkua ʻole. Akā e hoʻomanaʻo, me ka mālama ʻana, hiki iā ʻoe ke kāohi i kēia mau hōʻailona a hana i nā mea āu e aloha ai me ka makaʻu ʻole. Inā ke hoʻopilikia nei ka agoraphobia a i ʻole kekahi maʻi hopohopo ʻē aʻe i kou ola, e kamaʻilio me ke kauka. Hiki i kahi kamaʻilio ākea a pololei ke kōkua iā ʻoe e loaʻa ke kōkua āu e pono ai.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

No laila, inā kānalua ʻoe ua loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ke kūlana a mākou i kamaʻilio ai (Agoraphobia), mai hopohopo. He mea kēia e hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka ʻōlelo aʻoaʻo lapaʻau kūpono a hahai pololei i kēlā ʻōlelo aʻoaʻo. Mai ʻeha hoʻokahi.

ʻAʻole ʻoe hoʻokahi, a mai makaʻu e noi i ke kōkua. E hoʻomanaʻo, ua like ke koʻikoʻi o ke olakino noʻonoʻo me ke olakino kino! Hiki iā ʻoe ke puka i waho o kēia kūlana a ola kūʻokoʻa.

ʻAgoraphobia , hopohopo, makaʻu, hoʻouka kaua panic, olakino noʻonoʻo, lāʻau lapaʻau, psychotherapy