Ke manaʻo nei ʻoe e ʻūlū ana kou umauma i kou wā e noho ana i loko o kahi elevator, i loko o kahi lumi liʻiliʻi me nā puka makani ʻole, a i ʻole i ka wā e pono ai ʻoe e hele no kahi scan MRI? Ke puka koke nei ʻoe i ka hou a manaʻo e like me ʻoe e pilikia ana i ka hanu ʻana? Ke noho ʻoe i loko o kahi paʻa e like me kēia, makemake ʻoe e holo i waho? A laila loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo claustrophobia. Mai hopohopo, ʻaʻole ʻoe hoʻokahi. E kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi.
He aha kēia claustrophobia?
I ka ʻōlelo maʻalahi, ʻo ka claustrophobia he makaʻu nui a kūpono ʻole i nā wahi liʻiliʻi, paʻa, a me nā wahi i hoʻopaʻa ʻia.
I kēia manawa ke noʻonoʻo nei ʻoe, "No laila ʻo wai ka mea makemake e paʻa i nā wahi?" He ʻoiaʻiʻo kēlā. ʻAʻohe o mākou makemake e paʻa. Akā he ʻokoʻa nui ma waena o ka makaʻu maʻamau a me ka phobia. E noʻonoʻo e pili ana, makaʻu iki mākou a pau i ka nānā ʻana i lalo mai kahi kiʻekiʻe. He mea maʻamau kēlā, no ka mea, aia kahi pōʻino maoli e pili ana. Akā ʻo ka phobia he makaʻu ʻoi aku ka nui, hiki ʻole ke kāohi ʻia, a me ka noʻonoʻo ʻole ma mua o ka makaʻu maʻamau. ʻO ia hoʻi, ʻo kou makaʻu i ka mea a i ʻole ke kūlana āu e makaʻu nei he mau haneli kaukani manawa ʻoi aku ka nui ma mua o ka pōʻino maoli.
He maʻi koʻikoʻi ka Claustrophobia e hoʻopilikia i kou ola o kēlā me kēia lā. No kekahi poʻe, hiki i kēia makaʻu ke hoʻolilo iā ia i mea paʻakikī ke hana, huakaʻi me nā hoaaloha, a hoʻopilikia pū i ko lākou pilina me ka ʻohana. Hiki iā ia ke alakaʻi i ka haʻahaʻa o ka manaʻo ponoʻī.
He aha nā kūlana e hiki ai ke kū mai kēia makaʻu?
Nui nā kūlana e hiki ke hoʻonui, a i ʻole "hoʻoulu," i ka claustrophobia. Manaʻo kekahi poʻe i ka makaʻu i kēia mau wahi āpau, aʻo kekahi poʻe e makaʻu wale i hoʻokahi a ʻelua paha o kēia mau mea.
| Ka manawa hoʻoulu makaʻu | Wehewehena |
|---|---|
| Nā Elevators | ʻO ka makaʻu i ka paʻa ʻia ʻana i loko o kahi hakahaka, me nā puka e wehe ʻole ai. |
| Nā Tunnels | ʻO ka makaʻu inā kū kahi kaʻa i loko o kahi tunnel, ʻaʻohe ala e puka ai. |
| Nā Mokulele a me nā Kaʻaahi | Ke kaomi i hoʻokumu ʻia e ka pani ʻia ʻana o nā puka i ʻole hiki iā ʻoe ke puka i waho. |
| Nā mīkini nānā MRI | ka makaʻu nui o ka paʻa ʻana i loko o kahi hakahaka liʻiliʻi loa a poepoe. |
| Nā lumi liʻiliʻi me nā puka makani ʻole | Makaʻu i ka paʻa ʻana inā pani ʻia ka puka ma nā wahi e like me nā lumi ʻauʻau a me nā lumi waiho. |
| Nā kaʻa liʻiliʻi | Ke ʻano o ka ʻūmiʻi ma nā ʻaoʻao ʻelua, ʻoiai ke noho nei ma waenakonu o ka noho hope. |
| Nā wahi piha i nā kānaka | Manaʻo ua paʻa a hoʻopuni ʻia e ka poʻe ma kahi ʻaha mele a i ʻole ma kahi lālani. |
| Nā Manaʻo | ʻOiai inā ʻaʻole ʻoe i paʻa maoli ʻia, ʻo ka noʻonoʻo wale ʻana e pili ana i ka paʻa ʻia ʻana hiki ke hoʻoulu i ka makaʻu. |
He aha ka mea e hana ʻia i ke kino a me ka noʻonoʻo ke manaʻo ʻoe i kēia makaʻu? (Nā hōʻailona)
Ke hālāwai kekahi kanaka me ka claustrophobia me kahi kūlana weliweli, ua like ia me ka hoʻouka hopohopo a i ʻole ka hoʻouka panic. Hiki ke hoʻokaʻawale ʻia kēia mau hōʻailona i ʻelua ʻāpana: kino a me ka noʻonoʻo.
| ʻAno hiʻohiʻona | Nā hōʻailona i ʻike pinepine ʻia |
|---|---|
| Nā Hōʻailona Kino | |
| Ke hou nei a me ka haʻalulu | Me ke kumu ʻole, ua anu koke ʻoe, ua hou, a ua haʻalulu kou mau lima a me kou mau wāwae. |
| Hoʻonui ʻia ka helu o ka puʻuwai | Ke kuʻi nei ka umauma, aia kahi manaʻo o ka ʻūlū a i ʻole ka ʻūlū ʻana i loko o ka umauma. |
| Paʻakikī ka hanu ʻana | Ua like au me he mea lā e pau ana koʻu hanu ʻana, e hanu wikiwiki ana, a ua paʻa kekahi mea i loko o kuʻu puʻu. |
| ʻO ke kaula kuamoʻo (ʻo ke kaula kuamoʻo) | Pōniuniu , polū nā maka, e like me ka luaʻi ʻana. |
| Nā hiʻohiʻona ʻē aʻe | Manaʻo e like me ka huli ʻana o kou ʻōpū, ka waha maloʻo, ke kani ʻana i kou mau pepeiao, ka mae ʻana. |
| Nā Hōʻailona Manaʻo | |
| Makaʻu i ka nalowale ʻana o ka mana | Ke makaʻu nei ʻaʻole hiki iā lākou ke kāohi iā lākou iho a e lilo i pupule. |
| ʻO ka pono ikaika e pakele | Ke manaʻo o ka pono e puka i waho o ia wahi, ʻaʻole hiki ke noʻonoʻo i kekahi mea ʻē aʻe. |
| Makaʻu i ka make | Ka makaʻu nui i ka hanu ʻana, ka hāʻule ʻana o ka puʻuwai, a me ka make. |
| Manaʻo kūpono ʻole | He mea pono ʻole kēia makaʻu a he kūpono ʻole, akā ʻaʻole hiki iā ʻoe ke kaohi iā ia. |
Ke hiki mai nā keiki ʻōpio i kēia kūlana, hiki iā lākou ke uē, hoʻōho, hakakā, a hoʻopili paha i ko lākou mau mākua.
No ke aha i loaʻa ai i kekahi poʻe kēia ʻano phobia?
ʻOiai ʻaʻole i loaʻa ke kumu kūpono no kēia, aia kekahi mau kumu nui a nā kānaka noiʻi e manaʻoʻiʻo nei.
- He hanana ʻehaʻeha mai ka wā kamaliʻi: E noʻonoʻo e paʻa ana ʻoe i loko o kahi lumi lole i kou wā e pāʻani ana, a i ʻole e laka hewa ana iā ʻoe iho i loko o kahi lumi. Hiki i kēlā ʻike weliweli ke komo i loko o kou manaʻo a puka mai ma ke ʻano he kūlana i kapa ʻia ʻo claustrophobia i kou wā ʻelemakule.
- He ʻike mai ka wā makua: Malia paha ua paʻa ʻoe i loko o kahi elevator, ua ʻike i ka haunaele ma kahi mokulele, a pēlā aku. Hiki ke kū mai kēia makaʻu ma hope o ia hanana.
- Ke aʻo ʻana mai kou mau mākua: Inā ʻike ʻoe i kou makuahine a makuakāne paha e makaʻu ana i nā wahi paʻa i kou wā kamaliʻi, e ulu paha kēlā makaʻu iā ʻoe. He nui nā mea a nā keiki e aʻo ai ma ke ʻano he hoʻohālike i ko lākou mau mākua.
Ma ke ʻano ʻepekema, aia kekahi ʻāpana o ko kākou lolo i kapa ʻia ʻo amygdala e kāohi ana i nā manaʻo e like me ka makaʻu a me ka huhū. Ua manaʻoʻiʻo ʻia i ka wā e kū ai ke kanaka me ka claustrophobia i kahi kūlana weliweli, hoʻonāukiuki nui ʻia kēia ʻāpana o ka amygdala. Aia kekahi manaʻo e hiki i kekahi mau ʻokoʻa genetic ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia maʻi.
Pehea e hōʻoia ai ke kauka he maʻi kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a pehea lākou i hoʻopilikia ai i kou ola. ʻO ka mea nui loa, ʻo ia ka hoʻoholo inā he makaʻu maʻamau a he phobia paha.
Ma keʻano laulā, inā pili kēia mau mea iā ʻoe, e ʻike paha kāu kauka iā ʻoe me ka claustrophobia:
- Ua loaʻa iā ʻoe kēia makaʻu nui i nā wahi paʻa no nā mahina ʻeono a ʻoi .
- Pili kou makaʻu i kahi kūlana a mea paha, e like me kahi elevator a i ʻole kahi lumi liʻiliʻi.
- I kou kū ʻana i ia kūlana, a i ʻole e noʻonoʻo wale nō paha i ia mea, ua makaʻu a hopohopo paha ʻoe.
- Hoʻāʻo ʻoe i ka mea maikaʻi loa e pale aku i ia mau kūlana, a i ʻole ʻoe e kū iā lākou me ka makaʻu nui a me ke kaumaha.
- Ua ʻike ʻoe ua ʻoi aku kou makaʻu ma mua o ka pōʻino maoli i kēlā manawa .
- Ua hoʻopilikia nui kēia makaʻu i kāu hana, haʻawina, ola ʻohana, a i ʻole nā pilina kaiapili.
He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?
ʻAe, ʻoiaʻiʻo nō! He maʻi noʻonoʻo hiki ke mālama ʻia ka Claustrophobia. ʻElua mau ʻano lapaʻau nui i hoʻohana ʻia.
Hoʻōla Hōʻike
Ua kapa ʻia kēia i kekahi manawa he desensitization therapy. Pili ia i ka hōʻike mālie ʻana iā ʻoe iho i ka mea āu e makaʻu nei, ma lalo o ka nānā ʻana a kahi psychologist a kauka paha i aʻo ʻia. Ua like ia me ke aʻo ʻana i kahi mea makaʻu i ka wai e hoʻokomo mua i ko lākou mau wāwae i loko o ka wai, a laila a hiki i ka pae pūhaka, a laila e ʻauʻau.
- ʻO ka mea mua, e hōʻike wau iā ʻoe i ke kiʻi o kahi eleweka.
- ʻO ka mea aʻe, haʻi ia iā ʻoe e nānā i kahi wikiō e pili ana i kahi elevator.
- A laila, haʻi mai ʻo ia iaʻu e hele e ʻike i kahi elevator.
- ʻO ka mea hope loa, ua hōʻike mālie ʻia ʻoe i ka makaʻu, e like me ke komo ʻana i loko o kahi elevator me ka puka e hāmama ana a laila pani ʻia ka puka no kekahi mau kekona. I loko o kēia manawa, ua aʻo ʻia ʻoe i nā mea e like me nā hoʻomaʻamaʻa hōʻoluʻolu a me ka hanu hohonu.
Ka Lapaʻau Hana Noʻonoʻo (CBT)
He ʻano hoʻōla kamaʻilio kēia e kālele ana i ka hoʻololi ʻana i kou noʻonoʻo a me kou ʻano .
- ʻO ka mea mua, e ʻike i nā manaʻo e hoʻomakaʻu iā ʻoe. Eia kekahi laʻana, ʻo ka manaʻo, "E paʻa ana au i loko o ka elevator, ʻaʻole hiki iaʻu ke hanu."
- A laila, e kōkua ʻia ʻoe e hoʻomaopopo i ka ʻoiaʻiʻo o kēlā manaʻo a inā he kūpono ia. E nīnau ʻia ʻoe i nā nīnau e like me, "Pehea ka paʻakikī o ka paʻa ʻana o kahi elevator? ʻOiai inā paʻa, aia ka ea, ʻeā?"
- A laila, e hoʻomaʻamaʻa i ka hoʻololi ʻana i kēlā manaʻo maikaʻi ʻole me kahi manaʻo maoli a maikaʻi hoʻi. E like me, "Palekana ka eleweka. Holo nā tausani o ka poʻe i kēlā me kēia lā. Hiki iaʻu ke holo pū."
Nā lāʻau lapaʻau
I kekahi mau hihia, ʻoiai inā koʻikoʻi loa ka hopohopo, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau no kahi manawa pōkole. No ka laʻana, inā loaʻa iā ʻoe kahi hanana hiki ʻole ke pale ʻia, e like me ka lele ʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e lawe wale ʻia i kēlā manawa. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:
- Benzodiazepines: Nā lāʻau lapaʻau hoʻēmi hopohopo e like me Alprazolam (Xanax®) a me Clonazepam (Klonopin®).
- Nā lāʻau SSRI (Selective Serotonin Reuptake Inhibitors): Nā lāʻau lapaʻau e like me Paroxetine (Paxil®).
He mea nui loa: Mai lawe i kēia mau lāʻau lapaʻau me ke kauoha ʻole a ke kauka . Hoʻohana pinepine ʻia lākou ma ke ʻano he lāʻau lapaʻau pōkole wale nō.
He aha kaʻu e hana ai e ola maikaʻi me kēia maʻi?
Ma waho aʻe o ka lāʻau lapaʻau, nui nā mea hiki iā ʻoe ke hana iā ʻoe iho e hoʻokele i kou makaʻu.
- E kamaʻilio me kahi āu e hilinaʻi ai: E haʻi i kāu kāne/wahine, hoaaloha maikaʻi loa, a ʻohana paha e pili ana i kou mau makaʻu. Hiki iā ia ke lilo i mea hōʻoluʻolu nui ke hoʻolohe mai kekahi iā ʻoe.
- E hoʻomaʻamaʻa i nā hana hōʻoluʻolu: E hana i nā hoʻomaʻamaʻa hanu hohonu. (E hanu mālie a hohonu ma kou ihu, e paʻa no kahi o 3 kekona, a e hanu mālie ma kou waha.) E hoʻomaʻamaʻa i ka noʻonoʻo a me ka noʻonoʻo pono.
- E hui pū me kahi hui kākoʻo: ʻO ka hui pū ʻana me nā poʻe ʻē aʻe e kū nei i ka pilikia like me ʻoe hiki ke lilo i mea kōkua nui e manaʻo ai ʻaʻole ʻoe hoʻokahi.
- E mālama iā ʻoe iho: E ʻai i ka meaʻai kaulike, e hiamoe pono, a e hoʻoikaika kino no 30 mau minuke ma ka liʻiliʻi he 5 mau lā o ka pule. Hiki i kahi nohona olakino ke kōkua i ka hoʻēmi ʻana i ka hopohopo.
Pono wau e hana i kahi MRI, pehea e hoʻoponopono ai?
He pilikia nui kēia no nā poʻe he nui me ka claustrophobia. Akā, mai hopohopo, aia nā ala e hoʻomākaukau ai no kēia.
1. E haʻi mua i kāu kauka: E haʻi i kāu kauka e pili ana i kou claustrophobia ke hoʻonohonoho ʻia ʻoe no ka MRI. Hiki iā ia ke kuhikuhi i kahi lāʻau lapaʻau e hōʻoluʻolu iā ʻoe ma mua o ka hoʻāʻo.
2. E nīnau e pili ana i kahi MRI hāmama: Loaʻa i kekahi mau haukapila nā mīkini MRI hāmama. ʻOi aku ka laulā o kēia mau mea ma mua o nā mīkini MRI maʻamau. E nīnau inā hiki iā lākou ke hoʻohana i hoʻokahi no kāu hoʻokolohua.
3. I ka wā o ka hoʻāʻo:
- E lawe i kekahi mau hanu hohonu ma mua o ke komo ʻana i loko o ka mīkini.
- E pani i kou mau maka mai ka manawa āu e komo ai i loko o ka mīkini. E noʻonoʻo iā ʻoe iho i kahi e lawe mai ai iā ʻoe i ka maluhia a me ka ʻoluʻolu (ma ke kahakai nani, ma lalo o ka lani hōkū).
- E hoʻomanaʻo he pihi panic kāu ma kou lima hiki iā ʻoe ke kaomi e hoʻōki i ka hoʻāʻo i kēlā me kēia manawa.
- E kamaʻilio ke loea me ʻoe i ka wā o ka hoʻāʻo. E haʻi iā lākou inā ʻoluʻolu ʻole ʻoe.
Leka Lawe-Home
- ʻAʻole ʻo Claustrophobia kahi makaʻu maʻamau i nā wahi paʻa, akā, he makaʻu nui a lapuwale hoʻi e paʻakikī ke kaohi a hoʻopilikia i ke ola.
- ʻAʻole kēia kou hewa a he nāwaliwali paha. He maʻi lapaʻau kēia e hiki ke ho'ōla loa ʻia me ka lāʻau lapaʻau.
- ʻO ka lāʻau lapaʻau exposure a me ka cognitive behavioral therapy (CBT) nā lāʻau lapaʻau kūpono loa no kēia, me ka ʻoi aku o 90% o ka poʻe e loaʻa ana ka hōʻoluʻolu mai kēia mau lāʻau lapaʻau.
- Inā paʻakikī kou makaʻu i ka hana ʻana i nā hana o kēlā me kēia lā a inā ʻoe e haʻalele ana i nā pilina pili kanaka, mai hilahila a makaʻu paha, akā e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
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