Koj puas muaj tej lub sij hawm koj ntshai heev thiab mob hauv koj lub siab thaum koj xav txog kev tawm hauv tsev, mus rau lub khw, lossis caij tsheb npav? Koj puas pom koj tus kheej nyob rau hauv qhov chaw uas koj xav tias koj mus tsis tau qhov twg ib leeg thiab tsis muaj leej twg pab koj? Yog tias yog, qhov no yog ib qho tseem ceeb heev rau koj. Peb hu qhov mob no ua Agoraphobia . Qhov no tsis yog kev ntshai xwb, nws yog ib qho mob hlwb uas xav tau kev kho mob.
Hauv lwm lo lus, Agoraphobia yog dab tsi?
Agoraphobia yog ib qho kev ntxhov siab uas ua rau koj ntshai heev tias yuav nyob hauv qee qhov xwm txheej sab nraum koj lub tsev, tshwj xeeb tshaj yog cov chaw uas koj yuav pom tias nyuaj rau tawm mus tam sim ntawd thiab qhov chaw uas koj yuav tsis tau txais kev pab. Qhov kev ntshai no feem ntau nrog los ntawm kev ntshai tias yuav muaj kev ntshai ntshai nyob rau hauv qhov chaw uas koj yuav nyob hauv kev ntshai heev.
Cov tsos mob muaj xws li kev tsis xis nyob me ntsis mus txog rau qhov ua rau tuag taus. Txawm hais tias qee tus neeg tsuas mus tau ob peb qhov chaw uas lawv paub zoo xwb, lwm tus tuaj yeem mob hnyav heev uas lawv tsis tuaj yeem tawm hauv tsev.
Qhov tseem ceeb yog tias ib tug neeg uas muaj agoraphobia tsis ntshai qhov uas lwm tus yuav xav txog lawv, tab sis ntawm qhov kev xav tias lawv yuav muaj kev phom sij hauv qhov chaw ntawd thiab lawv yuav tsis muaj zog yog tsis muaj kev pab.
Agoraphobia thiab Social Anxiety puas yog tib yam?
Yog lawm, ob tug no txawv me ntsis. Ib tug neeg uas muaj kev ntxhov siab hauv zej zog ntshai tsam raug txaj muag rau lwm tus thiab raug txiav txim. Tab sis hauv Agoraphobia, qhov kev ntshai yog rau lawv tus kheej txoj kev nyab xeeb. Cia peb piav qhia qhov txawv no ntxiv nrog lub rooj hauv qab no.
| Xwm txheej | Qhov laj thawj ntawm kev ntshai |
|---|---|
| Kev ntshai ntawm Agoraphobia | Ntshai tsam yuav raug daig rau qhov chaw twg, tawm tsis tau, tsis muaj kev pab, lossis ntshai heev. |
| Kev Ntxhov Siab Hauv Zej Zog | Ntshai yuav txaj muag rau lwm tus, ntshai tib neeg yuav txiav txim rau koj, ntshai yuav raug thuam. |
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Cov kws kho mob tsis tuaj yeem hais tseeb tias yog dab tsi ua rau qhov no, tab sis lawv tau txheeb xyuas ntau yam uas ua rau muaj kev pheej hmoo ntxiv.
- Keeb Kwm Tsev Neeg : Yog tias ib tug neeg hauv koj tsev neeg, tshwj xeeb yog ib tug kwv tij neej tsa, muaj tus mob no, koj muaj feem yuav mob no ntau dua. Qhov no txhais tau tias tej zaum yuav muaj kev cuam tshuam los ntawm noob caj noob ces.
- Kev Nyuaj Siab Ntshai Los Yog Kev Ntshai Tawg: Yog tias koj muaj keeb kwm ntawm kev ntshai, nws tuaj yeem ua rau Agoraphobia. Xav txog tias koj muaj kev ntshai hauv khw. Tom qab ntawd koj pib ntshai mus rau cov khw vim koj xav tias nws yuav tshwm sim dua. Thaum koj zam qhov chaw uas ua rau koj ntshai, nws tuaj yeem maj mam hloov mus ua Agoraphobia.
- Lwm yam teeb meem kev noj qab haus huv ntawm lub hlwb: Qhov kev pheej hmoo no kuj nce ntxiv los ntawm cov mob xws li kev ntxhov siab tsis tau kho, kev nyuaj siab, thiab kev ntshai (kev ntshai ntau dhau ntawm lwm yam).
- Kev raug mob hauv lub neej: Cov xwm txheej ntxhov siab heev, tshwj xeeb yog kev tsim txom thaum yau, kev tuag ntawm niam txiv , kev poob haujlwm, thiab kev sib nrauj, tuaj yeem ua rau muaj tus mob no.
Cov tsos mob ntawm agoraphobia yog dab tsi?
Yog koj muaj tus mob agoraphobia, tej zaum koj yuav ntshai thiab ntxhov siab heev. Cov tsos mob no txawv ntawm ib tus neeg mus rau ib tus neeg. Cia peb saib cov tsos mob tseem ceeb.
| Cov tsos mob feem ntau cuam tshuam nrog agoraphobia | |
|---|---|
| Cov xwm txheej thiab qhov chaw uas ua rau ntshai | |
| |
| Cov tsos mob ntawm lub cev (xws li kev ntshai ntshai heev) | |
| |
| Cov yam ntxwv ntawm lub hlwb thiab tus cwj pwm | |
|
Qhov no puas tshwm sim rau cov menyuam yaus thiab?
Yog, cov menyuam yaus muaj peev xwm muaj agoraphobia. Qhov mob no tuaj yeem pom nrog kev ntshai, tshwj xeeb tshaj yog rau cov menyuam yaus. Yog tias ib tug menyuam muaj qhov mob no, lawv yuav ntshai heev thaum lawv sib cais ntawm lawv niam lawv txiv, nyob rau hauv cov chaw muaj neeg coob coob, nyob rau hauv kab, lossis taug kev hla tus choj. Yog tias koj tus menyuam muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob thiab tham txog nws.
Koj paub tseeb li cas tias qhov no yog ib yam kab mob?
Thaum koj mus ntsib koj tus kws kho mob, nws yuav tsis hu nws tias Agoraphobia tam sim ntawd. Thawj qhov uas nws yuav ua yog xyuas seb puas muaj lwm yam mob ntawm lub cev uas ua rau muaj cov tsos mob no.
- Lawv yuav kuaj koj thiab nug koj kom zoo txog koj cov tsos mob.
- Yuav ua tau ntau yam kev kuaj ntshav.
- Tej kev kuaj mob (xws li ECG) yuav ua tau los xyuas seb puas muaj teeb meem dab tsi nrog lub plawv lossis lub ntsws.
Thaum twg paub tseeb tias tsis muaj teeb meem dab tsi, tus kws kho mob yuav nug txog koj lub siab thiab seb qhov kev ntshai no cuam tshuam li cas rau koj lub neej txhua hnub. Koj kuj tseem yuav raug xa mus rau tus kws kho mob hlwb lossis tus kws kho mob hlwb.
Yuav kom kuaj tau tus kab mob no, koj yuav tsum ntshai heev rau tsawg kawg yog ob lossis ntau qhov xwm txheej uas tau teev saum toj no. Tsis tas li ntawd, qhov kev ntshai no yuav tsum muaj kev cuam tshuam loj heev rau koj txoj haujlwm, kev kawm, lossis kev sib raug zoo hauv zej zog.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov no yog qhov tseem ceeb tshaj plaws. Agoraphobia yog ib yam mob uas kho tau thiab tswj tau zoo heev. Yog li ntawd, tsis txhob ntshai. Muaj ob hom kev kho mob tseem ceeb.
1. Kev kho mob nrog kev tham
Txoj kev zoo tshaj plaws los ua qhov no yog los ntawm Kev Kho Mob Hlwb (Cognitive Behavioral Therapy - CBT) . Hais yooj yim xwb, tus kws kho mob hlwb pab koj txheeb xyuas thiab hloov cov kev xav tsis zoo uas ua rau koj ntshai. Lawv kuj qhia koj tej yam xws li kev ua pa kom pab koj so thaum koj ntshai.
Ua ib feem ntawm CBT, peb kuj ua ib yam dab tsi hu ua Kev Kho Mob Pom Kev . Qhov peb ua yog, peb xyaum ntsib cov chaw uas koj ntshai heev, ib kauj ruam zuj zus, thiab muaj kev nyab xeeb. Ua ntej, tej zaum peb yuav qhia koj kom xav txog kev mus rau lub khw, tom qab ntawd peb yuav qhia koj kom mus rau lub qhov rooj khw, tom qab ntawd peb yuav qhia koj kom mus rau hauv me ntsis. Ua li no, peb yuav pab koj kov yeej koj qhov kev ntshai.
2. Kev kho mob nrog tshuaj
Muaj tej lub sij hawm, tshuaj kho mob raug muab ua ke nrog kev kho mob tham.
- Cov Tshuaj Tiv Thaiv Kev Nyuaj Siab: Cov tshuaj uas siv ntau tshaj plaws yog SSRIs (Selective Serotonin Reuptake Inhibitors) . Piv txwv li Fluoxetine, Sertraline, thiab Escitalopram. Cov no yuav tsum tau noj txhua hnub, thiab nws yuav siv sijhawm ob peb lub lis piam kom hnov qhov txiaj ntsig tag nrho.
- Cov tshuaj tiv thaiv kev ntxhov siab: Cov tshuaj Benzodiazepines (piv txwv li Alprazolam, Clonazepam) tuaj yeem siv tau thaum muaj kev ntshai sai sai. Txawm li cas los xij , cov no yuav tsum tau siv nrog kev ceev faj heev thiab tsuas yog rau lub sijhawm luv luv xwb, vim tias lawv muaj kev pheej hmoo ntawm kev quav yeeb quav tshuaj.
Tag nrho cov kev kho mob no yuav tsum tau txiav txim siab los ntawm koj tus kws kho mob raws li koj tus mob. Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob noj tshuaj ntawm koj tus kheej.
Yog tias tsis kho ces yuav ua li cas?
Yog tias tsis kho, agoraphobia tuaj yeem cuam tshuam rau txhua yam ntawm koj lub neej.
- Koj tuaj yeem nyob hauv tsev thiab kho siab.
- Cov hauj lwm thiab kev kawm ntawv tuaj yeem raug cuam tshuam tag nrho.
- Kev sib txuas lus hauv zej zog yuav ploj mus.
- Tej zaum yuav muaj lwm yam mob hlwb xws li kev nyuaj siab.
- Tej zaum koj yuav quav dej cawv lossis tshuaj yeeb.
- Hauv cov xwm txheej hnyav tshaj plaws, kev xav tua tus kheej tuaj yeem tshwm sim.
Yog koj lossis ib tug neeg koj paub xav ua phem rau lawv tus kheej, thov mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd lossis hu rau National Institute of Mental Health ntawm 1926 kom tau kev pab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Agoraphobia tsis yog tsuas yog kev ntshai xwb, tab sis yog ib qho kev ntxhov siab uas kho tau.
- Qhov kev ntshai tseem ceeb hauv qhov no yog qhov kev xav tias raug daig qhov twg thiab tsis muaj zog yam tsis muaj kev pab.
- Tus mob no tuaj yeem tswj tau zoo heev nrog Kev Kho Mob Hlwb (CBT) thiab tshuaj.
- Yog koj muaj cov tsos mob no, tsis txhob ntshai lossis txaj muag mus ntsib kws kho mob thiab thov kev pab. Koj tsis yog tib tug xwb.
- Yog tias koj tsev neeg lossis koj tus phooj ywg muaj tus mob no, pab lawv nkag siab thiab xa lawv mus kho.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus