Imajin se yu nid fɔ go na di stoa, ɔ yu nid fɔ go insay di bɔs sɔmsay. Bɔt we da tin de kam na yu maynd, yu chɛst kin fil tayt, yu kin swet, ɛn i nɔ kin izi fɔ yu fɔ blo? Yu tink se tin dɛn lɛk, ‘Udat go ɛp mi if a fɔdɔm de?’, ‘Wetin a go du if a stɔp na krawd?’? Bɔku pipul dɛn kin tink se dis na jɔs fɔ fred. Bɔt i kin bi sɔntin we dip pas dat. Dis kin bi wan mental hεlth kכndyushכn wae wi kin kɔl Agoraphobia pan mεdikal.
Fɔ tɔk am simpul wan, wetin na Agoraphobia?
Agoraphobia na wan sik wae de mek pɔrsin de wɔri wae pɔrsin kin frayd bad bad wan fɔ trɔp na say ɔr situeshɔn, fɔ nɔr ebul fɔ gɛt ɛp, ɔr fɔ shem. Bikɔs ɔf dis frayd, pipul dɛm wae gɛt dis sik kin lɛk fɔ avɔyd dɛn kayn ples ɛn tin dɛm ya.
Tink bɔt sɔm pan di say dɛn we dis fred kin kam:
- Pɔblik transpɔt: fɔ tek bɔs ɔ tren.
- Opin ples dɛn: big fil dɛn, brij dɛn, ples dɛn fɔ pak motoka dɛn.
- Ples dɛn we dɛn kin lɔk: sinima, shɔp, lif.
- Ples dɛn we pipul dɛn kin ful-ɔp: makit dɛn, tinap na kiyu.
- Fɔ de yu wan na do na os.
De impɔtant tin na fɔ mek pɔrsin wae gɛt dis sik nɔr de fred di ples insɛf, bɔt fɔ de tink se if sɔmtin apin to am wae dɛn nɔr kin ebul fɔ kɔntrol, fɔ ɛgzampul, panik atak, dɛn nɔr go ebul fɔ rɔnawe ɔr gɛt ɛp.
Wetin na di sayn dɛm fɔ agoraphobia?
Wi ɔl kin fred ɛn wɔri wan wan tɛm. Dat na nɔmal tin. Bɔt pan Agoraphobia, dis frayd ɛn wɔri kin so bad dat yu nɔr kin ebul fɔ du ɛvride wok. We yu go na ples we de mek yu fred, lɛk ples we bɔku pipul dɛn kin de na tɔŋ, di filin we yu kin fil na di sem tin we yu kin fil we yu de panik.
Naw lɛ wi si aw di bɔdi de fil na tɛm lɛk dis.
| Di sayn we de sho se di sik de | Aw i kin fil |
|---|---|
| Di at rit we de go ɔp | Di chɛst de paund, i tan lɛk se yu jɔs dɔn rɔn. Sɔntɛnde, i kin ivin fil lɛk se yu de fil pen na yu chɛst. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil se yu dɔn swɛla ɛn i nɔ izi fɔ yu fɔ blo (Hyperventilation). |
| Diziz ɛn fɔdɔm | Diziz , yay we de tɔn blu, a kin fil lɛk se a go fɔdɔm. |
| Fɔ shek shek ɛn fil se i de fred | Mi wan ol bɔdi de shek shek, ɛn a de fil wan fred we a nɔ ebul fɔ kɔntrol. |
| We pɔsin de swet | Nɔmal wan, yu kin bigin fɔ swet wantɛm wantɛm ivin we yu kol (Hyperhidrosis). |
| Fɔ fil kol ɔ wam | Wantɛm wantɛm, yu bɔdi kin kol, ɔ yu fes kin tɔn rɛd ɛn yu kin fil lɛk se yu de rayt ɔt. |
| Bɛlɛ nɔ kin fil fayn | Mi bɛlɛ de tɔn, a de fil nɔs. |
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Risach pipul dɛn nɔ dɔn fɛn ɛni patikyula rizin yet fɔ dis. Bɔt bɔku tɛm, dis sik kin gɛt fɔ du wit wan sik we dɛn kɔl Panic Disorder . Panik Disɔda na wan sik wae de mek pɔrsin frayd kwik kwik wan fɔ no rizin. Na lɛk wan pat pan tri pipul dɛm wae gɛt Panik Disɔda kin gɛt Agoraphobia bak as tɛm de go. Bɔt sɔm pipul dɛn kin gɛt Agoraphobia nɔmɔ we nɔ gɛt Panic Disorder.
Bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik.
- Panik atak: If yu dɔn gɛt panik atak lɛk dis bifo.
- Fɔ gɛt ɔda tin dɛn we de mek yu fred: If yu de fred bad bad wan fɔ ɔda tin dɛn, lɛk fɔ ayt ɔ fɔ animal dɛn.
- Di tin dɛn we kin apin na layf we kin mek pɔsin strɛs: Tin dɛn lɛk we pɔsin we yu lɛk day, fɔ buli pɔsin, mɔ if i apin we i smɔl.
- Fɔ fil fɔ wɔri: If yu gɛt di abit fɔ wɔri izi wan bɔt ivin di smɔl smɔl tin dɛn.
- Fɔ gɛt famili histri bɔt dis sik: If pɔrsin na yu famili gɛt agoraphobia bikɔs ɔf in jenɛtik inflɔɛns, yu kin gɛt smɔl risk fɔ gɛt am bak.
Aw dɔktɔ kin no dis?
If yu fil lɛk yu gɛt di sayn dɛm wae wi dɔn tɔk bɔt, ɛn if dis frayd de ambɔg yu ɛvride layf, fɔ tru to yu dɔktɔ. Nɔ tink se dis na jɔs tin we yu de imajin. Dis na wan sik we pɔsin kin gɛt we i nid tritmɛnt.
If yu de fred tumɔs fɔ kɔmɔt na os, yu kin ebul fɔ tɔk to dɔktɔ na fon ɔ bay vidio kɔnfrɛns.
Di dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk dɛn wan ya:
- "Yu de fil se yu de pres o yu de fred wen yu tink se yu go komot fo haus?"
- "Ples o situeshɔn de we yu de avɔyd bikɔs yu de fred? Wetin mek yu de fred dɛn?"
- "Yu de abop pan oda pipul fo wok laik to go stoa o get groseri?"
Dɔktɔ go no if yu gɛt agoraphobia bay di sayn dɛm we yu gɛt, aw lɔng i dɔn de, ɛn aw i bad. Frɔm di krayteria we di American Psychiatric Association dɔn mek, pɔsin fɔ fred ɔ wɔri pasmak pan at le tu pan dɛn tin ya:
Yuz pɔblik transpɔt, fɔ de na opin ples, fɔ de na say dɛn we dɛn lɔk, fɔ de na kiyu ɔ krawd, fɔ de yu wan na do na os.
Wetin na di tritmɛnt fɔ agoraphobia?
Dɛn kin trit dis sik wit kɔmbayn tritmɛnt dɛm, we yu dɔktɔ go tayla fɔ yu.
Saykotɛrapi
Wi kin kɔl dis bak jɔs "tɔk tɛrapi." Cognitive Behavioral Therapy (CBT) na wan we we rili wok fayn. Wan dɔktɔ wae de mɛn yu kin ɛp yu fɔ no aw pɔrsin de tink wae de mek yu frayd. Dɔn, dɛn kin tich yu aw fɔ ansa dɛn tin dɛn de di rayt we ɛn we go mek yu gɛt mɔ prɔdakshɔn.
Dɔn bak, smɔl smɔl yu kin yus fɔ bia wit di tin dɛn we yu de fred. Fɔs, dɛn kin mek yu tink bɔt dɛn kayn ples dɛn de, dɔn dɛn kin ɛnkɔrej yu fɔ rili go na dɛn ples dɛn de. Dɛn kɔl dis desensitization . As tɛm de go, yu bren kin yus fɔ ansa dis fred difrɛn we.
Mɛrɛsin we dɛn kin gi
Yu dɔktɔ kin gi yu mɛrɛsin. di wan dεm we dεn kin yus pas כl na Sεlektiv Sεrotonin Riuptek Inhibitor (SSRI) כ Serotonin-Norepinephrine Riuptek Inhibitors (SNRI).Dis na mɛrɛsin wae de pan dɛn kayn mɛrɛsin ya: mɛrɛsin wae de mek pɔrsin fil bad. Dɛn kin yuse dɛn tin ya fɔ trit ɔl tu di wɔri ɛn pwɛl hat. Dɛn fɔ tek dɛn tin ya nɔmɔ we dɔktɔ gi dɛn advays.
Di we aw pipul dɛn de liv in layf
Apat frɔm tritmɛnt, fɔ mek smɔl chenj dɛn na yu layf kin ɛp fɔ kɔntrol dis sik.
- Nɔ drink rɔm, kafinɛ (ti, kɔfi), ɛn ɔda drɔgs. Dɛn tin ya kin mek pɔsin wɔri mɔ ɛn mɔ.
- It fayn it ɛn balans it.
- Ɛksesaiz ɔltɛm. Ɛksesaiz na wan pan di bɛst we fɔ mek yu nɔ wɔri.
- Praktis fɔ du ɛksɛsayz fɔ blo. We yu de blo dip dip wan, dat kin ɛp yu fɔ mek yu maynd kol.
Agoraphobia kin bi tin wae de mek yu frayd, e kin mek yu stɔp na os ɛn nɔr de nia ɔda pipul dɛm. Bɔt mɛmba se na sik we pɔsin kin rili trit. Yu kin du di tin dɛn we yu lɛk bak ɛn nɔ fred. Di tin we impɔtant pas ɔl na fɔ nɔ fred fɔ aks fɔ ɛp. Tɔk opin wan wit yu dɔktɔ bɔt am. Dat na di fɔs step na di rod fɔ mek pɔsin wɛl.
Mɛsej we dɛn kin kɛr go na os
- Agoraphobia nɔto jɔs fɔ fred, na rial mɛrɛsin we nid tritmɛnt.
- Bɔrku tɛm dis kin gɛt fɔ du wit panik atak.
- De fyzikal simptom wae yu de fil (chɛst pen, diziz) na rial tin ɛn nɔr kin fayn fɔ yu. Dɛn nɔto jɔs tin dɛn we yu de imajin.
- Dɛn kin ebul fɔ mɛn dis sik fayn fayn wan wit saykotɛrapi (especially CBT) ɛn mɛrɛsin wae dɔktɔ gi yu.
- If yu de sɔfa wit dis sik, duya nɔr de sɔfa yu wan. Si yu dɔktɔ ɛn tɔk to am. Dat na di tin we impɔtant pas ɔl.
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