Store-a kal i ngai a, a nih loh leh bus-a chuang a, khawi emaw lai i kal a ngai tih han ngaihtuah teh. Mahse, chu ngaihtuahna chu i rilruah a lo thleng a, i rilru a na hle a, i thawk a hah a, thawk harsa i ti em? ‘Chutah chuan ka tlu a nih chuan tuin nge min pui ang?’, ‘Mipui zingah ka tang a nih chuan engtin nge ka tih ang?’ tih ang chi hi i ngaihtuah em? Mi tam tak chuan hei hi hlauhna mai niin an ngai. Mahse chu aia thuk zawk chu a ni thei. Hei hi rilru lam hriselna dinhmun, damdawi lama Agoraphobia kan tih pawh a ni thei.
A awlsam zawngin Agoraphobia chu eng nge ni?
Agoraphobia hi lungkhamna natna a ni a, hmun emaw dinhmun emawa tang tlat emaw, tanpuina dawng thei lo emaw, mualpho emaw hlauhna nasa tak a awm a ni. Hetiang hlauhna avang hian he natna vei te hian chutiang hmun leh dinhmun chu an pumpelh duh hle.
He hlauhna lo chhuahna hmun thenkhat hi han ngaihtuah teh:
- Mipui lirthei: bus emaw rel emaw hmanga kal.
- Hmun zau tak tak: field lian tak tak, kawngpui, car dahna hmun.
- Hmun khar: cinema, dawr, lift.
- Mipui tamna hmun: bazar, queue-a ding.
- In pawnah mahni chauha awm.
A pawimawh ber chu hetiang vei mi hian a hmun ngei hi a hlau lo va, a chunga a thunun theih loh thil a lo thleng a, entirnan, panic attack a lo thleng a nih chuan a tlanchhuak thei dawn lo emaw, tanpuina a la thei dawn lo emaw tih ngaihtuahna hi a ni.
Agoraphobia natna lan chhuahna chu engte nge ni?
Kan zavaiin hlauhna leh lungkhamna kan nei fo thin. Chu chu thil pangngai a ni. Mahse Agoraphobia-ah chuan he hlauhna leh lungkhamna hi a nasa lutuk a, nitin hna i thawk thei lo. Khawpui chhunga mipui tamna hmun ang maia hlauhawmna hmuna i kal chuan i rilru put hmang chu panic attack-a i tawn ang chiah kha a ni.
Tunah chuan hetiang hun lai hian taksa hi eng ang nge a nih tih i lo en ang u.
| Symptom a ni | Engtin nge a awm tih |
|---|---|
| Heart rate a sang chho zel | A rilru chu a rang hlein a hria a, hmanhmawh ang maiin a awm. A châng chuan rilru na ang maiin a awm thei bawk. |
| Thâwk harsa | Thâwk khuh leh thawk harsa tih hriat (Hyperventilation). |
| Luak chhuak leh muhil | Dizziness , mit a sen vek, ka muhil dawn ang maiin ka hria. |
| Khup leh hlauhna rilru pu chungin | Ka taksa pum pui chu a nghing a, thunun theih loh hlauhna ka nei. |
| Thawmhnaw hak | A tlangpuiin, i khawsik lai pawhin i thawmhnaw a chhuak nghal (Hyperhidrosis). |
| Khua a vawt emaw, a lum emaw tih hriat | Vawikhatmah i taksa chu a vawt a, a nih loh leh i hmai a sen a, lumna i pe chhuak ang maiin i hria. |
| Pum natna | Ka pum a rawn inher a, ka rilru a na hle. |
Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?
Zirchiangtute chuan hei hi a chhan chiang tak an la hmu lo. Mahse, he natna hi Panic Disorder tih natna nen a inzawm fo thin. Panic Disorder hi chhan hriat loha hlauhna nasa tak awm nghal mai a ni. Panic Disorder vei hmun thuma ṭhena hmun khat vel pawhin hun kal zelah Agoraphobia an vei bawk. Mahse, mi thenkhat chuan Panic Disorder nei lovin Agoraphobia chauh an nei thei.
Hetiang dinhmun thlentu risk factor dang engemaw zat a awm bawk.
- Panic attack: Hetiang hian i lo nei tawh a nih chuan.
- Phobia dang neih: Thil dang, sang emaw rannung emaw hlauhna nasa tak i neih chuan.
- Stressful life events: Hmangaih tak thihna, mi tihduhdahna ang chi thil, a bik takin naupan laia tawn a nih chuan.
- Lungkhamna laka fihlim: Thil tenawm ber pawha awlsam taka lungkham duhna i neih chuan.
- Chhungkaw history-a he natna hi neih: I chhungkuaa mi pakhatin genetic influence avanga agoraphobia a neih chuan nang pawhin i vei theihna chance a sang deuh hlek a ni.
Engtin nge doctor hian hei hi a hriat theih?
A chunga kan sawi tak symptoms te hi i nei nia i hriat a, he hlauhna hian i nitin nun a tibuai a nih chuan i doctor hmu ngei ang. Hei hi i suangtuahnaa thil siam mai mai niin ngai suh. Hei hi damdawi lam dinhmun a ni a, enkawl ngai a ni.
In chhuahsan i hlau lutuk a nih chuan phone emaw video conferencing emaw hmangin doctor i biak theih mai thei.
Doctor chuan hetiang zawhna hi a zawt thei che a ni:
- "In chhuahsan tur i ngaihtuah hian pressure emaw hlauhna emaw i nei em?"
- "Hmun emaw, dinhmun emaw i hlauh vanga i pumpelh thin a awm em? Engvangin nge i hlauh?"
- "Store kal emaw, thil lei tur emaw tih ang chi hna atan midang i innghat em?"
Doctor chuan agoraphobia hi i symptoms, eng chen nge a awm tawh tih leh a nasat dan a zirin a hre thei ang. American Psychiatric Association-in tehfung a siam ang chuan mi pakhat chuan a hnuaia dinhmun pahnih tal- ah hian hlauhna emaw lungkhamna nasa tak a tawk tur a ni:
Mipui lirthei hman te, hmun zau takah awm te, hmun inkharkhip a awm te, queue-a awm emaw mipui tamna hmuna awm te, in pawna mahni chauha awm te.
Agoraphobia hi eng enkawlna nge ni?
He natna hi enkawlna hrang hrang hmanga enkawl a ni tlangpui a, chu chu i doctor chuan i duh angin a siamsak ang.
Psychotherapy hmanga enkawlna
Hei hi "talk therapy" tih mai kan ti bawk. Cognitive Behavioral Therapy (CBT) hi hmanraw tangkai tak a ni. Therapist chuan i hlauhthawnna thlentu ngaihtuahnate chu a hriat theih nan a pui che a ni. Tichuan, chu ngaihtuahnate chu a ṭha zâwk leh rahbi thar zâwka chhân lêt dân tûr an zirtîr che a ni.
Tin, zawi zawiin i hlauhna dinhmunte chu i hmachhawn thiam ta bawk. A hmasain, chutiang hmunte chu ngaihtuah tûra siam i ni a, chutah chuan chu hmunte chu kal tak tak tûra fuih i ni. Hei hi desensitization an ti a . Hun a kal zel a, i thluak hian he hlauhna hi kawng dangin a chhang let thin.
Damdawi ei tur
I doctor chuan damdawi a pe thei ang. A hman tlanglawn ber chu Selective Serotonin Reuptake Inhibitors (SSRI) emaw Serotonin-Norepinephrine Reuptake Inhibitors (SNRI) emaw an ni.Hengte hi damdawi chi hrang hranga tel an ni: antidepressants. Hengte hi lungkhamna leh lungngaihna enkawlna atan hman a ni. Hengte hi damdawi lam thurawn chauh lak tur a ni.
Nunphung inthlak danglamna
Enkawlna rual hian i nunphungah inthlak danglamna tenau te siam hian he natna hi thunun kawngah kawng thui tak a zawh thei a ni.
- Zu, caffeine (tea, coffee), leh ruihhlo dang ei loh tur. Chûngte chuan lungkhamna a tipung thei a ni.
- Ei leh in hrisel, inthlau tak ei rawh.
- Exercise neih fo thin ang che. Exercise hi lungkhamna tihziaawmna atana natural way tha ber pakhat a ni.
- Thâwk lak dan exercise la. Thâwk thûk tak chuan i rilru a ti thlamuang thei a ni.
Agoraphobia hi thil hlauhawm tak a ni thei a, in lama awm reng leh inhlat taka awm tir thei che a ni. Mahse, enkawl theih tak a ni tih hre reng ang che. I duhzawng thilte chu hlauhna tel lovin i ti leh thei a ni. A pawimawh ber chu tanpuina dil hlau lo hi a ni. Chumi chungchang chu i doctor nen zalen takin sawipui rawh. Chu chu damna kawng zawh hmasak ber a ni.
Take-Home Thuchah a ni
- Agoraphobia hi hlauhna mai a ni lo va, damdawi lam dinhmun tak tak, enkawl ngai a ni.
- Hei hi panic attack nen a inzawm fo thin.
- Taksa symptom i tawn mek (chhung na, luak chhuak) hi a tak tak a ni a, a nuam lo hle bawk. I suangtuahna atanga siam mai mai an ni lo.
- He natna hi psychotherapy (a bik takin CBT) leh doctor-in damdawi a pek hmangin hlawhtling takin enkawl theih a ni.
- Hetiang dinhmun hi i vei a nih chuan khawngaihin nangmah chauhin tuar suh. Doctor hmu la, inbia ang che. Chu chu a pawimawh ber a ni.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh