Hmun thenkhatah pawh kal i hlau em? Hei hi (Agoraphobia) a ni thei ang em? Hemi chungchang hi chipchiar takin sawi ila!

Chutiang thil tawn zinga pakhat chu i tawng tawh em? Bazar hmuna mipui tamna hmuna i awm lai te, shopping mall lian takah mahni chauha i kal lai te, a nih loh leh bus-a i tang lai emaw hian hlauhna leh hlauhna nasa tak i nei nghal tih han ngaihtuah teh. Thâwk harsatna nei ang maiin i inhria a, i rilru a na a, i thawmhnaw a chhuak a, tlanchhiat ang maiin i inhria. Heng thil tawn te hi i neih fo chuan thil pangngai a ni lo mai thei. Agoraphobia tih natna i vei mai thei.

Hei hi eng nge ni (Agoraphobia)?

A awlsam zawngin, agoraphobia hi lungkhamna nasa tak, hlauhna nasa tak nei a ni . Thil awm danah chuan tanpui theih lohvin i inhria thei a, tlanchhuah theih lohvin i inhria thei a, tanpuina dil thei lovin i inhria thei a, panic attack vangin midang hmaah i mualpho thei bawk. He hlauhna nasa tak avang hian hmun leh dinhmun thenkhat chu i pumpelh tan mai thei.

I thianpa Nadeesha kha han ngaihtuah teh. Shopping mall-a kal chu a hlau hle. An mipui tam lutuk leh an lian em avangin a bo ang maiin a hria a, a lu a buai ang a, tumah pui turin an lo kal dawn lo tih a sawi bawk. Chuvangin tunah chuan a thiante nen shopping an kal tawh lo va, dawr lian bulah pawh amah chauhin a kal tawh lo. Hengte hi Agoraphobia vei miin a tawn thinte chu a ni.

Hengte hi agoraphobia vei te hian an pumpelh fo thin hmun leh dinhmun te chu a ni:

• Hmun lian, inhawng (e.g., field lian, kawngpui) emaw, inkhar kim vek, hmun tenau (e.g., movie theater, elevator/lift) emaw a ni thei.
• Mipui tamna hmun (e.g. bazar, bus stop, festival).
• An chenna in pawn lama hmun, a bik takin anmahni chauha an awm laiin.
• Mipui lirthei service (e.g. bus, rel) te.

Agoraphobia natna lan chhuahna chu engte nge ni?

Mi zawng zawng hian a chang chuan hlauhna leh lungkhamna kan neih hi thil pangngai tak a ni. Mahse agoraphobia vei tan chuan hlauhna chu a nasa lutuk a, nitin hnathawhnaah a tibuai a ni. Hetiang dinhmun hi i neih chuan i hlauhthawn theihna hmuna i kal hian, emaw, chu hmuna kal i ngaihtuah hian panic attack (panic attack ang chi) symptoms i nei thei a ni.

Heng symptoms te hi a intan nghal thei a, minute tlemte chhungin a peak thei bawk. Hetih lai hian hetiang hian i hre mai thei:

• Chest na emaw heartbeat chak tak emaw hriatna (thlah kang ang chi).
• Taksa chu a nghing ang maia nghing, hlauhna nen a inzawm tih hriat.
• Thâwk lak chak lutuk, thawk hah ang maia thawk (`Hyperventilation`).
• Lung hlim emaw, luak chhuak emaw tih hriat.
• Sudden chills emaw flushing emaw a awm.
• Thaw chhuak lutuk (Hyperhidrosis).
• Pum natna, nausen, i pum a inher ang maia awm.
• Thil tak tak nena inzawmna nei lo, mahni atanga hla taka awm tih hriatna.
• Thununna hloh emaw, thih emaw hlauhna.

Hetiang symptom i neih hian thil hlauhawm tak a ni thei tih kan hria. Mahse, nangmah chauh i ni lo tih hre reng la, he dinhmun atân hian ṭanpuina a awm bawk.

Agoraphobia hi engte nge ni?

Zirchiangtute chuan agoraphobia awm chhan dik tak hi an la hmuchhuak lo. Mahse, he natna hi a hmaa awm tawh panic disorder nen a inzawm fo niin an ngai a, chu chu hlauhna nasa tak, chhan awm lovin lo thleng nghal mai a ni. Panic disorder nei hmun thuma ṭhena hmun khat vel chuan agoraphobia an nei bawk. Mahse, a chang chuan agoraphobia tel lo emaw, amah chauh emaw a awm thei.

Agoraphobia vei theihna tipungtu thil engemaw zat a awm a:

• Panic attack fo thin, a bik takin hlauhna leh lungkham lutuk nen a inzawm chuan.
• Hlauhna dang (`phobias`) neih (e.g. sang hlauh, rannung hlauh).
• Nun chhunga thil thleng lungchhiatthlak tak tak, a bik takin naupan laia hloh, tihduhdahna, emaw, tihduhdahna te tawn.
• Chhungkuaa lungkhamna lama sensitive zawk emaw, lungkhamna dang nei emaw.
• Chhungkaw hnai tak chuan agoraphobia (genetic influence a awm thei) a nei a.
• A pianphungah chuan zakzum leh zakzum deuh nih.

Engtin nge agoraphobia i vei tih i hriat theih ang?

Agoraphobia i nei nia i ngaih a, he lungkhamna hian i nitin nun, i inzawmna emaw, i hnathawhna emaw a nghawng a nih chuan chhungkaw doctor (primary care physician) emaw, rilru lam hriselna lama mithiam (e.g., psychiatrist emaw psychologist) emaw i pan ngei tur a ni.

Doctor pan i hlau pawh a ni mai thei. Chu chu natna zinga mi a ni thei. Chutiang a nih chuan, tûn laia technology hman theih hmang hian i doctor chu phone hmangin emaw, video appointment hmangin emaw i sawi thei ang. Chumi chungchang chu zawt rawh.

Doctor chuan i natna lan chhuah dan te, i nunah thil thleng te, leh i chhungkaw damdawi lam chanchin te a zawt ang che. Entir nan:

• "In chhuahsan tur i ngaihtuah hian pressure leh hlauhna nasa tak i nei em?"
• "Hmun emaw, dinhmun emaw i hlauh vanga i pumpelh thin a awm em? Engvangin nge i hlauh?"
• "I dawr chhunga hna thawk tur hian midang i innghat em?"

Doctor chuan agoraphobia i neih leh neih loh chu i natna lan chhuah dan te, a lo awm fo dan te, a nasat dan te a zirin a hre thei a ni. Doctor hnenah engkim chungchangah inhawng leh rinawm taka sawi a pawimawh. Medical association pawm tawhte’n criteria engemaw zat an siam a, chu chu American Psychiatric Association te pawh a ni. Chutiang chuan agoraphobia a vei tih hriat chhuah a nih theih nan chuan a hnuaia dinhmun pahnih tal ah hian hlauhna nasa tak emaw, hlauhna emaw a tawk tur a ni:

• Mipui lirthei (bus, rel ang chi) hman hunah.
• Hmun zau tak, hmun zau tak (e.g. field lian tak, car dahna hmun)-a i awm laiin.
• Hmun khar, inkharkhip (e.g. movie theater, meeting room, dawr te tak te)-a i awm laiin.
• Queue-a awm emaw, mipui tam tak zingah emaw pawh nise.
• In atanga i chhuahsan hunah.

Tin, he hlauhna avang hian chutiang hmunte chu i pumpelh a nih chuan, emaw, chu hmunte chu mi pakhat nen chauh i kal a nih chuan, chu chu agoraphobia chhinchhiahna a ni thei bawk.

Agoraphobia hi eng enkawlna nge ni?

Thu lawmawm tak chu agoraphobia hi enkawlna hmanga enkawl that theih a ni. Vawi tam tak chu enkawlna hrang hrang hman a ni thin:

• Psychotherapy - chu chu thusawi hmanga enkawl tihna a ni.
• Damdawi ei tur.
• Nunphung a inthlak danglam thin.

Engtin nge psychotherapy hian a puih?

Hei hi agoraphobia enkawlna ber leh tangkai ber a ni. Hemi kawngah hian trained therapist chuan i hlauhthawnna hnehin i hmachhawn theih nan a pui che a ni.

Therapy chi khat Cognitive Behavioral Therapy (CBT) tih a awm a, a bik takin. I lungkhamna thlentu ngaihtuahna ṭha lo, ngaihtuahna fim lote hriatchhuahna kawngah a ṭanpui che a ni. Tichuan, chu ngaihtuahnate chu a tak tak, a ṭha zâwk ngaihtuahna hmanga thlak danglam chu i zir a, chu hlauhnate i hmachhawn dân chu i thlak danglam a ni.

Relaxation technique ( deep breathing exercise ang chi) leh exposure therapy (or desensitization technique) te pawh hman a ni bawk. Hemiah hian therapist chuan hlauhthawnna thlentu leh i rilru put hmang thunun theitu dinhmun suangtuah turin a ti hmasa ber che a ni. Tichuan, zawi zawiin leh fimkhur takin i hlauh tak takna hmunah (a hmasa berah therapist nen, chutah chuan nangmah chauhin) kal turin an fuih che a ni. Zawi zawiin i hlauhthawnna i hriat chian chhoh zel chuan i thluak chuan chu hmunte chu a hlauhawm lo tih a hre ta a ni. Hun a kal zel a, heng enkawlnate hian i thluak chu ngaihtuahna leh chhân lêt dân inang lo tûrin a zirtîr a ni.

Damdawi atanga tanpuina

A then phei chuan i doctor chuan psychotherapy nen damdawi ei a rawt thei bawk. Heng damdawi te hian lungkhamna chhinchhiahna a tihziaawm thei a ni.

• Antidepressant hi Selective Serotonin Reuptake Inhibitors (SSRIs) emaw Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) emaw angin an pe fo thin. Hengte hi thluaka natural chemical thenkhat (neurotransmitters an tih bawk, ​​kan mood leh emotion tichhe thei) level balance-a puitu damdawi an ni. Heng damdawi te hian depression leh anxiety disorder te a tidam thei a ni. I ei tan tirh hian result i hmu nghal lo mai thei a, a nghawng hriat nan kar engemaw zat a ngai thei bawk.
• A châng chuan, lungkhamna tihziaawmna tur damdawi ``Benzodiazepines'' ang chi hi hun rei lote chhung pek theih a ni. Mahse, hengte hi ruihhlo ngawlvei a awm theih avangin hun rei tak hman atan a tha lo.

Pawimawh: Heng damdawi zawng zawng hi doctor enkawlna hnuaiah chauh hman tur a ni. Damdawi eng pawh mahni chauha tan emaw, tihtawp emaw, a dose thlak emaw hi thil tha tak a ni ngai lo.

Nunphung a inthlak danglam thin

Enkawlna bakah hian i nunphung tihdanglamna engemaw zat siam hian agoraphobia hi i enkawl thei bawk:

• Zu, caffeine (tea, coffee, leh soft drink thenkhata awm), leh thil tha lo dangte ei loh tur. Chûngte chuan lungkhamna a tipung thei a ni.
• Ei leh in hrisel leh inthlau tak ei rawh . Thei, thlai leh buh chi hrang hrang ei tam rawh.
• Exercise neih fo thin ang che. Ni khatah minute 30 tal kea kal, tlan, tui chawi ang chi thil i tih theih chuan a ropui hle. Exercise hian rilru a ti hahdam thin.
• Thâwk lak dan leh mindfulness meditation te practice la . Chûngte chuan rilru a ti thlamuang thei a, lungkhamna a thunun thei bawk.
• Mut tam rawh . Ni khatah darkar 7-8 tal mut tum ang che.

Agoraphobia nen hian engtin nge hlawhtling taka kan nun theih ang?

Agoraphobia nena nun hi thil harsa tak a ni thei a, mahse enkawlna leh puihna dik tak nen chuan chu natna chu i enkawl thei a, nun hlim tak, hlim takin i hmang thei bawk.

• Nangmah i in enkawl tha hle.
• Damdawi hi Doctor-in a sawi ang chiah chiah ei tur a ni.
• Therapist hnen atanga i thil zir chu practice-ah hmang rawh.
• A pawimawh ber chu i hlauhthawnna hmun leh dinhmunte chu zawi zawiin, zawi zawiin hmachhawn tum hi a ni. Thil lian tak tak zawng zawngah vawi khatah kal suh. Step tenau te la rawh. Anmahni pumpelh chuan i hlauhthawnna a tipung mai ang.
• Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh. An thlawpna hi i tan chakna nasa tak a ni ang.
• Thil tawn inang nei mi te nen support group-ah i tel thei a nih chuan chu pawh chu a \angkai hle ang.

Agoraphobia hian hlauthawng, mahni chauha awm leh tanpui ngai lo anga inhriatna a siam thei che a ni. Mahse, enkawlna hmang hian heng symptoms te hi i control thei a, i duhzawng thilte chu hlauhna tlem zawkin i ti thei tih hre reng ang che. Agoraphobia emaw, lungkhamna dang emaw hian i nun a nghawng a nih chuan doctor nen inbia ngei ang che. Inhawng tak leh rinawm taka inbiakna chuan i mamawh ṭanpuina i hmuh theih nân a ṭanpui thei che a ni.

A tawp berah chuan hei hi hre reng ang che.

Chuvangin, nangmah emaw, i hriat mi emaw hian kan sawi tawh ang natna (Agoraphobia) hi an nei nia i rinhlelh chuan hlauthawng suh. Hei hi enkawlna hmanga thunun theih tak a ni. A pawimawh ber chu damdawi lam thurawn dik tak la a, chu thurawn chu dik taka zawm hi a ni. Mahni chauhin hrehawm tuar suh.

Nangmah chauh i ni lo va, tanpuina dil pawh hlau suh. Rilru hriselna hi taksa hriselna ang bawkin a pawimawh tih hre reng ang che! Hetiang dinhmun atang hian chhuakin zalen takin i nung thei ngei ang.

` Agoraphobia, lungkhamna, hlauhna, panic attack, rilru hriselna, enkawlna, rilru lam enkawlna