I ētahi wā ka rongo koe i te wehi nui me te pā o te uma ina whakaaro koe ki te wehe atu i te whare, ki te haere ki te toa, ki te eke pahi rānei? Kei te kite koe i a koe anō kei ngā wāhi e kore e taea e koe te haere ko koe anake, ā, kāore he tangata hei āwhina i a koe? Mena koinā, he kaupapa nui pea tēnei ki a koe. Ka kiia tēnei mate ko te Agoraphobia . Ehara i te mea he wehi noa iho tēnei, engari he mate hauora hinengaro e hiahia ana kia rongoatia.

He aha te Agoraphobia?

Ko te agoraphobia he mate manukanuka e meinga ai koe kia mataku nui kei noho koe i roto i ētahi āhuatanga i waho o tō kāinga, inā koa ko ngā wāhi e uaua ai koe ki te wehe ohorere, ā, kāore pea e taea e koe te tiki āwhina. He maha ngā wā ka haere tahi tēnei mataku me te wehi kei pāngia koe e te mataku i tētahi wāhi e mataku ana koe.

Ka rerekē ngā tohu mai i te mamae ngawari ki te morearea ki te ora. Ahakoa ka taea e ētahi tāngata te haere ki ētahi wāhi e mōhiotia ana, ko ētahi ka tino kino rawa atu, ā, kāore e taea e rātou te wehe atu i te whare.

He rite tonu te Agoraphobia me te Social Anxiety?

Ae, he rerekē te āhua o ēnei e rua. Ko te tangata e pāngia ana e te manukanuka pāpori ka wehi kei whakama ia i mua i te aroaro o ētahi atu, kei whakahengia hoki. Engari i roto i te Agoraphobia, ko te wehi kei pā ki tōna ake haumaru. Me whakamārama atu tēnei rerekētanga mā te ripanga i raro nei.

He aha i puta ai tēnei āhuatanga?

Kāore e taea e ngā tākuta te kī tika he aha te take o tēnei, engari kua tautuhia e rātou ētahi āhuatanga e whakanui ake ai i te mōrearea.

• Hītori whānau : Mena kei roto i tō whānau tētahi o ngā tuākana, teina rānei, te mate nei, he nui ake te tūponotanga ka pāngia koe e tēnei mate. Ko te tikanga, tera pea he pānga ira.
• Mate Pāwera, Ngā Whakaekenga Pāwera rānei: Mena he hītori ō whakaekenga pāwera, ka arahi pea tēnei ki te Agoraphobia. Whakaarohia kei te pāngia koe e te whakaekenga pāwera i roto i te toa. Kātahi ka tīmata koe ki te wehi ki te haere ki ngā toa nā te mea e whakaaro ana koe ka pā anō. I a koe e karo ana i ngā wāhi e whakamataku ana i a koe, ka taea e ia te whanake haere hei Agoraphobia.
• Ētahi atu raruraru hauora hinengaro: Ka piki ake hoki tēnei mōrearea e ngā āhuatanga pēnei i te manukanuka kāore i rongoatia, te pouri, me te mataku nui (te wehi nui ki ētahi atu mea).
• Ngā wheako mamae o te ao: Ko ngā huihuinga taumaha nui, inā koa te tukino i te tamarikitanga, te matenga o tētahi mātua , te ngaronga o te mahi, me te whakarere, ka arahi pea ki tēnei āhuatanga.

He aha ngā tohu o te agoraphobia?

Mena he agoraphobia tōu, tera pea ka pāngia koe e te mataku nui me te manukanuka i ētahi wā. Ka rerekē ēnei tohu i ia tangata, i ia tangata. Me titiro tātou ki ngā tohu matua.

Ka pā tēnei ki ngā tamariki anō hoki?

Ae, ka pāngia pea ngā tamariki e te agoraphobia. Ka kitea tēnei āhuatanga i roto i ngā whakaekenga mataku, inā koa i roto i ngā tamariki nohinohi. Mena kei te pāngia te tamaiti e tēnei āhuatanga, ka tino mataku pea rātou ina wehea mai i ō rātou mātua, i ngā wāhi kīkī, i te rārangi, i te hikoi rānei i runga i te piriti. Mena kei tō tamaiti ēnei tohu, he mea nui kia kite i te tākuta me te kōrero mō tēnei mea.

Me pēhea koe e tino mōhio ai he mate tēnei?

Ina kite koe i tō tākuta, e kore ia e kī tonu he Agoraphobia. Ko te mea tuatahi ka mahia e ia ko te whakakore i ētahi atu āhuatanga tinana e puta ai ēnei tohu.

• Ka tirotirohia koe e rātou, ka pātai atu hoki mō ō tohumate.
• He maha ngā whakamātautau toto ka taea te mahi.
• Tērā pea ka whakahaerehia ngā whakamātautau (pēnei i te ECG) hei tirotiro i ngā raruraru o te ngākau, o ngā pukahukahu rānei.

Kia whakaūtia kāore he take tinana, ka pātai te tākuta mō tō āhua hinengaro me te pānga o tēnei wehi ki tō oranga o ia rā. Tērā pea ka tukuna koe ki tētahi tohunga hinengaro, ki tētahi tohunga hinengaro rānei.

He aha ngā maimoatanga mō tēnei?

Koinei te mea tino nui. He mate te agoraphobia ka taea te rongoā me te whakahaere pai. Nō reira kaua e mataku. E rua ngā momo rongoā matua.

1. Te kōrero whakaora

Ko te huarahi tino whai hua ki te mahi i tēnei ko te Whakaora Whanoke Hinengaro (CBT) . He kupu ngāwari noa iho, ka āwhina te tohunga hinengaro i a koe ki te tautuhi me te whakarerekē i ngā tauira whakaaro kino e puta ai tō wehi. Ka ako hoki rātou i a koe i ngā mea pēnei i ngā mahi manawa hei āwhina i a koe kia marino ina mataku koe.

Hei wāhanga o te CBT, ka mahi mātou i tētahi mea e kiia nei ko te Whakaora Whakamārama . Ko tā mātou mahi he whakaharatau i te anga atu ki ngā wāhi e wehi ana koe me te tino tupato, taahiraa i te taahiraa, me te haumaru. Tuatahi, tera pea ka kī atu mātou ki a koe kia whakaarohia te haere ki tētahi toa, kātahi ka kī atu mātou ki a koe kia haere ki te tatau o te toa, kātahi ka kī atu mātou ki a koe kia tomo ki roto. Mā tēnei, ka āwhina mātou i a koe ki te wikitoria i tō wehi.

2. Te rongoā

I ētahi wā, ka hoatu he rongoā me te kōrero whakaora.

• Ngā rongoā ārai pouri: Ko te momo rongoā e whakamahia whānuitia ana ko ngā SSRI (Selective Serotonin Reuptake Inhibitors) . Hei tauira, ko te Fluoxetine, te Sertraline, me te Escitalopram. Me tango ēnei i ia rā, ā, ka roa pea ētahi wiki ka puta te pānga katoa.
• Ngā rongoā ārai-manukanuka: Ka taea te tohu i ngā benzodiazepines (hei tauira, Alprazolam, Clonazepam) hei whakamahi mēnā ka pā mai he whakaekenga ohorere. Heoi, me tino tupato te whakamahi i ēnei, ā, mō te wā poto noa iho, nā te mea he tūponotanga ka warangahia.

Me whakatau ēnei maimoatanga katoa e tō tākuta i runga i tō āhua. He mea tino nui kia kaua e tango rongoā i a koe anō.

Ka aha mēnā ka kore e rongoatia?

Ki te kore e rongoatia, ka pā te agoraphobia ki ngā āhuatanga katoa o tō koiora.

• Ka taea e koe te noho mokemoke i te kāinga.
• Ka taea te whakararuraru rawa i ngā mahi me te mātauranga.
• Tērā pea ka ngaro ngā hononga pāpori.
• Tērā pea ka pā mai ētahi atu mate hinengaro pēnei i te pouri.
• Tērā pea ka waranga koe ki te waipiro, ki ngā raau taero rānei.
• I ngā āhuatanga tino kino, ka puta pea ngā whakaaro whakamomori.

Mena kei te whakaaro koe, kei te whakaaro rānei tētahi atu e mōhio ana koe ki te whara i a rātou anō, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata , waea atu rānei ki te National Institute of Mental Health i te 1926 mō te āwhina.