Kei te wehi anō hoki koe ki te haere ki ētahi wāhi? Tērā pea koinei (Agoraphobia)? Me kōrero taipitopito tātou mō tēnei!

Kua pāngia koe e tētahi o ēnei wheako? Whakaarohia, i a koe e noho ana i roto i tētahi mākete kī tonu i te tangata, e hikoi ana ko koe anake i roto i tētahi toa hokohoko nui, e noho pūmau ana rānei i runga i tētahi pahi, ka pā mai te mataku me te mataku nui ki a koe. E ahua uaua ana koe ki te manawa, e pā ana tō uma, e werawera ana koe, ā, e hiahia ana koe ki te oma atu. Mēnā he maha tonu ō wheako pēnei, tērā pea ehara i te mea noa. Tērā pea kei te pāngia koe e tētahi mate e kiia nei ko te agoraphobia.

He aha tēnei (Agorafobia)?

I te whakarapopototanga, he mate manukanuka nui te agoraphobia, he āhua mataku nui . Tērā pea ka noho ngoikore koe i roto i tētahi āhuatanga, kāore e taea te mawhiti, kāore e taea te tono āwhina, ka whakama rānei i mua i ētahi atu nā te whakaekenga mataku. Nā tēnei mataku nui, tērā pea ka tīmata koe ki te karo i ētahi wāhi me ngā āhuatanga.

Whakaarohia, ko tō hoa a Nadeesha. He tino mataku ia ki te haere ki ngā toa hokohoko. E mea ana ia nā te mea he nui, he kiki hoki, ka ngaro ia, ka pōuri, ā, kāore he tangata e haere mai ki te āwhina i a ia. Nō reira, kāore ia e haere hokohoko me ōna hoa, ā, kāore ia e haere ko ia anake ki ngā toa nui. Koinei ngā mea e pāngia ana e te tangata whai Agoraphobia.

Koinei ngā wāhi me ngā āhuatanga e karohia ana e te hunga whai agoraphobia:

• Ngā wāhi whānui, tuwhera (hei tauira, ngā mara nui, ngā piriti) ngā wāhi iti rānei kua kati katoa (hei tauira, ngā whare pikitia, ngā ararewa/ngā ararewa).
• Ngā wāhi kī tonu i te tangata (hei tauira, ngā mākete, ngā taunga pahi, ngā hakari).
• Ngā wāhi i waho o ō rātou kāinga, inā koa ko rātou anake.
• Ngā ratonga kawe tangata (hei tauira, pahi, tereina).

He aha ngā tohu o te Agorafobia?

He mea noa ki te katoa te mataku me te manukanuka i ētahi wā. Engari mō te tangata e pāngia ana e te agoraphobia, he tino nui te wehi, ā, ka whakararuraru i ngā mahi o ia rā. Mena kei a koe tēnei mate, tera pea ka pāngia koe e ngā tohu o ngā whakaekenga mataku (pēnei i te whakaekenga mataku) ina haere koe ki tētahi wāhi e mataku ana koe, ina whakaaro rānei koe ki te haere ki taua wāhi.

Ka tīmata ohorere ēnei tohu, ā, ka tino piki ake i roto i ētahi meneti. I tēnei wā, ka pā pea koe ki:

• Te mamae o te uma, te tere rānei o te pā o te ngakau (pēnei i te wera o te uma).
• Te wiri o te tinana, me te mea nei kei te wiri te tinana, me te wehi anō hoki.
• Te tere o te manawa, me te mea kei te mōmona koe ('Hyperventilation').
• Te māhunga pōuri, te ānini rānei.
• Te makariri ohorere, te whero rānei o te kiri.
• Te werawera nui (Hyperhidrosis).
• He puku pouri, he whakapairuaki, me te mea kei te hurihuri tō puku.
• He kare ā-roto e motuhia ana mai i te ao tūroa, e matara ana i a koe anō.
• Te wehi kei ngaro te mana whakahaere, kei mate rānei.

E mōhio ana mātou he wheako whakamataku pea ina pāngia koe e ēnei tohu. Engari kia maumahara, ehara i te mea ko koe anake, ā, kei reira te āwhina e wātea ana mō tēnei āhuatanga.

He aha ngā take me ngā āhuatanga mōrearea o te agoraphobia?

Kāore anō kia kitea e ngā kairangahau te tino pūtake o te agoraphobia. Heoi, e whakaponohia ana he maha ngā wā ka honoa tēnei āhuatanga ki tētahi mate mataku kua pā mai i mua, arā, he mataku ohorere, kaha e puta ohorere mai ana, kāore he take. Tata ki te kotahi hautoru o te hunga whai mate mataku ka pāngia e te agoraphobia. Heoi, i ētahi wā ka puta mai i waho o te agoraphobia, i a ia anake rānei.

He maha ngā āhuatanga e whakanui ake ai i te mōrearea o te whakawhanake i te agoraphobia:

• Ngā whakaekenga mataku maha, ina koa mēnā kei te haere tahi mai me te nui o te wehi me te manukanuka.
• Kei a koe ētahi atu wehi ('phobias') (hei tauira, te wehi i te teitei, te wehi i ngā kararehe).
• Te pāngia e ngā āhuatanga taumaha o te ao, inā koa te matenga o te tamarikitanga, te whakaekenga, te tukino rānei.
• Te tairongo ake ki te manukanuka, ki te whai rānei i ētahi atu mate manukanuka i roto i te whānau.
• He agoraphobia (tērā pea he pānga ira kei runga i tētahi mema o te whānau).
• He āhua māhaki, he āhua mataku hoki tō te āhua.

Me pēhea koe e mōhio ai mēnā he agoraphobia tōu?

Ki te whakaaro koe he agoraphobia tōu, ā, ki te pāngia tō oranga o ia rā, ō whanaungatanga, tō mahi rānei e tēnei manukanuka, me toro atu koe ki tētahi tākuta whānau (tākuta tiaki tuatahi) he tohunga hauora hinengaro rānei (hei tauira, he tohunga hinengaro, he tohunga hinengaro rānei).

Tērā pea kei te wehi koe ki te haere ki te tākuta. Tērā pea he wāhanga tēnā o te mate. Mēnā koinā, nā te hangarau e wātea ana i ēnei rā, ka taea e koe te kōrero ki tō tākuta mā te waea, mā te hui ataata rānei. Pātai atu mō tēnā.

Ka pātai atu te tākuta ki a koe mō ō tohumate, ō kaupapa o te ao, me tō hītori hauora whānau. Hei tauira:

• "Kei te pēhia koe e te nui o te pēhanga me te wehi ina whakaaro koe ki te wehe atu i te whare?"
• "He wāhi, he āhuatanga rānei kei reira e karohia ana e koe nā te mea e mataku ana koe? He aha koe i wehi ai i aua wāhi?"
• "E whakawhirinaki ana koe ki ētahi atu hei mahi i ngā mahi i roto i tō toa?"

Ka taea e te tākuta te mōhio mēnā he agoraphobia tōu i runga i ō tohu, te auau o te puta, me te kaha o aua tohu. He mea nui kia tuwhera, kia pono hoki ki tō tākuta mō ngā mea katoa. He maha ngā paearu kua whakatakotoria e ngā whakahaere hauora rongonui, pērā i te American Psychiatric Association. Nō reira, kia kitea ai he agoraphobia tō te tangata, me pāngia e te wehi nui, e te mataku rānei i roto i te rua o ngā āhuatanga e whai ake nei:

• Ina whakamahi ana i ngā waka a te iwi (pērā i ngā pahi, ngā tereina).
• Ina kei roto koe i tētahi wāhi tuwhera, nui hoki (hei tauira, he pāra nui, he wāhi pāka waka).
• Ina kei roto koe i tētahi wāhi kati, whāiti (hei tauira, he whare pikitia, he rūma hui, he toa iti).
• Ahakoa kei roto koe i te rārangi, kei roto rānei i te mano.
• Ina wehe atu koe i te whare ko koe anake.

Waihoki, ki te karohia e koe aua wāhi nā te mea kei te wehi koe, ki te haere tahi rānei koe me tetahi ki aua wāhi, he tohu pea tēnā o te agoraphobia.

He aha ngā maimoatanga mō te agoraphobia?

Ko te rongo pai , he mate ka taea te whakahaere pai mā te rongoā. He maha ngā wā ka whakamahia he huinga o ngā rongoā:

• Te rongoā hinengaro - arā, te rongoā mā te kōrero.
• Rongoā.
• Ngā huringa o te āhua noho.

Me pēhea te āwhina a te hinengaro hinengaro?

Koinei te rongoā matua me te rongoā tino whai hua mō te agoraphobia. I roto i tēnei, ka āwhinahia koe e te kaiwhakaora hinengaro whai mātauranga ki te wikitoria i tō wehi me te aro atu ki tēnā.

Tērā tētahi momo rongoā e kiia nei ko te Cognitive Behavioral Therapy (CBT) . Ka āwhina i a koe ki te tautuhi i ngā whakaaro kino, koretake e whakararuraru ana i a koe. Kātahi ka ako koe ki te whakakapi i aua whakaaro ki ngā whakaaro pono ake, pai ake, me te whakarerekē i te huarahi e whakatau ai koe i aua mataku.

Ka whakamahia hoki ngā tikanga whakangā ( pērā i ngā mahi manawa hōhonu) me te whakaora whakaaturanga (ngā tikanga whakaiti i te aro) . I roto i tēnei, ka tono tuatahi te kaiwhakaora hinengaro kia whakaarohia e koe tētahi āhuatanga e wehi ai koe, ā, ka āwhina i a koe ki te whakahaere i ō kare ā-roto. Kātahi ka akiakihia koe kia haere mārire, kia āta haere ki ngā wāhi e tino wehi ana koe (tuatahi me te kaiwhakaora hinengaro, kātahi ko koe anake). I a koe e mārire ana ki ō wehi, ka ako tō roro kāore aua wāhi i te morearea. I roto i te wā, ka ako ēnei maimoatanga i tō roro kia whakaaro me te tauhohe rerekē.

Āwhina mai i te Rongoā

I ētahi wā, ka tūtohu pea tō tākuta i te rongoā me te hinengaro whakaora. Ka taea e ēnei rongoā te āwhina ki te whakaiti i ngā tohu o te manukanuka.

• He maha ngā wā ka tohua ngā rongoā ārai pouri hei Selective Serotonin Reuptake Inhibitors (SSRIs) me ngā Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) rānei. He rongoā ēnei e āwhina ana ki te whakataurite i ngā taumata o ētahi matū taiao i roto i te roro (e kiia ana ko ngā neurotransmitters, e pā ana ki ō tātou wairua me ngā kare ā-roto). Ka taea e ēnei rongoā te rongoā i te pouri me ngā mate manukanuka. Kāore pea koe e kite tonu i ngā hua ina tīmata koe ki te tango, ā, ka roa pea ētahi wiki ka pāngia e ngā pānga.
• I ētahi wā, ka taea te hoatu i ngā rongoā pēnei i te "Benzodiazepines" mō te wā poto hei whakaiti tere i te manukanuka. Heoi, kāore ēnei i te tūtohutia kia whakamahia mō te wā roa nā te mea he tūponotanga ka warangahia.

He mea nui: Me whakamahi noa i ēnei rongoā katoa i raro i te tirotiro a te tākuta. Ehara i te mea pai te tīmata, te whakamutu, te whakarerekē rānei i te horopeta o tētahi rongoā māu ake.

Ngā huringa āhua noho

Haunga te maimoatanga, mā te whakarerekē i ētahi o ō momo noho ka taea hoki e koe te whakahaere i te agoraphobia:

• Āta karohia te waipiro, te kawheine (kei roto i te tī, te kawhe, me ētahi inu ngohengohe), me ētahi atu matū kino. Ka taea e ēnei te whakanui ake i te manukanuka.
• Kai i tētahi kai hauora, taurite hoki . Kai atu i ngā hua rākau, ngā huawhenua, me ngā witi katoa.
• Whakakorikori tinana i ia wā. He mea pai mēnā ka taea e koe te mahi i tētahi mea pēnei i te hikoi, te oma, te kaukau rānei mō te 30 meneti pea i te rā. Ka whakangāwari te whakakorikori i te hinengaro.
• Whakaharatauhia ngā mahi manawa me te whakaaroaro aroātea . Ka taea e ēnei te āwhina i te whakamarie i te hinengaro me te whakahaere i te manukanuka.
• Kia nui te moe . Ngāna kia moe mō te 7-8 hāora i te rā.

Me pēhea te noho angitu me te Agoraphobia?

He uaua te noho me te agoraphobia, engari mā te maimoatanga me te tautoko tika, ka taea e koe te whakahaere i te mate me te ora i te oranga harikoa, whai hua.

• Ka tiakina pai koe e koe anō.
• Tangohia te rongoā kia rite ki te mea i tohua e te tākuta.
• Whakamahia ngā mea i akohia e koe mai i te kaiwhakaora hinengaro.
• Ko te mea nui ko te ngana ki te aro atu ki ngā wāhi me ngā āhuatanga e whakamataku ana i a koe, āta haere. Kaua e haere ki ngā mea nunui i te wā kotahi. Me mahi i ngā takahanga iti. Mā te karo i aua mea ka nui ake tō wehi.
• Kōrero ki tō whānau me ō hoa mō tēnei. He puna nui tō rātou tautoko hei whakakaha i a koe.
• Ki te taea e koe te whakauru atu ki tētahi rōpū tautoko me te hunga he rite ō rātou wheako, he tino āwhina nui anō hoki tēnā.

Ka taea e te agoraphobia te meinga koe kia mataku, kia mokemoke, kia kore hoki e taea te āwhina. Engari kia mahara, mā te maimoatanga, ka taea e koe te whakahaere i ēnei tohu me te mahi i ngā mea e arohaina ana e koe me te iti o te mataku. Mena kei te pāngia tō oranga e te agoraphobia, e tētahi atu mate manukanuka rānei, kia tino kōrero koe ki te tākuta. Mā te kōrero tuwhera, pono hoki koe e āwhina ki te tiki i te āwhina e hiahiatia ana e koe.

Hei whakamutunga, kia mahara ki tēnei.

Nō reira, ki te whakapae koe kei a koe, kei tētahi rānei e mōhio ana koe, te mate i kōrerotia e tātou (Agoraphobia), kaua e mataku. He mea tēnei ka taea te whakahaere pai mā te maimoatanga. Ko te mea nui ko te tiki i ngā tohutohu hauora tika, me te whai i aua tohutohu. Kaua e mamae ko koe anake.

Kāore koe i te mokemoke, kaua hoki e wehi ki te tono āwhina. Kia maumahara, he rite tonu te hiranga o te hauora hinengaro ki te hauora tinana! Ka taea e koe te puta atu i tēnei āhuatanga me te noho rangatira.

` Agoraphobia, manukanuka, wehi, whakaekenga mataku, hauora hinengaro, maimoatanga, mahi hinengaro