Kodi mukuopa ngakhale kutuluka mnyumbamo? Tiyeni tikambirane za Agoraphobia!

Kodi nthawi zina mumamva mantha aakulu komanso kugunda pachifuwa chanu mukaganiza zochoka panyumba, kupita kusitolo, kapena kukwera basi? Kodi mumapeza kuti muli pamalo omwe mumamva ngati simungathe kupita kulikonse nokha ndipo palibe woti akuthandizeni? Ngati ndi choncho, iyi ndi nkhani yomwe ingakhale yofunika kwambiri kwa inu. Timaitcha vutoli kuti Agoraphobia . Iyi si mantha okha, ndi matenda amisala omwe amafunikira chithandizo.

Mwachidule, kodi Agoraphobia ndi chiyani?

Agoraphobia ndi matenda a nkhawa omwe amakupangitsani kukhala ndi mantha aakulu okhala m'malo ena kunja kwa nyumba yanu, makamaka malo omwe mungavutike kuchoka mwadzidzidzi komanso komwe simungathe kupeza thandizo. Mantha amenewa nthawi zambiri amatsagana ndi mantha oti mungakumane ndi mantha pamalo omwe mungakhale ndi mantha.

Zizindikiro zake zimatha kuyambira kusamva bwino pang'ono mpaka kuopseza moyo. Ngakhale kuti anthu ena amatha kupita kumalo ochepa okha omwe amawadziwa, ena amatha kukhala oopsa kwambiri moti sangathe kutuluka m'nyumba.

Kodi Agoraphobia ndi Nkhawa za Anthu ndi Zomwezo?

Inde, awiriwa ndi osiyana pang'ono. Munthu amene ali ndi nkhawa yokhudza anthu amaopa kuchita manyazi pamaso pa ena komanso kuweruzidwa. Koma mu Agoraphobia, mantha ndi a chitetezo chawo. Tiyeni tifotokoze kusiyana kumeneku mozama ndi tebulo ili m'munsimu.

N’chifukwa chiyani vutoli limachitika?

Madokotala sanganene motsimikiza chomwe chimayambitsa izi, koma apeza zinthu zingapo zomwe zimawonjezera chiopsezo.

• Mbiri ya banja : Ngati wina m'banja mwanu, makamaka m'bale wanu, ali ndi vutoli, muli ndi mwayi waukulu woti mudwale nalo. Izi zikutanthauza kuti pakhoza kukhala chifukwa cha majini.
• Matenda a Mantha kapena Mantha: Ngati muli ndi mbiri ya matenda a mantha, zingayambitse Agoraphobia. Tangoganizirani kukhala ndi mantha m'sitolo. Kenako mumayamba kuopa kupita kumasitolo chifukwa mukuganiza kuti zidzachitikanso. Pamene mukupewa malo omwe amakuopsezani, pang'onopang'ono zimatha kukhala Agoraphobia.
• Mavuto ena amisala: Chiwopsezochi chimawonjezekanso ndi matenda monga matenda a nkhawa omwe sanachiritsidwe, kuvutika maganizo, ndi mantha (mantha ochulukirapo pazinthu zina).
• Zochitika zoopsa pamoyo: Zochitika zodetsa nkhawa kwambiri, makamaka nkhanza zaubwana, imfa ya kholo , kutayika kwa ntchito, ndi chisudzulo, zingayambitse vutoli.

Kodi zizindikiro za agoraphobia ndi ziti?

Ngati muli ndi agoraphobia, nthawi zina mungakhale ndi mantha komanso nkhawa kwambiri. Zizindikirozi zimasiyana malinga ndi munthu. Tiyeni tiwone zizindikiro zazikulu.

Kodi izi zimachitikiranso ana?

Inde, ana amatha kukhala ndi agoraphobia. Vutoli limatha kuwoneka ndi mantha, makamaka mwa ana aang'ono. Ngati mwana ali ndi vutoli, amatha kumva mantha kwambiri akalekana ndi makolo ake, m'malo odzaza anthu, pamzere, kapena akuyenda pamwamba pa mlatho. Ngati mwana wanu ali ndi zizindikiro izi, ndikofunikira kwambiri kuonana ndi dokotala ndikukambirana za vutoli.

Kodi mungadziwe bwanji kuti uwu ndi matenda?

Mukapita kwa dokotala wanu, sadzatchula nthawi yomweyo kuti Agoraphobia. Chinthu choyamba chomwe angachite ndikuyang'ana matenda ena amthupi omwe angayambitse zizindikirozi.

• Adzakuyang'anani ndikukufunsani mosamala za zizindikiro zanu.
• Kuyezetsa magazi kangapo kungachitike.
• Mayeso (monga ECG) angachitike kuti aone ngati pali vuto lililonse pamtima kapena m'mapapo.

Akatsimikizira kuti palibe chifukwa chenicheni, dokotala adzakufunsani za momwe mukumvera mumtima mwanu komanso momwe mantha amenewa akukhudzira moyo wanu watsiku ndi tsiku. Muthanso kutumizidwa kwa dokotala wa matenda amisala kapena katswiri wa zamaganizo.

Kodi mankhwala ochizira izi ndi otani?

Ichi ndiye chinthu chofunikira kwambiri. Agoraphobia ndi vuto lomwe lingachiritsidwe ndikulamuliridwa bwino kwambiri. Choncho musachite mantha. Pali mitundu iwiri ikuluikulu ya chithandizo.

1. Chithandizo cha kulankhula

Njira yothandiza kwambiri yochitira izi ndi kudzera mu Cognitive Behavioral Therapy (CBT) . Mwachidule, katswiri wa zamaganizo amakuthandizani kuzindikira ndikusintha malingaliro oipa omwe akukuchititsani mantha. Amakuphunzitsaninso zinthu monga kuchita masewera olimbitsa thupi kuti akuthandizeni kukhala chete mukamaopa.

Monga gawo la CBT, timachitanso chinthu chotchedwa Exposure Therapy . Chomwe timachita ndikuchita ndikuyang'ana malo omwe mumawopa mosamala kwambiri, pang'onopang'ono, komanso mosamala. Choyamba, mwina tikuuzeni kuti muganizire zopita ku sitolo, kenako tikuuzeni kuti mupite pakhomo la sitolo, kenako tikuuzeni kuti mulowe mkati pang'ono. Mwanjira imeneyi, tikuthandizani kuthetsa mantha anu.

2. Chithandizo ndi mankhwala

Nthawi zina, mankhwala amaperekedwa pamodzi ndi mankhwala olankhula.

• Mankhwala Oletsa Kuvutika Maganizo: Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi SSRIs (Selective Serotonin Reuptake Inhibitors) . Zitsanzo zikuphatikizapo Fluoxetine, Sertraline, ndi Escitalopram. Izi ziyenera kumwedwa tsiku lililonse, ndipo zingatenge milungu ingapo kuti zimveke bwino.
• Mankhwala oletsa nkhawa: Benzodiazepines (monga Alprazolam, Clonazepam) akhoza kuperekedwa kuti agwiritsidwe ntchito ngati mwadzidzidzi pali mantha. Komabe , izi ziyenera kugwiritsidwa ntchito mosamala kwambiri komanso kwa kanthawi kochepa, chifukwa zimakhala ndi chiopsezo choledzera.

Mankhwala onsewa ayenera kusankhidwa ndi dokotala wanu kutengera momwe mulili. Ndikofunikira kwambiri kupewa kumwa mankhwala nokha.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Ngati simulandira chithandizo, agoraphobia ingakhudze mbali iliyonse ya moyo wanu.

• Mungakhale osungulumwa komanso osakhala panyumba.
• Ntchito ndi maphunziro zitha kusokonekera kwathunthu.
• Maubwenzi a anthu ena angatayike.
• Matenda ena amisala monga kuvutika maganizo angachitike.
• Mungakhale ndi chizolowezi chomwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo.
• Pa milandu yoopsa kwambiri, munthu angaganize zodzipha.

Ngati inu kapena munthu amene mumamudziwa akuganiza zodzivulaza, chonde pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo kapena imbani National Institute of Mental Health pa 1926 kuti akuthandizeni.