Kodi mukuopa kutuluka mnyumba? Tiyeni tikambirane za Agoraphobia! (Agoraphobia)

Tangoganizani kuti mukufunika kupita kusitolo, kapena mukufunika kukwera basi ndikupita kwinakwake. Koma ganizo limenelo likabwera m'maganizo mwanu, kodi chifuwa chanu chimamva cholimba, mumatuluka thukuta, ndipo mumavutika kupuma? Kodi mumaganiza zinthu monga, 'Ndani angandithandize ndikagwa uko?', 'Ndingachite chiyani ndikakodwa mu gulu la anthu?'? Anthu ambiri amaganiza kuti ichi ndi mantha chabe. Koma chikhoza kukhala china chake chozama kuposa pamenepo. Ichi chingakhale matenda amisala omwe madokotala amati ndi Agoraphobia.

Mwachidule, kodi Agoraphobia ndi chiyani?

Agoraphobia ndi matenda a nkhawa omwe amadziwika ndi mantha aakulu oti munthu angagwidwe pamalo kapena pamavuto enaake, osapeza thandizo, kapena kuchita manyazi. Chifukwa cha mantha amenewa, anthu omwe ali ndi vutoli nthawi zambiri amapewa malo ndi zochitika zotere.

Taganizirani malo ena omwe mantha awa angabuke:

• Mayendedwe a anthu onse: kukwera basi kapena sitima.
• Malo otseguka: minda ikuluikulu, milatho, malo oimika magalimoto.
• Malo otsekedwa: malo owonera makanema, masitolo, ma lift.
• Malo odzaza anthu: misika, kuyimirira pamzere.
• Kukhala ndekha panja pa nyumba.

Kodi zizindikiro za agoraphobia ndi ziti?

Tonsefe timachita mantha komanso nkhawa nthawi ndi nthawi. Zimenezo n’zachibadwa. Koma mu Agoraphobia, mantha ndi nkhawa zimenezi zimakhala zazikulu kwambiri moti simungathe kuchita ntchito za tsiku ndi tsiku. Mukapita kumalo omwe amakuopsezani, monga malo odzaza anthu mumzinda, malingaliro omwe mumamva amakhala ofanana ndi omwe mumamva panthawi ya mantha.

Tsopano tiyeni tiwone momwe thupi limamvera panthawi ngati iyi.

N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?

Ofufuza sanapezebe chifukwa chenicheni cha izi. Komabe, vutoli nthawi zambiri limagwirizanitsidwa ndi vuto lotchedwa Panic Disorder . Panic Disorder ndi vuto lomwe limakhala ndi mantha adzidzidzi komanso amphamvu popanda chifukwa chomveka. Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi Panic Disorder nawonso amakhala ndi Agoraphobia pakapita nthawi. Komabe, anthu ena akhoza kukhala ndi Agoraphobia okha popanda Panic Disorder.

Pali zinthu zina zingapo zomwe zingayambitse vutoli.

• Kugwidwa ndi mantha: Ngati mudakumanapo ndi mantha ngati awa kale.
• Kukhala ndi mantha ena: Ngati mumaopa kwambiri zinthu zina, monga kutalika kapena nyama.
• Zochitika zovutitsa maganizo pa moyo: Zinthu monga imfa ya wokondedwa, kuzunzidwa, makamaka ngati zachitika uli mwana.
• Kukhala wosamala ndi nkhawa: Ngati muli ndi chizolowezi chodera nkhawa mosavuta ngakhale pazinthu zazing'ono.
• Kukhala ndi mbiri ya banja la matendawa: Ngati wina m'banja mwanu ali ndi agoraphobia chifukwa cha majini, muli pachiwopsezo chachikulu chotenga matendawa.

Kodi dokotala amazindikira bwanji izi?

Ngati mukumva ngati muli ndi zizindikiro zomwe tafotokoza pamwambapa, ndipo ngati mantha awa akusokoneza moyo wanu watsiku ndi tsiku, pitani kwa dokotala wanu. Musaganize kuti izi ndi zongopeka chabe. Ili ndi vuto lachipatala lomwe limafuna chithandizo.

Ngati mukuopa kwambiri kutuluka m'nyumba, mutha kulankhula ndi dokotala pafoni kapena kudzera pa vidiyo.

Dokotala angakufunseni mafunso monga awa:

• "Kodi mumamva kupanikizika kapena mantha mukaganiza zochoka mnyumbamo?"
• "Kodi pali malo kapena zochitika zomwe mumapewa chifukwa choopa? N'chifukwa chiyani mumaziopa?"
• "Kodi mumadalira ena pa ntchito monga kupita kusitolo kapena kugula zakudya?"

Dokotala adzazindikira matenda a agoraphobia kutengera zizindikiro zanu, nthawi yomwe zakhalapo, komanso momwe zilili zoopsa. Malinga ndi zomwe bungwe la American Psychiatric Association lidakhazikitsa, munthu ayenera kukhala ndi mantha kapena nkhawa kwambiri pazochitika ziwiri mwa izi:

Kodi mankhwala a agoraphobia ndi ati?

Vutoli nthawi zambiri limachiritsidwa ndi mankhwala osiyanasiyana, omwe dokotala wanu angakupatseni kuti akugwirizaneni.

Chithandizo cha maganizo

Timatchulanso izi kuti "kulankhula." Cognitive Behavioral Therapy (CBT) ndi njira yothandiza kwambiri. Katswiri wa zamaganizo amakuthandizani kuzindikira malingaliro omwe amayambitsa mantha anu. Kenako, amakuphunzitsani momwe mungayankhire malingaliro amenewo m'njira yabwino komanso yopindulitsa.

Komanso, pang'onopang'ono mumazolowera kukumana ndi zochitika zomwe mumaopa. Choyamba, mumapangidwa kuti muganizire za malo otere, kenako mumalimbikitsidwa kupitadi kumalo amenewo. Izi zimatchedwa desensitivity . Pakapita nthawi, ubongo wanu umazolowera kuyankha mantha awa mwanjira ina.

Mankhwala

Dokotala wanu angakulembereni mankhwala. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi Selective Serotonin Reuptake Inhibitors (SSRIs) kapena Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs).Mankhwala awa ndi a m'magulu awa: mankhwala oletsa kuvutika maganizo. Mankhwalawa amagwiritsidwa ntchito pochiza nkhawa komanso kuvutika maganizo. Mankhwalawa ayenera kumwedwa pokhapokha ngati dokotala wapereka upangiri.

Kusintha kwa Moyo

Pamodzi ndi chithandizo, kusintha pang'ono moyo wanu kungathandize kwambiri kuthetsa vutoli.

• Pewani mowa, caffeine (tiyi, khofi), ndi mankhwala ena osokoneza bongo. Izi zingawonjezere nkhawa.
• Idyani zakudya zopatsa thanzi komanso zopatsa thanzi.
• Kuchita masewera olimbitsa thupi nthawi zonse. Kuchita masewera olimbitsa thupi ndi njira imodzi yabwino kwambiri yochepetsera nkhawa.
• Yesetsani kuchita masewera olimbitsa thupi opumira. Kupuma mozama kungakuthandizeni kukhazika mtima pansi.

Agoraphobia ikhoza kukhala chinthu choopsa, chomwe chimakupangitsani kukhala panyumba komanso kukhala nokha. Koma kumbukirani, ndi vuto lochiritsika kwambiri. Mutha kuchitanso zinthu zomwe mumakonda popanda mantha. Chofunika kwambiri ndichakuti musaope kupempha thandizo. Lankhulani momasuka ndi dokotala wanu za vutoli. Imeneyo ndiye sitepe yoyamba paulendo wochira.