Kodi inunso mumaopa kupita kumadera ena? Kodi izi zingakhale (Agoraphobia)? Tiyeni tikambirane za izi mwatsatanetsatane!

Kodi munakumanapo ndi chimodzi mwa zinthu zimenezi? Tangoganizirani, mukakhala pamsika wodzaza anthu, mukuyenda nokha m'sitolo yaikulu, kapena mutakodwa m'basi, mwadzidzidzi mumamva mantha ndi mantha. Mumamva ngati mukuvutika kupuma, chifuwa chanu chikugunda, mukutuluka thukuta, ndipo mukumva ngati mukufuna kuthawa. Ngati mumakhala ndi zochitikazi nthawi zonse, sizingakhale zachilendo. Mwina mukudwala matenda otchedwa agoraphobia.

Kodi ichi ndi chiyani (Agoraphobia)?

Mwachidule, agoraphobia ndi matenda oopsa a nkhawa, mkhalidwe wa mantha aakulu . Mungamve ngati mulibe chochita pazochitika zinazake, simungathe kuthawa, simungathe kupempha thandizo, kapena kuchita manyazi pamaso pa ena chifukwa cha mantha. Chifukwa cha mantha aakuluwa, mungayambe kupewa malo ndi zochitika zinazake.

Tangoganizirani, mnzanu Nadeesha. Akuopa kwambiri kupita ku malo ogulitsira zinthu. Akuti chifukwa chakuti ali ndi anthu ambiri komanso akuluakulu, akumva ngati asochera, azunguzika, ndipo palibe amene angamuthandize. Tsopano sapita kukagula zinthu ndi anzake, ndipo sapita yekha pafupi ndi masitolo akuluakulu. Izi ndi zinthu zomwe munthu amene ali ndi vuto la Agoraphobia amakumana nazo.

Izi ndi malo ndi zochitika zomwe anthu omwe ali ndi agoraphobia nthawi zambiri amapewa:

• Malo akuluakulu, otseguka (monga minda ikuluikulu, milatho) kapena malo ang'onoang'ono otsekedwa kwathunthu (monga malo owonetsera mafilimu, ma elevator/lift).
• Malo odzaza anthu (monga misika, malo okwerera mabasi, zikondwerero).
• Malo omwe ali kunja kwa nyumba zawo, makamaka akakhala okha.
• Ntchito zoyendera anthu onse (monga mabasi, sitima).

Kodi zizindikiro za Agoraphobia ndi ziti?

Ndizachibadwa kuti aliyense azimva mantha komanso nkhawa nthawi ndi nthawi. Koma kwa munthu amene ali ndi vuto la agoraphobia, manthawo ndi oopsa kwambiri moti amasokoneza zochita za tsiku ndi tsiku. Ngati muli ndi vutoli, mungakumane ndi zizindikiro za mantha (monga mantha) mukapita kumalo omwe amakuopsezani, kapena mukaganiza zopita kumeneko.

Zizindikirozi zimatha kuyamba mwadzidzidzi ndipo zimatha pakangopita mphindi zochepa. Panthawiyi, mungamve:

• Kupweteka pachifuwa kapena kumva kugunda kwa mtima mofulumira (monga kutentha pachifuwa).
• Kumva kunjenjemera, ngati kuti thupi likugwedezeka, limodzi ndi mantha.
• Kupuma mofulumira, ngati kuti mukupuma movutikira (`Hyperventilation`).
• Kumva mutu wopepuka kapena chizungulire.
• Kuzizira mwadzidzidzi kapena kufinya.
• Kutuluka thukuta kwambiri (hyperhidrosis).
• M'mimba mukuvutika, mukumva nseru, ngati kuti m'mimba mwanu mukutembenuka.
• Kumva ngati wachotsedwa ku zenizeni, kukhala kutali ndi iwe mwini.
• Kuopa kutaya ulamuliro kapena kufa.

Tikudziwa kuti zingakhale zoopsa kwambiri mukakumana ndi zizindikiro ngati izi. Koma kumbukirani kuti simuli nokha, ndipo pali thandizo lomwe likupezeka pa vutoli.

Kodi ndi zinthu ziti zomwe zimayambitsa agoraphobia komanso zomwe zimayambitsa matendawa?

Ofufuza sanapezebe chomwe chimayambitsa agoraphobia. Komabe, akukhulupirira kuti vutoli nthawi zambiri limagwirizanitsidwa ndi matenda a mantha omwe analipo kale, omwe ndi mantha adzidzidzi komanso amphamvu omwe amabwera mwadzidzidzi popanda chifukwa. Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi vuto la mantha amakumananso ndi agoraphobia. Komabe, nthawi zina zimatha kuchitika popanda agoraphobia kapena payekha.

Pali zinthu zingapo zomwe zimawonjezera chiopsezo cha agoraphobia:

• Kugwidwa ndi mantha pafupipafupi, makamaka ngati kumayendera limodzi ndi mantha ndi nkhawa zambiri.
• Kukhala ndi mantha ena ('mantha a mantha') (monga kuopa kutalika, kuopa nyama).
• Kukumana ndi zovuta pa moyo, makamaka kutayika kwa ana, kuzunzidwa, kapena kuzunzidwa.
• Kukhala ndi nkhawa kwambiri kapena kukhala ndi matenda ena a nkhawa m'banja.
• Wapabanja lapafupi ali ndi agoraphobia (pakhoza kukhala chikoka cha majini).
• Kukhala wamanyazi pang'ono komanso wamantha mwachibadwa.

Kodi mungadziwe bwanji ngati muli ndi agoraphobia?

Ngati mukuganiza kuti muli ndi agoraphobia, ndipo ngati nkhawa imeneyi ikukhudza moyo wanu watsiku ndi tsiku, maubwenzi anu, kapena ntchito yanu, muyenera kuwonana ndi dokotala wa banja (dokotala wamkulu) kapena katswiri wa zamaganizo (monga, katswiri wa zamaganizo kapena katswiri wa zamaganizo).

Mwina mukuopa kupita kwa dokotala. Zimenezo zitha kukhala mbali ya matendawa. Ngati ndi choncho, ndi ukadaulo womwe ulipo masiku ano, mutha kulankhula ndi dokotala wanu pafoni kapena kudzera pa kanema. Mufunseni za zimenezo.

Dokotala adzakufunsani mafunso okhudza zizindikiro zanu, zochitika pa moyo wanu, komanso mbiri ya matenda a m'banja mwanu. Mwachitsanzo:

• "Kodi mumamva kupsinjika kwakukulu ndi mantha mukaganiza zochoka mnyumbamo?"
• "Kodi pali malo kapena zochitika zomwe mumapewa chifukwa choopa? N'chifukwa chiyani mumaziopa?"
• "Kodi mumadalira ena kuti agwire ntchito m'sitolo mwanu?"

Dokotala angadziwe ngati muli ndi agoraphobia kutengera zizindikiro zanu, kuchuluka kwa zizindikiro zomwe zimachitika, komanso kuchuluka kwa zizindikirozo. Ndikofunikira kukhala womasuka komanso woona mtima ndi dokotala wanu pa chilichonse. Pali zinthu zingapo zomwe mabungwe azachipatala odziwika bwino, monga American Psychiatric Association apereka. Chifukwa chake, kuti munthu apezeke ndi agoraphobia, ayenera kukhala ndi mantha aakulu kapena mantha pazochitika ziwiri mwa izi:

• Mukagwiritsa ntchito mayendedwe a anthu onse (monga mabasi, sitima).
• Mukakhala pamalo otseguka komanso akuluakulu (monga munda waukulu, malo oimika magalimoto).
• Mukakhala pamalo otsekedwa komanso otsekeredwa (monga malo owonetsera mafilimu, chipinda chochitira misonkhano, kapena shopu yaying'ono).
• Kaya muli pamzere kapena mu gulu la anthu.
• Mukachoka mnyumba nokha.

Komanso, ngati mupewa malo amenewo chifukwa cha mantha awa, kapena ngati mupita kumalo amenewo ndi munthu wina yekha, zimenezo zingakhalenso chizindikiro cha agoraphobia.

Kodi mankhwala a agoraphobia ndi ati?

Nkhani yabwino ndi yakuti agoraphobia ndi vuto lomwe lingathetsedwe bwino ndi chithandizo. Nthawi zambiri, mankhwala osiyanasiyana amagwiritsidwa ntchito:

• Chithandizo cha maganizo - ndiko kuti, chithandizo kudzera mu kulankhula.
• Mankhwala.
• Kusintha kwa moyo.

Kodi psychotherapy imathandiza bwanji?

Uwu ndiye mankhwala ofunikira komanso othandiza kwambiri a agoraphobia. Pachifukwa ichi, katswiri wodziwa bwino ntchito yake amakuthandizani kuthana ndi mantha anu ndikuthana nawo.

Pali mtundu wa chithandizo chotchedwa Cognitive Behavioral Therapy (CBT), makamaka. Chimakuthandizani kuzindikira malingaliro oipa, osamveka bwino omwe akukuchititsani nkhawa. Kenako, mumaphunzira kusintha malingaliro amenewo ndi malingaliro enieni komanso abwino ndikusintha momwe mumachitira ndi mantha amenewo.

Njira zopumulira ( monga kuchita masewera olimbitsa thupi opumira kwambiri) ndi chithandizo chodzipatula (kapena njira zochepetsera kukhudzidwa kwa thupi) zimagwiritsidwanso ntchito. Pankhaniyi, katswiri wa zamaganizo amakufunsani kaye kuti muganizire za vuto lomwe limakuchititsani mantha ndikukuthandizani kulamulira malingaliro anu. Kenako, pang'onopang'ono komanso mosamala, mumalimbikitsidwa kupita kumalo omwe mumawopa kwambiri (choyamba ndi katswiri wa zamaganizo, kenako nokha). Pamene mukuvutika pang'onopang'ono ndi mantha anu, ubongo wanu umaphunzira kuti malo amenewo si owopsa. Pakapita nthawi, mankhwala awa amaphunzitsa ubongo wanu kuganiza ndikuchitapo kanthu mosiyana.

Thandizo kuchokera ku Mankhwala

Nthawi zina, dokotala wanu angakulangizeni mankhwala pamodzi ndi mankhwala amisala. Mankhwalawa angathandize kuchepetsa zizindikiro za nkhawa.

• Mankhwala oletsa kuvutika maganizo nthawi zambiri amaperekedwa ngati Selective Serotonin Reuptake Inhibitors (SSRIs) kapena Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs). Awa ndi mankhwala omwe amathandiza kulinganiza kuchuluka kwa mankhwala ena achilengedwe muubongo (omwe amatchedwanso ma neurotransmitters, omwe amakhudza momwe timamvera komanso momwe timamvera). Mankhwalawa amatha kuchiza matenda ovutika maganizo ndi nkhawa. Simungaone zotsatira nthawi yomweyo mukayamba kuwamwa, ndipo zingatenge milungu ingapo kuti mumve zotsatira zake.
• Nthawi zina, mankhwala monga ``Benzodiazepines'' angaperekedwe kwa kanthawi kochepa kuti achepetse nkhawa mwachangu. Komabe, awa sakulangizidwa kuti agwiritsidwe ntchito kwa nthawi yayitali chifukwa cha chiopsezo cha chizolowezi.

Chofunika: Mankhwala onsewa ayenera kugwiritsidwa ntchito motsogozedwa ndi dokotala. Si bwino kuyamba, kusiya, kapena kusintha mlingo wa mankhwala aliwonse nokha.

Kusintha kwa moyo

Pamodzi ndi chithandizo, kusintha zina ndi zina pa moyo wanu kungakuthandizeninso kuthana ndi agoraphobia:

• Pewani mowa, caffeine (yomwe imapezeka mu tiyi, khofi, ndi zakumwa zina zoziziritsa kukhosi), ndi zinthu zina zoopsa. Izi zingapangitse kuti munthu asamade nkhawa kwambiri.
• Idyani zakudya zopatsa thanzi komanso zopatsa thanzi . Idyani zipatso zambiri, ndiwo zamasamba, ndi tirigu wonse.
• Kuchita masewera olimbitsa thupi nthawi zonse. Ndi bwino ngati mungathe kuchita zinthu monga kuyenda, kuthamanga, kapena kusambira kwa mphindi zosachepera 30 patsiku. Kuchita masewera olimbitsa thupi kumatsitsimula maganizo.
• Yesetsani kupuma bwino komanso kusinkhasinkha mozama . Izi zingathandize kukhazika mtima pansi ndikuletsa nkhawa.
• Gonani mokwanira . Yesani kugona maola osachepera 7-8 patsiku.

Kodi mungakhale bwanji ndi Agoraphobia bwino?

Kukhala ndi agoraphobia kungakhale kovuta, koma ndi chithandizo choyenera komanso chithandizo choyenera, mutha kuthana ndi vutoli ndikukhala ndi moyo wosangalala komanso wokhutiritsa.

• Mumadzisamalira bwino.
• Imwani mankhwalawo monga momwe dokotala wanenera.
• Gwiritsani ntchito zomwe mwaphunzira kuchokera kwa katswiri wa zamaganizo.
• Chofunika kwambiri ndikuyesera kukumana ndi malo ndi zochitika zomwe zimakuopsezani pang'onopang'ono, pang'onopang'ono. Musachite zinthu zazikulu nthawi imodzi. Chitani zinthu zazing'ono. Kuzipewa kumangowonjezera mantha anu.
• Kambiranani ndi achibale anu ndi anzanu za izi. Thandizo lawo lidzakhala gwero lalikulu la mphamvu kwa inu.
• Ngati mungathe kulowa nawo gulu lothandizirana ndi anthu omwe ali ndi zokumana nazo zofanana, zimenezo zingathandizenso kwambiri.

Agoraphobia ingakupangitseni kukhala ndi mantha, kukhala nokha, komanso wopanda thandizo. Koma kumbukirani, ndi chithandizo, mutha kuwongolera zizindikiro izi ndikuchita zinthu zomwe mumakonda popanda mantha ambiri. Ngati agoraphobia kapena matenda ena aliwonse a nkhawa akukhudza moyo wanu, onetsetsani kuti mwalankhula ndi dokotala. Kukambirana momasuka komanso moona mtima kungakuthandizeni kupeza thandizo lomwe mukufuna.

Pomaliza, kumbukirani izi.

Choncho, ngati mukukayikira kuti inuyo kapena munthu amene mumamudziwa ali ndi vutoli lomwe tinakambirana (Agoraphobia), musachite mantha. Ichi ndi chinthu chomwe chingathetsedwe bwino ndi chithandizo. Chofunika kwambiri ndikupeza upangiri woyenera wachipatala ndikutsatira upangiriwo moyenera. Musavutike nokha.

Simuli nokha, ndipo musaope kupempha thandizo. Kumbukirani, thanzi la maganizo ndi lofunika kwambiri monga thanzi la thupi! Mutha kutuluka mu mkhalidwewu ndikukhala momasuka.

Agoraphobia , nkhawa, mantha, mantha, thanzi la maganizo, chithandizo, psychotherapy