Kodi mumamva chifuwa chanu chikulimba mukakhala mu elevator, m'chipinda chaching'ono chopanda mawindo, kapena mukayenera kupita ku MRI scan? Kodi mwadzidzidzi mumatuluka thukuta ndikumva ngati mukuvutika kupuma? Mukakhala pamalo otsekeka ngati awa, mumangofuna kutha? Ndiye mutha kukhala ndi vuto lotchedwa claustrophobia. Musadandaule, simuli nokha. Tiyeni tikambirane zonsezi momveka bwino komanso mosavuta.
Kodi mantha obisala ndi chiyani?
Mwachidule, mantha a claustrophobia ndi mantha aakulu komanso osazolowereka a malo otsekedwa, ang'onoang'ono, komanso otsekedwa.
Tsopano mukuganiza kuti, "Ndiye ndani amene amakonda kukhala m'malo ena?" Nzoona. Palibe aliyense wa ife amene amakonda kukhala m'malo ena. Koma pali kusiyana kwakukulu pakati pa mantha achibadwa ndi mantha. Taganizirani izi, tonsefe timaopa kuyang'ana pansi kuchokera pamalo okwera. Zimenezo n'zachibadwa, chifukwa pali ngozi yeniyeni. Koma mantha ndi mantha oopsa kwambiri, osalamulirika, komanso osamveka bwino kuposa mantha achibadwa. Ndiko kuti, mantha anu pa chinthu kapena mkhalidwe womwe mukuwopa ndi ochuluka kwambiri kuposa ngozi yeniyeniyo.
Kuopa claustrophobia ndi vuto lalikulu lomwe limakhudza moyo wanu watsiku ndi tsiku. Kwa anthu ena, mantha amenewa angapangitse kuti zikhale zovuta kugwira ntchito, kuyenda ndi anzawo, komanso kusokoneza ubale wawo ndi mabanja awo. Zingayambitsenso kudziona ngati wosafunika.
Kodi mantha amenewa angabwere pazochitika ziti?
Pali zinthu zambiri zomwe zingakulitse mantha a claustrophobia. Anthu ena amaopa malo onsewa, pomwe ena amaopa malo amodzi kapena awiri okha.
| Nthawi yochititsa mantha | Kufotokozera |
|---|---|
| Zikepe | Kuopa kukodwa m'malo ang'onoang'ono, okhala ndi zitseko zomwe sizingatsegulidwe. |
| Misewu | Kuopa kuti ngati galimoto ingayime mkati mwa ngalande, sipadzakhala njira yotulukira. |
| Ndege ndi Sitima | Kupanikizika komwe kumachitika chifukwa cha kutsekedwa kwa zitseko kotero kuti simungathe kutuluka. |
| Zojambulira za MRI | Kuopa kwambiri kukodwa mu malo ang'onoang'ono kwambiri, ozungulira. |
| Zipinda zazing'ono zopanda mawindo | Kuopa kutsekeredwa ngati chitseko chatsekedwa m'malo monga m'bafa ndi m'zipinda zosungiramo zinthu. |
| Magalimoto ang'onoang'ono | Kumva kupsinjika mbali zonse ziwiri, makamaka mukakhala pakati pa mpando wakumbuyo. |
| Malo odzaza anthu | Kumva ngati wagwidwa ndi anthu komanso wozunguliridwa ndi anthu pa konsati ya nyimbo kapena pamzere. |
| Maganizo | Ngakhale mutakhala kuti simunatsekedwe kwenikweni, kungoganiza zoti mwatsekeredwa kungayambitse mantha. |
Kodi chimachitika ndi chiyani ku thupi ndi malingaliro mukamva mantha awa? (Zizindikiro)
Munthu amene ali ndi vuto la claustrophobia akakumana ndi vuto loopsa, zimamveka ngati munthu amene ali ndi nkhawa kapena amene ali ndi mantha. Zizindikirozi zingagawidwe m'magawo awiri: zakuthupi ndi zamaganizo.
| Mtundu wa khalidwe | Zizindikiro zomwe zimawoneka kawirikawiri |
|---|---|
| Zizindikiro Zakuthupi | |
| Kutuluka thukuta ndi kunjenjemera | Popanda chifukwa, mwadzidzidzi mumamva kuzizira, thukuta, ndipo manja ndi mapazi anu amanjenjemera. |
| Kuwonjezeka kwa kugunda kwa mtima | Chifuwa chikugunda, pali kumva kulimba kapena kulimba pachifuwa. |
| Kuvuta kupuma | Ndikumva ngati ndikupuma movutikira, ndikupuma mofulumira, ndipo china chake chandigwira pakhosi. |
| Msana (msana) | Chizungulire , maso akusanduka abuluu, kufuna kusanza. |
| Zina mwazinthu | Kumva ngati m'mimba mwako mukutembenuka, pakamwa pouma, kulira m'makutu mwako, dzanzi. |
| Zizindikiro Zamaganizo | |
| Kuopa kutaya ulamuliro | Kuopa kuti sadzatha kudziletsa ndipo adzapenga. |
| Kufunika kwakukulu kothawa | Kumva ngati uyenera kuchoka pamalopo, osatha kuganiza china chilichonse. |
| Kuopa imfa | Kuopa kwambiri kupuma movutikira, matenda a mtima, ndi imfa. |
| Kumva ngati wopanda nzeru | Mantha amenewa ndi osafunikira komanso osamveka, koma simungathe kuwaletsa. |
Ana aang'ono akakhala mumkhalidwe umenewu, angalire, kufuula, kulimbana, kapena kumamatira kwa makolo awo.
N’chifukwa chiyani anthu ena amakhala ndi mantha otere?
Ngakhale kuti chifukwa chenicheni cha izi sichinapezekebe, pali zifukwa zingapo zazikulu zomwe ofufuza amakhulupirira.
- Chochitika choopsa kuyambira ali mwana: Tangoganizirani kuti mwatsekeredwa m'kabati mukusewera, kapena mwangozi mwadzitsekera m'chipinda. Chochitika choopsa choterechi chingalowe m'maganizo mwanu ndikuyamba kukhala ndi vuto lotchedwa claustrophobia mukamakula.
- Chokumana nacho kuchokera muukulu: Mwina mwakhala mukukakamira mu elevator, mwakhala mukuvutika ndi chisokonezo mu ndege, ndi zina zotero. Mantha amenewa angabukenso pambuyo pa chochitika chotere.
- Kuphunzira kuchokera kwa makolo anu: Ngati munaona amayi kapena abambo anu akuopa malo obisika muli mwana, inunso mungakhale ndi mantha amenewo. Ana amaphunzira zambiri potengera makolo awo.
Mwasayansi, pali gawo la ubongo wathu lotchedwa amygdala lomwe limalamulira malingaliro monga mantha ndi mkwiyo. Amakhulupirira kuti munthu amene ali ndi claustrophobia akakumana ndi vuto loopsa, gawoli la amygdala limalimbikitsidwa kwambiri. Palinso lingaliro lakuti kusintha kwa majini ena kungapangitse kuti vutoli lipitirire.
Kodi dokotala angatsimikizire bwanji kuti iyi ndi matenda?
Mukapita kukaonana ndi dokotala, adzakufunsani mafunso okhudza zizindikiro zanu komanso momwe zakhudzira moyo wanu. Chofunika kwambiri ndikudziwa ngati ndi mantha achibadwa kapena mantha.
Kawirikawiri, ngati zotsatirazi zikukugwirani ntchito, dokotala wanu akhoza kukuzindikirani kuti muli ndi claustrophobia:
- Mwakhala mukuopa kwambiri malo otsekedwa kwa miyezi yoposa 6 .
- Mantha anu amagwirizana ndi vuto kapena chinthu china chake, monga elevator kapena chipinda chaching'ono.
- Mukangokumana ndi vuto lotere, kapena kungoganizira chabe, mumakhala ndi mantha kapena nkhawa.
- Mumayesetsa kupewa zinthu ngati zimenezi, kapena mumazikumana nazo ndi mantha komanso nkhawa kwambiri.
- Mumazindikira kuti mantha anu ndi akulu kwambiri kuposa zoopsa zenizeni panthawiyo .
- Mantha amenewa asokoneza kwambiri ntchito yanu, maphunziro anu, moyo wanu wa m'banja, kapena maubwenzi anu.
Kodi mankhwala ake ndi otani? Kodi angachiritsidwe?
Inde, ndithudi! Claustrophobia ndi vuto la maganizo lomwe limachiritsidwa kwambiri . Pali njira ziwiri zazikulu zochiritsira zomwe zimagwiritsidwa ntchito.
Chithandizo Chowonekera
Izi nthawi zina zimatchedwa chithandizo cha desensitivity therapy. Zimaphatikizapo kudziika pang'onopang'ono ku chinthu chomwe mumachiopa, motsogozedwa ndi katswiri wa zamaganizo kapena dokotala wophunzitsidwa bwino. Zili ngati kuphunzitsa munthu amene amaopa madzi kuti ayambe waika mapazi ake m'madzi, kenako afike m'chiuno, kenako akusambira.
- Choyamba, ndikuonetsani chithunzi cha elevator.
- Kenako, imakuuzani kuti muwonere kanema wokhudza elevator.
- Kenako, anandiuza kuti ndipite ndikaone chikepi.
- Pomaliza, pang'onopang'ono mumakhala ndi mantha, monga kulowa mu elevator chitseko chili chotseguka kenako chitseko chikutsekedwa kwa masekondi angapo. Panthawiyi, mumaphunzitsidwa zinthu monga kuchita masewera olimbitsa thupi otonthoza komanso kupuma mozama.
Chithandizo cha Maganizo (CBT)
Uwu ndi mtundu wa mankhwala olankhula omwe amayang'ana kwambiri pakusintha maganizo ndi khalidwe lanu .
- Choyamba, dziwani maganizo omwe amakuopsezani. Mwachitsanzo, lingaliro lakuti, "Ndikakamizika mu elevator, sindingathe kupuma."
- Kenako, mudzathandizidwa kumvetsetsa kuti lingaliro limenelo ndi loona komanso ngati lili ndi tanthauzo. Mudzafunsidwa mafunso monga, "Kodi n'zosatheka bwanji kuti elevator itsekere? Ngakhale itatsekerezedwa, pali mpweya wabwino, eti?"
- Kenako, yesani kusintha maganizo oipawo ndi maganizo enieni komanso abwino. Monga, "Chikepe chili bwino. Anthu zikwizikwi amachikwera tsiku lililonse. Inenso nditha kuchikwera."
Mankhwala
Nthawi zina, makamaka ngati nkhawa ndi yaikulu kwambiri, mankhwala angakupatseni kwa kanthawi kochepa. Mwachitsanzo, ngati muli ndi vuto losapeŵeka, monga ulendo wa pandege, dokotala wanu angakupatseni mankhwala oti mumwe panthawiyo yokha. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:
- Benzodiazepines: Mankhwala oletsa nkhawa monga Alprazolam (Xanax®) ndi Clonazepam (Klonopin®).
- Mankhwala a SSRI (Selective Serotonin Reuptake Inhibitors): Mankhwala monga Paroxetine (Paxil®).
Chofunika kwambiri: Musamwe mankhwala awa popanda chilolezo cha dokotala . Nthawi zambiri amagwiritsidwa ntchito ngati chithandizo chowonjezera cha kanthawi kochepa.
Kodi ndingatani kuti ndikhale bwino ndi vutoli?
Kuwonjezera pa chithandizo chamankhwala, palinso zinthu zambiri zomwe mungachite nokha kuti muchepetse mantha anu.
- Lankhulani ndi munthu amene mumamudalira: Uzani mwamuna/mkazi wanu, bwenzi lanu lapamtima, kapena wachibale wanu za mantha anu. Zingakhalenso mpumulo waukulu kukhala ndi munthu womvetsera.
- Yesetsani njira zochepetsera nkhawa: Chitani masewera olimbitsa thupi opumira kwambiri. (Pumirani pang'onopang'ono, mozama kudzera mu mphuno mwanu, gwirani kwa masekondi atatu, kenako tulutsani mpweya pang'onopang'ono kudzera mukamwa mwanu.) Yesetsani kusinkhasinkha ndi kusamala.
- Lowani mu Gulu Lothandizira: Kulowa mu gulu ndi anthu ena omwe akukumana ndi vuto lomweli kungakuthandizeni kwambiri kumva ngati simuli nokha.
- Dzisamalireni: Idyani zakudya zopatsa thanzi, gonani mokwanira, ndipo chitani masewera olimbitsa thupi kwa mphindi 30 osachepera masiku 5 pa sabata. Moyo wathanzi ungathandize kuchepetsa nkhawa.
Ndiyenera kuchitidwa MRI scan, ndingathe bwanji kuthana nayo?
Ili ndi vuto lalikulu kwa anthu ambiri omwe ali ndi vuto la claustrophobia. Koma musadandaule, pali njira zokonzekera izi.
1. Uzani dokotala wanu kaye: Uzani dokotala wanu za mantha anu obisika pamene mukukonzekera kuchitidwa MRI. Iye angakulembereni mankhwala oti akutonthozeni musanachite mayeso.
2. Funsani za MRI yotseguka: Zipatala zina zili ndi makina a MRI otseguka. Awa ndi akuluakulu kuposa makina wamba a MRI. Funsani ngati angagwiritse ntchito imodzi poyesa kwanu.
3. Pa nthawi ya mayeso:
- Pumirani mpweya pang'ono musanalowe mu makina.
- Tsekani maso anu kuyambira nthawi yomwe mulowa mu makina. Taganizirani kuti muli pamalo omwe akukupatsani mtendere ndi chitonthozo (pagombe lokongola, pansi pa thambo lodzaza ndi nyenyezi).
- Kumbukirani kuti muli ndi batani la mantha m'manja mwanu lomwe mungathe kulikanikiza kuti musiye mayeso nthawi iliyonse.
- Katswiri adzakulankhulani nthawi yonse ya mayeso. Muuzeni ngati simukumva bwino.
Uthenga Wopita Nawo Kunyumba
- Kuopa anthu okhala ndi malo ochepa si mantha ofala okhudza malo obisika, koma mantha opitirira muyeso komanso osamveka bwino omwe ndi ovuta kuwalamulira ndipo amakhudza moyo.
- Si vuto lanu kapena kufooka kwanu. Ili ndi vuto lachipatala lomwe lingathe kuchiritsidwa kwathunthu ndi chithandizo.
- Chithandizo chothandiza kwambiri pa izi ndi chithandizo chamaganizo (CBT), ndipo anthu opitilira 90% amapeza mpumulo kuchokera ku chithandizochi.
- Ngati mantha anu akukulepheretsani kuchita ntchito za tsiku ndi tsiku kapena ngati mukusiya kucheza ndi anthu, musachite manyazi kapena kuchita mantha, koma pitani kwa dokotala wanu kuti akupatseni upangiri.











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