Ese nawe utinya kujya ahantu hamwe na hamwe? Ese ibi byaba ari (Agoraphobia)? Reka tubiganireho birambuye!

Ese wigeze ugira kimwe muri ibi bintu? Tekereza, iyo uri mu isoko ryuzuye abantu, ugenda wenyine mu iduka rinini, cyangwa ufatiwe muri bisi, uhita wumva ubwoba n'ubwoba bwinshi. Ukumva ufite ikibazo cyo guhumeka, igituza cyawe kirimo gutera, ubira ibyuya, kandi wumva ushaka guhunga. Niba ugira ibi bibazo buri gihe, bishobora kuba atari ibisanzwe. Ushobora kuba urwaye indwara yitwa agoraphobia.

Iki ni iki (Agoraphobia)?

Muri make, agoraphobia ni indwara ikomeye yo guhangayika, ubwoba bukabije . Ushobora kumva udafite icyo ukora mu gihe runaka, udashobora guhunga, udashobora gusaba ubufasha, cyangwa ukagira isoni imbere y'abandi kubera ubwoba bwinshi. Kubera ubwo bwoba bukomeye, ushobora gutangira kwirinda ahantu hamwe na hamwe.

Tekereza, inshuti yawe Nadeesha. Atinya cyane kujya mu maduka manini. Avuga ko kubera ko yuzuye abantu kandi ari menshi, yumva azayobera, agire isereri, kandi nta muntu uzaza kumufasha. Noneho ubu ntabwo ajya guhaha n'inshuti ze, kandi ntajya wenyine hafi y'amaduka manini. Ibi ni ibintu umuntu urwaye Agoraphobia ahura na byo.

Dore ahantu n'ibintu abantu bafite agoraphobia bakunda kwirinda:

• Ahantu hanini kandi hafunguye (urugero: imirima minini, ibiraro) cyangwa ahantu hato hafunganye rwose (urugero: filime, ascenseur/lifti).
• Ahantu hahurira abantu benshi (urugero: amasoko, aho bisi zihagarara, ibirori).
• Ahantu hatari mu rugo rwabo, cyane cyane iyo bari bonyine.
• Serivisi zo gutwara abantu n'ibintu rusange (urugero: bisi, gari ya moshi).

Ni ibihe bimenyetso bya Agoraphobia?

Ni ibisanzwe ko buri wese yumva afite ubwoba kandi ahangayikishijwe rimwe na rimwe. Ariko ku muntu ufite ikibazo cya agoraphobia, ubwoba burakabije ku buryo bubangamira imirimo ya buri munsi. Niba ufite iyi ndwara, ushobora kugira ibimenyetso by'indwara z'ubwoba (nk'indwara y'ubwoba) iyo ugiye ahantu hagutera ubwoba, cyangwa iyo utekereje kujya aho hantu.

Ibi bimenyetso bishobora gutangira mu buryo butunguranye kandi bikarangira mu minota mike. Muri iki gihe, ushobora kumva:

• Kubabara mu gituza cyangwa kumva umutima utera cyane (nk'aho ushyushye mu gituza).
• Kumva hari ikintu kimeze nk'aho umubiri urimo guhinda umushyitsi, giherekejwe n'ubwoba.
• Guhumeka vuba, nk'aho uri guhumeka (`Hyperventilation`).
• Kumva ufite isereri cyangwa umeze nk'ufite umutwe uremereye.
• Gukonja cyangwa guhumeka bitunguranye.
• Kubira ibyuya byinshi (Hyperhidrosis).
• Kubabara mu nda, kumva ufite isesemi, nk'aho igifu cyawe kirimo guhinduka.
• Kumva ko uri kure y'ukuri, ko uri kure y'umuntu.
• Ubwoba bwo gutakaza ubushobozi bwo kugenzura cyangwa gupfa.

Tuzi ko bishobora gutera ubwoba iyo uhuye n'ibimenyetso nk'ibi. Ariko ibuka ko utari wenyine, kandi hari ubufasha buhari kuri iki kibazo.

Ni izihe mpamvu n'ibintu bishobora gutera agoraphobia?

Abashakashatsi ntibaramenya impamvu nyayo itera agoraphobia. Ariko, bikekwa ko iyi ndwara ikunze kujyana n'indwara y'ubwoba yari isanzweho, ikaba ari ubwoba butunguranye kandi bukomeye butunguranye nta mpamvu. Hafi kimwe cya gatatu cy'abantu bafite iyo ndwara y'ubwoba na bo barwara agoraphobia. Ariko, rimwe na rimwe ishobora kubaho nta agoraphobia cyangwa ari bonyine.

Hari ibintu byinshi byongera ibyago byo kugira agoraphobia:

• Guterwa n'ubwoba kenshi, cyane cyane iyo biherekejwe n'ubwoba n'imihangayiko bikabije.
• Kugira ubundi bwoba (`phobias`) (urugero: gutinya imisozi miremire, gutinya inyamaswa).
• Guhura n'ibibazo bikomeye mu buzima, cyane cyane gupfusha umwana, gukubitwa cyangwa guhohoterwa.
• Kuba umuntu uhangayikishijwe cyane n'imihangayiko cyangwa ufite izindi ndwara zo guhangayika mu muryango.
• Umuntu wo mu muryango wa hafi afite ubwoba bw'indwara ya agoraphobia (hashobora kuba hari ingaruka z'uturemangingo).
• Kuba umuntu ugira isoni n'ubwoba muri kamere ye.

Wamenya ute ko ufite agoraphobia?

Niba utekereza ko ufite agoraphobia, kandi niba iyi mpungenge irimo kugira ingaruka ku buzima bwawe bwa buri munsi, imibanire yawe, cyangwa akazi kawe, ugomba rwose kujya kwa muganga w’umuryango (umuganga w’ibanze) cyangwa inzobere mu buzima bwo mu mutwe (urugero: inzobere mu ndwara zo mu mutwe cyangwa inzobere mu by’imitekerereze).

Wenda utinya kujya kwa muganga. Ibyo bishobora kuba bimwe mu bigize indwara. Niba ari uko bimeze, hamwe n'ikoranabuhanga rihari uyu munsi, ushobora kuvugana na muganga wawe kuri telefoni cyangwa ukoresheje gahunda ya videwo. Baza kuri ibyo.

Muganga azakubaza ibibazo bijyanye n'ibimenyetso byawe, ibyabaye mu buzima bwawe, n'amateka y'ubuzima bw'umuryango wawe. Urugero:

• "Ese wumva ufite igitutu n'ubwoba bwinshi iyo utekereje kuva mu nzu?"
• "Ese hari ahantu cyangwa ibintu wirinda kubera ko utinya? Kuki ubitinya?"
• "Ese wishingikiriza ku bandi kugira ngo bakore akazi mu iduka ryawe?"

Muganga ashobora kumenya niba ufite agoraphobia bitewe n'ibimenyetso byawe, inshuro bikunze kugaragara, n'ubukana bwabyo. Ni ngombwa kuba inyangamugayo no kuvugisha ukuri kuri buri kintu cyose. Hari ibintu byinshi byashyizweho n'amashyirahamwe y'abaganga yemewe, nka American Psychiatric Association. Bityo, kugira ngo umuntu amenye agoraphobia, agomba kugira ubwoba bwinshi cyangwa ubwoba mu bihe bibiri muri ibi bikurikira:

• Iyo ukoresha ubwikorezi rusange (nk'amabisi, gari ya moshi).
• Iyo uri ahantu hafunguye kandi hanini (urugero: mu kibuga kinini, aho imodoka zihagarara).
• Iyo uri ahantu hafunze kandi hafunze (urugero: muri sinema, icyumba cy'inama, iduka rito).
• Waba uri ku murongo cyangwa uri mu kivunge cy'abantu.
• Iyo uvuye mu nzu wenyine.

Nanone, niba wirinda ibyo bice kubera ubwo bwoba, cyangwa niba ugiye muri ibyo bice uri kumwe n'umuntu gusa, ibyo bishobora kuba ikimenyetso cya agoraphobia.

Ni ubuhe buryo bwo kuvura agoraphobia?

Inkuru nziza ni uko agoraphobia ari indwara ishobora kwitabwaho neza hakoreshejwe uburyo bwo kuyivura. Akenshi, hakoreshwa uburyo butandukanye bwo kuyivura:

• Ubuvuzi bw'imitekerereze - ni ukuvuga kuvura binyuze mu kuvuga.
• Imiti.
• Impinduka mu mibereho.

Ni gute ubuvuzi bw'imitekerereze bufasha?

Ubu ni bwo buryo bw'ingenzi kandi bufite akamaro cyane bwo kuvura agoraphobia. Muri ubu buryo, umuvuzi wabihuguriwe agufasha gutsinda ubwoba bwawe no guhangana nabwo.

Hari ubwoko bw'ubuvuzi bwitwa Cognitive Behavioral Therapy (CBT), by'umwihariko. Bugufasha kumenya ibitekerezo bibi kandi bidafite ishingiro bigutera guhangayika. Hanyuma, wiga gusimbuza ibyo bitekerezo n'ibifatika kandi byiza kandi ugahindura uburyo uhangana n'ubwo bwoba.

Uburyo bwo kuruhuka ( nk'imyitozo ngororamubiri yo guhumeka cyane) n'uburyo bwo kuvura umuntu adafite aho ahuriye n'ibintu (cyangwa uburyo bwo kudatuma umuntu yumva amerewe nabi) nabyo birakoreshwa. Muri ibi, umuvuzi abanza kugusaba gutekereza ku kintu kigutera ubwoba kandi kikagufasha kugenzura amarangamutima yawe. Hanyuma, buhoro buhoro kandi witonze, uterwa inkunga yo kujya ahantu utinya cyane (ubanza kujyana n'umuvuzi, hanyuma uri wenyine). Uko ugenda uhura n'ubwoba buhoro buhoro, ubwonko bwawe bumenya ko aho hantu hatari akaga. Uko igihe kigenda gihita, ubu buryo bwo kuvura bukwigisha ubwonko bwawe gutekereza no gukora ibintu mu buryo butandukanye.

Ubufasha buturuka ku miti

Hari igihe muganga wawe ashobora kukugira inama yo gukoresha imiti hamwe n'ubuvuzi bwo mu mutwe. Iyi miti ishobora kugabanya ibimenyetso by'ubwoba.

• Imiti igabanya ububabare ikunze gutangwa nka Selective Serotonin Reuptake Inhibitors (SSRIs) cyangwa Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs). Iyi ni imiti ifasha kuringaniza urugero rw'ibintu bimwe na bimwe bisanzwe mu bwonko (byitwa kandi neurotransmitters, bigira ingaruka ku byiyumvo byacu). Iyi miti ishobora kuvura kwiheba no guhangayika. Ushobora kutabona umusaruro ako kanya iyo utangiye kuyifata, kandi bishobora gufata ibyumweru bike kugira ngo wumve ingaruka zayo.
• Hari igihe imiti nka "Benzodiazepines" ishobora gutangwa igihe gito kugira ngo igabanye vuba imihangayiko. Ariko, iyi miti ntiyemerwa gukoreshwa igihe kirekire bitewe n'ibyago byo kuba umuntu yakwibasirwa n'imiti.

Icy'ingenzi: Iyi miti yose igomba gukoreshwa gusa uyobowe na muganga. Ntabwo ari byiza gutangira, guhagarika, cyangwa guhindura ingano y'umuti uwo ari wo wose wenyine.

Impinduka mu mibereho

Hamwe no kuvurwa, guhindura bimwe mu mibereho yawe bishobora no kugufasha guhangana n'agoraphobia:

• Irinde inzoga, kafeyine (iboneka mu cyayi, ikawa, n'ibindi binyobwa bidasembuye), n'ibindi bintu byangiza ubuzima. Ibi bishobora kongera imihangayiko.
• Kurya indyo yuzuye kandi iboneye . Kurya imbuto nyinshi, imboga n'ibinyampeke byuzuye.
• Kora imyitozo ngororamubiri buri gihe. Ni byiza cyane niba ushobora gukora ikintu nko kugenda n'amaguru, kwiruka, cyangwa koga byibuze iminota 30 ku munsi. Imyitozo ngororamubiri iruhura ubwonko.
• Itoze imyitozo yo guhumeka no gutekereza ku bintu bifatika . Ibi bishobora gufasha gutuza ubwonko no kugenzura imihangayiko.
• Gira ibitotsi bihagije . Gerageza gusinzira nibura amasaha 7-8 ku munsi.

Ni gute wabaho neza urwaye Agoraphobia?

Kubana na agoraphobia bishobora kuba ingorabahizi, ariko hamwe n'ubuvuzi n'ubufasha bikwiye, ushobora kwihanganira iyo ndwara no kubaho ubuzima bwiza kandi bushimishije.

• Wiyitaho neza.
• Fata umuti neza neza nk'uko muganga yabigutegetse.
• Shyira mu bikorwa ibyo wigiye ku muvuzi w’indwara.
• Igikuru ni ukugerageza guhangana n'ahantu n'ibintu bigutera ubwoba buhoro buhoro. Ntugakore ibintu bikomeye icyarimwe. Fata intambwe nto. Kubyirinda bizatuma ubwoba bwawe burushaho kwiyongera.
• Vugana n'umuryango wawe n'inshuti kuri ibi. Inkunga yabo izagukomeza cyane.
• Niba ushobora kwinjira mu itsinda rishinzwe gufashanya n'abantu bafite ubunararibonye nk'ubwawe, nabyo byagufasha cyane.

Agoraphobia ishobora gutuma wumva ufite ubwoba, uri wenyine kandi udafite icyo ushoboye. Ariko ibuka ko, hamwe n'ubuvuzi, ushobora kugenzura ibi bimenyetso no gukora ibintu ukunda nta bwoba bwinshi. Niba agoraphobia cyangwa indi ndwara iyo ari yo yose yo guhangayika irimo kugira ingaruka ku buzima bwawe, menya neza ko wavuganye na muganga. Ikiganiro kidasesuye kandi cyuzuye ukuri gishobora kugufasha kubona ubufasha ukeneye.

Amaherezo, ibuka ibi.

Niba rero ukeka ko wowe cyangwa undi muntu uzi afite iyi ndwara twavuze (Agoraphobia), ntugatinye. Iki ni ikintu gishobora kugenzurwa neza ukoresheje uburyo bwo kuvura. Ikintu cy'ingenzi ni ukubona inama z'abaganga zikwiye no gukurikiza iyo nama neza. Ntugakomereke wenyine.

Nturi wenyine, kandi ntutinye gusaba ubufasha. Wibuke ko ubuzima bwo mu mutwe ari ingenzi kimwe n'ubuzima bw'umubiri! Ushobora rwose kuva muri iki kibazo ukabaho mu bwisanzure.

Agoraphobia , guhangayika, ubwoba, ubwoba, ubuzima bwo mu mutwe, ubuvuzi, ubuvuzi bwo mu mutwe