Uyasaba ngisho nokuphuma endlini? Ake sixoxe nge-Agoraphobia!

Ingabe ngezinye izikhathi uzizwa ukwesaba okukhulu kanye nokushaya kwesifuba sakho uma ucabanga ngokuphuma endlini, ukuya esitolo, noma ukugibela ibhasi? Ingabe uzithola usezindaweni lapho uzizwa sengathi awukwazi ukuya ndawo wedwa futhi kungekho muntu ozokusiza? Uma kunjalo, lesi yisihloko esingaba sibaluleke kakhulu kuwe. Lesi simo sisibiza ngokuthi i-Agoraphobia . Lokhu akusikho ukwesaba nje kuphela, kuyisimo sempilo yengqondo esidinga ukwelashwa.

Kalula nje, iyini i-Agoraphobia?

I-Agoraphobia isifo sokukhathazeka esibangela ukwesaba okukhulu ukuba sezimweni ezithile ngaphandle kwekhaya lakho, ikakhulukazi izindawo lapho ungase ukuthole kunzima ukuphuma khona ngokuzumayo nalapho ungase ungakwazi ukuthola usizo. Lokhu kwesaba kuvame ukuhambisana nokwesaba ukuhlaselwa ukwesaba endaweni lapho ungase ube nokwesaba.

Izimpawu zingasukela ekungakhululeki okuncane kuya ekusongeleni impilo. Nakuba abanye abantu bengaya ezindaweni ezimbalwa abazijwayele, abanye bangaba bakhulu kangangokuthi abakwazi ngisho nokuphuma endlini.

Ingabe i-Agoraphobia kanye nokukhathazeka komphakathi kuyinto efanayo?

Yebo, laba ababili bahlukile kancane. Umuntu okhathazekile ngokwenhlalo wesaba ukuhlazeka phambi kwabanye nokugwetshwa. Kodwa ku-Agoraphobia, ukwesaba kungokwezokuphepha kwakhe. Ake sichaze lo mehluko kabanzi ngethebula elingezansi.

Kungani lesi simo senzeka?

Odokotela abakwazi ukusho ngokuqinisekile ukuthi yini ebangela lokhu, kodwa bathole izici eziningana ezandisa ingozi.

• Umlando womndeni : Uma othile emndenini wakho, ikakhulukazi umfowenu noma udadewabo, enalesi simo, nawe unethuba elikhulu lokuba naso. Lokhu kusho ukuthi kungase kube nethonya lofuzo.
• Isifo Sokushaywa Uvalo Noma Ukuhlaselwa Uvalo: Uma unomlando wokuhlaselwa uvalo, kungaholela ku-Agoraphobia. Cabanga ngokuhlaselwa uvalo esitolo. Bese uqala ukwesaba ukuya ezitolo ngoba ucabanga ukuthi kuzokwenzeka futhi. Njengoba ugwema izindawo ezikwesabisayo, kancane kancane ingakhula ibe yi-Agoraphobia.
• Ezinye izinkinga zempilo yengqondo: Le ngozi ikhuliswa nayizimo ezifana nokukhathazeka okungalashwanga, ukucindezeleka, kanye nokwesaba ngokweqile (ukwesaba ezinye izinto).
• Okuhlangenwe nakho okubuhlungu empilweni: Izehlakalo ezicindezelayo kakhulu, ikakhulukazi ukuhlukunyezwa kwasebuntwaneni, ukufa komzali , ukulahlekelwa umsebenzi, kanye nesehlukaniso, kungaholela kulesi simo.

Ziyini izimpawu ze-agoraphobia?

Uma une-agoraphobia, ungase ube nokwesaba okukhulu nokukhathazeka ngezinye izikhathi. Lezi zimpawu ziyahlukahluka kumuntu nomuntu. Ake sibheke izimpawu eziyinhloko.

Ingabe lokhu kuyenzeka nasezinganeni?

Yebo, izingane zingaba ne-agoraphobia. Lesi simo singabonakala ngokuhlaselwa uvalo, ikakhulukazi ezinganeni ezincane. Uma ingane inalesi simo, ingase izwe ukwesaba okukhulu lapho ihlukene nabazali bayo, ezindaweni ezinabantu abaningi, emgqeni, noma ihamba phezu kwebhuloho. Uma ingane yakho inalezi zimpawu, kubaluleke kakhulu ukubona udokotela futhi ukhulume ngakho.

Wazi kanjani ukuthi lesi yisifo?

Uma ubona udokotela wakho, ngeke akubize ngokushesha ngokuthi i-Agoraphobia. Into yokuqala azoyenza ukuhlola ezinye izimo zomzimba ezingase zibangele lezi zimpawu.

• Bazokuhlola futhi bakubuze ngokucophelela ngezimpawu zakho.
• Kungenziwa ukuhlolwa kwegazi okuningana.
• Ukuhlolwa (njenge-ECG) kungenziwa ukuze kuhlolwe noma yiziphi izinkinga ngenhliziyo noma amaphaphu.

Uma sekuqinisekisiwe ukuthi ayikho imbangela engokomzimba, udokotela uzobuza ngesimo sakho sengqondo nokuthi lokhu kwesaba kukuthinta kanjani impilo yakho yansuku zonke. Ungathunyelwa futhi kudokotela wezifo zengqondo noma kudokotela wezifo zengqondo.

Yiziphi izindlela zokwelapha lokhu?

Lokhu kuyinto ebaluleke kakhulu. I-Agoraphobia yisimo esingelashwa futhi silawulwe kahle kakhulu. Ngakho ungesabi. Kunezinhlobo ezimbili eziyinhloko zokwelapha.

1. Ukwelashwa ngenkulumo

Indlela ephumelela kakhulu yokwenza lokhu iwukusebenzisa i-Cognitive Behavioral Therapy (CBT) . Kalula nje, isazi sokusebenza kwengqondo siyakusiza ukuthi ubone futhi ushintshe amaphethini emicabango emibi abangela ukwesaba kwakho. Siphinde sikufundise izinto ezifana nokuzivocavoca ukuphefumula ukuze sikusize uzole uma uzizwa wesaba.

Njengengxenye ye-CBT, senza nento ebizwa ngokuthi i-Exposure Therapy . Esikwenzayo, sizijwayeza ukubhekana nezindawo ozesabayo ngokucophelela, isinyathelo ngesinyathelo, nangokuphepha. Okokuqala, mhlawumbe sizokutshela ukuthi ucabange ngokuya esitolo, bese sikutshela ukuthi uye emnyango wesitolo, bese sikutshela ukuthi ungene ngaphakathi isikhashana. Ngale ndlela, sizokusiza ukuthi unqobe ukwesaba kwakho.

2. Ukwelashwa ngemithi

Kwezinye izimo, imithi inikezwa kanye nokwelashwa kokukhuluma.

• Ama-Antidepressants: Uhlobo lwemithi olusetshenziswa kakhulu yi -SSRIs (Selective Serotonin Reuptake Inhibitors) . Izibonelo zifaka phakathi i-Fluoxetine, i-Sertraline, ne-Escitalopram. Lokhu kumele kuthathwe nsuku zonke, futhi kungathatha amasonto ambalwa ukuzwa umphumela ophelele.
• Imithi yokulwa nokukhathazeka: Ama-Benzodiazepines (isib. i-Alprazolam, i-Clonazepam) anganqunywa ukuthi asetshenziswe uma kwenzeka ukuhlaselwa uvalo okungazelelwe. Kodwa-ke , lawa kufanele asetshenziswe ngokucophelela okukhulu futhi isikhathi esifushane kuphela, njengoba ephethe ingozi yokulutha.

Zonke lezi zindlela zokwelapha kufanele zinqunywe udokotela wakho ngokusekelwe esimweni sakho. Kubaluleke kakhulu ukugwema ukuthatha imithi ngokwakho.

Kwenzekani uma ingelashwa?

Uma ingelashwa, i-agoraphobia ingathinta zonke izici zokuphila kwakho.

• Ungabambeka ekhaya futhi ube nesizungu.
• Imisebenzi nemfundo kungaphazamiseka ngokuphelele.
• Ukuxhumana nabantu kungase kulahleke.
• Ezinye izifo zengqondo ezifana nokucindezeleka zingase zibe khona.
• Ungase ube umlutha wotshwala noma izidakamizwa.
• Ezimweni ezimbi kakhulu, imicabango yokuzibulala ingavela.

Uma wena noma othile omaziyo enemicabango yokuzilimaza, sicela uye esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) ngokushesha noma ushayele iNational Institute of Mental Health ku-1926 ukuze uthole usizo.