Kusokonezeka Kwa Mantha ndi Agoraphobia

Zamkati

• Kusokonezeka Kwa Mantha
• Agoraphobia
• Zizindikiro za Kuopsa Kwa Mantha ndi Agoraphobia
• Mantha Oopsa
• Agoraphobia
• Zomwe Zimayambitsa Kuopsa Kwa Mantha ndi Agoraphobia?
• Chibadwa
• Kupsinjika
• Kukula kwa Zowukira
• Kodi Panic Disorder Yodziwika ndi Agoraphobia Imadziwika Bwanji?
• Kodi Kusokonezeka Kwa Mantha Ndi Agoraphobia Kumayendetsedwa Bwanji?
• Chithandizo
• Chidziwitso chamakhalidwe (CBT)
• Mankhwala
• Kulimbana ndi Mkhalidwe Wanu

Kodi Kusokonezeka Kwa Mantha Ndi Agoraphobia N'kutani?

Kusokonezeka Kwa Mantha

Anthu omwe ali ndi vuto lamantha, omwe amadziwikanso kuti nkhawa, amakumana mwadzidzidzi ndi mantha akulu kuti china chake choopsa chatsala pang'ono kuchitika. Matupi awo amachita ngati kuti ali pangozi. Kuukira kumeneku kumabwera mosayembekezereka ndipo nthawi zambiri kumachitika munthu atakhala kuti siwowopsa.

Pafupifupi anthu 6 miliyoni ali ndi vuto lamantha. Aliyense akhoza kukhala ndi vutoli. Komabe, ndizofala kwambiri mwa akazi kuposa amuna.

Zizindikiro zimayamba kuwonekera pafupifupi zaka 25.

Agoraphobia

Agoraphobia nthawi zambiri imaphatikizapo kuopa kugwidwa pamalo pomwe "kuthawa" sikungakhale kosavuta, kapena kochititsa manyazi. Izi zikuphatikiza:

• malo ogulitsa
• ndege
• sitima
• zisudzo

Mutha kuyamba kupewa malo ndi zochitika zomwe mudakumana nazo mwamantha kale, kuwopa kuti zingadzachitikenso. Kuopa kumeneku kumatha kukulepheretsani kuyenda momasuka kapena kusiya nyumba yanu.

Zizindikiro za Kuopsa Kwa Mantha ndi Agoraphobia

Mantha Oopsa

Zizindikiro za mantha nthawi zambiri zimakhala zolimba kwambiri mphindi 10 mpaka 20 zoyambirira. Komabe, zizindikilo zina zimatha kukhala ola limodzi kapena kupitilira apo. Thupi lanu limagwira ngati kuti mulidi pachiwopsezo mukakumana ndi mantha. Mtima wanu umathamanga, ndipo mumatha kumva kuti ukugunda pachifuwa. Mumatuluka thukuta ndipo mumatha kukomoka, kuchita chizungulire, ndikudwala m'mimba mwanu.

Mutha kuperewera ndipo mumamva ngati mukutsamwitsa. Mutha kukhala ndi malingaliro achabechabe komanso kufunitsitsa kuthawa.Mutha kuwopa kuti mukudwala matenda a mtima, kapena kuti mudzalephera kuwongolera thupi lanu, kapena kufa kumene.

Mudzakhala ndi zizindikiro zinayi zotsatirazi mukamachita mantha:

• malingaliro owopsa
• ayenera kuthawa
• kugunda kwa mtima
• thukuta kapena kuzizira
• kunjenjemera kapena kugwedezeka
• kupuma movutikira
• kutseka kapena kumangika pakhosi
• kupweteka pachifuwa
• nseru kapena kusapeza m'mimba
• chizungulire
• kumverera kwachilendo
• mantha kuti mutaya malingaliro
• kuopa kutaya ulamuliro kapena kufa

Agoraphobia

Agoraphobia nthawi zambiri imakhudza kuopa malo omwe kungakhale kovuta kusiya kapena kupeza chithandizo pakachitika mantha. Izi zikuphatikiza unyinji, milatho, kapena malo ngati ndege, sitima, kapena malo ogulitsira.

Zizindikiro zina za agoraphobia ndi izi:

• kuopa kukhala ndekha
• kuwopa kutaya ulamuliro pagulu
• kumverera kodzipatula kwa ena
• kumva wopanda thandizo
• kumva kuti thupi lanu kapena chilengedwe sichiri chenicheni
• samachoka panyumba kawirikawiri

Zomwe Zimayambitsa Kuopsa Kwa Mantha ndi Agoraphobia?

Chibadwa

Zomwe zimayambitsa mantha ndizosadziwika. Komabe, umboni wina ukusonyeza kuti pakhoza kukhala mbali ina ya chibadwa yomwe ikukhudzidwa. Anthu ena omwe amapezeka kuti ali ndi vutoli alibe achibale awo omwe ali ndi vutoli, koma ambiri amatero.

Kupsinjika

Kupsinjika mtima kungathandizenso kubweretsa vutoli. Anthu ambiri amayamba kuzunzidwa akamadutsa munthawi yovuta kwambiri. Izi zingaphatikizepo:

• imfa ya wokondedwa
• chisudzulo
• kutaya ntchito
• china chomwe chimapangitsa kuti moyo wanu wabwinobwino usokonezeke

Kukula kwa Zowukira

Kuopsa kwamantha kumachitika popanda chenjezo. Zowukira zambiri zikamachitika, munthuyo amapewa zochitika zomwe amawona ngati zoyambitsa. Munthu amene ali ndi vuto lamantha amayamba kuda nkhawa ngati angaganize kuti ali m'malo omwe angayambitse mantha.

Kodi Panic Disorder Yodziwika ndi Agoraphobia Imadziwika Bwanji?

Zizindikiro za mantha amantha ndi agoraphobia zitha kukhala zofananira ndi zikhalidwe zina. Chifukwa chake, kuzindikira molondola vuto la mantha kumatha kutenga nthawi. Gawo loyamba ndikuchezera dokotala wanu. Adzawunika mozama mwakuthupi ndi kwamaganizidwe kuti athetse zovuta zina zomwe zimakhala ndi zofananira ndi mantha amantha. Izi zitha kuphatikiza:

• vuto la mtima
• kusamvana kwa mahomoni
• kugwiritsa ntchito mankhwala osokoneza bongo

Chipatala cha Mayo chimanena kuti sikuti aliyense amene amachita mantha ali ndi mantha amantha. Malinga ndi Kusanthula ndi Buku Lophatikiza la Mavuto Amisala (DSM), muyenera kukwaniritsa njira zitatu zodziwira matenda amantha:

• Nthawi zambiri mumakhala ndi mantha osayembekezereka
• mwakhala osachepera mwezi umodzi mukuda nkhawa kuti mudzayambiranso mantha
• mantha anu samayambitsidwa ndi mowa kapena mankhwala osokoneza bongo, matenda ena, kapena vuto lina lamaganizidwe

DSM ili ndi njira ziwiri zodziwira agoraphobia:

• kuopa kukhala m'malo omwe zingakhale zovuta kapena zochititsa manyazi kutuluka ngati mungachite mantha
• kupewa malo kapena zochitika zomwe mumawopa kuti mwina mungachite mantha, kapena kukumana ndi mavuto m'malo amenewo

Khalani owona mtima kwathunthu ndi adotolo pazizindikiro zanu kuti mupeze matenda olondola.

Kodi Kusokonezeka Kwa Mantha Ndi Agoraphobia Kumayendetsedwa Bwanji?

Matenda amantha ndi matenda enieni omwe amafunikira chithandizo. Ndondomeko zambiri zamankhwala ndizophatikiza mankhwala opondereza kupsinjika ndi psychotherapy monga chidziwitso-machitidwe othandizira (CBT). Komabe, dokotala wanu akhoza kukuthandizani ndi mankhwala kapena CBT yokha. Anthu ambiri amatha kuthana ndi mantha awo ndi chithandizo.

Chithandizo

Mitundu iwiri ya psychotherapy imapezeka pochiza matenda amantha ndi agoraphobia.

Chidziwitso chamakhalidwe (CBT)

Muphunzira za agoraphobia ndikuwopsa kwamankhwala amachitidwe azidziwitso (CBT). Izi zimathandizira kuzindikira ndikumvetsetsa zoopsa zanu, ndikuphunzira momwe mungasinthire malingaliro anu ndi machitidwe anu.

Mu CBT, mudzakhala:

• afunseni kuti muwerenge powerenga momwe mulili
• sungani zolemba pakati pa nthawi yoikidwa
• malizitsani ntchito zina

Thandizo lakuwonetsera ndi mtundu wa CBT womwe umakuthandizani kuti muchepetse mayankho anu mwamantha komanso nkhawa. Monga dzinalo likutanthauza, pang'onopang'ono mumakumana ndi zovuta zomwe zimayambitsa mantha. Muphunzira kukhala ocheperako pazinthu izi pakapita nthawi, mothandizidwa ndi kuthandizidwa ndi othandizira.

Kusuntha kwamaso ndikukonzanso (EMDR)

EMDR inanenedwa kuti ndi yothandiza pochiza mantha ndi mantha. EMDR imafanizira kuyenda kwamaso mwachangu (REM) komwe kumachitika bwino mukamalota. Kusuntha kumeneku kumakhudza momwe ubongo umasinthira chidziwitso ndipo kumatha kukuthandizani kuwona zinthu m'njira yosawopsa.

Mankhwala

Mitundu inayi yamankhwala imagwiritsidwa ntchito pochiza matenda amantha ndi agoraphobia.

Kusankha Serotonin Reuptake Inhibitors (SSRIs)

SSRIs ndi mtundu wa antidepressant. Nthawi zambiri amakhala mankhwala oyamba kuchiza matenda amantha. Ma SSRI wamba amaphatikizapo:

• fluoxetine (Prozac)
• paroxetine (Paxil)
• mankhwala (Zoloft)

Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

SNRIs ndi gulu lina la anti-depressant ndipo limawoneka ngati lothandiza ngati ma SSRIs pochiza zovuta zamavuto. Izi zimakhala ndi zovuta zambiri kuposa ma SSRIs. Zotsatira zoyipa zimaphatikizapo:

• kukhumudwa m'mimba
• kusowa tulo
• mutu
• Kulephera kugonana
• kuthamanga kwa magazi

Benzodiazepines

Benzodiazepines ndi mankhwala omwe amalimbikitsa kupumula ndikuchepetsa zizindikiritso zakuthupi. Nthawi zambiri amagwiritsidwa ntchito mchipinda chadzidzidzi kuti athetse mantha. Mankhwalawa amatha kukhala chizolowezi akamamwa kwa nthawi yayitali kapena pamlingo waukulu.

Kuponderezedwa kwa Tricyclic

Izi ndizothandiza kuthana ndi nkhawa koma zimatha kuyambitsa zovuta zina, monga:

• kusawona bwino
• kudzimbidwa
• kusunga kwamikodzo
• kugwa mwadzidzidzi kwa kuthamanga kwa magazi atayimirira

Tengani mankhwalawa monga momwe adanenera. Musasinthe mlingo wanu kapena kusiya kumwa chilichonse musanapite kuchipatala.

Zitha kutenga mayesero angapo kuti mupeze mankhwala omwe ali oyenera kwa inu. Dokotala wanu adzakuthandizani kuchita izi.

Onetsetsani kuuza dokotala wanu za zovuta zilizonse zomwe mukukumana nazo kuti athe kusintha zina ndi zina. Osasiya kumwa mankhwala anu osalankhula ndi dokotala. Izi zitha kuyambitsa mavuto ena azaumoyo.

Kulimbana ndi Mkhalidwe Wanu

Kungakhale kovuta kukhala ndi matenda osachiritsika. Lankhulani ndi dokotala wanu zamagulu othandizira m'dera lanu. Anthu ambiri amapeza magulu othandizira chifukwa amawalola kuti azilumikizana ndi anthu omwe ali ndi vuto lofanana ndi lawo.

Zingatenge nthawi kuti mupeze wothandizira, gulu lothandizira, kapena mlingo wamankhwala womwe umakuthandizani kuthana ndi matenda anu. Khalani oleza mtima ndikugwira ntchito ndi adotolo kuti mupange dongosolo lamankhwala lomwe lingakuthandizeni kwambiri.