I-Panic Disorder ne-Agoraphobia

-Delile

• Ukuphazamiseka Kwetwetwe
• I-Agoraphobia
• Izimpawu Zokuhlaselwa Kwesibindi kanye ne-Agoraphobia
• Ukuhlaselwa Kwetwetwe
• I-Agoraphobia
• Yini Ebangela Ukuhlaselwa Kwetwetwe nge-Agoraphobia?
• Izakhi zofuzo
• Ukucindezeleka
• Ukuthuthukiswa Kokuhlaselwa
• Ingabe I-Panic Disorder Ihlonza Kanjani?
• Ngabe I-Panic Disorder Ne-Agoraphobia Iphathwa Kanjani?
• Ukwelashwa
• Ukwelashwa kokuziphatha kwengqondo (CBT)
• Imithi
• Ukubhekana Nesimo Sakho

Kuyini ukuphazamiseka Kwesibindi nge-Agoraphobia?

Ukuphazamiseka Kwetwetwe

Abantu abanenkinga yokwethuka, okwaziwa nangokuthi ukuhlaselwa ukukhathazeka, bahlangabezana nokuhlaselwa okungazelelwe kokwesaba okukhulu nokwedlulele kokuthi kukhona okubi okuzokwenzeka. Imizimba yabo isabela sengathi basesimweni esisongela impilo. Lokhu kuhlasela kuza ngaphandle kwesixwayiso futhi kuvame ukuteleka lapho lowo muntu esesimweni esingasongeli.

Cishe abantu abadala abayizigidi eziyisithupha bane-panic disorder. Noma ngubani angaba nenkinga. Kodwa-ke, kuvame kakhulu kwabesifazane kunabesilisa.

Izimpawu zivame ukuvela cishe eminyakeni engama-25.

I-Agoraphobia

I-Agoraphobia imvamisa ifaka ukwesaba ukubanjwa endaweni lapho "ukuphunyuka" bekungeke kube lula, noma kube yihlazo. Lokhu kufaka:

• izinxanxathela zezitolo
• izindiza
• izitimela
• amathiyetha

Ungaqala ukugwema izindawo nezimo lapho uke wahlaselwa khona uvalo phambilini, ngoba ungasaba ukuthi kungenzeka futhi. Lokhu kwesaba kungakwenza ungahambi ngokukhululeka noma ushiye ikhaya lakho.

Izimpawu Zokuhlaselwa Kwesibindi kanye ne-Agoraphobia

Ukuhlaselwa Kwetwetwe

Izimpawu zokuhlaselwa uvalo zivame ukuzizwa ziqine emizuzwini yokuqala eyi-10 kuye kwengama-20. Kodwa-ke, ezinye izimpawu zingahlala ihora noma ngaphezulu. Umzimba wakho uphendula sengathi usengozini yangempela lapho uhlaselwa ukwethuka. Inhliziyo yakho iyagijima, futhi uyizwe ishaya ngamandla esifubeni sakho. Uyajuluka futhi uzizwe uphela amandla, unesiyezi, futhi ugula esiswini sakho.

Ungaphelelwa umoya futhi uzizwe sengathi uyaxinwa. Ungaba nomuzwa wokungekhona okungokoqobo futhi ube nesifiso esinamandla sokubaleka.Ungasaba ukuthi uhlaselwa yisifo senhliziyo, noma ukuthi uzolahlekelwa ukulawula umzimba wakho, noma ngisho nokufa.

Uzoba nezimpawu ezine kulezi ezilandelayo lapho uhlaselwa ukwethuka:

• imizwa yengozi
• ngidinga ukubaleka
• ukushaya kwenhliziyo
• ukujuluka noma amakhaza
• ukuthuthumela noma ukuhayiza
• ukuphelelwa umoya
• umuzwa wokuklinya noma ukuqinisa emphinjeni
• ubuhlungu besifuba
• isicanucanu noma ukungakhululeki esiswini
• isiyezi
• umuzwa wokungekhona okungokoqobo
• wesabe ukuthi ulahlekelwa yingqondo
• ukwesaba ukulahlekelwa ukulawula noma ukufa

I-Agoraphobia

I-Agoraphobia imvamisa ifaka ukwesaba izindawo okungaba nzima ukushiya noma uthole usizo uma kwenzeka ukuhlaselwa ukwethuka. Lokhu kufaka phakathi izixuku, amabhuloho, noma izindawo ezifana nezindiza, izitimela, noma izinxanxathela zezitolo.

Ezinye izimpawu ze-agoraphobia zifaka:

• ukwesaba ukuba wedwa
• ukwesaba ukulahlekelwa ukulawula emphakathini
• umuzwa wokuhlukaniswa nabanye
• ngizizwe ngingenalusizo
• ukuzwa ukuthi umzimba wakho noma imvelo akuyona into yangempela
• kuyaqabukela ashiye ikhaya

Yini Ebangela Ukuhlaselwa Kwetwetwe nge-Agoraphobia?

Izakhi zofuzo

Imbangela ethile yokuhlaselwa ukwethuka ayaziwa. Kodwa-ke, obunye ubufakazi bukhombisa ukuthi kungahle kube nesici sofuzo esithintekayo. Abanye abantu abatholakala benalesi sifo abanawo amanye amalungu omndeni analesi sifo, kepha abaningi banaso.

Ukucindezeleka

Ukucindezeleka nakho kungadlala indima ekuletheni lesi sifo. Abantu abaningi baqala ukuhlaselwa ngenkathi bedlula ezikhathini ezinzima kakhulu. Lokhu kungafaka:

• ukufa kothandekayo
• isehlukaniso
• ukulahleka kwemisebenzi
• esinye isimo esidala ukuthi impilo yakho ejwayelekile iphazamiseke

Ukuthuthukiswa Kokuhlaselwa

Ukuhlaselwa ngokwesaba kuvame ukuvela ngaphandle kwesixwayiso. Njengoba ukuhlaselwa okuningi kwenzeka, umuntu uvame ukugwema izimo abazibheka njengezimbangela ezingaba khona. Umuntu onenkinga yokwethuka uyozizwa ekhathazekile uma ecabanga ukuthi basesimweni esingadala ukwethuka.

Ingabe I-Panic Disorder Ihlonza Kanjani?

Izimpawu zokuphazamiseka kwesifo nge-agoraphobia zingafana nezinye zezimo. Ngakho-ke, ukuxilonga kahle inkinga yokwethuka kungathatha isikhathi. Isinyathelo sokuqala ukuvakashela udokotela wakho. Bazokwenza ukuhlolwa okuphelele ngokomzimba nangokwengqondo ukukhipha ezinye izimo ezinezimpawu ezifanayo njengokuphazamiseka kovalo. Lezi zimo zingafaka:

• inkinga yenhliziyo
• ukungalingani kwehomoni
• ukusetshenziswa kabi kwezidakamizwa

Umtholampilo iMayo ubeka iphuzu lokuthi akubona bonke abantu abahlaselwa ukwethuka abanenkinga yokwethuka. Ngokusho kwe- Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo (DSM), kufanele uhlangabezane nezindlela ezintathu zokuxilongwa kwesifo sokuphazamiseka:

• uvame ukuhlaselwa ukwethuka okungalindelekile
• uchithe okungenani inyanga ukhathazekile ngokuthi uzoba nolunye uvalo
• ukwesaba kwakho akubangelwa utshwala noma izidakamizwa, okunye ukugula, noma okunye ukuphazamiseka kwengqondo

I-DSM inezinqubo ezimbili zokuxilongwa kwe-agoraphobia:

• ukwesaba ukuba sezindaweni okuzoba nzima noma kube namahloni ukuphuma kuzo uma unokwethuka
• ukugwema izindawo noma izimo lapho wesaba khona ukuthi ungahlaselwa ukwethuka, noma ubhekane nosizi olukhulu ezindaweni ezinjalo

Thembeka ngokuphelele kudokotela wakho mayelana nezimpawu zakho ukuthola ukuxilongwa okunembile.

Ngabe I-Panic Disorder Ne-Agoraphobia Iphathwa Kanjani?

I-panic disorder yisifo sangempela esidinga ukwelashwa. Izinhlelo eziningi zokwelashwa ziyinhlanganisela yemithi elwa nokudangala kanye nokwelashwa kwengqondo okufana nokwelashwa kokuqonda (i-CBT). Kodwa-ke, udokotela wakho angakuphatha ngemithi noma nge-CBT kuphela. Iningi labantu liyakwazi ukuphatha ngempumelelo ukuhlaselwa kwabo ukwesaba ngokwelashwa.

Ukwelashwa

Izinhlobo ezimbili ze-psychotherapy zivamile ekwelapheni ukuphazamiseka kwesifo nge-agoraphobia.

Ukwelashwa kokuziphatha kwengqondo (CBT)

Uzofunda nge-agoraphobia nokuhlaselwa ukwethuka ekwelapheni kokuziphatha kwengqondo (i-CBT). Lokhu kwelashwa kugxile ekuboneni nasekuqondeni ukuhlaselwa uvalo lwakho, bese ufunda ukuthi ungaziguqula kanjani izindlela zakho zokucabanga nokuziphatha.

Ku-CBT, ngokujwayelekile:

• celwa ukuthi ufunde okuthile ngesimo sakho
• gcina amarekhodi phakathi kwama-aphoyintimenti
• qedela ezinye izabelo

Ukwelashwa kokuvezwa kuyindlela ye-CBT ekusiza ukuthi wehlise izimpendulo zakho ekwesabeni nasekukhathazekeni. Njengoba igama lisho, kancane kancane uvezwa ezimeni ezibangela ukwesaba. Uzofunda ukungazweli kulezi zimo ngokuhamba kwesikhathi, ngosizo nokusekelwa ngudokotela wakho.

Ukunyakaza kokuhamba kwamehlo nokwenza kabusha (EMDR)

I-EMDR nayo kubikwa ukuthi iyasiza ekwelapheni ukwethuka nokwesaba. I-EMDR ilingisa ukunyakaza kweso okusheshayo (i-REM) okwenzeka ngokujwayelekile uma uphupha. Lokhu kunyakaza kuthinta indlela ubuchopho obucubungula ngayo ulwazi futhi kungakusiza ukuthi ubone izinto ngendlela engathusi kangako.

Imithi

Izinhlobo ezine zemithi zivame ukusetshenziselwa ukwelapha ukukhathazeka nge-agoraphobia.

I-Serotonin Reuptake Inhibitors ekhethiwe (SSRIs)

Ama-SSRI awuhlobo lwe-antidepressant. Imvamisa kuyindlela yokuqala ongayikhetha yokwelapha ukuphazamiseka kwesifo. Ama-SSRI ajwayelekile afaka:

• i-fluoxetine (Prozac)
• i-paroxetine (Paxil)
• i-sertraline (Zoloft)

ISerotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

Ama-SNRIs elinye ikilasi le-anti-depressant futhi athathwa njengasebenza njenge-SSRI ekwelapheni ukuphazamiseka kokukhathazeka. Lokhu kuvame ukuba nemiphumela emibi kakhulu kunama-SSRI. Imiphumela emibi ifaka phakathi:

• isisu esibuhlungu
• ukuqwasha
• ikhanda
• ukungasebenzi ngokocansi
• ukwanda komfutho wegazi

I-Benzodiazepines

I-Benzodiazepines yizidakamizwa ezikhuthaza ukuphumula futhi zinciphise izimpawu zomzimba zokukhathazeka. Zivame ukusetshenziselwa egumbini lezimo eziphuthumayo ukumisa ukwethuka. Le mithi ingaba yimikhuba uma ithathwa isikhathi eside noma ngomthamo omkhulu.

I-Tricyclic Antidepressants

Lokhu kuyasebenza ekwelapheni ukukhathazeka kepha kungadala imiphumela emibi, efana nale:

• ukungaboni kahle
• ukuqunjelwa
• ukugcinwa komchamo
• ukwehla okungazelelwe kwengcindezi yegazi lapho umile

Thatha le mithi njengoba kunqunyiwe. Ungaguquli umthamo wakho noma uyeke ukuthatha noma iyiphi yalezi ngaphandle kokubonisana nodokotela wakho kuqala.

Kungathatha imizamo embalwa ukuthola umuthi ofanele wena. Udokotela wakho uzokusiza wenze lokhu.

Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imiphumela emibi obhekene nayo ukuze bakwazi ukwenza ukulungiswa okudingekayo. Ungayeki ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho. Lokhu kungadala ezinye izingozi zezempilo.

Ukubhekana Nesimo Sakho

Kungaba nzima ukuhlala nesimo esingelapheki. Khuluma nodokotela wakho ngamaqembu okusekela endaweni yangakini. Abantu abaningi bathola amaqembu osizo elusizo ngoba iwavumela ukuthi axhumane nabantu abanesimo esifanayo nawo.

Kungathatha isikhathi ukuthola umelaphi, iqembu lokusekela, noma isilinganiso semithi esikusiza ukuphatha izimpawu zakho. Yiba nesineke futhi usebenze nodokotela wakho ukwenza uhlelo lokwelashwa olusebenza kahle kakhulu kuwe.