Agoraphobia

Agoraphobia kutya kwakanyanya uye kushushikana kwekuve munzvimbo dzinonetsa kupukunyuka, kana uko rubatsiro rungasavepo. Agoraphobia kazhinji inosanganisira kutya kwevanhu vazhinji, mabhiriji, kana yekuve vega vega.

Agoraphobia rudzi rwekushushikana kwepfungwa. Chikonzero chaicho cheagoraphobia hachizivikanwe. Agoraphobia dzimwe nguva inoitika kana munhu anga aine kutya kwekutya uye otanga kutya mamiriro ezvinhu anogona kutungamira kune kumwe kutya kwekurwisa.

Uine agoraphobia, unodzivirira nzvimbo kana mamiriro ezvinhu nekuti haunzwi wakachengeteka munzvimbo dzeveruzhinji. Kutya kwakanyanya kana nzvimbo yacho yakazara.

Zviratidzo zveagoraphobia zvinosanganisira:

• Kutya kushandisa nguva uri wega
• Kutya nzvimbo uko kutiza kungave kwakaoma
• Kutya kurasikirwa nekutonga munzvimbo yeruzhinji
• Zvichienderana nevamwe
• Kunzwa kusabatana kana kupatsanurwa kubva kune vamwe
• Kupererwa
• Kunzwa kuti muviri hausi chaiwo
• Kunzwa kuti nharaunda haisi yechokwadi
• Kuva nehasha dzisina kujairika kana kushungurudzika
• Kugara mumba kwenguva yakareba

Zviratidzo zvepanyama zvinogona kusanganisira:

• Kurwadziwa pachifuva kana kusagadzikana
• Choking
• Dzungu kana kupera simba
• Nausea kana imwe dambudziko remudumbu
• Kumhanya mwoyo
• Kufema kufema
• Kudikitira
• Kubvunda

Anopa hutano anotarisa nhoroondo yako yeagoraphobia uye anowana tsananguro yemafambiro kubva kwauri, yako mhuri, kana shamwari.

Chinangwa chekurapa ndechekubatsira iwe kunzwa uye kushanda zvirinani. Kubudirira kwekurapa kunowanzoenderana nechikamu chekuti agoraphobia yakanyanya sei. Kurapa kazhinji kunosanganisa hurukuro yekurapa nemushonga. Mimwe mishonga inowanzo shandiswa kurapa kushushikana inogona kubatsira pachirwere ichi. Vanoshanda nekudzivirira zviratidzo zvako kana kuita kuti zvisanyanya kuoma. Iwe unofanirwa kutora mishonga iyi mazuva ese. Usarega kuvatora kana kushandura muyero usina kutaura nemupi wako.

• Inosarudza serotonin reuptake inhibitors (SSRIs) kazhinji kazhinji sarudzo yekutanga yeanodzvinyirira.
• Serotonin-norepinephrine reuptake inhibitors (SNRIs) ndeimwe sarudzo.

Mimwe mishonga inoshandiswa kurapa kushushikana kana mishonga inoshandiswa kurapa pfari inogona kuyedzwa zvakare.

Mishonga inonzi sedatives kana hypnotics inogonawo kunyorerwa.

• Iyi mishonga inofanira kutorwa chete pasi pekutungamira kwechiremba.
• Chiremba wako acharaira huwandu hushoma hwemishonga iyi. Haifanire kushandiswa mazuva ese.
• Zvinogona kushandiswa kana zviratidzo zvikanyanyisa kana kana iwe wave kuda kuratidzwa kune chimwe chinhu chinogara chichiunza pane ako zviratidzo.

Kufungisisa-maitiro ekurapa (CBT) rudzi rwekurapa kwekutaura. Inosanganisira kushanyira gumi kusvika makumi maviri nenyanzvi yehutano hwepfungwa kwemavhiki akati wandei. CBT inobatsira iwe kushandura pfungwa dzinokonzeresa mamiriro ako. Inogona kusanganisira:

• Kunzwisisa uye kutonga kwakamonyaniswa manzwiro kana maonero ezviitiko zvinonetsa kana mamiriro
• Kudzidza kushungurudzika manejimendi uye ekuzorodza maitiro
• Kuzorora, uye kufungidzira zvinhu zvinokonzeresa kushushikana, kushanda kubva kune zvishoma zvinotyisa kusvika kune vanotya zvakanyanya (kunodaidzwa kurongeka desensitization uye yekurapa kurapwa)

Iwe unogona zvakare kuratidzwa zvishoma nezvishoma kune chaicho-chehupenyu mamiriro chinokonzeresa kutya kukubatsira iwe kuzvikunda.

Mararamiro ane hutano anosanganisira kurovedza muviri, kuzorora zvakakwana, uye kudya kunovaka muviri kunogona kubatsira.

Unogona kudzikamisa kushushikana kwekuve neagoraphobia nekujoinha boka rekutsigira. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Mapoka ekutsigira kazhinji haamiriri akanaka kurapa kwekutaura kana kutora mushonga, asi anogona kuve anobatsira kuwedzera.

Ona pazasi kuti uwane rumwe ruzivo uye rutsigiro rwevanhu vane agoraphobia:

Kuzvidya Mwoyo uye Kushungurudzika Association yeAmerica - adaa.org/supportgroups

Vanhu vazhinji vanogona kuita zvirinani nemishonga uye CBT. Pasina rubatsiro rwekutanga uye runoshanda, kusagadzikana kwacho kungave kwakaoma kurapa.

Vamwe vanhu vane agoraphobia vanogona:

• Shandisa doro kana zvimwe zvinodhaka uchiedza kuzvirapa.
• Kutadza kushanda pabasa kana munzvimbo dzemagariro.
• Inzwa kusurukirwa, kusurukirwa, kuora mwoyo, kana kuzviuraya.

Shevedza musangano nenguva yako kana iwe uine zviratidzo zveagoraphobia.

Kurapa kwekutanga kwekutya kusagadzikana kunogona kazhinji kudzivirira agoraphobia.

Kushushikana kusagadzikana - agoraphobia

• Panic kusagadzikana neagoraphobia

American Psychiatric Association. Kushungurudzika kusagadzikana. Mune: American Psychiatric Association, rakanyorwa. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Publishing; 2013: 189-234.

Calkins AW, Bui E, Taylor CT, Pollack MH, LeBeau RT, Simon NM. Kushungurudzika kusagadzikana. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.

Lyness JM. Matambudziko epfungwa mune zvekurapa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020: chitsiko 369.

National Institute yeMental Health webhusaiti. Kushungurudzika kusagadzikana. www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml. Yakagadziridzwa Chikunguru 2018. Yakasvika muna Chikumi 17, 2020.