Ukuphazamiseka kuPanic kunye neAgoraphobia

Umxholo

• Ukuphazamiseka ePanic
• Agoraphobia
• Iimpawu zohlaselo lokuphakuzela kunye neAgoraphobia
• Uloyiko
• Agoraphobia
• Yintoni ebangela uhlaselo lwePanic kunye neAgoraphobia?
• Imfuza
• Uxinzelelo
• Ukuphuhliswa kokuhlaselwa
• I-Agoraphobia ichongwa njani?
• Ngaba unyango lwe-Panic Disorder kunye neAgoraphobia luphathwa njani?
• Unyango
• Unyango lokuziphatha kwengqondo (CBT)
• Amayeza
• Ukujamelana neMeko yakho

Yintoni ukuphazamiseka kwengozi kunye neAgoraphobia?

Ukuphazamiseka ePanic

Abantu abanengxaki yokuphakuzela, ekwabizwa ngokuba luhlaselo loxinzelelo, bafumana uhlaselo ngequbuliso loloyiko olukhulu noloyikisayo lokuba kukho into embi eza kwenzeka. Imizimba yabo isabela ngokungathi bakwimeko esongela ubomi. Olu hlaselo luza ngaphandle kwesilumkiso kwaye luhlala lubetha xa umntu ekwimeko engoyikisi.

Phantse izigidi ezi-6 zabantu abadala banengxaki yokuphakuzela. Nabani na onokuphuhlisa ingxaki. Nangona kunjalo, kuxhaphake kakhulu kwabasetyhini kunamadoda.

Iimpawu zihlala zivela kwiminyaka engama-25.

Agoraphobia

I-Agoraphobia ihlala ibandakanya uloyiko lokubanjwa kwindawo apho "ukubaleka" bekungayi kuba lula, okanye kuya kuba neentloni. Oku kubandakanya:

• iivenkile ezinkulu
• iinqwelomoya
• oololiwe
• iithiyetha

Ungaqala ukunqanda indawo kunye neemeko apho wawunothuswa ngaphambili, ngenxa yokoyika ukuba ingenzeka kwakhona. Olu loyiko lunokukugcina ungahambi ngokukhululekileyo okanye ushiye ikhaya lakho.

Iimpawu zohlaselo lokuphakuzela kunye neAgoraphobia

Uloyiko

Iimpawu zokuhlaselwa kukothuka zihlala ziziva zomelele kwimizuzu eli-10 ukuya kwengama-20 yokuqala. Nangona kunjalo, ezinye iimpawu zinokuhlala iyure okanye nangaphezulu. Umzimba wakho uphendula ngokungathi ubusengozini yokwenene xa uhlaselwa luloyiko. Intliziyo yakho ibaleka, kwaye uyayiva ukuba ibetha esifubeni sakho. Uyajuluka kwaye ungaziva utyhafile, unesiyezi, kwaye uyagula kwisisu sakho.

Unokuphelelwa ngumphefumlo kwaye uzive ngathi uyaminxa. Unokuba nemvakalelo yokungeyonyani kunye nomnqweno onamandla wokubaleka Unokoyika ukuba unesifo sentliziyo, okanye uza kuphulukana nolawulo lomzimba wakho, okanye usweleke.

Uya kuba neempawu ezine kwezi zilandelayo xa uhlaselwa kukuphakuzela:

• iimvakalelo zengozi
• kufuneka ubaleke
• ukubetha kwentliziyo
• ukubila okanye ukubanda
• ukungcangcazela okanye ukuncwina
• ukuqhawukelwa ngumphefumlo
• ukukrwitshwa okanye ukuqiniswa kwemvakalelo emqaleni
• iintlungu zesifuba
• isicaphucaphu okanye ukungonwabi esiswini
• isiyezi
• ukuziva ungeyonyani
• woyike ukuba ulahlekelwa yingqondo
• uloyiko lokuphulukana nolawulo okanye ukufa

Agoraphobia

I-Agoraphobia ihlala ibandakanya ukoyikwa kweendawo ekuya kuba nzima ukushiya okanye ufumane uncedo ukuba kuhlasela uloyiko. Oku kubandakanya izihlwele, iibhlorho, okanye iindawo ezinjengeenqwelomoya, oololiwe, okanye iivenkile ezinkulu.

Ezinye iimpawu ze-agoraphobia zibandakanya:

• uloyiko lokuba wedwa
• uloyiko lokuphulukana nolawulo esidlangalaleni
• imvakalelo yokuzahlula kwabanye
• ndiziva ndingenakuzinceda
• uziva ukuba umzimba wakho okanye okusingqongileyo akuyonyani
• kunqabile ukushiya ikhaya

Yintoni ebangela uhlaselo lwePanic kunye neAgoraphobia?

Imfuza

Unobangela othile wokuhlaselwa kukothuka awaziwa. Nangona kunjalo, obunye ubungqina bucebisa ukuba kunokubakho inkalo yemfuza ebandakanyekayo. Abanye abantu abafunyaniswa benesifo abanawo amanye amalungu osapho anale ngxaki, kodwa uninzi lunalo.

Uxinzelelo

Uxinzelelo lunokudlala indima ekuziseni ingxaki. Uninzi lwabantu luqala luhlaselwe ngelixa lixesha elinzima kakhulu. Oku kunokubandakanya:

• ukuswelekelwa ngumntu omthandayo
• uqhawulo-mtshato
• ukuphelelwa ngumsebenzi
• enye imeko ebangela ukuba ubomi bakho obuqhelekileyo buphazamiseke

Ukuphuhliswa kokuhlaselwa

Uhlaselo loloyiko ludla ngokuza kungabikho silumkiso. Njengoko kuhlaselwa ngakumbi, umntu uthambekele ekuphepheni iimeko abazijonga njengezinto ezinokubangela. Umntu onengxaki yokuphazamiseka uya kuziva enexhala ukuba bacinga ukuba bakwimeko enokubangela uhlaselo lunkwantyo.

I-Agoraphobia ichongwa njani?

Iimpawu zengxaki yokuphakuzela nge-agoraphobia zinokufana nezo zezinye iimeko. Ke ngoko, ukufumanisa ngokuchanekileyo ukuphazamiseka kwengqondo kunokuthatha ixesha. Inyathelo lokuqala kukutyelela ugqirha wakho. Baza kwenza uvavanyo olupheleleyo ngokwasemzimbeni nangokwengqondo ukulawula ezinye iimeko ezineempawu ezifanayo njengeziphazamiso. Ezi meko zinokubandakanya:

• ingxaki yentliziyo
• ukungalingani kwehomoni
• ukuhlukunyezwa kwesiyobisi

I-Mayo Clinic yenza inqaku lokuba ayinguye wonke umntu ohlaselwa kukuphakuzela onesifo sokuphakuzela. Ngokwe- Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo (DSM), kuya kufuneka uhlangane neekhrayitheriya ezintathu zokufumanisa isifo sokuphazamiseka:

• uhlala unengxaki yokuphakuzela engalindelekanga
• uchithe ubuncinci inyanga uxhalabile ngokuba nolunye uloyiko
• uloyiko lwakho alubangelwa butywala okanye ziziyobisi, sisinye isifo, okanye esinye isifo sengqondo

I-DSM ineendlela ezimbini zokuchonga i-agoraphobia:

• uloyiko lokuba kwiindawo ezinokubanzima okanye ezihlazo ukuphuma kuzo ukuba unokothuka
• ukunqanda indawo okanye iimeko apho woyikayo unokuba nohlaselo, okanye ufumane uxinzelelo olukhulu kwiindawo ezinjalo

Nyaniseka ngokupheleleyo kugqirha wakho malunga neempawu zakho zokufumana isifo esichanekileyo.

Ngaba unyango lwe-Panic Disorder kunye neAgoraphobia luphathwa njani?

Ukuphazamiseka kwesifo sisifo sokwenyani esifuna unyango. Uninzi lwezicwangciso zonyango luyindibaniselwano yamayeza okulwa uxinzelelo kunye nonyango lwengqondo njengonyango lokuziphatha kwengqondo (CBT). Nangona kunjalo, ugqirha wakho angakuphatha ngamayeza okanye nge-CBT kuphela. Uninzi lwabantu luyakwazi ukulawula ngempumelelo uhlaselo lwabo lonyango ngokunyanga.

Unyango

Iindidi ezimbini zonyango lwengqondo ziqhelekile kunyango lwe-panic disorder kunye ne-agoraphobia.

Unyango lokuziphatha kwengqondo (CBT)

Uya kufunda malunga ne-agoraphobia kunye nohlaselo lokoyika kunyango lokuziphatha kwengqondo (CBT). Olu nyango lujolise ekuchongeni nasekuqondeni uhlaselo lwakho, emva koko ufunde indlela yokutshintsha iipateni zokucinga kunye nokuziphatha.

Kwi-CBT, uya kuthi:

• Celwa ukuba ufunde okuthile kwimeko yakho
• kugcina iirekhodi phakathi kwexesha lokuqeshwa
• gqibezela ezinye ii-asayinimenti

Unyango lokubonisa luhlobo lwe-CBT ekunceda ukunciphisa iimpendulo zakho kuloyiko kunye noxinzelelo. Njengoko igama lisitsho, ngokuthe ngcembe utyhileka kwiimeko ezibangela uloyiko. Uya kufunda ukungakhathali kwezi meko ekuhambeni kwexesha, ngoncedo nenkxaso yonyango lwakho.

Ukunyanzeliswa kwamehlo kunye nokuhlaziywa kwakhona (EMDR)

I-EMDR ikwachazwe ukuba iluncedo ekunyangeni uloyiko kunye ne-phobias. I-EMDR ilingisa intshukumo yamehlo ekhawulezileyo (REM) eyenzeka ngesiqhelo xa uphupha. Ezi ntshukumo zichaphazela indlela ingqondo eqhuba ngayo ulwazi kwaye inokukunceda ubone izinto ngendlela engoyiki kangako.

Amayeza

Iindidi ezine zamayeza zihlala zisetyenziselwa ukunyanga ukuphazamiseka kwengqondo nge-agoraphobia.

I-Serotonin Reuptake Inhibitors ekhethiweyo (SSRIs)

Ii-SSRI zihlobo loxinzelelo. Zihlala zikhetha unyango lokuqala kunyango lokuphazamiseka. Ii-SSRI eziqhelekileyo zibandakanya:

• fluoxetine (Prozac)
• iparoxetine (Paxil)
• i-sertraline (iZoloft)

I-Serotonin-Norepinephrine Reuptake Inhibitors (i-SNRIs)

I-SNRIs lolunye udidi loxinzelelo kwaye zithathwa njengezisebenza njengee-SSRI kunyango lokuphazamiseka koxinzelelo. Ezi zihlala zineziphumo ebezingalindelekanga ngakumbi kune-SSRI. Iziphumo ziquka:

• isisu esimoshakele
• ukuphuthelwa
• intloko ebuhlungu
• ukungasebenzi kakuhle ngokwesondo
• ukwanda koxinzelelo lwegazi

IiBenzodiazepines

I-Benzodiazepines sisiyobisi esikhuthaza ukuphumla kunye nokunciphisa iimpawu ezibonakalayo zoxinzelelo. Zihlala zisetyenziswa kwigumbi likaxakeka ukunqanda uhlaselo lunkwantyo. Ezi ziyobisi zinokuba ngumkhwa xa zithathwa ixesha elide okanye ngedosi ephezulu.

I-Tricyclic yoxinzelelo

Oku kuyasebenza ekunyangeni uxinzelelo kodwa kunokubangela iziphumo ebezingalindelekanga ezibalulekileyo, ezinje:

• ukungaboni kakuhle
• ukuqhina
• ukugcinwa komchamo
• ukwehla ngesiquphe koxinzelelo lwegazi xa umile

Thatha la mayeza ngokuchanekileyo njengoko kumiselwe. Sukutshintsha idosi yakho okanye uyeke ukuthatha nayiphi na kwezi ngaphandle kokubonisana nogqirha wakho kuqala.

Kungathatha imizamo embalwa ukufumana amayeza alunge kanye nawe. Ugqirha wakho uya kukunceda wenze oku.

Qiniseka ukuba uxelela ugqirha wakho malunga nayiphi na imiphumela emibi ohlangabezana nayo ukuze bakwazi ukwenza uhlengahlengiso oluyimfuneko. Sukuyeka ukuthatha amayeza akho ungakhange uthethe nogqirha wakho. Oku kunokubangela ezinye iingozi zempilo.

Ukujamelana neMeko yakho

Kunokuba nzima ukuhlala kunye nemeko engapheliyo. Thetha nogqirha wakho malunga namaqela enkxaso kwindawo yakho. Abantu abaninzi bafumana amaqela enkxaso eluncedo kuba ivumela ukuba banxibelelane nabantu abaneemeko ezifanayo nezabo.

Kungathatha ixesha ukufumana ingcali yonyango, iqela lenkxaso, okanye idosi yokukunceda ukuba ulawule iimpawu zakho. Yiba nomonde kwaye usebenze nogqirha wakho ukwenza isicwangciso sonyango esisebenza kakuhle kuwe.