ʻO Agoraphobia

He makaʻu nui a hopohopo ʻo Agoraphobia i ka noho ʻana ma nā wahi kahi paʻakikī e pakele ai, a ma kahi e loaʻa ʻole ai ke kōkua. Pili pinepine ʻo Agoraphobia i ka makaʻu i ka lehulehu, nā alahaka, a i ʻole ma waho hoʻokahi.

ʻO Agoraphobia kahi ʻano o ka maʻi pīhoihoi. ʻAʻole ʻike ʻia ke kumu kūpono o agoraphobia. Hana ʻia ʻo Agoraphobia i kekahi manawa ke loaʻa kahi panic i kahi kanaka a hoʻomaka i ka makaʻu i nā kūlana e alakaʻi i kahi hoʻouka weliweli ʻē aʻe.

Me ka agoraphobia, pale ʻoe i nā wahi a i ʻole nā ​​hanana no ka mea ʻaʻole ʻoe e palekana i nā wahi lehulehu. ʻOi aku ka makaʻu ke piha ka wahi i ka lehulehu.

ʻO nā ʻōuli o agoraphobia me:

• Makaʻu i ka hoʻolilo manawa ʻana
• Makaʻu i nā wahi kahi e paʻakikī ai ka holo
• Makaʻu i ka lilo ʻana o ka kaohi i kahi ākea
• Kaukaʻi ʻia i nā poʻe ʻē aʻe
• Hoʻokaʻawale a hoʻokaʻawale ʻia mai nā poʻe ʻē aʻe
• Manaʻo kōkua ʻole
• Ke manaʻo nei ʻaʻole maoli ke kino
• Ke manaʻo nei ʻaʻole maoli ke kaiapuni
• Loaʻa ka huhū ʻole a hoʻonāukiuki paha
• Noho i loko o ka hale no nā kau lōʻihi

Hiki i nā ʻōuli kino ke hoʻopili pū i:

• ʻEha ʻeha a hōʻoluʻolu ʻole paha
• Kāpena
• Pōpō a maule paha
• ʻO Nusea a i ʻole ka ʻeha o ka ʻōpū
• Puʻuwai heihei
• Pokole ka hanu
• Hoʻoulu
• Haʻalulu

E nānā ka mea mālama ola i kāu mōʻaukala o agoraphobia a e kiʻi i kahi ʻano o ka hana mai iā ʻoe, kou ʻohana, a i ʻole nā ​​hoa aloha.

ʻO ka pahuhopu o ka mālama ʻana e kōkua iā ʻoe e haha ​​a hana ʻoi aku ka maikaʻi. ʻO ka kūleʻa o ka mālama ʻana ma muli o ka ʻāpana o ke koʻikoʻi o ka agoraphobia. Hoʻohui pinepine ka mālama ʻana i ka therapy therapy me kahi lāʻau. ʻO kekahi mau lāʻau i hoʻohana mau ʻia e mālama i ke kaumaha e kōkua paha no kēia maʻi. Hana lākou ma ka pale ʻana i kāu mau ʻōuli a i ʻole ka hōʻemi ʻana iā lākou. Pono ʻoe e lawe i kēia mau lāʻau i kēlā me kēia lā. Mai hōʻoki i ka lawe ʻana iā lākou a i ʻole hoʻololi i nā ana me ke kamaʻilio ʻole ʻana me kāu mea hāʻawi.

• ʻO nā mea hoʻoliʻiliʻi hou i nā serotonin reuptake (SSRI) ka mea koho pinepine o ka antidepressant.
• Serotonin-norepinephrine reuptake inhibitors (SNRI) kahi koho ʻē aʻe.

Hiki ke hoʻāʻo ʻia kekahi mau lāʻau ʻē aʻe e mālama i ke kaumaha a i ʻole nā ​​lāʻau i hoʻohana ʻia e mālama ai i ka hopu ʻana.

Kau ʻia nā lāʻau lapaʻau i kapa ʻia he sedatives a i ʻole hypnotics.

• Pono e lawe i kēia mau lāʻau ma lalo o ke alakaʻi a ke kauka.
• Na kāu kauka e kau i ka palena o kēia mau lāʻau. ʻAʻole pono e hoʻohana ʻia i kēlā me kēia lā.
• Hiki ke hoʻohana ʻia i ka wā e koʻikoʻi loa ai nā hōʻailona ai ʻole ke kokoke ʻoe e hōʻike i kahi mea e lawe mau ai i kāu mau hōʻailona.

Cognitive-behavioral therapy (CBT) kahi ʻano o ke kamaʻilio ʻana me ka lāʻau. Loaʻa iā 10 a 20 mau kipa me kahi ʻoihana olakino noʻonoʻo i mau pule. Kōkua ʻo CBT iā ʻoe e hoʻololi i nā manaʻo i kumu i kou kūlana. Pili paha ia:

• Ka hoʻomaopopo ʻana a me ka kaohi ʻana i nā manaʻo kekeʻe a i ʻole nā ​​ʻike o nā hanana kaumaha a i ʻole nā ​​hanana
• Ke aʻo ʻana i ka hoʻokele koʻikoʻi a me nā ʻano hoʻomaha
• Hoʻomaha, a laila e noʻonoʻo nei i nā mea i kumu i ka hopohopo, e hana ana mai ka makaʻu liʻiliʻi a i ka makaʻu nui loa (i kapa ʻia ka desensitization ʻōnaehana a me ka hōʻike ʻana i waho)

E hōʻike lohi paha ʻoe i ke kūlana o ke ola maoli e hiki ai i ka makaʻu e kōkua iā ʻoe e lanakila ma luna.

ʻO kahi nohona olakino e komo pū me ka hoʻoikaika kino, ka hoʻomaha ʻana a lawa, a me ka meaʻai maikaʻi hiki ke kōkua pū kekahi.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka loaʻa ʻana o agoraphobia e ke komo ʻana i kahi hui kākoʻo. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻO nā hui kākoʻo ʻaʻole maʻa mau kahi mea pani no ka therapy therapy a me ka lawe ʻana i ka lāʻau, akā hiki ke lilo i mea kōkua maikaʻi.

E ʻike ma lalo no ka ʻike hou aku a me ke kākoʻo no ka poʻe me agoraphobia:

ʻAhahui hōʻeha a me ke kaumaha o ʻAmelika - adaa.org/supportgroups

Hiki i ka hapa nui o ka poʻe ke ʻoi aku ka maikaʻi me nā lāʻau a me CBT. Me ka ʻole o ke kōkua mua a maikaʻi paha, e lilo ka maʻi i mea paʻakikī e mālama.

ʻO kekahi poʻe me agoraphobia paha:

• E hoʻohana i ka waiʻona a i ʻole nā ​​lāʻau ʻē aʻe i ka hoʻāʻo ʻana e lāʻau ponoʻī.
• ʻAʻole hiki ke hana ma ka hana a i ʻole nā ​​hanana kaiaulu.
• Manaʻo ʻoe i kahi kaʻawale, mehameha, kaumaha, a i ʻole suicidal.

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o agoraphobia.

Hiki i ka mālama mua ʻana i ka maʻi panic ke pale pinepine iā agoraphobia.

ʻO ka maʻi pīhoihoi - agoraphobia

• ʻO ka maʻi panic me ka agoraphobia

ʻAhahui Psychiatric ʻAmelika. Nā pilikia kūpilikiʻi. I: ʻAmelika Psychiatric Association, ed. Nānā Diagnostic a me Statistics o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 189-234.

Calkins AW, Bui E, Taylor CT, Pollack MH, LeBeau RT, Simon NM. Nā pilikia kūpilikiʻi. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 32.

ʻO Lyness JM. Nā maʻi psychiatric i ka hana olakino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier Saunders; 2020: chap 369.

Pūnaewele Institute of Mental Health pūnaewele. Nā pilikia kūpilikiʻi. www.nimh.nih.gov/health/topics/anxiance-disorder/index.shtml. Hoʻohou i Iulai 2018. Loaʻa ʻia i Iune 17, 2020.