Agoraphobia

Agoraphobia yog qhov kev ntshai thiab txhawj xeeb ntawm qhov chaw uas nyuaj rau kev khiav dim, lossis qhov chaw uas yuav tsis muaj kev pab. Agoraphobia feem ntau suav nrog kev ntshai ntawm neeg coob, txuas hniav, lossis kev nyob ib leeg.

Agoraphobia yog ib hom kev ntxhov siab ntxhov siab. Qhov tseeb yog vim li cas agoraphobia tsis paub meej. Qee zaum Agoraphobia tshwm sim thaum ib tus neeg tau npau taws thiab pib ntshai cov xwm txheej uas yuav ua rau lwm qhov ntshai tuaj.

Nrog agoraphobia, koj zam qhov chaw lossis xwm txheej vim tias koj tsis muaj kev nyab xeeb hauv cov chaw pej xeem. Qhov kev ntshai yog qhov tsis zoo thaum qhov chaw muaj neeg coob.

Cov tsos mob ntawm agoraphobia suav nrog:

• Ntshai siv sijhawm nyob ib leeg
• Txau ntshai ntawm qhov chaw uas txoj kev khiav dim yuav nyuaj
• Ntshai kom poob rau kev tswj nyob hauv ib qho chaw pej xeem
• Nyob ntawm lwm tus
• Zoo li raug cais tawm lossis cais tawm ntawm lwm tus
• Zoo nkaus tsis paub tag
• Xav tias lub cev tsis yog tiag
• Xav tias cov ib puag ncig tsis muaj tiag
• Muaj tus npau taws txawv lossis ntxhov siab
• Nyob hauv lub tsev ntev ntev

Cov tsos mob ntawm lub cev tuaj yeem suav nrog:

• Hauv siab mob lossis tsis xis nyob
• Txhawm chim
• Kiv taub hau lossis tsaus muag
• Xeev siab los sis lwm yam mob plab
• Sib tw lub plawv
• Ua tsis taus pa
• Tawm hws
• Qhuas

Tus kws kho mob yuav saib koj li keeb kwm ntawm lub neej yav dhau los thiab yuav tau txais kev piav qhia ntawm tus cwj pwm los ntawm koj, koj tsev neeg, lossis phooj ywg.

Lub hom phiaj ntawm kev kho mob yog pab kom koj hnov ​​zoo thiab ua haujlwm zoo. Qhov ua tau zoo ntawm kev kho mob feem ntau yog nyob rau ntawm ib feem ntawm qhov kev mob hnyav npaum li cas agoraphobia. Kev kho mob feem ntau ua ke tham nrog kev kho mob nrog tshuaj. Qee hom tshuaj siv feem ntau kho kev nyuaj siab tuaj yeem pab tau rau qhov kev tsis zoo no. Lawv ua haujlwm los ntawm kev tiv thaiv koj cov tsos mob lossis ua rau lawv tsis mob hnyav. Koj yuav tsum noj cov tshuaj no txhua hnub. TSIS TXHOB noj lawv lossis hloov cov tshuaj tsis tas tham nrog koj tus kws khomob.

• Xaiv serotonin reuptake inhibitors (SSRIs) feem ntau yog qhov kev xaiv thib ib ntawm tshuaj tiv thaiv kab mob.
• Serotonin-norepinephrine reuptake inhibitors (SNRIs) yog lwm txoj kev xaiv.

Lwm yam tshuaj uas siv los kho kev nyuaj siab lossis tshuaj uas siv los kho qaug dab peg.

Cov tshuaj hu ua sedatives lossis hypnotics kuj tseem siv tau.

• Cov tshuaj no tsuas yog noj raws li kws kho mob pom zoo.
• Koj tus kws kho mob yuav sau ntawv noj tsawg tsawg. Lawv yuav tsum tsis txhob siv nyob rau txhua hnub.
• Tej zaum lawv yuav siv thaum cov tsos mob hnyav heev lossis thaum koj tab tom yuav kis tus kab mob uas ib txwm coj koj tus mob.

Kev txawj ntse-kev coj tus cwj pwm (CBT) yog ib hom ntawm kev hais lus kho. Nws koom nrog 10 txog 20 zaug nrog tus kws paub txog mob hlwb ntau lub lis piam. CBT pab koj hloov qhov kev xav uas ua rau koj tus mob. Tej zaum nws yuav koom nrog:

• Nkag siab thiab tswj cov kev xav txawv txav lossis pom ntawm cov kev ntxhov siab lossis cov xwm txheej
• Kawm paub tswj kev ntxhov siab thiab so kom txaus
• So kom txaus, tom qab ntawd xav txog tej yam uas ua rau muaj kev kub ntxhov, ua haujlwm los ntawm kev ntshai yam tsawg kawg mus rau qhov kev ntshai tshaj plaws (hu ua kev tswj hwm kev tsim kho thiab kev siv tshuaj tiv thaiv)

Koj tseem yuav raug maj mam nthuav tawm ntawm qhov xwm txheej ntawm lub neej tiag tiag uas ua rau kev ntshai los pab koj kom kov yeej nws.

Kev noj qab haus huv zoo uas suav nrog kev tawm dag zog, so kom txaus, thiab kev noj zaub mov zoo kuj yuav pab tau.

Koj tuaj yeem daws qhov kev ntxhov siab ntawm kev muaj lub neej yav dhau los los ntawm kev koom nrog pawg pab txhawb nqa. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Cov pab pawg txhawb nqa ib txwm tsis yog hloov chaw rau kev hais lus kho lossis noj tshuaj, tab sis tuaj yeem yog ib qho ntxiv tau txais txiaj ntsig.

Saib hauv qab no kom paub cov ntaub ntawv ntau ntxiv thiab txhawb nqa rau cov neeg uas muaj mobrafrara:

Koom Tes Nrog Kev Nyuaj Siab thiab Kev ntxhov siab ntawm Asmeskas - adaa.org/supportgroups

Feem ntau cov neeg tuaj yeem mob zoo dua nrog cov tshuaj thiab CBT. Yog tias tsis muaj kev pab thaum ntxov thiab tau txais txiaj ntsig zoo, qhov kev cuam tshuam yuav nyuaj los kho.

Qee cov neeg uas muaj mob oraraphobia yuav:

• Siv dej caw los yog lwm yam tshuaj thaum sim siv tshuaj rau tus kheej.
• Tsis tuaj yeem ua haujlwm hauv chaw ua haujlwm lossis hauv lub sijhawm xwm txheej.
• Xav tias yuav nyob ib leeg, kho siab, nyuaj siab, los yog tua tus kheej.

Hu teem sijhawm nrog koj tus kws khomob yog tias koj muaj cov tsos mob ua ntej muaj mob.

Kev kho thaum ntxov ntawm kev txhawj ntshai tuaj yeem tiv thaiv tau mob siab mob raum.

Ntxhov siab vim kev ntshaus siab - agoraphobia

• Ceeb kev ntxhov siab nrog agoraphobia

American Koom Haum Puas Hlwb. Ntxhov siab vim kev ntshawv siab. Hauv: American Psychiatric Association, ed. Kev kuaj mob thiab cov lus qhia tawm los ntawm tus mob puas hlwb. Thib 5 ed. Arlington, VA: Asmeskas Kev Puas Siab Ntsws Kev Tshaj Tawm; Xyoo 2013: 189-234.

Calkins AW, Bui E, Taylor CT, Pollack MH, LeBeau RT, Simon NM. Ntxhov siab vim kev ntshawv siab. Hauv: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Tsev Kho Mob Chaw Kho Mob Chaw Kho Mob Puas Siab Ntsws. 2nd ed. Philadelphia, PA: Elsevier; 2016: chap 32.

Dag JM. Kev puas siab puas ntsws mob hauv kev xyaum kho mob. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020: cha 369.

Koom haum National Mental Health lub vev xaib. Ntxhov siab vim kev ntshawv siab. www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml. Hloov Tshiab Lub Xya Hli 2018. Mus txog Lub Rau Hli 17, 2020.