Panic tsis meej

Kev ntxhov siab Panic yog ib hom kev ntxhov siab uas koj tau rov ua kev tawm tsam ntawm kev ntshai tsam tias qee yam tsis zoo yuav tshwm sim.

Cov tsis paub yog vim li cas. Cov noob yuav ua lub luag haujlwm. Lwm cov neeg hauv tsev neeg yuav muaj qhov tsis zoo. Tab sis ceeb ntshai feem ntau tshwm sim thaum tsis muaj keeb kwm tsev neeg.

Kev ntxhov siab Panic yog ob zaug ntawm cov poj niam ib yam li txiv neej. Cov tsos mob feem ntau pib ua ntej hnub nyoog 25 tab sis tuaj yeem tshwm sim hauv ib nrab-30s. Cov menyuam yaus tuaj yeem ua rau muaj kev ceeb ntshai, tab sis nws feem ntau tsis kuaj tau kom txog thaum lawv loj dua.

Kev raug ceeb yuav pib sai thiab feem ntau peaks li ntawm 10 mus rau 20 feeb. Qee cov tsos mob mus txuas ntxiv mus txog ib teev lossis ntau dua. Ib qho kev tawm tsam ceeb tuaj yeem yuam kev rau lub plawv nres.

Tus neeg muaj ceeb ceeb ntshai feem ntau nyob hauv kev ntshai ntawm lwm qhov kev tawm tsam, thiab yuav ntshai nyob ib leeg lossis deb ntawm kev pab kho mob.

Cov neeg ceeb ntshai yuav muaj tsawg kawg 4 yam ntawm cov tsos mob hauv qab no thaum nres:

• Hauv siab mob lossis tsis xis nyob
• Kiv taub hau lossis tsaus muag
• Ntshai tuag
• Ntshai tsam poob kev tswj hwm los yog yuav txog kev txom nyem
• Ntsej muag zawm caj dab
• Kev xav ntawm detachment
• Kev xav txog qhov tsis muaj kev cia siab
• Xeev siab los yog chim plab
• Looj tes lossis tingling hauv tes, taw lossis ntsej muag
• Palpitations, lub plawv dhia ceev, lossis lub plawv dhia
• Hnov txog siav siav lossis ntxhi
• Tawm hws, ntawj txias, lossis kub
• Lom los yog tshee

Kev raug mob ua rau ceeb toom yuav hloov pauv tus cwj pwm thiab kev ua haujlwm hauv tsev, tsev kawm ntawv, lossis haujlwm. Cov neeg muaj qhov tsis txaus siab feem ntau txhawj xeeb txog qhov tshwm sim ntawm lawv txoj kev ntshai.

Cov neeg ceeb ntshai yuav siv dej cawv los yog lwm yam tshuaj yeeb. Lawv yuav tu siab lossis nyuaj siab.

Kev twv tua neeg yuav tsis raug kwv yees. Tsawg kawg ntawm qhov tshwm sim thaum ntxov ntawm kev cuam tshuam, tsis muaj lub txiaj ntsig uas pib tawm tsam. Rov nco txog ib qho kev tua yav dhau los yuav ua rau muaj kev ceeb ntshai.

Coob tus neeg uas ceeb ntshai thawj zaug mus nrhiav kev kho mob hauv chav kho mob ceev. Qhov no yog vim hais tias qhov ntshai nres feem ntau xav tias zoo li lub plawv nres.

Tus kws kho mob yuav kuaj xyuas lub cev thiab kev ntsuam xyuas mob hlwb.

Kev kuaj ntshav yuav ua tau. Lwm txoj kev kho mob tsis txaus siab yuav tsum raug txiav txim ua ntej muaj kev ceeb ntshai tuaj yeem kuaj tau. Cov teeb meem uas cuam tshuam nrog kev siv tshuaj yeeb tshuaj yuav raug txiav txim siab vim tias cov tsos mob yuav zoo li kev tawm tsam.

Lub hom phiaj ntawm kev kho mob yog los pab koj ua haujlwm kom zoo nyob rau hauv lub neej txhua hnub. Siv ob yam tshuaj thiab kev sib tham nrog kev ua haujlwm zoo tshaj.

Tham nrog kev kho (kev paub-kev coj cwj pwm, lossis CBT) tuaj yeem pab koj nkag siab txog kev cem thiab ua li cas thiaj daws tau. Thaum kho, koj yuav kawm paub yuav ua li cas:

• Nkag siab thiab tswj fwm cov kev xav tsis sib xws ntawm cov kev ntxhov siab hauv lub neej, xws li lwm tus neeg tus cwj pwm lossis kev tshwm sim hauv lub neej.
• Paub txog thiab hloov kev xav uas ua rau ceeb thiab txo lub siab tsis paub pab.
• Tswj kev ntxhov siab thiab so kom txaus thaum pom tshwm sim.
• Xav txog tej yam uas ua rau muaj kev ntxhov siab, pib nrog kev ntshai yam tsawg kawg. Xyaum ua lub neej tiag tiag kom pab koj kov yeej koj txoj kev ntshai.

Qee cov tshuaj, feem ntau siv los 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 yam tsis tham nrog koj tus kws khomob.

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.
• Yog tias koj raug xaj noj tshuaj sedative, tsis txhob haus cawv thaum nyob ntawm hom tshuaj no.

Cov hauv qab no kuj tseem yuav pab txo qis tus naj npawb lossis qhov loj ntawm cov kev tawm tsam ceeb:

• Tsis txhob haus cawv.
• Noj mov raws sij hawm.
• Ua kom ib ce muaj zog.
• Pw kom txaus.
• Txo lossis zam kom tsis txhob haus caffeine, qee yam mob khaub thuas, thiab txhawb kev txhawb zog.

Koj tuaj yeem daws qhov kev ntxhov siab kom muaj kev ntxhov siab los ntawm koom nrog pab pawg 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.

• Ntxhov siab vim thiab Kev Nyuaj Siab Association ntawm America - adaa.org
• National Institute of Mental Health - www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms/index.shtml

Kev ntxhov siab me me tuaj yeem yuav kav ntev thiab kho nyuaj kho. Qee cov neeg uas muaj tus mob no yuav kho tsis tau. Tab sis neeg feem coob yeej zoo dua thaum kho raug.

Cov neeg ceeb ntshai yog cov:

• Siv dej cawv lossis siv tshuaj txhaum kev cai
• Poob hauj lwm los yog tsawg dua ntawm kev ua haujlwm
• Muaj kev sib raug zoo ntawm tus kheej, suav nrog teeb meem kev sib yuav
• Cais dhau los ntawm kev txwv qhov lawv mus lossis cov neeg uas lawv nyob ib puag ncig

Hu rau koj tus kws khomob kom teem sijhawm yog tias muaj kev ceeb ntshai yuav cuam tshuam koj txoj haujlwm, kev sib raug zoo, lossis kev saib tus kheej.

Hu 911 lossis tus npawb xov tooj xwm ceev hauv zos lossis ntsib koj tus kws kho mob sai li sai tau yog tias koj xav tua tus kheej.

Yog tias koj tau ceeb ntshai, tsis txhob ua li hauv qab no:

• Cawv
• Stimulants xws li caffeine thiab cocaine

Cov tshuaj yuav tuaj yeem ua rau mob lossis ua kom mob ntau ntxiv.

Ceeb kev tawm tsam; Kev ntxhov siab tawm tsam; Ntshai tsam tua; Ntxhov siab vim kev ntshaus siab - ceeb kev tawm tsam

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; 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.