Agoraphobia

ʻO ka agoraphobia (ag-uh-ruh-FOE-be-uh) he ʻano ia o ka maʻi hopohopo. Hoʻopili ka agoraphobia i ka makaʻu a me ka pale ʻana i nā wahi a i ʻole nā kūlana e hiki ai ke hoʻoulu i ka panic a me ka manaʻo o ka paʻa ʻana, ka manaʻo ʻole, a i ʻole ka hilahila. Hiki iā ʻoe ke makaʻu i kahi kūlana maoli a i ʻole e hiki mai ana. No ka laʻana, hiki iā ʻoe ke makaʻu i ka hoʻohana ʻana i ka halihali lehulehu, ka noho ʻana ma nā wahi ākea a i ʻole nā wahi paʻa, ke kū ʻana ma ka lālani, a i ʻole ke kū ʻana i loko o ka lehulehu.

Hoʻokumu ʻia ka hopohopo e ka makaʻu ʻaʻohe ala maʻalahi e pakele ai a i ʻole e loaʻa ka kōkua inā piʻi nui ka hopohopo. Hiki iā ʻoe ke pale aku i nā kūlana ma muli o nā makaʻu e like me ka nalowale, ka hāʻule, a i ʻole ka luhi a me ka hiki ʻole ke hele i ka lumipaku. ʻO ka hapa nui o nā kānaka i loaʻa iā lākou ka agoraphobia ua ulu mai ia ma hope o ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā hoʻouka panic, e hoʻoulu ai iā lākou e hopohopo e pili ana i ka loaʻa ʻana o kahi hoʻouka hou. A laila pale aku lākou i nā wahi kahi e hiki ai ke hana hou.

Hoʻopuka pinepine ka agoraphobia i ka paʻakikī o ka manaʻo palekana ma kekahi wahi lehulehu, ʻoi aku hoʻi kahi e hōʻiliʻili ai ka lehulehu a ma nā wahi ʻike ʻole ʻia. Hiki iā ʻoe ke manaʻo e pono ʻoe i ka hoa, e like me kekahi lālā o ka ʻohana a i ʻole hoaaloha, e hele pū me ʻoe i nā wahi lehulehu. Hiki i ka makaʻu ke nui loa a hiki iā ʻoe ke manaʻo ʻaʻole hiki iā ʻoe ke haʻalele i kou home.

Hiki ke paʻakikī ka mālama ʻana i ka agoraphobia no ka mea ʻo ia ke kūʻē i kou mau makaʻu. Akā me ka mālama kūpono - maʻamau he ʻano o ka lāʻau lapaʻau i kapa ʻia ʻo ka cognitive behavioral therapy a me nā lāʻau lapaʻau - hiki iā ʻoe ke pakele i ka pahele o ka agoraphobia a ola i kahi ola ʻoluʻolu loa.

ʻO nā hōʻailona maʻamau o ka agoraphobia e komo pū ana i ka makaʻu o ka: Waiho wale ʻana i ka home. Nā lehulehu a i ʻole ke kali ʻana ma ka lālani. Nā wahi paʻa, e like me nā hale kiʻiʻoniʻoni, nā elevators a i ʻole nā hale kūʻai liʻiliʻi. Nā wahi ākea, e like me nā kahua kaʻa, nā alahaka a i ʻole nā ​​​​malls. Ke hoʻohana nei i ka halihali lehulehu, e like me kahi kaʻa, mokulele a i ʻole kaʻaahi. Ke hoʻoulu nei kēia mau kūlana i ka hopohopo no ka mea e makaʻu ana ʻoe ʻaʻole ʻoe e hiki ke pakele a i ʻole e loaʻa ka kōkua inā hoʻomaka ʻoe e manaʻo hopohopo. A i ʻole paha e makaʻu ʻoe i ka loaʻa ʻana o nā hōʻailona hōʻino a hilahila paha ʻē aʻe, e like me ka dizziness, fainting, falling a i ʻole ka diarrhea. Eia kekahi: ʻOi aku ka nui o kou makaʻu a i ʻole hopohopo ma mua o ka pōʻino maoli o ke kūlana. Ke pale nei ʻoe i ke kūlana, pono ʻoe i kahi hoa e hele pū me ʻoe, a i ʻole e hoʻomanawanui ʻoe i ke kūlana akā ua huhū loa ʻoe. Loaʻa iā ʻoe ka pilikia nui a i ʻole nā ​​​​pilikia me nā kūlana pilikanaka, ka hana a i ʻole nā ​​​​wahi ʻē aʻe o kou ola ma muli o ka makaʻu, hopohopo a i ʻole pale ʻana. ʻO kāu makaʻu a me ka pale ʻana e mau ana ma kahi o ʻeono mahina a ʻoi aku paha. Loaʻa i kekahi poʻe ka maʻi panic ma kahi o ka agoraphobia. ʻO ka maʻi panic kahi ʻano o ka maʻi hopohopo e komo pū ana i nā hoʻouka panic. ʻO ka hoʻouka panic kahi manaʻo koke o ka makaʻu nui e hiki i ka piko i loko o kekahi mau minuke a hoʻoulu i nā ʻano hōʻailona kino ikaika. Malia paha e manaʻo ʻoe e nalowale loa ana ʻoe i ka mana, loaʻa iā ʻoe kahi hoʻouka naʻau a i ʻole e make paha. Hiki i ka makaʻu i kahi hoʻouka panic ʻē aʻe ke alakaʻi i ka pale ʻana i nā kūlana like a i ʻole kahi i hana ai ia mea i ka ho'āʻo ʻana e pale aku i nā hoʻouka panic i ka wā e hiki mai ana. Hiki i nā hōʻailona o ka hoʻouka panic ke komo pū me: ʻO ka wikiwiki o ka naʻau. Pilikia i ka hanu a i ʻole ka manaʻo o ka ʻāʻī. ʻEha umauma a i ʻole kaomi. Lightheadedness a i ʻole dizziness. Ke manaʻo nei i ka haʻalulu, numb a i ʻole tingling. Ke hoʻokahe nui nei. Ke pulu koke ʻana a i ʻole nā ​​​​chills. ʻO ka ʻōpū ʻino a i ʻole ka diarrhea. Ke manaʻo nei i ka nalowale o ka mana. Makaʻu e make. Hiki i ka agoraphobia ke kaupalena nui i kou hiki ke launa pū, hana, hele i nā hanana nui a hoʻokele pū i nā kikoʻī o ke ola o kēlā me kēia lā, e like me ka holo ʻana i nā errands. Mai ʻae i ka agoraphobia e hoʻoliʻiliʻi i kou ao. Kāhea i kāu mea lawelawe olakino a i ʻole kahi loea olakino noʻonoʻo inā loaʻa iā ʻoe nā hōʻailona o ka agoraphobia a i ʻole nā ​​​​hoʻouka panic.

Hiki i ka agoraphobia ke kaupalu nui i kou hiki ke launa pū, ke hana, ke hele i nā hanana nui a hiki i ka mālama ʻana i nā kikoʻī o ke ola o kēlā me kēia lā, e like me ka holo ʻana i nā ʻoihana. Mai ʻae i ka agoraphobia e hoʻoliʻiliʻi i kou ao. Kāhea i kāu mea mālama ola a i ʻole kahi loea olakino noʻonoʻo inā loaʻa iā ʻoe nā hōʻailona o ka agoraphobia a i ʻole nā ​​hoʻouka weliweli.

ʻO ka biology—e komo pū ana nā kūlana olakino a me nā genetics—ke ʻano, ke kaumaha a me nā ʻike aʻo e hiki ke pāʻani i kahi kuleana i ka hoʻomohala ʻana o ka agoraphobia.

Hiki ke hoʻomaka ka agoraphobia i ka wā kamaliʻi, akā maʻamau ka hoʻomaka ʻana i nā makahiki ʻōpio hope a i ʻole nā makahiki pākeke mua loa—ma mua o 35 mau makahiki. Akā hiki nō hoʻi i nā poʻe ʻelemakule ke loaʻa. ʻOi aku ka nui o ka loaʻa ʻana o ka agoraphobia i nā wahine ma mua o nā kāne.

Nā kumu pilikia no ka agoraphobia:

• Loaʻa ka panic disorder a i ʻole nā pane makaʻu nui ʻē aʻe, i kapa ʻia he phobias.
• Pane ʻana i nā panic attack me ka makaʻu nui loa a me ka pale ʻana.
• Loaʻa nā hanana ola pilikia, e like me ka hana kolohe, ka make ʻana o ka makua a i ʻole ka hoʻouka ʻia.
• Loaʻa kahi ʻano pilikia a hopohopo paha.
• Loaʻa ka hoa koko me ka agoraphobia.

Hiki i ka agoraphobia ke kaupalu nui i nā hana o kou ola. Inā nui kou agoraphobia, ʻaʻole paha ʻoe e hiki ke haʻalele i kou home. Me ka ʻole o ka mālama, lilo kekahi poʻe i poʻe noho hale no nā makahiki. Inā hana kēia iā ʻoe, ʻaʻole paha ʻoe e hiki ke kipa aku i nā ʻohana a me nā hoaaloha, hele i ke kula a i ka hana, holo i nā hana, a komo paha i nā hana maʻamau o kēlā me kēia lā. Hiki paha iā ʻoe ke hilinaʻi i nā poʻe ʻē aʻe no ke kōkua.

Hiki nō hoʻi i ka agoraphobia ke alakaʻi i:

• Ka hoʻohana kolohe ʻana i ka waiʻona a i ʻole nā lāʻau lapaʻau.
• Nā manaʻo a me nā hana pepehi kanaka.

ʻAʻohe ala maopopo e pale aku ai i ka agoraphobia. Akā, ʻo ka hopohopo e hoʻonui pinepine i ka nui o kou pale ʻana i nā kūlana āu e makaʻu nei. Inā hoʻomaka ʻoe e loaʻa nā makaʻu iki e pili ana i ka hele ʻana i nā wahi palekana, e ho'āʻo e hoʻomaʻamaʻa i ka hele ʻana i kēlā mau wahi i nā manawa he nui. Hiki kēia ke kōkua iā ʻoe e ʻoluʻolu hou aku i kēlā mau wahi. Inā paʻakikī loa kēia e hana ma kāu iho, e noi aku i kahi lālā o kou ʻohana a i ʻole hoaaloha e hele pū me ʻoe, a i ʻole e ʻimi i ke kōkua ʻoihana. Inā ʻike ʻoe i ka hopohopo i ka hele ʻana i nā wahi a i ʻole loaʻa nā hoʻouka weliweli, e kiʻi i ka mālama i ka hiki koke. E kiʻi i ke kōkua koke e mālama ai i nā hōʻailona mai ka ʻino ʻana. ʻO ka hopohopo, e like me nā kūlana olakino noʻonoʻo ʻē aʻe, hiki ke paʻakikī ke mālama inā ʻoe e kali.

Hoʻomaopopo ʻia ka Agoraphobia ma muli o:

• Nā hōʻailona.
• Nīnauele hohonu me kāu mea mālama ola kino a i ʻole ka mea mālama olakino noʻonoʻo.
• Hoʻokolohua kino e kāpae i nā kūlana ʻē aʻe e hiki ke kumu i kāu mau hōʻailona.

Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka agoraphobia ma ka psychotherapy — i kapa ʻia hoʻi he kamaʻilio lapaʻau — a me ka lāʻau lapaʻau. Hiki paha ke lōʻihi, akā hiki i ka mālama ke kōkua iā ʻoe e ola hou. 

Hoʻokomo ka kamaʻilio lapaʻau i ka hana pū ʻana me kahi therapist e hoʻonohonoho i nā pahuhopu a aʻo i nā mākau hana e hoʻemi ai i kou mau hōʻailona hopohopo. ʻO ka lapaʻau hoʻoponopono ʻike ʻana ka ʻano hana maikaʻi loa o ka kamaʻilio lapaʻau no nā maʻi hopohopo, me ka agoraphobia.

Kūkulu ka lapaʻau hoʻoponopono ʻike ʻana i ke aʻo ʻana iā ʻoe i nā mākau kūikawā e ʻoi aku ka maikaʻi o ke kūpaʻa ʻana i ka hopohopo, e hoʻokūkū pololei i kou mau hopohopo a hoʻi mālie i nā hana āu i pale aku ai ma muli o ka hopohopo. ʻO ka lapaʻau hoʻoponopono ʻike ʻana he mālama pōkole wale nō ia. Ma o kēia kaʻina hana, e hoʻomaikaʻi kou mau hōʻailona ke kūkulu ʻoe i kou holomua mua.

Hiki iā ʻoe ke aʻo:

• He aha nā mea e hoʻonāukiuki ai i kahi hoʻouka weliweli a i ʻole nā ​​hōʻailona like me ka weliweli a me ka mea e hoʻoʻino ai iā lākou.
• Pehea e kūpaʻa ai a ʻae i nā hōʻailona o ka hopohopo.
• Nā ala e hoʻokūkū pololei ai i kou mau hopohopo, e like me ka mea paha e hiki mai ana nā mea ʻino ma nā kūlana pilikanaka.
• ʻO ka hopohopo e emi mālie ana a ʻaʻole hiki mai nā hopena makaʻu inā noho ʻoe i nā kūlana lōʻihi e aʻo ai mai lākou.
• Pehea e hoʻokokoke aku ai i nā kūlana makaʻu a pale ʻia ma ke ʻano mālie, hiki ke wānana ʻia, hiki ke kaohi ʻia a me ka hana hou ʻana. ʻIke ʻia hoʻi ʻo ka lapaʻau hōʻike, ʻo kēia ka ʻāpana nui loa o ka mālama ʻana i ka agoraphobia.

Inā pilikia ʻoe i ka haʻalele ʻana i kou home, hiki iā ʻoe ke noʻonoʻo pehea ʻoe e hele ai i ke keʻena o kahi therapist. ʻIke nā therapists e mālama ana i ka agoraphobia i kēia pilikia.

Inā nui loa ka agoraphobia i hiki ʻole iā ʻoe ke loaʻa ka mālama, hiki iā ʻoe ke pōmaikaʻi mai kahi papahana haukapila ikaika aʻe e kūikawā ana i ka mālama ʻana i ka hopohopo. Hoʻokomo pinepine ʻia kahi papahana outpatient ikaika i ka hele ʻana i kahi keʻena lapaʻau a i ʻole haukapila no ka hapalua a i ʻole ka lā piha ma kahi manawa ma kahi o ʻelua pule e hana ai i nā mākau e hoʻokele maikaʻi ai i kou hopohopo. I kekahi mau hihia, pono paha kahi papahana noho. Hoʻokomo kēia i kahi noho ma ka haukapila no kahi manawa e loaʻa ai ka mālama ʻana no ka hopohopo nui.

Hiki iā ʻoe ke makemake e lawe i kahi hoahānau a hoaaloha hilinaʻi i kāu ʻaha kūkā e hiki ke hāʻawi i ka hōʻoluʻolu, kōkua a me ke aʻo ʻana, inā pono.

• Lāʻau lapaʻau anti-anxiety. ʻO nā lāʻau lapaʻau anti-anxiety i kapa ʻia ʻo benzodiazepines he mau mea hoʻomaha ia, ma nā kūlana palena, hiki i kāu mea hoʻolako mālama ola ke kuhikuhi e hoʻomaha i nā hōʻailona hopohopo. Hoʻohana nui ʻia nā benzodiazepines ma kahi kumu pōkole wale nō no ka hoʻomaha ʻana i ka hopohopo e hiki koke mai ana, i kapa ʻia hoʻi he hopohopo ʻoi loa. Ma muli o ka hiki ke hoʻomaʻamaʻa, ʻaʻole kēia mau lāʻau he koho maikaʻi inā loaʻa iā ʻoe nā pilikia lōʻihi me ka hopohopo a i ʻole nā ​​pilikia me ka inu waiʻona a i ʻole ka hoʻohana kolohe ʻana i nā lāʻau lapaʻau.

Hiki ke lōʻihi nā wiki no ka lāʻau lapaʻau e kōkua i ka hoʻokele ʻana i nā hōʻailona. A pono paha ʻoe e ho'āʻo i nā lāʻau lapaʻau he nui ma mua o kou loaʻa ʻana i kahi mea hana maikaʻi loa nāu.

Ke koi nei kekahi mau meaʻai a me nā mea hoʻohui mea kanu i nā pono hoʻomaha e hoʻemi ai i ka hopohopo. Ma mua o kou lawe ʻana i kekahi o kēia mau mea no ka agoraphobia, e kamaʻilio me kāu mea hoʻolako mālama ola. ʻOiai ua loaʻa kēia mau mea hoʻohui me ka ʻole o ka kuhikuhi, ke hoʻopilikia nei lākou i nā pilikia olakino.

No ka laʻana, ʻike ʻia ka mea hoʻohui mea kanu kava, i kapa ʻia hoʻi ʻo kava kava, he mālama manaʻolana no ka hopohopo. Akā ua loaʻa nā hōʻike o ka hōʻino nui ʻana i ke ake, ʻoiai me ka hoʻohana pōkole. Ua hoʻopuka ka Food and Drug Administration (FDA) i nā ʻōlelo aʻo akā ʻaʻole i pāpā i nā kūʻai ma ʻAmelika Hui Pū ʻIa. E pale i kekahi huahana e loaʻa ana i ka kava a hiki i ka hana ʻia ʻana o nā noiʻi palekana hou aku, ʻoi aku inā loaʻa iā ʻoe nā pilikia ake a lawe paha i nā lāʻau lapaʻau e hoʻopilikia i kou ake.

Hiki i ke ola ʻana me ka agoraphobia ke hoʻopilikia a kaupalena loa i ke ola. Hiki i ka mālama ʻoihana ke kōkua iā ʻoe e lanakila i kēia kūlana a i ʻole e hoʻokele maikaʻi iā ia i ʻole ʻoe e lilo i pio i kou mau makaʻu.

Hiki iā ʻoe ke lawe i kēia mau ʻanuʻu e kūpaʻa a mālama iā ʻoe iho:

• E hahai i kāu papahana mālama. E mālama i nā manawa lapaʻau. E kamaʻilio pinepine me kāu therapist. E hoʻomaʻamaʻa a hoʻohana i nā mākau i aʻo ʻia ma ka lapaʻau. A e lawe i nā lāʻau lapaʻau e like me ke kuhikuhi ʻia.
• E ho'āʻo e pale ʻole i nā kūlana makaʻu. Hiki ke paʻakikī ke hele i nā wahi a i ʻole ke noho i nā kūlana e hoʻoluhi ai iā ʻoe a i ʻole e lawe mai i nā hōʻailona o ka hopohopo. Akā, ʻo ka hoʻomaʻamaʻa mau ʻana i ka hele ʻana i nā wahi hou aku a me nā wahi hou aku e hiki ai ke hoʻemi i ko lākou makaʻu a hoʻemi i kou hopohopo. Hiki i ka ʻohana, nā hoaaloha a me kāu therapist ke kōkua iā ʻoe e hana ma kēia.
• E aʻo i nā mākau hoʻomaha. Ma ka hana pū ʻana me kāu therapist, hiki iā ʻoe ke aʻo pehea e hoʻomaha a hōʻoluʻolu ai iā ʻoe iho. ʻO ka noʻonoʻo, yoga, lomilomi a me ka nānā ʻana he mau ʻano hoʻomaha maʻalahi ia e kōkua pū kekahi. E hoʻomaʻamaʻa i kēia mau ʻano hana i ka wā ʻaʻole ʻoe i hopohopo a hopohopo paha, a laila e hoʻokomo iā lākou i ka hana i nā kūlana pilikia.
• E pale i ka waiʻona a me nā lāʻau hoʻonāukiuki. E kaupalena pū a i ʻole ʻaʻole e inu i ka caffeine. Hiki i kēia mau mea ke hoʻoʻino i kou mau hōʻailona weliweli a i ʻole hopohopo.
• E mālama iā ʻoe iho. E loaʻa iā ʻoe ka hiamoe lawa, e hana kino i kēlā me kēia lā, a e ʻai i ka ʻai olakino, me ka nui o nā huaʻai a me nā hua.
• E komo i kahi hui kākoʻo. Hiki i ke komo ʻana i kahi hui kākoʻo no nā poʻe me nā maʻi hopohopo ke kōkua iā ʻoe e pili me nā poʻe ʻē aʻe e kū nei i nā pilikia like a kaʻana like i nā ʻike.

Ke ola nei me ka agoraphobia hiki ke paʻakikī a kaupalena loa i ke ola. Hiki i ka mālama ʻoihana ke kōkua iā ʻoe e lanakila i kēia kūlana a i ʻole e hoʻokele maikaʻi i ia mea i ʻole ʻoe e lilo i pio i kou mau makaʻu. Hiki iā ʻoe ke lawe pū i kēia mau ʻanuʻu e hoʻoponopono a mālama iā ʻoe iho: E hahai i kāu papa hoʻoponopono. E mālama i nā hālāwai lapaʻau. E kamaʻilio mau me kāu kauka lapaʻau. E hoʻomaʻamaʻa a hoʻohana i nā mākau i aʻo ʻia i ka lapaʻau. A e lawe i nā lāʻau lapaʻau e like me ke kuhikuhi ʻia. E ho'āʻo e pale aku i nā kūlana makaʻu. He paʻakikī paha ke hele i nā wahi a i ʻole ke noho i nā kūlana e hoʻoluhi iā ʻoe a i ʻole e lawe mai i nā hōʻailona o ka hopohopo. Akā, ʻo ka hoʻomaʻamaʻa mau ʻana i ka hele ʻana i nā wahi hou aku a me nā wahi hou aku e hiki ai ke hoʻemi i ko lākou makaʻu a hoʻemi i kou hopohopo. Hiki i ka ʻohana, nā hoaaloha a me kāu kauka lapaʻau ke kōkua iā ʻoe e hana ma kēia. E aʻo i nā mākau hoʻomālie. Ma ka hana pū ʻana me kāu kauka lapaʻau, hiki iā ʻoe ke aʻo pehea e hoʻomālie a hōʻoluʻolu iā ʻoe iho. ʻO ka noʻonoʻo, yoga, lomilomi a me ka nānā ʻana he mau ʻano hoʻomaha maʻalahi nō hoʻi e kōkua paha. E hoʻomaʻamaʻa i kēia mau ʻano hana i ka wā ʻaʻole ʻoe i hopohopo a hopohopo, a laila e hoʻokomo iā lākou i ka hana i nā kūlana pilikia. E pale aku i ka waiʻona a me nā lāʻau lapaʻau leʻaleʻa. E kaupalena pū a i ʻole ʻaʻole e inu i ka caffeine. Hiki i kēia mau mea ke hoʻoino i kou mau hōʻailona panic a i ʻole hopohopo. E mālama iā ʻoe iho. E loaʻa iā ʻoe ka hiamoe lawa, e hana kino i kēlā me kēia lā, a e ʻai i ka ʻai olakino, me ka nui o nā huaʻai a me nā hua. E komo i kahi hui kākoʻo. ʻO ka komo ʻana i kahi hui kākoʻo no nā poʻe me nā maʻi hopohopo e kōkua iā ʻoe e hoʻopili me nā poʻe ʻē aʻe e kū nei i nā pilikia like a kaʻana like i nā ʻike.