Agoraphobia

Ko te agoraphobia (ag-uh-ruh-FOE-be-uh) tētahi momo mate manukanuka. Ko te agoraphobia te wehi me te karo i ngā wāhi, i ngā āhuatanga rānei ka pāngia ai te manukanuka me te ngāwari ki te mau i roto, ki te kore e taea te awhina, ki te whakama rānei. Ka wehi pea koe i tētahi āhuatanga kei te puta, kei te haere mai rānei. Hei tauira, ka wehi pea koe ki te whakamahi i te kawe tūmatanui, ki te noho i ngā wāhi tuwhera, i ngā wāhi kati rānei, ki te tū i te raina, ki te noho i roto i te mano rānei.

Ko te manukanuka i puta mai i te wehi kahore he huarahi ngāwari ki te mawhiti, ki te tiki awhina rānei ki te tino kaha te manukanuka. Ka karo pea koe i ngā āhuatanga nā te wehi penei i te ngaro, te hinga, te ruaki rānei, me te kore e taea te haere ki te ruuma. Ko te nuinga o te hunga he agoraphobia kei a rātou, ka whanake i muri i tetahi whakaeke manukanuka, ka awangawanga ai rātou mo tetahi atu whakaeke. Katahi ka karo rātou i ngā wāhi ka puta ai anō.

Ko te agoraphobia te tikanga ka uaua te noho humarie i tetahi wāhi tūmatanui, ina koa i ngā wāhi e huihui ana te mano, me ngā wāhi kaore i te mohiotia. Ka whakaaro pea koe me whai hoa koe, pēnei i tētahi mema whānau, i tētahi hoa rānei, hei haere tahi atu ki ngā wāhi tūmatanui. Ka tino kaha te wehi, ka whakaaro pea koe kaore e taea e koe te waiho i tō kāinga.

Ka uaua pea te rongoā agoraphobia, nā te mea ko te tikanga ko te whakatau i ō wehi. Engari mā te rongoā tika—he momo rongoā ngākau e kiia nei ko te rongoā whanonga mohio me ngā rongoā—ka taea e koe te mawhiti i te mahanga o te agoraphobia, me te ora i te oranga whakamīharo.

Ko ngā tohu ā-take o te agoraphobia e whakaatu ana i te wehi ki: Te waiho i te kāinga anake. Ngā mano tāngata, te tatari rānei i te raina. Ngā wāhi kua kapi, pēnei i ngā whare pikitia, ngā riipene, ngā toa iti rānei. Ngā wāhi tuwhera, pēnei i ngā pākainga waka, ngā piriti, ngā teihana hokohoko rānei. Te whakamahi i te kawe tūmatanui, pēnei i te pahi, te rererangi, te tereina rānei. Ko ēnei āhuatanga e pāngia ana e te manukanuka, nā te mea e wehi ana koe kei kore e taea e koe te mawhiti, te rapu āwhina rānei ki te tīmata koe ki te āwangawanga. Ā, e wehi pea koe kei pā mai ētahi atu tohu whakawehi, whakama rānei, pēnei i te mōrehu, te ngaro o te ngakau, te hinga, te ruaki rānei. I tua atu: Ko tō wehi, ko tō manukanuka rānei e nui atu ana i te tūponotanga o te āhuatanga. Ka karo koe i te āhuatanga, me te hoa hei haere tahi me koe, te whakamanawanui rānei koe ki te āhuatanga engari he tino pouri. Kei a koe te pouri nui, te raruraru rānei ki ngā āhuatanga pāpori, te mahi, ētahi atu wāhi rānei o tō oranga nā te wehi, te manukanuka, te karo rānei. Ko tō wehi me tō karo e mau tonu ana i te ono marama neke atu rānei. Kei ētahi tāngata te mate manukanuka i tua atu i te agoraphobia. Ko te mate manukanuka he momo mate manukanuka e whakauru ana i ngā whakaeke manukanuka. Ko te whakaeke manukanuka he tūmanako ohorere o te wehi nui e tae ana ki te tihi i roto i ngā meneti torutoru, ā, ka whakaoho i ngā momo tohu tinana kaha. E whakaaro pea koe kei ngaro katoa tō mana whakahaere, kei te mate ngakau koe, kei te mate rānei. Ko te wehi ki tetahi atu whakaeke manukanuka ka ārahi ki te karo i ngā āhuatanga rite, te wāhi rānei i puta ai i te ngana ki te aukati i ngā whakaeke manukanuka o muri mai. Ko ngā tohu o te whakaeke manukanuka ka whakauru: Te tere o te ngakau. Te raruraru o te manawa, te whakaaro rānei kei te ngenge koe. Te mamae o te uma, te pehanga rānei. Te mōrehu, te ngaro o te ngakau rānei. Te wiri, te ngenge, te kī rānei. Te wera nui. Te whero ohorere, te makariri rānei. Te puku kino, te ruaki rānei. Te ngaro o te mana whakahaere. Te wehi ki te mate. Ka taea e te agoraphobia te whakaiti nui i tō kaha ki te pāpori, ki te mahi, ki te haere ki ngā hui nui, ā, tae noa ki te whakahaere i ngā korero o te oranga o ia rā, pēnei i te rere i ngā mahi. Kaua e tuku i te agoraphobia kia iti ake tō ao. Karangatia tō kaiwhakarato hauora, tētahi tohunga hauora hinengaro rānei ki te whai koe i ngā tohu o te agoraphobia, ngā whakaeke manukanuka rānei.

Ka taea e te agoraphobia te whakaiti nui i tō kaha ki te whānau, ki te mahi, ki te haere ki ngā hui nui, ā, tae atu ki te whakahaere i ngā kōrero o te oranga o ia rā, pēnei i te rere i ngā mahi. Aua rawa e tuku i te agoraphobia kia whakaiti i tō ao. Waea atu ki tō kaiwhakarato hauora, ki tetahi tohunga hauora hinengaro rānei, ki te pēnei koe i ngā tohu o te agoraphobia, o ngā whakaeke manukanuka rānei.

Ko te ira tangata—te āhua o te hauora me ngā āhuatanga ira—te āhua o te tangata, te ahotea, me ngā wheako ako ka whai wāhi katoa ki te whanaketanga o te agoraphobia.

Ka taea te tīmata o te agoraphobia i te wā tamariki, engari ko te nuinga o te wā ka tīmata i ngā tau whakamutunga o te taiohi, i ngā tau tīmatanga o te pakeketanga rānei—ko te nuinga i mua i te 35 o ngā tau. Engari ka taea hoki e ngā tāngata pakeke te whanake. Ka tino kitea te agoraphobia ki ngā wāhine atu i ngā tāne.

Ko ngā take tūponotanga mō te agoraphobia ko:

• Te whai mate manukanuka ranei ētahi atu āhuatanga wehi nui, e kiia nei ko ngā phobias.
• Te whakautu ki ngā whakaeke manukanuka mā te nui rawa o te wehi me te karo.
• Te wheako i ngā kaupapa ora whakapouri, pēnei i te tukino, te matenga o te mātua, te whakaeke rānei.
• Te whai hinengaro manukanuka, manukanuka rānei.
• Te whai whānau toto e pangia ana e te agoraphobia.

Ka taea e te agoraphobia te whakaiti nui i ngā mahi o tō oranga. Ki te kaha tō agoraphobia, pea kore rātou e taea e koe te whakarere i tō kāinga. Kaua e rongoā, ka noho etahi i roto i te whare mō ngā tau. Ki te pēnei te tū ki a koe, pea kore e taea e koe te toro atu ki ngā whānau me ngā hoa, haere ki te kura, ki te mahi rānei, mahi hokohoko, te whakauru atu rānei ki ētahi atu mahi o ia rā. Ka whakawhirinaki pea koe ki ētahi atu mō te āwhina.

Ka āhei hoki te agoraphobia ki te ārai i:

• Te whakamahi kino i te waipiro, i te raau taero rānei.
• Ngā whakaaro whakamomori me te whāinga.

Kāore he huarahi tino whakapono hei ārai i te agoraphobia. Engari ka kaha ake te manukanuka i te nui o tō ngaro atu i ngā āhuatanga e wehi ana koe. Ki te tīmata koe ki te whai i ngā wehi māmā mō te haere ki ngā wāhi e ora ana, ngana ki te whakamahi i te haere ki aua wāhi anō, anō. Ka taea e tēnei te āwhina i a koe kia pai ake te noho i aua wāhi. Ki te tino uaua tēnei ki te mahi ma tō ake, tonoa tētahi mema o te whānau, tētahi hoa rānei kia haere tahi me koe, kāore rānei kia rapu awhina ngaio. Mena ka pāngia koe e te manukanuka i te haere ki ngā wāhi, kāore rānei e whai whakaeke manukanuka, whiwhi rongoā i te wa e taea ai. Whiwhi awhina i te tīmatanga kia kaua e kino ake ngā tohu. Ko te manukanuka, pēnei i te maha atu o ngā āhuatanga hauora hinengaro, ka uaua ake te whakaora mena ka tatari koe.

Ko te tātaritanga o te agoraphobia e whakahaeretia ana i runga i:

• Tō ngā tohu.
• Uiuinga hohonu ki tō kaiwhakarato hauora, ki tetahi kaiwhakarato hauora hinengaro rānei.
• Tirotiro tinana hei whakakore i ētahi atu āhuatanga ka puta ai ō tohu.

Ko te rongoā mo te agoraphobia e whakauru ana i te tikanga whakaora hinengaro—e kiia ana hoki ko te rongoā kōrero—me te rongoā. Ka roa pea, engari ka taea e te rongoā te awhina i a koe kia ora ake.

Ko te rongoā kōrero e pā ana ki te mahi tahi me te kaiwhakaora hei whakatakoto i ngā whāinga me te ako i ngā pūkenga whai hua hei whakaiti i ō tohu manukanuka. Ko te rongoā whāinga-ā-hinengaro te momo rongoā kōrero tino whai hua mō ngā mate manukanuka, tae atu ki te agoraphobia.

Ko te rongoā whāinga-ā-hinengaro e arotahi ana ki te whakaako i a koe ki ngā pūkenga motuhake hei whakatairanga ake i te manukanuka, hei wero tika i ō manukanuka, me te hoki haere mā te iti ki ngā mahi i ngarohia e koe i te manukanuka. Ko te rongoā whāinga-ā-hinengaro he rongoā poto noa iho. I roto i tenei tukanga, ka pai ake ō tohu i te whakatipu i tō angitu tuatahi.

Ka taea e koe te ako:

• He aha ngā take ka taea te whakaoho i te whakaeke manukanuka, te tohu rite rānei ki te whakaeke manukanuka, me te aha e whakaiti ana i a rātou.
• Me pēhea te whakahaere me te whakatairanga i ngā tohu o te manukanuka.
• Ngā huarahi hei wero tika i ō manukanuka, pēnei i te pānga o ngā mea kino ki te tupu i roto i ngā āhuatanga pāpori.
• Ko te manukanuka ka iti haere mā te iti, ā, ko ngā hua wehi kaore e tupu mena ka noho koe ki ngā āhuatanga roa rawa hei ako i a rātou.
• Me pēhea te whakatata ki ngā āhuatanga wehi me ngā āhuatanga i ngarohia i te huarahi mā te iti, i te wā e puta mai ana, i te whakahaere me te whakahoki anō. E mohiotia ana hoki ko te rongoā whakaatu, koinei te wāhanga tino nui o te rongoā mō te agoraphobia.

Ki te raruraru koe ki te waiho i tō kāinga, ka whakaaro pea koe me pēhea e taea ai e koe te haere ki te tari o te kaiwhakaora. E mōhio ana ngā kaiwhakaora e rongoā ana i te agoraphobia ki tēnei raruraru.

Ki te tino kino te agoraphobia, kaore koe e taea te whiwhi i te tiaki, ka pai pea koe ki te kaupapa whare hauora nui ake e tohunga ana ki te rongoā i te manukanuka. Ko te kaupapa manawanui-a-waho e whakauru ana i te haere ki te kura rongoā, ki te whare hauora rānei, mo te hawhe rā, te rā katoa rānei, i roto i te wā e rua wiki neke atu hei mahi i ngā pūkenga hei whakahaere pai ake i tō manukanuka. I ētahi wā, ka hiahiatia pea he kaupapa noho. Kei roto i tēnei te noho i te whare hauora mō tētahi wā i te wā e whiwhi ana i te rongoā mō te manukanuka kino.

Ka hiahia pea koe ki te kawe i tētahi whānau whakawhirinaki, hoa rānei ki tō hui, ka taea te tuku whakamarie, awhina me te whakangungu, ki te hiahiatia.

• Rongoā anti-manukanuka. Ko ngā rongoā anti-manukanuka e kiia nei ko ngā benzodiazepines he mea whakangāwari e taea ai e tō kaiwhakarato hauora te tuhi hei whakaora i ngā tohu manukanuka. Ko ngā benzodiazepines e whakamahia ana noa iho i te wā poto hei whakaora i te manukanuka e puta mai ana, e kiia ana hoki ko te manukanuka koi. Na te mea ka taea te whakawhirinaki, ehara enei rongoā i te whiringa pai ki te roa o ō raruraru ki te manukanuka, ki ngā raruraru ki te waipiro, ki te whakamahi rongoā rānei.

Ka roa pea ngā wiki kia awhina te rongoā ki te whakahaere i ngā tohu. A ka hiahia pea koe ki te whakamātautau i ngā rongoā maha i mua i te kimi i tētahi e pai ana ki a koe.

Kei ētahi tāpiringa kai me ngā tāpiringa otaota e kī ana he painga whakahāwea e whakaiti ana i te manukanuka. I mua i te tango i ētahi o ēnei mō te agoraphobia, korero ki tō kaiwhakarato hauora. Ahakoa kei te wātea ēnei tāpiringa kaore he rongoā, kei te mau tonu ngā tūponotanga hauora.

Hei tauira, ko te tāpiringa otaota kava, e kiia ana hoki ko te kava kava, i puta mai he rongoā whakarihariha mō te manukanuka. Engari kua puta mai ngā pūrongo mo te kino o te ate, ahakoa te whakamahinga poto. Kua tukuna e te Food and Drug Administration (FDA) ngā whakatūpato, engari kāore i whakakāhoretia ngā hokonga i te United States. Kaua e karo i tetahi hua kei roto te kava kia oti ra ano ngā rangahau haumaru nui ake, ina koa ki te whai raruraru koe ki te ate, ki te tango rongoā rānei e pā ana ki tō ate.

Ko te noho tahi me te agoraphobia ka taea te whakaiti i te ora me te tino whakaiti. Ka taea e te rongoā ngaio te awhina i a koe ki te wikitoria i tēnei āhuatanga, ki te whakahaere pai rānei kia kaua koe e noho herehere ki ō wehi.

Ka taea hoki e koe te tango i ēnei kaupae hei whakahaere me te tiaki i a koe:

• Whai i tō mahere rongoā. Pupuri i ngā whakaritenga rongoā. Korerotia tonu ki tō kaiwhakaora. Whakamahia me te whakamahi i ngā pūkenga i akohia i te rongoā. A tangohia ngā rongoā penei i te aratohu.
• Kia ngana kaua e karo i ngā āhuatanga wehi. Ka uaua pea te haere ki ngā wāhi, ki ngā āhuatanga rānei e kore e pai ki a koe, e kawe mai rānei i ngā tohu o te manukanuka. Engari ko te whakamahi tonu i te haere ki ngā wāhi maha ake ka taea te whakaiti i te wehi me te whakaiti i tō manukanuka. Ka taea e te whānau, e ngā hoa me tō kaiwhakaora te awhina i a koe ki te mahi i tēnei.
• Ako i ngā pūkenga whakahāwea. Ma te mahi tahi me tō kaiwhakaora, ka taea e koe te ako me pēhea te whakahāwea me te whakamarie i a koe. Ko te whakaaroaro, te yoga, te mirimiri me te whakairoiro he ngā tikanga whakahāwea ngāwari e taea ai te awhina. Whakamahia ēnei tikanga ina kore koe e manukanuka, ina kore rānei e manukanuka, katahi ka whakamahi i a rātou i roto i ngā āhuatanga whakapārearea.
• Karohia te waipiro me ngā rongoā whakangahau. Whakaitihia rānei, kaua hoki e inu i te caffeine. Ka taea e ēnei mea te whakaiti i ō tohu whakaeke manukanuka, manukanuka rānei.
• Tīaki i a koe. Whiwhi moe nui, mahi tinana i ia rā, me te kai kai hauora, tae atu ki ngā huawhenua me ngā hua maha.
• Whakauru ki tētahi rōpū tautoko. Ko te whakauru ki tētahi rōpū tautoko mō ngā tāngata e whai mate manukanuka ana ka taea te awhina i a koe ki te hono atu ki ētahi atu e tūpono ana ki ngā wero rite, me te whakawhiti wheako.

Ko te noho tahi me te agoraphobia ka taea te whakahirahira i te oranga, ā, he tino whakawhitinga. Ka taea e te maimoatanga ngaio te awhina ia koe ki te wikitoria i tenei āhuatanga, ki te whakahaere pai rānei, kia kaua ai koe e riro hei herehere mō ō whakawehi. Ka taea hoki e koe ēnei mahi hei whakahaere me te tiaki i a koe: Whai i tō mahere maimoatanga. Pupuri i ngā whakaritenga whakaora. Kōrero tonu ki tō kaiwhakaora. Whakamahia me te whakamahi i ngā pūkenga i akohia i te whakaora. Ā, tangohia ngā rongoā penei i te aratohu. Kia ngana kei whakakore i ngā āhuatanga e wehi ana. He uaua pea te haere ki ngā wāhi, ki ngā āhuatanga rānei e kore e pai ki a koe, e kawe mai rānei i ngā tohu o te manukanuka. Engari ko te whakamahi tonu i te haere ki ētahi atu wāhi ka taea te whakaiti i te wehi, me te whakaiti i tō manukanuka. Ka taea e te whānau, e ngā hoa, me tō kaiwhakaora te awhina ia koe ki te mahi i tēnei. Akohia ngā pūkenga whakahāwea. Ma te mahi tahi me tō kaiwhakaora, ka taea e koe te ako ki te whakahāwea me te whakamarie i a koe. Ko te whakaaroaro, te yoga, te mirimiri, me te whakairoiro he ngā tikanga whakahāwea ngāwari e āhei hoki te awhina. Whakamahia ēnei tikanga ina kore koe e manukanuka, ka whakamahia rānei i ngā āhuatanga whakapā. Kaua e inu waipiro me ngā raau taero whakangahau. Kia iti rānei, kaua hoki e inu kofe. Ka taea e ēnei mea te whakaiti i ō tohu manukanuka, ā, te manukanuka. Kia tiaki koe i a koe. Kia nui te moe, kia kaha te mahi tinana i ngā rā katoa, me te kai kai hauora, tae atu ki ngā huawhenua me ngā hua. Hono atu ki tētahi rōpū tautoko. Ko te hono atu ki tētahi rōpū tautoko mō te hunga he mate manukanuka ka taea te awhina ia koe ki te hono atu ki ētahi atu e tūtaki ana ki ngā wero rite, me te whakawhitiwhiti wheako.