Kungaba nzima ukucacisa ukuba iimpawu zakho ezixhatshazwayo "ziqhelekileyo" okanye, ngokubhekiselele, zihambelana nokuhlaselwa kwesoyikliniki.
Iimpawu zokuhlaselwa kweNtshukumo kunye neNgxaki yokuPhupha
Ukuhlaselwa kweentlanzi eziphindaphindiweyo zizinto eziphawulekayo zokuphazamiseka kwesifo, nangona kukho utshintsho oluthile oluye lwafunyanwa kwi- DSM-5 .
Ukuphazamiseka kwintlungu yinkxalabo yokuxhalaba ephawulwe ngokuphindaphindiweyo nokuphazamisa ukuphazamiseka.
Ukuhlangabeza imigaqo yokuphazamiseka kwengqondo, enye yeendlela zokuziphatha zifunwa ngaphezu kwenyanga ubuncinane: Ukwesaba okuqhubekayo nokuphazamiseka kokuhlaselwa kwesoyiki esikhathini esizayo, okanye ukutshintsha kwindlela yokuziphatha yomntu eyenzelwe ukuphepha ukuhlaselwa.
Ukuhlaselwa kweentlanzi kukuvakalelwa ngokukhawuleza kunye neentloni, ukwesaba okanye ukukhathazeka, ngaphandle kobukho bungozi. Iimpawu zokuhlaselwa kwe-panic zihlala zenzeke ngokukhawuleza, ukuphakama kwimizuzu engama-10 uze uphume. Nangona kunjalo, ukuhlaselwa kwamanye amaxesha kunokuhlala ixesha elide okanye lenzeke ngokulandelelana, okwenze kube nzima ukucacisa xa ukuhlaselwa omnye kuphela kwaye enye iqalisa.
Iintlobo zeentlanzi zokuhlaselwa
Kukho iintlobo ezimbini ezibalulekileyo zokuhlasela
- Ukungalindelekanga - Ukuhlaselwa okungafunekiyo kwenzeka ngokukhawuleza ngaphandle kweengxelo zangaphandle okanye zangaphakathi. Ngamanye amazwi, zenzeka ngaphandle kwesimo esinoyiko okanye ingcamango okanye ukuvakalelwa. Zingabonakala ngathi zenzeke "ngaphandle kweluhlaza" xa umntu ekhululekile ngokupheleleyo.
- Kulindeleke - Ukuhlaselwa kwe-panic kukhangeleka xa umntu evelele kwimo apho ephethe ukwesaba. Umzekelo, umntu oloyiko lokuphaphazela unokuhlaselwa yintlanzi emva kokuhlala ediza okanye ngexesha lokukhutshwa.
Ukuxhatshazwa okungalindelekanga kwinto eqhelekileyo phakathi kwabo banesifo sokuphazamiseka, kodwa abantu banokufumana iintlobo zombini zesoyiki.
Iimpawu zoMzimba nezoMoya zohlaselo lweentlungu
Ngokutsho kwe-DSM-5, ukuhlaselwa kwe-panic kubonakaliswe emine okanye ngaphezulu kwezi zimpawu ezilandelayo:
- Iipilpitations, intliziyo ephazamisayo, okanye isantya senhliziyo esheshayo
- Ukuxela
- Ukuthuthumela okanye ukuthuthumela
- Ukujonga ukuphefumula okanye ukuphefumula
- Uvakalelwa ukukhahlela
- Intlungu yesifuba okanye ukungahambi kakuhle
- Ukukhathazeka okanye isisu esiswini
- Ukuziva uhlaziyiweyo, ukungaqiniseki, ukukhawuleza, okanye ukuphelelwa amandla
- Imvakalelo engabonakaliyo ( ukuchithwa kwemisebenzi ) okanye ukuxhomekeka kwi-yourself (ukuxhomekeka komntu)
- Uloyiko lokulahlekelwa ukulawulwa okanye ukuphosa
- Ukoyika ukufa
- Ubungqingili okanye ukuvuthwa kwamanzi (paresthesias)
- Izilwanyana okanye iimpuphu ezishisayo
Ubukho bezinto ezingaphantsi kwezine kwezi zingentla zibonakaliswa njengento engabonakali- ukuhlaselwa kwe-panic. Ukuze kuhlolwe ingxaki yokuphazamiseka, ukuphindaphinda, ukuhlaselwa ngokukhawuleza kufuneka kube khona.
Ubungakanani beMpawu zoHlaselo lweNtsundu
Iimpawu zokuhlaselwa kwesoyiko zivame kakhulu ukuba zidla ngokuchazwa ngabagulayo njengento ebhetele kakhulu yobomi babo. Emva kokuhlaselwa yintlanzi, umntu unokuqhubeka nokufumana uxhalabhiso oluninzi kwieyure eziliqela. Ngokugqithiseleyo kunokuba, isiqwenga somsindo sibangele ukhathazeka ngokuqhubeka nokuhlaselwa.
Akuyinto engavamile ukuba idliwe ngokuxhalabisa kunye nokwesaba ukuba utshintsho lwezenzo luyenzeka nethemba lokuphepha olunye uhlaselo.
Oku kunokukhokelela ekuphuhliseni i- agoraphobia , eyanzima ukuphucula kunye nokunciphisa amandla abo okusebenza kwimisebenzi yemihla ngemihla.
Ubaluleka bokufumana unyango
Iimpawu zesifo sokuphazamiseka kunokuphazamisa kwaye ziyakhubaza, kodwa yinkathazo ephathekayo, kwaye abaninzi abantu baya kufumana uxolo olunzulu ngokungenelela kokunyanga . Uphulo olusandul 'ukukhawuleza luqala emva kokuqala kwentsholongwane yesifo, iimpawu ezikhawulezileyo ziya kunciphisa okanye zinyamalale. Nangona kunjalo, nabo abanempawu zexesha elide bafumana ukuphuculwa ngonyango, kwaye abaninzi banokuphinda baqhubele phambili emininzi imisebenzi ababeyifumana.
Ukubaluleka kokuchonga okuchanileyo
Ukuphazamiseka kwintlungu kunokuzilinganisa kunye nokuhlala kunye nezinye izifo zonyango nezengqondo, okwenza ukuba ukuxilongwa ngokucophelela kubaluleke kakhulu. Ngokomzekelo, njengokuba abanye abantu besaba ukuba i-heartbeat erratic ngexesha lokuphazamiseka kwesifo ngumqondiso weengxaki zentliziyo, i-arrhythmias yeenhliziyo eziqhelekileyo (iziqhelo zentliziyo ezingavumelekanga) zingabuye zifumaneke njengengxaki yokuphazamiseka.
Kuze kubekho ukuphazamiseka kwentsholongwane yokuphazamiseka, kwaye ngenxa yokuba ezininzi iimpawu zinyama, abantu abaninzi baye baqhuba rhoqo kwigumbi lokuphucula. Enyanisweni, kuqikelelwa ukuba phakathi kwama-20 no-25 ekhulwini lokuvakatyezelwa kwamagumbi okubandezeleka ngenxa yesifo seentlungu, ngenxa yokuhlaselwa yintlanzi, kwaye abo ba tyelela igumbi lexakeka kwithuba elingaphaya kwezihlandlo ezisibhozo kunyaka omnye banokuthi bathathu baxhatshazwe luluntu jikelele.
Kufuneka ke ukuxilongwa ngokuchanekileyo kokuphazamiseka kwengxaki ukusuka kumacala amabini. Imbali epheleleyo kunye nempilo iyadingeka ukuze "uqiniseke ukuba akukho nto ilahlekileyo" kwaye ukukhusela ukuxubusha kweentlanzi ngokuphazamisa umonakalo wokuvakatyelwa kwamagumbi okuphuthuma kumxube.
Ngaphantsi
Ukuhlaselwa kweentlanzi kungabangela ukwesabisa, kodwa uncedo lukhoyo. Ukuphazamiseka kwamanxeba yimeko ephathwa kakhulu. Ngelishwa, ngenxa yentsholongwane yempilo yengqondo, mhlawumbi kunye neentloni phakathi kwalabo abaye batyelela iindwendwe ezingxamisekileyo, i-diagnostic ivame ukulibaziseka.
Ukuba ufumana iimpawu zokuxhatshazwa okanye ukuphazamiseka kwengxaki, nangona iimpawu zakho zingayithobeli "imigaqo" echazwe ngasentla, khankanya ngokucacileyo ugqirha wakho. Ukuphazamiseka kwintlungu kunokuchaphazela yonke indawo ebomini bakho, kodwa abantu abaninzi bafumana ukuba ubomi babo bubonakala bebuyiselwa xa befuna unyango.
Imithombo
Imai, H., Tajika, A., Chen, P., Pompoli, A., kunye noT. Furukawa. Iingcali zengqondo ngokuchasene ne-Pharmacological Interventions for Panic Disorder kunye okanye ngaphandle kweAgoraphobia kuBantu abadala. I-Cochrane Database yeeNkqubo eziPhezulu . 2016.
Zane, R., McAfee, A., uSherburne, S., uBilleter, G., no-A. Barsky. Ukuphazamiseka Kweengxaki kunye Neenkonzo Eziphuthumayo IiNkonzo. IzeMpilo zoLimo oluPhezulu . 2013. 10 (10): 1065-9.