Ukushaya kwenhliziyo kungazelelwe, ukujuluka, ukuklinywa, ukwethuka konke kuyizimpawu zokuhlaselwa wuvalo. Kungenzeka ungalindele futhi kukuthathe ungalindele. Futhi akuqondakali ngokuphelele ukuthi yini okufanele uyenze ngayo nokuthi uphendukela kubani ukuze ukuhlaselwa kokwesaba kuphele.
Lwafika ucingo sekusebusuku. Izwi ngakolunye uhlangothi lomugqa lalizolile, ngisho, liqinile. Lokhu kwenzeka kuyaqabukela.
“Udokotela ungibhekise kuwena. Nginenkinga enkulu kakhulu. I-Vegetovascular dystonia.
Ngikhumbula ukuthi odokotela benza ukuxilongwa kwe-VVD kaningi, kodwa kuyaqabukela ukuthi umuntu aphendukele kusazi sokusebenza kwengqondo ngayo. Ukubonakaliswa kokuxilongwa okunjalo kuhlukile, kusukela ezinyaweni ezibandayo kuya ekuqulekeni nasekushayeni kwenhliziyo ngokushesha. U-interlocutor uyaqhubeka etshela ukuthi wahamba kubo bonke odokotela: udokotela, udokotela wezinzwa, udokotela wenhliziyo, udokotela wezifo zabesifazane, i-endocrinologist. Futhi wathunyelwa kudokotela wezengqondo noma udokotela wengqondo, yingakho eshaye ucingo.
Ngicela ukwabelana ukuthi iyini ngempela inkinga yakho?
— Angikwazi ukugibela indlela ehamba ngaphansi. Inhliziyo yami ishaya ngamandla, ngiyajuluka, ngicishe ngiquleke, ngiqumbe. Futhi ngakho-ke iminyaka engu-5 yokugcina, kabili ngenyanga. Kodwa angishayeli kakhulu.
Inkinga isobala - iklayenti lihlaselwa wuvalo. Zizibonakalisa ngezindlela ezihluke kakhulu: ukuqubuka okungaqondakali, okubuhlungu kokukhathazeka okukhulu. Ukwesaba okungenangqondo ngokuhlanganiswa nezimpawu ezihlukahlukene ezizimele (somatic), ezifana nokushaya kwenhliziyo, ukujuluka, ukuphefumula. Yingakho odokotela benza izifo ezifana ne-vegetovascular dystonia, i-cardioneurosis, i-neurocirculatory dystonia. Kodwa yini ngempela i-panic attack?
Ziyini i-panic attack futhi zivelaphi?
Izimpawu zezifo eziningi ezimbi, njengezifo ezihlukahlukene zobuchopho, ukungasebenzi kahle kwe-thyroid, izifo zokuphefumula, ngisho nezinye izimila, zifana nokubonakaliswa kokuhlaselwa kokwesaba. Futhi kuhle uma iklayenti lihlangana nochwepheshe onekhono oyoqala akudlulisele ekuhlolweni kwezokwelapha okudingekayo, bese kuphela kudokotela wezengqondo.
Indlela yokuhlasela kwe-panic ilula: ukusabela kwe-adrenaline ekucindezelekeni. Ukusabela kunoma yikuphi, ngisho nokucasuka okungasho lutho noma usongo, i-hypothalamus ikhiqiza i-adrenaline. Nguye okuthi, ukungena egazini, kubangela ukushaya kwenhliziyo okusheshayo, ukungezwani engxenyeni yangaphandle yemisipha, ukuqina kwegazi - lokhu kungandisa ingcindezi.
Kuyathakazelisa ukuthi ngesikhathi sokuhlangana kokuqala ngengozi yangempela, umuntu uyakwazi ukuhlala ezolile, alawule ukwesaba.
Ngokuhamba kwesikhathi, umuntu oye wahlaselwa okokuqala uqala ukwenqaba ukuhamba, akasebenzisi izithuthi zomphakathi, futhi anciphise ukuxhumana. Uzama ngazo zonke izindlela ukugwema izimo ezivusa ukuhlaselwa, ukwesabeka ake wabhekana nakho kunamandla kakhulu.
Ukuziphatha manje sekungaphansi kokwesaba ukulahlekelwa ukulawula ukwazi nokwesaba ukufa. Umuntu uqala ukuzibuza: ingabe konke kuhamba kahle kimi? Ngiyahlanya? Kuhlehlisa ukuvakashela kudokotela wezengqondo noma udokotela wengqondo unomphela, okuphinde kuthinte izinga lempilo nesimo sengqondo.
Ngokuthakazelisayo, ngesikhathi sokuhlangana kokuqala ngengozi yangempela, umuntu uyakwazi ukuhlala ezolile, ukulawula ukwesaba. Ukuhlasela kuqala kamuva ezimweni ezisongela ukuphila. Lokhu kwenza kube nzima ukukhomba imbangela yangempela ye-panic disorder.
Izimpawu eziyinhloko ze-panic disorder ziphindaphindiwe, ukuhlaselwa kokwesaba okungalindelekile. Ukuhlaselwa ukwesaba ngokuvamile kwenzeka ngokumelene nesizinda sezici ezilimazayo zangaphandle, njengokucindezeleka okungapheli, ukushona kothandekayo, noma ukungqubuzana okukhulu. Isizathu singase sibe ukwephulwa komzimba ngenxa yokukhulelwa, ukuqala komsebenzi wocansi, ukukhipha isisu, ukusetshenziswa kwezidakamizwa ze-hormonal, ukusetshenziswa kwezidakamizwa ze-psychotropic.
Indlela yokubhekana ne-panic attack
Kunezigaba ezimbili ekwelapheni ukuphazamiseka kokwethuka: eyokuqala iwukukhululeka kokuhlaselwa uvalo ngokwalo; okwesibili ukuvimbela (ukulawula) ukuhlaselwa kwe-panic kanye ne-syndromes yesibili kuyo (i-agoraphobia, ukucindezeleka, i-hypochondria, nabanye abaningi). Njengomthetho, izidakamizwa ze-psychotropic zinqunyelwe ukususa lesi sibonakaliso, ukunciphisa ubunzima noma ukucindezela ukukhathazeka, ukwesaba, ukukhathazeka, nokucindezeleka ngokomzwelo.
Ku-spectrum yezenzo zamanye ama-tranquilizers, kungase kube nomphumela ohlotshaniswa nokujwayelekile komsebenzi osebenzayo wesistimu yezinzwa ezizimele. Ukubonakaliswa ngokomzimba kokukhathazeka kuyancipha (ukungazinzi kwengcindezi, i-tachycardia, ukujuluka, ukungasebenzi kahle kwamathumbu).
Kodwa-ke, ukusetshenziswa njalo (nsuku zonke) kwalezi zidakamizwa kuholela ekwakhiweni kwe-addiction syndrome, futhi imithamo evamile bayayeka ukusebenza. Ngesikhathi esifanayo, ukusetshenziswa kwemithi okungavamile kanye nesenzakalo esihlobene ne-rebound kungabangela ukwanda kokuhlaselwa kwe-panic.
Ngeke kuthathe isikhathi eside ukugibela ujantshi ongaphansi komhlaba futhi, ukuya ezinkulungwaneni zamakhonsathi futhi uzizwe ujabule
Ukwelashwa kwezidakamizwa kuvinjelwa lapho umuntu efinyelela eminyakeni eyi-18, ukungabekezelelani komuntu umuthi, ukwehluleka kwesibindi, i-myasthenia gravis enzima, i-glaucoma, ukwehluleka ukuphefumula, i-dysmotility (ataxia), ukuthambekela kokuzibulala, ukulutha (ngaphandle kokwelashwa kokuhoxa kakhulu). izimpawu), ukukhulelwa.
Kulezi zimo lapho umsebenzi wendlela yokuqeda amandla ngosizo lokunyakaza kwamehlo (okubizwa ngokuthi yi-EMDR) kunconywa. Yasungulwa ekuqaleni isazi sokusebenza kwengqondo saseMelika uFrancis Shapiro ukuze isebenze ne-PTSD futhi ibonise ukuthi iphumelela kakhulu ekubhekaneni nokuhlaselwa. Le ndlela isetshenziswa yizazi zokusebenza kwengqondo eziphinde zibambe iqhaza ekuqiniseni ukwelashwa. Ihloselwe ukuhlanganisa imiphumela, ukubuyisela ukusebenza komphakathi, ukunqoba ukwesaba nokuziphatha kokugwema, kanye nokuvimbela ukuphindeka emuva.
Kodwa kuthiwani uma ukuhlasela kwenzeka lapha futhi manje?
- Zama izindlela zokuphefumula. Ukukhipha umoya kufanele kube kude kunokuphefumula. Hofa umoya ukubala okungu-4, khipha umoya ukubala okungu-XNUMX.
- Vula izinzwa ezi-5. Cabanga ngolamula. Chaza ngokuningiliziwe ukubukeka kwayo, iphunga, ukunambitha, ukuthi ingathinteka kanjani, cabanga ngomsindo ongawuzwa lapho ucindezela ulamula.
- Zibone ngeso lengqondo usendaweni ephephile. Cabanga ukuthi yini enukayo, imisindo, oyibonayo, ukuthi isikhumba sakho sizwani.
- Phumula. Zama ukuthola izinto ezinhlanu «K» endaweni ezungezile, abantu abahlanu izingubo blue.
- Nethezeka. Ukuze wenze lokhu, ngokuhlukile qinisa yonke imisipha yomzimba, uqale ngezinyawo, bese kuthi ama-shins-emathangeni-phansi emuva, futhi ukhulule kungazelelwe, ukhulule ukungezwani.
- Buyela eqinisweni eliphephile. Ncika umhlane wakho entweni eqinile, ulale phansi, isibonelo, phansi. Thinta umzimba wonke, uqale ngezinyawo uye phezulu ubheke ekhanda.
Zonke lezi ziyizindlela ezisebenza kahle, kodwa-ke ukuhlaselwa kungenzeka kaningi. Ngakho-ke, ungahlehlisi ukuvakashela isazi sokusebenza kwengqondo. Iklayenti okukhulunywe ngalo ekuqaleni kwalesi sihloko lithathe imihlangano engu-8 nodokotela wezengqondo ukuze libuyele ezingeni layo lempilo langaphambili.
Lapho usebenza ngenqubo ye-EMPG, ukuqina kokuhlaselwa kuncishiswa kakhulu ngomhlangano wesithathu, futhi ngowesihlanu, ukuhlasela kuhamba ngokuphelele. Ngeke kuthathe isikhathi eside ukushayela izindiza futhi, ukugibela indlela ehamba ngaphansi, ukuya ezinkulungwaneni zamakhonsathi futhi uzizwe ujabule futhi ukhululekile.