Kalafo ea mathata a ho tšoenyeha e ipapisitse le ts'ebetso ea lithethefatsi le / kapa ea kelello. Maemong 'ohle, tlhokomelo ea meriana e hlokahalang ho theha phekolo e lekaneng, e lumellanang le litlhoko tsa mokuli, matšoao a hae le boemo ba lelapa la hae le sechabeng.

Tlhokomelo ea kelello

Tšehetso kelello hoa hlokahala bakeng sa mathata a ho tšoenyeha.

E ka 'na ea e-ba eona feela phekolo, kapa ea amahanngoa le phekolo ea meriana, ho itšetlehile ka ho teba ha mathata le litebello tsa motho ea amehileng.

Cognitive behaviour therapy ke phekolo e 'nileng ea ithutoa ka ho fetisisa kalafong ea mathata a ho tšoenyeha, ho kenyelletsa le phobia ea sechaba, lefu la ho tšoha le lefu la ho qobella ho qobella batho ho feta. Ka ho lebisa tlhokomelo lintlheng tse bakang le ho boloka matšoenyeho le ho fa mokuli lisebelisoa tsa ho laola, mofuta ona oa phekolo ka kakaretso o sebetsa ka mokhoa o tsitsitseng (12 ho ea ho 25 mananeo a metsotso ea 45 ka kakaretso). Ho latela HAS, liphekolo tse hlophisitsoeng tsa kelello le boitšoaro li sebetsa hantle joalo ka kalafo ea lithethefatsi.

Mefuta e meng ea phekolo, joalo ka phekolo ea kelello, le eona e bontšitsoe hore e sebetsa hantle lithutong tsa bongaka. Sepheo ke ho ela hloko le ho tsepamisa maikutlo motsotsong oa hona joale, 'me kahoo u ithute ho laola matšoenyeho a hau.

Tlhahlobo ea psychotherapy e ka qalisoa ho utloisisa tšimoloho ea ho tšoenyeha, empa katleho ea eona matšoao e lieha ebile ha e hlokomelehe.

Tsamaiso ea meriana

Haeba matšoao a le matla haholo 'me phekolo ea kelello e sa lekana ho a laola (mohlala ka ho tšoenyeha ho akaretsang), phekolo ea lithethefatsi e ka hlokahala.

Lithethefatsi tse 'maloa li tsejoa ka katleho ea tsona khahlanong le matšoenyeho, haholo-holo anxiolytics (benzodiazepines, buspirone, pregabalin) tse sebetsang ho tsela e potlakileng, le li-antidepressants tse itseng tse kalafo ya bokamorao, e leng selective serotonin reuptake inhibitors (SSRIs) le serotonin le norepinephrine reuptake inhibitors (SNRIs).

Meriana ena e ka etsa hore ho tšoenyeha ho mpefala ha phekolo e qala 'me ho hlokahala tlhokomelo e haufi ea bongaka.

Ka lebaka la kotsi Ho itšetleha, benzodiazepines e lokela ho laeloa ka nakoana (ha e le hantle e se ke ea feta libeke tse 2 ho isa ho tse 3). Ka bobeli ho qalisoa le ho khaotsa ho phekola ho lokela ho laoloa ke ngaka.

Kaha pregabalin ha e hlahise kotsi ea ho itšetleha 'me katleho ea eona e teng hang-hang, ka linako tse ling e khethoa ho feta benzodiazepines.