I-Antipsychotics inokukunceda ukuphucula ukucinga nokunciphisa umsindo kwi-BPD
Isifo sakho sengqondo singachaza i-antipsychotics enye okanye ngaphezulu kweempawu zakho ze- BDD.
Kutheni i-Antipsychotics ye-Borderline Personality Disorder?
Igama elithi "umngcele" lucwangcisiwe ngenxa yokuba iingqondo zakudala zazikholelwa ukuba iimpawu zeBPD "zazingumda" phakathi kwe-neurosis and psychosis . Ngenxa yesi sizathu, ezinye zeyeza kuqala zokuvavanya i-BPD zaziyi-antipsychotics.
Nangona ngoku siyazi ukuba i-BPD ayinanto yokwabelana ngezinto kunye neengqondo zengqondo (kwaye ayiyona ingxaki yengqondo), uphando luye lwabonisa ukuba imishanguzo ye-antipsychotic inokusebenza ekunciphiseni ezinye iimpawu ze-BPD- ngokukodwa, umsindo kunye nobundlobongela, kunye neempawu zokuqonda, njengento yokucinga. Oko kuthetha, uphando lubonisa ukuba i-antipsychotics ayinakuphucula ukuxhalabisa, ukuxinezeleka kwemizwa kunye nokungafuneki ku-BPD .
Ukongezelela, ngelixa i-short-term usetyenziso lwe-antipsychotics lungasebenza kakuhle kwi-BPD, inzuzo yexesha elide kunye nokusetyenziswa kwexesha elide le-antipsychotic liphikisana.
Iintlobo ze-Antipsychotics
Kukho ezimbini iindidi eziphambili ze-antipsychotics: eziqhelekileyo kunye neengqungquthela.
Antipsychotics . I-antipsychotics efana neyohlobo oludala lwe-antipsychotic medication, olubizwa ngokuba yi-antipsychotics yokuqala. Ayasetyenziswa ngokuqhelekileyo ngenxa yezinto ezinokubangela iziphumo ezibi kakhulu ezinjengeenkqubela zokuhamba.
Amanye ama-antipsychotics aqhelekileyo:
- Haldol (haloperidol)
- I-Navane (thiothixene)
- I-Stelazine (trifluoperazine)
Atypical Antipsychotics . I-antipsychotics ye-Atypical yintsholongwane emitsha yeyeza-antipsychotic, kwaye ivelisa ngaphantsi kweempembelelo ezichaphazelekayo. Iintsholongwane ezithandathu ze-antipsychotics zi:
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Abilify (aripiprazole)
- Geodon (ziprasidone)
- Risperdal (risperidone)
Imiphumo emibi ye-Antipsychotics
I-Tardive i-dyskinesia, impembelelo yecala engenzeka kwixesha elide lokusetyenziswa kwe-antipsychotics, iquka ukunyakaza okungalawulwayo kobuso, imilomo, ulwimi, imilenze kunye neminwe. Ayinakunqandwa, kwaye ingozi yokuphuhlisa iphezulu kunye ne-antipsychotics eziqhelekileyo kunama-antipsychotics atypical. Ezinye iziphumo zempembelelo ezinokuthi zibizwa ngokuba yi- extrapyramidal izimpawu , njenge- akathisia , ingqiqo enkulu yokungazinzi nokuphazamiseka. Iimpawu ze-Extrapyramidal ziqheleke kakhulu kwizinto eziqhelekileyo kunezixhobo zokulwa ne-antipyychotics. I-neuroleptic malignant syndrome yinto engabonakaliyo kodwa enzima kakhulu enxulumene ne-antipsychotics equka umkhuhlane ophezulu, i-delirium, kunye nokuqina komzimba.
Nangona i-antipsychotics ye-atypical ingenakwenzeka ukuba idale i-tardive dyskinesia kunye neempawu ze-extrapyramidal, zidibene nezinye iziphumo ezinjenge-gain gain, i-newborn diabetes, ukunyuka kwe-cholesterol, ukungasebenzi kwezesondo kunye neengxaki zeentliziyo. Ukongezelela, ezinye ze-antipsychotics zithwala iziphumo zazo ezizimeleyo. Ngokomzekelo, isiphumo esinqabileyo kodwa esinokuthi sinokubulawa kwesifo se-antipsychotic clozapine yi-agranulocytosis, ukwehla kwamaseli amhlophe egazi.
Ukubeka esweni rhoqo ukubala kwegazi kuyadingeka xa le nkonzo isetyenziswa.
Njengoko kubonisiwe, kukho imiphumo enobungozi echaphazelekayo kunye ne-antipsychotics, kwaye ziyahluka ngohlobo (ngokuqhelekileyo nge-atypical) ye-antipsychotic, kwakunye neyeza ngalinye. Ukuba ugqirha wakho uchaza i-antipsychotic, qiniseka ukuhlaziya iziphumo ezibi kunye nogqirha wakho kwaye uthabathe unyango njengoko uyalelwe.
Okukwintsusa
Ukunyanga i-BPD kudinga indlela eyahlukeneyo-oko kuthetha oko kukusebenzelayo kuyahluke kwizinto ezisebenzela omnye umntu. Kuya kuthatha ixesha wena kunye nogqirha wakho ukuba ucwangcise icebo lokuphucula ukunyamekela kwakho i-BPD yakho, kwaye esi sicwangciso singabandakanya zombini amayeza kunye ne- psychotherapy .
Iindaba ezilungileyo kukuba kukho iindlela ezintle zokwenza unyango ezinokukunceda uzive ungcono kwaye uphilile.
Imithombo:
Albers LJ, Hahn RK, & Reist C. Handbook yeeNyango zeeNtsholongwane, iiNkcazo zokuThumela iiKlinikhi zangoku, ngo-2008.
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Ingenhoven, TJ, & Duivenvoorden, HJ (2011). Ukuphumelela okungafaniyo kwe-antipsychotics kumngcipheko wobuntu bomda: ukuhlaziywa kwe-meta-control of placebo, ukuhlolwa kwee-clinical random on domains effects. Umbhalo we-Clinical Psychopharmacology, 31 (4): 489-96.
Abagcini, J., Völlm, BA, Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2010). Ukungenelela kwe-Pharmacological kumngcipheko wobuntu bomda. I-Cochrane Database yeeNkqubo eziPheleleyo, uJuni 16; (6): CD005653.
Triebwasser, J, noSiever, LJ. (2007). "I-Pharmacotherapy ye-Personality Disorders." Umbhalo weMpilo yengqondo, 16: 5-50, ngoFebruwari 2007.