Ukukhawuleza ukuziphatha okungenangqondo
Ukuqiniswa kwemizwelo yesifo se-personal border (BPD) sinokuphumelela ekunciphiseni iimpawu ze-BPD, ingakumbi imvakalelo yokudityaniswa kunye neempawu zokungahambi . Ezi zonyango zonyango zonyango ziyekezelwa ngokunyanisekileyo kubantu abane-BPD, nangona i- sychotherapy ye- p isaqwalaselwa njengendlela ebaluleke kakhulu yonyango. Ziziphi iingenelo kunye neengozi?
Ziziphi izinto ezizinzileyo?
Ixesha le- stabilizer ye-mood isetyenziselwa ukuchaza nayiphi na imithi eyanciphisa ukuvama kweentshukumo ezinzulu, okanye uvavanyo . Iindidi ezahlukeneyo zonyango zichazwe njengento yokuzinzisa abantu abaneBPD. Amachiza asekuqaleni aphuhliswe ukunyanga, okubizwa ngokuthi "i-anticonvulsants," ngokuqhelekileyo ichanekileyo ngenxa yemiphumo yabo yokuzinza. Imizekelo ibandakanya:
- Tegretol, Equetro (carbamazepine)
- Lamictal (lamotrigine)
- Trileptal (oxcarbazepine)
- Topamax (topiramate)
- Depakote (i-valproic acid, i-divalproex sodium)
I-Lithobid (i-lithium carbonate) yi-anticonvulsant mood stabilizer eye yinto ephambili yokwenza unyango lwe-bipolar iminyaka.
Ziziphi iindlela zokuQinisekisa kweeMpawu eziPhezulu zeBPD?
Uphando lukhawulelana, kodwa lubonakala ngathi ukuzinza kweemvakalelo kungaphatha iimpawu zeBPD ngokufanelekileyo. Imithi efundwa kakhulu kakhulu yi-lithium. Uninzi lwezi zifundo lujolise kunyango lokungabi nantliziyo, kodwa olunye uphando lubonisa ukuba i-lithium inokusebenza ekuphatheni umsindo we-BPD nokucaphuka.
Ezinye izifundo zibonisa ukuba ezinye i-anticonvulsant mood stabilizers zinokukunceda ukuphatha imizimba kunye neempawu zengqondo kwi-BPD, kwaye uhlobo oluthile lwamachiza, olubizwa ngokuba yi-antipyychotics ye-atypical, lunikezela ukhetho olongezelelweyo unyango.
Iingozi kunye Neempembelelo Zecala ze-Mood Stabilizers ze-BPD
Izingozi kunye nemiphumo emibi yale miyeza ingahluka ngokuxhomekeka kohlobo lwesigxina esithathayo.
Ngokomzekelo, isilondolozi ngasinye se-anticonbulsant sinepropati yaso yecala elilodwa.
I-lithium carbonate inokubangela uxinzelelo lwezondlo ezifana nesicathulo kunye nokuhlanza; ukutyeba kwakho; intsimbi; ukuthuthumela (ukuthuthumela); kunye neengxaki zengqondo (umzekelo, uvakalelwa kukuba ukucinga kwakho kuphuculwa okanye kungabonakali). I-lithium inokuchaphazela iinjongo zakho kunye ne-thyroid gland, ngoko kuhlolwa iimvavanyo zegazi kufuneka zijonge umsebenzi wazo ngelixa uthabatha le nyilisi. I-lithium inokuba yinto enobuthi kakhulu kumanani aphakamileyo, ngoko ke akunakwenzeka ukuba kubekwe abantu abane-BPD abasengozini yokuzibulala.
Ezinye iziphumo ezichaphazelekayo kunye ne-anticonbulsants ziquka izikhalazo zesisu, isisindo somzimba, ukuxhala, ukukhathala, kunye nesisu. Ukongezelela, ezinye zala mayeza anomngcipheko wezinto ezingabonakaliyo kodwa ezibi kakhulu. Ngokomzekelo, abantu abathatha i-carbamazepine kufuneka bahlolwe ngethuba lokuphuhliswa kwe-agranulocytosis, imeko engaqhelekanga ebhalwe ngokunyuka okukhulu kwiiseli ezimhlophe zegazi. Utyhefu kukwaxhalabisa kunye ne-anticonvulsant mood stabilizers ye-BPD.
Imibuzo yokubuza i-Psychiatrist yakho
Thetha nomfo wakho wengqondo malunga naluphi na ukukhathazeka onayo ngaphambi kokuba uqale ukuthabatha isimo se-BPD. Qinisekisa ukuba uyayiqonda ingozi kunye neziphumo zecala kunye nesizathu (s) esimiselweyo imithi ethile.
Nazi ezinye iimbuzo ongathanda ukuzibuza:
- Ziziphi iimpawu zeBPD okulindele ukuba le nyeza ifuthe?
- Ngaba kukho ingozi ethile okanye imiphumo engamelwe ndiyibukele?
- La mayeza aya kuthintana njani namanye amayeza endithathayo?
- Ndiza kudinga ixesha elingakanani ukuba ndiyithathe le nyilisi ngaphambi kokuba ndiqale ukuphawula imiphumo yayo?
- Kude kube nini ndicinga ukuba ndiza kufuneka ndibe kulo myeza?
Imithombo:
Umbutho wezeMpilo waseMerika. "Yenza izikhokelo zoNyango lwabaguli abaneNgcembelelo yoLuntu lweMida." I-American Journal ye-Psychiatry , 158: 1-52, ngo-Oktobha 2001.
Albers LJ, Hahn RK, & Reist C. Handbook yeeNyango zeeNtsholongwane, iiNkcazo zokuThumela iiKlinikhi zangoku, ngo-2008.
UBelli H, u-Ural C, u-Akbudak M. Borderline ubungozi bomntu: Ukuphazamiseka kwengqondo, ukuxhaswa kwemimoya, kunye ne-antipsychotics ye-atypical kunyango. Umbhalo woPhando lwezoPhando lwezonyango: 4 (5): 301-308, 2012.