Yintoni ebangela i-Borderline Personality Disorder (BPD)?
Izizathu Ezikhoyo Zomngcipheko Wobuntu Bomda
Ukuba wena okanye umntu obathandayo unomdaka wobunzima be- borderline (BPD) , unokuzibuza ukuba yintoni eyabangela okanye ukuba uyasimangalela. Ukuphuhliswa kwesi sifo kuyinkimbinkimbi, kwaye kunokwenzeka ukuba kukho iintlobo ezahlukeneyo zokuphazamiseka komntu-kwaye kufuneka uqiniseke ukuba akukho mntu umntu okanye into ephosakeleyo.
Uninzi lweengcali zikholelwa ukuba i-BPD ikhula ngenxa yezinto eziphilayo, i-genetic, kunye nemeko yendalo. Nangona kunjalo, kubalulekile ukugcina engqondweni ukuba izizathu eziyimpembelelo zeBPD aziwayo. Okwangoku, ezi ngcamango ezinokwesekwa kwenkxaso kodwa azikho nto ezigqibeleleyo. Uphando olungakumbi lufunekayo ukufumanisa indlela kwaye kutheni izinto ezixutyushwa ngezantsi zihambelana ne-BPD.
Ubunzima bokusingqongileyo obuMngcipheko
Kukho ubungqina obuqinileyo bokuxhasa unxibelelwano phakathi kwamava abandezelekileyo abantwana, ngokukodwa abandakanyeka nabanakekeli, kunye ne-BPD. Iindidi zamava azinxulumene ne-BPD ziquka:
- Ukuxhaphazwa ngokwenyama nangokwezesondo
- Ukuhlukana kwangaphambili kubantu abanonophelo
- Ukunyaniseka ngokomzwelo okanye ngokomzimba
- Ukungabikho komzali
Kucatshangelwa ukuba ukusebenzisana phakathi kwezinto eziphilayo (kuxutyushwa ngezantsi) kwaye indawo engabonakaliyo yabantwana inokusebenza ngokubambisana nokulungiselela umntu ukuphuhlisa i-BPD.
Indawo engabonakaliyo ngokomzwelo yinto apho iimfuno zomntwana ezingasayi kufezwa.
Indawo engabonakaliyo ayisoloko ibonakala kulabo abaye bafumana okanye abanye ababajikelezile. Ezi zihlandlo ezibuhlungu zifihlakele kwaye ziguqulwe njengendumiso.
Kubalulekile ukukhumbula, nangona kunjalo, ukuba bonke abantu abaneBPD baye bafumana le meko yabantwana (nangona inani elikhulu linalo).
Ngaphezu koko, nokuba umntu unaloo mava ngamava, akuthethi ukuba baya kuba ne-BPD. Kwakhona, kunokwenzeka ukuba udibaniso lweziganeko, kunokuba kubangele esinye isizathu, unoxanduva lwamaninzi amaninzi omngcipheko womntu.
Iingxaki zobomi beMvelo kunye neBiological Borderline Disorder Causes
Nangona uphando lwangaphambili lubonisa ukuba i-BPD ihlala ihamba kwiintsapho, ixesha elithile lalingaziwa ukuba le nto ingenxa yempembelelo yendalo okanye ngenxa yemfuza. Kukho ubungqina bokuba ukongeza kwimihlaba, iimeko zofuzo zidlala indima ebalulekileyo.
Ngokukodwa, uphando luye lwabonisa ukuba ukuhluka kwimizimba elawula indlela ubuchopho busebenzisa ngayo i- serotonin (ikhemikhali yendalo engqondweni) inokuthi ihambelane ne-BPD. Kubonakala ukuba abantu abanolu hlobo oluthile lwe-gene ye-serotonin banakho amathuba okuphuhlisa i-BPD ukuba nabo bafumana iziganeko ezinzima zobuntwaneni (umzekelo, ukuhlukana kwabanonophelo abancedisayo). Olunye uphando lufumene ukuba iinkawu ezinesifo se-serotonin zivela kwimpawu ezibonakala zifana ne-BPD, kodwa kuphela xa zithathwa koomama kwaye zikhuliswe kwimihlaba engapheliyo. Iimonki ezinokuhlukana kwezofu ezikhuliswe ngabamama abakhulayo babengenakunokwenzeka kakhulu ukuphuhlisa iimpawu ze-BPD.
Ukongezelela, uphando oluninzi luye lwabonisa ukuba abantu abaneBPD banokungafani phakathi kokubini kwesimo sengqondo kunye nokusebenza kwengqondo. I-BPD inxulumene nomsebenzi ogqithiseleyo kwiindawo zengqondo ezilawula amava kunye nokubonakalisa imvakalelo. Ngokomzekelo, abantu abane-BPD banokusebenza ngakumbi kwinkqubo ye-limbic, indawo kwingqondo elawula ukwesaba, umsindo, kunye nobudlova, kunabantu abangenazo i-BPD. Oku kunxulumene neempawu zokungazinzi kwemvakalelo ye-BPD. Uphando olutsha lufumaneka kwakhona phakathi kwe-hormone oxytocin kunye nophuhliso lwe-BPD.
Ngaphantsi kweZibangela zeNgcaciso yoMntu woMda
Njengoko kuphawuliwe ngasentla, kunokufunda okuninzi malunga nezizathu zeBPD kwaye mhlawumbi ukuba kudibanisa izinto kunokuba kukho nawuphi na ukufumanisa okunye okukhokelela ekuphazameni.
Uphando luyaqhubeka kwaye sinethemba lokuba siya kufunda ngaphezulu kwiminyaka ezayo.
Ukuqonda izizathu kunokunceda ukukhusela ukuqala kokuphazamiseka, ngakumbi kulabo abanemvelo okanye i-biological predisposition to the disorder. Njengokuba kunjalo, indawo engabonakaliyo inobungozi kumntwana nokuba ingaba iphakamisa amathuba okwenza i-BPD kwikamva, kwaye kubalulekile ukuba oogqirha baqaphele oku kulungiselelwa kubantwana. Ekubeni indawo engabonakaliyo ingafihlakeleyo, kwaye ezininzi iinkcazo ezibonakala ngathi ziziphakamiso zokudumisa emhlabeni, iimvakalelo zikwazi ukuphosakeka ngokugqithiseleyo njengento engapheliyo kwintetho yomntwana kunokuba kungabikho kwengqondo kumzali. Kubalulekile kubantu abadala abafumana ukungaqiniseki ngokomzwelo njengomntwana ukuba bafunde ukuqonda umahluko phakathi kokuqinisekisa nokuphazamisa iingxelo zabanye ukuze bazikhusele ekuqhubekeni okwenzakalayo.
Imithombo:
Brune, M. Ngomsebenzi we-Oxytocin kwi-Borderline Personality Disorder. IBritish Journal of Clinical Psychology . 2016. 55 (3): 287-304.
Ruocco, A., kunye noDoncone. Umzekelo we-Neurobiological we-Borderline Personality Disorder: UkuHlola okuHlangeneyo nokuHlanganisiweyo. I-Harvard Review of Psychiatry . 2016. 24 (5): 311-29.