I-border boundary disorder ngezinye ilashwa ngamachiza okuxhalaba okanye ukuxinezeleka, okuye kwaboniswa ukunciphisa ezinye zeempawu ze- borderline disorder (BPD) . Ngeli xesha akukho namachiza avunywe yi-FDA ukuphatha i-BPD, sele ifunyenwe ukuba isebenze kwezinye iimeko. Kwakhona, amayeza angasetyenziselwa ukuphathwa kweemeko zengqondo ezihlala zihlangene kunye ne-BPD, njengengxaki enkulu yokudandatheka.
Amachiza angasetyenziswa ngokukodwa kwi-BPD xa asetyenziswa ngokubambisana ne- psychotherapy kunye nezinye izibonelelo .
Ukuxhatshazwa
Nangona i-anti-depressants iqhutywe ngokukhethekileyo kubantu abaneentsholongwane ezixinzelelekileyo kunye nezinye iziphazamiso ezibonakaliswa yimimoya ephantsi, abantu abaninzi abane-BPD baphathwa ngamachiza.
Kukho iintlobo ezininzi zeengcinezelo eziye zafundiswa ukusetyenziswa kunye ne-BPD, kuquka i-tricyclic kunye ne-tetracyclic antidepressants , i- monoamine oxidase inhibitors (MAOIs), kunye ne -serotonin reuptake inhibitors (SSRIs) ekhethiweyo. Uphando luye lwabonisa ukuba le myeza inganceda ngokudabuka, ukunyamekela, ukuxhalaba kunye nokuvalelwa kwemvakalelo edlalwa ngabantu abano-BPD, kodwa ababonakala bengenaziphumo ezinamandla kwezinye iimpawu zengxaki (umz., Umsindo, ukungafuneki) .
Ukuxinzelela okuqhelekileyo kubandakanya:
- Nardil (phenelzine)
- Prozac (i-fluoxetine)
- Zoloft (sertraline)
- Effexor (venlafaxine)
- Wellbutrin (bupropion)
Antipsychotics
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. Ukususela ngeli xesha, kuye kwafunyanwa ukuba i-antipsychotics inokuthi ibe nefuthe elihle kwiintlobo ezahlukeneyo ezingenasifo sengqondo, kuquka ne-BPD.
I-Antipsychotics iye yaboniswa ukunciphisa uxhalaba, ukucinga nge-paranoid, umsindo / ubundlobongela, kunye nokunyaniseka kwezigulane ezine-BPD.
I-antipsychotics eziqhelekileyo ziquka:
- Haldol (haloperidol)
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Risperdal (risperidone) (Risperdal)
I-Mood Stabilizers / Anticonvulsants
Ukuxhatshazwa kweempawu ezizinzileyo, ezifana ne-lithium, kunye nezinye i-anticonbulsant (anti-seizure) amayeza, ziye zasetyenziselwa ukunyanga indlela yokuziphatha kunye nokutshintsha ngokukhawuleza kwimvakalelo ehambelana ne-BPD. Kukho uphando lokubonisa ukuba ezi zidilesi zezilwanyana zinokuba luncedo kwi-BPD.
Iimpawu eziqhelekileyo zokuqiniswa / i-anticonvulsants ziquka:
- I-Lithobid (i- lithium carbonate )
- Depakote (valproate)
- Lamictal (lamotrigine)
- Tegretol okanye uCarbatrol (carbamazepine)
I-Anxiolytics (i-Anti-Anxiety)
Ngenxa yokuba abantu abane-BPD bahlala bexhalabise kakhulu, imithi yokunciphisa uxhalaba ngamanye amaxesha ichazwe. Ngelishwa, kukho uphando oluncinane lokuxhasa ukusetyenziswa kweemithi ezichasayo zokuphatha i-BPD. Kwakhona, kukho ubungqina bokusetyenziswa kweklasi ethile ye-anxiolytics, i-benzodiazepines (umz., I-Ativan, i-Klonopin), inokubangela ukuba kubekho ukugqithisa kwezimpawu zabanye abantu abane-BPD, kwaye kufuneka imiselwe ngokuqaphela.
I-Benzodiazepines inobungozi kakhulu ekusebenziseni ngabanye abaneengxaki zokusetyenziswa kwezinto ezisetyenziswa ngokubambisana ngenxa yokuba bangaba ngumkhwa. I-Buspar, i-anxiolytic engaqhelekanga, yinto ehlukile kwimithi evela kwintsapho yebenzodiazepine .
Ixhalaxythi eqhelekileyo iquka:
- Ativan (lorazepam)
- Klonopin (clonazepam)
- Xanax (alprazolam)
- Valium (diazepam)
- Buspar (buspirone)
Olunye umGaqo woMntu woLuntu lweMida
Njengoko sifunda ngakumbi malunga nezizathu eziphilayo ze-BPD, amayeza amasha aphuhliswa kwaye avavanywa ngenxa yesifo. Ngokomzekelo, iziphumo ezivela kuphando olutshanje luchaza ukuba i-omega-3-fatty supplement supplement ingakhokelela ekunciphiseni ulwaphulo kunye neemvakalelo zobundlobongela kubantu abane-BPD.
Imithombo:
Umbutho wezeMpilo waseMerika. "Yenza izikhokelo zoNyango lwabaguli abaneNgcembelelo yoLuntu lweMida." I-American Journal ye-Psychiatry , 158: 1-52, ngo-Oktobha 2001.
Triebwasser, J, noSiever, LJ. "I-Pharmacotherapy ye-Personality Disorders." Umbhalo weMpilo yengqondo, 16: 5-50, ngoFebruwari 2007.
Zanarini, MC, Frankenburg, FR. "Ukwelashwa kwe-Omega-3 ye-fatty acid yabasetyhini abaneengxaki zomntu ongasemngceleni. I-American Journal of Psychiatry, 160: 167-169, 2003.