Ubuxoki bungonakalisa ubudlelwane, nokuba ngaba phakathi komntwana nomzali okanye phakathi komfazi nomyeni. Ingonakalisa ukuthembela kunye nolwalamano kunye nentlungu. Amaninzi amaninzi, abantu abaziva bekhohlisiwe baya kunqumla umxhwele ngokupheleleyo nomntu abakholelwa ngamanga.
Umngcipheko woMntu weMida kunye nokuLola
Ngelishwa, ukuphazamiseka komntu ongekho emngceleni (BPD) ayikho isifo esaziwayo okanye esaziwayo.
Nangona kunjalo, abaninzi abantu bakholelwa ukuba ukulala buyingxenye yesifo. Nangona kunjalo, usenokumangaliswa ukuba udibaniso phakathi kwe-BPD kunye nenkohliso ayichazwanga ngokucacileyo.
Enyanisweni, ukuba uhlolisisa iimpawu zengxaki yomntu we-borderline (BPD), ukuxoka akufumaneki ndawo. Kwincwadi ye- Diagnostic and Statistical of Mental Ills-edition 5 , eyona mthombo oqhelekileyo wokubonelela ngezempilo unokwenza ukuxilongwa okufanelekileyo, inkohliso ayinxalenye yeendlela zokuxilonga ze-BPD.
Nangona kunjalo, oko akuthethi ukuba abo abane-BPD abaqambi amanga okanye ukuba abanakho ukuthetha amanga. Enyanisweni, amalungu amaninzi entsapho kunye nabahlobo babo abane-BPD bathi ukuxhalaba kakhulu kwiinkalo zabo kunye ne-BPD yabo ethandekayo.
Kutheni ukuLola kwenzeka kwi-BPD
Kukho izizathu ezimbalwa zokuba kutheni ukulala kungenzeka kubantu abane-BPD.
Iimvakalelo ezinzulu
Abantu abane-BPD bazive bevakalelwa kakhulu. Ezi mvakalelo zinokuba nzima kangangokuba zifake ingcamango yomntu, zibenza zijonge izinto ngelo lenti yemvakalelo engafaniyo nendlela abanye abayibona ngayo.
Bakhangele iinkcukacha eziqinisekisa oko bazivelayo kwaye ziwayeke iinyani eziya kuphikisana nazo, kwaye oku kunokuba buhlungu kakhulu kubahlobo kunye namalungu entsapho. Kubalulekile ukuqonda ukuba umntu onobungozi be-BPD akaqapheli ngokuqinileyo-uyakholelwa ngokwenene ukuba imbono yakhe ilungile nangona ibuxoki.
Impulsivity
I-BPD nayo ihambelana nokungafuneki, ukuthambekela kokwenza izinto ngaphandle kokucinga ngemiphumo-ngoko ezinye iziganeko zokuxoka zingabangela umntu onomntu ongenayo i-BPD nje engacingi ngaphambi kokuba anike impendulo.
Ihlazo
Ukongezelela, abantu abane-BPD badla ngokuziva benamahloni anzulu kwaye anzulu, ngoko ukuxoka kungenye indlela yokufihla iimpazamo okanye ubuthathaka obangela iimvakalelo ezihlazo. Abantu abane-BPD bahlala bebuhlungu kakhulu ukugatywa, ngoko omnye umsebenzi wokuxoka ungaba "ukufihla" iimpazamo ukwenzela ukuba abanye bangayi kulahla.
Biology of Liying
Ngokusekelwe kwindlela yokwenza imifanekiso eyinkimbinkimbi ebizwa ngokuthi i-magnetic imaging resonance imaging (fMRI), abaphandi baye bafumanisa ukuba ukukhohlisa kudibaniswa nokusebenza kwe-cortex ye-prefrontal, ekho ngaphambili kwengqondo. I-correx ye-prefrontal idlala indima ebalulekileyo ekuqaliseni ubuntu bomntu, ukucwangcisa imisebenzi yokuqonda, nokulawula ukuziphatha kwezentlalo kunye nomoya.
Kuyathakazelisa ukuba le ntsebenzo ye-correction ye-prefrontal ifunyenwe ukuba yenzeke nokuba ukukhohlisa kuhambelana nokukhohlisa ngokomzwelo okanye ukungathathi hlangothi (umzekelo, ukuxoka ngento ethile ukuze ugweme ukungalunganga okanye ukwesaba ukuxoxela ngokutya malunga nokutya kwakho kwasekuseni).
Nangona kunjalo, isiseko sobuxoki, njengokuba ubuxoki bubhekiselele ekuncedeni okanye kumlimaza umntu owenza ubuxoki, kunokuchaphazela ukuba ingaba nayiphi imimandla yengqondo ichaphazelekayo.
Ukukhohlisa kunye nempembelelo yobudlelwane
Kungakhathaliseki ukuba kutheni umntu ophethe i-BPD ulala, nokuba kungenxa yokuba uyicinga ukuba imbono yakhe yehlabathi ichanekile okanye ukuba uhlazekile, impembelelo kwiintsebenziswano ingaba yingozi kakhulu. Abahlobo kunye namalungu entsapho abanakho ukuthembela kumntu, ukuwahlukanisa nabathandekayo babo.
Ekugqibeleni, ukuqamba amanga kunokutshabalalisa ubudlelwane ngokupheleleyo. Ngamalungu omtshato onothando nabanikelekileyo banokuvakalelwa kukuba bafanele bahlukane nomthande wabo xa ukuxoka kuqhelekile.
Oku kunokuphelisa inkqubo ebalulekileyo yokuxhasa nokulimaza abantu bobabini.
ILizwi
Ekugqibeleni, kunokuba nzima ukugcina ubudlelwane nomhlobo okanye ilungu losapho ngeBPD. Nangona kunjalo, kubalulekile ukuqonda ukuba abantu abane-BPD bahlala bebandakanyeka ekuziphatheni okungonakalisi kungekhona ngenxa yokuba banenjongo yokulimaza kodwa ngenxa yokubandezeleka kwabo kunzulu banomuzwa wokuthi abanakho indlela yokuphila.
Ukukhohlisa kungaba ngumnye umzekelo wale nto. Ngelo xesha loo nto ayikuxolisi ukuziphatha, ukuba uyayiqonda isizathu, unokukunceda umthandi wakho athole unyango olufanelekileyo ukuze ancede ukulawula iimpawu zabo ze-BPD.
> Imithombo:
> Abe N et al. Isiseko se-neural yezigqibo ezingathembekiyo ezonakalisa ukulimaza okanye ukunceda ekujoliswe kuyo. Cogn yeBongo . 2014 Oct; 90: 41-9.
> I-American Psychiatric Association. I-Diagnostic and Statistical Manual yezifo zengqondo, umxholo we-5 , ngo-2013.
> Ito A et al. Inendima ye-cororx ye-quartersal prefrontal ekukhohliseni xa ukhumbule iziganeko ezingathathi hlangothi nezomzwelo. Neurosci Res. Ngo-201 Feb; 69 (2): 121-8.
> Kreger R. Umkhokelo Wentsapho Eyona Ncoko kuMngcipheko Wobuntu Borderline . Isixeko saseMeko, eMnnesota: eHazelden, ngo-2008
> Siddiqui SV, Chatterjee U, Kumar D, Siddiqui A, Goyal N. I-Neuropsychology ye-prefrontal cortex. Indian J Psychiatry . 2008 Julayi-Sep; 50 (3): 202-8.