Oko kufuneka ukwazi malunga nabaxinzelelekileyo kwi-BPD
Ngoxa i- psychotherapy ithathwa njengento ebalulekileyo yonyango lomngcipheko wobuntu bendoda (BPD) , abantu abaninzi banqunyanyiswa ukuxhatshazwa kwe-BPD. Akukho mayeza avunyelwe i- FDA ukuphatha i-BPD, kodwa ezininzi ziye zabonakalisa ukuba zisebenzisekile ekunciphiseni ezinye iimpawu ze-BPD.
I-Anti-depressants ingenye yeeklasi eziqhelekileyo eziqhelekileyo zemithi ye-BPD.
Ngoxa i-anti-depressants yodwa ingayi kuvelisa ngokupheleleyo kwi-BPD, inokukunceda ukuba ufumane iimpawu zakho phantsi kolawulo olwaneleyo ukuba i-psychotherapy iya kuba luncedo kuwe.
Ukunyanzeliswa kwe-BPD kunokucetyiswa ukuba unesifo sokudandatheka okanye i-psychiatrist yakho ilindele ukuba bancede ngeempawu zakho zengqondo ezihambelana ne-BPD.
Iintlobo ze-Antidepressants
Kukho iintlobo ezahlukeneyo zokuxhatshazwa. I-anti-depressants echazwe ngokuqhelekileyo ibizwa ngokuthi "i-serotonin sele i-reuptake inhibitors" okanye i-SSRIs. Ezi zonyango zomsebenzi ngokuguqula ukutholakala kwe- neurotransmitter serotonin kwingqondo yakho. Ezinye imizekelo ziquka:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Prozac (i-fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
Ezinye iintlobo ze-antidepressants ezimiselweyo ziquka "i-tricyclic" kunye ne "monoamine oxidase inhibitors," okanye i-MAOIs. Ezi zonyango zikhulile kwaye zinemiphumo embi kakhulu, ngoko ke ayinqunywanga ngokuqhelekileyo.
Ezinye i-tricyclic ziquka:
- Elavil (amitriptyline)
- I-Anafranil (i-clomipramine)
- ETofranil (imipramine)
Amanye ama-MAOI afaka:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
Ekugqibeleni, kukho ezinye iintlobo zeengcinezelo ezichazwe ngokuqhelekileyo, kuquka:
- Wellbutrin (bupropion)
- I-Cymbalta (duloxetine)
- Effexor (venlafaxine)
Ukuxhatshazwa kwe-BPD - Ngaba iphumelele?
Uninzi lweengxelo zophando lubonise ukuba iintlobo ezithile ze-anti-depressants zisebenza kakuhle ekuphatheni iimpawu ezithile ze-BPD. Ngokomzekelo, i-SSRI inokunciphisa ukungazinzi ngokomzwelo , ukunyaniseka , ukuziphatha kakubi , kunye nomsindo . I-MAOIs iye yaboniswa ukuphatha kakuhle ukungazinzi ngokomzimba.
Kukho ubungqina obuncinci bokuthi i-tricyclic anti-depressants inceda abantu abane-BPD. Nangona kukho ubungqina bokuba abanye abantu abane-BPD basabela kakuhle kulolu hlobo lokuxhatshazwa kwengqondo, olunye uphando olwenziwe uphando lubonise ukuba abantu abaneBPD abathatha i-tricyclic bafumana ukwanda kweengcinga zokuzibulala kunye neengcinga ze- paranoid .
Iingozi kunye Neempembelelo Zecala ze-Anti-depressants
Izingozi kunye nemiphumo yecala ye-anti-depressants ingahluka ngokuxhomekeka kuhlobo lokuxhatshazwa kwengqondo oluthathayo. I-SSRI inokuba nemiphumo emibi kakhulu kodwa ingavelisa iziphumo ezifana nokunciphisa isidlo, intloko, ukulala, ukulala, kunye nokuhlukumeza ngokwesondo.
I-tricyclic antidepressants inokuvelisa umlomo owomileyo, umbono ophazamisayo, ukufumana ubunzima, ukuxhamla, kunye neengxaki zeentliziyo. Kulabo bathatha i-MAOIs, ukutya okuthe ngqo okuphezulu kwi-amino acid tyramine (umzekelo, isobho soysi, i-cheese elidala) kufuneka kugwenywe ngenxa yengozi yokunyuka kwengcinezelo yegazi.
Ukongezelela, kukho iintlobo ezininzi zamachiza ezinokusebenzisana kakhulu kunye ne-MAOIs, ngoko rhoqo xubusha ngamachiza akhoyo ngoku kunye nogqirha kunye nekhemisti.
Imibuzo Yengqondo Yakho
Kufuneka uxoxe nomculi wakho weengqondo ngaphambi kokuba uqale ukuthatha nawaphi na amayeza e-BPD . Ukuba unenkxalabo (kuquka ezinye zezo zixubusha ngasentla), makabe wazi. Qinisekisa ukuba uyayiqonda ingozi kunye nemiphumo emibi kwaye qi niseka ukuba nencoko ejulile malunga nezizathu ochazwe ngamachiza athile. Nazi ezinye iimbuzo ongathanda ukuzibuza:
- Ziziphi iimpawu obulindele ukuba le mayeza aphendule?
- Ngaba kukho ingozi ethile okanye imiphumo engafanele ndiyilinde?
- La mayeza aya kuthintana njani namanye amayeza endithathayo?
- Ndingafuna ixesha elingakanani ukuthabatha le nyilisi ngaphambi kokuba ndiqale ukuqaphela imiphumo?
- 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.