I-Psychotherapy, iMithi, iSibhedlele, kunye ne-Self-Help yeBPD
Kukho iintlobo ezahlukeneyo zonyango olusebenzayo kumngcipheko wobuntu bomda (BPD) . Ziziphi iindlela zokwelapha ezibonakala zihamba kakuhle, kwaye yintoni endimele ndiyazi malunga neendlela ezikhoyo?
Sibanzi
Ngokuqhelekileyo, i-BPD iphathwa ngokuhlanganiswa kwamachiza kunye ne-psychotherapy, nangona ngamaxesha enzima, abantu abane-BPD banokufuna ixesha elifutshane lokulaliswa esibhedlele ukuze bahlale bekhuselekile.
Ngoku kutshanje, izixhobo zokuncedisa ziye zaphuhliswa ukuze zongezelele unyango lwezithethe zeBPD.
Psychotherapy
I- psychotherapy yexesha elide, okanye "ukuthetha unyango," yinxalenye ebalulekileyo yonyango lweBPD. Uphando luye lwabonisa ukuba iintlobo ezininzi zeengqondo zengqondo zisebenza kakuhle ekunciphiseni iimpawu ze-BPD, kuquka:
- Ulwaphulo lwezoBomi (DBT)
I-DBT yindlela yokuqala yokusebenza kwengqondo (DBT) yindlela yokuqala yokusebenza kwengqondo yengqondo eyenziwa ukuba isebenze kubantu abaneengxaki zomntu ongekho emngceleni (BPD.) DBT yindlela yokuziphatha kwengqondo ekujoliswe kuyo ekugxilweni kwindlela iingcinga kunye neenkolelo ezinokubangela ngayo izenzo kunye nokuziphatha. Kule nyango, abantu bafunda indlela yokulawula ingxabano, kwaye bafunde izakhono zokubanceda bakwazi ukujamelana neemvakalelo ezinamandla. Ukucamngca ngengqiqo kuqukwa rhoqo. - I-Schema iTradio
I-Schema egxininiswe unyango luyeyona ndlela yonyango yokuziphatha kwengqondo yeBPD. I-Schema igxininise unyango lusebenza ngcamango yokuba iimfuno ezingagqibekanga ukususela ebuntwaneni zingakhokelela kwiindlela ezingenampilo zokucinga ngehlabathi. Eli culo lugxile ekujonganeni neenkolelo eziphathekayo kunye nokuziphatha kwaye kunoko kugxila kwiindlela eziphilileyo zokucinga nokujongana.
- Ukusetyenziswa kweMpilo ngokuSebenza
Ukusetyenziswa kweengcebiso ngokusekelwe kwiphrogram kuye kwafundwa kwinqanaba elithile le-BPD kwaye lunokunceda ngokuxhalabisa nokuxinezeleka kunye nokusebenza kwentlalo. Eli nyango lujolise ekuncedeni umxhasi ukuba aqaphele ingqondo-iingcamango zakhe neemvakalelo zakhe, kunye neengcamango neemvakalelo zabanye asebenzisana nabo. Ngokuqaphela ukuba uyakwazi ukubona ukuba ezi ngcamango zenza njani ukuziphatha kwakhe okanye ukuziphatha kwabanye.
- Utshintsho olujoliswe kwi-Psychotherapy
Ukuguqulwa kwengqondo kwimiba ye-psychotherapy iye yafundelwa i-BPD yaye ingaba yinto enhle okanye ingcono kunonyango lwendlela yokuziphatha ngokulandelana kwezi zifundo. Eli gulisa lisebenzisa umqondo wokudluliselwa kwemali esuka kumntu omnye ukuya kwenye, eyona nto ingundoqo kwiingqondo zengqondo . Ukugqithiswa kwengqondo kweengqondo kusetyenziswa ubuhlobo phakathi komxumi kunye nomgulisa ukwenzela ukuba ugqirha ubone indlela umthengi athetha ngayo kwabanye. Ingcali ingasebenzisa le nkcazelo ukuze incede umntu uphendule ngokuthe ngempumelelo kwezinye izidlelwane.
Mayeza
Nangona okwangoku akukho mishanguzo yomda wobunzima obunqatshelwe yi-FDA, uphando luye lwabonisa ukuba amanye amayeza anciphisa iimpawu ezithile zesifo. Amachiza angasetyenziswa ngokukodwa kwi-BPD xa isetyenziselwa ngokubambisana ne-psychotherapy. Ukongezelela ekuncediseni iimpawu ze-BPD, amayeza angancedisa kwiimeko zempilo yengqondo ekhoyo ngokufana noxinzelelo okanye ukudandatheka.
Ezinye zeemviwo eziqhelekileyo eziqhelekileyo zeBPD ziquka:
- Iingxaki zokuxhatshazwayo - Izidakamizwa zinganceda ngeemvakalelo ezinjengobuhlungu, kodwa azibonakali zinceda iimpawu ezinjengomsindo.
- I-Antipsychotics - I-Antipsychotics yileyinye imithi yokuqala yokusetyenziswa kwe-BPD kwaye inokuba luncedo ngakumbi kwiimpawu ezinengxaki ze-BPD ezinjengomsindo, ukungafuneki, kunye nokucinga kwe-paranoid.
- I-Anxiolytics (i-anti-anxiety medicaitons) - Ukuxhalabisa kunokuhamba ngokubambisana ne-BPD ukwenza ezinye zala mayeza ancedo, kodwa ezinye zazo ziyiinkemba ezimbini eziphambili ngenxa yobuchule bazo.
- Abaqinisekisi bemimoya / i-anticonvulsants - Ukuzinza kweempawu kunokuncedisa ngengcinga engachukumanga efana ne-BPD.
Ezinye iindlela zokwelapha ezinjenge-omega-3-fatty acids, ziphandwa kwakhona. Enyanisweni, uphando oluya kumhla alufumanekanga inzuzo enkulu kwiinkonzo ezininzi ze-BPD ngaphandle kwe-antipsychotics ye-atypical (izizukulwana zesibini zokulwa ne-antipsychotics), izigulisi zengqondo kunye ne-omega-3-fatty acids.
Bhedlele
Umngcipheko wobuntu borderline uhambelana namava evakalelwa kakhulu. Ngenxa yoko, abantu abaneBPD bangadinga unyango olunzulu lwe-BPD. Ngamanye amaxesha abantu abaneBPD bayangeniswa kwisibhedlele seengqondo ngenxa yokonyango olunzulu lwezonyango . Unyango olunefuthe lufuna ukuba uhlale ubusuku esibhedlele.
Olunye ukhetho lwonyango lubhedlele olusesikweni okanye unyango lwasemini. Ezi ziinkqubo ezinamandla kakhulu kunokwakheka kwengqondo yengqondo, kodwa akufuneki ukuba uhlale ubusuku bonke. Unokuba ubhalise kwisibhedlele esincinane okanye kwiprogram yosuku ukuba unokuya kwiinkathazo, okanye ukuba ukhululwe nje kwisibhedlele esinezigulane kwaye ufuna ixesha lokunyanga olunzulu ukuze uqinisekise ukuba ingxaki ayibuyisanga.
Uzinceda
Izicwangciso zokuncedisa i-BPD ziyinxalenye ebalulekileyo yiphina inkqubo yonyango. Kakade ke, oku kufuneka kusetyenziswe ukuncedisa ukunakekelwa kwiprogram efanelekileyo kwaye kungekhona yedwa. Isicwangciso esilungileyo sifaka ukufunda ngokubanzi njengoko unako malunga neengxaki zakho ngokusebenzisa imfundo yokuncedisa, ukufunda izakhono zokuphikisana kakuhle kwi-BPD , nokufumana iindlela zokukunceda ukubonisa nokulawula iimvakalelo zakho.
Kukho izibonelelo zoncedo ezizixabisekileyo ezifumanekayo kwi-BPD ezingasetyenziswa ngokubambisana neendlela ezininzi zonyango. Iincwadi kunye nezixhobo ze-intanethi zinika ulwazi malunga ne-BPD kwaye zibonisa iindlela zokujamelana neempawu.
Yintoni enokuyenza kwi-Emergengcy
Ukuba wena okanye umntu omthandayo unesifo sengxamiseko sempilo yengqondo, kubalulekile ukuba ufumane uncedo ngokukhawuleza. Ifowuni ye-911 okanye uye kwindlu egxininisayo. Ukuba kukho ubungqina bokuthi wena (okanye umthandayo) uyingozi okanye wena, ungeniswa kwisibhedlele esifutshane kwisigulane sokugula ngengqondo kuze kube yinto enzima. Kunconywa ukuba nabani na abahlala neBPD badibanise isicwangciso sokukhusela i-BPD . Kule cwangciso unokulindela ingxaki kwaye wenze isicwangciso malunga nendlela uza kulungisa ngayo iimvakalelo zakho ngaphambi kokuba zenze ingxamiseko.
Imithombo:
I-Combs, G., neL. Oshman. Iiparele zokuSebenzisana nabantu abanenkinga yokuBantu. Unonophelo loPhando . 2016. 43 (2): 263-8.
Abatheli, J., noK. Lieb. I-Pharmacotherapy ye-Borderline Personality Disorder - Ubungqina Bokukhoyo kunye nemikhombandlela yakamuva. Iingxelo zengqondo zengoku . 2015. 17 (1): 534.
Abagcini, J., Vollm, B., Rucker, G., Timmer, A., Huband, N., kunye no-K. Lieb. Iingqondo zengqondo zabantu abane-Disorder Personality Disorder. I-Cochrane Database yeeNkqubo eziPhezulu . 2012. 8: CD005652.