Izimbangela kunye nemiphumo yohlobo lwentsebenziswano
Ngelishwa, i- borderline disorder personality (BPD) iqhubana rhoqo kunye nezinye iimeko ezichaphazela impilo yengqondo. Utywala luyinto enye eqhelekileyo phakathi kwabantu abane-BPD.
Ubuninzi boTywala kwiBPD
Kukho ukuphazamiseka okuphawulekayo phakathi kokuphazamiseka kwezidakamizwa kunye nokuphazamiseka komntu. Olunye uphando olutshanje lufumene ukuba malunga nama-78% abantu abadala abaye bafumanisa ukuba bane-BPD baya kuba neengxaki zokusebenzisa izidakamizwa ngexesha elithile ebomini babo, oko kuchaza iimpawu kunye nekhosi ye-BPD kunye ne-disorder use usetyenziso ngexesha elifanayo .
Ukusetyenziswa kwezidakamizwa eziqhelekileyo phakathi kwabantu abane-BPD kukuba utywala, ulandelwa yi-cocaine kunye ne-opiates. Olunye uphando olutshanje lubonise ukuba malunga nabangama-63% abantu abane-BPD abathatha inxaxheba kwisifundo nabo babenenkinga yokusetyenziswa kotywala. Ngapha koko, isifundo sibonise ukuba abantu abaneengxaki zokusetyenziswa kotywala basebenzisa izihlandlo ezingama-3,35 ngaphezulu ukuba bafumaneke ukuba baneengxaki zomntu. Kucacile ukuba abo babesoloko behamba ngesandla.
Iimiphumo ze-Co-Occurring Alcoholism kunye ne-BPD
Ngelishwa, kukho ubungqina bokuba abantu abane-BPD kunye noxwala banomngeni obuninzi ebomini babo kwaye abaxhomekeke kuncinci kwonyango kunabantu abanengxaki eyodwa kuphela. Ngokomzekelo, abantu abanomnxila kunye ne-BPD abanamathuba amaninzi okuhlala bexhatshazwa kakubi ngokweziyobisi, banengxaki yokuzibulala nokuzibulala , kwaye banakho ukuzibandakanya kwezinye iindlela zokulutha, ezifana nokutya ngokugqithisa okanye ukugembula, kunokuba abo banxila nayo i-BPD.
Nangona kunjalo, unyango lunokuba luncedo kakhulu kulabo banamathela kuyo.
Kutheni utywala kunye ne-BPD Co-Occur Ngoko rhoqo?
Kungenzeka ukuba, iimeko ezininzi zilandelelanisa izinga eliphezulu lokubambisana kokusetyenziswa kotywala kunye neengxaki zomntu. Okokuqala, i-BPD kunye nokusela utywala kunokunokwabelana ngeendlela eziqhelekileyo zofuzo.
Oko kukuthi, ezinye zeengqikithi ezenza abantu babe mngcipheko ophezulu kwi-BPD banokudala umngcipheko ophezulu wokusela utywala.
Okwesibini, kunokubakho iimeko eziqhelekileyo zokusingqongileyo kwi-BPD. Ngokomzekelo, amava okuphathwa kakubi ebuntwaneni, njengokusetyenziswa kakubi ngokomzimba okanye ngokwesondo, okanye ukuphathwa kakubi ngokomzimba okanye ukunyanzeliswa, baye baxhamla kwiBPD kunye notywala.
Esinye isizathu esenza ukuba unxibelelwano phakathi kokusela utywala kunye nomngcipheko wobuntu ngumngcipheko kukuba abantu abane-BPD bangasebenzisa utywala ukuze banciphise amava amaninzi angamava ephawulekayo kwi-BPD. Ngenxa yokuba abantu abane-BPD banomdla oqinileyo, ukusetyenziswa kakubi kotywala kwi-self-drug kunokukhokelela ekuxhatshazweni okanye ekuxhomekeke kuyo.
Uphando lwesibini olutshanje olukhankanywe ngentla luchaza enye inkcazo enokwenzeka yokubambisana kwe-BPD kunye nokusetyenziswa kwezidakamizwa zokusetyenziswa kotywala, kunye ne-opiate kunye nokusetyenziswa kakubi kwe-cocaine, ezo zintathu zazo zihambelana kakhulu ne-BPD. Ngokusobala, utywala, i-opiates kunye ne-cocaine konke kuvuselela inkqubo ye-opioid (EOS) yokugcina i-oos, enomsebenzi wayo ukuphelisa intlungu kunye nokwenza umvuzo kunye nokuziphatha okuqinisayo. Izimpawu ze-BPD zixhunyiwe kwi-EOS ezingasebenzi kakuhle, ngoko unxibelelwano lunokuba ngaba abantu abane-BPD banokusetyenziswa kakubi kwezi zinto ezintathu kuba baqalisa i-EOS.
Ukufumana Uncedo loTywala kunye neBPD
Ukuba wena okanye umntu omkhathalelayo unenkathazo yobunxila kunye ne-BPD, kufuneka ufumane uncedo. Le mibandela mibili ayinakunyaniswa lula yedwa. Xhalela ugqirha wakho, fumana i-orrapist okanye uhlole i- Alcoholics engaziwa .
Imithombo:
Zanarini MC, Frankenburg FR, uHennen J, Reich DB, & Silk KR. "I-Axis I-Adxibity in Patients with Disorder Borderline Disorder: Ukulandelelwa Kwama-6-minyaka kunye nokubikezela kwexesha lokuKhutshwa." I-American Journal ye-Psychiatry , 161: 2108-2114, 2004.
Miller FT, Abrams T, Dulit R, & Fyer M. "Ukusetyenziswa kakubi kweziyobisi kwi-Borderline Personality Disorder." I-American Journal yeDrug & Alcohol Abuse , 19: 491-497, 1993.
UMorgenstern J, uLenenbucher J, uLabouvie E, kunye noMiller KJ. "Ukuxhatshazwa koTywala kunye nokuPhathwa kweziNtu kwiZiko loLuntu: IziNqanaba eziPhezulu kunye nokuHlanganiswa noTywala lweTyhuloji." I-Journal ye-Psychology engaqhelekanga , 106: 74-84, 1997.
I-Kienast, T., Abagcini, J., Bermpohl, F., & Lieb, K. "Ukugula kweMntu woLuntu oluMda kunye noLungiso lweComorbid: Epidemiology and Treatment." Deutsches Ärzteblatt International , 111 (16), 280-286. (2014).
Umbazi, i-RW, i-Wood, i-PK, i-Trull, i-TJ "Ukuxhatshazwa koMntu oPhezulu lweMida kunye neNkcitho yokuSebenza koBomi kwiSampula yoMmeli kaZwelonke." I-Journal of Personality Disorder s, 29 (2015).