Antipsychotics e ka thusa ho ntlafatsa ho nahana le ho fokotsa bohale ka BPD
Setsebi sa hau sa mafu a kelello se ka 'na sa fana ka li -antipsychotics bakeng sa matšoao a hau a mang kapa a mang a methapo ea botho ba hao (BPD).
Ke Hobane'ng ha Antipsychotics e Bakiloe ke Batho ba Borderline?
Lentsoe "borderline" le entsoe hobane basebetsi ba kelello ba pele ba ne ba lumela hore matšoao a BPD a ne a le "moeling" pakeng tsa lefu la pelo le psychosis . Ka lebaka lena, e meng ea meriana ea pele e ileng ea lekoa bakeng sa BPD e ne e le li-antipsychotics.
Le hoja hona joale re tseba hore BPD ha e arolelane likarolo le lefu la kelello, mme lipatlisiso li bontšitse hore meriana ea li-antipychotic e ka atleha ho fokotsa tse ling tsa matšoao a BPD - haholo-holo, khalefo le bora, liphetoho tse matla tsa maikutlo, le matšoao a ts'oaetso, joalo ka ho nahana ka ho nahana. Ha ho buuoa, lipatlisiso li bontša hore li-antipsychotics ha li atlehe ho ntlafatsa matšoenyeho, maikutlo a tepeletseng maikutlo, le ho se ratehe ho BPD .
Ho phaella moo, le hoja tšebeliso ea nakoana ea li-antipsychotics e ka atleha BPD, molemo oa nako e telele le oa nako e telele oa ts'oaetso ea li-antipsychotic ke khang.
Mefuta ea Antipsychotics
Ho na le mefuta e 'meli e meholo ea li-antipsychotics: e tloaelehileng le e tloaelehileng.
Antipsychotics e tloaelehileng . Mefuta e mengata ea antipsychotics ke mefuta e fapa-fapaneng ea li-antipsychotic, tse tsejoang e le li-antipsychotics. Ha li sebelisoe hangata ka lebaka la bokhoni ba bona ba litla-morao tse tebileng joaloka mathata a ts'ebetso.
Tse ling tsa li-antipsychotics ke:
- Haldol (haloperidol)
- Navane (thiothixene)
- Stelazine (trifluoperazine)
Antipychotic Atypical . Mefuta e mengata ea li-antipsychotics ke moloko o mocha oa meriana ea antipsychotic, 'me e hlahisa tse fokolang tsa litla-morao tse amanang le mokhatlo. Li-antipsychotics tse tšeletseng tse sebetsang ka matla ke tsena:
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Abilify (aripiprazole)
- Geodon (ziprasidone)
- Risperdal (risperidone)
Litla-morao tsa Antipsychotics
Dithakinesia ea Tardive, phello e ka lehlakoreng e ka hlahang ho sebelisoa nako e telele ea li-antipsychotics, e akarelletsa mehato e sa laoleheng ea sefahleho, molomo, leleme, maoto le menoana. Ha e khonehe, 'me kotsi ea ho e hlahisa e phahame ka mokhoa o tloaelehileng oa li-antipsychotics ho feta li-antipychotic. Litla-morao tse ling tse ka 'nang tsa e-ba teng li bitsoa extrapyramidal matšoao , joaloka akathisia , maikutlo a matla a ho hloka botsitso le ho ferekana. Matšoao a Extrapyramidal a boetse a tloaelehile le a tloaelehileng ho feta a antipychotic. Matšoao a kotsi a lefu la pelo ke boemo bo sa tloaelehang empa bo le bobebe bo amanang le li-antipsychotics tse amanang le feberu e phahameng, delirium le ho thatafala ha mesifa.
Le hoja li-antipychotic tse kotsi li ke ke tsa baka matšoao a lefu la dyskinesia le matšoao a extrapyramidal, li amahanngoa le litla-morao tse ling tse kang boima ba 'mele, tsoekere e ncha ea lefu la tsoekere, ho phahama k'holeseterole, ho se sebetse ka thobalano le mathata a pelo. Ho phaella moo, tse ling tsa li-antipsychotics li na le litla-morao tsa bona tse khethehileng. Ka mohlala, phello e sa tloaelehang empa e ka 'nang ea e-ba kotsi ea tšoaetso ea antipyychotic clozapine ke agranulocytosis, ho fokotseha ha lisele tse tšoeu tsa mali.
Tlhokomelo ea kamehla ea lipalo tsa mali e hlokahala ha moemeli enoa a sebelisoa.
Joalokaha ho bontšoa, ho na le litla-morao tse ngata tse ka amanang le li-antipsychotics, 'me li fapana ka mofuta (ka tloaelo le tlhaho ea tlhaho ea likokoana-hloko) ea antipsychotic, hammoho le moriana ka mong. Haeba ngaka ea hao e laela meriana ea antipsychotic, etsa bonnete ba hore u hlahloba litla-morao le ngaka ea hau 'me u nke meriana joalokaha e laetsoe.
Ntho e ka tlaase
Ho phekola BPD ho hloka mokhoa o ikhethileng - ho bolela se u sebetsang ho uena ho ka 'na ha fapana le seo o sebetsang ho motho e mong. Ho tla nka nako bakeng sa uena le ngaka ea hau ho etsa moralo oa ho ntlafatsa tlhokomelo ea hau bakeng sa BPD ea hau, 'me morero ona o ka kenyelletsa meriana le psychotherapy .
Litaba tse monate ke hore ho na le mekhoa e metle ea phekolo e ka u thusang hore u ikutloe u le betere 'me u fole.
Lisebelisoa:
Albers LJ, Hahn RK, & Reist C. Handbook ea Lithethefatsi tsa Meriana , Mekhoa ea Meriana ea Ts'ebetso ea Meriana ea Selemo, 2008.
Mokhatlo oa Maiketsetso oa Amerika. (October 2001). Itloaetse Tataiso ea Phekolo ea bakuli ba nang le Borderline Personality Disorder. " Journal of American Psychiatry , 158: 1-52.
Ingenhoven, TJ, & Duivenvoorden, HJ (2011). Tšebeliso e fapaneng ea li-antipsychotics mongoaneng oa botho ba meeli: ho hlahloba litlhaku tsa li-placebo, litekanyetso tsa lits'ebeletso tsa lits'ebeletso tsa lik'hemik'hale litabeng tsa matšoao a matšoao. Journal of Clinical Psychopharmacology, 31 (4): 489-96.
Batšoaruoa, J., Völlm, BA, Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2010). Ho kenella litabeng tsa tlhokomelo ea litšebeletso bakeng sa bothata ba botho ba borderline. Database ea Cochrane ea Tlhahlobo e Tsitsitseng, Jun 16; (6): CD005653.
Triebwasser, J, le Siever, LJ. (2007). "Pharmacotherapy ea Bothata ba Botho." Journal ea Bophelo ba kelello, 16: 5-50, February 2007.