Seo u se hlokang ho tseba ka ho loantša maikutlo ho BPD
Le hoja psychotherapy e nkoa e le karolo e ka sehloohong ea phekolo bakeng sa bothata ba botho ba borderline (BPD) , batho ba bangata ba laetsoe ho imeloa kelellong bakeng sa BPD. Ha ho meriana e amoheloang ke FDA ho tšoara BPD, empa ba bangata ba ipakile ba atleha ho fokotsa tse ling tsa matšoao a BPD.
Ho imeloa kelellong ke e 'ngoe ea lihlopha tse tloaelehileng ka ho fetisisa tsa meriana bakeng sa BPD.
Le hoja batho ba nang le bothata ba ho tepella maikutlo ba ke ke ba hlaphoheloa ka botlalo ho tsoa BPD, ba ka 'na ba u thusa hore u fumane matšoao a hao ka taolo e lekaneng ea hore psychotherapy e tla u thusa haholoanyane.
Ho imeloa kelellong bakeng sa BPD ho ka kgothaletswa haeba o na le ho tepella maikutlo ha comorbid kapa haeba setsebi sa ts'ebetso sa mafu a kelello se lebeletse hore ba thuse ka matšoao a hau a maikutlo a amanang le BPD.
Mefuta ea ho tepella maikutlo
Ho na le mefuta e fapaneng ea li-anti-depressants. Mathata a tloaelehileng ka ho fetisisa a boletsoeng a bitsoa "selective serotonin reuptake inhibitors" kapa SSRIs. Meriana ena e sebetsa ka ho fetola ho ba teng ha serotonin ea neurotransmitter bokong ba hau. Mehlala e meng e kenyelletsa:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
Mefuta e meng ea li-anti-depressing tse fanoeng li kenyeletsa "tricyclics" le "monoamine oxidase inhibitors" kapa MAOIs. Meriana ena e kholo ebile e na le litla-morao tse tebileng haholo, kahoo ha li tloaelehe haholo.
Tse ling tsa tricyclics li kenyelletsa:
- Elavil (amitriptyline)
- Anafranil (clomipramine)
- Tofranil (imipramine)
Tse ling tsa MAOI li kenyelletsa:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
Qetellong, ho na le mefuta e meng ea li-anti-depression tse tloaelehileng, tse kenyeletsang:
- Wellbutrin (bupropion)
- Cymbalta (duloxetine)
- Effexor (venlafaxine)
Ho tepella maikutlo ho BPD - Na e atleha?
Lipatlisiso tse ngata tsa lipatlisiso li bontšitse hore mefuta e meng ea li-anti-depressing e atlehile ho phekola matšoao a itseng a BPD. Ka mohlala, SSRI e ka fokotsa ho se tsitse maikutlo maikutlong , ho hloka boithati , boitšoaro ba ho intša kotsi , le bohale . Li-MAOI li boetse li bontšitsoe hore li sebetsana hantle le ho se tsitse ha maikutlo maikutlong.
Ho na le bopaki bo fokolang ba hore tricyclic ea ho tepella maikutlo e thusa batho ba nang le BPD. Le hoja ho na le bopaki ba hore batho ba bang ba nang le BPD ba arabela hantle le mofuta ona oa ho imeloa kelellong, phuputso e 'ngoe ea lipatlisiso e fumane hore batho ba nang le BPD ba nkileng tricyclics ba na le keketseho ea ho ipolaea le maikutlo a phomolo .
Likotsi le Litholoana Tse Ntle Tsa ho Tepella Maikutlo
Likotsi le litla-morao tsa batho ba nang le bothata ba ho tepella maikutlo li ka fapana ho latela mofuta oa ho tepella maikutlo o ntseng o e-na le oona. SSRIs e atisa ho ba le litla-morao tse tebileng empa e ka hlahisa liphello tse kang ho fokotsa takatso ea lijo, ho hloohoa ke hlooho, ho hlobaela, sedation le ho se sebetse ka thobalano.
Tricyclic ho loantšana ha maikutlo ho ka boela ha hlahisa molomo o omileng, pono e phatsimang, ho ba le boima ba 'mele, ho tsieleha le mathata a pelo. Bakeng sa ba nkang MAOI, lijo tse itseng tse phahameng ka amino acid tyramine (mohlala, soya sauce, li-cheese tse seng kae) li lokela ho qojoa ka lebaka la kotsi ea khatello e phahameng ea mali.
Ho phaella moo, ho na le mefuta e mengata ea meriana e sebelisanang haholo le MAOI, kahoo kamehla buisanang ka meriana ea hau e teng hona joale le ngaka le setsebi sa meriana.
Lipotso tsa Psychiatrist ea Hao
U lokela ho bua le ngaka ea hao ea mafu a kelello pele o qala ho noa mofuta ofe kapa ofe oa meriana bakeng sa BPD . Haeba u na le matšoenyeho leha e le afe (ho akarelletsa a mang a a tšohloang ka holimo), a ke a tsebe. Etsa bonnete ba hore o utloisisa likotsi le litla-morao 'me u be le bonnete ba hore u na le puisano e tebileng ka mabaka ao u fuoang meriana e itseng. Tse ling tsa lipotso tseo u ka 'nang ua batla ho li botsa ke tsena:
- Ke matšoao afe ao u lebeletseng hore meriana ee e sebetsane le eona?
- Na ho na le likotsi tse itseng kapa litla-morao tseo ke lokelang ho li shebella?
- Meriana ee e tla sebelisana joang le meriana e meng eo ke e nkang?
- Ke hloka nako e kae ho noa meriana ee pele ke qala ho bona liphello?
- U nahana hore ke tla hloka meriana e kae?
Lisebelisoa:
Mokhatlo oa Maiketsetso oa Amerika. "Sebelisa Tataiso ea Phekolo ea bakuli ba nang le Borderline Personality Disorder." Journal of American Psychiatry , 158: 1-52, October 2001.
Albers LJ, Hahn RK, & Reist C. Handbook ea Lithethefatsi tsa Meriana , Mekhoa ea Meriana ea Ts'ebetso ea Meriana ea Selemo, 2008.