Ka linako tse ling ho kula ha motho ka linako tse ling ho phekoloa ka meriana ea ho tšoenyeha kapa ho tepella maikutlong, e bontšitsoeng ho fokotsa tse ling tsa matšoao a borderline bongoal disorder (BPD) . Ha hona joale ha ho na meriana e amoheletsoeng ke FDA ho phekola BPD, li fumanoe li atleha maemong a mang. Hape, meriana e ka sebelisoa ho phekola maemo a kelello a atisang ho kopana le BPD, e kang ho kula ho tebileng haholo.
Meriana e ka ba e atlehileng ka ho khetheha bakeng sa BPD ha e sebelisoa hammoho le kelello ea mafu le mekhoa e meng ea phekolo .
Ho tepella maikutlo
Le hoja batho ba nang le bothata ba ho tepella maikutlo ba hlahisitsoe ke batho ba nang le bothata bo boholo ba ho tepella maikutlo le mathata a mang a khethollohileng, batho ba bangata ba nang le BPD ba alafuoa ka meriana ena.
Ho na le mefuta e 'maloa ea li-anti-depression tse ithutiloeng bakeng sa ho sebelisoa le BPD, ho kenyelletsa le tricyclic le tetracyclic antidepressants , monoamine oxidase inhibitors (MAOIs), le serotonin reuptake inhibitors (SSRIs) e khethollang . Lipatlisiso li bontšitse hore meriana ena e ka thusa ka ho hlomoha, ho nyahama, ho tšoenyeha le maikutlo a ho fetoha maikutlong hangata ao batho ba nang le BPD ba nang le 'ona, empa ha ba bonahale eka ba na le tšusumetso e matla matšoao a mang a lefu lena (mohlala, bohale, ho se nahane) .
Lintho tse tloaelehileng tsa ho tepella maikutlo li kenyelletsa:
- Nardil (phenelzine)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Effexor (venlafaxine)
- Wellbutrin (bupropion)
Antipsychotics
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. Ho tloha nakong ena, ho fumanoe hore li-antipsychotics li ka ba le phello e ntle litabeng tse fapaneng tsa mathata a se nang kelello, ho akarelletsa le BPD.
Li-antipsychotics li bontšitsoe ho fokotsa khatello ea kelello, ho nahana ka bohale ba maikutlo, ho halefa / ho hloea, le ho se tsotelle ho bakuli ba nang le BPD.
Li-antipsychotics tse tloaelehileng li kenyelletsa:
- Haldol (haloperidol)
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Risperdal (risperidone) (Risperdal)
Mood stabilizers / Anticonvulsants
Meriana e nang le maikutlo a tsitsitseng, a kang lithium, le meriana e meng ea anti-seizure, e 'nile ea sebelisoa ho tšoara boitšoaro bo se nang maikutlo le liphetoho tse potlakileng maikutlong a amanang le BPD. Ho na le lipatlisiso tse bontšang hore lihlopha tsena tsa lithethefatsi li ka ba tsa bohlokoa ho BPD.
Matlafatso a tloaelehileng / anticonvulsants a kenyeletsa:
- Lithobid ( lithium carbonate )
- Depakote (valproate)
- Lamictal (lamotrigine)
- Tegretol kapa Carbatrol (carbamazepine)
Anxiolytics (Anti-Anxiety)
Hobane batho ba nang le BPD le bona ba atisa ho tšoenyeha haholo, ka linako tse ling meriana ea ho fokotsa khatello ea kelello e boleloa. Ka bomalimabe, ho na le lipatlisiso tse fokolang tse tšehetsang tšebeliso ea meriana e khahlanong le matšoenyeho ho phekola BPD. Hape, ho na le bopaki bo bong ba hore ho sebelisoa sehlopha se khethehileng sa anxiolytics, benzodiazepines (mohlala, Ativan, Klonopin), e ka 'na ea baka tšenyo e mpe ea matšoao bakeng sa batho ba bang ba nang le BPD,' me e lokela ho etsoa ka hloko.
Benzodiazepines e kotsi ka ho khetheha bakeng sa ho sebelisoa ke batho ba nang le mathata a ho sebelisoa ha likokoana-hloko hobane li ka ba tloaelo. Buspar, khatello ea kelello e sa tloaelehang, ke mokhoa o mong oa meriana ea lelapa la benzodiazepine .
Lintho tse tloaelehileng tsa ho tšoenyeha li akarelletsa:
- Ativan (lorazepam)
- Klonopin (clonazepam)
- Xanax (alprazolam)
- Valium (diazepam)
- Buspar (buspirone)
Tse ling tsa Meriana ea Boipheliso ea Mokhabo-kakaretso
Ha re ntse re ithuta ho eketsehileng ka lisosa tsa BPD, meriana e mecha e ntse e ntlafatsoa le ho hlahlojoa ke lefu lena. Ka mohlala, liphuputso tse entsoeng morao tjena li bontša hore omega-3-fatty acid supplement e ka lebisa ho fokotseha pefo le maikutlo a bora ho batho ba nang le BPD.
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.
Triebwasser, J, le Siever, LJ. "Pharmacotherapy ea Bothata ba Botho." Journal ea Bophelo ba kelello, 16: 5-50, February 2007.
Zanarini, MC, Frankenburg, FR. "Kalafo ea Omega-3 fatty acid ea basali ba nang le bothata ba botho ba borderline: Tlhahlobo ea lifofane tse laoloang ka bobeli, e nang le sebaka se se nang mahlo." Journal of American Psychiatry, 160: 167-169, 2003.