Zvamunoda kuziva pamusoro pezvinodhaka zveBPD
Kunyange zvazvo psychotherapy inonzi inonyanya kukosha kwekurapwa kwemuganhu wehutano hwehutano (BPD) , vanhu vazhinji vanorayirwa kuora mwoyo kweBPD. Hapana mushonga FDA inogamuchirwa kutarisa BPD, asi dzakawanda dzakaratidza kuti dzinoshanda mukuderedza zvimwe zviratidzo zveBPD.
Anodzvinyirira ndeimwe yezvikoro zvinowanzopiwa zvakanyanya zvemishonga yeBPD.
Kunyange zvazvo vanorwara nehutachiona chete havazogadziri zvakakwana kubva kuBPD, vanogona kukubatsira kuwana zviratidzo zvako pasi pekugadzikana kwakakwana kuti psychotherapy inokubatsira iwe.
Anodzvinyirira BPD anogona kukurudzirwa kana une comorbid depression kana kana chiremba wako wepfungwa achitarisira kuti vabatsirwe nemararamiro enyu ehupenyu ane chokuita neBPD.
Zvinyorwa zveAnodepressants
Kune marudzi akawanda akasiyana-siyana evanhu vanodzvinyirira. Zvinonyanyozivikanwa zvinorambidzwa zvinodhaka zvinonzi "selective serotonin reuptake inhibitors" kana SSRIs. Iyi mishonga inoshanda nekushandura kuwanikwa kweeurotransmitter serotonin muuropi yako. Mimwe mienzaniso inosanganisira:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
Mamwe marudzi evanhu vanodzvinyirirwa anonyorwa zvinosanganisira "tricyclics" uye "monoamine oxidase inhibitors," kana MAOIs. Iyi mishonga yakakura uye ine mimwe migumisiro yakakomba, saka inowanzosarudzwa.
Dzimwe tricyclics dzinosanganisira:
- Elavil (amitriptyline)
- Anafranil (clomipramine)
- Tofranil (imipramine)
Dzimwe MAOI dzinosanganisira:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
Pakupedzisira, pane mamwe maitiro evanhu vanorwisana nevanorwara zvinowanzotaurwa, kusanganisira:
- Wellbutrin (bupropion)
- Cymbalta (duloxetine)
- Effexor (venlafaxine)
Anodzvinyirira BPD - Anoshanda Here?
Tsvakurudzo dzinoverengeka dzekutsvakurudza dzakaratidza kuti mamwe marudzi evanhu vanodzvinyirira vanobudirira mukurapa zviratidzo zvakananga zveBPD. Semuenzaniso, SSRI inogona kuderedza kusagadzikana kwepfungwa , kushushikana , kuzvidzora kuzvibata , uye kutsamwa . MAOI akave akaratidzwawo kuti anobate zvakanaka kusagadzikana kwepfungwa.
Pane humwe huchapupu husingagumi hwokuti tricyclic inodzvinyirira inobatsira vanhu vane BPD. Nepo kune uchapupu hwokuti vamwe vanhu vane BPD vanopindura zvakanaka kune rudzi urwu rwekudzivirira mwoyo, imwe tsvakurudzo yakawanikwa yakawana kuti vanhu vane BPD vakatora tricyclics vakawana kuwedzera kwekuzviuraya nekufungidzira.
Njodzi nemigumisiro yechirwere yeAnode-depressants
Ngozi nemigumisiro yezvinodhaka zvinogona kusiyana zvichienderana nerudzi rwekudzivirira mwoyo uri kutora. SSRIs inowanzova nematambudziko akaoma asi inogona kubudisa migumisiro yakadai sokuderedza kudya, kushaya musoro, kusuruvara, sedation, uye kusagadzikana kwepabonde.
Tricyclic vanodzvinyirira vanogonawo kubudisa muromo wakaoma, kusvibiswa kwemaonero, kuwedzera kuwanda, kugumburwa, uye zvinetso zvemwoyo. Kune avo vanotora MAOIs, zvimwe zvokudya zvinowanikwa muamino acid tyramine (semuenzaniso, soy sauce, ane cheese yakawanda) inofanira kudziviswa nekuda kwekuda kwekukudzwa kwemazipa emuropa.
Mukuwedzera, pane mhando dzakasiyana dzemishonga inobatanidza zvakakomba nemaMaoIs, saka taurai nezvemishonga yenyu ikozvino nachiremba uye wemhizha.
Mibvunzo yeWe Psychiatrist
Iwe unofanirwa kutaurira chiremba wako wepfungwa usati watanga kutora chero rudzi rwemishonga yeBPD . Kana uine zvimwe zvinetso (kusanganisira zvimwe zvezvakakurukurwa pamusoro apa), regai iye azive. Iva nechokwadi chekuti unonzwisisa dambudziko uye nemigumisiro uye iva nechokwadi kuti uve nehurukuro yakadzika pamusoro pezvikonzero zvauri kurayirwa kune imwe mishonga. Heano mimwe mibvunzo yaungada kubvunza:
- Ndezvipi zviratidzo zvaunotarisira kuti mushonga uyu utaure?
- Pane njodzi dzakasiyana here kana kuti nemigumisiro yandinofanira kutarisa?
- Mishonga iyi ichabatana sei nemamwe mishonga ini ndiri kutora?
- Ndinoda nguva yakareba sei kutora mishonga iyi ndisati ndatanga kuona migumisiro?
- Iwe unofunga kwenguva yakareba sei ini ndichafanira kuva pamushonga uyu?
Sources:
American Psychiatric Association. "Ita mazano ekurapa kwevarwere vane Borderline Personality Disorder." American Journal of Psychiatry , 158: 1-52, Gumiguru 2001.
Albers LJ, Hahn RK, & Reist C. Handbook yeMapirchiatric Drugs , Current Clinical Publishing Strategies, 2008.