Dzidza Zvakawanda Pamusoro Pemunhu Wemuganhu Wemhirizhonga Zviratidzo uye Kurapa
Unhu hwemamiriro ehutano hwakasangana hunovhiringidza, hunogumbura, uye hunooma kune vadiwa kuti vanzwisise. Izvi zvinonyanya kuitika kune vabereki kana vatarisi vanobata nevechiri kuyaruka vane borderline personality disorder (BPD).
Kunyange zvazvo tichiziva zvakawanda pamusoro pokuti mararamiro emuganhu anotarisa sei kune vanhu vakuru, tinoziva zvishoma nezvekuti chirwere ichi chinopa sei vechidiki.
Ichokwadi, kunezve kukakavara pamusoro pekuti zvakakodzera here kuongorora vechidiki vane BPD. Kunyange zvakadaro, nyanzvi dzakawanda dzinoti vana vaduku vanogona kuva neBPD, uye BPD yevechiri kuyaruka iye zvino yaonekwa sechirwere chekuongorora.
Vabereki vazhinji vane mibvunzo pamusoro pehupenyu hwemiganhu muvechiri kuyaruka. Vamwe vari kunetseka kuti vana vavo vari kuyaruka vari kuratidzira zviratidzo zve borderline personality disorder (BPD) , zvakadai sokunyanyisa uye kunowanzoita mafungiro , kusazvibata , kuzvikuvadza kana matambudziko muhukama. Vamwe vane BPD ivo pachavo uye vari kunetseka kuti vana vavo vachave vane chirwere. Nhau dzakanaka ndeyokuti pane kuve kwakakura kwekutsvakurudza pamusoro pehupenyu hwemuganhu muvechiri kuyaruka uye kune zvitsva zvitsva zuva rega rega zvichitibatsira kunzwisisa zviri nani vechidiki vane BPD.
Overview
Uyu mubvunzo unopikisana zvikuru; nyanzvi dzakawanda dzakaratidza kuti muganhu hwemiganhu haufaniri kuongororwa kune ani zvake ari pasi pemakore 18 kubvira pachokwadi, unhu hwavo hahuna hunyatsogadzirwa.
Mune shanduro yakapfuura yeDaagnostic uye Statistical Manual yeMental Disorders (DSM-5, kunyange zvakadaro, pane urongwa hunobvumira kuongororwa kwemunhu wepakati pekunge usati wava nemakore gumi nemasere. Zvechokwadi, urongwa uhwu hunobvumirawo kuongororwa kweBPD mune vana vari pasi pe13, asi izvi hazvisi nyore.
- Kuongororwa Borderline Adolescents
Zviratidzo
Kunyange zvazvo zviratidzo zveBPD sezvakanyorwa mumutemo mukuru weDMM-IV zvisingaenzaniswi nevechidiki nevakuru, dzimwe nyanzvi dzakaratidza kuti kune kusiyana kwevechiri kuyaruka kwezviratidzo zveBPD . Zviratidzo, zvakadai sekusava nekusagadzikana muhukama hwevanhu, kusazvibata, kusava nekusingaperi uye pfungwa isina kugadzikana yega, zvinogona kutarisa zvakasiyana mumakore ekuyaruka.
- Zviratidzo zvehutano hwemhirizhonga muvana vaduku
Prognosis
Pane imwe nguva, BPD yaifungidzirwa sehupenyu hurefu; kana iwe uine BPD, nyanzvi dzakatenda kuti unenge uine hupenyu hwako hwose uye kuti kurapwa kwaizoita sekusakwanisa kupora. Kutsvakurudza kwakaratidza, zvisinei, kuti nyanzvi idzi dzaive dziri kure nemakiratidzo: Muvanhu vakuru, vanenge 35 muzana yevanhu vane BPD havachakwanisi kusangana nemirairo yehutano mumakore maviri. Muvechiri kuyaruka, kuregererwa kwemari kwakanyanya kupfuura; ongororo inofungidzira kuti pakati pe 66 ne85% yevechiri kuyaruka neBPD haichazokwanisi kugadzirisa chirwere chekuongorora kwemakore maviri.
- Zviratidzo zveBorderline Personality muApplescents
Kuwanda
Kune humwe humwe uchapupu hunoratidza kuti kune mazinga akakwirira emuganhu hwemiganhu muvechidiki pane vechidiki. Izvi zvingave zvakabatana nechokuti vamwe vechidiki vanoratidza BPD mukuita zvinoenderana nezviitiko zvinokonzera, asi vazhinji vanowanzogona kuwana.
Somuenzaniso, zvidzidzo zvevarwere muzvipatara zvisina chirwere zvepfungwa zvakaratidza kuti vanenge makumi maviri kubva muzana vevarwere vakuru vanowana hutano hweBPD, asi 43 kusvika ku 53% yevatachiri vevechiri kuyaruka vanosangana neBPD . Muhuwandu hwehuwandu hwevanhu, huwandu hwehuganhu hwemuganhu muvechiri kuyaruka hwakanyanya kudarika kupfuura huri muhutano hwevanhu. Zvidzidzo zvakarongedza huwandu hwemagariro evanhu veBPD muvechidiki kubva pa3 kusvika ku14%. Ichi chichiri chichikwirira kupfuura chinotarisirwa huwandu hwemagariro evanhu veBPD kuvanhu vakuru (inofungidzirwa kusvika 1.4%).
Risk Factors
Zvimwe zvinokonzera kukanganisa kwehupenyu hwevechiri kuyaruka zvakafanana zvikuru nehutano hwevanhu vakuru.
Ichokwadi, dzakawanda zvezvakatipoteredza zvinokonzerwa neBPD zvinoitika paudiki. Semuenzaniso, kushungurudzwa kwevana uye kusaregererwa, pamwe nekuparadzaniswa kwevabereki kana kurasikirwa, kwakabatanidzwa nehuganhu hwemuganhu kune vanhu vakuru uye vechidiki. Kutsvakurudza kwakawana zvakare kuti vana vane vabereki vane utano husina kunaka hwehutano (semuenzaniso, kuora mwoyo, kushandiswa kwezvinodhaka kana kusagadzikana kwevanhu ) zvakare kune ngozi yakawanda yeBPD. Mukuwedzera, pane zvimwe zviitiko zvekuchengetedza zvinokonzerwa neBPD, zvakadai semuviri wechirwere chechirwere chinotora nhaka.
Kudzivirira
Kana uri kunetseka kuti mwana wenyu ari kuyaruka angava pangozi yekuvandudza BPD zvichienderana nehupenyu hwehutachiona hunokonzerwa nehutachiona (semuenzaniso, kushungurudzika kwepfungwa) kana zviitiko zvekuchengetedzeka kwezvirwere (semuenzaniso, chiyero chekutanga chechirwere nechirwere), iwe uchafara kuziva kuti Nyanzvi dzinofunga kuti kune vamwe vechidiki kune nzira dzekudzivirira chirwere chacho.
Mishonga
Zvinosuruvarisa, pane zvishoma zvitsvakurudzo pamusoro pekubudirira kwemishonga yakasiyana yevechiri kuyaruka neBPD. Isu tiri kuita zvitsva, zvisinei, pakunzwisisa maitiro ekubata zvakanaka vana vane BPD. Mhando dzakasiyana-siyana dzepfungwa, dzinosanganisira chirwere chemaitiro chinonzi dialectical , inogona kubudirira nevechidiki vane ruzivo rwemiganhu. Mukuwedzera, kunyange pasina maDawa anogamuchirwa neDBA, kune mishonga yakaratidzwa kuderedza zvimwe zviratidzo.
Resources
Kuwana kurapwa kwakanaka kune munhu mukuru neBPD kwakaoma, asi kupa mamwe emakakatanwa ekuongorora hutano hwemiganhu muvechiri kuyaruka, kutsvaga mushonga kune wechidiki neBPD zvakanyanya kuoma. Nenzira yakanaka, vazhinji vanorera mahara vari kudzidziswa kubata vana vechidiki nehuwandu hwemiganhu.
Sources:
Aguirre BA. Borderline Personality Disorder In Adolescents: A Complete Guide for Understanding and Coping When Your Adolescence Has BPD . Mhepo Yakachena Press; 2007.
American Psychiatric Association. Kuongorora uye Statistical Manual ye Mental Disorders DSM-5. 2013 .
Friedel RO. Borderline Personality Disorder Inotsanangurwa: An Essential Guide ye Kunzwisisa uye Kurarama neBPD . Da Capo Press; 2004.
Sharp C, & Romero C. "Borderline Personality Disorder: Kuenzanisa Pakati pevana nevakuru." Bulletin yeMenninger Clinic . 71: 85-114, 2007.