Kudzora manzwiro asina kufanira
Maitiro ekusimudzira mararamiro emuganhu (BDD) zvinogona kubatsira mukuderedza zviratidzo zveBPD, kunyanya kukanganiswa kwepfungwa uye zviratidzo zvekusagadzikana . Aya mishonga yepfungwa yemishonga inowedzera kuendeswa kune vanhu vane BPD, kunyange p sychotherapy ichiri kuonekwa senzira inonyanya kukosha yekurapa. Ndezvipi zvinobatsira uye ngozi?
Ndezvipi Zvinodzivirira?
Izwi rokuti mood stabilizer rinoshandiswa kurondedzera chero mishonga inoderedza kuwandisa kwemasimba ane mafungiro, kana kuedza . Mhando dzakasiyana dzemishonga inorongedzerwa semafungiro emagariro evanhu vane BPD. Mishonga yakatanga kugadziriswa kugadzirisa kuputika, inonzi "anticonvulsants," inowanzonyatsorongerwa kuti mafungiro avo anogadzikana. Mienzaniso inosanganisira:
- Tegretol, Equetro (carbamazepine)
- Lamictal (lamotrigine)
- Trileptal (oxcarbazepine)
- Topamax (topiramate)
- Depakote (valproic acid, divalproex sodium)
Lithobid (lithium carbonate) inonzi anticonvulsant mood stabilizer iyo yave iri nguva yokurapa kwebipolar disorder kwemakore.
Maitiro Akabudirira Anogadzirisa Sei BPD?
Kutsvakurudza kwakakosha, asi kunoratidza kuti mafungiro emagariro anokwanisa kugadzirisa dzimwe zviratidzo zveBPD zvakajeka. Iyo yakanyanya-inodzidziswa mishonga isitium. Zvizhinji zvezvidzidzo izvi zvakatarira mukurapa kwekusagadzikana, asi kumwe kuongorora kwakaratidza kuti lithium inogona kushanda mukurapa BPD kutsamwa nekutsamwa.
Zvimwe zvidzidzo zvinoratidza kuti mamwe anticonvulsant mood stabilizers angabatsira kubata manzwiro uye zviratidzo zvepfungwa muBPD, uye rudzi rwakasiyana rwemishonga, runonzi atypical antipsychotics, runopa imwe nzira yekurapa.
Ngozi nemigumisiro yechipfuva cheMafodhi Anodzivirira BPD
Ngozi nemigumisiro yemishonga iyi inogona kusiyana zvichienderana nemhando yemafungiro emafungiro ari kutora.
Semuenzaniso, rimwe nerimwe reanticonvulsant mood stabilizer ine zvaro zvakasiyana-siyana ruzivo rwemufananidzo.
Lithium carbonate inogona kukonzera kushungurudzika kwepamuviri sekushushikana nekutuka; kurema kuwanda; acne; kudengenyeka (kuzunungusa); uye matambudziko ekufungidzira (somuenzaniso, kunzwa sokuti mafungiro ako anonoka kana kuti asina kufanira). Lithium inogona kuchinjawo itsvo dzako uye chirwere chetachiona, saka kuongororwa kweropa kunodiwa kutarisa basa ravo iwe uri kutora mishonga iyi. Lithium inogonawo kuve yakanyanyisa zvikuru mumitambo yakakura, saka haigoni kuiswa kune vanhu vane BPD avo vari pangozi yekuzviuraya.
Mimwe migumisiro inogona kuitika neanticonvulsants dzinosanganisira zviputi zvemakumbo, hupfumi, hurasi, kuneta, uye chirwere. Mukuwedzera, mamwe emishonga iyi anotakura mungozi yevashoma asi yakaoma migumisiro. Semuenzaniso, vanhu vanotora carbamazepine vanofanira kuongororwa nekuda kwekugoneka kwekugadzira agranulocytosis, chinhu chisingawanzozivikanwa chinoratidzwa nekuderera kukuru mumasero machena eropa. Dhiyabhorosi zvakare kunetseka nemamwe maitiro anticonvulsant anogadziriswa kweBPD.
Mibvunzo Yokubvunza Pfungwa Dzenyu
Taura nemuongorori wepfungwa pamusoro pezvimwe zvinhu zvinotinetsa iwe usati watanga kutora mamiriro ekusimudzira BPD. Iva nechokwadi chokuti unonzwisisa njodzi nemigumisiro pamwe chete nechikonzero (s) iwe uri kurayirwa mimwe mishonga.
Heano mimwe mibvunzo yaungada kubvunza:
- Ndezvipi zviratidzo zveBPD zvaunotarisira kuti mushonga uyu uite?
- Pane njodzi dzakasiyana here kana kuti nemigumisiro yandinofanira kutarisa?
- Mishonga iyi ichabatana sei nemimwe mishonga ine kutora?
- Ndichatora nguva yakareba sei kutora mishonga iyi ndisati ndatanga kuona migumisiro yayo?
- 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.
Belli H, Ural C, Akbudak M. Borderline hutano hwehutano: Bipolarity, stabilizers, uye atypical antipsychotics mukurapa. Zvinyorwa zveKliniki Yezvokurapa Ongororo: 4 (5): 301-308, 2012.