Borderline person's disorder dzimwe nguva inobatwa nemishonga yekuzvidya mwoyo kana kuora mwoyo, izvo zvakaratidzwa kuderedza zvimwe zviratidzo zve borderline personality disorder (BPD) . Nepo pane ikozvino hapana mishonga inogamuchirwa neRDA yekurapa BPD, yakawanikwa ichibudirira mune dzimwe nguva. Uyewo, mishonga inogona kushandiswa kugadzirisa mamiriro epfungwa anowanzobatana-neBPD, akadai sekutambudzika kukuru kwepfungwa.
Mishonga inogona kunge inonyanya kushanda kune BPD apo inoshandiswa pamwe chete nemapfungwa uye mamwe marapirwo .
Antidepressants
Kunyange zvazvo zvirwere zvinorwisana nehutachiona zvakanyatsokurudzirwa kune vanhu vane chirwere chikuru chekuora mwoyo uye zvimwe zvinetso zvinoratidzika nekunzwa mafungiro, vanhu vazhinji vane BPD vanorapwa nemishonga iyi.
Kune marudzi akawanda emishonga inopesana nezvinokonzerwa nekushandiswa neBPD, kusanganisira tricyclic uye tetracyclic antidepressants , monoamine oxidase inhibitors (MAOIs), uye sarotonin reuptake inhibitors (SSRIs). Kutsvakurudza kwakaratidza kuti mishonga iyi inogona kubatsira nechisuru, mafungiro asina kunaka, kushushikana, uye kugadzikana kwemanzwiro kazhinji kunowanikwa nevanhu vane BPD, asi havaiti seine simba rakasimba pane zvimwe zviratidzo zvechirwere (semuenzaniso, kutsamwa, kusagadzikana) .
Kazhinji zvinodzvinyirira zvinosanganisira:
- Nardil (phenelzine)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Effexor (venlafaxine)
- Wellbutrin (bupropion)
Antipsychotics
Izwi rokuti "borderline" rakagadzirwa nokuti vepfungwa vepfungwa vekare vaifunga kuti zviratidzo zveBPD zvaive "pamuganhu" pakati pehanaurosis uye psychosis. Nokuda kwechikonzero ichi, mamwe emishonga yokutanga yakaedzwa BPD yaiva antipsychotics. Kubva panguva ino, yakawanikwa kuti antipsychotics inogona kuva nemigumisiro yakanaka kune zvakasiyana-siyana zvekusagadzikana kwepfungwa, kusanganisira BPD.
Antipsychotics dzakaratidzwa kuderedza kuzvidya mwoyo, paranoid kufunga, kutsamwa / kuvengana, uye kusagutsikana mune varwere vane BPD.
Kazhinji antipsychotics inosanganisira:
- Haldol (haloperidol)
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Risperdal (risperidone) (Risperdal)
Maitiro Anodzivirira / Anticonvulsants
Mishonga nemafungiro ekusimudzira zvinhu, zvakadai se lithiamu, uye mamwe anticonvulsant (anti-seizure) mishonga, yakashandiswa kurapa mafungiro asina kufanira uye kuchinja nokukurumidza mumanzwiro anosangana neBPD. Pane tsvakurudzo dzinoratidza kuti makirasi aya emishonga anogona kunge akabatsira muBPD.
Maitiro anowanzogadziriswa / anticonvulsants anosanganisira:
- Lithobid ( lithium carbonate )
- Depakote (valproate)
- Lamictal (lamotrigine)
- Tegretol kana Carbatrol (carbamazepine)
Anxiolytics (Anti-Anxiety)
Nokuti vanhu vane BPD vanowanzosangana nekuzvidya mwoyo kwakanyanya, mishonga yekudzikisa kushushikana dzimwe nguva inorondedzerwa. Zvinosuruvarisa, pane zvishoma zvitsvakurudzo zvekusimbisa kushandiswa kwemishonga inopesana nekutambudzika kunobata BPD. Uyewo, pane humwe uchapupu hwokuti hunoshandiswa nedzimwe chikwata che anxiolytics, benzodiazepines (semuenzaniso, Ativan, Klonopin), inogona kukonzera kuwedzera kwezviratidzo kune vamwe vanhu vane BPD, uye inofanira kurongerwa nekuchenjerera.
Benzodiazepines inonyanya kutyisa kushandiswa nevanhu vanokonzera kushandiswa kwezvinhu zvinokonzerwa nemishonga nokuti vanogona kuva tsika-kuumba. Buspar, an anxiolytic iyo isiri tsika-kuumba, ndiyo imwe nzira yemishonga kubva kumhuri ye benzodiazepine .
Kazhinji anxiolytics inosanganisira:
- Ativan (lorazepam)
- Klonopin (clonazepam)
- Xanax (alprazolam)
- Valium (diazepam)
- Buspar (buspirone)
Mamwe Mamiriro Evanhu Vakatarisana Nezvemhirizhonga
Sezvatinodzidza zvakawanda pamusoro pezvikonzero zvinokonzerwa neBPD, mishonga mitsva iri kukurudzirwa uye kuongororwa nokuda kwechirwere. Semuenzaniso, zvakawanikwa kubva kuongororo ichangobva kuitika zvinoratidza kuti omega-3-fatty acid supplement inogona kutungamirira kuderedza kusagadzikana uye manzwiro evengo kune vanhu vane BPD.
Sources:
American Psychiatric Association. "Ita mazano ekurapa kwevarwere vane Borderline Personality Disorder." American Journal of Psychiatry , 158: 1-52, Gumiguru 2001.
Triebwasser, J, naSiever, LJ. "Pharmacotherapy yehutano hwevanhu." Nyaya yeMental Health, 16: 5-50, February 2007.
Zanarini, MC, Frankenburg, FR. "Omega-3 fatty acid kurapwa kwevakadzi vane borderline person disorder: A double-blind, placebo-controlled controlled pilot study." American Journal of Psychiatry, 160: 167-169, 2003.