I rilru chu hmun khatah a awm lo em ni? I rilru put hmang thunun a harsa em? Borderline Personality Disorder (BPD) chungchang hi han sawi ila

A chang chuan i rilru put hmang i thunun thei lo ang maiin i inhria em, thil a rawn thleng rang lutuk che em? A nih loh leh, mi dangte nêna an inlaichînna tibuaitu tûr khawpa a rilru put hmang a danglam nghâl em em mi i hria em? Heng rilru put hmang awm chhan bulpui ber chu vawiin a kan sawi tur rilru dinhmun hi a ni mai thei. Hei hi Borderline Personality Disorder (BPD) an ti a ni.

He borderline personality disorder (BPD) an tih hi eng nge ni?

A awlsam zawngin, borderline personality disorder (BPD) hi rilru lam hriselna dinhmun a ni a, chu chu rilru natna (mood fluctuations) nasa tak , midang nena inzawmna nghet lo (instability in interpersonal relationships ) , leh impulsivity -te a ni.

BPD vei te hian kalsan hlauhna nasa tak an nei a . An rilru put hmang, a bik takin thinrimna tihreh harsa an ti bawk. An thiltih pawh hi rilru na takin an ti thei a, a châng chuan hlauhawm takin an che thei bawk (entir nân, ngaihtuahna fim lo taka lirthei khalh, mahni intihhlum tumna) . Chûng nungchang zawng zawng chuan mi dangte nêna inlaichînna ṭha neih chu a ti harsa thei a ni.

Borderline personality disorder hi mize natna chi khat ``Cluster B`` an tih a ni. He ``Cluster B`` personality disorder hi thil mak tak, a tam zawkah chuan thil mak tak tak a ni. Personality disorders hi nitin hnathawhna tibuaitu, chronic, dysfunctional behavior patterns a ni . Heng nungchangte hi tihdanglam harsa tak a ni a, hmun tinah a awm a, khawtlang harsatna leh rilru lama harsatna a thlen thei a ni.

Vawi tam tak chu BPD vei te hian he natna hi an nei tih an hre lo va, midangte nen pawh hrisel zawkin an awm thei tih leh an inzawm thei tih pawh an hre lo.

Heng natna pahnih hi BPD leh bipolar disorder an ti em?

Ni e, an pahnih inkarah hian danglamna chiang tak a awm. Bipolar disorder hian rilru leh nungchangah pawh inthlak danglamna lian tak a nei a, mahse BPD nen chuan a danglam hle.

BPD-ah chuan, rilru hahna nasa tak kan tawh hunah, a bîk takin mi dangte nêna inbiak hunah, rilru leh nungchang chu a danglam rang thei a, a danglam nghal thei bawk . Bipolar disorder-ah chuan moods hi a sustained zawk , pawn lam thil thleng pawh chutiang chuan an chhang rang lo. Bipolar disorder vei te hian an chakna leh an hnathawhnaah inthlak danglamna lian tak an nei a, hei hi BPD vei te nen a danglam hle.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Mihring nihna lama harsatna tam tak hi tleirawl lai aṭanga inṭan a ni a, chutih lai chuan i mizia chu a la ṭhang chho zel a, a la puitlin zel bawk.Chuvangin borderline personality disorder vei hmuhchhuah tam zawk hi kum 18 chunglam an ni.

Tu pawhin BPD an vei thei a, mahse i chhungkuaa mi pakhatin BPD (chhungkaw history of BPD) a neih chuan i vei tam zawk . He hlauhawmna hi rilru lam natna dang, lungkhamna, lungngaihna, a nih loh leh ei leh in lama harsatna nei te tan pawh a sang zawk a ni .

BPD vei hmuhchhuah zinga 75% vel chu hmeichhia an ni , mahse zirchianna chuan mipa pawhin he natna hian a nghawng thei tih a tarlang. Mahse, Post-Traumatic Stress Disorder (PTSD) emaw, depression emaw neia hriat sual an ni thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Borderline personality disorder hi a awm lo hle a ni . United States-a puitling zinga 1.4% vel chuan BPD an nei a ni.

Borderline personality disorder (BPD) natna lan chhuah dan chu engte nge ni?

BPD symptoms hi i tleirawl hnu lam emaw puitling tir lam emaw ah a lang tlangpui . Heng symptoms te hi thil rapthlak tak emaw, stressful experience emaw avanga lo awm emaw, a zual emaw thei a ni.

Hun a kal zel a, heng symptoms te hi a tlahniam tlangpui a, a bo vek thei hial a ni.

Symptoms hi manageable atanga na tak tak thlengin a awm thei. A hnuaia symptoms te hi combination eng pawh i hmu thei ang:

• Kalsan hlauhna: BPD vei te hian mahni chauha awm nuam lo tih hi thil awmze nei tak a ni. An kalsan emaw, ngaihsak loh emaw anga an inhriat hian hlauhna emaw, thinurna emaw nasa tak an nei thei a ni. An hmangaih tak takte chu zawngin, an chhuahsan loh nân an bei mai thei a ni. A nih loh leh, hnawl an hlauvin, an hnaih lutuk hmain mi an hnawtchhuak thei bawk. Message i chhan tlai deuh a, "Min kalsan" tia i ṭhian pakhat chu a lungawi lo hle tih han mitthla teh.
• Inzawmna nghet lo, nghet lo: BPD vei te hian mimal inlaichinna hrisel tak neih chu harsatna an nei a, a chhan chu midangte ngaihtuah dan chu rang tak leh nasa takin an thlak danglam thei a ni. Vawi khat chu mi pakhat chu pathian angin an en a, a dawt lehah chuan hlutna nei lo angin an en mai thei. Hei hi a lehlamah pawh a ni thei. An inṭhianṭhatna te, inneihna te, leh chhûngkaw nêna inlaichînna chu a buaithlâk a, a nghet lo fo ṭhîn.
• Mahni inhriatthiamna (unstable self-image) emaw, mahni inhriatthiamna emaw:BPD vei te hian mahni inhriat dan dik lo, chiang lo tak an nei fo thin. An inthiam lo va, an zak fo va, "mi sual" angin an inhria fo bawk. Anmahni inhriatna chu nasa takin an thlak danglam thei a, an thil tum te, an ngaihdan te, an hna te, leh an ṭhiante chu an thlak danglam thei a ni. Anmahni hmasawnna pawh an tichhe thei bawk. Entirnan, exam "fail" turin an thawk thei a, inlaichinna tichhe turin an thawk thei a, an hna atanga ban an ni thei bawk.
• Mod changes rang: BPD vei te hian midangte, anmahni leh an chhehvel khawvel te an ngaihdanah inthlak danglamna rang tak an tawk thei a ni. Thinrimna, hlauhna, lungkhamna, huatna, lungngaihna, leh hmangaihna ang chi rilru dik lote chu rang tak leh rang takin a danglam thei a ni. Heng inthlak danglamna te hi darkar tlemte chauh a ni tlangpui a, ni engemaw zat aia rei pawh a awm lo.
• Thiltih duh lo leh hlauhawm tak: BPD vei zingah hian lirthei khalh duh lo, insual, khelh, ruihhlo hman, ei tam lutuk, leh/ emaw, mipat hmeichhiatna hman dan him lo hi a awm fo thin.
• Mahni intihhlum emaw, mahni intihhlum duhna emaw tih nawn fo: BPD vei te hian an taksa an tikehsawm thei a, an hal thei a, an intihhlum thei bawk a, chutianga tih an vau thei bawk. Mahni intihhlum tumna an nei thei bawk. Heng mahni intihhlumna thiltih hi mi pakhatin a hnawl emaw, kalsan anga a inhriat emaw, a enkawltu emaw, a hmangaih emaw avanga a beidawn hian a thleng fo thin.
• Thil engmah lo anga inhriatna awm reng: BPD vei tam tak chuan lungngai, bo, tihhlawhtlin loh, leh "empty" tiin an inhria. Hlutna nei lo anga inhriatna leh mahni inhuatna te pawh a awm fo.
• Thinrimna dan tur chungchang: BPD vei te hian an thinrimna thunun an harsat a, an thinrim hle bawk. An thinrimna chu fiamthu râpthlâk tak tak hmangin, ṭawngkam râpthlâk tak tak hmangin, a nih loh leh au chhuahpui leh chhe lutuk hmangin an sawi chhuak thei a ni. Chutiang hun hnuah chuan an zak a, an inthiam lo mai thei.
• Temporary paranoid thoughts: A chang chuan dissociative episodes , paranoid thoughts i tawng thei a, a chang chuan thil awm lo (hallucinations) i hmu emaw i hre emaw thei bawk. Hengte hi stress nasa tak i tawh laiin a thleng tlangpui a, a bik takin kalsan i hlauh lai hian a thleng thin. Heng symptoms te hi hun eng emaw chen atan a ni a, a tlangpuiin natna hran anga ngaih theih khawpin a na lo.

A pawimawh ber chu borderline personality disorder nei zawng zawng hian heng symptoms zawng zawng hi an nei vek lo. A natna lan chhuah dan nasat dan te, a lo awm fo dan te, eng chen nge a awm tih te hi mi hrang hrangah a inang lo.

Hei hi eng chhan nge ni thei ang?

Doctor-te chuan thil hrang hrang inzawmkhawm hian BPD a thlen niin an ngai. A bulpui berte chu:

• Naupan laia tihduhdahna leh trauma: BPD vei zinga 70% vel chuan naupang an nih laiin mipat hmeichhiatna lam, rilru lam emaw, taksa lama tihduhdahna an tawk tawh a ni. Nu atanga inthen, nu nena inlaichinna tha lo, chhungkaw chhunga ramri mumal lo, leh nu leh pate ruihhlo ngawlvei te pawh hi BPD nen hian a inzawm tlat a ni.
• Genetics: Zirna hrang hrangah chuan borderline personality disorder hi chhungkuaah a kal tih hmuhchhuah a ni. I chhungkuaa mi pakhatin BPD a vei chuan i vei tam zawk a, mahse i vei ngei ang tih erawh a chiang lo.
• Brain changes: BPD vei te rilru leh nungchang thununtu thluak peng hrang hrangte hi an inbiakpawhna mumal lo. Heng harsatnate hian an thluak hnathawh dan a nghawng a ni.

Engtin nge he dinhmun hi i hriat theih?

Naupan lai leh tleirawl lai pawhin mize a lo awm chhunzawm zel avangin doctor-te chuan kum 18 an tlin hmain borderline personality disorder nei mi an hmuchhuak lo tlangpui a, mahse, a tlem berah chuan kum 18 hnuai lam mi chu an natna lan chhuah dan a nasat em em a, kum khat tal a awm tawh chuan BPD a vei tih hmuhchhuah a ni thei.

Borderline personality disorder, personality disorder dangte pawh tiamin, hriat chian a harsa deuh thei a, a chhan chu personality disorder nei tam tak chuan midangte tibuaitu nungchang leh ngaihtuahna an hriat loh vang a ni.

Ṭanpuina an zawng a nih pawhin, chu chu mize dik lo (personality disorder) vang a ni lo. Chu ai chuan an personality disorder nena inzawm harsatna (e.g., inthenna, inzawmna hloh) avanga lungkhamna emaw, lungngaihna emaw ang chi dinhmunte tan tanpuina an zawng zawk a ni.

Licensed mental health professional – psychiatrist , psychologist , emaw clinical social worker – chuan BPD a nei tih a hmuchhuak thei. American Psychiatric Association-in Diagnostic and Statistical Manual of Mental Disorders (DSM) -a BPD tehfung chu an hmang a ni.

Chutianga tih theih nan chuan:

• Interview kimchang neih a ni a, symptoms chungchang sawiho a ni.
• Mimal damdawi lam chanchin leh chhungkaw damdawi lam chanchin zawh a ni a, a bik takin rilru lam hriselna dinhmun chungchang zawh a ni.
• Hna hmasa te zawhfiah.
• An ngaihtuahna rang tak chu an thunun thei em tih an zawt thin.

Mental health professional-te chuan chu mi chhungte leh ṭhiante chu an biak fo ṭhin a, an nungchang leh an chanchin kimchang zawk an la khawm ṭhin.

Hei hi eng enkawlna nge ni?

Tunhma atang tawh khan BPD enkawl hi thil harsa tak a ni. Mahse, enkawlna thar, evidence-based treatment hmangin BPD vei tam tak chuan an natna lan chhuah dan a tlahniam a, a nasat dan a tlahniam a, hnathawh a ti tha a, nunphung a ti tha zawk bawk.

Mahse, inenkawlna \ha tak takte chuan hun, dawhtheihna, leh inpekna a mamawh a ni.Enkawlnaah hian psychotherapy (talk therapy), damdawi emaw, a pahnih emaw pawh a tel thei.

Stress nasa tak i neih emaw, nangmah emaw, midang emaw tihnat hlauhawmna i neih chuan i doctor chuan hun rei lote chhung damdawi inah dah turin a rawt thei che a ni. Damdawi ina i awm chhung hian i doctor chuan enkawlna tur ruahmanna siam turin a thawkpui ang che.

Borderline personality disorder nei te hian rilru lam hriselna lama harsatna dang an nei fo thin:

• Mood disorder (BPD vei zinga 80% leh 96% inkar) .
• Lungkhamna (88%) .
• Substance hmansualna (64%) 1.1.
• Ei leh in lama harsatna (53%) .
• Attention-deficit/hyperactivity disorder (ADHD) (10% leh 30% inkar) a ni.
• Bipolar disorder (15%) a awm a, a rilru a hah hle.
• Somatoform natna (10%) 1.1.

Hetiang dinhmun dang an neih chuan chu pawh chu enkawl a ngai a ni.

BPD tan rilru lam enkawlna (psychotherapy) a ni

Psychotherapy hi BPD enkawlna ber a ni. Therapy tum ber chu i ngaihtuahna leh nungchang hnuaia chêttîrtu leh hlauhna awmte hriat chhuah a, mi dangte nêna ṭha zâwka inzawmna zir tûra ṭanpui che a ni.

BPD natna atana pui thei tur enkawlna hrang hrang a awm a:

• Dialectical Behavior Therapy (DBT): Hetiang therapy hi BPD vei tan bik a siam a ni. DBT hian i nun leh i nungchang tak tak pawm tura puih che a tum ber a, i nun tihdanglam dan zir a tum a, chutah chuan nungchang \angkai lo tak takte pawh a tel a ni. Emotion chak tak enkawl dan tur te, mahni intihhlumna tihziaawmna tur te, leh inlaichinna tihchangtlunna tur te thiamna a zirtir a ni.
• Cognitive Behavioral Therapy (CBT): Hei hi enkawl dan tur ruahmanna felfai tak, targeted treatment a ni. I therapist emaw psychologist emaw chuan i ngaihtuahna leh rilru put hmang en turin a pui ang che. I ngaihtuahnain i thiltih a nghawng dan i zir ang. CBT hmang hian ngaihtuahna leh nungchang tha lote thlahthlam i zir thei a, ngaihtuahna leh tih dan hrisel zawk i siam thei bawk.
• Group therapy: Hei hi rilru lam enkawlna chi khat a ni. Hemiah hian mipui pawl khat chu an inkhawm a, an harsatnate chu therapist emaw psychologist emaw enkawlna hnuaiah an hrilhfiah a, an sawiho thin. Group therapy hian BPD vei te chu midangte nena inpawh tawnna tha zawk leh an rilru put hmang tha zawka an lantir theih nan a pui thei a ni.

BPD damdawi hman tur

Borderline personality disorder damdawi hman hlawkna a chiang lo avangin doctor-te chuan BPD enkawlna ber atan damdawi an pe lo tlangpui.

Mahse, ṭhenkhatah chuan rilru lam doctor chuan natna lan chhuahna chiang tak emaw, rilru lam hrisêlna dang awm dun emaw enkawlna atân damdawi a pe thei a ni. Damdawi hian lungkhamna leh lungngaihna a tidam thei a, mood swings a control thei a, impulsive behavior a control thei bawk. Antipsychotic/Neuroleptic damdawi hian BPD vei thenkhat a pui thin.

Hetiang dinhmun hi eng nge a nih? (Prognosis) tih a ni.

A tam zawkah chuan BPD symptoms hi kum upat deuh deuhin a reh zauh zauh thin. Mi thenkhat chu kum 40 an tlin veleh an natna lan chhuah dan a reh thin. Enkawlna dik tak a awm chuan BPD vei tam tak chuan an natna lan chhuah dan enkawl dan leh an nunphung tihchangtlun dan an zir thin.

Enkawlna tel lo – emaw, enkawlna a hlawhchham chuan – borderline personality disorder nei te chu:

• Substance hmanna lama harsatna leh zu hmansualna.
• Lungngaihna.
• Mahni intihhlum.
• Mahni intihhlum.

BPD vei zingah mahni intihhlum theihna hi mipui zawng zawng aiin a let 40-in a sang zawk a ni. BPD vei zinga 8% leh 10% inkar chu mahni intihhlum vangin an thi.

BPD enkawl loh mi tam tak chuan mimal inlaichinna nghet lo leh buai tak an nei a, hna pawh chelh tlat an harsat bawk. An inthen theihna te, chhungte nena inhlat te, leh inṭhianṭhatna chhe thei te an hlauhawm hle. Dan leh sum leh pai lama harsatna pawh a awm fo.

Hetiang dinhmun hi ven theih a ni em?

Vanduaithlak takin borderline personality disorder hi ven theih a ni lo.

BPD hi chhungkuaah a kal fo thin a, chu chu i chhungkuaa mi pakhatin BPD a neih chuan i vei theihna a sang zawk tihna a ni. He natna lan chhuah dan hi i doctor hnenah zawt la, chutiang chuan a rang thei ang bera enkawlna i dawng thei ang.

Engtin nge BPD vei mi i tanpui theih ang?

Borderline personality disorder vei i hriat chuan i tanpui theih dan tur thenkhat chu hetiang hi a ni:

• I hmangaih tak thil tawn hrethiam turin BPD chungchang zir turin hun hmang rawh.
• I hmangaih tak chu BPD enkawlna zawng turin fuih rawh. Chhungte i nih chuan family therapy chungchang zawt rawh.
• Emotional support, hriatthiamna, leh dawhtheihna pe rawh. BPD vei tan chuan inthlak danglamna hi thil harsa leh hlauhawm tak a ni thei. Mahse, enkawl a nih chuan hun kal zelah an natna lan chhuah dan a reh thei a ni.
• Stress i neih emaw, rilru lam hriselna lama harsatna emaw, lungkhamna emaw, lungngaihna emaw ang chi symptom i neih chuan therapy zawng ngaihtuah rawh. I hmangaih tak ni lo mi dang thlang rawh.

Mahni intihhlum leh mahni intihhlum duhna hi BPD vei zingah hian mipui zawng zawng aiin a tam zawk tih a chiang hle.

BPD vei, mahni intihhlum tum emaw, mahni intihhlum tum emaw chuan tanpuina an mamawh thuai a ni.

Nangmah emaw, i hriat miin emaw harsatna i tawk nghal emaw, mahni intihhlum tum emaw a nih chuan 1926 (Sri Lanka rama mahni intihhlum venna hotline) ah call rawh.

Hriat reng tur pawimawh ber (Take-Home Message) .

Borderline personality disorder (BPD) hi dam chhung zawnga rilru hriselna dinhmun a ni tih hriat reng a pawimawh. Mahse, hun rei tak, enkawl chhunzawm zel, damdawi leh thusawi hmanga enkawlna te hian i natna lan chhuah dan tur a enkawl thei che a ni. I healthcare team te nen inhmuh fo a, i enkawlna tur ruahmanna leh i natna lan chhuah dan te enfiah fo a pawimawh. I doctor leh i hmangaih tak takte chu nangmah thlawp turin an awm tih hria ang che.

Borderline personality disorder nei chhungte leh hmangaih tak takte chuan lungngaihna, lungngaihna, lungngaihna, leh mahni chauhna an nei fo thin. Mahni rilru hriselna enkawl a pawimawh a, heng symptoms te hi i tawn a nih chuan tanpuina dil a pawimawh.

` BPD, Borderline Personality Disorder, Rilru hriselna, Mihring lam harsatna, Emotional Regulation, Inlaichinna lama harsatna, Nungchang lama harsatna