Kāore tō hinengaro i te wāhi kotahi? He uaua ki te whakahaere i ō kare ā-roto? Me kōrero tātou mō te Mate Tūturu Āhuatanga Rohe (BPD)

Kei te whakaaro koe i ētahi wā kāore e taea e koe te whakahaere i ō kare ā-roto, ā, kei te tere haere te pānga mai o ngā mea ki a koe? E mōhio ana rānei koe ki tētahi tangata ka huri whakarere ōna kare ā-roto, ka whakararuraru i ōna whanaungatanga ki ētahi atu? Tērā pea ko te pūtake o ēnei kare ā-roto ko te āhua hinengaro ka kōrerohia e tātou i tēnei rā. Ka kiia tēnei ko te Mate Tūturu o te Tangata (BPD) .

He aha tēnei mea e kiia nei ko te mate tuakiri rohe (BPD)?

Ki te kī ngāwari, ko te mate tuakiri rohe (BPD) he āhuatanga hauora hinengaro e tohuhia ana e te tino piki me te heke o te wairua , te kore pumau o ngā whanaungatanga pāpori , me te hiahia ohorere .

He nui te wehi o te hunga whai BPD kei whakarērea rātou . He uaua hoki ki a rātou te whakahaere i ō rātou kare ā-roto, inā koa te riri. Ka taea hoki e rātou te mahi ohorere, i ētahi wā he morearea (hei tauira, te taraiwa pōrearea, te whakawehi ki te whara i a rātou anō) . Ka taea e ēnei whanonga katoa te whakauaua i a rātou ki te pupuri i ngā whanaungatanga pai ki ētahi atu.

Ko te mate tuakiri rohe he momo mate tuakiri e kiia nei ko te "Cluster B". Ko tēnei mate tuakiri "Cluster B" he āhuatanga o tētahi tauira whanonga whakaharahara, he rerekē hoki i ētahi wā. Ko ngā mate tuakiri he tauira whanonga mau tonu, he koretake e whakararuraru ana i te mahi o ia rā . He uaua ki te whakarerekē i ēnei whanonga, he mea noa, ā, ka arahi pea ki ngā raruraru pāpori me te ahotea hinengaro.

He maha ngā wā, kāore te hunga whai BPD e mōhio kei a rātou te mate, ā, kāore hoki rātou e mōhio ka taea e rātou te whanonga me te whanaungatanga hauora ki ētahi atu.

E kiia ana ēnei āhuatanga e rua he BPD me te mate bipolar?

Ae, he rerekētanga mārama kei waenganui i ngā mea e rua. Ahakoa he nui ngā huringa o te wairua me te whanonga i roto i te mate bipolar , he rerekē i te BPD.

I roto i te BPD, ka taea e te kare ā-roto me te whanonga te huri tere me te ohorere ina pāngia e te ahotea nui, inā koa ina mahi tahi me ētahi atu . I roto i te mate bipolar, he roa ake te mau o ngā kare ā-roto, ā, kāore e tere te aro atu ki ngā kaupapa o waho. He nui ngā panonitanga o te kaha me te ngohe o te hunga whai mate bipolar, he rerekē tēnei i te hunga whai BPD.

Ko wai te mea tino pāngia e tēnei āhuatanga?

He maha ngā mate hinengaro ka tīmata i ngā tau taiohi, i te wā e whanake tonu ana, e pakeke tonu ana tō tuakiri.Nō reira, ko te nuinga o te hunga kua tāpaetia he mate tuakiri rohe kei runga ake i te 18 tau te pakeke.

Ahakoa ka taea e te tangata te pāngia e te BPD, ka nui ake te tūponotanga ka pāngia koe mēnā he BPD (he hītori whānau o te BPD) tō tētahi o tō whānau . He nui ake anō hoki tēnei mōrearea mō te hunga he mate hinengaro kē atu tō rātou, pērā i te manukanuka, te pouri, te mate kai rānei .

Tata ki te 75% o te hunga kua tāpaetia he BPD he wāhine , engari e kī ana ngā rangahau ka pāngia hoki ngā tāne e te mate. Heoi, tera pea ka hē te tāpaetanga he mate ahotea muri-whara (PTSD) he pouri rānei tō rātou.

He pēhea te noa o tēnei āhuatanga?

He āhua onge te mate tuakiri rohe. Tata ki te 1.4% o te taupori pakeke i te Hononga o Amerika he BPD.

He aha ngā tohu o te mate tuakiri rohe (BPD)?

Ko ngā tohu o te BPD ka puta i te mutunga o ō tau taiohi, i te tīmatanga rānei o tō pakeketanga . Ka taea te whakaoho, te kino rānei o ēnei tohu e tētahi huihuinga mamae, e tētahi wheako ahotea rānei.

I te roanga o te wā, ka memeha haere ēnei tohu, ā, ka ngaro atu pea.

Ka rerekē ngā tohu mai i te mea ka taea te whakahaere ki te tino kino. Tērā pea ka kitea e koe tētahi huinga o ēnei tohu e whai ake nei:

• Te wehi kei whakarērea: He mea noa ki te hunga whai BPD te kore e pai ki te noho mokemoke. Ina rongo rātou kua whakarērea, kua kore rānei e arohia, ka pāngia rātou e te wehi nui, te riri rānei. Ka rapu pea rātou i ō rātou whanaunga, ka ngana ki te aukati i a rātou kia kaua e haere. Ka pana atu rānei rātou i tētahi i mua i tō rātou tata rawa atu, i te wehi kei whakakahoretia. Whakaarohia he hoa e riri ana ina roa koe ki te whakautu i tētahi karere, ā, ka mea, "Kua whakarērea ahau e koe."
• Ngā whanaungatanga kore pumau, kaha: He uaua ki te hunga whai BPD te pupuri i ngā whanaungatanga whaiaro hauora nā te mea ka taea e rātou te whakarerekē ohorere me te nui o te whakaaro ki ētahi atu. Tērā pea ka rite rātou ki te atua ki tētahi tangata i tētahi wā, kātahi ka rite ki te koretake ki a rātou i tētahi wā. Tērā pea ka rerekē te āhua. He maha ngā wā ka pōrearea, ka kore pumau hoki ō rātou whakahoahoa, ō rātou marena, me ō rātou whanaungatanga ki te whānau.
• Te whakaaro kore pumau, te mārama rānei ki a koe anō:He maha ngā wā ka hē, ka kore e mārama te tirohanga a te hunga whai BPD ki a rātou anō. He maha ngā wā ka whakama, ka whakama hoki rātou, ā, ka kite rātou i a rātou anō he "kino". Tērā pea ka huri ohorere rātou i ō rātou tirohanga ki a rātou anō, ka huri i ō rātou whāinga, ō rātou whakaaro, ā rātou mahi, me ō rātou hoa. Tērā pea ka whakararuraru hoki i tō rātou ake whanaketanga. Hei tauira, ka mahi pea rātou ki te "kore angitu" i tētahi whakamātautau, ki te whakangaro i ngā whanaungatanga, ki te panaia rānei i ā rātou mahi.
• Ngā huringa tere o te wairua: Tērā pea ka pāngia te hunga whai BPD e ngā huringa ohorere o ō rātou kare ā-roto mō ētahi atu, mō rātou anō, me te ao e karapoti ana i a rātou. Ka taea e ngā kare ā-roto pōhēhē pērā i te riri, te wehi, te manukanuka, te mauahara, te pouri, me te aroha te huri tere me te ohorere. He torutoru noa ngā haora e roa ai ēnei huringa, he onge noa iho te neke atu i te torutoru rā.
• Whanoke ā-whakaaro me te mōrearea: Ko te taraiwa ā-whakaaro, te whawhai, te petipeti, te whakamahi tarukino, te kai nui, me/ranei te mahi moepuku haumaru he mea noa i waenga i te hunga whai BPD.
• Te whara i a ia anō, te whanonga whakamomori rānei: Ka taea e te hunga whai BPD te tapahi, te tahu, te whara rānei i a rātou anō, te whakawehi rānei ki te mahi pera. Tērā pea ka whakaaro rātou ki te whakamomori. He maha ngā wā ka puta ēnei whanonga whara i a rātou anō ina whakakahoretia rātou e tetahi, ina whakaaro kua whakarērea, ina pouri rānei tetahi e tetahi e tetahi e arohaina ana, e tetahi rānei e tetahi atu.
• Ngā kare ā-roto tonu o te korekore: He maha ngā tāngata whai BPD e pouri ana, e hoha ana, e kore e tutuki, e "koretake ana." He mea noa hoki ngā kare ā-roto o te koretake me te whakarihariha ki a ia anō.
• Ngā raruraru whakahaere riri: He uaua ki te hunga whai BPD te whakahaere i ō rātou riri, ā, ka tino riri rātou. Tērā pea ka whakapuakina e rātou tō rātou riri mā roto i ngā katakata kino, ngā kupu kino, te hamama me te kanga rānei. Tērā pea ka whakama rātou, ka hara hoki i muri i aua wā.
• Ngā whakaaro pōuri rangitahi: I ētahi wā ka pāngia koe e ngā wā wehewehe , ngā whakaaro pōuri, ā, i ētahi wā ka kite, ka rongo rānei koe i ngā mea kāore i reira (ngā moemoeā). Ka puta ēnei i te nuinga o te wā ina tino pāngia koe e te ahotea, inā koa ka mataku koe kei whakarērea koe. He rangitahi ēnei tohu, ā, kāore i te tino kino kia kiia he mate motuhake.

Ko te mea nui, ehara i te mea ko te katoa e pāngia ana e te mate tuakiri rohe e pāngia ana e ēnei tohu katoa. He rerekē te kaha o ngā tohu, te auau o te puta, me te roa o te wā e mau ana i ia tangata, i ia tangata.

He aha ngā take mō tēnei?

E whakapono ana ngā tākuta he huinga o ngā āhuatanga ka whai wāhi ki te whanaketanga o te BPD. Ko ngā mea matua ko:

• Te tukino me te mamae o te tamarikitanga: Tata ki te 70% o te hunga whai BPD kua pāngia e te tukino ā-ira tangata, ā-hinengaro, ā-tinana rānei i a rātou e tamariki ana. Ko te wehenga mai i te whaea, te whanaungatanga kino ki te whaea, ngā rohe kāore i te tika i roto i te whānau, me te waranga tarukino a ngā mātua e pā ana ki te BPD.
• Ira: Kua whakaatuhia e ngā rangahau he mate tuakiri rohe kei roto i ngā whānau. Mena he BPD tō tētahi o tō whānau, he nui ake te tūponotanga ka pāngia koe e tēnei mate, engari ehara i te mea he taurangi ka pāngia koe e tēnei mate.
• Ngā panonitanga o te roro: Kāore ngā wāhanga o te roro e whakahaere ana i ngā kare ā-roto me ngā whanonga o te hunga whai BPD e kōrero tika ana tetahi ki tetahi. Ka pāngia te mahi a ō rātou roro e ēnei raruraru.

Me pēhea e mōhio ai koe ki tēnei āhuatanga?

Nā te mea ka haere tonu te hanga o te tuakiri i te wā o te tamarikitanga me te taiohitanga, kāore ngā tākuta e tātaritanga i te tangata he mate tuakiri rohe i mua i te 18 tau te pakeke. Heoi, he onge te tātaritanga o te tangata kei raro iho i te 18 tau te pakeke he BPD mēnā he tino kino ōna tohu, ā, kua roa e pāngia ana mō te tau kotahi pea.

He uaua te tautuhi i te mate tuakiri rohe, tae atu ki ētahi atu mate tuakiri, nā te mea he maha ngā tāngata whai mate tuakiri kāore i te mōhio ki ngā whanonga me ngā huarahi whakaaro e whakararuraru ana i ētahi atu.

Ahakoa ka rapu āwhina rātou, ehara i te mea nā te mate hinengaro tonu. Engari, kei te rapu āwhina rātou mō ngā āhuatanga pēnei i te manukanuka, te pouri rānei i puta mai i ngā raruraru e pā ana ki tō rātou mate hinengaro (hei tauira, te whakarere, te ngaronga o ngā whanaungatanga).

Ka taea e tētahi tohunga hauora hinengaro whai raihana – he tohunga hinengaro , he tohunga hinengaro , he kaimahi hapori haumanu rānei – te tātaritanga i te BPD. Ka whakamahia e rātou ngā paearu mō te BPD i roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM) a te American Psychiatric Association.

Hei mahi i tēnei, ko rātou:

• Ka whakahaerehia he uiuinga katoa, ā, ka matapakihia ngā tohu.
• Ka pātaihia tō hītori hauora whaiaro me tō hītori hauora whānau, inā koa mō ngā āhuatanga hauora hinengaro.
• Te pātai atu mō ngā mahi o mua.
• Ka pātai rātou mēnā ka taea e rātou te whakahaere i ō rātou whakaaro ohorere.

He maha ngā wā ka kōrero ngā tohunga hauora hinengaro ki te whānau me ngā hoa o te tangata hei kohikohi i ētahi atu kōrero e pā ana ki ō rātou whanonga me ō rātou hītori.

He aha ngā maimoatanga mō tēnei?

I ngā wā o mua, he wero te rongoā i te BPD. Heoi, nā ngā maimoatanga hou e ahu mai ana i ngā taunakitanga, he maha ngā tāngata whai BPD kua kite i te whakahekenga o ngā tohu, te whakahekenga o te kaha, te whakapai ake i te mahi, me te whakapai ake i te kounga o te oranga.

Heoi, ko ngā maimoatanga whai hua e hiahia ana ki te wā, te manawanui, me te whakapau kaha.Kei roto pea i te maimoatanga te hinengaro hinengaro (te kōrero whakaora), te rongoā, ngā mea e rua rānei.

Mena kei raro koe i te ahotea nui, kei te tūpono rānei koe ki te whara i a koe anō, i ētahi atu rānei, ka tūtohu pea tō tākuta kia noho koe ki te hōhipera mō te wā poto. I a koe e noho ana i te hōhipera, ka mahi tahi tō tākuta me koe ki te whakawhanake i tētahi mahere maimoatanga.

Ko te hunga whai mate tuakiri rohe he maha tonu ā rātou mate hauora hinengaro:

• Ngā mate hinengaro (i waenganui i te 80% me te 96% o te hunga whai BPD)
• Ngā mate manukanuka (88%)
• Te mate whakamahi matū (64%)
• Ngā mate kai (53%)
• Mate aro-kore/mate hihiko rawa (ADHD) (i waenga i te 10% me te 30%)
• Mate pūrua (15%)
• Ngā mate somatoform (10%)

Mena he mate pēnei anō tā rātou, me whiwhi maimoatanga anō hoki rātou mō tēnā.

Hinengaro whakaora mō te BPD

Ko te hinengaro whakaora te maimoatanga matua mō te BPD. Ko te whāinga o te rongoā whakaora he āwhina i a koe ki te tautuhi i ngā hihiri me ngā wehi kei muri i ō whakaaro me ō whanonga, me te āwhina i a koe ki te ako ki te whanaungatanga ki ētahi atu i roto i ngā huarahi pai ake.

He maha ngā maimoatanga hei āwhina i te BPD:

• Whakaora Whanoke Whakawhitiwhiti Kōrero (DBT): He mea hanga motuhake tēnei momo whakaora mō te hunga whai BPD. Ko te arotahi a te DBT he āwhina i a koe ki te whakaae ki te ao tūturu o tōu ao me ōu whanonga, me te ako ki te whakarerekē i tōu ao, tae atu ki ngā whanonga kore āwhina. Ka ako i ngā pūkenga hei āwhina i a koe ki te whakahaere i ngā kare ā-roto kaha, te whakaiti i ngā whanonga whara i a koe anō, me te whakapai ake i ngā whanaungatanga.
• Te Whakaora Hinengaro Whanoke (CBT): He maimoatanga whai hanganga, whai take tēnei. Mā tō kaiwhakaora hinengaro, mā tō tohunga hinengaro rānei koe e āwhina ki te tirotiro i ō whakaaro me ō kare ā-roto. Ka ako koe i te pānga o ō whakaaro ki ō mahi. Mā te CBT, ka taea e koe te ako ki te tuku i ngā whakaaro me ngā whanonga kino, me te whakawhanake i ngā tauira whakaaro me ngā tikanga hauora ake.
• Whakaora ā-rōpū: He momo whakaora hinengaro tēnei. I roto i tēnei, ka huihui mai tētahi rōpū tāngata, ka whakamārama, ka matapaki hoki i ō rātou raruraru i raro i te tirotiro a tētahi kaiwhakaora hinengaro, tohunga hinengaro rānei. Ka taea e te whakaora ā-rōpū te āwhina i te hunga whai BPD ki te taunekeneke pai ake ki ētahi atu, me te whakapuaki i a rātou anō me te whai hua ake.

Ngā rongoā mō te BPD

Nā te mea kāore i te mārama ngā painga o te rongoā mō te mate tuakiri rohe, kāore ngā tākuta e tohu rongoā hei rongoā matua mō te BPD.

Heoi, i ētahi wā, ka tohua pea e te tohunga hinengaro he rongoā hei rongoā i ngā tohu motuhake, i ētahi atu āhuatanga hauora hinengaro rānei e noho tahi ana. Ka taea e ngā rongoā te āwhina i te rongoā i te manukanuka me te pouri, te whakahaere i ngā huringa o te wairua, te whakahaere rānei i ngā whanonga ohorere. Ka āwhina ngā rongoā ārai hinengaro/neuroleptic i ētahi tāngata e pāngia ana e te BPD.

He aha te tirohanga mō tēnei āhuatanga? (Te matapae)

I te nuinga o te wā, ka pai haere ngā tohumate o te BPD i te pakeketanga. Ka memeha haere ngā tohumate o ētahi tāngata i te 40 tau te pakeke. Mā te maimoatanga tika, ka ako te nuinga o te hunga whai BPD ki te whakahaere i ō rātou tohumate me te whakapai ake i te kounga o ō rātou oranga.

Ki te kore he maimoatanga – ki te kore rānei e angitu te maimoatanga – ka nui ake te mōrearea o te hunga whai mate hinengaro rohe ki:

• Te mate whakamahi matū me te mate whakamahi waipiro.
• Te pouri.
• Te whara i a koe anō.
• Te whakamomori.

E 40 ngā wā teitei ake te mōrearea o te whakamomori i waenga i te hunga whai BPD i te taupori whānui. I waenga i te 8% me te 10% o te hunga whai BPD ka mate whakamomori.

He maha ngā tāngata e pāngia ana e te BPD kāore i rongoātia, he koretake, he pōrearea hoki ō rātou whanaungatanga whaiaro, ā, he uaua ki a rātou te pupuri i tētahi mahi. He nui ake te tūponotanga o te whakarere, te wehe atu i te whānau, me te pakaru o ngā whakahoahoa. He maha anō hoki ngā raruraru ture me ngā raruraru pūtea.

Ka taea te ārai i tēnei āhuatanga?

Engari, kāore he huarahi hei ārai i te mate tuakiri rohe.

He maha ngā whānau e pāngia ana e te BPD, arā, ki te pāngia tētahi o tō whānau e te BPD, he nui ake te tūponotanga ka pāngia koe e taua mate. Pātai atu ki tō tākuta me pēhea te kite i ngā tohu o tēnei mate kia taea ai e koe te whiwhi maimoatanga i te wā e taea ai.

Me pēhea te āwhina i tētahi tangata whai BPD?

Mena kei te mōhio koe ki tētahi e pāngia ana e te mate tuakiri rohe, anei ētahi huarahi hei āwhina i a rātou:

• Whakamahia te wā ki te ako mō te BPD kia mārama ai koe ki ngā āhuatanga o tō hoa aroha.
• Whakatenatenahia tō hoa aroha kia rapu maimoatanga mō te BPD. Mena he whanaunga koe, pātai atu mō te whakaora whānau.
• Tautokohia ngā kare ā-roto, te māramatanga, me te manawanui. He uaua, he whakamataku hoki te huringa mō te hunga whai BPD. Heoi, mā te maimoatanga, ka pai ake pea ō rātou tohu i te roanga o te wā.
• Mena kei te pāngia koe e te ahotea, e ngā tohu rānei o tētahi mate hinengaro pērā i te manukanuka, te pouri rānei, whakaarohia te rapu rongoā hinengaro. Kōwhiria tētahi atu tangata ehara i te mea e arohaina ana e koe, ko ia te kaiwhakaora hinengaro māu.

He nui ake te whara i a ia anō me ngā whanonga whakamomori i waenga i te hunga whai BPD i te taupori whānui.

Ko te hunga whai BPD e whakaaro ana ki te whara i a rātou anō, ki te whakamātau rānei ki te whakamomori, me tere te āwhina.

Mena kei te pāngia koe, tetahi atu rānei e mōhiotia ana e koe e te mamae tonu, kei te whakaaro rānei koe ki te whara i a rātou anō, waea atu ki te 1926 (te raina āwhina ārai whakamomori o Sri Lanka).

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

He mea nui kia maumahara ko te mate hinengaro rohe-whaiaro (BPD) he mate hauora hinengaro mō te wa katoa. Heoi, mā ngā maimoatanga roa, tonu, pērā i te rongoā me te kōrero whakaora, ka āwhina i a koe ki te whakahaere i ō tohumate. He mea nui kia tūtaki tonu koe ki tō rōpū hauora ki te arotake i tō mahere maimoatanga me ō tohumate. Kia mōhio koe kei reira ō tākuta me ō whanaunga hei tautoko i a koe.

He maha ngā wā ka pāngia ngā mema o te whānau me ngā whanaunga o te hunga whai mate hinengaro rohe e te ahotea, te pouri, te pōuri, me te mokemoke. He mea nui kia tiakina tō hauora hinengaro me te rapu āwhina mēnā kei te pāngia koe e ēnei tohu.

` BPD, Mate Tūākiri Ā-Rohe, Hauora Hinengaro, Mate Tūākiri, Whakahaere Kare ā-roto, Ngā Raru Whanaungatanga, Ngā Raru Whanoke