Pfungwa dzako hadzisi panzvimbo imwe chete here? Zvakaoma here kudzora manzwiro ako? Ngatitaurei nezve Borderline Personality Disorder (BPD)

Dzimwe nguva unonzwa sekuti haugone kudzora manzwiro ako, uye zvinhu zviri kukuwira nekukurumidza kudaro here? Kana kuti unoziva mumwe munhu ane mafungiro anochinja kamwe kamwe zvekuti anowanzo kanganisa hukama hwake nevamwe? Pamwe chikonzero chikuru chemanzwiro aya chirwere chepfungwa chatichataura nezvacho nhasi. Izvi zvinonzi Borderline Personality Disorder (BPD) .

Chii chinonzi chirwere chepfungwa cheborderline personality disorder (BPD)?

Zvichitaurwa zviri nyore, borderline personality disorder (BPD) chirwere chepfungwa chinoratidzwa nekuchinja-chinja kwakanyanya kwemafungiro , kusagadzikana muhukama hwevanhu , uye kushaya chido chekutaura .

Vanhu vane BPD vanotya zvakanyanya kusiiwa . Vanonetsekawo kudzora manzwiro avo, kunyanya hasha. Vanogonawo kuita zvinhu vasina kufunga, dzimwe nguva zvine njodzi (semuenzaniso, kutyaira zvisina hanya, vachityisidzira kuzvikuvadza) . Maitiro ese aya anogona kuita kuti zvivaomere kuchengetedza hukama hwakanaka nevamwe.

Dambudziko rehunhu hwemuganho rudzi rwedambudziko rehunhu rinonzi ``Cluster B``. Dambudziko iri rehunhu re``Cluster B`` rinoratidzwa nemaitiro anoshamisa, anowanzo shamisa. Matambudziko ehunhu maitiro asingashande kwenguva refu, asingashande zvakanaka anokanganisa mashandiro ezuva nezuva . Maitiro aya akaoma kuchinja, aripo kwese kwese, uye anogona kukonzera matambudziko munharaunda uye kushungurudzika kwepfungwa.

Kazhinji, vanhu vane BPD havazivi kuti vane chirwere ichi, uye havazivi kuti vanogona kuzvibata uye kushamwaridzana nevamwe nenzira ine hutano.

Matambudziko maviri aya anonzi BPD uye bipolar disorder here?

Ehe, pane musiyano wakajeka pakati pezviviri izvi. Kunyange zvazvo chirwere chebipolar chinosanganisirawo kuchinja kukuru kwemanzwiro nemaitiro, chakasiyana neBPD.

MuBPD, mafungiro nemaitiro zvinogona kuchinja nekukurumidza uye kamwe kamwe kana paine kushushikana kukuru, kunyanya pakubata nevamwe . Mubipolar disorder, mafungiro anogara kwenguva refu , uye haakurumidzi kupindura kune zviitiko zvekunze. Vanhu vane bipolar disorder vane shanduko huru musimba nemabasa, izvo zvakasiyana nevanhu vane BPD.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Matambudziko mazhinji ehunhu anotanga mumakore ekuyaruka, apo hunhu hwako huchiri kukura uye huri kukura.Saka, vanhu vazhinji vanoonekwa vaine borderline personality disorder vanenge vava nemakore anopfuura 18.

Kunyange zvazvo chero munhu achigona kuwana BPD, une mukana mukuru wekuwana BPD kana mumwe munhu mumhuri yako aine BPD (nhoroondo yemhuri yeBPD) . Njodzi iyi yakanyanyawo kune vanhu vane zvimwe zvirwere zvepfungwa, zvakaita sekuzvidya mwoyo, kuora mwoyo, kana matambudziko ekudya .

Vanhu vanosvika 75% vanoonekwa vaine BPD vakadzi , asi tsvakurudzo inoratidza kuti varume vanogonawo kukanganiswa nechirwere ichi. Zvisinei, vanogona kuonekwa zvisirizvo sevanhu vane Post-Traumatic Stress Disorder (PTSD) kana kuti depression.

Dambudziko iri rakajairika zvakadii?

Dambudziko rehunhu hwemuganho chirwere chisingawanzoitiki . Vanhu vakuru vanosvika 1.4% muUnited States vane BPD.

Ndezvipi zviratidzo zveBorderline personality disorder (BPD)?

Zviratidzo zveBPD zvinowanzoonekwa mumakore ako ekuyaruka kana kutanga kukura . Zviratidzo izvi zvinogona kukonzerwa kana kuwedzerwa nechiitiko chinorwadza kana chiitiko chinoshungurudza.

Nekufamba kwenguva, zviratidzo izvi zvinowanzodzikira uye zvinogona kutopera zvachose.

Zviratidzo zvinogona kusiyana kubva pakukwanisa kugadziriswa kusvika pakukomba zvakanyanya. Unogona kuona musanganiswa wezviratidzo zvinotevera:

• Kutya kusiiwa: Zvakajairika kuti vanhu vane BPD vanzwe kusagadzikana kuva vega. Pavanonzwa sekuti vasiyiwa kana kuti havateereri, vanogona kunzwa kutya kana hasha zvakanyanya. Vanogona kutsvaga vadikanwi vavo voedza kuvadzivisa kuti vasabve. Kana kuti, vanogona kusundira mumwe munhu kure vasati vasvika pedyo, vachitya kurambwa. Fungidzira shamwari inogumbuka kana wanonoka kupindura meseji yoti, "Wakandisiya."
• Hukama husina kugadzikana uye hwakasimba: Vanhu vane BPD vane dambudziko rekuchengetedza hukama hwakanaka hwevanhu nekuti vanogona kuchinja mafungiro avo nezvevamwe kamwe kamwe uye zvinoshamisa. Vanogona kubata mumwe munhu samwari pane imwe nguva vozomubata seasina maturo pane imwe nguva inotevera. Izvi zvinogonawo kuva zvakasiyana. Hushamwari hwavo, michato, uye hukama nemhuri kazhinji hazvina kugadzikana uye hazvina kugadzikana.
• Kuzviona semunhu asina kugadzikana kana kuti maonero ake:Vanhu vane BPD vanowanzova nemaonero asina kujeka uye asina kujeka pamusoro pavo. Vanowanzonzwa vaine mhosva uye vachinyara, uye vanozviona se "vakaipa." Vanogona kuchinja maonero avo kamwe kamwe, vachichinja zvinangwa zvavo, maonero avo, mabasa avo, neshamwari dzavo. Vanogonawo kukanganisa budiriro yavo. Semuenzaniso, vanogona kushanda kuti "vakundikane" bvunzo, vaparadze hukama, kana kudzingwa mabasa avo.
• Kuchinja-chinja kwemafungiro nekukurumidza: Vanhu vane BPD vanogona kusangana nekuchinja kamwe kamwe mumanzwiro avo pamusoro pevamwe, ivo pachavo, nenyika yakavapoteredza. Manzwiro asina musoro akadai sekutsamwa, kutya, kuzvidya mwoyo, ruvengo, kusuruvara, uye rudo zvinogona kuchinja nekukurumidza uye kamwe kamwe. Kuchinja uku kunowanzogara kwemaawa mashoma chete, kashoma kupfuura mazuva mashoma.
• Maitiro ekuita zvinhu zvisina musoro uye ane njodzi: Kutyaira mota zvisina musoro, kurwa, kubhejera, kushandisa zvinodhaka, kudya zvakanyanya, uye/kana kuita zvepabonde zvisina kuchengetedzeka zvakajairika pakati pevanhu vane BPD.
• Kuzvikuvadza kana kuzviuraya kakawanda: Vanhu vane BPD vanogona kuzvicheka, kuzvipisa, kana kuzvikuvadza , kana kutyisidzira kuzviita. Vanogonawo kufunga nezvekuzviuraya. Maitiro aya ekuzvikuvadza anowanzoitika kana mumwe munhu akamuramba, akanzwa asisiiwa, kana kuti akaodzwa mwoyo neanomuchengeta kana mudiwa.
• Kunzwa kusava nechinhu: Vanhu vazhinji vane BPD vanonzwa kusuruvara, kufinhwa, kusagutsikana, uye "kusava nechinhu." Kunzwa kusava nechinhu uye kuzvisema kwakajairikawo.
• Matambudziko ekugadzirisa hasha: Vanhu vane BPD vanonetseka kudzora hasha dzavo, uye vanotsamwa zvikuru. Vanogona kuratidza hasha dzavo nemajee akaomarara, mashoko akaomarara, kana kupopota nekutuka. Vanogona kunzwa kunyara uye kuva nemhosva mushure menguva dzakadaro.
• Pfungwa dzenguva pfupi dzekusagadzikana: Dzimwe nguva unogona kusangana nezviitiko zvekusagadzikana , pfungwa dzekusagadzikana, uye dzimwe nguva unogona kuona kana kunzwa zvinhu zvisipo (kufungidzira). Izvi zvinowanzoitika paunenge uri pasi pekushushikana kwakanyanya, kunyanya kana uchitya kusiiwa. Zviratidzo izvi ndezvenguva pfupi uye kazhinji hazvina kuoma zvekuti zvinganzi chirwere chakasiyana.

Chinhu chakakosha ndechekuti havasi vese vane dambudziko rehunhu hwemunhu vane zviratidzo izvi. Kuoma kwezviratidzo, kuti zvinoitika kangani, uye kuti zvinogara kwenguva yakareba sei zvinosiyana kubva pamunhu kusvika pamunhu.

Ndezvipi zvingava zvikonzero zveizvi?

Vanachiremba vanotenda kuti zvinhu zvakawanda zvinobatsira pakukura kweBPD. Zvikuru ndeizvi:

• Kushungurudzwa nekurwadziwa kwevana: Vanhu vanosvika 70% vane BPD vakambosangana nekushungurudzwa pabonde, mupfungwa, kana mumuviri vachiri vana. Kuparadzana naamai, hukama husina kunaka naamai, miganhu isina kukodzera mumhuri, uye kupindwa muropa nezvinodhaka nevabereki zvinobatanidzwawo neBPD.
• Majini: Ongororo dzakaratidza kuti dambudziko rehunhu hwemuganho rinowanikwa mumhuri. Kana mumwe munhu mumhuri yako aine BPD, une mukana mukuru wekuva nayo, asi haisi vimbiso yekuti uchava nayo.
• Kuchinja kwehuropi: Zvikamu zvehuropi zvinodzora manzwiro nemaitiro evanhu vane BPD hazvitaurirane zvakanaka. Matambudziko aya anokanganisa mashandiro ehuropi hwavo.

Unoziva sei chirwere ichi?

Nekuti hunhu hunoramba huchiumbwa panguva yehudiki nekukura, vanachiremba havawanzo ongorora munhu ane dambudziko rehunhu hweborderline asati asvika makore gumi nemasere. Zvisinei, kashoma kuti munhu ari pasi pemakore gumi nemasere aonekwe aine BPD kana zviratidzo zvake zvakanyanya uye zvavepo kwegore rimwe chete.

Dambudziko remunhu ane miganhu, kusanganisira mamwe matambudziko emunhu, rinogona kuoma kuona nekuti vanhu vazhinji vane dambudziko remunhu havazivi maitiro nemafungiro zvinoshungurudza vamwe.

Kunyangwe vakatsvaga rubatsiro, hazvisi nekuda kwekusagadzikana kwehunhu hwavo. Asi, vari kutsvaga rubatsiro mumamiriro ezvinhu akadai sekuzvidya mwoyo kana kuora mwoyo kunokonzerwa nematambudziko ane chekuita nekusagadzikana kwehunhu hwavo (semuenzaniso, kurambana, kurasikirwa nehukama).

Nyanzvi yehutano hwepfungwa ine rezinesi - chiremba wepfungwa , chiremba wepfungwa , kana mushandi wezvemagariro evanhu - vanogona kuongorora BPD. Vanoshandisa zvinodiwa zveBPD muAmerican Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) .

Kuti vaite izvi, vano:

• Kubvunzurudzwa kwakazara kunoitwa uye zviratidzo zvinokurukurwa.
• Nhoroondo yezvekurapa kwemunhu pachake uye nhoroondo yezvekurapa kwemhuri zvinobvunzwa, kunyanya nezvezvirwere zvepfungwa.
• Kubvunza nezvemabasa andakaita kare.
• Vanobvunza kana vachigona kudzora pfungwa dzavo dzinongoerekana dzaitika.

Nyanzvi dzezvepfungwa dzinowanzo taura nemhuri neshamwari dzemunhu wacho kuti vawane rumwe ruzivo nezvemaitiro ake nenhoroondo yake.

Ndezvipi zvinorapwa izvi?

Munhoroondo, kurapa BPD kwave kuri dambudziko. Zvisinei, nekurapwa kutsva, kwakavakirwa pauchapupu, vanhu vazhinji vane BPD vakaona kudzikira kwezviratidzo, kudzikira kwekuoma, kushanda zvakanaka, uye kuvandudzika kwehupenyu.

Zvisinei, kurapwa kunoshanda kunoda nguva, mwoyo murefu, uye kuzvipira.Kurapa kunogona kusanganisira psychotherapy (kurapwa nekutaura), mishonga, kana zvese zviri zviviri.

Kana uri pasi pekushushikana kwakanyanya kana kuti uri panjodzi yekukuvadza iwe pachako kana vamwe, chiremba wako anogona kukurudzira kuti ugare muchipatara kwenguva pfupi. Panguva yaunenge uri muchipatara, chiremba wako achashanda newe kugadzira hurongwa hwekurapa.

Vanhu vane dambudziko repfungwa vanowanzova nezvimwe zvirwere zvepfungwa:

• Matambudziko epfungwa (pakati pe80% ne96% yevanhu vane BPD)
• Matambudziko ekuzvidya mwoyo (88%)
• Dambudziko rekushandisa zvinodhaka (64%)
• Matambudziko ekudya (53%)
• Dambudziko rekushaya pfungwa/kusagadzikana kwepfungwa (ADHD) (pakati pe10% ne30%)
• Dambudziko reBipolar (15%)
• Matambudziko eSomatoform (10%)

Kana vaine chimwe chirwere chakadai, vanofanirawo kurapwa nacho.

Kurapa kwepfungwa kweBPD

Kurapa kwepfungwa ndiyo nzira huru yekurapa BPD. Chinangwa chekurapa ndechekukubatsira kuona zvikonzero nekutya zviri shure kwepfungwa dzako nemaitiro ako, uye kukubatsira kudzidza hukama nevamwe nenzira dzakanaka.

Kune nzira dzakasiyana siyana dzekurapa dzinogona kubatsira neBPD:

• Kurapa Maitiro Ekutaura (DBT): Rudzi urwu rwekurapa rwakagadzirirwa vanhu vane BPD. DBT inotarisa pakubatsira kugamuchira chokwadi chehupenyu hwako nemaitiro ako, uye kudzidza kushandura hupenyu hwako, kusanganisira maitiro asingabatsire. Inodzidzisa hunyanzvi hwekukubatsira kudzora manzwiro akasimba, kuderedza maitiro anozvikuvadza, uye kuvandudza hukama.
• Kurapa Kwepfungwa Nemaitiro (CBT): Uku kurapa kwakarongeka, kwakanangana. Murapi wako wepfungwa kana chiremba wepfungwa achakubatsira kutarisa mafungiro ako nemanzwiro ako. Uchadzidza kuti pfungwa dzako dzinokanganisa sei zviito zvako. Kuburikidza neCBT, unogona kudzidza kurega pfungwa dzakaipa nemaitiro uye kugadzira mafungiro netsika dzakanaka.
• Kurapa neboka: Uku ndiko kurapwa kwepfungwa. Mukuita izvi, boka revanhu rinoungana, votsanangura nekukurukura matambudziko avo vachitungamirirwa nenyanzvi yekurapa kana yepfungwa. Kurapa neboka kunogona kubatsira vanhu vane BPD kuti vataurirane nevamwe zvakanaka uye vataure zvavanofunga zvinobudirira.

Mishonga yeBPD

Nekuti mabhenefiti emishonga yekurapa chirwere cheborderline personality disorder haana kujeka, vanachiremba havawanzopa mishonga senzira huru yekurapa BPD.

Zvisinei, mune dzimwe nguva, chiremba wepfungwa anogona kunyora mishonga yekurapa zviratidzo zvakati kana zvimwe zvirwere zvepfungwa zvinogara zviripo. Mishonga inogona kubatsira kurapa kuzvidya mwoyo nekuora mwoyo, kugadzirisa kuchinja-chinja kwemafungiro, kana kudzora maitiro asina kurongeka. Mishonga yeAntipsychotic/Neuroleptic inobatsira vamwe vanhu vane BPD.

Chii chiri kutarisira chirwere ichi? (Kufungidzira)

Kazhinji, zviratidzo zveBPD zvinovandudzika zvishoma nezvishoma nekukura. Zviratidzo zvevamwe vanhu zvinopera pavanosvika makore ekuma40. Nekurapwa kwakakodzera, vanhu vazhinji vane BPD vanodzidza kudzora zviratidzo zvavo uye kuvandudza hupenyu hwavo.

Kana pasina kurapwa - kana kurapwa kukakundikana - vanhu vane dambudziko rehunhu hweborderline vari panjodzi huru ye:

• Dambudziko rekushandisa zvinodhaka uye dambudziko rekushandisa doro.
• Kuora mwoyo.
• Kuzvikuvadza.
• Kuzviuraya.

Njodzi yekuzviuraya pakati pevanhu vane BPD yakapetwa ka40 pane yevanhu vose. Pakati pe8% ne10% yevanhu vane BPD vanofa nekuzviuraya.

Vanhu vazhinji vane BPD isina kurapwa vane hukama husina kugadzikana uye husina kugadzikana, uye vanoomerwa nekugara pabasa. Vari panjodzi huru yekurambana, kusawirirana nemhuri, uye kuparara kweushamwari. Matambudziko emutemo nemari anowanzoitikawo.

Mamiriro ezvinhu aya anogona kudzivirirwa here?

Zvinosuwisa kuti hapana nzira yekudzivirira kusagadzikana kwehunhu hwemunhu.

BPD inowanzo itika mumhuri, zvichireva kuti kana mumwe munhu mumhuri yako aine BPD, uri panjodzi huru yekuibata. Bvunza chiremba wako kuti ungaziva sei zviratidzo zvechirwere ichi kuitira kuti uwane kurapwa nekukurumidza.

Ungabatsira sei munhu ane BPD?

Kana uchiziva mumwe munhu ane dambudziko repfungwa, heano mamwe maitiro aungamubatsira nawo:

• Tora nguva yekudzidza nezveBPD kuti unzwisise zviri kuitika kumunhu waunoda.
• Kurudzira mudiwa wako kuti atsvage kurapwa kweBPD. Kana uri hama, bvunza nezvekurapa kwemhuri.
• Ipa rutsigiro rwepfungwa, kunzwisisa, uye mwoyo murefu. Kuchinja kunogona kuoma uye kutyisa kune vanhu vane BPD. Zvisinei, nekurapwa, zviratidzo zvavo zvinogona kuvandudzika nekufamba kwenguva.
• Kana uri kunzwa kushushikana kana kuti uine zviratidzo zvechirwere chepfungwa chakadai sekuzvidya mwoyo kana kuora mwoyo, funga nezvekutsvaga rubatsiro. Sarudza mumwe munhu asiri mudiwa wako ari iye anokubatsira.

Kuzvikuvadza uye maitiro ekuzviuraya akanyanya kuwanda pakati pevanhu vane BPD kupfuura vanhuwo zvavo.

Vanhu vane BPD vari kufunga nezvekuzvikuvadza kana kuedza kuzviuraya vanoda rubatsiro nekukurumidza.

Kana iwe kana mumwe munhu waunoziva ari kusangana nematambudziko kana kuti ari kufunga kuzvikuvadza, fonera 1926 (nhare yekudzivirira kuzviuraya yeSri Lanka).

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Zvakakosha kuyeuka kuti borderline personality disorder (BPD) chirwere chepfungwa chinogara kwenguva refu. Zvisinei, kurapwa kwenguva refu, kwakadai semishonga uye kutaura, kunogona kukubatsira kudzora zviratidzo zvako. Zvakakosha kusangana nechikwata chako chehutano nguva nenguva kuti uongorore hurongwa hwako hwekurapa nezviratidzo. Ziva kuti vanachiremba vako nevadikanwi vako varipo kuti vakutsigire.

Nhengo dzemhuri nehama dzevaya vane dambudziko rehunhu hwemuganho vanowanzosangana nekushushikana, kuora mwoyo, kusuruvara, uye kusurukirwa. Zvakakosha kuchengetedza hutano hwepfungwa dzako uye kutsvaga rubatsiro kana uine zviratidzo izvi.

BPD , Borderline Personality Disorder, Hutano hwepfungwa, Matambudziko ehunhu, Kudzora manzwiro, Matambudziko ehukama, Matambudziko ekuzvibata