Kodi Pali Kusiyana Pati Pakati pa Borderline Personality Disorder ndi Bipolar Disorder?

Zamkati

• Zizindikiro
• Zizindikiro za matenda ochititsa munthu kusinthasintha zochitika
• Zizindikiro za BPD
• Zoyambitsa
• Zowopsa
• Matenda osokoneza bongo
• Mavuto am'malire
• Matendawa
• Matenda osokoneza bongo
• Mavuto am'malire
• Kodi ndingazindikiridwe molakwika?
• Chithandizo
• Tengera kwina

Chidule

Bipolar disorder ndi borderline personality disorder (BPD) ndimatenda awiri amisala. Amakhudza anthu mamiliyoni ambiri chaka chilichonse. Izi zimakhala ndi zizindikiro zofananira, koma pali kusiyana pakati pawo.

Zizindikiro

Zizindikiro zomwe zimayambitsa matenda ochititsa munthu kusinthasintha zochitika komanso BPD ndi monga:

• amasintha malingaliro
• kunyinyirika
• kudzikayikira kapena kudzidalira, makamaka panthawi yocheperako kwa anthu omwe ali ndi vuto losinthasintha zochitika

Ngakhale matenda a bipolar ndi BPD amagawana zofananira, zizindikilo zambiri sizigwirana.

Zizindikiro za matenda ochititsa munthu kusinthasintha zochitika

Akuti pafupifupi 2.6 peresenti ya anthu akuluakulu ku America ali ndi matenda ochititsa munthu kusinthasintha zochitika. Vutoli limadziwika kuti manic depression. Vutoli limadziwika ndi:

• kusintha kwakukulu pamalingaliro
• zochitika za euphoric zotchedwa mania kapena hypomania
• magawo okhumudwa kwambiri kapena kukhumudwa

Munthawi yamanic, munthu yemwe ali ndi vuto losinthasintha zochitika amakhala wokangalika. Akhozanso:

• amakhala ndi nyonga zazikulu zakuthupi ndi zamaganizidwe kuposa masiku onse
• amafuna kugona pang'ono
• amakumana ndi malingaliro ndi zoyankhula mwachangu
• amachita zinthu zowopsa kapena zopupuluma, monga kugwiritsa ntchito mankhwala osokoneza bongo, kutchova juga, kapena kugonana
• pangani mapulani akulu, osatheka

Pa nthawi yamavuto, munthu yemwe ali ndi vuto losinthasintha zochitika amatha:

• akutsikira mu mphamvu
• kulephera kuyika mtima
• kusowa tulo
• kusowa chilakolako

Amatha kumva kuti:

• chisoni
• kusowa chiyembekezo
• kupsa mtima
• nkhawa

Kuphatikiza apo, atha kukhala ndi malingaliro ofuna kudzipha. Anthu ena omwe ali ndi matenda osinthasintha zochitika amatha kukhala ndi malingaliro kapena kusokonezeka kwenikweni (psychosis).

Mu nthawi yamankhwala, munthu atha kukhulupirira kuti ali ndi mphamvu zauzimu. Pakakhala kukhumudwa, atha kukhulupirira kuti adalakwitsa zinazake, monga kuchita ngozi pomwe sanachite.

Zizindikiro za BPD

Akuti pafupifupi 1.6 mpaka 5.9 peresenti ya achikulire aku America amakhala ndi BPD. Anthu omwe ali ndi matendawa amakhala ndi malingaliro osakhazikika. Kusakhazikika uku kumapangitsa kukhala kovuta kuwongolera momwe tikumvera ndikulamulira mwamphamvu.

Anthu omwe ali ndi BPD amakhalanso ndi mbiri ya ubale wosakhazikika. Amayesetsa kuti apewe kudzimva kuti asiyidwa, ngakhale zitakhala kuti sizingachitike.

Maubwenzi opanikizika kapena zochitika zimatha kuyambitsa:

• kusintha kwakukulu pamalingaliro
• kukhumudwa
• paranoia
• mkwiyo

Anthu omwe ali ndi vutoli amatha kuzindikira anthu ndi zochitika mopambanitsa - zabwino zonse, kapena zoyipa zonse. Ayeneranso kudzidzudzula okha. Zikakumana ndi zoopsa, anthu ena atha kudzivulaza, monga kudula. Kapenanso akhoza kukhala ndi malingaliro ofuna kudzipha.

Zoyambitsa

Ochita kafukufuku sakudziwa chomwe chimayambitsa matenda ochititsa munthu kusinthasintha zochitika. Koma akuganiza kuti ndi zinthu zochepa zomwe zimapangitsa kuti izi zitheke, kuphatikiza:

• chibadwa
• Nthawi zapanikizika kwambiri kapena zoopsa
• mbiri yogwiritsa ntchito mankhwala osokoneza bongo
• kusintha kwa umagwirira ubongo

Kuphatikizika kwakukulu kwa zinthu zachilengedwe komanso zachilengedwe kumatha kuyambitsa BPD. Izi zikuphatikiza:

• chibadwa
• zowawa zaubwana kapena kusiyidwa
• post-traumatic stress disorder (PTSD)
• zovuta zamubongo
• magulu a serotonin

Kafukufuku wowonjezereka amafunikira kuti mumvetsetse zomwe zimayambitsa zinthu zonsezi.

Zowopsa

Zowopsa zodwala matenda ochititsa munthu kusinthasintha zochitika kapena BPD zalumikizidwa ndi izi:

• chibadwa
• kuwonetseredwa ndi zoopsa
• nkhani zamankhwala kapena ntchito

Komabe, pali zifukwa zina zowopsa pazikhalidwezi zomwe ndizosiyana kwambiri.

Matenda osokoneza bongo

Chiyanjano pakati pa kusinthasintha kwa maganizo ndi chibadwa sichikudziwika bwinobwino. Anthu omwe ali ndi kholo kapena m'bale wawo yemwe ali ndi vuto losinthasintha zochitika amakhala ndi vuto lawo kuposa anthu wamba. Koma, nthawi zambiri anthu omwe ali ndi wachibale wapafupi yemwe ali ndi vutoli sangakhale nawo.

Zowonjezera zoopsa za matenda ochititsa munthu kusinthasintha zochitika ndi awa:

• kuwonetseredwa ndi zoopsa
• mbiri yogwiritsa ntchito mankhwala osokoneza bongo
• matenda ena amisala, monga nkhawa, mantha, kapena matenda
• nkhani zamankhwala monga, stroke, kapena multiple sclerosis

Mavuto am'malire

BPD imatha kupezeka kasanu mwa anthu omwe ali ndi wachibale wapafupi, monga mchimwene kapena kholo, amene ali ndi vutoli.

Zowonjezera zowopsa za BPD ndizo:

• kuwonetsa msanga zipsinjo, nkhanza zakugonana, kapena PTSD (Komabe, anthu ambiri omwe akukumana ndi zoopsa sangakhale ndi BPD.)
• zomwe zimakhudza ubongo

Matendawa

Katswiri wazachipatala ayenera kuzindikira kuti ali ndi matenda ochititsa munthu kusinthasintha zochitika komanso BPD. Zonsezi zimafuna mayeso amisala komanso zamankhwala kuti athetse mavuto ena.

Matenda osokoneza bongo

Dokotala angakulimbikitseni kugwiritsa ntchito magazini azamaganizidwe kapena mafunso ofufuza kuti athandizire kupeza matenda a bipolar. Zida izi zitha kuthandizira kuwonetsa mawonekedwe ndi pafupipafupi zosintha pamikhalidwe.

Matenda a bipolar amagwera m'gulu limodzi:

• Bipolar Woyamba: Anthu omwe ali ndi matenda ochititsa munthu kusinthasintha zochitika ndakhala ndikhale ndi gawo limodzi lamankhwala nthawi yamatsenga isanachitike kapena itatha kapena vuto lalikulu lokhumudwitsa. Anthu ena omwe ali ndi matenda ochititsa munthu kusinthasintha zochitika ndakhala ndikukumana ndi zizindikiro za matenda amisala panthawi yamankhwala.
• Bipolar II: Anthu omwe ali ndi matenda ochititsa munthu kusinthasintha zochitika wachiwiri sanakumaneko ndi vuto lina lililonse. Adakumana ndi gawo limodzi kapena angapo okhumudwa kwambiri, ndi gawo limodzi kapena angapo a hypomania.
• Matenda a cyclothymic: Zolinga za matenda a cyclothymic zimaphatikizapo nthawi yazaka ziwiri kapena kupitilira apo, kapena chaka chimodzi kwa ana ochepera zaka 18, zosintha magawo azizindikiro za hypomanic and depression.
• Zina: Kwa anthu ena, matenda a bipolar amakhudzana ndi matenda monga stroke kapena kukanika kwa chithokomiro. Kapena zimayambitsidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo.

Mavuto am'malire

Kuphatikiza pa mayeso amisala ndi zamankhwala, adotolo atha kugwiritsa ntchito mafunso kuti adziwe zambiri za zidziwitso ndi malingaliro, kapena kufunsa achibale a wodwalayo kapena abwenzi apamtima. Dokotala atha kuyesa kuthana ndi zina asanapange BDP.

Kodi ndingazindikiridwe molakwika?

N'zotheka kuti matenda ochititsa munthu kusinthasintha zochitika ndi BPD atha kusokonezana. Ndi matenda aliwonsewa, ndikofunikira kutsatira akatswiri azachipatala kuti awonetsetse kuti matendawa apezeka, ndikufunsa mafunso okhudza chithandizo ngati pali zizindikiro.

Chithandizo

Palibe mankhwala a matenda ochititsa munthu kusinthasintha zochitika kapena BPD. M'malo mwake, chithandizo chithandizira kuthana ndi zizindikilo.

Matenda a bipolar amachiritsidwa ndimankhwala, monga ma anti-depressants ndi ma stabilizers. Mankhwala nthawi zambiri amakhala ophatikizidwa ndi psychotherapy.

Nthawi zina, adokotala amalimbikitsanso mapulogalamu azithandizo lina pomwe anthu omwe ali ndi vutoli amasintha kuti azitha kulandira mankhwala ndikuwongolera pazizindikiro zawo. Kugonedwa mchipatala kwakanthawi kungalimbikitsidwe kwa anthu omwe ali ndi zizindikilo zoopsa, monga malingaliro ofuna kudzipha kapena machitidwe omwe amadzivulaza.

Chithandizo cha BPD chimangoyang'ana pa psychotherapy. Psychotherapy imatha kuthandiza munthu kudziwona okha komanso maubale ake moyenera. Dialectical Behaeve Therapy (DBT) ndi pulogalamu yothandizira yomwe imaphatikiza chithandizo chamodzi payekha ndi gulu. Ndi kukhala mankhwala othandiza a BPD. Njira zina zochiritsira zingaphatikizepo mitundu ina yamankhwala am'magulu, ndikuwonetseratu kapena kulingalira.

Tengera kwina

Matenda a bipolar ndi BPD amakhala ndi zizindikilo zingapo, koma izi ndizosiyana. Ndondomeko zamankhwala zimatha kusiyanasiyana kutengera matenda. Ndikudziwa bwino, kulandira chithandizo chamankhwala, komanso kuthandizidwa, ndizotheka kuthana ndi vuto la kupuma koipa komanso BPD.