Uyini umehluko phakathi kweBorderline Personality Disorder neBipolar Disorder?

-Delile

• Izimpawu
• Izimpawu zesifo se-bipolar
• Izimpawu ze-BPD
• Izimbangela
• Izici zobungozi
• Ukuphazamiseka kwe-bipolar
• Ukuphazamiseka kobuntu bomngcele
• Ukuxilongwa
• Ukuphazamiseka kwe-bipolar
• Ukuphazamiseka kobuntu bomngcele
• Ngingakwazi yini ukutholwa ngokungeyikho?
• Ukwelashwa
• Ukudla okudlela endlini

Ukubuka konke

I-bipolar disorder kanye ne-borderline personality disorder (BPD) yizimo ezimbili zempilo yengqondo. Zithinta izigidi zabantu unyaka nonyaka. Lezi zimo zinezimpawu ezifanayo, kepha kukhona umehluko phakathi kwazo.

Izimpawu

Izimpawu ezivamile kuzo zombili i-bipolar disorder ne-BPD zifaka:

• ukushintsha kwemizwa
• ukungafisi
• ukuzethemba okuphansi noma ukuzihlonipha, ikakhulukazi ngesikhathi sokushona kwabantu abane-bipolar disorder

Ngenkathi i-bipolar disorder ne-BPD zihlanganyela ngezimpawu ezifanayo, iningi lezimpawu alihambelani.

Izimpawu zesifo se-bipolar

Kulinganiselwa ukuthi amaphesenti angafika ku-2.6 abantu abadala baseMelika anenkinga yokuphazamiseka kwengqondo okuguquguqukayo. Lesi simo sasibizwa ngokuthi ukucindezeleka komuntu. Isimo sibonakala ngalokhu:

• ushintsho olukhulu emizweni
• iziqephu ze-euphoric ezibizwa nge-mania noma i-hypomania
• iziqephu zokwehla okujulile noma ukucindezeleka

Ngesikhathi somuntu, umuntu onesifo se-bipolar angasebenza kakhulu. Bangase futhi:

• uhlangabezana namandla amakhulu ngokomzimba nangokwengqondo kunokujwayelekile
• kudinga ukulala kancane
• ukuzwa amaphethini wokucabanga okusheshayo nenkulumo
• zibandakanye ekuziphatheni okuyingozi noma kokuxhamazela, njengokusebenzisa izidakamizwa, ukugembula noma ucansi
• yenza izinhlelo ezinhle, ezingenangqondo

Ngesikhathi sokudangala, umuntu onesifo sokuphazamiseka kwengqondo okungahle abe nakho:

• amaconsi emandla
• ukungakwazi ukugxilisa ingqondo
• ukuqwasha
• ukulahlekelwa isifiso sokudla

Bangazizwa benomuzwa ojulile we:

• ukudabuka
• ukungabi nathemba
• ukucasuka
• ukukhathazeka

Ngaphezu kwalokho, bangaba nemicabango yokuzibulala. Abanye abantu abanesifo sokuphazamiseka kwengqondo okuguquguqukayo bangase babhekane nemibono noma ukuhlukana ngokoqobo (psychosis).

Esikhathini somuntu, umuntu angakholelwa ukuthi banamandla angaphezu kwawemvelo. Esikhathini sokucindezeleka, bangakholelwa ukuthi benze okuthile okungalungile, njengokudala ingozi ngenkathi bengakwenzanga.

Izimpawu ze-BPD

Abantu abalinganiselwa ku-1.6 kuye ku-5.9 wamaphesenti wabantu abadala baseMelika baphila ne-BPD. Abantu abanesimo banezindlela ezingapheli zemicabango engazinzile. Lokhu kungazinzi kwenza kube nzima ukulawula imizwa nokulawula umfutho.

Abantu abane-BPD bavame ukuba nomlando wobudlelwano obungazinzile. Bangase bazame kanzima ukugwema ukuzizwa belahliwe, noma ngabe kusho ukuhlala ezimeni ezingekho kahle.

Ubudlelwano obucindezelayo noma imicimbi ingadala:

• ushintsho olukhulu emizweni
• ukudana
• ukuphambana
• intukuthelo

Abantu abanesimo bangabona abantu nezimo ngokweqile - konke kuhle, noma kubi konke. Kungenzeka futhi ukuthi bazigxeke kakhulu. Ezimweni ezinzima, abanye abantu bangazilimaza, njengokuzisika. Noma bangase babe nemicabango yokuzibulala.

Izimbangela

Abaphenyi abaqiniseki ukuthi yini ebangela ukuphazamiseka kwe-bipolar. Kepha kucatshangwa ukuthi izinto ezimbalwa zinomthelela kulesi simo, kufaka phakathi:

• izakhi zofuzo
• izikhathi zokucindezeleka okukhulu noma ukuhlukumezeka
• umlando wokusetshenziswa kabi kwezidakamizwa
• izinguquko kumakhemikhali obuchopho

Inhlanganisela ebanzi yezici zebhayoloji nezemvelo ingadala i-BPD. Lokhu kufaka phakathi:

• izakhi zofuzo
• ukuhlukumezeka kwengane noma ukulahlwa
• ukucindezeleka kwangemva kokuhlukumezeka (PTSD)
• ukungajwayelekile kobuchopho
• amazinga e-serotonin

Ucwaningo oluningi luyadingeka ukuqonda izimbangela zombili zalezi zimo.

Izici zobungozi

Izingozi zokuba ne-bipolar disorder noma i-BPD zixhunywe kokulandelayo:

• izakhi zofuzo
• ukuvezwa ukuhlukumezeka
• izingqinamba noma imisebenzi yezokwelapha

Kodwa-ke, kunezinye izinto ezinobungozi zalezi zimo ezihluke kakhulu.

Ukuphazamiseka kwe-bipolar

Ubudlelwano phakathi kwesifo se-bipolar ne-genetics busalokhu kungacaci. Abantu abanomzali noma ingane yakini ene-bipolar disorder kungenzeka babe nalesi simo kunabantu abavamile. Kepha, ezimweni eziningi abantu abanesihlobo esiseduze abanesimo ngeke basithuthukise.

Izingozi ezingeziwe zokuphazamiseka kwe-bipolar zifaka:

• ukuvezwa ukuhlukumezeka
• umlando wokusetshenziswa kabi kwezidakamizwa
• ezinye izimo zempilo yengqondo, njengokukhathazeka, ukuphazamiseka, noma ukuphazamiseka kokudla
• izingqinamba zezokwelapha ezinjenge, isifo sohlangothi, noma i-multiple sclerosis

Ukuphazamiseka kobuntu bomngcele

I-BPD inamathuba aphindwe kahlanu okuba khona kubantu abanelungu lomndeni eliseduze, njengengane yakini noma umzali, onalesi simo.

Ezinye izinto ezinobungozi ze-BPD zifaka:

• ukuvezwa ngaphambi kwesikhathi ukuhlukumezeka, ukuhlukunyezwa ngokocansi, noma i-PTSD (Kodwa-ke, iningi labantu ababhekana nokuhlukumezeka ngeke likhule i-BPD.)
• okuthinta ukusebenza kobuchopho

Ukuxilongwa

Uchwepheshe wezokwelapha kufanele ahlolisise ukuphazamiseka kwe-bipolar ne-BPD. Zombili lezi zimo zidinga izivivinyo zengqondo nezokwelapha ukukhipha ezinye izingqinamba.

Ukuphazamiseka kwe-bipolar

Udokotela angancoma ukusetshenziswa kwamajenali emizwa noma amaphepha emibuzo ukusiza ukuthola ukuxilongwa kwe-bipolar. Lawa mathuluzi angasiza ekuboniseni amaphethini nobuningi bezinguquko kumzwelo.

Isifo se-bipolar ngokuvamile siwela kwesinye sezigaba eziningana:

• I-bipolar I: Abantu abane-bipolar ngithole okungenani isiqephu esisodwa se-manic ngokushesha ngaphambi noma ngemuva kwesikhathi se-hypomania noma isiqephu esikhulu sokucindezeleka. Abanye abantu abane-bipolar ngike ngabona nezimpawu zengqondo ngesikhathi sesiqephu somuntu.
• IBipolar II: Abantu abane-bipolar II abakaze babone isiqephu sendoda. Bake bathola isiqephu esisodwa noma eziningi zokucindezeleka okukhulu, kanye nesiqephu esisodwa noma eziningi ze-hypomania.
• Isifo seCyclothymic: Imigomo yesifo se-cyclothymic ifaka isikhathi seminyaka emibili noma ngaphezulu, noma unyaka owodwa ezinganeni ezingaphansi kweminyaka engu-18, seziqephu eziguqukayo zezimpawu ze-hypomanic and depress.
• Okunye: Kwabanye abantu, ukuphazamiseka kwe-bipolar kuhlobene nesimo sezokwelapha njenge-stroke noma ukungasebenzi kwe-thyroid. Noma kudalwa ukusetshenziswa kabi kwezidakamizwa.

Ukuphazamiseka kobuntu bomngcele

Ngaphezu kwezivivinyo ezingokwengqondo nezokwelapha, udokotela angasebenzisa uhlu lwemibuzo ukuze afunde kabanzi ngezimpawu nangemibono, noma axoxisane namalungu omndeni wesiguli noma abangane abaseduze. Udokotela angazama ukukhipha ezinye izimo ngaphambi kokwenza ukuxilongwa okusemthethweni kwe-BDP.

Ngingakwazi yini ukutholwa ngokungeyikho?

Kungenzeka ukuthi ukuphazamiseka kwe-bipolar ne-BPD kungadideka komunye nomunye. Ngokuthola noma yikuphi ukuxilongwa, kubalulekile ukulandelela ochwepheshe bezokwelapha ukuqinisekisa ukutholakala okufanele kwenziwe, nokubuza imibuzo mayelana nokwelashwa uma kuvela izimpawu.

Ukwelashwa

Alikho ikhambi lesifo se-bipolar noma i-BPD. Esikhundleni salokho, ukwelashwa kuzogxila ekusizeni ukuphatha izimpawu.

Isifo se-bipolar sivame ukwelashwa ngemithi, njenge-anti-depressants kanye ne-stabilizers. Imithi imvamisa ihlanganiswa ne-psychotherapy.

Kwezinye izimo, udokotela angancoma nezinhlelo zokwelashwa ukuxhaswa okwengeziwe ngenkathi abantu abanalesi simo bejwayela imithi futhi belawula izimpawu zabo. Kunganconywa ukulala esibhedlela okwesikhashana kubantu abanezimpawu ezinzima, ezifana nemicabango yokuzibulala noma izindlela zokuzilimaza.

Ukwelashwa kwe-BPD ngokuvamile kugxila ekwelashweni kwengqondo. I-Psychotherapy ingasiza umuntu ukuthi azibheke yena kanye nobudlelwano babo ngokweqiniso. Ukwelashwa kokuziphatha kwe-Dialectical (DBT) uhlelo lokwelashwa oluhlanganisa ukwelashwa ngakunye nokwelashwa kweqembu. Kuzoba ukwelashwa okusebenzayo kwe-BPD. Izinketho zokwelashwa ezingeziwe zifaka ezinye izindlela zokwelashwa kweqembu, kanye nokuzivocavoca ngeso lengqondo noma lokuzindla.

Ukudla okudlela endlini

I-bipolar disorder ne-BPD inezimpawu ezithile ezigqagqene, kepha lezi zimo zihlukile komunye nomunye. Izinhlelo zokwelashwa zingahluka ngokuya ngokuxilongwa. Ngokuxilongwa okufanele, ukunakekelwa kwezokwelapha, nokusekelwa, kungenzeka ukuphatha isifo se-bipolar ne-BPD.