Cov tshuaj tua kab mob yuav pab txhawb kev xav thiab txo qhov kev npau taws hauv BPD
Koj tus kws kho mob yuav muab cov tshuaj antipsychotics rau ib los yog ntau dua ntawm koj cov kab mob kev nyuab siab ntawm tus kheej (BPD).
Vim li cas thiaj li muaj kev puas siab ntsws rau tus Ciam Ntawm Tus Cwj Pwm?
Lub sij hawm "borderline" tau vim tias thawj zaug ntawm cov kws kho mob tau ntseeg tias cov tsos mob ntawm BPD yog "ntawm ciam teb" ntawm neurosis thiab psychosis . Vim li no, qee qhov kev siv tshuaj thawj zaug rau BPD yog cov tshuaj tua kabmob (antipsychotics).
Txawm hais tias peb tam sim no paub hais tias BPD tsis qhia cov nta nrog psychosis (thiab tsis yog ib qho kev puas siab puas ntsws), kev tshawb fawb tau pom tias cov tshuaj tiv thaiv kev noj qab haus huv tej zaum yuav pab tau kom txo tau qee cov tsos mob ntawm BPD - tshwj xeeb, chim siab thiab kev ua siab phem, thiab cov tsos mob tshwm sim, zoo li kev xav hauv kev xav. Uas tau hais tias, kev tshawb fawb pom tau tias cov tshuaj tiv thaiv mob tsis zoo rau kev txhim kho kev ntxhov siab, kev nyuaj siab, thiab kev ua tsis taus rau hauv BPD .
Tsis tas li ntawd xwb, thaum siv cov tshuaj tiv thaiv antipsychotomy nyob rau hauv BPD, qhov txiaj ntsim ntawm kev siv tshuaj tiv thaiv tsis tu ncua thiab kev siv tshuaj tiv thaiv mus ntev yog qhov muaj teeb meem.
Hom tshuaj tiv thaiv kab mob
Muaj ob hom tshuaj tiv thaiv kev mob hlwb (antipsychotics): hom tshuaj thiab lub cev.
Kab Mob Ntshav . Cov tshuaj tiv thaiv kab mob siab yog cov tshuaj ntau hom tshuaj tiv thaiv kev puas hlwb (antipsychotic medications), uas yog hu ua thawj zaug tshuaj tiv thaiv kab mob. Lawv tsis tshua raug siv vim yog lawv qhov peev xwm rau kev phiv loj xws li lub cev muaj zog.
Qee cov tshuaj tiv thaiv kab mob yog:
- Haldol (haloperidol)
- Navane (thiothixene)
- Stelazine (trifluoperazine)
Atypical Antipsychotics . Atypical antipsychotics yog cov cim tshuaj tshiab ntawm cov tshuaj tiv thaiv kev puas hlwb, thiab lawv ua rau tsis tshua muaj kev txuam nrog kev phais. Lub rau lub atypical antipsychotics yog:
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Abilify (aripiprazole)
- Geodon (ziprasidone)
- Risperdal (risperidone)
Lwm cov teebmeem ntawm kev puas siab ntsws
Tardive dyskinesia, ib qho kev tshwm sim uas tshwm sim los ntawm kev siv tshuaj tiv thaiv ntev, muaj kev tsis sib haum ntawm lub ntsej muag, daim di ncauj, tus nplaig, lub plab, thiab cov ntiv tes. Nws tsis ua haujlwm, thiab qhov kev pheej hmoo ntawm kev loj hlob yog siab dua nrog cov tshuaj tiv thaiv kabmob (antipsychotics) tshaj li lub atypical antipsychotics. Lwm cov kev mob tshwm sim yog hu ua extrapyramidal cov tsos mob , xws li cov acathisia , kev hnov mob tsis muaj zog thiab kev ntxhov siab. Cov tsos mob ntawm tus mob Extrapyramidal kuj tseem tshwm sim ntau tshaj nrog cov neeg mob hauv lub cev. Neuroleptic malignant syndrome yog ib qho mob nyhav heev tab sis muaj mob loj heev nrog kev mob hlwb ntsig txog kev kub taub hau, ntxhov siab, thiab cov nqaij ntshiv.
Thaum lub atypical antipsychotics tsis tshua muaj tshwm sim rau cov tsos mob tardive dyskinesia thiab extrapyramidal, lawv muaj feem xyuam nrog lwm cov kev mob xws li hnyav nce siab, pib mob ntshav qab zib, nce hauv cov roj cholesterol, kev sib deev, thiab kev mob plawv. Tsis tas li, qee cov tshuaj tua kab mob siab ntsws tib neeg nyias muaj nyias qhov teeb meem. Piv txwv li, muaj tsawg heev, tab sis feem ntau muaj kev mob tshwm sim rau ntawm atypical antipsychotic clozapine yog agranulocytosis, txo qis hauv cov qe ntshav dawb.
Kev soj ntsuam cov ntshav yuav tsum tau ua thaum siv tus neeg sawv cev no.
Raws li pom muaj, muaj ntau cov kev phiv tshuaj nrog cov tshuaj tiv thaiv, thiab lawv txawv los ntawm hom (typical vs atypical) ntawm cov tshuaj tiv thaiv, thiab cov tshuaj noj ib leeg. Yog tias koj tus kws kho mob sau txog kev mob hlwb, nco ntsoov xyuas cov kev mob tshwm sim nrog koj tus kws kho mob thiab noj cov tshuaj raws li qhia tseg.
Hauv Qab Kab
Kev kho BPD yuav tsum ua kom muaj tus kheej - txhais tau tias yam haujlwm zoo rau koj yog qhov txawv ntawm qhov ua haujlwm rau lwm tus. Nws yuav siv sij hawm rau koj thiab koj tus kws kho mob kom tsim ib lub tswv yim los pab kho koj txoj kev kho mob rau koj tus BPD, thiab cov tswv yim no muaj cov tshuaj thiab kev kho mob hlwb .
Txoj xov zoo yog tias muaj cov kev kho mob zoo tshaj plaws uas muaj peev xwm pab tau koj zoo thiab kom tau zoo.
Qhov chaw:
Albers LJ, Hahn RK, & Reist C. Phau Ntawv ntawm Cov Tshuaj Kev Puas Hlwb , Cov Ntawv Txhawb Txoj Cai Keeb Kwm Tshaj Tawm, Xyoo 2008.
Mental Association Association. (Lub Kaum Hli Ntuj 2001). Txhim Kho Cov Kev Cai rau Kev Kho Mob Rau Cov Neeg Mob Nrog Ciam Teeb Neeg Teebmeem. " American Journal of Psychiatry , 158: 1-52.
Ingenhoven, TJ, & Duivenvoorden, HJ (2011). Teeb meem zoo ntawm cov tshuaj tiv thaiv kev puas hlwb hauv kab kev teeb meem ntawm tus kheej: meta-kev soj ntsuam ntawm cov tshuaj placebo, randomized clinical trials ntawm cov kab mob tshwm sim. Phau Ntawv Qhia Kev Ntseeg Psychopharmacology, 31 (4): 489-96.
Stoffers, J., Völlm, BA, Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2010). Pharmacological interventions rau borderline tus neeg tsis meej. Cochrane Database ntawm Kev Tshawb Xyuas Kev Ntsuam Xyuas, Jun 16; (6): CD005653.
Triebwasser, J, thiab Siever, LJ. (2007). "Pharmacotherapy ntawm Cwm Tus Cwj Pwm." Phau Ntawv Txog Kev Puas Siab Puas Ntsws, 16: 5-50, Ob Hlis 2007.