Txoj kev tsis sib haum xeeb yog kev kho mob rau cov neeg muaj kev ntxhov siab vim muaj kev ntxhov siab lossis kev nyuab siab, uas tau pom tias kom txo qee cov tsos mob ntawm tus ciam teb tsis sib haum xeeb (BPD) . Thaum lub sij hawm tam sim no tsis muaj cov tshuaj pom zoo los ntawm FDA los kho BPD, lawv tau pom tias yuav siv tau qee zaum. Ntxiv thiab, cov tshuaj siv tau los kho cov kev mob puas hlwb uas pheej sib koom nrog BPD, xws li kev nyuaj siab loj.
Cov tshuaj yuav zoo rau BPD thaum lawv siv nrog kev kho siab thiab lwm cov kev kho mob .
Antidepressants
Thaum cov antidepressants tau tsim los rau cov tib neeg uas muaj kev nyuaj siab loj thiab lwm yam mob tshwm sim los ntawm kev txo qis qis, ntau tus neeg uas muaj BPD raug kho nrog cov tshuaj no.
Muaj ntau hom antidepressants uas tau kawm rau kev siv BPD, xws li tricyclic thiab tetracyclic antidepressants , monoamine oxidase inhibitors (MAOIs), thiab cov tshuaj serotonin reuptake inhibitors (SSRIs). Kev tshawb fawb tau pom tias cov tshuaj no yuav pab tau rau kev tu siab, siab siab, ntxhov siab, thiab kev hnov mob tshwm sim feem ntau los ntawm cov neeg uas muaj BPD, tab sis lawv tsis zoo li muaj cov nyhav rau lwm cov kev mob tshwm sim (piv txwv, kev npau taws, kev poob siab) .
Hom tshuaj tua kab mob muaj xws li:
- Nardil (phenelzine)
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Effexor (venlafaxine)
- Wellbutrin (bupropion)
Tshuaj tua kab mob
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). Txij li thaum lub sij hawm no, nws tau raug pom tias cov tshuaj tiv thaiv kab mob yuav muaj txiaj ntsim zoo rau ntau yam kev mob tsis xws ntawm tus kheej, nrog rau BPD.
Cov tshuaj tua kab mob tau pom tias yuav txo tau kev ntxhov siab, kev xav txog kev xav, kev siab npau taws / kev ua siab phem, thiab kev ua tsis taus rau cov neeg mob nrog BPD.
Hom tshuaj tiv thaiv kab mob muaj xws li:
- Haldol (haloperidol)
- Zyprexa (olanzapine)
- Clozaril (clozapine)
- Seroquel (quetiapine)
- Risperdal (risperidone) (Risperdal)
Mood Stabilizers / Anticonvulsants
Cov tshuaj kho mob siab rau lub cev, xws li lithium, thiab qee cov tshuaj anticonvulsant (los tiv thaiv), tau siv los kho tus cwj pwm tsis txaus ntseeg thiab hloov sai hauv kev xav ntawm BPD. Muaj kev tshawb nrhiav qhia tias cov kev kawm ntawm cov tshuaj no kuj yuav pab tau rau hauv BPD.
Feem ntau cov cwj pwm ruaj ntseg / cov ntsiab lus muaj xws li:
- Lithobid ( lithium carbonate )
- Depakote (valproate)
- Lamictal (lamotrigine)
- Tegretol lossis Carbatrol (carbamazepine)
Anxiolytics (Anti-Anxiety)
Vim tias cov tib neeg muaj mob BPD kuj feem ntau muaj kev ntxhov siab ntau heev, cov tshuaj kom txo tau kev ntxhov siab yog qee zaum. Hmoov tsis muaj ntau txoj kev tshawb nrhiav los txhawb kev siv tshuaj tiv thaiv kev ntxhov siab vim kho tus mob BPD. Tsis tas li, muaj qee cov pov thawj uas siv ib qho kev kawm hauv anxiolytics, benzodiazepines (xws li, Ativan, Klonopin), yuav ua rau cov neeg muaj mob BPD tsis zoo, thiab yuav tsum tau qhia nrog ceev faj.
Benzodiazepines yog ib qho tshwj xeeb txaus ntshai rau kev siv los ntawm cov tib neeg uas muaj cov kev mob tshwm sim vim tias lawv tuaj yeem ua cwj pwm txawv. Buspar, yog ib qho tsis zoo uas tsis yog cwj pwm, yog lwm txoj hauv kev noj tshuaj los ntawm tsev neeg benzodiazepine .
Common anxiolytics muaj xws li:
- Ativan (lorazepam)
- Klonopin (clonazepam)
- Xanax (alprazolam)
- Valium (diazepam)
- Buspar (buspirone)
Lwm Cov Ciam Kev Tiv Thaiv Kev Hlwb
Thaum peb kawm paub ntau ntxiv txog kev txheeb raws roj ntsha BPD, cov tshuaj tshiab tau tsim thiab sim rau qhov teeb meem no. Piv txwv, kev tshawb pom los ntawm txoj kev tshawb no tsis ntev los no hais tias qe omega-3-fatty acid ntxiv tuaj yeem ua rau qis qis dua thiab kev chim ntawm cov neeg muaj mob BPD.
Qhov chaw:
Mental Association Association. "Xyaum Cov Txheej Txheem rau Kev Kho Mob ntawm Cov Neeg Mob nrog Ciam Teeb Neeg Teeb Meem." American Journal of Psychiatry , 158: 1-52, Lub Kaum Hli Ntuj 2001.
Triebwasser, J, thiab Siever, LJ. "Pharmacotherapy ntawm Cwm Tus Cwj Pwm." Phau Ntawv Txog Kev Puas Siab Puas Ntsws, 16: 5-50, Ob Hlis 2007.
Zanarini, MC, Frankenburg, FR. "Omega-3 fatty acid kev kho mob ntawm cov poj niam nrog borderline tus neeg teeb meem: Ib tug ob-dig muag, placebo-tswj txoj kev tshawb no." American Journal of Psychiatry, 160: 167-169, 2003.