He aha te Raru Wairua Rōrahi? Tohutohu, Take, me te Maimoatanga

Ko te raruraru wairua rōrahi (BPD) tētahi āhuatanga hauora hinengaro e pā ana ki te āhua o tō wheako i ngā kare-a-roto, ngā hononga, me tō whakaaro ki a koe anō. E tino kaha ana te wheako a te hunga BPD i ngā kare-a-roto, ā, he uaua ki te whakahaere i aua kare-a-roto, ka puta ai ngā wero i te oranga o ia rā me ngā hononga.

E pā ana tenei āhuatanga ki te 1-2% o te iwi o te ao, ā, he mea nui kia mōhio koe, mā te tautoko tika me te maimoatanga, ka taea e te hunga BPD te ora i ngā oranga whai hua. Mā te mārama pai ake ki te BPD, ka taea te whakaiti i te whakaheke i te mana me te hanga i ngā hapori atawhai ake mō te katoa e pā ana ki tenei āhuatanga.

He aha te Raru Wairua Rōrahi?

Ko te raruraru wairua rōrahi tētahi āhuatanga hauora hinengaro e tohuhia ana e ngā kare-a-roto kaha, ngā hononga kore-tuuturu, me te whakaaro kore-mārama ki te tuakiri. Whakaarohia he rite ki te whakautu kare-a-roto e rite ana ki te pūkaha nui, ka tino nui ai ngā āhuatanga o ia rā.

Ko te ingoa ‘rōrahi’ i puta mai i tētahi whakapono tawhito he āhuatanga kei te rohe o te neurosis me te psychosis. I tēnei wā, e mōhio ana tātou he āhuatanga motuhake te BPD me ngā tauira motuhake o te whakaaro, te ngākau, me te whāinga e tīmata ana i te tīmatanga o te pakeketanga.

Kāore te hunga BPD i ‘whati’ kē rānei ‘uaua’ – kei te whakahaere rātou i tētahi āhuatanga hauora tūturu e pā ana ki te āhua o te tukatuka a to rātou roro i ngā kare-a-roto me ngā āhuatanga pāpori. Mā te mārama me te maimoatanga tika, ka taea te whakapai ake i ngā tohu nui i te wā.

He aha ngā tohu o te Raru Wairua Rōrahi?

E tū ana ngā tohu BPD ki ngā raruraru me te whakahaere i ngā kare-a-roto, ngā hononga, me te whakaaro ki a koe anō. E puta ana ngā tohu i te tīmatanga o te pakeketanga, ā, e pā ana ki ngā wāhanga maha o te oranga, ka hanga ai ngā tauira e tino nui ana, ā, he uaua ki te whakahaere.

Ko ngā tohu tino noa ka kitea e koe ko:

• Te wehi nui ki te whakarere - Te haere ki ngā roa ki te karo i te wehenga tūturu, kua whakaarohia rānei, mai i ngā tangata nui i tō oranga
• Ngā hononga kore-tuuturu - Te whakawhiti i waenga i te whakahīhī i tētahi tangata, katahi ka whakaiti i a rātou, i te wā kotahi pea i te rā
• Te whakaaro kore-mārama ki a koe anō - Te kore e tino mōhio ki ō uara, ō whāinga, ō ara mahi, ā, aha atu rānei tō tuakiri
• Ngā whāinga ngāwari - Te mahi tere kaore e whakaaro ki ngā hua, ina koa ki te whakapau moni, te moe, te taraiwa, te whakamahi ranei i ngā matū
• Te whara i a koe anō, ngā whakaaro rānei ki te whakamomori - Te whakamahi i te mamae tinana hei whakahaere i te pouri, ngā whakaaro rānei ki te whakamomori
• Ngā huringa ngākau nui - Te wheako i ngā kare-a-roto kaha e roa ana mai i ngā haora ki ngā rā, te whakawhiti tere i waenga i te pouri, te manukanuka, me te riri
• Ngā kare-a-roto kore-utu tonu - Te ahua kē, te ngenge, te ngaro rānei o tetahi mea nui i tō oranga
• Te riri nui - Te uaua ki te whakahaere i te riri, te wheako rānei i te riri e kore e rite ki te āhuatanga
• Te māuiui e pā ana ki te ahotea - Te ahua whakapae ki ētahi atu, te wehe rānei atu i te tūturu i ngā wā tino ahotea

E tino rite ana ngā tohu ki ngā āhuatanga o te ngākau e puta mai ana, kaore e mōhiotia. Ko te kaha ka tino ngenge, mō te tangata e wheako ana i aua mea, me ōna whānau, engari ko te kite i enei tauira ko te kaupapa tuatahi ki te tiki awhina.

He aha ngā take o te Raru Wairua Rōrahi?

E whanake ana te BPD mai i te whakakotahitanga o ngā take, ā, kāore he take kotahi anake. E whakaatu ana te rangahau e mahi tahi ana tō tinana me ō wheako oranga ki te hanga i ngā āhuatanga ka taea te whanake o te BPD.

He maha ngā take ka āwhina ki te whanake i te BPD:

• Ngā take ira - Ko te whai whānau me te BPD, ngā āhuatanga hauora hinengaro rānei, ka piki ake tō tūponotanga, e whakaatu ana i ētahi ngoikoretanga ira
• Ngā rerekētanga hanganga o te roro - Ka rerekē pea te mahi o ngā wāhanga o te roro e whakahaere ana i ngā kare-a-roto me ngā whakautu i te hunga BPD
• Te mamae o te tamarikitanga - Ngā wheako penei i te tukino, te whakahawea, te kite rānei i te tutu ka pā ki te whanaketanga o te ngākau
• Ngā taiao kore-whakaae - Te tipu ake i te wā e whakakahoretia ana, e whakakāhoretia ana, e whiua ana rānei ō kare-a-roto
• Te wehenga, te ngaro rānei i te tīmatanga - Te ngaro i tētahi mātua, i tētahi kaiwhakahaere rānei i ngā tau whanaketanga nui
• Te tiaki kore-tuuturu - Te whai kaiwhakahaere i te wā e atawhai ana, i te wā rānei e whakakahoretia ana, e ngaro ana rānei

He mea nui kia mōhio koe, ko te whai i enei tūponotanga kaore e tikanga ka whanake koe i te BPD. He tokomaha te hunga e wheako ana i ngā tamarikitanga uaua kaore e whanake i te āhuatanga, engari ko ētahi atu ka whanake i te BPD ahakoa he papamuri tino pumau.

Ko te mea nui kia mahara ko te BPD ehara i te he o tetahi tangata. Ehara i te ngoikoretanga o te ahua, te whiriwhiri rānei – he āhuatanga uaua e whanake ana i ngā take nui atu i tō mana whakahaere.

Nōhea te haere ki te taote mō te Raru Wairua Rōrahi?

Me whakaaro koe ki te rapu awhina ngaio mena kei te pā nui ngā kare-a-roto kaha me ngā raruraru hononga ki tō oranga o ia rā. Mena kei te uaua ki te pupuri i ngā hononga, te mahi, te kura rānei, nā te nui o te ngākau, kua tae ki te wā ki te rapu tautoko.

Rapua te awhina tonu mena kei a koe ngā whakaaro ki te whakamomori, ki te whara rānei i a koe anō. He tohu nui enei e hiahia ana ki te aro ngaio tonu. Kaua e tatari – whakapiri atu ki tētahi raina awhina, haere ki tētahi ruma urupare, waea atu rānei ki tētahi kaiwhakarato hauora whakawhirinaki.

Ko ētahi atu tohu e pai ai te awhina ngaio ko te ahua kē tonu, te maha o ngā putanga riri e whakangaro ana i ngā hononga, te mahi rānei i ngā whāinga ngāwari e whakatūpono ana i a koe. Ahakoa kaore koe e tino mōhio kei te rite ngā wheako ki te BPD, ka taea e tetahi tohunga hauora hinengaro te awhina i a koe ki te mōhio ki te mea kei te pā atu koe.

Kia mahara ko te rapu awhina he tohu o te kaha, ehara i te ngoikore. He tokomaha te hunga BPD e ora ana i ngā oranga whai hua mā te maimoatanga tika me te tautoko.

He aha ngā tūponotanga mō te Raru Wairua Rōrahi?

He maha ngā take ka piki ake tō tūponotanga ki te whanake i te BPD, ahakoa ko te whai i ngā tūponotanga kaore e whakaatu ka whanake koe i te āhuatanga. Mā te mōhio ki enei take, ka taea te whakamārama i te take i whanake ai te BPD, me te whakaiti i te whakaheke i a koe mō te hunga e whai ana.

Ko ngā tūponotanga matua ko:

• Te hītori whānau - Te whai whānau me te BPD, te pouri, ngā mate inu rānei
• Te ira tangata - E tino kitea ana te BPD i ngā wāhine atu i ngā tāne, ahakoa ka whakaatu pea tenei i te whakarite kore tika atu i te tino nui
• Te mamae o te tamarikitanga - Ko te tukino tinana, te moe, te ngākau rānei i te tamarikitanga ka piki ake te tūponotanga
• Te whakahawea - Te whakahawea tinana, te ngākau rānei, tae atu ki te kore e tutuki ngā hiahia taketake, te kore rānei e arohaina
• Te taiao whānau kore-tuuturu - Te tipu ake me te tutu o te whānau, te whakamahi rānei i te waipiro, te mate hinengaro rānei i te kāinga
• Te ngaro i te tīmatanga - Te mate o tētahi mātua, i tētahi kaiwhakahaere matua rānei i mua i te 16 tau
• Ngā take ngākau - Te whānau me te tino ngākau, te whakautu rānei

Ko ngā tūponotanga iti ake, engari he nui te tikanga, ko te tango, te wheako i te mate roa i te tamarikitanga, te tipu ake rānei i te rawakore me ngā ahotea e pā ana. Ka ngoikore pea ētahi atu i ngā take ahurea, te whakakahore rānei i te hapori.

He mea nui kia mōhio ko te tokomaha o te hunga e whai ana i enei tūponotanga kaore e whanake i te BPD, ā, ko ētahi o te hunga BPD kaore e whai tūponotanga marama. He uaua, he takitahi te whanaketanga o te BPD.

He aha ngā raruraru pea o te Raru Wairua Rōrahi?

Me kore te maimoatanga tika, ka arahi te BPD ki ngā wero nui i ngā wāhanga maha o te oranga. Kāore enei raruraru e kore e taea te karo, engari ka tino nui pea te tūponotanga ina kore e kitea, te maimoatia rānei te āhuatanga.

Ko ngā raruraru noa ka pa atu ki a koe ko:

• Ngā raruraru hononga - Ngā wehenga maha, te wehe, te tautohe tonu rānei me ngā mema whānau me ngā hoa
• Ngā raruraru mahi, kura rānei - Te uaua ki te pupuri i te mahi, te whakaoti rānei i te mātauranga nā te kore-tuuturu o te ngākau
• Ngā whāinga whara i a koe anō - Te tapahi, te tahunga, ngā momo whara rānei i a koe anō hei whakahaere i ngā kare-a-roto
• Te whakamahi i ngā matū - Te whakamahi i ngā raau taero, te waipiro rānei hei whakaiti i te mamae o te ngākau, ka arahi ai ki te taumanutia
• Ngā mate kai - Te whanake i te bulimia, te anorexia, te kai nui rānei hei whakahaere i ngā kare-a-roto
• Ngā raruraru ture - Ngā whāinga ngāwari e arahi ana ki ngā hopu, ngā taurangi, ngā hua ture rānei
• Ngā raruraru hauora tinana - Ngā āhuatanga e pā ana ki te ahotea, ngā whara mai i ngā mahi ngāwari, te whakahawea rānei ki te tiaki hauora

Ko ngā raruraru nui ake ka uru atu ngā whakamātautau whakamomori maha, te pouri nui, te wehe katoa rānei i te hapori. Ka whanake pea ētahi o te hunga BPD kaore i te maimoatia i ētahi atu āhuatanga hauora hinengaro penei i ngā mate manukanuka, te mate bipolar rānei.

Ko te rongo pai ko te maimoatanga tika, ka iti haere te tūponotanga o enei raruraru. He tokomaha te hunga BPD e ako ana ki te whakahaere pai i ō rātou tohu, ka haere tonu ki te whai oranga pumau, whai hua.

Me pēhea te whakatau i te Raru Wairua Rōrahi i te kāinga?

Ahakoa he mea nui te maimoatanga ngaio, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō ora me te whakahaere i ngā tohu BPD. E pai ana enei rautaki tiaki-a-koe ina whakakotahitia ki te rongoā, ehara i te whakakapi mō te awhina ngaio.

Ko ngā mahi tiaki-a-koe o ia rā ka taea te awhina ko:

• Te wā moe noa - Whakaarohia te moe 7-9 haora ia pō, haere ki te moe i te wā kotahi
• Ngā mahi whakaaro - Whakamahia te manawa hohonu, te whakaaroaro, ngā tikanga whakatūturu rānei ina tino nui ngā kare-a-roto
• Te mahi tinana - Ka taea e te mahi tinana noa te whakahaere i te ngākau me te whakaiti i te ahotea
• Te kai hauora - Pupuri i te huka toto pumau mā te kai noa, te kai rite rānei hei tautoko i te pumau o te ngākau
• Te tuhituhi - Tuhihia ō kare-a-roto me ō wheako hei awhina i te kite i ngā tauira me ngā mea whakaohooho
• Ngā huarahi auaha - Whakauru ki te toi, te waiata, te tuhituhi, ngā mahi auaha rānei hei whakaatu i ngā kare-a-roto haumaru
• Ngā hononga hapori - Pupuri i ngā hononga tautoko i te wā e whakatūturu ana i ngā rohe hauora
• Te hanganga o te mahi - Hangaia ngā mahi o ia rā e mōhiotia ana hei whakarite i te pumau i ngā āhuatanga o te ngākau

He mea nui hoki te ako ki te kite i ō whakaohooho whaiaro hei whakahaere i te BPD i te kāinga. Tāruahia ngā āhuatanga, ngā tangata, ngā whakaaro rānei e tino whakaohooho ana i ngā kare-a-roto kaha, hangaia ngā rautaki whakahaere motuhake mō ia whakaohooho.

Hangaia tētahi mahere raruraru mō ngā wā e tino nui ana koe, ngā whakaaro rānei ki te whara i a koe anō. Me uru atu ki konei ngā korero whakapā mō tō kaiwhakaora, ngā raina awhina raruraru, ngā hoa whakawhirinaki, ngā mema whānau rānei, me ngā tikanga whakahaere motuhake e mahi ana mōu.

Kia mahara he tukanga atawhai te whakahaere i te BPD, ā, he mea noa ngā he. Kia manawanui, kia atawhai ki a koe i te wā e whanake ana koe i enei pūkenga me ngā tikanga hou.

Me pēhea te whakarite mō tō hui taote?

Mā te whakarite mō tō hui, ka taea e koe te tiki i te nuinga o tō wā me tō kaiwhakarato hauora. I mua i tō haerenga, tangohia he wā ki te whakarite i ō whakaaro me te kohikohi i ngā korero e tika ana mō ō tohu me ō wheako.

Kawe mai tētahi rārangi o ō tohu o nāianei, tae atu ki te wā i tīmata ai rātou me te āhua o te pā ki tō oranga o ia rā. Kia tino marama ki ngā tauira hononga, ngā huringa ngākau, me ngā whāinga ngāwari katoa kua kitea e koe. Kaua e manukanuka ki te tino whakarite i ngā mea katoa – kei reira tō taote hei awhina i a koe ki te wehewehe i enei wheako.

Tuhia ētahi pātai e hiahia ana koe ki te ui, penei i ngā whiringa maimoatanga, te mea e tumanakohia ana mai i te rongoā, te āhua rānei o te whakamārama i tō āhuatanga ki ngā mema whānau. He ngāwari te wareware i ngā pātai nui i te wā o te hui, no reira mā te tuhi i aua mea ka whakarite koe ka whakautu i ō awangawanga.

Whakaritea tētahi hītori hauora poto, tae atu ki tetahi maimoatanga hauora hinengaro o mua, ngā rongoā kua whakamātauhia e koe, me te hītori whānau o ngā āhuatanga hauora hinengaro. Kawe mai hoki tētahi rārangi o ngā rongoā o nāianei, tae atu ki ngā taapiri kore-whakahaunga.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei hei tautoko, ina koa mena kei te manukanuka koe ki te hui. Engari, kia mōhio koe kei te pai koe ki te kōrero i ngā kaupapa whaiaro kei te noho rātou.

Whakamutunga, kia rite ki te pono ki ngā kaupapa uaua penei i te whara i a koe anō, te whakamahi i ngā matū, ngā raruraru hononga rānei. E hiahia ana tō kaiwhakarato hauora ki ngā korero tika hei awhina pai i a koe, ā, kei te tūturu ngā mea katoa e whakapā atu ana koe.

He aha te mea nui mō te Raru Wairua Rōrahi?

Ko te mea nui rawa atu ki te mōhio mō te BPD ko te āhuatanga e taea te maimoatanga, ehara i te whakawakanga ora. Ahakoa te ahua o te ora me te BPD i etahi wā, he tokomaha te hunga e whai ana i tenei āhuatanga e haere tonu ana ki te whai hononga whai kiko, mahi angitu, me ngā oranga whai hua mā te maimoatanga tika me te tautoko.

E whanake ana te BPD mai i te whakakotahitanga o ngā take, ā, ehara i te he o tetahi tangata. Mena kei a koe, kei tetahi tangata rānei e āta whakaaro ana koe he BPD, kia mahara ko te rapu awhina he tohu o te kaha me te toa. Ka taea te whakapai ake i ngā kare-a-roto kaha me ngā raruraru hononga e tohu ana i te BPD mā te huarahi rongoā tika.

He mea taea te ora mai i te BPD, ahakoa ka roa pea te wā me te manawanui. He tokomaha te hunga e tīmata ana ki te pai ake i roto i ngā marama i te tīmatanga o te maimoatanga, i te wā e haere tonu ana te whakaora hohonu i ngā tau. Ko te matua ko te rapu i tētahi tohunga hauora hinengaro e mōhio ana ki te BPD, ka taea te arahi i a koe i ngā maimoatanga e tautokona ana e ngā mōhiohio.

Whakamutunga, kia mahara ko te whai BPD kaore e whakatau i a koe hei tangata. He nui atu koe i tō whakatau, ā, mā te tautoko tika, ka taea e koe te whanake i ngā pūkenga e hiahiatia ana hei whakahaere i ō kare-a-roto me te hanga i ngā hononga me te oranga e hiahia ana koe.

Ngā pātai e ui pinepinetia ana mō te Raru Wairua Rōrahi

Ka taea te ora katoa mai i te Raru Wairua Rōrahi?

Ae, he tokomaha te hunga BPD e wheako ana i te whakapai ake nui, ka taea te ora i ngā oranga whai hua. E whakaatu ana te rangahau ko te maimoatanga tika, ina koa te rongoā whāinga dialectical (DBT), ka iti haere ngā tohu nui i te wā. Kāore pea ētahi atu e tutuki i ngā tikanga mō te BPD i muri i ngā tau maha o te maimoatanga pumau.

Kāore te ora e tikanga kaore e wheakohia ngā kare-a-roto kaha, engari te ako ki te whakahaere pai i aua mea. Ko te nuinga o te hunga e whanake ana i ngā pūkenga whakahaere pai ake, ngā hononga pumau ake, me te whakaaro mārama ake ki te tuakiri mā te maimoatanga.

He rite te Raru Wairua Rōrahi ki te bipolar?

Kāore, he rerekē ngā āhuatanga o te BPD me te mate bipolar, ahakoa ka raruraru pea i te mea e rua ngā huringa ngākau. E uru ana te mate bipolar ki ngā wāhanga motuhake o te mania, te hypomania rānei, me te pouri e roa ana mai i ngā wiki ki ngā marama. E uru ana te BPD ki ngā huringa ngākau tere e taea te puta i roto i ngā haora, ngā rā rānei, e whakaohoohotia ana e ngā āhuatanga pāpori.

Ko te hunga BPD e uaua ana ki ngā hononga me te tuakiri, i te mea ko te mate bipolar e pā ana ki te whakahaere i te ngākau. Engari, he mea taea te whai i ngā āhuatanga e rua, koia te take he mea nui te whakatau ngaio.

He aha ngā mea whakaohooho i ngā wāhanga BPD?

E whakaohoohotia ana ngā wāhanga BPD e te whakarere, te whakakahore, te whakakāhore rānei mai i ngā tangata nui i tō oranga. Ko ētahi atu whakaohooho noa ko te kore e mōhiotia, te tautohe rānei i ngā hononga, te whakahuri rānei i ngā huringa nui o te oranga. Ahakoa ngā kaupapa pai penei i te tīmatanga o tētahi hononga hou ka whakaohooho pea i ngā kare-a-roto kaha.

Ka whakaohooho pea ngā whakaohooho o roto i te ahua kē, te ngenge, te kore rānei e pai te tinana. He wāhanga nui te ako ki te kite i ō whakaohooho whaiaro hei whakahaere i te BPD, ka taea te awhina i a koe ki te whakarite i ngā rautaki whakahaere i mua.

Ka taea e te rongoā te whakaora i te Raru Wairua Rōrahi?

Kāore he rongoā e whakaora ana i te BPD, engari ka taea e ngā rongoā te awhina i te whakahaere i ētahi tohu penei i te pouri, te manukanuka, ngā huringa ngākau rānei. I etahi wā ka tohua ngā rongoā anti-depressant, ngā rongoā whakahaere ngākau, ngā rongoā anti-anxiety rānei hei wāhanga o tētahi mahere maimoatanga whānui.

Ko te rongoā ko te maimoatanga tino whai hua mō te BPD anō. E pai ana te mahi a ngā rongoā ina whakakotahitia ki te rongoā, hei awhina i te pumau o te ngākau kia taea ai e koe te whakauru pai ake ki te tukanga rongoā.

Me pēhea te pā o te BPD ki ngā hononga me ngā whānau me ngā hoa?

Ka hanga pea e te BPD ngā wero nui i ngā hononga nā te wehi ki te whakarere, ngā kare-a-roto kaha, te uaua rānei ki te whakahaere i te ngākau. Ka kite pea koe i a koe e whakawhiti ana i waenga i te whakahīhī me te whakaiti i ngā tangata e tata ana ki a koe, te whai rānei i ngā whakautu kaha ki ngā mea iti, ki te whakakahore rānei.

Engari, mā te maimoatanga me te mārama, ka taea te whakapai ake i ngā hononga. He tokomaha te hunga BPD e ako ana ki te whakapā atu i ō rātou hiahia pai ake, te whakatūturu i ngā rohe hauora, te whakahaere rānei i ō rātou whakautu ngākau. Ka taea hoki te awhina i te rongoā whānau, te tohutohu rānei mō ngā tokorua ki te whakaora me te whakapakari i ngā hononga.