Sɔntɛnde, yu kin fil se yu de bost wit ɔltin, yu nɔ kin fil fɔ du ɛnitin, ɛn jɔs fil bad? Ɔ yu kin fil fɔ wɔri ɛn fred ivin fɔ di smɔl smɔl tin dɛn? If dɛn tin ya nɔr go dɔn afta sɔm dez ɛn nɔr de go, yu kin gɛt wan sik lɛk pwɛl hat ɔr wɔri. Dis na tin dɛm wae kin pas fa fawe pas ɔdinari sɔri-at ɛn dɛn kin nid tritmɛnt. Tide wi de tɔk bɔt mɛrɛsin wae de mek pɔrsin fil bad, na wan kayn mɛrɛsin wae dɔktɔ dɛn kin tɛl pɔrsin fɔ gɛt dɛn kayn mɛntɛl hεlth prɔblɛm ya.
Wetin na dɛn mɛrɛsin ya we de mek pɔsin fil bad?
Fɔ tɔk am simpul wan, antidipreshan na wan kayn mɛrɛsin wae dɛn kin yuse fɔ trit pɔrsin wae gɛt dis maynia sik lɛk pwɛl hat, wɔri, ɛn post-traumatic stress disorder (PTSD). Sɔntɛnde, dɛn kin yuse dɛn bak fɔ trit sɔm kayn prɔblɛm dɛn we kin apin to pɔsin we i de it, pen we nɔ de dɔn, ɛn we i nɔ kin ebul fɔ slip.
Pwɛl hat nɔto jɔs fɔ fil bad. Na wan sik wae de kɔntinyu fɔ de wae de afɛkt yu maynd, yu de tink, yu trɛnk, ɛn yu intres fɔ du tin. Sɔntɛm yu nɔ go intres igen pan tin dɛn we yu bin de ɛnjɔy trade. Yu kin gɛt prɔblɛm bak fɔ mɛmba tin, fɔ it fayn, ɛn fɔ slip fayn.
De impɔtant tin na dat dɛn mɛrɛsin ya kin jɔs ridyus yu sayn dɛm (lɛk fɔ sɔri ɛn taya), bɔt dɛn nɔr kin pul di ɔndalayn kɔz fɔ de sik. Na dat mek dɔktɔ dɛn kin rɛkɔmɛnd saykotɛrapi, i.e. tɔk tɛrapi, wit dɛn mɛrɛsin ya.
Us kɔndishɔn dɛn kin yuz dis mɛrɛsin fɔ?
Dɔktɔ dɛn ɔlsay na di wɔl dɔn gri fɔ tek dɛn mɛrɛsin ya we de mek pɔsin fil bad mɔ fɔ dɛn sik ya.
| Di sik stetmɛnt | Wan simpul ɛksplen |
|---|---|
| Pwɛl hat ɛn tin dɛn we gɛt fɔ du wit am | Kɔndishɔn lɛk Major Depressive Disorder. |
| Dizayd dɛn we kin mek pɔsin wɔri | Tin dɛm lɛk Jɛnɛral Anxiety Disorder ɛn Sɔshial Anxiety Disorder. |
| Bipolar Disɔda | Wan stet we di mud kin chenj bad bad wan. |
| Obsesiv-Kɔmpulsiv Disɔda (OCD) . | Ripit tin dɛm wae yu nɔr want ɛn bihayvya wae kin kɔmɔt frɔm dɛm. |
| Panik Disɔda | Fɔ fred pasmak wantɛm wantɛm ɛn di sayn dɛn we pɔsin kin gɛt na in bɔdi. |
| Pɔst-Traumatik Strɛs Disɔda (PTSD) . | Di mental stet wae kin apun afta wan traumatik ivent. |
| Di prɔblɛm dɛn we pɔsin kin gɛt we i de it | Kɔndishɔn dɛn lɛk Bulimia Nervosa. |
| Ɔda tin dɛn we kin apin | Krכnik Pen, Fibromyalgia, Dayabitis-Rεlatεd Nεv Pen, εn Prεmεnstrual Disfכrik Disכda (PMDD). |
Apat frɔm dat, sɔntɛnde, dɔktɔ kin gi yu mɛrɛsin fɔ wan sik we ɔfishal nɔ gri fɔ. Dɛn kɔl dis "ɔf-lɛbul yus." Fɔ ɛgzampul, dɛn kin gi sɔm ol mɛrɛsin dɛn fɔ mek pɔsin nɔ ebul fɔ slip ɔ fɔ mek i gɛt maygren.
Wetin na di men kayn mɛrɛsin wae de mek pɔrsin fil bad?
Bɔku men kayn ɔ kategori dɛn de fɔ dɛn mɛrɛsin ya. Ɛni wan pan dɛn de wok difrɛn we smɔl.
| Tayp fɔ mɛrɛsin | Di we aw i de wok na simpul wan. |
|---|---|
| SSRI dɛn (Sɛlektiv Sɛrotonin Riuptek Inhibitɔ dɛn) . | Dɛn tin ya de wok bay we dɛn de mek di kemikal we de na yu bren we dɛn kɔl sɛrotonin, we de kɔntrol wi maynd bɔku. Dɛn tin ya na di wan dɛn we dɛn kin yuz mɔ. |
| SNRI dɛn (Serotonin-Norepinephrine Riuptek Inhibitɔ dɛn) . | Dɛn tin ya kin mek yu gɛt sɛrotonin ɛn wan kemikal we dɛn kɔl norepinephrine, we kin ɛp fɔ mek yu fil bad, strɛs, ɛn fɔ wach. |
| Trisayklik Antidipreshɔn | Dis kin mek bak di tu kemikal dɛn we wi dɔn tɔk bɔt ɔp. Bɔt bikɔs dɛn mɛrɛsin ya na ol mɛrɛsin, dɛn kin gɛt sɔm ɔda bad bad tin dɛn. |
| MAOIs (Monoamin Ɔksidayz Inhibitɔ dɛn) . | Dɛn tin ya kin blok wan ɛnzaym we kin brok di kemikal dɛn na di bren, ɛn dis kin mek dɛn kemikal dɛn de bɔku. Dɛn tin ya bak na wan ol kayn. |
| Ɔda kayn dɛn (Atypical Antidepressants) . | Nyu drɔgs we nɔ de pan di kategori dɛm we wi dɔn tɔk bɔt ɛn we de wok difrɛn we de ɔnda dis kategori. |
Bɔku tɛm, dɔktɔ go bigin wit SSRI mɛrɛsin fɔs, bikɔs dɛn nɔ kin gɛt bɛtɛ sayd ɛfɛkt pas ɔda kayn dɛn.
Aw dis mɛrɛsin kin rili wok?
Fɔ ɔndastand dis, wi nid fɔ no smɔl bɔt di bren. Nyurotransmitta na kεmikכl mεsenja dεm we di nεv sεl dεm na wi bren de yuz fכ kכmכnik wit dεn wan dεm. Serotonin ɛn norepinephrine na dɛn kayn kemikal dɛn de. Insay tin dɛm lɛk pwɛl hat, de balans pan dɛn kemikal ya kin pwɛl.
Di mɛrɛsin dɛn we de mek yu nɔ fil bad kin wok bay we dɛn de kɔntrol dɛn kemikal ya ɛn mek dɛn balans bak, ɛn dis kin mek yu fil fayn ɛn biev fayn.
Dɔn bak, we yu kɔntinyu fɔ tek dis mɛrɛsin, di bren kin ebul fɔ mek nyu kɔnekshɔn bitwin di nɛv sɛl dɛn. I tan lɛk se yu kɔba wan ol rod we gɛt pɔt ɛn bil nyu rod we bɛtɛ. Wi kin kɔl dis nyuroplastisiti. Dis kin mek yu fil fayn fɔ ɔltɛm as tɛm de go.
Aw a fɔ yuz dis mɛrɛsin?
Dɛn mɛrɛsin ya kin kam insay pil fɔm. We yu bigin fɔ tek dɛn, bɔku tɛm yu dɔktɔ go bigin yu fɔ tek di doz we smɔl pas ɔl. Dɔn, dɛn go de wach yu ɔltɛm ɛn smɔl smɔl dɛn go ad di doz if nid de.
Di impɔtant tin na dat, dis nɔ tan lɛk fɔ tek paracetamol pil. I kin tek sɔm wik, sɔntɛm wan ɔ tu mɔnt, fɔ mek di mɛrɛsin wok ɛn yu fil fayn. So yu nid fɔ peshɛnt.
Wae yu bigin fil fayn, yu fɔ kɔntinyu fɔ tek di mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek lɔng tɛm lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm jɔs bikɔs yu fil fayn. If yu du dat, i kin mek yu gɛt sayn dɛn we nɔ fayn (lɛk fiva, diziz, ɛn nɔ ebul fɔ slip). So, if yu stɔp fɔ tek di mɛrɛsin, yu fɔ du am akɔdin to yu dɔktɔ in instrɔkshɔn, ɛn smɔl smɔl yu fɔ ridyus di doz.
Aw a go pik di rayt mɛrɛsin fɔ mi?
Dis nɔto sɔntin we yu fɔ disayd fɔ yusɛf. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu. I go tɔk bɔt bɔku tin dɛn.
- Yu sayn dɛm: Yu kin sɔri pasmak? Wɔri? Nɔ ebul slip?
- Sɔm bad tin dɛn we kin apin: Sɔm mɛrɛsin kin mek pɔsin slip, ɛn ɔda wan dɛn kin mek i gɛt mɔ wet.
- If i go intarakt wit ɔda mɛrɛsin dɛm wae yu dɔn ɔlrɛdi de tek: Dɛn mɛrɛsin ya kin intarakt wit ɔda mɛrɛsin dɛm.
- Ɔda sik dɛn we yu gɛt: If yu gɛt ɔda sik dɛn lɛk at sik ɔ dayabitis, dɛn go tink bɔt dɛn bak.
Tink bɔt am, if yu de plan fɔ bɔn pikin, tɛl yu dɔktɔ bɔt am bak. Bikɔs sef mɛrɛsin dɛn de we uman gɛt bɛlɛ. So i rili impɔtant fɔ tɔk bɔt ɔl yu ditil dɛn wit yu dɔktɔ.
Sɔntɛnde, di fɔs mɛrɛsin we dɛn kin gi yu nɔ kin wok fayn. If dat apin, nɔ wɔri. Dat na nɔmal tin. Yu kin tɔk to yu dɔktɔ ɛn chenj di doz ɔ chenj to ɔda mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛm wae de wit mɛrɛsin wae de mek pɔrsin fil bad?
Lɛk ɔl di mɛrɛsin dɛn, dis mɛrɛsin kin gɛt sayd ɛfɛkt. Bɔt bɔku tɛm, dɛn tin ya nɔ kin siriɔs ɛn dɛn go stɔp as tɛm de go as yu de kɔntinyu fɔ yuz di mɛrɛsin. Sɔm pan di bad bad tin dɛn we kin apin to pɔsin na:
- Vɔmit
- Dray mɔt
- Fɔ slip ɔ nɔ ebul fɔ slip
- Diziz we pɔsin kin gɛt
- Ed de at
- Di want fɔ du mami ɛn dadi biznɛs we de go dɔŋ
- We yu de gɛt mɔ wet
- We pɔsin de swet
If yu de wɔri bɔt ɛni wan pan dɛn bad bad tin ya, tɛl yu dɔktɔ bɔt am.
Wan patikyula risk we yu fɔ no bɔt
Sɔntin de we spɛshal we wi nid fɔ tɔk bɔt na ya. Smɔl risk de fɔ mek pɔsin tink bɔt fɔ kil insɛf bɔku we pɔsin we nɔ rich 24 ia yet bigin fɔ tek dis mɛrɛsin, mɔ insay di fɔs wik. Dis nɔ kin apin to ɔlman, bɔt i impɔtant fɔ no bɔt dis ɛn tɛl yu dɔktɔ ɔr famili wantɛm wantɛm if yu de tink bɔt dɛn tin ya.
Sɔm prɔblɛm dɛn we kin apin we pɔsin tek dis mɛrɛsin
Bɔrku pipul dɛn kin tek dis mɛrɛsin wae nɔr kin gɛt ɛni prɔblɛm, bɔt i fayn fɔ no bɔt sɔm kayn siriɔs tin wae kin apun wae nɔr kin bɔrku.
| Kɔmplikɛshɔn | Wetin yu nid fɔ no |
|---|---|
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Dis nɔ kin apin so ɔltɛm, bɔt i rili siriɔs. I kin apin we tumɔs sɛrotonin de na di bɔdi. Di sayn dɛm kin bi wae yu kin kɔnfyus, yu mɔsul kin stif, yu kin gɛt ay fiva, ɛn yu kin gɛt sik. |
| Diskɔntinyueshɔn Sindrom | If yu stɔp fɔ tek di mɛrɛsin wantɛm wantɛm, yu go gɛt fiva, yu ed go tɔn, yu nɔ go ebul fɔ slip, ɛn yu go chenj yu maynd. |
| Ovados fɔ yuz am | If yu tek mɔ mɛrɛsin pas aw yu dɔktɔ tɛl yu fɔ tek am, dat kin mek yu layf de pan denja. If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
Yu kin gɛt adikshɔn to mɛrɛsin dɛn we de mek yu at pwɛl?
Nɔ, dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Dɛn mɛrɛsin ya nɔ kin mek pɔsin adikshɔn. Bɔt lɛk aw wi bin dɔn tɔk, if yu stɔp fɔ tek dɛn wantɛm wantɛm, yu fɔ du am jɔs lɛk aw yu dɔktɔ tɛl yu.
Ustɛm yu fɔ go to tritmɛnt kwik kwik wan?
- If yu gɛt sɔm sayn dɛm fɔ serotonin syndrome (hay fiva, siz, kɔnfyushɔn) ɔ yu tink se yu dɔn tek am pasmak, go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm.
- If yu de tink bɔt fɔ kil yusɛf , duya nɔ de yu wan. Tɔk to pɔsin we yu trɔst (fambul mɛmba, padi, dɔktɔ) wantɛm wantɛm. Ɔ, yu kin aks fɔ ɛp frɔm ɔganayzeshɔn lɛk Sumithrayo na Sri Lanka. Dɛn rɛdi fɔ lisin ɛn ɛp yu. Yu layf rili valyu.
Di mɛrɛsin wae de mek pɔrsin fil bad kin rili ɛp wae pɔrsin fil fɔ fil bad ɛn nɔr gɛt op. Bɔt dɛn kin tek tɛm. Yu nid fɔ gi yu bren tɛm fɔ mek i gɛt da balans de bak.
Wok wit yu dɔktɔ fɔ fɛn di rayt mɛrɛsin fɔ yu. Dis na wan prɔses. Sɔntɛm yu go nid fɔ mek chenj dɛn we yu de go. If yu gɛt ɛni prɔblɛm ɔr sayd ɛfɛkt, tɔk bɔt am. Dɔn yu kin mek di chenj dɛn we yu nid fɔ mek yu gɛt di bɛst rizɔlt.
Mɛsej we dɛn kin kɛr go na os
- Antidipreshan na mɛrɛsin wae dɛn kin gi fɔ trit mɛntɛl sik lɛk pwɛl hat ɛn wɔri, nɔr to jɔs sɔmtin fɔ tek fɔ sɔri.
- I kin tek lɛk 4-8 wik fɔ mek dɛn tin ya wok ɛn yu fɔ fil di rizɔlt; so peshɛnt ɛn kɔntinyu fɔ du di tritmɛnt.
- Nɔ ɛva bigin, stɔp, ɔ chenj di doz fɔ di mɛrɛsin if yu dɔktɔ nɔ advays yu.
- If sayd ɛfɛkt de mɔna yu ɔr yu sik nɔr de bɛtɛ, tɔk to yu dɔktɔ bɔt am.
- Dis mɛrɛsin nɔ de mek pɔsin adikshɔn.
- Fɔ mek yu gɛt di bɛst rizɔlt, i rili impɔtant fɔ yuz tɔk tritmɛnt wit mɛrɛsin.
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