Yu nɔ tink se yu gɛt di sem prɔblɛm? Lɛ wi tɔk bɔt bipolar disorder.

Sɔntɛnde, yu kin fil gladi wantɛm wantɛm, bɔt di nɛks de yu kin fil bad bad wan ɛn yu kin taya wit layf? Ɔ pɔsin we yu sabi dɔn gɛt dis ɛkspiriɛns? Dis nɔto jɔs ɔda tin, sɔntɛm de kɔz fɔ dis na bipolar disorder. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na Bipolar Disorder?

Fɔ tɔk am simpul wan, bipolar disorder na wan sik wae de mɛk pɔrsin gɛt wɛl bɔdi fɔ lɔng tɛm . Fɔs, dɛn bin de kɔl am "manic-depressive illness" ɔr "manic depression." E kin bi wae yu kin chenj kwik kwik wan na yu maynd, yu enaji, yu tink, en bihayvya. Dɛn chenj ya kin las fɔ sɔm awa, de, wik, ɔ ivin sɔm mɔnt. Dɛn kin ambɔg yu bak fɔ mek yu ebul fɔ wok fayn fayn wan.

Bipola muud disɔda kin gɛt tu men tin wae de mek yu fil fayn: manik ɔr haypomanik ɛpisod ɛn pwɛl hat. Bɔt dis nɔr min se pɔrsin wae gɛt dis sik kin de ɔltɛm na wan pan dɛn tu tɛm ya. Dɛn kin gɛt sɔm tɛm dɛn bak we dɛn kin fil lɛk se dɛn nɔmal. Wi kin kɔl dis "euthymia."

Wetin mek dɛn nɔ de yuz di nem "manic-depressive illness" igen?

Bɔku rizin dɛn de fɔ dis:

• Trade, dɔktɔ dɛn bin de yuz di wɔd "manic depression" fɔ tɔk bɔt bɔku bɔku mɛntɛl sik dɛm. Naw, as di mental sik klasification system, lεk di "Diagnostic and Statistical Manual of Mental Disorders" (DSM) , dεn dכn evolv, yus di nem "bipolar disorder" de mek di diagnosis klia.
• Di wɔd dɛm "manic" ɛn "mania" gɛt bɔku stigma ɛn negatif kɔnotashɔn na sosayti, mɔ di wɔd dɛm lɛk "maniac." Semweso, pipul dɛm kin yuse di wɔd "diprɛshɔn" fɔ tɔk bɔt nɔmal sɔri-at, ivin if nɔto klinik diprɛshɔn . Di nem "bipolar disorder" de pul yu maynd pan dɛn tu wɔd ya.
• "Bipolar disorder" na wan mכr mεdikal, klinik tεm pas "manic depression." I kin kɛr smɔl wet we pɔsin kin fil.
• di nem "manic depression" nכ de kכba di sayklotaymik כ haypomanik (lεk bipolar II disorder) fכm dεm fכ dis kכndyushכn.

Wetin na di men sayn dɛm wae de sho se pɔrsin gɛt bipola muud?

Lɛ wi si naw wetin kin apin insay dɛn tɛm ya we pɔsin kin gɛt mania ɛn pwɛl at.

Manik episod dɛn

Bipola I DisɔdaPipul wae gɛt dis maynia sik kin gɛt dɛn kayn manik episɔd ya. Dis na we yu maynd kin ay pasmak, sɔntɛnde yu kin ivin vɛks bad bad wan. Na di sem tɛm, di we aw yu de fil, di we aw yu de tink, di trɛnk, di we aw yu de tɔk, ɛn di we aw yu de biev, ɔl de chenj bad bad wan. Dis ay ɛnaji lɛvɛl ɛn bihayvya rili difrɛn frɔm yu ɔspitul sɛf, ɛn ɔda pipul dɛn kin notis am.

We sɔm pipul dɛn gɛt manik, dɛn kin du tin dɛn we go ambɔg dɛnsɛf pan bɔdi, soshal, ɔ mɔni. Fɔ ɛgzampul, dɛn kin spɛn bɔku mɔni wantɛm wantɛm, gam, ɔ drayv we dɛn nɔ tek tɛm. Sɔmtɛm , saykotik simptom dɛm , lɛk wae pɔrsin nɔr de fil fayn ɛn wae pɔrsin nɔr de si tin, kin apun bak. Sɔmtɛm dis kin mek i nɔr izi fɔ no difrɛns bitwin bipola muud disɔda frɔm ɔda sik dɛm, lɛk skizofrenia.

Fɔ ɛgzampul, pan sɔm kayn bipola muud disɔda, pipul dɛm wae gɛt Bipolar II Disorder kin gɛt wan kayn sik wae dɛn kɔl hypomania . Dis na wan episod wae nɔr kin siriɔs ɛn nɔr kin tranga pas mania. I nɔ de las fɔ lɔng tɛm lɛk manik ɛpisod ɛn i nɔ de ambɔg di wok we i de du ɛvride lɛk aw i de wok.

Episod dɛm wae kin mek pɔrsin fil bad

Wae pɔrsin gɛt pwɛl hat sik, yu kin fil bad ɛn nɔr gɛt op. Yu kin lɛf fɔ bisin bak pan tin dɛn we yu bin de ɛnjɔy trade. Ɔda sayn dɛm wae de sho se pɔrsin gɛt pwɛl hat kin apin bak:

• Taya, taya.
• Chenj na di apɛtit (we de go ɔp ɔ dɔŋ).
• Fɔ fil se yu nɔ gɛt wan valyu na fɔ fil se yu nɔ gɛt op.
• Di nɔ ebul fɔ du ɛnitin.
• A kin fil lɛk fɔ kray.

Wetin na de kayn sik wae de mɛk pɔrsin fil bad?

Fo men kayn sik de wae de mɛk pɔrsin fil bad:

1. Bipolar I Disorder: Dɛn pipul ya dɔn gɛt wan ɔr mɔr manik ɛpisod. Bɔrku pipul kin gɛt ɔl tu manik ɛn pwɛl hat, bɔt dɛn kin stil no se yu gɛt bipolar I if yu gɛt ɔl tu manik episɔd wae nɔr gɛt pwɛl hat. Bɔrku tɛm wae pɔrsin kin gɛt pwɛl hat kin te fɔ tu wiks. Fɔ mek dɛn no se yu gɛt bipolar I, yu manik ɛpisod fɔ las fɔ at le sɛvin dez ɔ i fɔ siriɔs fɔ mek yu nid fɔ go na ɔspitul. Dɛn pipul ya kin gɛt miks episɔd bak , wae na episod wae ɔl tu di manik ɛn pwɛl hat sik kin de.

2. Bipolar II Disorder: Dɛn pipul ya kin gɛt pwɛl hat sik ɛn hypomanic episod. Bɔt dɛn nɔr kin ɛva gɛt di ful manik ɛpisod dɛm wae kin kɔmɔn pan bipola I. Pan ɔl wae haypomania nɔr kin disrɔb pas mania, sɔmtɛm bipola II disɔda kin de mɔr pwɛl hat pas bipola I. Dis na bikɔs krɛse sik kin kɔmɔn pan bipola II.

3. 3. .Cyclothymic Disorder (Cyclothymia): Dɛn pipul ya kin gɛt pwɛl hat ɔltɛm. Dɛn kin chenj bitwin hypomania ɛn smɔl pwɛl hat fɔ at le tu ia. Dɛn kin gɛt shɔt tɛm we dɛn kin gɛt yutimi, bɔt dɛn tɛm ya nɔ kin rich et wik.

4. Ɔda bipolar ɛn rilat disɔda dɛm we dɛn dɔn spɛsifa ɛn we dɛn nɔ spɛsifa: If pɔsin nɔr rili mit di krayteria fɔ bipola I, II, ɔ sayklotaymia, bɔt i gɛt klinik sifyukɛnt lɛvɛl fɔ abnɔmal mud ɛleveshɔn, dɛn kin fɔdɔm insay dis kategori.

Wetin na di difrɛns bitwin bɔdalayn pɔrsin in sik (BPD) ɛn bipola muud disɔda?

Borderline Personality Disorder (BPD) ɛn bipolar disorder kin kɔnfyus bikɔs dɛn gɛt sɔm pan di sem sayn dɛm. Bɔt, dɛn na tu difrɛn tin dɛn.

BPD kin bi bay we yu de chenj di we aw yu de fil, di we aw yu de biev, ɛn di we aw yu de si insɛf fɔ lɔng tɛm, wantɛm wantɛm . Bɔku tɛm, dɛn tin ya kin apin bikɔs dɛn kin gɛt cham-mɔt pan padi biznɛs wit ɔda pipul dɛn. BPD gɛt fɔ du wit di bɔku bɔku pipul dɛn we nɔ de kil dɛnsɛf, we nɔ kin apin so pan di sik we dɛn kɔl bipolar disorder.

Bipola muud disɔda difrɛn frɔm BPD bikɔs i kin gɛt klia, lɔng tɛm episɔd dɛm fɔ mania/hypomania ɛn/ɔ pwɛl hat . Dɛn kayn tin ya wae kin mek pɔrsin gɛt mania ɔr pwɛl hat kin kam bikɔs ɔf difrɛn tin dɛm. Fɔ ɛgzampul, we pɔsin nɔ de slip fayn, we i de strɛs, ɛn we i de yuz sɔm mɛrɛsin ɛn drɔgs.

Udat kin gɛt bipola muud disɔda?

I kin divɛlɔp insay ɛnibɔdi. I kin bigin arawnd di ej wae yu ol 25. Bɔt nɔr kin bɔrku, e kin bigin wae yu yɔŋ, ɔr ivin wae yu ol 40 ɔr 50 ia.

I kin afɛkt uman ɛn man ikwal, bɔt smɔl difrɛns kin de pan di we aw i kin afɛkt dɛn.

• Uman dɛm wae gɛt bipola muud disɔda kin gɛt kwik kwik wan. If yu gɛt fɔr ɔr mɔr episɔd dɛm fɔ mania ɔr pwɛl hat insay wan ia, dɛn kin kɔl am "rapid cycling." di chenj dεm na di sεks כmon εn tayroyd כmon lεvεl , εn di hכy insidεns fכ antidipreshכn na uman dεm, kin kכntribyut to dis "rapid cycling" kכndyushכn.
• Uman dɛn kin gɛt mɔ pwɛl at bak pas man dɛn.

Aw kɔmɔn tin fɔ bi pɔrsin wae gɛt dis sik?

Na lɛk 5.7 milyɔn big pipul dɛm na Amɛrika, ɔr 2.6% pan di pipul dɛm, gɛt dis sik. Yu kin si dis kɔndishɔn bak na Sri Lanka.

Wetin na de sayn dɛm wae de sho se pɔrsin gɛt bipola muud?

Di men sayn fɔ bipola I disɔda na wan manik episɔd we kin las fɔ at le wan wik . Pipul wae gɛt bipolar II disorder ɔr cyclothymia kin gɛt hypomanic episod.

Bɔt bɔrku pipul dɛm wae gɛt bipola muud disɔda kin gɛt ɔl tu di manik/haypomanik ɛn pwɛl hat. Dɛn mud swing ya nɔ kin apin ɔltɛm na di sem patɛn. Manik episod nɔr kin fala wan pwɛl hat episod ɔltɛm. Pɔsin kin gɛt di sem muud (e.g., mania) bɔku tɛm, ɛn i kin go bak frɔm nɔmal mud (euthymia) to di ɔda say (dipreshɔn).

Dɛn chenj ya na di we aw pɔsin de fil kin las fɔ sɔm wik, mɔnt, ɔ ivin sɔm ia.

Di impɔtant tin na dat dɛn chenj ya we yu kin chenj na yu maynd nɔ de na di say we yu kin chenj ɛn di chenj kin las fɔ lɔng tɛm . Na mania, e kin te fɔ sɔm de ɔr wik, ɛn pan pwɛl hat, e kin te fɔ sɔm wik ɔr mɔnt.

De kayn pwɛl hat sik ɛn manik episɔd kin difrɛn frɔm pɔrsin to ɔda pɔrsin, ɛn ivin as tɛm de go na di sem pɔrsin.

Simptom dɛm fɔ Manic Episodes

Sɔm pipul kin gɛt episod fɔ mania ɔr hypomania bɔrku tɛm na dɛn layf. Ɔda pipul dɛn nɔ kin rili gɛt dɛn.

Di sayn dɛm fɔ wan manik ɛpisod na:

• Filin fɔ rili gladi, op, ɛn gladi at.
• Wan chenj we kin apin wantɛm wantɛm ɛn we kin rili bad. Fɔ ɛgzampul, fɔ kɔmɔt frɔm we yu rili gladi to we yu vɛks ɔ et yu wantɛm wantɛm.
• We pɔsin nɔ de rɛst.
• Rapid tok, rayd tinkin.
• Ɛnaji we de go ɔp, we yu nɔ nid fɔ slip igen.
• Fɔ kɔntrol yusɛf mɔ ɛn mɔ, fɔ disayd fɔ du bad tin. Fɔ ɛgzampul, fɔ lɛf fɔ wok wantɛm wantɛm.
• Fɔ mek big big plan dɛn we nɔ pɔsibul.
• Riklɛs, risky bihayvya. Fɔ ɛgzampul, fɔ tek drɔgs ɛn fɔ drink rɔm, fɔ du mami ɛn dadi biznɛs we nɔ sef.
• Fɔ fil se yu impɔtant, yu gɛt sɛns, ɔ yu gɛt pawa pasmak.
• Saykosis – Fɔ gɛt hallucinations ɛn delusions pan di mɔs siriɔs kes dɛm fɔ mania.

Bɔrku tɛm, pipul dɛm wae gɛt manik stet nɔr kin no bɔt de bad bad tin wae kin kam wae dɛn de du. Di risk fɔ kil insɛf kin de ɔltɛm pan bipola disɔda. Sɔm pipul dɛn kin tɛmpt fɔ kil dɛnsɛf we dɛn gɛt manik stet, nɔto jɔs we dɛn gɛt pwɛl hat.

If pɔrsin gɛt siriɔs sik wae de mɛk pɔrsin fil bad, mɔr lɛk wae i gɛt hallucinations ɛn delusion, i kin nid fɔ go na ɔspitul fɔ protɛkt insɛf ɛn ɔda pipul dɛm frɔm bad bad tin.

Di sayn dɛm fɔ Hypomania

Sɔm pipul dɛn kin gɛt sɔm kayn sik wae tan lɛk mania, bɔt dɛn kin gɛt sɔm kayn sik. Dɛn kɔl dis hypomania . Insay dis tɛm, yu kin fil fayn ɛn fil lɛk se yu kin du bɔku tin. Pipul wae de na hypomanic stet kin ɔltɛm woke fayn fayn wan na sosayti ɔr na woke.

We yu de du hypomanic episode, yu nɔr kin fil lɛk se natin nɔr fayn. Bɔt yu fambul ɛn padi dɛn kin notis se yu de fil ɛn biev chenj, ɛn dɛn kin tink se i nɔ kɔmɔn fɔ yu. Yu kin gɛt siriɔs pwɛl hat bak afta yu gɛt hypomanic episode.

Simptom dɛm fɔ pwɛl hat episod

De sayn dɛm wae de sho se pɔrsin gɛt pwɛl hat sik na di bipola muud disɔda kin fiba di wan dɛm wae kin kam wit big pwɛl hat sik . Dɛn tin ya na:

• Fɔ fil sɔri we yu nɔ go ebul fɔ bia.
• Lak fɔ gɛt ɛnaji, taya.
• Nɔ intres fɔ du ɛnitin.
• Fɔ at pwɛl, fɔ fil se yu nɔ gɛt wan valyu.
• Nɔto fɔ gɛt gladi at frɔm tin dɛn we pipul dɛn bin de ɛnjɔy bifo.
• I nɔ izi fɔ pe atɛnshɔn, fɔ disayd fɔ du sɔntin.
• Kray we yu nɔ ebul fɔ kɔntrol.
• Vɛks.
• Di nid fɔ slip mɔ ɛn mɔ.
• Nɔ slip ɔ fɔ slip pasmak.
• We yu de lɔs ɔ yu de gɛt mɔ wet bikɔs yu want fɔ it.
• Tin dɛn we pɔsin kin tink bɔt day ɔ kil insɛf ( Suicidal Ideation ).

If yu de tink bɔt fɔ kil yusɛf, yu fɔ go to ɛp wantɛm wantɛm. Insay Sri Lanka, kɔl ɔganayzeshɔn lɛk Sumithrayo (0112692909), ɔ go na di ɔspitul we de nia yu.

Karakta dɛn fɔ wan Miks Ɛpisod

Insai miks episod, ɔl tu de mania ɛn pwɛl hat sik kin apin togɛda. Dis tɛm ya, yu kin gɛt de bad filin ɛn tink wae kin kam wit pwɛl hat, bɔt yu kin fil bak fɔ wɔri, nɔr kin rɛst, ɛn yu kin gɛt bɔrku trɛnk.

Pipul wae kin gɛt miks episod kin tɔk bɔrku tɛm se na de wɔs pat pan bipola muud disɔda.

Wetin na de tin wae kin mek pɔrsin gɛt dis maynia sik?

Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek dɛn du dis.

Bɔt dɛn biliv se wan strɔng jɛnɛtik (jɛnɛtik/inhɛrit) link de . Bipolar disorder na wan pan de sik wae kin kam pan pɔrsin wae gɛt dis maynia sik. Mɔr pas tu-tɛd pan pipul dɛm wae gɛt dis sik kin gɛt blɔd fambul wae gɛt dis sik bak. Bɔt jɔs bikɔs yu fambul na yu blɔd gɛt bipola muud disɔda nɔ min se yu go gɛt am.

Ɔda tin dɛm wae sayɛnsman dɛm biliv se kin mek pɔrsin gɛt dis sik na:

• Chenj dɛm na yu bren: Risach pipul dɛm dɔn si se sɔm kayn chenj dɛm wae nɔr kin apin na di nɔmal saiz ɔr aw sɔm bren strɔkchɔ dɛn kin wok pan pipul dɛm wae gɛt bipola disɔda. Bɔt dɛn nɔ go ebul fɔ no di sik bay we dɛn de du bren skan.
• Tin dɛm wae de kam pan di envayrɔmɛnt, lɛk trauma ɛn strɛs: Wan tin wae kin mek pɔrsin strɛs, lɛk wae pɔrsin wae yu lɛk day, siriɔs sik, dayvɔs, ɔr gɛt prɔblɛm wit mɔni biznɛs, kin mek pɔrsin gɛt manik ɔr pwɛl hat. So, strɛs ɛn trauma kin ɛp bak fɔ mek pɔrsin gɛt bipola muud disɔda.

Naw sayɛnsman dɛn de du risach bɔt aw dɛn tin ya gɛt fɔ du wit bipola muud, aw dɛn kin ɛp fɔ mek dɛn nɔ gɛt dis sik, ɛn wetin dɛn kin afɛkt di tritmɛnt.

Aw dɛn kin no bɔt di sik we dɛn kɔl bipolar disorder?

Yu dɔktɔ kin yuz bɔku tin fɔ no bɔt dis:

• Fɔ chɛk yu bɔdi.
• Wan kɔmplit mɛdikal histri (fɔ aks bɔt yu sik, yu layf ɛkspiriɛns, ɛn yu famili histri).
• Mɛdikal tɛst dɛn, .Lɛk blɔd tɛst. Dɛn kin du dɛn tin ya fɔ chɛk fɔ ɔda tin dɛn we kin mek yu gɛt di sik (e.g., haypa tayroydizm ).
• Wan mental wɛlbɔdi ɛvalueshɔn. Yu dɔktɔ kin du dis, ɔr yu kin rifer yu to dɔktɔ we de mɛn yu maynd, lɛk dɔktɔ we de mɛn yu maynd.

Fɔ mek dɛn no se yu gɛt bipola muud disɔda, yu fɔ dɔn gɛt at le wan manik ɔ hypomanic episod . Di wan dɛm wae sabi bɔt mɛntɛl hεlth kin yuse di Diagnostic and Statistical Manual of Mental Disorders (DSM) fɔ ɛp fɔ no us kayn bipola muud disɔda yu kin gɛt.

Fɔ no us kayn bipola muud yu gɛt, yu dɔktɔ go asɛs aw yu de fil ɛn aw dɛn kin afɛkt yu layf pan di wɔs kes dɛm.

Pipul wae gɛt dis maynia sik kin gɛt dɛn kayn maynd wɛl bɔdi prɔblɛm ya:

• Wɔri.
• Atɛnshɔn-Dɛfisit/Hayparaktiviti Disɔda (ADHD).
• Pɔst-Traumatik Strɛs Disɔda (PTSD).
• Dizayd fɔ Yuz Sɔbstans.

Bikɔs ɔf dis, ɛn bikɔs pipul dɛn nɔr kin mɛmba se dɛn bin dɔn gɛt am bikɔs dɛn mɛmori nɔr de woke fayn wae pɔrsin gɛt manik, sɔmtɛm i kin at fɔ mek dɔktɔ dɛn no kɔrɛkt wan fɔ no pipul dɛm wae gɛt bipola muud.

Wan bipolar pesin wae gɛt siriɔs manik ɛpisod wit hallucinations kin bi misdiagnose as schizophrenia . I pɔsibul bak fɔ mek dɛn nɔ no am di rayt we as bɔdalayn pɔsin disɔda (BPD) .

So, e fayn fɔ bi ɔnɛs ɛn kɔmplit bɔt ɔl yu sik ɛn ɛkspiriɛns wae yu de tɔk to yu dɔktɔ. I kin fayn bak fɔ put pɔsin we yu lɛk pan yu tɔk to yu dɔktɔ we go gi yu ɔda tin dɛn bɔt yu maynd wɛlbɔdi istri.

Aw dɛn kin trit di sik we dɛn kɔl bipolar disorder?

Tritmɛnt kin ɛp bɔku pipul dɛm, ivin di wan dɛm wae gɛt de sik wae gɛt dis sik pasmak. Wan tritmɛnt plan we go wok fayn kin gɛt fɔ du wit dɛn tin ya:

• Saykotɛrapi / Tɔk Tɛrapi.
• Di mɛrɛsin dɛn we dɛn kin yuz.
• Tɛknik fɔ mɛn yusɛf, fɔ ɛgzampul, fɔ lan bɔt di sik, fɔ no di fɔs sayn dɛm fɔ wan sik, ɛn fɔ no wetin kin mek yu gɛt dis sik.
• Fɔ liv fayn layf, lɛk fɔ du ɛksɛsayz, yoga, ɛn fɔ tink gud wan, kin sɔpɔt tritmɛnt, bɔt nɔto fɔ tek in ples.
• Dɛn kin yuz ilɛktrokonvulsiv Tɛrapi (ECT) pan kes dɛm wae ɔda tritmɛnt nɔr de ansa fayn to mɛrɛsin, ɔr wae dɛn nid fɔ kɔntrol di sayn dɛm kwik kwik wan fɔ mek dɛn nɔ pwɛl.

Bipolar disorder na wan sik wae de kam wae yu de liv yu layf, so tritmɛnt na tin wae yu fɔ du fɔ yu ɔl yu layf . I kin tek sɔm mɔnt ɔ ivin ia fɔ mek yu ɛn yu dɔktɔ fɛn tritmɛnt plan we go wok fɔ yu. Pan ɔl we dis kin mek yu at pwɛl, i impɔtant fɔ kɔntinyu fɔ gɛt tritmɛnt.

Manik ɛn pwɛl hat kin kam bak as tɛm de go. Bɔrku pipul dɛm wae gɛt bipola muud disɔda kin gɛt sɔm kayn sik wae de mɛk dɛn nɔr de fil fayn, bɔt sɔm kin gɛt sɔm kayn sik wae de lɛf. If yu de trit yu fɔ lɔng tɛm ɛn yu go kɔntinyu fɔ gɛt am, dat kin ɛp fɔ kɔntrol dɛn sik ya.

If yu gɛt ɔda mɛntɛl hεlth kכndyushכn (e.g., wɔri, ADHD) wit bipola, fɔ trit dεn kכndyushכn dεm de kin tranga pasmak. Fɔ ɛgzampul, mɛrɛsin wae de mek pɔrsin fil bad fɔ obsessive-compulsive disorder (OCD) ɛn tin wae de mek pɔrsin gɛt ADHD kin mek di bipola muud sik wɔs ɛn ivin mek pɔrsin gɛt manik.

Bɔt pan ɔl we i nɔ kin izi fɔ trit dɛn sik ya, i nɔ kin izi. Bi kɔmit fɔ fɛn tritmɛnt plan we go wok fɔ yu.

Us kayn tritmɛnt dɛn kin yuse fɔ bipola muud disɔda?

Saykotɛrapi, wae dɛn kin kɔl bak "tɔk tɛrapi," kin bi impɔtant pat pan de tritmɛnt plan fɔ pipul dɛm wae gɛt bipola muud disɔda.

Saykotɛrapi na difrɛn tritmɛnt wae de ɛp yu fɔ no ɛn chenj aw yu de fil, aw yu de tink, ɛn aw yu de biev we de mɔna yu. Wae yu woke wit pɔrsin wae sabi bɔt mɛntɛl hεlth , lɛk saykayatrist, kin gi yu ɛn yu famili sɔpɔt, ɛdyukeshɔn, ɛn gayd.

Difrɛn kayn tritmɛnt fɔ bipola muud disɔda:

• Saykoedukeshɔn: Dis na wae pɔrsin wae sabi bɔt mɛntɛl hεlth kin tich pipul dɛm bɔt dɛn mɛntɛl hεlth kɔndishɔn. Bikɔs bipolaya na wan kɔmpleks sik, wae yu lan bɔt am ɛn aw e kin afɛkt yu layf, dat kin ɛp yu ɛn di wan dɛm wae yu lɛk fɔ ebul fɔ kɔntrol ɛn bia wit am fayn fayn wan.
• Intapɔsɔnal ɛn Sɔshial Ritm Tɛrapi (IPSRT): Dɛn mek dis tritmɛnt fɔ ɛp yu fɔ ɔndastand ɛn wok wit yu bayolojikal ɛn soshal ritm fɔ mek yu fil fayn. IPSRT na fayn tritmɛnt fɔ pipul dɛm wae gɛt bipola muud disɔda ɛn ɔda kayn pwɛl hat sik. I de pe atɛnshɔn pan fɔ fala di mɛrɛsin, fɔ manej di tin dɛn we kin apin na layf we kin mek pɔsin strɛs, ɛn fɔ ridyus di prɔblɛm dɛn we kin apin to di soshal ritm (chenj na di tin dɛn we dɛn kin du ɛvride). IPSRT de tich yu skil dɛm wae kin ɛp yu fɔ avɔyd fɔ gɛt mania ɔr pwɛl hat tumara bambay.
• Famili-Fɔs Tɛrapi: Dis na tritmɛnt fɔ big pipul ɛn pikin dɛm wae gɛt bipola muud disɔda ɛn di wan dɛm wae de kia fɔ dɛn. Insay dis tritmɛnt, di wan dɛn we yu lɛk kin wok wit yu fɔ lan bɔt bipolar, fɔ mek yu ebul fɔ tɔk to pipul dɛn, ɛn fɔ praktis aw fɔ sɔlv prɔblɛm.
• Cognitive Behavioral Therapy (CBT): Dis na wan kayn tritmɛnt we gɛt strɔkchɔ, we de pe atɛnshɔn pan gol. Yu thɛrapist de ɛp yu fɔ luk dip wan insay yu tink ɛn filin. Yu go lan aw di tin dɛn we yu de tink bɔt kin afɛkt di tin dɛn we yu de du. Tru CBT, yu kin lan fɔ lɛf fɔ tink ɛn biev fayn ɛn gɛt wɛlbɔdi fɔ tink ɛn abit.

Us mɛrɛsin dɛn kin yuse fɔ bipola disɔda?

Sɔm mɛrɛsin kin ɛp fɔ kɔntrol di sik wae de kam pan pɔrsin wae gɛt dis sik. Yu kin nid fɔ tray sɔm difrɛn mɛrɛsin dɛn ɔnda yu dɔktɔ in gayd fɔ fɛn di wan we go wok fɔ yu.

Kɔmɔn mɛrɛsin fɔ bipola muud disɔda:

• Di tin dɛn we de mek pɔsin in maynd stebul.
• sεkכn jεnereshכn ("atypical") nyurolεptik dεm (dεn kin kכl dεm bak antisaykotik).
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad.

If yu de tek mɛrɛsin fɔ bipola muud disɔda, mɛmba dɛn tin ya:

• Tɔk to yu dɔktɔ fɔ ɔndastand di bad tin dɛn we di mɛrɛsin kin du, di bad tin dɛn we kin apin to am, ɛn di bɛnifit dɛn we i kin gɛt.
• Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin (we dɛn gi yu, we yu nɔ de bay, ɔ tin dɛn we de ɛp yu fɔ it) we yu dɔn ɔlrɛdi de tek.
• If yu gɛt ɛni sayd ɛfɛkt we de mɔna yu, tɛl yu dɔktɔ wantɛm wantɛm. Dɛn kin ebul fɔ chenj di doz ɔ gi yu difrɛn mɛrɛsin.
• Mɛmba se yu fɔ tek bipolar mɛrɛsin ɔltɛm, lɛk aw dɛn tɛl yu.

Mood Stabilizers fɔ Bipolar

Pipul wae gɛt bipola muud disɔda kin nid mɛrɛsin wae de mek dɛn fil fayn fɔ mɛn dɛn manik ɔr hypomanic episɔd.

Di kayn tin dɛn we yu kin yuz fɔ mek yu fil fayn ɛn dɛn brand nem dɛn:

• Litiɔm ( Eskalith®, Litobid®, Litɔnɛt®)
• Valproik asid (Depakene®) we dɛn kɔl .
• Divalproɛks sɔdiɔm (Depakote®) .
• Kabamazepin (Tegretol®, Equetro®) we dɛn kɔl di .
• Lamotrijin (Lamiktal®) we dɛn kɔl Lamotrijin (Lamictal®) .

Litiɔm na wan pan di mɛrɛsin dɛm wae dɛn kin gi pasmak ɛn wae dɛn kin stɔdi bɔt fɔ bipola disɔda. Litiɔm na sɔl we de na di wɔl. I kin ridyus di manik simptom dɛm insay tu wiks afta i bigin, bɔt i kin tek wik ɔr mɔnt fɔ mek dɛn kɔntrol di manik simptom dɛm ɔltogɛda. Fɔ dis rizin, bɔrku tɛm, dɔktɔ dɛn kin gi ɔda mɛrɛsin, lɛk antisaykotik ɔr antidipreshan, fɔ ɛp fɔ kɔntrol di sayn dɛm.

Sɔntɛnde, litiɔm kin mek yu gɛt prɔblɛm wit yu tayroyd ɛn kidni . So yu dɔktɔ go de chɛk yu tayroyd ɛn kidni ɔltɛm, ɛn yu blɔd lithium lɛvɛl, bikɔs i izi fɔ mek di lithium lɛvɛl tumɔs.

Ɛnitin we de mek yu sodium lɛvɛl dɔŋ — lɛk fɔ chenj to it we nɔ gɛt bɔku sodium, fɔ swet pasmak, fiva, vɔmit, ɔ dayarɛa — kin mek di lithium bɔku te i rich di pɔyzin lɛvɛl na yu bɔdi. Yu fɔ no bɔt dɛn tin ya if yu de tek litiɔm, ɛn tɛl yu dɔktɔ if dɛn apin.

Dis na di simptom dɛm fɔ lithium toxicity/overdose . If yu gɛt ɛni wan pan dɛn tin ya , kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di imejensi rum we de nia yu:

• Blɔr vishɔn ɔ dabl vishɔn.
• Di at we nɔ de bit ɔltɛm.
• Rili fast ɔ rili slo at bit.
• I nɔ kin izi fɔ yu fɔ blo.
• Kɔnfyushɔn, diziz.
• I kin shek bad bad wan ɔ i kin gɛt sik we de mek i sik.
• Fɔ pis pasmak.
• Di we aw pɔsin de muv di yay we pɔsin nɔ ebul fɔ kɔntrol.
• Brus ɔ blɔd we nɔ kɔmɔn.

Nyurolɛptik mɛrɛsin fɔ bipola disɔda

Bɔku tɛm, dɔktɔ dɛn kin gi dɛn sɛkɔn jɛnɛreshɔn ɔ atypical nyurolɛptik (antipsychotics) wit wan mud stabiliza fɔ pipul dɛn we gɛt bipola muud disɔda. Dɛn mɛrɛsin ya kin ɛp fɔ mek yu gɛt manik ɛn pwɛl hat.

Na 4 pan dɛn mɛrɛsin ya nɔmɔ di US Food and Drug Administration (FDA) dɔn gri fɔ fɔ trit bipola muud dipreshɔn:

• Kariprazin (Vraylar®) we dɛn kɔl .
• Lurasidon (Latuda®) we dɛn kɔl .
• Olanzapin-fluoxetine kɔmbayn (Symbyax®) .
• Kwɛtiapin (Sɛrokɛl®) .

Bɔt dɛn kin gi ɔda mɛrɛsin dɛn lɛk Olanzapine (Zyprexa®), Risperidone (Risperdal®), ɛn Aripiprazole (Abilify®) bak.

Antidipreshan fɔ bipola muud disɔda

Sɔntɛnde, dɔktɔ dɛn kin gi dɛn mɛrɛsin fɔ mɛn diprɛshɔn fɔ trit dipreshɔn episɔd dɛn we de pan bipola disɔda. Bɔt fɔ mek dɛn nɔ gɛt manik, dɛn kin gi yu bak wan tin we de mek yu fil fayn wit di mɛrɛsin we de mek yu fil bad.

Dɛn nɔr kin ɛva yuz antidipreshan as di wan mɛrɛsin fɔ bipola muud disɔda, bikɔs fɔ tek wan antidipreshan nɔmɔ kin mek yu gɛt manik episɔd.

Wetin na di sayd ɛfɛkt dɛm wae pɔrsin de gi pɔrsin wae gɛt dis maynia sik?

Di sayd ɛfɛkt dɛm wae de mɛk pɔrsin gɛt dis maynia sik kin kɔmɔn, ɛn dɛn kin difrɛn frɔm wan mɛrɛsin to ɔda mɛrɛsin. I impɔtant fɔ tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt frɔm di mɛrɛsin we yu de tek. I impɔtant bak fɔ tɛl dɛn if yu de gɛt sayd ɛfɛkt.

Nɔ ɛva stɔp fɔ tek mɛrɛsin pas yu dɔktɔ tɛl yu fɔ tek am. If yu stɔp fɔ tek mɛrɛsin wantɛm wantɛm, dat kin mek yu gɛt siriɔs sayd ɛfɛkt ɛn i kin mek yu gɛt siriɔs mɛrɛsin.

Di sayd ɛfɛkt dɛm wae kin kam pan pɔrsin wae gɛt dis maynia sik na:

• We yu de gɛt mɔ wet.
• di mεtabolik disrεgulεshכn, inklud di abnכmal lipid lεvεl (dyslipidemia) , hεy blכd prεshכn (haypa tεnshכn) , εn hεy bכdi shuga (haypa glycemia) .
• Di we aw pɔsin kin slip.
• Akathisia – Na filin wae yu nɔr de rεst, yu nɔr de rεst, εn yu de fil tranga wan fɔ muv, rɔk, ɔr muv rawnd.

Us ɔda mɛrɛsin wae dɛn kin yuse fɔ gɛt bipola muud?

Ɔda tritmɛnt dɛn we yu dɔktɔ kin tink bɔt fɔ trit di sik we dɛn kɔl bipolar disorder na:

• Ilɛktrokɔnvulsiv Tɛrapi (ECT): Dis kin min fɔ sɛn shɔt ilɛktrik kɔrɛnt tru yu skel to yu bren, we kin mek yu gɛt sik. Dɛn kin yuse dis fɔ pipul dɛm wae gɛt siriɔs pwɛl hat sik. ECT na rili sef ɛn i kin woke fɔ pwɛl hat wae nɔr de ansa to mɛrɛsin ɔr siriɔs, layf-threating mania. Na di bɛst tritmɛnt fɔ mania if yu gɛt bɛlɛ. Dɛn kin du ECT ɔnda jenɛral anestezi, so yu kin slip di wan ol prɔsidyu ɛn yu nɔ go fil ɛni pen.
• Transcranial Magnetic Stimulation (TMS): Dis min se yu de sɛn ilɛktrik kɔrɛnt tru wan shɔt ilɛktromagnetik kɔyl to yu bren. Sɔmtɛm, dɔktɔ dɛn kin yuse dis fɔ trit pwɛl hat wae nɔr de ansa mɛrɛsin. Na ɔda we fɔ yuz ECT. TMS nɔ de mek pɔsin fil pen ɛn i nɔ nid fɔ tek anestezi.
• Tayrɔyd mɛrɛsin: Dɛn mɛrɛsin ya kin wok lɛk fɔ mek yu fil fayn. Stɔdi dɔn sho se dɛn kin wok fayn fɔ ridyus di simptom dɛm pan uman dɛm wae gɛt tranga fɔ trit, "rapid-cycling" bipolar disorder.
• Ketamin Tritmɛnt: Dɛn dɔn sho se di lɔw dos fɔ di anestetik ketamin we dɛn gi insay di bɛlɛ (IV) kin gɛt shɔt tɛm antidipreshan ɛn anti-suicidal ifɛkt pan pipul dɛn we gɛt bipolar disɔda.
• Ɔspitul: Dis na imejensi opshɔn fɔ bipolar kia. E kin bi wae pɔrsin gɛt siriɔs pwɛl hat ɔr manik episod ɛn na de trɛtin fɔ insɛf ɔr ɔda pipul dɛm kwik kwik wan.

Yu tink se fɔ chenj yu layf kin ɛp fɔ mek yu gɛt bipola muud?

Yu mɛdikal tim go mɔs tɛl yu fɔ chenj yu layf fɔ ɛp yu fɔ stɔp fɔ biev we de mek yu bipola sik wɔs. Sɔm pan dɛn chenj ya we pɔsin kin chenj in layf na:

• Stɔp fɔ yuz rɔm, drɔgs, ɛn tabak: I impɔtant fɔ stɔp fɔ yuz rɔm ɛn drɔgs (inklud tabak) bikɔs dɛn tin ya kin miks wit di mɛrɛsin dɛn we yu de tek, mek yu bipola sik wɔs, ɛn mek yu gɛt dis sik.
• Kip yu ɛvride dayari ɔr aw yu de fil: Wae yu rayt aw yu de tink, aw yu de fil, ɛn aw yu de biev ɛvride, dat kin ɛp yu fɔ si aw yu tritmɛnt de woke fayn fayn wan ɛn no bɔt tin dɛm wae kin mek yu gɛt sɔm kayn mania ɔr pwɛl hat.
• Mek yu slip fayn:Bipolar kin gɛt big impak pan aw yu de slip, ɛn we yu chenj aw yu de slip kin mek yu sik. Mek yu fɔs fɔ mek yu slip ɔltɛm, lɛk fɔ go slip ɛn wek di sem tɛm ɛvride.
• Ɛksesaiz: Dɛn dɔn sho se ɛksesaiz kin mek yu fil fayn ɛn in maynd wɛl bɔdi ɔlsay. So, e kin ɛp bak fɔ kɔntrol di sik wae de kam pan pɔrsin wae gɛt dis sik. Wan kɔmɔn sayd ɛfɛkt fɔ bipolar mɛrɛsin na fɔ gɛt bɔku bɔku bɔdi. So, ɛksesaiz kin ɛp bak fɔ mek yu nɔ gɛt bɔku bɔku bɔdi.
• Fɔ tink gud wan: Dɛn dɔn sho se fɔ tink gud wan kin ɛp fɔ mek yu gɛt pwɛl hat, we na wan pat pan di sik we dɛn kɔl bipolar disorder.
• Maneja strɛs ɛn kip wɛl bɔdi rilayshɔnship: Stret ɛn wɔri kin mek di sayn dɛm wɔs pan bɔrku pipul dɛm wae gɛt bipola muud disɔda. I impɔtant fɔ kɔntrol yu strɛs di rayt we ɛn pul di tin dɛn we de mek yu strɛs we i pɔsibul. Wan big pat pan dis na fɔ kip wɛl bɔdi rilayshɔn wit yu padi ɛn fambul dɛm wae de sɔpɔt yu, ɛn lɛf fɔ gɛt pɔyzin rilayshɔnship wae de ad strɛs to yu layf.

Wetin na di prɔgnosis fɔ bipola muud disɔda?

Bɔrku tɛm, de luk fɔ bipola muud disɔda nɔr kin fayn if dɛn nɔr trit am fayn. Bɔt if dɛn gɛt di rayt tritmɛnt, bɔku pipul dɛn we gɛt di sik we dɛn kɔl bipolar disorder kin liv fayn layf ɛn we go mek dɛn gɛt bɔku tin dɛn fɔ du.

Bipola muud disɔda kin mek pɔrsin in layf shɔt fɔ lɛk nayn ia. Na lɛk wan pan ɛvri fayv pipul dɛm wae gɛt dis maynia sik kin kil insɛf. Dɛn se lɛk 60% pan di pipul dɛm wae gɛt dis sik kin gɛt adikshɔn to drɔgs ɔr rɔm.

Dis na di rizin we mek i impɔtant fɔ mek di wan dɛn we gɛt bipola muud go to dɔktɔ ɛn fɔ mek dɛn gɛt kɔmitmɛnt fɔ gɛt tritmɛnt.

Yu fɔ yuz mɛrɛsin ɔltɛm ɛn ɔltɛm kin ɛp fɔ ridyus di episod dɛm fɔ mania ɛn pwɛl hat. If yu ebul fɔ no di sayn dɛm ɛn di tin dɛm wae kin mek dɛn kayn sik ya kin kam, yu gɛt bɛtɛ chans fɔ fɛn tritmɛnt wae go wok fayn ɛn aw fɔ bia wit dis sik wae kin mek yu nɔr sik fɔ lɔng tɛm, nɔr de na ɔspitul, ɛn nɔr kil yusɛf.

Yu tink se dɛn kin ebul fɔ avɔyd di sik we dɛn kɔl bipolar disorder?

Bɔt i sɔri fɔ no se bikɔs sayɛnsman dɛn nɔ no di rayt tin we kin mek pɔsin gɛt bipola muud, no we nɔ de fɔ mek i nɔ gɛt dis sik.

Bɔt i rili impɔtant fɔ no bɔt di sayn dɛm fɔ bipola muud disɔda ɛn go to dɔktɔ fɔ advays di fɔs tɛm (Early Intervention) .

Ustɛm yu fɔ go to dɔktɔ bɔt bipolar?

If dɛn dɔn no se yu gɛt bipola muud disɔda, yu go nid fɔ mit wit yu mɛdikal tim ɔltɛm ɔlsay na yu layf fɔ mek shɔ se yu tritmɛnt de wok fayn fɔ yu. Dis tim kin gɛt:

• Yu praymar wɛlbɔdi biznɛs pɔsin.
• Saykayatrist.
• Saykolojist ɔ Tɛrapist.
• Nyurolɔjis.

Ustɛm di wan dɛn we gɛt bipolaya fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt tin dɛn lɛk dis, .I impɔtant fɔ kɔl 1990 (Sri Lanka in imejensi ambulans savis) wantɛm wantɛm ɔ go na di imejensi rum we de nia yu:

• Tin dɛn we pɔsin kin tink bɔt day ɔ kil insɛf.
• Tin fɔ tink ɔ plan fɔ du bad to insɛf ɔ ɔda pipul dɛn.
• Fɔ ɛkspiriɛns hallucinations ɛn delusions.
• Di sayn dɛm fɔ lithium toxicity/overdose , lɛk fɔ gɛt siriɔs nɔys ɛn vɔmit, bad bad an we de shek, kɔnfyushɔn, ɛn we yu de si chenj.

Fɔ dɔn, mɛmba (Take-Home Message) .

Bipolar disorder na sik wae de kam wae pɔrsin de fil fɔ ɔl in layf. Bɔt fɔ lɔng tɛm, fɔ kɔntinyu fɔ trit yu, lɛk fɔ tek mɛrɛsin ɛn fɔ tɔk to yu, kin ɛp yu fɔ kɔntrol di sik dɛn we yu gɛt ɛn liv wɛlbɔdi layf ɛn gɛt rizin. I impɔtant fɔ mit wit yu wɛlbɔdi tim ɔltɛm fɔ wach yu tritmɛnt plan ɛn di sayn dɛm. Mɛmba se yu dɔktɔ dɛn ɛn di wan dɛn we yu lɛk de fɔ sɔpɔt yu. Nɔ fred fɔ aks fɔ ɛp.

` Bipola, manik pwɛl hat, mania, pwɛl hat, mental wɛl bɔdi, mud disɔda, tritmɛnt