Sɔntɛnde, i kin tan lɛk se yu pikin gladi pasmak ɛn i kin du bad fɔ natin, dɔn wantɛm wantɛm i kin vɛks, ala, ɛn kray fɔ di smɔl smɔl tin dɛn? Ɛn afta dat, wantɛm wantɛm i kin rili sɔri ɛn i kin fil bad? As mama ɔ papa, we yu si dɛn chenj ya we yu de biev, dat kin bi big prɔblɛm ɛn mek yu fred. Yu go de wɔnda se, "Wetin bad wit dis pikin?" Tide wi go tɔk bɔt wan mɛntɛl sik wae kin kam wit dis kayn tin. Dɛn kɔl dat Bipolar Disorder.
Fɔ tɔk am simpul wan, wetin na Bipolar Disorder?
Bipolar Disorder na wan sik wae de kam pan pɔrsin in maynd fɔ ɔl in layf. Bifo dis tɛm, dɛn bin de kɔl am manik-dipreshɔn sik. E kin bi wae pɔrsin in maynd kin chenj kwik kwik wan ɛn bad bad wan na in maynd, in ɛnaji, aw i de tink, ɛn aw i de biev. Dɛn chenj ya kin las fɔ sɔm awa, de, wik, ɔ ivin sɔm mɔnt. Dis kin mek i nɔ izi fɔ du di wok dɛn we pɔsin kin du ɛvride.
Bɔrku tɛm, dɛn kin no dis sik we dɛn yɔŋ ɔr big, bɔt sɔmtɛm di sayn dɛm kin bigin fɔ sho we dɛn smɔl.
Tu men kayn sik de wae de mɛk pɔrsin fil bad.
1. Mania: Dis na wae pɔrsin in maynd, in filin, ɛn in ɛnaji lɛvɛl kin bɔku pasmak. Lɛk fɔ bi "ɔva gladi." Sɔntɛnde, wan kayn tin we nɔ kin rili bad we dɛn kɔl haypomania kin apin bak.
2. Dipreshɔn faz: Di ɔpɔzit kin apin na dis faz. Yu kin fil bad bad wan ɛn yu at pwɛl. Yu nɔ de intres igen pan tin dɛn we yu bin de ɛnjɔy trade. Fɔ tɔk tru, i de sho di sayn dɛm wae de sho se pɔrsin gɛt pwɛl hat sik.
Bɔt wi nid fɔ mɛmba dis bak. De pɔrsin wae gɛt dis sik nɔr kin de ɔltɛm na wan pan dɛn tu stet ya. Insay bitwin dɛn tɛm dɛn de, dat na, we yu nɔ gɛt ɛni prɔblɛm, sɔm tɛm dɛn de bak we i nɔmal. Wi de kɔl dat `euthymia`. Dat min se, dɛn ɔspitul, nɔmal stet.
Aw bipola muud disɔda difrɛn pan pikin dɛm pas big pipul dɛm?
Dis na pɔynt we rili impɔtant. We big pɔsin gɛt Bipolar Disorder, dɛn kin no klia wan ɛn no di tɛm dɛn we pɔsin kin gɛt `mania` ɛn `dipreshɔn`. Dɛn tɛm ya kin las fɔ wan wik ɔ mɔ.
Bɔt wit pikin ɛn smɔl pikin dɛn, dɛn stej ya nɔ kin so klia. Ɛn di chenj frɔm wan stej to ɔda stej kin rili kwik. Fɔ ɛgzampul, imajin se yu pikin gladi pasmak ɛn de jok fɔ natin na mɔnin. Insay di de, i kin vɛks pan di smɔl smɔl tin dɛn, i kin ala ɛn trowe tin dɛn. Na ivintɛm, i kin de na in rum ɛn kray fɔ natin. Ɔl dis kin apin di sem de.
Bɔku tɛm, ɔl pikin dɛn kin sho se dɛn de biev chenj wit dɛn ej. Bɔt Bipolar Disorder nɔto so kɔmɔn tin. Na ya, di chenj dɛn kin rili tranga, ɛn bɔku tɛm dɛn kin apin fɔ natin. Apat frɔm dis, yu kin si dɛn tin ya bak:
- Di chenj dɛn we de apin na di we aw pɔsin de slip.
- Big chenj dεm na di bכdi in εnεji lεvεl.
- I nɔ kin izi fɔ pe atɛnshɔn ɛn tink klia wan.
Dɛn sayn ya kin mek i nɔr izi fɔ pikin fɔ du wɛl na skul, fɔ de wit in padi dɛm, ɛn gɛt prɔblɛm fɔ miks wit in fambul dɛm. Di tin we denja pas ɔl na dat sɔm pikin dɛn kin ivin tray fɔ du bad to dɛnsɛf ɔ kil dɛnsɛf.
Aw dis sik kin kam pan pikin dɛm?
Risach dɔn sho se lɛk 4% pan pipul dɛm wae nɔr rich 18 ia gɛt bipola muud disɔda. Sɔmtɛm, pikin dɛm wae ol lɛk 5 ia kin gɛt dis sik.
We yu kɔmpia am to ɔda mental sik dɛn:
- 9.8% pan di pikin dεm gεt atεnshכn dεfisit haypa aktiviti dizכrd (ADHD).
- 9.4% pan di pikin dεm gεt di sik wae de mek dεn de wɔri.
- 4.4% pan di pikin dɛm gɛt pwɛl hat sik.
Dat min se dis na kכndyushכn bak we dεn kin si bכku pan pikin dεm.
Wetin na de sayn dɛm wae de sho se pikin gɛt bipola muud disɔda?
Dɛn kin sheb dɛn sayn ya to tu men pat. Dis na di simptom dɛm fɔ wan `manic` episɔd ɛn di simptom dɛm fɔ wan `dipressive` episod. Sɔm pikin dɛn kin sho di sayn dɛm fɔ ɔl tu di episɔd dɛm di sem tɛm (miks ɛpisod dɛm). Ɔda wan dɛn kin chenj bitwin di tu episɔd dɛn kwik kwik wan (rapid cycling). Sɔntɛnde, ivin insay di sem de.
Di impɔtant tin na dat dɛn kayn kwaliti ya difrɛn frɔm di we aw di pikin kin biev.
Simptom dɛm fɔ wan manik ɛpisod
Bifo pikin dɛn gladi ɛn gɛt layf lɛk big pipul dɛn, dɛn kin vɛks ɛn sho se dɛn de biev bad bad tin dɛn dis tɛm.
| Tayp we gɛt kwaliti dɛn | Tɔk bɔt |
|---|---|
| Imɔshɔn ɛn di we aw pɔsin de fil | Fɔ gladi pasmak ɛn fɔ gɛt op fɔ natin. Fɔ mek jok dɛn we nɔ fayn fɔ yu ej. Fɔ vɛks ɛn ala pan ivin di smɔl smɔl tin dɛn. |
| Enerji lɛvɛl ɛn slip | Bi incredibly energetic, rili aktif. Go dez we yu nɔ slip fayn, fil taya. |
| Stori ɛn tin dɛn we pɔsin kin tink bɔt | Fɔ tɔk tumɔs, nɔ fɔ mek ɔda pipul dɛn tɔk. Fɔ jomp frɔm wan aidia to ɔda wan. I nɔ kin izi fɔ mek yu kɔntinyu fɔ pe atɛnshɔn. |
| Biev | Fɔ nɔ obe di lɔ, fɔ pwɛl tin, ɛn fɔ du tin dɛn we nɔ de tek tɛm, we denja (e.g., fɔ du mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn, fɔ drink rɔm). |
| Fɔ gɛt kɔnfidɛns pan yusɛf | Fɔ biliv se pɔsin gɛt ɛkstra ɔdinari, big pawa ɔ abiliti (e.g., fɔ tink se pɔsin no ɔltin bɛtɛ pas big pipul ɛn na in de kɔntrol ɔltin). |
Di sayn dɛm wae de sho se pɔrsin gɛt pwɛl hat sik
Dis tɛm ya, di pikin kin rili sɔri ɛn i nɔ kin gɛt bɛtɛ ɛnaji.
| Tayp we gɛt kwaliti dɛn | Tɔk bɔt |
|---|---|
| Imɔshɔn ɛn di we aw pɔsin de fil | Fɔ de sɔri ɔltɛm fɔ natin, fɔ kray ɔltɛm. Fɔ lɔs intres pan tin dɛn we yu bin de ɛnjɔy trade. Fɔ gɛt bad bad tin fɔ ivin di smɔl smɔl tin dɛn. |
| Enerji lɛvɛl ɛn slip | Fɔ fil lɛk se yu nɔ de du natin, fɔ gɛt prɔblɛm fɔ slip, fɔ wek ali mɔnin, ɔ fɔ slip tumɔs. |
| Sɔshial kɔnekshɔn dɛn | Fɔ want fɔ de yu wan, fa frɔm padi ɛn klasmet dɛn. |
| Skul wok ɛn di tin dɛn we pɔsin kin tink bɔt | Mis skul wok. I nɔ kin izi fɔ pe atɛnshɔn ɛn mɛmba tin dɛn. Fɔ tɔk bad tin dɛn bɔt yusɛf. |
| Di kwaliti dɛn we pɔsin gɛt na in bɔdi | I nɔ kin want fɔ it ɔ i nɔ kin it pasmak. Fɔ de kɔmplen ɔltɛm bɔt ed we de at, bɛlɛ we de at, ɛn bɔdi we de at. |
| Tin dɛn we pɔsin kin tink bɔt we denja | Fɔ tɔk ɔ tink bɔt day ɔ fɔ kil yusɛf. |
I rili impɔtant: If yu pikin sho sayn dɛn we de sho se i want fɔ kil insɛf ɔ i de tɔk, go to dɔktɔ wantɛm wantɛm. If yu tink se yu pikin de pan denja da tɛm de, kɛr am go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Wetin kin mek pɔsin gɛt di sik we dɛn kɔl Bipolar Disorder?
Sayɛnsman dɛn nɔ dɔn fɛn ɛni patikyula rizin yet fɔ dis, bɔt dɛn biliv se bɔku impɔtant tin dɛn de ɛp fɔ du dis.
- Jɛnɛtiks: Dis na di men tin we kin mek i apin. Fɔ tɔk am simpul wan, na tin we pɔsin kin gɛt frɔm in mama ɛn papa . Mɔr pas tu-tɛd pan di pipul dɛm wae gɛt dis sik kin gɛt wan tayt fambul (mama, papa, brɔda ɛn sista) wae gɛt dis sik. Bɔt nɔto ɔlman kin gɛt am jɔs bikɔs sɔmbɔdi na di famili gɛt am.
- Bren chenj: Sɔm risach dɔn sho se pikin dɛn we gɛt dis sik kin chenj di we aw sɔm pat dɛn na dɛn bren de wok.
- Trauma ɛn strɛs: Wae yu gɛt siriɔs, strɛs, lɛk wae yu fambul day ɔr yu de trit yu bad bad wan, dat kin mek bak pɔrsin gɛt dis sik pan pɔrsin wae gɛt dis sik.
Aw yu go no fɔ tru if pikin gɛt Bipolar Disorder?
Dis na smɔl kɔmplikɛt prɔses, bikɔs di sayn dɛm fɔ Baypolar Disorder kin tan lɛk bɔrku ɔda sik dɛm wae kin kam pan pikin dɛm, lɛk ADHD (atɛnshɔn dɛfisit disɔda), Oppositional Defiant Disorder (impulsive behavior), ɛn Major Depression.
So, di ɛp we pɔsin we gɛt ɛkspiriɛns bɔt mental wɛlbɔdi advays (saykayatrist ɔ sayɛnsman) kin ɛp fɔ no dis.
Di dɔktɔ kin du tin dɛn lɛk dis:
- Fɔ chɛk yu bɔdi: Chek fɔ ɔda sik dɛn.
- Wan kɔmplit mɛdikal istri: Dɛn go aks yu ɛn yu pikin bɔt yu pikin in sik ɛn famili mɛdikal histri.
- Mɛdikal tɛst: Dɛn kin du tin lɛk blɔd tɛst fɔ chɛk fɔ ɔda sik dɛn we kin mek pɔsin gɛt dɛn sik ya.
- Wan mɛntɛl hεlth evalueshɔn: Dis kin involv fɔ rifer to spɛshal saykayatrist. Dɛn kin aks di pikin, in mama ɛn papa, ɛn ivin di ticha dɛn fɔ fil kwɛstyɔn dɛn bɔt aw di pikin de biev.
Aw dɛn kin trit am?
Bikɔs bipola muud disɔda na sik we pɔsin kin gɛt fɔ ɔl in layf, di tritmɛnt kin apin bak fɔ ɔl in layf . I kin tek sɔm mɔnt ɔ ivin ia fɔ fɛn di rayt tritmɛnt plan fɔ yu pikin. Bɔt i impɔtant fɔ de pe atɛnshɔn ɛn kɔntinyu fɔ gɛt tritmɛnt.
Wan tritmɛnt plan we go wok fayn kin gɛt fɔ du wit dɛn tin ya:
- Di mɛrɛsin dɛn we dɛn kin yuz
- Saykotɛrapi (ɔ "tɔk tɛrapi") .
- Fɔ liv fayn layf (ɛksɛsayz, fɔ tink gud wan, fɔ du tin ɔltɛm) .
Saykotɛrapi
Dis na wan impɔtant pat pan di tritmɛnt plan. I de ɛp di pikin fɔ no ɛn kɔntrol aw i de fil, aw i de tink, ɛn aw i de biev.
- Saykoedukeshɔn: Fɔ ɛksplen di sik klia wan to di pikin ɛn in famili.
- Family-focused therapy (FFT): Na tritmɛnt we di pikin ɛn in famili kin tek pat togɛda. I kin ɛp fɔ no di sayn dɛm, sɔlv prɔblɛm, ɛn fɔ tɔk to dɛnsɛf fayn fayn wan.
- Kronotɛrapi: I de ɛp di pikin fɔ slip ɔltɛm ɛn slip ɔltɛm. Dɛn kin praktis fɔ go slip ɛn wek di sem tɛm.
Di mɛrɛsin dɛn we dɛn kin yuz
di mכd stεbyulayz εn antisaykotik dεm we dεn kin yus fכ big pipul dεm dεn kin yus dεm bak fayn fayn wan pan pikin dεm.
- Mud stεbyulayz: Mεdikeshכn dεm lεk `Lithium`, `Valproic acid`, εn `Lamotrigine` de εp fכ kכntrכl `manic` episod dεm.
- Antisaykotik: Dɛn kin ɛp wit ɔl tu di `manic` ɛn `dipressive` episɔd dɛm.
Impɔtant: If yu pikin gɛt ɔda tin dɛn lɛk ADHD, sɔm mɛrɛsin dɛn kin mek di sayn dɛn we de sho se i gɛt bipola muud, wɔs. So, tɔk to yu dɔktɔ bɔt ɛni mɛrɛsin we yu pikin de tek.
Ɛni bad tin de we di mɛrɛsin kin du?
Yɛs, lɛk ɔl di mɛrɛsin dɛn, dis kin gɛt sayd ɛfɛkt. Di wan dɛn we bɔku pipul dɛn kin gɛt na:
- We yu de gɛt mɔ wet
- Di we aw pɔsin kin slip
- Rɛstlɛs, nɔ ebul fɔ sidɔm stil `(Akathisia)`
- Di chenj na di blɔd shuga ɛn di kɔlɔstrel lɛvɛl.
Speshal atɛnshɔn bɔt di drɔg we dɛn kɔl Lithium:
Lithium na mɛrɛsin wae dɛn kin yuse fɔ trit pɔrsin wae gɛt dis sik. εnitin we de dכn di pikin in sodium (sכlt) lεvεl - we i de swet pasmak, fiva, vכmit, dayariya - kin mek di lithium tכksisiti. Dis na imejensi.
| Wonin Sayn dɛm fɔ Litiɔm Tɔksisiti - Go na di ETU Wantɛm wantɛm! | |
|---|---|
| Prɔblɛm dɛn we pɔsin kin gɛt we i de si | Blɔr vishɔn, dabl vishɔn |
| At bit we pɔsin de bit | At nɔ kin bit ɔltɛm, i kin rili fast, ɔ i kin rili slo |
| Ɔda tin dɛn we de apin | I nɔ izi fɔ blo, kɔnfyushɔn, diziz, shek bad bad wan ɔ kɔnvulshɔn, pis pasmak |
Nɔ ɛva stɔp yu pikin in mɛrɛsin we yu nɔ go to yu dɔktɔ. If yu stɔp am wantɛm wantɛm, i kin mek yu gɛt siriɔs sayd ɛfɛkt ɛn i kin mek di sik wɔs.
Aw mi, as mama ɔ papa, go ɛp mi pikin?
Fɔ kia fɔ pikin we gɛt bipola muud disɔda kin rili strɛs. I impɔtant fɔ tek kia ɔf yusɛf bak. Yu kin aks bak fɔ advays ɔ jɔyn sɔpɔt grup fɔ mama ɛn papa dɛn we dɔn ɛkspiriɛns di sem tin.
- Sɔpɔt yu pikin: Ɛnkɔrej yu pikin fɔ tɔk bɔt aw i de fil. Bi pɔsin we de lisin gud gud wan.
- Peshɛnt: Fɔ fɛn di rayt tritmɛnt kin tek tɛm. Peshɛnt wit di waka.
- Pe atɛnshɔn to di we aw yu pikin de fil: Kip wan jɔnal fɔ di chenj dɛn we yu pikin de biev. Sheb dis infɔmeshɔn wit ticha ɛn fambul dɛn.
- Mek yu de du tin ɔltɛm na os: mɔ di tɛm we yu de go slip ɛn wek ɔltɛm.
- Ɛp fɔ kɔntrol di strɛs: Tich yu pikin simpul tin dɛn lɛk fɔ blo dip dip wan.
- Ɛksplen aw tritmɛnt impɔtant: Ɛksplen aw tritmɛnt kin mek in layf bɛtɛ, ɛnkɔrej yu pikin fɔ tek in mɛrɛsin di rayt tɛm, ɛn tek pat pan tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Bipolar Disorder nɔto di bad we aw pikin de biev ɔr nɔr de tek tɛm wit am. Na rial mɛrɛsin sik we nid fɔ trit.
- Spɛshal mɛrɛsin ɛp impɔtant fɔ no ɛn trit di sik.
- Tritmɛnt na lɔng waka, ɛn as mama ɔ papa, yu peshɛnt ɛn sɔpɔt impɔtant fɔ yu pikin.
- If yu pikin de tɔk bɔt day ɔ fɔ du bad to insɛf, nɔ ɛva ignore am. Go to dɔktɔ wantɛm wantɛm.
- Nɔto yu wan de. Dɔktɔ dɛn, advaysa dɛn, ɛn sɔpɔt grup dɛn de we go ɛp yu ɛn yu pikin.
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