Yu kin fil bad bak ɛn fil bad ɔltɛm? Na dat de pwɛl at? (Major Dipreshɔn Disɔda) .

Na nɔmal tin fɔ lɛ wi ɔl fil bad, disapɔynt, ɛn fil lɛk wi wangren sɔntɛnde na wi layf, nɔto so? Sɔntɛnde, we wi lɔs wi wok, we wi lɔs pɔsin we wi lɛk, ɔ we wi gɛt big prɔblɛm, wi kin fil se wi de mɔna wi. Bɔt dis sik wae dɛn kɔl Clinical Depression ɔr Major Depression Disorder difrɛn smɔl, ɛn na tin wae yu fɔ wɔri bɔt. Lɛ wi tɔk bɔt dis ditayli tide, bikɔs i de afɛkt bɔku pipul dɛn.

So wetin rili na klinik pwɛl hat?

Fɔ tɔk am simpul wan, klinik pwɛl hat na wan mɛntɛl hεlth kכndyushכn wae de afɛkt wi maynd. I kin bi se wi kin fil bad fɔ lɔng tɛm, wi nɔ kin gɛt op, ɛn wi nɔ kin rili bisin bɔt tin dɛn we wi bin de ɛnjɔy trade. Tink bɔt aw yu bin de ɛnjɔy fɔ de wit yu padi dɛn, wach fim, rid buk, ɔ du tin dɛn we yu lɛk. Bɔt we yu go insay dis kayn we, yu go si se i tan lɛk se nɔbɔdi pan dɛn tin dɛn de nɔ impɔtant.

Dis pwɛl hat kin afɛkt yu slip, apɛtit, ɛn ebul fɔ tink gud wan. Fɔ mek dɔktɔ dɛn no dis sik, dɛn sayn ya fɔ de ɔlsay na di de fɔ at le tu wiks.

Klinik pwɛl hat sik na wan sik wae nɔr de dɔn. Bɔt i kin kam insay di episɔd dɛn. Ɛni pat kin las fɔ sɔm wik ɔ mɔnt. Yu kin gɛt pas wan ɛpisod na yu layf. Dis difrɛn frɔm pɔrsin wae gɛt pwɛl hat sik wae de mɛk pɔrsin nɔr de fil fayn, wae kin mɛk pɔrsin fil bad fɔ at le tu ia.

Bɔku sɔbtayp dɛn de fɔ dis big big pwɛl hat sik. Sɔm pan dɛn na:

• Sizin Afɛktiv Disɔda : Dis na pwɛl hat wae kin apun wit sɔm sizin chenj dɛm.
• Prenatal and Postpartum Depression : Diprεshכn we kin apin we uman bεlε εn afta dεn bכn pikin.
• Atypical Depression : Na wan sik wae de mek pɔrsin fil bad wae de sho sɔm kayn sik wae difrɛn smɔl frɔm di kayn pwɛl hat sik.

Bɔrku pipul dɛm wae gɛt klinik pwɛl hat kin gɛt ɔda prɔblɛm wit dɛn maynd, lɛk:

• Dizayd fɔ Yuz Sɔbstans
• Panik Disɔda
• Sɔshial Wɔri Disɔda
• Obsesiv-Kɔmpulsiv Disɔda (OCD) .

Wetin na di difrɛns bitwin fɔ fil sɔri nɔrmal ɛn dis wae dɛn kɔl klinik pwɛl hat?

Na nɔmal tin fɔ fil bad we wi gɛt prɔblɛm na layf, we wi lɔs wok, we padi biznɛs brok. Sɔm pipul dɛn kin ivin se da tɛm de, “A kin fil bad.” Bɔt,Major Depressive Disorder na sɔmtin we difrɛn. Insay dis, nɔto jɔs de pwɛl hat ɛn pwɛl hat kin de ɔlmost ɛvride fɔ at le tu wiks, bɔt bɔku ɔda sayn dɛm de bak.

Bɔrku pipul dɛn kin jɔs kɔl klinik pwɛl hat ɛn mɛj pwɛl hat sik "diprɛshɔn," wae kin mek sɔmtɛm kɔnfyus. Bɔt difrɛn kayn pwɛl hat sik de. Fɔ ɛgzampul , disɔda we de mek pɔsin fil bad we i nɔ de fil fayn ɛn di sik we de mek i nɔ ebul fɔ du wɛl bifo i gɛt bɛlɛ . Fɔ dɛn kayn pwɛl hat sik ya, dɛn kin tek am se na di kayn pwɛl hat sik wae kin pasmak.

Udat kin gɛt dis klinik pwɛl hat?

Dis kin rili apin to ɛnibɔdi. I kin apin to pikin, yɔŋ pipul, big pipul, ɛnibɔdi. Bɔt, bɔku tɛm i kin bigin insay di 20 ia. Bɔt, i impɔtant fɔ mɛmba se i kin apin pan ɛni ej.

Dɛn dɔn si se uman dɛn kin gɛt klinik pwɛl hat pas man dɛn. I kin apin bak pan di wan dɛn we nɔ gɛt bɛtɛ tayt padi biznɛs wit dɛnsɛf, ɔ we dɛn dɔn dayvɔs, we dɛn dɔn pat, ɔ we dɛn dɔn lɔs dɛn patna.

Aw dis sik kin kɔmɔn?

Klinik pwɛl hat na rili wan kɔmɔn mɛntɛl hεlth kכndyushכn. Dɛn se i kin afɛkt bitwin 5% ɛn 17% pan pipul dɛm na di wɔl sɔm tɛm na dɛn layf. Dat min se sɔntɛm bɔku pan wi de go tru am.

Wetin na de sayn dɛm fɔ dis klinik pwɛl hat?

Di sayn dɛm fɔ klinik pwɛl hat kin kɔmɔt frɔm smɔl to siriɔs. Bɔt dɛn sik ya kin las fɔ bɔku pan di de, lɛk ɛvride, fɔ at le tu wiks .

Di men sayn dɛm ɛn sayn dɛm na:

• Fɔ fil bad bad wan, ɛmti, ɛn nɔ gɛt op (low mood). Bɔku tɛm, yɔŋ pikin dɛn ɛn yɔŋ pipul dɛn kin tan lɛk se dɛn de vɛks pas fɔ fil bad.
• Fɔ lɔs intres pan tin ɛn tin dɛn we yu bin dɔn ɛnjɔy trade.
• Di apɛtit we de go ɔp ɔ we nɔ de it igen. Dis kin mek yu gɛt mɔ wet ɔ yu nɔ gɛt bɔku bɔku bɔdi.
• di tכk slo, di bכdi de muv dכn, εn i nכ de tink bכku (saykomotor agitation).
• Inshɔmnia ɔ hypersomnia.
• Nɔ gɛt trɛnk ɔ yu kin taya ɔltɛm.
• Fɔ fil se yu nɔ fit fɔ gɛt am, ɔ fɔ fil gilti pasmak.
• Di kɔnsɛntreshɔn we de go dɔŋ.
• Fɔ tink bɔt day ɔ kil yusɛf.

Impɔtant:If yu ɔ pɔsin we yu sabi de tink bɔt fɔ kil insɛf, duya go to ɛp wantɛm wantɛm. Insay Sri Lanka, yu kin kɔl di Sumedha hotlayn na 1926. Sɔmbɔdi de fɔ ɛp yu 24 awa ɛvride.

Wetin mek wi kin gɛt dis klinik pwɛl hat? Wetin na di tin dɛn we kin mek i apin?

Risach pipul dɛm stil nɔr no di rayt tin wae kin mek pɔrsin gɛt klinik pwɛl hat. Bɔt dɛn biliv se bɔku tin dɛn kin mek pɔsin gɛt dis sik. Dɛn tin ya na:

• Bren kemistri: Dɛn tink se we di nyurotransmitta dɛn we de na wi bren nɔ balans, we dɛn kɔl sɛrotonin, norepinephrine, ɛn dopamine, dat kin mek wi gɛt pwɛl at. Fɔs, dɛn bin de tink se na dɛn tin ya we nɔ balans na di men tin we kin mek dɛn du dat. כltu, nyu risach sho se dεn nyurotransmitta imbalans ya na sεkכnd to disrupshכn na di bren in mכr komplεks nyural sεkyut dεm.
• Jɛnɛtiks: If pɔrsin wae de na yu fambul wae de nia yu (e.g., mama ɔ papa, yu brɔda ɛn sista) gɛt klinik pwɛl hat, yu kin gɛt dis sik lɛk tri tɛm pas pɔrsin wae nɔr gɛt famili histri. Bɔt yu kin gɛt am ilɛksɛf nɔbɔdi nɔ gɛt am na yu famili.
• Divεlכpmεnt wae pikin dεn de divεlכp: Di bad bad tin dεm wae kin apun wae dεn kin gεt wae yu pikin (ACE) , lεk di abiuz εn traumatik tin dεm, kin kכntribyut to di divεlכpmεnt fכ klinik diprεshכn leta na layf.
• Tin dɛm wae kin mek yu strɛs na yu layf: Wae yu gɛt tranga tin lɛk wae pɔrsin wae yu lɛk day, wae pɔrsin de fil bad, dayvɔs, wae pɔrsin de fil yu wan, ɛn wae pɔrsin nɔr kin gɛt sɔpɔt kin mek pɔrsin gɛt dis sik pan pipul dɛm wae kin gɛt pwɛl hat sik.

Aw dɔktɔ dɛn kin no bɔt dis?

Dɔktɔ dɛn kin no bɔt klinik pwɛl hat bay we dɛn ɔndastand gud gud wan bɔt yu sik, mɛrɛsin histri, ɛn mɛntɛl hεlth histri. Sɔmtɛm, dipen pan di kayn sik wae yu gɛt, dɛn kin no bak se yu gɛt wan patikyula sɔbtayp, lɛk Seasonal Affective Disorder (SAD) ɔr Atypical Depression .

Fɔ mek dɛn no se yu gɛt klinik dipreshɔn, yu fɔ gɛt at le fayv pan di sayn dɛm we a bin dɔn tɔk bɔt, ɔlmost ɛvride, fɔ bɔku pan di de, fɔ at le tu wiks wan tɛm. Tu pan dɛn fayv sayn dɛn de fɔ bi se yu nɔ de fil fayn ɛn yu nɔ go lɛk fɔ du tin dɛn we yu bin de ɛnjɔy trade .

Yu dɔktɔ go nid bak fɔ pul ɔda tin dɛn we de mek yu gɛt di sik (e.g., ɔda mɛrɛsin, yus fɔ drɔgs). Dis kin inklud fɔ du mɛrɛsin tɛst, lɛk fɔ tɛst blɔd.

Dɔn bak, yu nid fɔ mek shɔ se yu nɔr dɔn gɛt ɛni episod fɔ hypomania ɔ mania bifo. Bikɔs if yu dɔn du am, iBipola muud disɔda kin apin bak. Bitwin 5% ɛn 10% pan di pipul dɛm wae gɛt klinik diprɛshɔn leta kin gɛt bipola muud disɔda.

Wetin na di tritmɛnt dɛm fɔ dis?

Bɔku tɛm dɛn kin trit klinik pwɛl hat wit wan kɔmbayn mɛrɛsin ɛn/ɔ saykotɛrapi . Stɔdi dɔn sho se if dɛn jɔyn dɛn tritmɛnt ya, i kin wok pas ɛni wan pan dɛn wan ya.

Saykotɛrapi na fɔ tɔk to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs , lɛk pɔsin we de stɔdi bɔt pɔsin in maynd. Yu thɛrapist go ɛp yu fɔ no ɛn chenj yu filin, tink, ɛn bihayvya wae nɔr fayn. Bɔrku kayn saykotɛrapi de - Kɔgnitiv Bihayvya Tɛrapi (CBT) ɛn Intapɔsɔnal Tɛrapi (IPT) na tu pan di kɔmɔn we dɛm wae dɛn kin yuse fɔ trit klinik pwɛl hat. Yu kin go to yu tritmɛnt wan tɛm insay di wik ɔ ɛvri tu wik.

Antidipreshan na mɛrɛsin wae de ɛp fɔ kɔrɛkt di kεmεkal chenj dεm na di bren wae de mek pɔrsin fil bad. Bɔku kayn mɛrɛsin de fɔ mek pɔsin nɔ fil bad. I kin tek sɔm tɛm fɔ fɛn di rayt wan fɔ yu, ɛn yu go nid fɔ tray mɔ pas wan kayn. Dɛn mɛrɛsin ya kin gɛt sayd ɛfɛkt, bɔt bɔku tɛm dɛn kin stɔp as tɛm de go.

Fɔ siriɔs klinik pwɛl hat wae nɔr dɔn ansa ɔda tritmɛnt, wan tritmɛnt wae dɛn kɔl ilɛktrɔkɔnvulsiv tɛrapi (ECT) kin rili woke. I min se yu kin sɛn smɔl ilɛktrik kɔrɛnt tru yu bren, ɛn dis kin mek yu at pwɛl fɔ shɔt tɛm. ECT na tritmɛnt we nɔ gɛt wan prɔblɛm. Dɛn kin du am ɔnda anestezi, so yu nɔ kin fil ɛni pen.

Ɔda tritmɛnt dɛn de we de mek pɔsin fil bad we nɔ de ansa to mɛrɛsin:

• Transkranial Magnεtik Stimulεshכn (TMS) .
• Vagus Nεv Stimulεshכn (VNS) .
• Ketamin ɛn Ɛsketamin

Aw lɔng e kin tek fɔ bigin fil fayn afta yu dɔn bigin fɔ trit yu pwɛl hat?

Wae yu bigin fɔ tek mɛrɛsin wae de mek yu nɔr fil bad, yu kin si sɔm kayn impɔtant tin wae yu de fil insay de fɔs tu wiks. Bɔt i kin tek tu to tri mɔnt fɔ tek di mɛrɛsin fɔ mek i wɛl.

If di mɛrɛsin stil nɔ de wok afta dis tɛm, tɔk to yu dɔktɔ. I kin ebul fɔ chenj di doz ɔ gi am difrɛn mɛrɛsin.

Dipen pan aw yu klinik pwɛl hat sik, e kin tek sɔm wik ɔr lɔng bifo yu bigin fɔ fil fayn wit saykotɛrapi. Bɔrku tɛm, yu kin ɛkspɛkt fɔ si bɔrku impɔtant improvement pan yu symptom dɛm afta 10 to 15 seshɔn dɛm wae yu dɔn tek di tritmɛnt.

Wi kin mek dis klinik pwɛl hat nɔr kam?

Pan ɔl we dɛn nɔ kin ebul fɔ avɔyd klinik pwɛl hat ɔltɛm, tin dɛn de we wi kin du fɔ ɛp fɔ ridyus di prɔblɛm:

• Fɔ slip fayn ɛn fɔ mek yu slip fayn.
• Praktis wɛl bɔdi kɔping mɛkanism fɔ kɔntrol strɛs.
• Fɔ du tin dɛn fɔ kia fɔ yusɛf ɔltɛm lɛk fɔ du ɛksɛsayz, fɔ tink gud wan, ɛn fɔ du yoga.
• Fɔ manej ɔda bɔdi ɔr maynd wɛl bɔdi prɔblɛm dɛm wae yu kin gɛt.
• Fɔ avɔyd fɔ drink rɔm ɛn ɔda drɔgs.

If yu dɔn gɛt wan ɛpisod fɔ klinik pwɛl hat bifo, yu go gɛt am bak. If yu gɛt sayn fɔ pwɛl hat, gɛt ɛp kwik kwik wan.

Wetin na di prɔgnosis fɔ klinik diprɛshɔn?

Di fiuja kɔs fɔ klinik diprɛshɔn, dat na di prɔspɛkt fɔ wɛl, dipen pan sɔm tin dɛm:

• Di kayn we aw di sik kin tranga.
• If yu fɔ go fɛn tritmɛnt ɔ yu nɔ fɔ go.
• Ilɛksɛf yu gɛt ɛni ɔda prɔblɛm wit yu maynd ɔ yu bɔdi.

Di wan dɛm wae gɛt dis sik, di wan dɛm wae gɛt tritmɛnt, ɛn di wan dɛm wae gɛt strɔng sɔpɔt sistɛm kin gɛt bɔrku chans fɔ wɛl. Dɛn wan wae gɛt ɔda kayn maynd sik ɔr pɔrsin wae gɛt dis maynia sik, ɛn wae dɛn kin no se dɛn gɛt dis sik wae dɛn ol 60 ia ɔr pas dat kin gɛt smɔl chans fɔ wɛl.

If dɛn nɔ trit am, di klinik pwɛl hat kin te fɔ 6 to 12 mɔnt.

I sɔri fɔ no se, lɛk tu-tɛd pan di pipul dɛn we gɛt klinik pwɛl at kin tink bɔt fɔ kil dɛnsɛf. Ɛn bitwin 10% ɛn 15% pan di pipul dɛm wae gɛt dis sik kin day bay wae dɛn kil dɛnsɛf.

Bɔt di gud nyus na dat, klinik pwɛl hat sik na wan pan di mɛntɛl hεlth sik dɛm wae dɛn kin trit pas ɔl. Bitwin 80% ɛn 90% pan di pipul dɛm wae de go fɛn tritmɛnt kin dɔn ansa fayn to tritmɛnt.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If dɛn nɔr trit di klinik pwɛl hat sik, e kin rili ambɔg yu ɛvride layf ɛn kwaliti layf.

Pipul wae gɛt klinik pwɛl hat kin gɛt mɔr risk fɔ gɛt dis maynia sik ɛn gɛt sɔbstans yuse disɔda , wae kin mek dɛn gɛt mɔr risk fɔ kil dɛnsɛf.

Pwɛl hat kin mek di bɔdi prɔblɛm dɛn we de naw wɔs ɔr i nɔr kin izi fɔ kɔntrol. Fɔ ɛgzampul:

• Shuga
• Haypatɛyshɔn (High Blɔd Prɛshɔn) .
• Kronik Obstrɔktiv Pulmonari Diziz (COPD) .
• Koronari Atɛri Sik we pɔsin kin gɛt

Pipul wae gɛt klinik pwɛl hat sik kin gɛt bɔrku risk bak fɔ de du tin wae de pwɛl dɛnsɛf as we fɔ bia wit dɛn sik.

If a gɛt prɔblɛm lɛk dis, wetin a go du?

Apat frɔm we yu de aks fɔ advays ɛn tritmɛnt we pɔsin kin gɛt, tin dɛn de bak we yu kin du na os fɔ ɛp fɔ ridyus yu sik dɛn:

• Fɔ du ɛksasaiz ɔltɛm.
• Fɔ gɛt gud slip na nɛt (nɔ smɔl, nɔ mɔ).
• Fɔ it tin dɛn we gɛt wɛlbɔdi.
• Fɔ avɔyd fɔ drink rɔm (rɔm na tin we de mek pɔsin in at pwɛl).
• Fɔ spɛn tɛm wit di wan dɛn we yu lɛk ɛn bisin bɔt.

Ustɛm a fɔ go to dɔktɔ bɔt dis?

If yu gɛt sayn dɛn fɔ klinik pwɛl hat, mek shɔ se yu go to dɔktɔ ɔ pɔsin we de gi advays bɔt yu maynd . Dɛn kin gi yu kɔrɛkt diagnosis ɛn gi yu di rayt tritmɛnt opshɔn dɛm.

If yu dɔn bigin fɔ trit klinik diprɛshɔn ɛn i nɔr de woke fayn, ɔr yu de gɛt sayd ɛfɛkt wae nɔr fayn, tɔk to yu dɔktɔ bɔt dat bak. Dɛn kin tɔk bɔt difrɛn tritmɛnt plan.

Mɛmba se, Major Depressive Disorder na wan sik wae kin kam pan pɔrsin in maynd. I kin apin to ɛnibɔdi - sɔmtɛm fɔ no rizin. Di bɛst tin na dat dɛn kin trit am fayn fayn wan. If yu gɛt sɔm sayn dɛn, tɔk to dɔktɔ. Di kwik we yu gɛt ɛp, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.

Faynal Mɛsej fɔ Tek-Hom

Okay, so mek a tɛl yu sɔm pan di impɔtant tin dɛn we wi dɔn tɔk bɔt fɔ ɛp yu fɔ mɛmba dɛn.

• Tu kayn pwɛl hat sik de: nɔrmal pwɛl hat ɛn klinik pwɛl hat/big big pwɛl hat sik . Pwɛl hat sik na wan sik wae de mɛk pɔrsin fil bɔt in maynd wae nid fɔ gɛt tritmɛnt.
• Dis kin inklud sɔm sayn dɛm lɛk fɔ fil bad fɔ lɔng tɛm, nɔr de intres pan tin dɛm wae yu bin dɔn ɛnjɔy fɔ du, chenj wae yu de slip/apɛtit, yu nɔr gɛt trɛnk, ɛn yu de tink bɔt fɔ kil yusɛf .
• Bɔku tin dɛn kin afɛkt dis, lɛk di jɛnɛtiks, di chenj dɛn we kin apin to di kemikal dɛn na di bren, ɛn di tin dɛn we kin apin to pɔsin na layf .
• Nɔ wɔri, tritmɛnt dɛn de we rili fayn fɔ dis! Mεdikeshכn εn saykothεrapi (tכk tεrapi) kin εp yu fכ bεtεh.
• If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ. Di bɛst tin fɔ du na fɔ gɛt ɛp kwik kwik wan. Nɔto yu wan de, bɔku pipul dɛn de we go ebul fɔ ɛp.

` Diprɛshɔn, Major Dipreshɔn Disɔda, Klinik Dipreshɔn, Simptom dɛm, Tritmɛnt, Mental Wɛlbɔdi