Sɔntɛnde, yu kin gɛt wan sik we dɛn kɔl Major Depressive Disorder (MDD). Ivin if yu tek di mɛrɛsin we yu dɔktɔ gi yu ɔ go to kɔyl (saykotɛrapi), yu maynd nɔ go de fil fayn. Yu kin fil fayn fɔ sɔm tɛm ɛn go bak to yu ol stet. Ɔ yu kin fil di sem kayn pwɛl at we yu nɔ chenj. Insay mɛrɛsin, wi kin kɔl dis kayn pwɛl hat sik wae at fɔ kɔntrol wit mɛrɛsin ‘Treatment-Resistant Depression’ . Bɔt, nɔ tink se dis na di ɛnd fɔ yu stori. Nɔ giv ɔp fɔ op. Nyu, advans tritmɛnt dɛn de fɔ dɛn kayn kes ya. Dat na Bren Stimulashɔn Tɛrapi. Dɛn tin ya kin tray fɔ mek di bren wok bak bay we dɛn de yuz ilɛktrishɔn, magnɛtik wev, ɔ smɔl tin dɛn we dɛn put insay di bɔdi. Tide, wi go tɔk bɔt tri pan dɛn kayn men tritmɛnt dɛn de.
Ilɛktrokɔnvulsiv Tɛrapi (ECT) .
Di nem kin tan lɛk se i de mek pɔsin fred smɔl, bɔt ECT na tritmɛnt we dɔn de fɔ pas 80 ia, dɛn dɔn du bɔku risach pan am, ɛn dɛn dɔn sho se i rili sef ɛn i kin wok fayn. Bɔrku tɛm dɛn kin yuse am fɔ trit sik dɛm lɛk siriɔs pwɛl hat ɛn bipola muud disɔda wae nɔr kin ebul fɔ gɛt ɔda tritmɛnt dɛm .
Aw yu kin du dis?
Yu nɔ go fil natin we yu de du dis tritmɛnt, bikɔs dɛn dɔn anestez yu ɔltogɛda. Jɔs lɛk bifo dɛn du ɔpreshɔn . Dɛn go gi yu mɛrɛsin bak fɔ mek yu mɔsul dɛn nɔ shek. Dɔn di dɔktɔ go stik pad dɛn we tan lɛk stika na sɔm pat dɛn na yu ed. Dɛn kɔl dɛn tin ya `ilɛktrɔd.' afta yu dכn slip, wan sכm sכm ilektrikal impuls we dεn kכntrol dεm de kכmכt to yu bren tru dεn `ilεktroyd dεm.' Dis kin mek di bren kin kɔntrol di sik we nɔ kin te fɔ 60 sɛkɔn. Dɛn biliv se dis kin mek di nyuron dɛn ɛn di kemikal dɛn we de na di bren wok bak. We yu wek insay sɔm minit, yu nɔ go mɛmba ɛnitin bɔt di tritmɛnt ɔ wetin yu bin fil da tɛm de. We di tin dɛn we di anestetik de du dɔn, yu kin go na os.
Bɔku tɛm, dɛn kin du bitwin 6 ɛn 12 tritmɛnt dɛn, bɔku tɛm dɛn kin du tu ɔ tri tɛm insay di wik. Di nɔmba fɔ di sɛshɔn dɛn we yu nid go dipen pan aw yu sik bad ɛn aw yu go wɛl kwik kwik wan.
De tin wae impɔtant pas ɔl na fɔ du dis tritmɛnt wae yu nɔr no natin, so yu nɔr go fil ɛni pen ɔr nɔr fil fayn.
| Sayd Ifɛkt dɛn we ECT kin gɛt | |
|---|---|
| Ed de at | Wan kɔmɔn tin we kin apin afta dɛn dɔn trit am. Yu kin kɔntrol am wit mɛrɛsin dɛn we de mek pɔsin fil pen. |
| Vɔmit | I kin kam bikɔs ɔf anestezi ɛn i go dɔn afta sɔm tɛm. |
| Taya ɛn Kɔnfyushɔn | I kin las fɔ sɔm awa afta dɛn dɔn trit am. |
| Di Mɛmori Lɔs | Dis na big big prɔblɛm. Yu kin gɛt sɔm mɛmori lɔs bifo ɛn afta tritmɛnt. Bɔt bɔku tɛm dis kin apin fɔ shɔt tɛm. Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ ridyus dis prɔblɛm (fɔ ɛgzampul, dɛn kin put ilɛktrɔd na wan say nɔmɔ na di ed). |
Ripititiv Transkranial Magnεtik Stimulεshכn (rTMS) .
Dis we ya de yuz magnɛtik wev dɛn. Dis kin mek di bren wok. Sayɛnsman dɛn stil nɔ shɔ ustɛm dis kin mɛn pwɛl hat. Bɔt dɛn tink se dɛn magnɛtik puls ya de mek di nɛv sɛl dɛn we de na di pat dɛn na di bren we de kɔntrol di we aw pɔsin de fil, de wok mɔ.
Aw yu kin du dis?
Yu nɔ nid fɔ wek fɔ gɛt rTMS tritmɛnt. Yu sidɔm na wan chia. Bɔt yu go nid fɔ wɛr iaplɔg bikɔs di mashin de mek lawd ‘tik’ sawnd. Di dɔktɔ go put ilɛktromagnetik kɔyl na yu fɔɛd ɛn yu ed. Di magnɛtik puls dɛn we de kɔmɔt na dis kɔyl de mek smɔl smɔl ilɛktrik kɔrɛnt dɛn na yu bren. Yu go fil se na smɔl tukan de bit yu. Yu kin go na os afta di tritmɛnt. Yu kin drayv motoka if dɛn nɔ bin dɔn lull yu na drim.
Bɔku tɛm, wan sɛshɔn kin tek lɛk 30-40 minit. Dis tritmɛnt gɛt fɔ du lɛk 5 dez insay di wik fɔ lɛk wan mɔnt.
| Sayd Efεkt dεm fכ rTMS Tritmεnt | |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛn | |
| Ed de at | I kin apin smɔl. |
| Diskɔmfɔt usay di kɔyl bin de | Yu kin fil smɔl fɔ mek yu skin nɔ fil fayn. |
| Di mɔsul dɛn na di fes de shek shek | Yu kin fil se yu fes de swɛt ɔ yu mɔsul dɛn de shek shek. |
| Rarely siriɔs sayd ɛfɛkt dɛn | |
| Di sik dɛn we kin mek pɔsin sik | Dis na sɔntin we nɔ kin apin so ɔltɛm. |
| Di we aw pɔsin kin yɛri fayn | Dis kin apin if dɛn nɔ protɛkt di yes fayn we dɛn de trit am. |
Vagus Nεv Stimulεshכn (VNS) .
Wan lɔng nɛv de we de kɔmɔt na yu bren to yu bɛlɛ na ɔl tu di say dɛn na yu bɔdi. Dɛn kɔl dis di Vagus Nerve. Dis nεv stimulashכn (VNS) tεrapi bin fכs yuz fכ trit εpilepshכn. Bɔt leta dɛn kam fɔ no se i kin mek pɔsin fil fri bak pan pwɛl hat we nɔ kin gɛt tritmɛnt.
Aw yu kin du dis?
Dis kin min fɔ du smɔl ɔpreshɔn. Di dɔktɔ go put wan smɔl tin we de yuz batri ɔnda di skin na yu chɛst, bɔku tɛm na di lɛft say. dis dεn kכl am ``puls generator.'' I lεk pesmaker. Dɔn, dɛn kin pas wan ilɛktrik waya we kɔmɔt na dis divays na yu nɛk ɛn kɔnɛkt am to di vagus nɛv. Afta di ɔpreshɔn, we di wund dɛn dɔn wɛl, di dɔktɔ go opin dis divays. i go sεnd sכm sכm ilektrikal puls dεm to di nεv rεgulεr intaval (fכ egzampl, εvri 5 minit, fכ 30 sekכnd).
| Risk & Sayd Ifɛkt fɔ VNS Tritmɛnt | |
|---|---|
| Risk dɛn we kin apin we dɛn du ɔpreshɔn | |
| Pen ɛn infɛkshɔn | Pen ɔ infekshɔn kin apin na di say we dɛn put di divays. |
| I nɔ izi fɔ swɛla | I kin apin fɔ sɔm tɛm. |
| Vokal kɔd paralayz | Pan ɔl we bɔku tɛm na fɔ shɔt tɛm nɔmɔ, i nɔ kin izi fɔ mek i go de sote go. |
| Sɔm sayd ɛfɛkt dɛn we kin apin afta yu dɔn yuz di divays | |
| Voys chenj, hoarseness | Di vɔys kin chenj as di puls dɛn de kɔmɔt. |
| Kɔf ɛn i nɔ kin izi fɔ blo | Yu kin fil am mɔ we yu de du ɛksɛsayz. |
| Nek de pen | Sɔntɛm pen kin de na di trot ɔ na di nɛk. |
Aw dis tritmɛnt kin wok fayn?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Infakt, nɔto ɔlman kin du di tritmɛnt di sem we. So, e nɔr pɔsibul fɔ no bifo tɛm us tritmɛnt go woke fɔ yu, ɔr if e go woke at ɔl. I kin tek sɔm mɔnt fɔ si di rizɔlt. Bɔrku tɛm, dɛn kin nid fɔ gɛt saykotɛrapi ɔr mɛrɛsin fɔ mɛn pwɛl hat fɔ kɔntrol pwɛl hat wae yu de gɛt dɛn tritmɛnt ya wae de mek yu bren. Afta tritmɛnt, yu kin nid fɔ gɛt mentenɛns tritmɛnt wan tɛm insay di wik ɔ ɛvri sɔm mɔnt fɔ mek yu kɔntinyu fɔ gɛt wɛl bɔdi. Na yu ɛn yu dɔktɔ nɔmɔ go disayd wetin bɛtɛ fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Fɔ siriɔs pwɛl hat sik wae nɔr de kɔntrol bay standad mɛrɛsin (Treatment-Resistant Depression), ɔda tritmɛnt opshɔn dɛn de apat frɔm mɛrɛsin ɛn advays.
- Bren Stimulation Therapies na wan pan dɛn men tin ya. ECT, rTMS, ɛn VNS na jɔs sɔm pan dɛn.
- Ɛni wan pan dɛn tritmɛnt ya gɛt in yon bɛnifit, bad tin, ɛn sayd ɛfɛkt. Dɛn nɔ fit fɔ ɔlman.
- Bifo yu tink bɔt dis kayn tritmɛnt, i impɔtant fɔ tɔk bɔt dis tin gud gud wan ɛn fɔ lɔng tɛm wit yu dɔktɔ ɛn pik wetin go fayn fɔ yu.
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