If yu de liv wit pwɛl hat, sɔmtɛm yu kin fil nɔr difrɛn ivin afta yu dɔn tek di mɛrɛsin wae yu dɔktɔ gi yu. Ɔ yu kin fil lɛk se di mɛrɛsin de mek yu gɛt nyu prɔblɛm dɛn, lɛk we yu de tɔn, yu nɔs, ɔ yu de gɛt bɔku bɔku bɔdi? Infakt, lɛk af pan pipul dɛm wae gɛt pwɛl hat nɔr kin gɛt di fɔs mɛrɛsin wae dɛn kin gi dɛn. Dis kin rili kɔmɔn, so nɔ wɔri. Nɔto yu wan de. Lɛ wi tɔk bɔt dis.
I go tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu. I nid fɔ peshɛnt. Bɔt a no aw i nɔ kin izi fɔ peshɛnt wit di sayn dɛn we de sho se pɔsin gɛt pwɛl at. Bɔt a shɔ se we dis waka dɔn, yu go fɛn di rayt sɔlvishɔn.
Aw yu kin pik di rayt mɛrɛsin fɔ yu?
Fɔ gi mɛrɛsin fɔ pwɛl hat nɔr simpul lɛk fɔ waka insay stɔ ɛn pik sɔntin na di shelf. Wan prɔfɛsɔ we nem Misɛl Riba we de stɔdi bɔt pɔsin in maynd na di Yunivasiti na Michigan bin tɔk se: “Ɛvri pɔsin we sik difrɛn.” "So yu nɔ go jɔs pik drɔg. Yu fɔ luk di pɔsin in ɔl in mɛdikal istri, in famili istri, ɛn ɔl dat."
Na dat mek yu dɔktɔ go aks yu bɔku kwɛstyɔn bifo yu gi yu mɛrɛsin.
- Ɛnibɔdi na yu famili dɔn gɛt pwɛl hat? Us mɛrɛsin dɛn bin de tek? Yu tink se dɛn bin bɛtɛ? a aks dem kweshon ya bikohs if wan mɛrɛsin wok fo sohmbodi na yu fambul, gud chans de se i go wok fo yu tu.
- Yu gɛt ɛni ɔda sik na yu maynd ɔ yu bɔdi? Fɔ ɛgzampul, if yu gɛt prɔblɛm wit blɔd, yu dɔktɔ nɔ go gi yu mɛrɛsin we dɛn kɔl SSRI (Selective Serotonin Reuptake Inhibitors) bikɔs dɛn kin mek yu blɔd bɔku smɔl.
- Yu gɛt wan sik lɛk Bipolar Disorder? If na so, i nɔr fayn fɔ yuz mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat sik nɔmɔ. Yu fɔ bigin wit ɔda tin we de mek yu fil fayn fɔs.
Di dɔktɔ go aks bak bɔt ɛni ɔda mɛrɛsin we yu dɔn ɔlrɛdi de tek. Dis na fɔ mek dɛn nɔ gɛt ɛnitin fɔ du wit dɛn mɛrɛsin dɛn de. If yu gɛt bɛlɛ ɔ yu de gi yu bɛlɛ, dɛn nɔ go gi yu mɛrɛsin we nɔ fayn fɔ yu da tɛm de.
Ɔlman difrɛn, so ɔl dis infɔmeshɔn rili impɔtant fɔ mek yu dɔktɔ pik di tritmɛnt we sef we go fayn fɔ yu.
Di we aw dɛn de trit am: Lɛ wi lan smɔl smɔl
Afta yu dɔn bigin fɔ tek nyu mɛrɛsin, yu dɔktɔ go chɛk yu ɔltɛm fɔ si aw yu de du ɛn if yu gɛt ɛni sayd ɛfɛkt. I tan lɛk se yu de lan as yu de go.
I kin tek lɛk 6 wiks fɔ mek nyu mɛrɛsin wok.I kin tek sɔm tɛm. So yu nid fɔ peshɛnt. Di fɔs sayd ɛfɛkt dɛn go dɔn smɔl smɔl as tɛm de go.
Imajin se yu sik dɛn kin bɛtɛ smɔl, bɔt nɔr kin bɛtɛ atɔl. Dɔn di dɔktɔ kin ad di doz fɔ di mɛrɛsin smɔl. Ɔ, chenj yu to ɔda mɛrɛsin na di sem klas fɔ si if dat fit yu bɛtɛ.
Bɔt if di fɔs mɛrɛsin nɔ wok, ɔ if i mek di sayd ɛfɛkt dɛn we pɔsin nɔ go ebul fɔ bia (fɔ ɛgzampul, if SSRI mek di bɛlɛ at), di dɔktɔ go pik wan mɛrɛsin we kɔmɔt na wan klas we rili difrɛn.
Sɔntɛnde, if yu ad ɔda mɛrɛsin to di mɛrɛsin we yu dɔn ɔlrɛdi de tek, dat kin mek yu gɛt bɛtɛ tin fɔ du. Fɔ ɛgzampul, fɔ ad nyu mɛrɛsin fɔ mek yu nɔ gɛt maynd sik na wan tin we yu kin du. Dɛn tin ya kin bigin fɔ ɛp yu fɔ fil fayn kwik kwik wan, insay wan ɔ tu wik. Bɔt na di ɔda say, dɛn kin gɛt sɔm mɔ sayd ɛfɛkt dɛn pas SSRI ɔ SNRI.
Mɛrɛsin nɔmɔ nɔ go du, layf stayl bak impɔtant!
Fɔ trit pwɛl hat nɔr difrɛn frɔm fɔ trit sik lɛk ay blɔd prɛshɔn. We yu de tek mɛrɛsin fɔ ay blɔd prɛshɔn, yu fɔ kɔntrol bak di it we yu de it, ɛksesaiz, ɛn ridyus di sɔl we yu de it, nɔto so? Na di sem tin kin apin to pwɛl hat. Fɔ mek sɔm chenj na yu layf wit mɛrɛsin kin ɛp bɔrku pan de wɛl bɔdi prɔses.
Risach dɔn ivin pruv aw dɛn chenj ya na dɛn layf impɔtant fɔ pipul dɛm wae gɛt pwɛl hat sik.
| Di we aw pipul dɛn de liv dɛn layf chenj | Wetin mek dat impɔtant? |
|---|---|
| Fɔ gɛt bɛtɛ slip | Big kɔnekshɔn de bitwin slip ɛn di we aw pɔsin de fil. We yu slip fayn na nɛt, dat kin mek yu maynd gɛt rɛst. |
| Di it we gɛt wɛlbɔdi | Di it we gɛt bɔku vɛjitebul ɛn frut, ɛn we nɔ gɛt bɔku "junk fud" de gi di maynd ɛn bɔdi pawa. |
| Fɔ du ɛksasaiz ɔltɛm | We yu de du ɛksɛsayz, yu de pul ɔmon dɛn we de mek yu gladi (ɛndɔfin). Dis tan lɛk wan natura l mɛrɛsin we de mek pɔsin nɔ fil bad. |
| Fɔ ridyus di strɛs | Yu kin mek yu maynd kol tru tin dɛm lɛk fɔ tink gud wan ɛn yoga. |
| Fɔ lɛf fɔ drink rɔm ɛn fɔ tek drɔgs | Dɛn tin ya kin jɔs mek di pwɛl hat sik wɔs ɛn nɔr kin gi ɛni sɔlv. |
| Fɔ spɛn tɛm wit yu fambul ɛn padi dɛn | Sɔshial kɔnekshɔn kin mek yu nɔr de yu wan ɛn nɔr de fil bad. |
Yu tink se we dɛn de tɛst pɔsin in jɛnɛtiks kin ɛp?
Yɛs, dis na nyu teknɔlɔji. Yu jin kin gi yu tin dɛn we go ɛp yu fɔ fɛn di rayt mɛrɛsin fɔ yu. Dɛn tɛst ya, we dɛn kin du pan wan sɛmpul pan yu saliva ɔ blɔd, kin gi yu dɔktɔ wan aidia bɔt aw yu bɔdi go ansa wan patikyula mɛrɛsin, ɔ if yu go gɛt sayd ɛfɛkt frɔm wan patikyula mɛrɛsin.
Bɔt dɛn tɛst ya nɔ kin se, "Dis na di mɛrɛsin we go wok fɔ yu 100%." Ɛn dɛn kin dia smɔl. So dɛn kin du dɛn tɛst ya pan di wan dɛn nɔmɔ we dɔn tray bɔku mɛrɛsin dɛn ɛn we nɔ dɔn wok fayn.
Nɔ giv ɔp! Stay wit tritmɛnt.
Jɛnɛral wan, na lɛk 50% chans de fɔ fɛn di rayt mɛrɛsin di fɔs tɛm. If dat nɔ wok, na lɛk 40% chans de fɔ mek di sɛkɔn mɛrɛsin wok. Dat min se i nɔ fayn fɔ lɛf fɔ tray.
Infakt, 9 pan ɛvri 10 pipul dɛn we kin de wit tritmɛnt fɔ lɛk wan ia so, kin dɔn gɛt bɛtɛ wɛlbɔdi.
Sɔntɛnde, we sɔm mɛrɛsin nɔ de wok, di dɔktɔ kin bigin tink bak, ɛn aks se, "Wi bin mek mistek pan wi diagnosis? Wi mis sɔntin?"
If de pwɛl hat sik kin tranga smɔl, sɔntɛm na tɛm fɔ tink bɔt ɔda tritmɛnt dɛn.
- Transcranial Magnetic Stimulation (TMS): dis de yuz magnεtik wev dεm fכ stimulate sכm inaktiv nεv sεl dεm na di bren.
- Ilɛktrokɔnvulsiv Tɛrapi (ECT): .Wan lɔw vɔlɔt ilɛktrik kɔrɛnt de pas na di bren, ɛn dis kin mek di bren sik fɔ shɔt tɛm. Dis kin mek di kemikal chenj na di bren, we kin mek sɔm pipul dɛn wɛl kwik kwik wan.
- Ketamine: Dis mɛrɛsin wae dɛn kin yuse as anesthetic, na naw dɔktɔ dɛn de gi am fɔ siriɔs pwɛl hat sik wae nɔr de du tritmɛnt.
Di tin we impɔtant pas ɔl na fɔ wok togɛda ɛn fɔ wok wit yu dɔktɔ opin wan. Tɛl am bɔt di tin dɛn we yu dɔn ɛkspiriɛns. Dat go mek yu gɛt mɔ chans fɔ fɛn di rayt tritmɛnt fɔ yu kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- De fɔs mɛrɛsin wae dɛn kin gi yu fɔ mɛn pwɛl hat nɔr kin woke fɔ yu. Dat na rili nɔmal tin, nɔ wɔri bɔt am.
- I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu. Fɔ peshɛnt ɛn fɔ tɔk to yu dɔktɔ opin wan na di tin dɛn we impɔtant pas ɔl.
- Nɔ fred fɔ di sayd ɛfɛkt dɛn afta yu dɔn bigin fɔ tek di mɛrɛsin. Tɔk to yu dɔktɔ bɔt dɛn. I kin ebul fɔ gi yu sɔlv.
- Apat frɔm mɛrɛsin, fɔ mek chenj na yu layf lɛk fɔ slip fayn, fɔ it fayn, ɛn fɔ du ɛksɛsayz kin ɛp fɔ mek yu wɛl bad bad wan.
- Nɔ stɔp fɔ tek yu mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. Pwɛl hat sik na sik wae de kam bak. So, i impɔtant fɔ kɔntinyu fɔ tek di tritmɛnt fɔ di ful tɛm.
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