Pwɛl hat sik na wan sik wae nɔr kin tranga ɛn kin pasmak. We yu de tray fɔ kɔmɔt pan dis kayn tin, sɔntɛm dɔktɔ dɔn tɛl yu fɔ gi yu tɔk tritmɛnt ɔ mɛrɛsin fɔ mek yu nɔ fil bad. Bɔt dɛn tritmɛnt ya nɔ kin wok di sem we fɔ ɔlman. Dat na wan pan di big big prɔblɛm dɛn. Sɔm stɔdi dɔn sho se lɛk wan pan ɔl tri pipul dɛm wae gɛt pwɛl hat nɔr kin gɛt wɛl bɔdi kwik kwik wan frɔm dɛn kɔmɔn tritmɛnt ya.
Wetin mek di sem tritmɛnt nɔ kin wok fɔ ɔlman?
Di men rizin fɔ dis na bikɔs ɔl wi bɔdi ɛn bren rili difrɛn. Ivin to di sem drɔg, di we aw yu bren de ansa am ɛn di we aw ɔda pɔsin in bren de ansa kin rili difrɛn. Imajin, ivin tu brɔda ɛn sista dɛn na di sem famili gɛt difrɛn tin dɛn we dɛn lɛk fɔ it, drink, ɛn klos. Na so i bi. Di kemikal dɛn we de na wi bren bak de wok difrɛn we frɔm wan pɔsin to ɔda pɔsin.
Fɔ tɔk am simpul wan, i at fɔ mek ivin dɔktɔ dɛn se 100% kɔrɛkt wan, "Okay, dis na di mɛrɛsin we rayt fɔ yu" fɔs. Na dat mek sɔmtɛm i kin tek sɔm tɛm fɔ fɛn di mɛrɛsin we rayt fɔ yu.
Bɔt nɔ giv ɔp fɔ gɛt op. Mɛdikal sayɛns de go bifo ɛvride. Na dat mek naw wi gɛt nyu, mɔr fayn we fɔ trit pwɛl hat. Wi fɔ gladi fɔ tink bɔt dat.
Mɔ advans SSRI mɛrɛsin dɛn
Naw, dɔktɔ kin fɔs gi pɔsin we gɛt Major Depressive Disorder (MDD) wan mɛrɛsin we dɛn kɔl SSRI (Selective Serotonin Reuptake Inhibitors) . Dɛn mɛrɛsin ya dɔn go bifo pas di ol mɛrɛsin dɛn.
Pan ɔl we dis nem kin tan lɛk big tin, fɔ tru, i rili simpul. wi bren gεt wan nyurotransmit we dεn kכl "Serotonin." Dis kin ɛp fɔ rigul tin dɛn lɛk aw wi de fil, gladi at, ɛn slip. Pipul wae gɛt pwɛl hat kin gɛt dis sɛrotonin smɔl. SSRI mεdikeshכn dεm de wok bay we dεn de kip di sεrotonin na di bren aktif fכ sכm tεm. I tan lɛk se yu stɔp di wata we de flɔ fɔ sɔm tɛm ɛn kip am usay i nid fɔ de fɔ smɔl tɛm.
Na sɔm ɔda kayn mɛrɛsin dɛn we de na di SSRI grup:
| Jɛnɛrik Nem fɔ di Mɛdisin | Brand nem we dɛn kin yuz mɔ |
|---|---|
| Citalopram we dɛn kɔl Citalopram | (Sɛlɛksa) . |
| Escitalopram we gɛt di sik | (Lɛksapro) |
| Fluoksɛtin we dɛn kɔl | (Prozac) we dɛn kɔl . |
| Paroxetin we gɛt di sik | (Paxil) . |
| Sɛtralin we dɛn kɔl Sertraline | (Zoloft) we de tɔk bɔt am. |
Wan pan di big bɛnifit dɛn we dɛn SSRI mɛrɛsin ya gɛt na dat dɛn nɔ gɛt bɛtɛ sayd ɛfɛkt we yu kɔmpia dɛn wit ol mɛrɛsin dɛn. So yu kin kɔntinyu fɔ yuz dɛn mɛrɛsin ya ɛn nɔ gɛt ɛni prɔblɛm te yu gɛt di tin dɛn we yu want.
Na avrej, lɛk siks pan tɛn pipul dɛm (6/10) wae de tek SSRI go si big impɔtant improvement pan dɛn symptoms insay tu mɔnt. Bɔt di ɔda 40% nɔ kin gɛt rilif frɔm dɛn mɛrɛsin ya nɔmɔ. Na da tɛm de wi nid fɔ tink bɔt ɔda tritmɛnt dɛn.
Di las op fɔ di wan dɛn we nɔ no bɔt tritmɛnt: Kɛtamin
Ketamine na wan mɛrɛsin wae dɔn briŋ big op to di wan dɛm wae gɛt pwɛl hat sik wae nɔr de du tritmɛnt wae nɔr de ansa di standad mɛrɛsin dɛm.
Pan ɔl we dɛn bin de yuz dis mɛrɛsin fɔs as anestetik we dɛn de du ɔpreshɔn, leta dɛn kam fɔ no se i kin mek pɔsin nɔ gɛt pwɛl at kwik kwik wan. Ketoconazole de wok in wan komplit difrεnt we pas SSRI dεm. Dat min se i de afɛkt wan difrɛn kemikal sistɛm na di bren.
Wetin spɛshal bɔt ketamin?
- Kwik rizulyt: Yu nɔ nid fɔ wet fɔ wik lɛk wit kɔmɔn mɛrɛsin. Ketamin kin gi yu saykilɔjik rilif kwik kwik wan, sɔmtɛm ivin insay sɔm awa.
- I fayn fɔ di wan dɛn we gɛt siriɔs sik: Dis kin rili wok fɔ di wan dɛn we nɔ de tek mɛrɛsin lɛk SSRI. I kin ɛp bak fɔ kɔntrol bad bad tin dɛm lɛk fɔ tink bɔt fɔ kil yusɛf.
Dɛn kin gɛt ketamin tritmɛnt insay tu men we dɛn:
1. Nasal Spray: Dis na SpravatoI kam ɔnda di brand nem "Esketamine." i gεt wan kכmpawnd we dεn kכl "esketamine," we na wan fכm fכ ketamine. Na ɛjɛnshi dɛm lɛk di U.S. Food and Drug Administration (FDA) dɔn gri fɔ am, so dɛn kin ivin gɛt am tru inshɔrans.
2. Intravenous (IV) Fכm: Na we fכ gi di dכg dairekt insay di bכdi tru wan vein. Pan ɔl we dɛn nɔ dɔn ɔfishal wan gri fɔ dis yet fɔ pwɛl hat (yuz am we nɔ de na di lɛbl), dɛn kin yuz am pan siriɔs kes dɛn ɔnda sɔm dɔktɔ dɛn de kia fɔ am.
Di tin we impɔtant pas ɔl na dat, dɛn fɔ du ɔl dɛn tritmɛnt ya ɔnda di strikt sɔpɔt fɔ wan kwalifay dɔktɔ. Nɔ ɛva tray dɛn tin ya fɔ yusɛf. Yu dɔktɔ fɔ disayd us tritmɛnt go fayn fɔ yu sik.
Mɛsej we dɛn kin kɛr go na os
- Fɔ trit pwɛl hat kin difrɛn fɔ ɛnibɔdi. Wan mɛrɛsin nɔ de wok fɔ ɔlman, dat na nɔmal tin.
- SSRI na fɔs layn mɛrɛsin we rili sef ɛn we de wok fayn we dɛn de yuz tide.
- If yu nɔr wɛl wit di fɔs mɛrɛsin, nɔr tink se na di ɛnd fɔ di wɔl. I jɔs min se yu nid difrɛn tritmɛnt.
- Di tritmɛnt dɛn we dɛn de yuz tide, lɛk Ketamine, dɔn briŋ big op to di wan dɛn we nɔ de tek kɔmɔn mɛrɛsin dɛn.
- De tin wae impɔtant pas ɔl na fɔ tɔk opin wan wit yu dɔktɔ bɔt ɔltin wae de na yu maynd. Na in na di bɛst pɔsin fɔ fɛn di tritmɛnt we go fayn fɔ yu.
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