Bɔku tɛm yu kin fil ebi, yu at pwɛl, ɔ yu kin fil se yu wangren de? Sɔntɛm yu dɔktɔ dɔn no se yu gɛt pwɛl hat ɛn tɛl yu fɔ bigin tek mɛrɛsin fɔ am. Sɔm pipul dɛn kin fred smɔl we dɛn yɛri bɔt dis mɛrɛsin. Kwɛshɔn dɛn lɛk "A go gɛt adikshɔn to dis?" ɛn "Bɔku sayd ɛfɛkt dɛn de?" kam na yu maynd. So tide, lɛ wi tɔk bɔt dɛn mɛrɛsin ya fɔ pwɛl hat, ɔ `(Antidepressants)`, rili simpul wan, insay wan we we yu go ɔndastand.
Wetin na dis mɛrɛsin fɔ pwɛl hat?
Fɔ tɔk am simpul wan, dis na mɛrɛsin dɛn we yu dɔktɔ kin gi yu fɔ mɛn pwɛl hat. Wae yu dɔktɔ dɔn no se yu gɛt mɔdaret to siriɔs pwɛl hat, dɛn kin gi yu mɛrɛsin ya wan ɔr dɛn kin gi yu wit tɔk tɛrapi/kɔnsul.
Dɔn bak, dɛn nɔr kin yuse dɛn mɛrɛsin ya fɔ pwɛl hat nɔmɔ, bɔt dɛn kin yuse bak fɔ sɔm ɔda mental wɛl bɔdi prɔblɛm dɛm.
- Obsesiv-Kɔmpulsiv Disɔda (OCD) .
- Sɔshial Fɔbia
- Panik Disɔda
- Jɛnɛralized Anxiety Disɔda (GAD) we de mek pɔsin wɔri (GAD) .
- Pɔsttraumatik Strɛs Disɔda (PTSD) .
Sɔntɛnde, dɔktɔ dɛn kin yuz dɛn mɛrɛsin ya fɔ ɔda wɛlbɔdi prɔblɛm dɛn pas di wan dɛn we dɛn dɔn gri fɔ. Fɔ ɛgzampul, sɔm tɛm dɛn kin gi sɔm ol kayn mɛrɛsin wae de mek pɔrsin fil bad (Tricyclic Antidepressants) fɔ mek pɔrsin fil pen, fɔ nɔr de slip, ɛn ivin fɔ gɛt maygren.
Wetin na di men kayn mɛrɛsin ya?
Dɛn mɛrɛsin ya kin fɔdɔm insay sɔm men kategori dɛn. Ɛni kategori de wok difrɛn we smɔl. Lɛ wi tek wan luk pan di men kayn dɛn.
1. SSRI dɛn (Sɛlektiv Sɛrotonin Riuptek Inhibitɔ dɛn) .
Dis na di kayn mɛrɛsin we bɔku dɔktɔ dɛn na di wɔl kin gi dɛn naw. I go mɔs bi se dɛn go gi yu wan pan dɛn mɛrɛsin ya fɔs bikɔs dɛn nɔ gɛt bɛtɛ siriɔs sayd ɛfɛkt.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Di we aw pɔsin de wok | i de mek di lεvεl dεm fכ di kεmikכl mεsenja sεrotonin na di bren, we de mek di mכd bεtεh. |
| Kɔmɔn sayd ɛfɛkt dɛn | Bɛlɛ we de at, nɔs, ed we de at, we yu nɔ de slip ɔ we yu de slip, we yu nɔ want fɔ du mami ɛn dadi biznɛs. (Dεn kin sכbכt afta di fכs wik dεm). |
| Ɛgzampul dɛn | Fluoksɛtin, Sɛtralin, Sitalɔpram, Ɛssitalɔpram |
2. SNRI dεm (Serotonin εn Norepinephrine Riuptek Inhibitors) .
Dis na ɔda klas fɔ mɛrɛsin we, lɛk SSRI, dɛn kin gi bɔku tɛm as fɔs layn tritmɛnt.
Fɔ mek yu nɔ gɛt bɔku nɔys frɔm dɛn mɛrɛsin ya, fɔ tek di mɛrɛsin wit it na fayn tin.
- akshכn: dεn ya de inkrεs di lεvεl dεm fכ כl tu di kεmikכl mεsenja dεm we dεn kכl sεrotonin εn norepinephrine na di bren.
- Di sayd ɛfɛkt dɛn we kin apin: nɔs, yu mɔt kin dray, yu kin swet, yu kin tɔn diziz, yu ed kin at.
- Ɛgzampul dɛn: Venlafaxine, Duloxetine, Desvenlafaxine.
3. TCA dɛn (Trisaykli Antidipreshɔn) .
Dis na wan kayn mɛrɛsin we dɔn ol smɔl. Dɔktɔ dɛn nɔ kin yuz dɛn bɔku tɛm dis tɛm ya. Di rizin na bikɔs dɛn gɛt sɔm ɔda sayd ɛfɛkt dɛn, ɛn di risk fɔ ɔvados kin bɔku if dɛn ad di doz.
Bɔrku tɛm, dɔktɔ kin tink bɔt dis kayn mɛrɛsin fɔ pipul dɛm wae gɛt siriɔs pwɛl hat sik wae nɔr de ansa mɛrɛsin lɛk SSRI ɛn SNRI.
- Kɔmɔn sayd ɛfɛkt dɛm: yu mɔt dray, yu nɔ de si fayn, yu kin gɛt bɛlɛ, yu nɔ kin ebul fɔ pis, yu kin slip, yu kin gɛt bɔku bɔku bɔdi.
- Ɛgzampul dɛn: Amitriptyline, Imipramin, Klɔmipramin.
4. MAOI (Monoamin Ɔksidayz Inhibitɔ dɛn) .
Dis na bin di fɔs mɛrɛsin we dɛn bin fɛn fɔ mek pɔsin nɔ fil bad. Dɛn nɔ kin yuz dɛn tin ya bak rili smɔl naw. Di men rizin fɔ dis na bikɔs yu fɔ fala sɔm rili strikt lɔ dɛn bɔt aw fɔ it ɛn drink we yu de tek dɛn mɛrɛsin ya.
Mɛmba se sɔm kɔmɔn it dɛn (e.g. chiz, sɔm kayn sosish, soya sos) kin riak wit dis mɛrɛsin, we kin mek di blɔd prɛshɔn go ɔp wantɛm wantɛm ɛn we denja. So if dɛn gi yu dis mɛrɛsin, yu dɔktɔ go gi yu wan lɔng list fɔ gud ɛn bad tin dɛn fɔ it. Dɔn bak, dɛn nɔ kin gi dis mɛrɛsin wit ɔda mɛrɛsin dɛn we de mek pɔsin fil bad.
Aw di mɛrɛsin kin bigin fɔ wok?
Dis na kwɛstyɔn we rili intrestin. Sayɛnsman dɛn stil nɔ no 100% ɛksaktɔli aw dis drɔg de wok. Bɔt dis na di bɛst ɔndastandin we wi gɛt rayt naw.
Nyurotransmitta dεm na di wan dεm we de sεnd mεsej bitwin di nεv sεl dεm na wi bren.Tru kεmikכl dεm we dεn kכl nyurotransmitta. Tink bɔt dɛn pipul ya lɛk smɔl mɛsenja dɛn. Insay di bren fɔ pɔsin we gɛt dipreshɔn, di aktiviti fɔ sɔm pan dɛn mɛsenja ya we de rigul di mud (e.g., Serotonin, Norepinephrine, Dopamine) kin ridyus.
di mεdikeshכn dεm we de fכ diprεshכn de wok bay we dεn de mek dεn mεsenja dεm ya de na di spεs bitwin di nεv sεl dεm (di sinaps) fכ lכng tεm. Dat min se, dɛn de mek dɛn mɛsenja dɛn de wok fayn mɔ ɛn mɔ. Dis na wae de mek yu fil fayn smɔl smɔl ɛn de mek yu nɔr de fil bad.
De tin wae impɔtant pas ɔl na dat yu nɔr kin gɛt rizulyt wantɛm wantɛm wit dis mɛrɛsin. I kin tek 6-8 wik fɔ mek bɔku mɛrɛsin dɛn tek ful ɛfɛkt. So i impɔtant fɔ peshɛnt ɛn kɔntinyu fɔ tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu.
De big big risk ɛn tin dɛm wae yu fɔ tek tɛm wit
Pan ɔl we bɔku pan dɛn mɛrɛsin ya nɔ bad, sɔm tin dɛn de we wi fɔ rili no bɔt.
| Speshal pɔynt dɛn we wi fɔ notis | |
|---|---|
| Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf (Suicide Risk) . | Dis na di tin we impɔtant pas ɔl. Dɛn dɔn si se sɔm mɛrɛsin dɛn we de mek dɛn nɔ gɛt pwɛl at, mɔ pan yɔŋ pipul dɛn we nɔ rich 25 ia yet, kin mek dɛn tink mɔ bɔt fɔ kil dɛnsɛf insay di fɔs wik dɛn we dɛn bigin fɔ tek di mɛrɛsin ɔ we dɛn chenj di doz . Dis na di rizin we mek dɛn gɛt ‘Blak Bɔks Wɔnin’. If yu ɔ pɔsin we yu sabi de tink bɔt dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu. Yu kin kɔl bak di nashɔnal mental wɛlbɔdi ɛplayn nɔmba 1926 fɔ ɛp. |
| Diskɔntinyueshɔn Sindrom | Nɔ ɛva stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, yu go gɛt diziz, yu nɔ go fil fayn, yu nɔ go ebul fɔ slip fayn, yu nɔ go ebul fɔ slip, ɛn yu go fil lɛk se yu gɛt ilɛktrik shɔk. Di kɔndishɔn kin kam bak bak. If yu stɔp fɔ tek dis mɛrɛsin, du am ɔnda yu dɔktɔ in sɔpɔtishɔn, ɛn ridyus di doz smɔl smɔl. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Dis nɔ kin apin so ɔltɛm. Bɔt i rili denja. dis kin apin we di sεrotonin lεvεl dεm na di bren de inkrεs we nכ nid. If sɔm sayn dɛm lɛk ay fiva, bɔdi de shek shek, wɔri we yu nɔ ɛksplen, fɔ swet, ɛn at bit kwik kwik wan, na imejensi. Yu fɔ go na wan ETU wantɛm wantɛm. |
| Mama dɛn we gɛt bɛlɛ ɛn we de gi pikin milk | If yu de plan fɔ gɛt bɛlɛ, yu gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɔk bɔt dis mɛrɛsin wit yu dɔktɔ bifo yu yuz am. Di bɛst tin fɔ disayd na fɔ tɔk bɔt di prɔblɛm ɛn bɛnifit dɛn we yu ɛn yu pikin go gɛt. |
Aw a go pik di rayt mɛrɛsin fɔ mi?
Dis na di prɔblɛm we bɔku pipul dɛn gɛt. Sɔntɛm yu nɔ go fɛn di rayt mɛrɛsin wantɛm wantɛm. I tan lɛk se yu de pik wan sus. Sɔm tu tayt, sɔm tu big, ɛn yu fɔ tray pan sɔm te yu fɛn di rayt wan.
Yu dɔktɔ go fɔs pik wan mɛrɛsin afta i dɔn tink bɔt bɔku tin dɛn, lɛk di kayn sik we yu gɛt, ɔda mɛrɛsin dɛn we yu gɛt, ɔda mɛrɛsin dɛn we yu de tek, ɛn aw yu de bia wit di bad tin dɛn we kin apin to yu.
If yu stil nɔr de fil fayn afta 6-8 wik, ɔr if yu de gɛt sɔm kayn sayd ɛfɛkt wae de mɔna yu, nɔr shem ɔr frayd fɔ tɛl yu dɔktɔ. I kin ebul fɔ ajɔst di mɛrɛsin, ad ɔda mɛrɛsin, ɔ chenj yu to ɔda mɛrɛsin ɔltogɛda. Dis na nɔmal tin.
Mɛsej we dɛn kin kɛr go na os
- Antidipreshan na wan tritmɛnt wae kin woke fayn fɔ pɔrsin wae gɛt sɔm kayn pwɛl hat sik. Dɛn nɔ kin adikshɔn.
- Dɛn fɔ yuz dis mɛrɛsin nɔmɔ if dɔktɔ tɛl yu fɔ du am. Nɔ blaynd fɔ tek mɛrɛsin we yu padi de tek ɔ bay am na famasi.
- I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin fɔ yu. So peshɛnt, tɔk to yu dɔktɔ opin wan, ɛn stik wit di tritmɛnt we yu de gi yu.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu stɔp, du am smɔl smɔl.
- If yu de tink bɔt fɔ kil yusɛf di fɔs tɛm we yu bigin fɔ tek mɛrɛsin, nɔ tray fɔ ayd am.Go to dɔktɔ wantɛm wantɛm ɔ kɔl 1926. Nɔto yu wan de, ɛp de.
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