If yu gɛt Major Depressive Disorder (MDD), yu kin de wɔnda bɔt aw fɔ bigin famili. "A go gɛt fɔ stɔp mi mɛrɛsin?", "Di pikin go de pan denja if a nɔ stɔp fɔ tek am?", "A kin tek dis mɛrɛsin we a de gi in bɛlɛ?" Yu go gɛt bɔku kwɛstyɔn dɛn na yu maynd. Sɔntɛm yu dɔn de sɔfa wit pwɛl hat fɔ lɔng tɛm, ɔr dɛn jɔs dɔn no se yu gɛt dis sik. Ilɛk wetin mek yu du dis, sɔm tin dɛn de we yu fɔ no bɔt we yu de bigin dis waka. Lɛ wi tɔk bɔt dɛn.
Wetin mek i rili impɔtant fɔ trit pɔsin?
Fɔ tɔk am simpul wan, if yu nɔr trit yu pwɛl hat sik, yu sik kin kam bak bak ɛn bak. Wi kin kɔl dis wan rilaps. We yu at pwɛl, yu kin mis tin dɛn lɛk fɔ it ɛn drink, fɔ gɛt di mɛrɛsin we yu ɛn yu pikin nid, ɛn yu kin tɔn to tin dɛn lɛk drɔgs.
di tin we impɔtant pas ɔl na dat, di risk de fɔ mek yu gɛt pwɛl hat afta yu bɔn , we kin afɛkt di we aw yu de biev wit yu pikin dairekt wan.
As di mεdikal masta sabi pipul dεm dכn tכk, pikin dεm we mama dεn bכn we de sɔfa wit diprεshכn, strεs, כ wɔri we dεn bεlε gεt hכy lεvεl כf di strεs כmon ‘Cortisol’. Dis kin mek dɛn pikin dɛn de fil bad bad wan (ɛkstra riaktiv) we dɛn yɔŋ. Dis kin mek dɛn gɛt prɔblɛm wit dɛn maynd tumara bambay.
Fɔ pik di rayt tritmɛnt fɔ yu, i dipen pan bɔku tin dɛn.
- Di kayn we aw yu de fil bad bad wan.
- Us tritmɛnt yu de gɛt naw?
- Aw yu bin de du di mɛrɛsin dɛn we yu bin de yuz bifo.
- Ilɛksɛf yu gɛt bɛlɛ, yu plan fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ.
If yu pwɛl hat nɔr so, ɛn yu dɔn gɛt rilif frɔm tin dɛm lɛk saykotɛrapi, sɔpɔt grup, ɔr yoga bifo yu bɔn, yu kin ebul fɔ pas dis tɛm wae yu nɔr tek mɛrɛsin. Bɔt dat na sɔntin we yu fɔ tɔk to yu dɔktɔ. If yu nid mɛrɛsin leta, bɔku tin dɛn de fɔ bigin fɔ tek mɛrɛsin we nɔ gɛt bɔku prɔblɛm.
Fɔ siriɔs kes dɛm wae gɛt pwɛl hat wae nɔr de tek mɛrɛsin, wan tritmɛnt de bak wae dɛn kɔl ilɛktrɔkɔnvulsiv tɛrapi (ECT) . Dis min se i de sɛn smɔl smɔl ilɛktrik puls dɛn na di bren, ɛn chenj di we aw di nɛv sɛl dɛn (nyurɔn dɛn) ɛn sɔm kemikal dɛn de wok. Dɛn kin tek dis tritmɛnt se i nɔ bad fɔ yu ɛn yu pikin .
Di mɛrɛsin dɛn ɛn di bad tin dɛn we kin apin to dɛn
jεnarali, di risk fכ bכn difεkt כ כda prכblεm dεm na di pikin fכ tek antidipreshכn we i bεlε kin rili sכm. Bɔt, risach dɔn sho se sɔm mɛrɛsin dɛn nɔ bad pas ɔda wan dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di tɛm we dɛn kin spɛn | Wetin fɔ du ɛn mɛrɛsin dɛn we yu fɔ tink bɔt |
|---|---|
| Bifo uman gɛt bɛlɛ | If i pɔsibul, tɔk to yu ɔbstetrician ɛn psychiatrist bifo yu bigin tink bɔt fɔ bɔn pikin ɛn kam wit tritmɛnt plan. If yu nid fɔ chenj di mɛrɛsin, dis na di bɛst tɛm fɔ du dat. di tu klas dεm fכ antidipreshכn dεm we dεn sho se dεn sef pas כl we uman bεlε na SSRI (Selective Serotonin Reuptake Inhibitors) εn TCA (Tricyclic Antidepressants) . Bɔt bikɔs TCA na ol mɛrɛsin dɛn we gɛt mɔ sayd ɛfɛkt, dɔktɔ dɛn nɔ kin advays dɛn fɔs. Dɛn kin gi bɔku pipul dɛn wan SSRI we dɛn dɔn du risach gud gud wan. Ɛgzampul dɛn: Sitalɔpram (Sɛlɛksa), Ɛsitalɔpram (Lɛksapro), Fluɔksɛtin (Prozak), Sɛtralin (Zɔlɔft) . |
| We uman gɛt bɛlɛ | If yu dɔn ɔlrɛdi de tek mɛrɛsin, nɔ chenj to ɔda mɛrɛsin wantɛm wantɛm, ilɛk wetin i bi. Dis go mek di pikin nɔ gɛt bɔku mɛrɛsin dɛn we i nɔ nid. Di tin we impɔtant pas ɔl na dat, nɔ fɔ fil gilti fɔ tek mɛrɛsin fɔ pwɛl hat we yu gɛt bɛlɛ. Sɔm pipul dɛm, ivin dɔktɔ dɛm, kin tink se dis mɛrɛsin na sɔntin we dɛn fɔ tek "onli wen i rili nid fɔ tek am." Bɔt pwɛl hat na wan sik we pɔsin kin gɛt we i nid fɔ trit, jɔs lɛk dayabitis ɔ ay blɔd prɛshɔn. |
| Afta we i dɔn bɔn pikin | E kin tranga fɔ bia wit de sik wae de kam wit pwɛl hat wae yu de kia fɔ pikin wae dɛn jɔs bɔn. So i rili impɔtant fɔ kɔntinyu fɔ tek yu mɛrɛsin. If yu fil se yu sik de wɔs, tɔk to yu dɔktɔ wantɛm wantɛm. Mεdisin kin pas insay mama in milk, bכt na sכm sכm sכm. Fכ bi prεsis, less dan 10% pan di doz we yu tek.So, i nɔ kin izi fɔ mek yu stɔp fɔ gi yu pikin in bɛlɛ bikɔs yu de tek mɛrɛsin. |
Lɛ wi lan bɔt ɔda kayn mɛrɛsin dɛn bak.
If yu de tek SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) bikɔs SSRI nɔ de wok fɔ yu, lɛk Duloxetine (Cymbalta) ɔ Venlafaxine (Effexor), dat nɔto big tin. Dɔktɔ dɛn se, "If dis mɛrɛsin wok fɔ dis pɔsin, ɛn wi no se ɔda wan nɔ go wok, a nɔ want fɔ chenj am." Bikɔs stɔdi dɛn de we de sho sɔm lɛvul fɔ sef fɔ SNRI dɛn.
Bɔt dɛn nɔ dɔn stɔdi nyu mɛrɛsin dɛn lɛk Vortioxetine (Trintellix) yet fɔ no se dɛn sef we uman gɛt bɛlɛ. If na so i bi, yu dɔktɔ kin tɛl yu fɔ chenj to mɛrɛsin we nɔ bad.
Di filin dɛn we de haunt yu...
"A na bad mama bikɔs a de tek mɛrɛsin?" Dɛn tin ya kin kam na yu maynd. Bɔt nɔto so i rili bi.
"Bikɔs ɔf di stigma we de arawnd mɛntɛl sik na wi kɔntri, bɔku pipul dɛn kin tink se fɔ tek mɛrɛsin fɔ pwɛl hat na ɛkstra, tin we nɔ nid fɔ du. We yu se, 'Na fɔ tek dis mɛrɛsin nɔmɔ if yu rili nid am,' di mama kin fil bad bad wan bɔt insɛf," na so di masta sabi pipul dɛn tɔk.
De tin wae yu fɔ ɔndastand pas ɔl na dat, pwɛl hat nɔto wikɛd tin na yu pat. Na sik we nid fɔ gɛt tritmɛnt. We yu bi mama we gɛt wɛlbɔdi, dat kin mek di bɛst ples fɔ pikin we gɛt wɛlbɔdi. If yu nid mɛrɛsin, fɔ tek am na di bɛst tin we yu go du fɔ yusɛf ɛn yu pikin.
Mɛsej we dɛn kin kɛr go na os
- Pwɛl hat na rial sik. I impɔtant fɔ trit am fɔ yu ɛn yu pikin ɔl tu.
- Ɛnitɛm we i pɔsibul, tɔk to yu dɔktɔ bifo yu gɛt bɛlɛ ɛn mek wan tritmɛnt plan.
- Bɔrku mɛrɛsin wae dɛn kin yuse fɔ pwɛl hat nɔr kin fayn wae uman gɛt bɛlɛ ɛn wae pɔrsin de gi in mama in bɛlɛ.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ.
- Nɔ fil gilti fɔ tek mɛrɛsin fɔ gɛt wɛlbɔdi. Mama we gɛt wɛlbɔdi na di bɛst gift fɔ pikin we gɛt wɛlbɔdi.
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