Sɔntɛnde, yu kin fil bad, yu kin fil bad, ɛn yu nɔ gɛt natin? Wi ɔl gɛt dɛn de dɛn de na wi layf. Bɔt if dɛn filin ya kɔntinyu, if dɛn de kɔntrol yu te yu nɔ ebul fɔ du di tin dɛn we yu de du ɛvride, i kin bi wan sik we dɛn kɔl pwɛl hat. Di bɛst pat na, na wan sik we dɛn kin trit. If yu ɛn yu dɔktɔ disayd fɔ trit am togɛda, mɛrɛsin dɛn we de mek yu at pwɛl kin rili ɛp yu.
Wetin na dɛn mɛrɛsin ya we de mek pɔsin fil bad?
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya we de ɛp fɔ balans di wok we sɔm kemikal dɛn (nyurotransmitta) de du na wi bren ɛn mek wi fil fayn. Bɔt wan tin we wi fɔ mɛmba na dat, dɛn mɛrɛsin ya nɔ kin mek pɔsin gɛt prɔblɛm wantɛm wantɛm. I kin tek sɔm wiks fɔ si ful rizɔlt. So i rili impɔtant fɔ peshɛnt.
Dɔn bak, di bɛst tritmɛnt fɔ pwɛl hat nɔto jɔs fɔ tek mɛrɛsin, bɔt na fɔ kɔmbayn kɔyl ɔ tɔk tɛrapi ɛn fɔ chenj yu layf (lɛk ɛksɛsayz ɔltɛm). Yu fɔ tɔk bɔt ɔl dɛn tin ya wit yu dɔktɔ.
Mɛmba se, no wan saiz nɔ de we go ɛp ɔlman. Wetin kin wok fayn fɔ wan pɔsin nɔ kin wok fayn fɔ ɔda pɔsin. I kin tek sɔm tɛm fɔ fɛn di rayt sɔlv fɔ yu. Dat na nɔmal tin.
Naw lɛ wi si wetin na di men kayn mɛrɛsin dɛn we dɔktɔ dɛn kin advays.
1. SSRI (Selective Serotonin Reuptake Inhibitors) kayn mɛrɛsin we dɛn kin gi
Dis na di klas fɔ mɛrɛsin wae dɛn kin gi pɔrsin fɔ gɛt pwɛl hat sik na di wɔl tide. Bɔku tɛm, na di fɔs mɛrɛsin we dɛn kin bigin fɔ yuz.
Aw dɛn tin ya kin wok?
Imajin se wi bren gɛt wan kemikal mɛsenja we dɛn kɔl ‘Serotonin’. Dis na wae de kɔntrol bɔrku tin lɛk aw wi kin gladi, aw wi kin fil, ɛn aw wi kin slip. We wi gɛt pwɛl hat, dis sɛrotonin lɛvɛl kin go dɔŋ. SSRI mεdikeshכn dεm de wok bay we dεn de stכp di riabsכpshכn fכ sεrotonin na di bren. Dɔn, di sɛrotonin we de na di bren kin bɔku, ɛn smɔl smɔl wi kin fil fayn.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
If yu kɔmpia am wit ɔda mɛrɛsin dɛn, SSRI nɔ kin gɛt bɛtɛ sayd ɛfɛkt, bɔt sɔm pipul dɛn kin gɛt:
- I nɔ kin izi fɔ mek yu slip
- Ed de at
- We yu de chenj yu wet (we yu de gɛt ɔ yu de lɔs) .
- Smɔl inkris pan wɔri fɔs
- Diziz we pɔsin kin gɛt
- Nɔs ɛn vɔmit
- Dray mɔt
- Di chenj dɛn we de apin na di we aw pɔsin de du mami ɛn dadi biznɛs
Bɔrku pan dɛn sayd ɛfɛkt ya go dɔn as yu bɔdi de ajɔst to di mɛrɛsin. Bɔt if dɛn kɔntinyu fɔ de, mek shɔ se yu tɛl yu dɔktɔ.
Tin dɛm wae nɔr fɔ tek wit dis mɛrɛsin
If yu de tek SSRI, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek. Na mɔtalman ɔda mɛrɛsin dɛm wae de mek di sɛrotonin lɛvɛl go ɔp (e.g. ɔda mɛrɛsin dɛm wae de mek yu fil bad, sɔm mɛrɛsin wae de mek yu fil pen) kin mek yu gɛt wan denja sik wae dɛn kɔl sɛrotonin syndrome . So, nɔ tek ɛni mɛrɛsin fɔ yusɛf.
2. SNRI (Serotonin ɛn Norepinephrine Reuptake Inhibitors) kayn mɛrɛsin
Dɛn tin ya rili fiba SSRI, bɔt smɔl difrɛns de.
Aw dɛn tin ya kin wok?
SNRI dεm nכ de כnli inkrεs di sεrotonin lεvεl, bכt כda kεmikכl mεsenja na di bren we dεn kכl norepinephrine. Norepinephrine kin afɛkt tin dɛn bak lɛk aw wi de pe atɛnshɔn ɛn aw wi de wach. Fɔ sɔm pipul dɛn, if SSRI nɔmɔ nɔ go du, dɛn dɔktɔ kin chenj dɛn to SNRI.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
Apat frɔm di sem sayd ɛfɛkt dɛm we SSRI kin gɛt (lɛk fɔ nɔs, fɔ dray na yu mɔt, fɔ gɛt diziz), dɛn tin ya kin apin bak:
- Swet mɔ
- We pɔsin taya
- Banbɛlɛ
- Fil fɔ it
- Sɔm SNRI kin mek di blɔd prɛshɔn go ɔp smɔl.
3. TCA (Tricyclic Antidepressants) tayp mɛrɛsin dɛn
Dis na wan ol klas fɔ mɛrɛsin wae dɛn bin fɔs introdyus fɔ pwɛl hat. Dɛn nɔ de yuz dɛn bɔku tɛm igen bikɔs dɛn gɛt mɔ sayd ɛfɛkt pas SSRI ɛn SNRI. Bɔt dɛn kin ɛp sɔm pipul dɛn we nɔ bin dɔn tek ɔda mɛrɛsin.
We yu de yuz TCA mɛrɛsin, sayd ɛfɛkt lɛk we yu mɔt dray, kɔnstipɛshɔn, yu nɔ de si fayn, ɛn ɔtostatik haypɔtɛnshɔn (lɔ blɔd prɛshɔn we yu tinap) ɛn diziz kin apin.
4. MAOI (Monoamine Oxidase Inhibitors) kayn mɛrɛsin
Dis na di ol klas fɔ antidipreshan wae de. Pan ɔl we dɛn kin rili wok, sɔm rili strikt lɔ dɛn de bɔt it ɛn drink we yu de tek dɛn mɛrɛsin ya. So dɛn kin jɔs yuz dɛn if natin nɔ de wok.
Fɔd dɛn we yu nɔ fɔ it we yu de tek MAOI
I bɛtɛ fɔ lɛ yu nɔ it tin dɛn we gɛt wan kemikal we dɛn kɔl ‘Tyramine’ we yu de tek MAOI mɛrɛsin. If yu du dat , i kin mek yu gɛt ay blɔd prɛshɔn we denja. So, pɔsin we de tek dis mɛrɛsin fɔ rili avɔyd dɛn it ya.
| Tayp fɔ it | Ɛgzampul dɛn |
|---|---|
| Chiz dɛn we dɛn dɔn kip, we dɛn dɔn fɛmɛnt | Chiz lɛk Parmesan |
| Mit ɛn fish we dɛn dɔn kip, we dɛn dɔn smok | Sosish, salami, ham, fish we dɛn dɔn smok |
| Fɔd dɛn we dɛn dɔn fɛmɛnt | Piklɔ, soya sos, tofu |
| Sɔm frut ɛn vɛjitebul dɛn | Banana, avokado, ɛn rɛsin we rili rayp |
| Rum | Ɛspɛshali bia ɛn rɛd wayn |
Dis list nɔ kɔmplit. If dɛn gi yu wan MAOI, yu dɔktɔ go ɛksplen dis mɔ.
Siriɔs kɔndishɔn dɛn we nid spɛshal atɛnshɔn
We yu de yuz mɛrɛsin fɔ pwɛl pwɛl hat, apat frɔm di kɔmɔn sayd ɛfɛkt dɛm, i impɔtant fɔ no bɔt sɔm kayn tin dɛm wae nɔr kin apin bɔt wae kin rili denja.
| Pozishɔn | Wetin fɔ du |
|---|---|
| Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf Dɛn tin ya kin apin, mɔ pan yɔŋ pipul dɛn we nɔ rich 25 ia yet, insay di fɔs wik afta dɛn dɔn bigin fɔ tek di mɛrɛsin. | Tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU). Nɔ put dis ɔf. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt Dangerously high levels of serotonin na di bɔdi. Di sayn dɛm na wae yu de swet pasmak, yu at de bit kwik kwik wan, yu de kɔnfyus, ɛn yu de shek shek. | Dis na mɛdikal imejensi. Go na di ETU wantɛm wantɛm. |
| Diskɔntinyueshɔn Sindrom Wan sik we kin apin if yu stɔp fɔ tek mɛrɛsin wantɛm wantɛm we yu nɔ gɛt dɔktɔ in advays. Di sayn dɛm na fiva, nɔs, diziz, ɛn nɔr kin slip. | Nɔ ɛva stɔp fɔ tek mɛrɛsin fɔ yusɛf. Yu fɔ ridyus di doz smɔl smɔl lɛk aw yu dɔktɔ tɛl yu. |
| Ovados fɔ yuz am Fɔ tek bɔku mɛrɛsin bay mistek ɔ bay wilful. | Dis na imejensi we kin mek pɔsin in layf de pan denja. Wantɛm wantɛm, kɛr di pɔsin go na di ɔspitul ETU. If nid de, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays. |
Aw yu kin pik di rayt mɛrɛsin fɔ yu?
Dis na disizhɔn we yu ɛn yu dɔktɔ fɔ disayd togɛda. Yu dɔktɔ go tink bɔt dɛn tin ya we i de pik mɛrɛsin fɔ yu:
- Di kayn we aw yu de si yu sik.
- Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt.
- Ɔda mɛrɛsin wae yu gɛt (e.g. at sik, dayabitis).
- Ɔda mɛrɛsin dɛn we yu de tek.
- Ilɛksɛf yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ.
- Di prayz fɔ mɛrɛsin dɛn.
Fɔ yu pat, i rili impɔtant fɔ tɔk ɔnɛs wit yu dɔktɔ bɔt ɛni sayd ɛfɛkt we yu de gɛt ɛn if yu de fil ɛni fridɔm frɔm di mɛrɛsin ɔ nɔ de fil. Na da tɛm de nɔmɔ dɛn kin chenj di doz ɔ chenj difrɛn mɛrɛsin if nid de.
Mɛsej we dɛn kin kɛr go na os
- Pwɛl hat nɔto tin fɔ shem ɔr wikɛd tin. Na wan sik wae kin mɛn wit tritmɛnt.
- I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin fɔ yu. I nid fɔ peshɛnt. Stay in kɔntakt wit yu dɔktɔ.
- Nɔ ɛkspɛkt rizulyt wantɛm wantɛm afta yu tek di mɛrɛsin. I kin tek sɔm wiks fɔ mek yu fil se yu dɔn wɛl ɔl.
- Nɔ ɛva, fɔ ɛni rizin, stɔp fɔ tek mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ.
- If yu jɔyn mɛrɛsin wit advays ɛn wɛl bɔdi layf (ɛksɛsayz, it gud it), yu kin wɛl kwik ɛn fɔ ɔltɛm.
- If yu de tink bɔt fɔ kil yusɛf, nɔ kip am to yusɛf. Go to dɔktɔ wantɛm wantɛm. Nɔto yu wan de.
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