Yu dɔn de sɔfa wit pwɛl hat fɔ lɔng tɛm? Sɔntɛm yu dɔn tray bɔku mɛrɛsin dɛn we yu dɔktɔ gi yu, bɔt yu nɔ fil di impɔtant tin we yu want. Tide wi de tɔk bɔt wan spɛshal tritmɛnt wae kin ɛp dɛm wae gɛt siriɔs pwɛl hat sik ɛn nɔr de du wɛl to ɔda tritmɛnt. Dis na di Esketamine Nasal Spray.
Wetin na Esketamine?
Fɔ tɔk am simpul wan, Esketamine na mɛrɛsin wae dɛn kin yuse fɔ mɛn pwɛl hat. Bɔt nɔto kɔmɔn mɛrɛsin we dɛn kin gi ɔlman. Dɔktɔ dɛn kin gi dɛn dis mɛrɛsin we ɔda mɛrɛsin dɛn we de mek pɔsin in at pwɛl nɔ ɛp . Na wan sprɛy we dɛn kin yuz fɔ sprɛy na yu nos . Wan pan di nem dɛn we pipul dɛn lɛk fɔ gi am na di makit na Spravato.
Dɛn kin yuse dis mɛrɛsin bak fɔ ɔda sik dɛn apat frɔm pwɛl hat. Yu kin tɔk to yu dɔktɔ bɔt dis fɔ no mɔ.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri bifo yu bigin dis tritmɛnt. Nɔ ayd ivin smɔl sik we yu gɛt. Dis mɛrɛsin nɔ fayn fɔ ɔlman. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
| Medikal kɔndishɔn/infɔmeshɔn tayp | Tɔk bɔt |
|---|---|
| Sik dɛn we de na di blɔd vesel | If yu gɛt blɔd vesel sik ɛnisay na yu bɔdi, lɛk na yu bren, yu chɛst, yu an, ɔ yu fut. |
| At sik ɛn blɔd prɛshɔn | Ay blɔd prɛshɔn, at sik, at nɔ de bit ɔltɛm, ɔ at atak bifo. |
| Istri we gɛt fɔ du wit di bren | If yu dɔn gɛt strok bifo, yu dɔn gɛt histri fɔ blɔd na yu bren, ɔ yu dɔn gɛt bad bad injuri na yu ed. |
| Mental wɛlbɔdi biznɛs | Mental sik lɛk schizophrenia, dementia (we yu nɔr de mɛmba fayn fayn wan), ɔr if yu ɔr pɔrsin na yu famili dɔn gɛt maynd ɔr plan fɔ kil yusɛf. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | Liva sik, wan histri bɔt drɔg ɔr rɔm adikshɔn (Substance use disorder). |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji fɔ Esketamine, Ketamine, ɔ ɛni ɔda mɛrɛsin, it, ɔ day. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Aw yu kin yuz dis mɛrɛsin?
Dis na di tin we impɔtant pas ɔl we yu nid fɔ no. Dis nɔto mɛrɛsin we yu kin kɛr go na os ɛn yuz am.
Dɛn fɔ yuz dis mɛrɛsin nɔmɔ na ɔspitul ɔ klinik, ɔnda di dairekt sɔpɔtishɔn fɔ dɔktɔ ɔ tren wɛlbɔdi pɔsin.
- Yu sprɛy am yusɛf: Yu dɔktɔ ɔ nɔs go sho yu klia wan aw fɔ yuz dis nos sprɛy divays, ɔmɔs fɔ yuz, ɛn ustɛm fɔ yuz am. Yu go sprɛy am na yu nos yusɛf ɔnda dɛn sɔpɔtishɔn.
- Wach yu fɔ sɔm awa: Afta yu dɔn tek di mɛrɛsin, dɛn go wach yu fɔ at le tu awa.Di mɛdikal tim go de wach yu. Dɛn go chɛk tin dɛn lɛk yu blɔd prɛshɔn ɛn yu at rit ɛn disayd if yu fit fɔ go na os.
- Dɛn nɔ gri fɔ drayv: Dis rili impɔtant. Yu nɔ go ebul fɔ drayv motoka fɔ ɛni rizin di de we yu tek di mɛrɛsin. Yu nɔ go ebul fɔ du ɛnitin bak we nid fɔ pe atɛnshɔn mɔ pan yu maynd. I rili impɔtant fɔ mek yu fambul ɔ padi kam kɛr yu go na os. Yu go ebul fɔ drayv nɔmal wan bak di nɛks de afta yu dɔn slip fayn.
- Tek tɛm wit it ɛn drink: Dis mɛrɛsin kin mek yu nɔs ɛn vɔmit. So, yu fɔ stɔp fɔ it at le 2 awa bifo yu tek di tritmɛnt. Yu fɔ stɔp bak fɔ drink wata lɛk wata at le 30 minit bifo .
- Ɔda nos sprɛy: If yu de yuz ɔda nos kɔtikosterɔyd ɔ nos dikɔnjɛstant, yu fɔ yuz dɛn at le wan awa bifo yu tek dis Esketamine tritmɛnt.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
Dɛn kin gi dis na ɔspitul, so di chans fɔ mek dis apin rili smɔl. Bɔt if yu fil se yu dɔn tek di mɛrɛsin pasmak pan ɛni we, tɛl di dɔktɔ dɛn wantɛm wantɛm. If ɔda pɔsin na os dɔn tek dis mɛrɛsin ɛn dis apin, kɛr dɛn go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn tradishɔnal mɛrɛsin, bikɔs sɔm tin dɛn kin riak wit Esketamine ɛn mek yu gɛt denja.
| Di kayn tin dɛn we kin rɔsh | Ɛgzampul dɛn |
|---|---|
| Rum | Nɔ yuz ɛni kayn rɔm. |
| Mɛrɛsin fɔ slip ɛn wɔri | Benzodiazepines, lɛk Alprazolam, Diazepam, Lorazepam, na slip pils. |
| Ɔda mɛrɛsin dɛn we de mek pɔsin in at pwɛl | Mεdikeshכn dεm lεk Amitriptyline, Trazodone, εspεshali MAOI mεdikeshכn dεm lεk Marplan, Nardil, Parnate. |
| Di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn mɛrɛsin fɔ kɔf | Penkillers frɔm di opioid grup. |
| Ɔda | Ketamin, epilepsy mεdikeshכn (e.g. Phenobarbital), mכsul rilaksεnt, stimulant fכ ADHD. |
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Fɔ de wach yu ɔltɛm: Yu dɔktɔ go de chɛk ɔltɛm fɔ si if yu sik de go bifo ɔr de wɔs. Tɛl dɛn if chenj de pan yu sayn dɛm.
- Fɔ slip ɛn diziz: Yu kin fil bad bad wan, yu kin gɛt diziz, ɔ yu kin fɔdɔm fɔ sɔm awa afta yu dɔn tek di mɛrɛsin. Na dat mek dɛn kin de wach yu na di ɔspitul. Dis na di rizin we mek dɛn advays yu nɔ fɔ drayv ɔ yuz mashin.
- Risk fɔ adikshɔn: Risk de fɔ abuse ɛn dipen pan dis mɛrɛsin. So, yu dɔktɔ go de wach yu fɔ dat bak.
- Bɛlɛ: Yu nɔ fɔ tek dis mɛrɛsin if yu gɛt bɛlɛ. Dis mɛrɛsin kin mek di pikin gɛt siriɔs prɔblɛm wit di pikin.
- Fɔ gi yu pikin in mama in bɛlɛ: Nɔ gi yu pikin in mama in bɛlɛ we yu de tek dis mɛrɛsin.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn. Di tin we impɔtant pas ɔl na fɔ mek yu mɛdikal tim no wantɛm wantɛm if yu notis ɛnitin we nɔ kɔmɔn.
| Klasifikɛshɔn fɔ di sayd ɛfɛkt dɛn | |
|---|---|
| 🚨 Dɛn fɔ ripɔt siriɔs sayd ɛfɛkt to di dɔktɔ ɔ nɔs wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Sɛntral nervɔs sistɛm diprɛshɔn (CNS dipreshɔn) . | Fɔ blo sloslo ɔ shalɔ, i nɔ kin izi fɔ blo, i kin slip pasmak, i kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, yu kin kɔnfyus. |
| Filin fɔ separet (Dissociation) . | Fɔ fil se yu nɔ de nia wetin yu de tink, fil, ɛn tin dɛn we de arawnd am, lɛk se yu de drim. |
| Blɔd prɛshɔn we de go ɔp | Wan blɔd prɛshɔn we de go ɔp wantɛm wantɛm. |
| Di bad bad tin we de apin na di maynd | Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf, we i kin gɛt mɔ pwɛl at. |
| 🙂 Bɔku tɛm natin nɔ de fɔ wɔri bɔt, bɔt if di sayd ɛfɛkt dɛn kɔntinyu, yu fɔ tɛl yu dɔktɔ. | |
| Fɔ wɔri, fɔ nɔ gɛt rɛst | Diziz ɛn slip |
| Nɔs ɛn vɔmit | Fɔ fil se yu gɛt gladi-at we nɔ kɔmɔn, gladi at |
| Numbness, dikɛd sɛns fɔ tɔch | |
Mɛsej we dɛn kin kɛr go na os
- Esketamine na spɛshal tritmɛnt wae dɛn kin gi ɔl na ɔspitul ɔnda dɔktɔ in sɔpɔtishɔn fɔ siriɔs pwɛl hat wae nɔr dɔn trit wit ɔda mɛrɛsin.
- Yu nɔ fɔ drayv ɔ du ɛnitin we yu nid fɔ pe atɛnshɔn to di de we yu tek dis mɛrɛsin. Yu fɔ gɛt pɔsin fɔ kɛr yu go na os.
- Tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di mɛrɛsin dɛn we yu de tek ɛn nɔ ayd ɛnitin .
- Wan mɛdikal tim go de wach yu fɔ sɔm awa afta yu tek di mɛrɛsin, bikɔs siriɔs sayd ɛfɛkt kin apin.
- Dis mɛrɛsin nɔ fayn fɔ uman dɛn we gɛt bɛlɛ ɔ uman we de gi pikin dɛn bɛlɛ. Dɛn nɔ gri fɔ am bak fɔ pikin dɛn.
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