Nɔr mɛrɛsin nɔr de fɔ pwɛl hat wit kɔmɔn tritmɛnt? Na di laytst ay-tek tritmɛnt fɔ pwɛl hat

Yu de sɔfa wit pwɛl hat? Sɔntɛm yu dɔn tray fɔ tek mɛrɛsin we yu dɔktɔ gi yu, go to advays, ɛn stil nɔ fil bɛtɛ. Na nɔmal tin fɔ fil se yu at pwɛl ɛn nɔ gɛt op pan dɛn tɛm dɛn ya. Bɔt mɛmba se nɔto yu wangren de. Mɛdikal sayɛns de go bifo ɛvride. Na dat mek nyu, advans tritmɛnt dɛn de wae kin ɛp pipul dɛm wae nɔr de ansa fayn to kɔmɔn tritmɛnt dɛm. Na dat wi de tok abaut tide.

Wetin na ‘diprɛshɔn wae nɔr kin gɛt tritmɛnt’?

Fɔ tɔk am simpul wan, dis na di kɔndishɔn we wi bin tɔk bɔt ɔp. Dat min se, wi kin kɔl tritmɛnt-rɛsistant diprɛshɔn wae de sik nɔr de impɔtant wit di tritmɛnt dɛm wae dɛn kin aksept fɔ pwɛl hat (fɔ ɛgzampul, tu ɔr mɔr difrɛn kayn antidipreshan, na di rayt doz, fɔ inof tɛm).

Imajin, yu dɔktɔ gi yu wan mɛrɛsin, ɛn afta sɔm mɔnt we yu dɔn yuz am, i nɔ de mek bɔku difrɛns. Dɔn i kin chenj yu to ɔda mɛrɛsin. If dat nɔ wok, yu kin fɔdɔm insay dis kategori. Na lɛk dɛn tɛm ya, dɔktɔ dɛn kin tink bɔt dɛn spɛshal, advans tritmɛnt ya we wi go tɔk bɔt.

Ilɛktrokɔnvulsiv tɛrapi (ECT) - yu fɔ fred lɛk aw yu tink?

We yu yɛri di wɔd "Electroconvulsive therapy (ECT)," yu kin mɛmba tin dɛn we de apin na di ol Sinhala ɛn Hindi fim dɛn ɛn yu kin fil se yu de fred. Bɔt fɔ tru, ECT na tritmɛnt we rili sef ɛn we dɛn kin kɔntrol tide.

Wetin kin apin pan dis na dat dɛn kin anestez yu kɔmplit wan (put fɔ slip) ɛn dɛn kin du dis tritmɛnt. So yu nɔ de fil ɛnitin. Wan tim we gɛt spɛshal pipul dɛn (wan dɔktɔ we de mɛn pipul dɛn we gɛt sik dɛn we de ambɔg dɛn maynd, dɔktɔ we de mɛn pipul dɛn we de anestez, ɛn nɔs dɛn) de fɔ dis. Dɛn kin sɛn rili smɔl smɔl ilɛktrik puls dɛn we dɛn kin kɔntrol to yu bren tru ilɛktrɔd dɛn we dɛn kin put na yu ed. Dɛn biliv se dis kin mek di nerve cells na di bren kam bak, ɛn di sayn dɛm fɔ pwɛl hat kin ridyus kwik kwik wan.

Tipikli , 6 to 12 seshɔn dɛn kin nid, bɔku tɛm tu to tri tɛm insay di wik. ECT na tritmɛnt we rili woke, mɔ fɔ di wan dɛn we gɛt siriɔs pwɛl at we nɔ kin gɛt tritmɛnt ɛn di wan dɛn we kin tink bɔt fɔ kil dɛnsɛf.

Bɔt lɛk ɔl ɔda tin dɛn, bad tin dɛn de we kin apin to am ɛn di bad tin dɛn we kin apin to am. Sɔm pipul kin gɛt prɔblɛm wit mɛmori (especially around de time of treatment) fɔ shɔt tɛm afta tritmɛnt. So, e fayn fɔ tɔk bɔt ɔl dis wit yu dɔktɔ bifo yu bigin fɔ trit yu.

Magnɛtik Puls Tɛrapi (TMS ɛn MST) - Wetin na dɛn tin ya?

Dɛn tu we ya de yuz magnɛtik fil fɔ afɛkt di bren, bɔt di tu we dɛn difrɛn smɔl.

1. Transkranial Magnεtik Stimulεshכn (TMS) .

Dis na wan we we rili simpul pas ECT. Dɛn nɔ de put yu na slip. Yu kin sidɔm na chia. Dɔktɔ ɔ tɛknishian kin put spɛshal divays (wan `insulated wire coil`) pan yu skel ɛn sɛn magnɛtik puls tru am to sɔm patikyula eria dɛn na di bren we dɛn tink se de involv pan dipreshɔn. Dis nɔ de mek pɔsin fil pen.

Wan sɛshɔn kin tek lɛk 30 minit, ɛn yu kin nid fɔ gɛt tritmɛnt lɛk 5 dez insay di wik fɔ 4-6 wik. Wan pan di big bɛnifit dɛn we TMS gɛt na dat i nɔ gɛt bɛtɛ sayd ɛfɛkt ɛn i nɔ nid fɔ de na ɔspitul. Sɔm pipul dɛn kin fil lɛk se dɛn ed de swɛt, ɔ dɛn kin gɛt smɔl ed pen ɔ dɛn kin gɛt diziz. Bɔt dɛn nɔ ripɔt se i kin afɛkt mɛmori lɛk ECT. Bɔt i impɔtant fɔ mɛmba se TMS nɔ de mek strɔng rizɔlt lɛk ECT.

2. Magnɛtik Sizhɔ Tɛrapi (MST) .

Dis stil de na di risach stej, ɛn i tan lɛk krɔs bitwin ECT ɛn TMS. Na ya, dɛn kin yuz wan strɔng magnɛtik fil fɔ mek pɔsin gɛt kɔntrol we i de sik na di bren. Pan ɔl we wi nɔ no di rayt tin we kin mek i sik, dis sik kin mek pɔsin nɔ gɛt pwɛl hat kwik kwik wan. I nid bak fɔ gɛt anestezi, lɛk aw dɛn kin du ECT. Bɔt dɔktɔ dɛn op se bikɔs ECT kin ebul fɔ tɔch di say dɛn na di bren mɔ, i nɔ go afɛkt di mɛmori bɛtɛ.

Ɔda tritmɛnt dɛn we gɛt fɔ du wit ɔpreshɔn

Dɛn tritmɛnt ya na mɔ advans tritmɛnt dɛn, we dɛn kin du ɔpreshɔn pan. Dɛn kin yuse dɛn pan tin dɛn we rili siriɔs usay ɔl di ɔda tritmɛnt dɛn nɔ wok.

1. Dip Bren Stimuleshɔn (DBS) .

Dis na tritmɛnt wae dɛn dɔn ɔlrɛdi de yuse fɔ Pakinsin sik. insay dis, dεn kin כpכt εlektrod dεm insay rili spεsifi k, dip εria dεm na di bren. Dɛn ilɛktrɔd ya de pawa bay wan batri pak we dɛn put ɔnda di skin na di chɛst ɔ di bɛlɛ. Dɛn ilɛktrɔd ya kin sɛn ilɛktrik signal to di sɔrkwit dɛn na di bren we de kɔntrol aw pɔsin de fil, ɛn dɛn kin kɔntrol di sayn dɛn we de sho se pɔsin gɛt pwɛl at. Pan ɔl we dɛn stil nɔ bɔku pan di risach, di tin dɛn we dɛn dɔn fɛn rili fayn.

2. Vagus Nεv Stimulεshכn (VNS) .

di vagus nerve na wan lכng nerve we de kכmכt na di bren to difrεn pat dεm na di bכdi. Dis nεv de kכnekt bak to di pat dεm na di bren we de kכntro di mכd. Insay dis tritmɛnt, dɛn kin ɔpreshɔn wan smɔl tin we fiba di pesmɛka ɔnda di skin na di chɛst. Di divays de sɛn ilɛktrik impuls to di vagus nerve. Dis kin mek di nerve kɔmyunikeshɔn na di bren fayn ɛn i kin mek i nɔ gɛt pwɛl hat. Bɔt i kin tek sɔm mɔnt fɔ si di tin dɛn we kin apin.

Ketamine - instant rilif?

Ketamine na wan mɛrɛsin we de mek pɔsin nɔ fil fayn. Bɔt risach we dɛn dɔn du dis biɛn tɛm dɔn sho se we dɛn gi am di kayn we we rili smɔl, i kin mek sɔm pipul dɛn we gɛt siriɔs pwɛl at , fil fayn kwik kwik wan insay sɔm awa .

Naw dɛn dɔn gri fɔ wan tritmɛnt we dɛn kɔl Ketoconazole we dɛn kɔl Ketoconazole na in nos fɔ pipul dɛn we nɔ de tek ɔda mɛrɛsin fɔ mek dɛn nɔ fil bad ɔ we de tink bɔt fɔ kil dɛnsɛf. Apat frɔm dat, dɛn kin yuz wan infushɔn we dɛn kin put insay di bɛlɛ (IV infusion) bak. Bɔku tɛm dɛn kin du dis na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn.