Sɔntɛnde, yu kin vɛks sote yu nɔ kin ivin ebul fɔ kɔntrol am, ilɛksɛf na smɔl tin we apin? Yu kin ala, slam domɔt, trowe tin dɛn na grɔn, ɛn sɔntɛnde yu kin ivin nak pɔsin. Afta ɔltin dɔn, yu kin fil bɔku sɔri ɛn shem, tink se, "O, wetin mek a du dat?" If yu dɔn gɛt dis ɛkspiriɛns, nɔto yu wangren de. Tide wi de tɔk bɔt wan mɛntɛl hεlth kכndishכn wae kin mek dis kayn wae yu nɔr kin ebul fɔ kɔntrol. Dat na Intermittent Explosive Disorder, ɔ IED fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Intermittent Explosive Disorder (IED)?
Fɔ tɔk am simpul wan, Intermittent Explosive Disorder (IED) na wan mɛntɛl hεlth sik wae de kam wae pɔrsin kin vɛks ɔltɛm, wae nɔr kin plan fɔ du am, ɛn wae pɔrsin kin vɛks kwik kwik wan wae pɔrsin nɔr kin ebul fɔ kɔntrol ɔr kin du bad bad tin. Di tin we impɔtant pas ɔl na dat, di wamat nɔ kin gri wit di tin we apin we mek i vɛks. Dis min se ivin smɔl tin kin mek pɔsin gɛt bɔku prɔblɛm.
Imajin se sɔmbɔdi jomp bifo yu na layn. Nɔmal pɔsin go vɛks smɔl, ɛn sɔntɛm i nɔ go tɔk natin. Bɔt pɔsin we gɛt IED kin vɛks so dat i nɔ kin ebul fɔ kɔntrol insɛf, i kin ala pan da pɔsin de, ɛn bigin fɔ fɛt big big wan.
We dɛn ɔtbɔst ya nɔ de apin, dɛn pipul ya kin biev nɔmal ɛn fayn. Bɔt we dɛn du dat, dɛn nɔ go ebul fɔ kɔntrol dɛn wamat. Dis nɔto jɔs fɔ vɛks, na mental sik. Na lɛk 80% pan di pipul dɛm wae gɛt dis sik kin gɛt wan ɔr mɔr ɔda mɛntɛl sik dɛm bak, lɛk wae dɛn kin wɔri ɔr bipola muud disɔda.
Udat dis tin kin afɛkt mɔ?
IED kin afɛkt pikin dɛn we dɔn pas 6 ia ɛn big pipul dɛn. Bɔt, big pipul dɛm wae dɛn kin no se gɛt dis sik kin nɔr pas 40 ia. Dɔn bak, dis sik kin bɔku pan man dɛn pas uman dɛn.
Risach dɔn sho se bitwin 1.4% ɛn 7% pan di pipul dɛm na di wɔl kin gɛt IED, we min se i nɔto wan sik we nɔ kin apin so ɔltɛm.
Wetin na di sayn dɛm fɔ IED? Aw wi kin no am?
De men sayn na wae yu de vɛks kwik kwik wan wae nɔr fayn fɔ de. Pipul wae gɛt dis sik kin no se dɛn vɛks nɔr fayn, bɔt da tɛm de dɛn kin fil lɛk se dɛn nɔr kin ebul fɔ kɔntrol am.
Bɔku tin dɛn de we kin apin we dɛn kin vɛks bad bad wan:
- Nɔto bay wilful: Dis nɔto tin dɛn we dɛn dɔn plan bifo tɛm, lɛk, "A go fɛt wit Aruth tide." Na tin dɛn we kin apin wantɛm wantɛm.
- I kin apin kwik kwik wan: We sɔntin de mek yu fil bad ɔ mek yu vɛks, dis kin apin insay sɔm sɛkɔn dɛn.
- Fɔ shɔt tɛm: Di tɛm we dis vɛks pasmak nɔ kin las pas 30 minit.
- Stret wae pɔrsin kin gɛt pɔrsin wae gɛt pwɛl hat sik: Afta wae pɔrsin vɛks dɔn, bɔrku strɛs, shem, ɛn pwɛl hat kin de.
- Impekt pan rileshɔnship: Dis bihayvya kin mek prɔblɛm na skul, woke, ɛn na os.
Di impɔtant tin na dat pɔsin we gɛt IED nɔto bad pɔsin. Dɛn de strɛs wit dɛn filin ya we dɛn nɔ ebul fɔ kɔntrol. So, e fayn fɔ ɔndastand dis as mɛrɛsin wae nid fɔ gɛt tritmɛnt, pas fɔ bi prɔblɛm wit aw pɔrsin de biev.
Di tebul we de dɔŋ ya de sho aw dis vɛks kin kɔmɔt ɛn di filin dɛn we kin apin bifo am.
| Tayp we gɛt kwaliti dɛn | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Di tin dɛn we kin bɔn |
|
| Tin dɛn we yu kin fil bifo yu vɛks |
Dɛn wam wae pɔrsin kin vɛks kin smɔl sɔmtɛm, bɔt kin so bad bad wan dat kin mek pɔrsin gɛt siriɔs injury ɔr ivin day. Afta di wamat dɔn stɔp, fɔs pɔsin kin fil fri, bɔt afta dat, i kin rili rigrɛt ɛn shem fɔ wetin dɛn du.
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek dɛn gɛt IED?
Risach pipul dɛn stil de tray fɔ no di rayt rizin, bɔt bay wetin dɛn dɔn fɛn te naw, dɛn biliv se tri men tin dɛn de apin.
1. Jεnεtik fכs: Dis kכndyushכn kin rכn na famili. Dis min se if mama ɔ papa ɔ in fambul we de nia dɛn gɛt dis kayn we aw dɛn kin biev kwik kwik wan, chans de fɔ mek dɛn pikin dɛnsɛf gɛt am. stכdi dεm sho se bitwin 44% εn 72% pan di tεm, di jin dεm de ple rol fכ divεlכp dis kayn bihayvya.
2. Bayolojikal tin dεm: di chenj dεm we de apin na di bren strכkchכ εn di wok we i de du kin bi wan tin. Fɔ ɛgzampul, MRI skan na di bren dɔn sho se pipul dɛn we gɛt IED kin chenj na di amigdala, we na wan pat pan di bren we de involv fɔ rigul di filin. Dɛn dɔn si bak se pipul dɛn we gɛt IED gɛt di smɔl smɔl tin dɛn we de na di nyurotransmitta we dɛn kɔl sɛrotonin, we de kɔntrol wi maynd.
3. Di tin dɛn we de apin na di envayrɔmɛnt: Di bad bad tin dɛn we kin apin to pɔsin we i smɔl kin rili afɛkt dis.
- Fɔ bi pɔsin we dɛn bin de du bad to na in bɔdi ɔ na in maynd we i bin smɔl.
- We yu si ɔda pipul dɛn na di os we dɛn de trit dɛn bad.
- Fɔ gɛt wan ɔ mɔ bad bad tin dɛn we i bin de du we i bin smɔl.
Ekspiriɛns lɛk dis kin afɛkt di bren divɛlɔpmɛnt ɛn di we aw dɛn kin kɔntrol di filin dɛn, we leta kin mek dɛn gɛt IED.
Aw yu go no fɔ tru if dis na IED? (Diagnosis) .
If yu ivin tink se yu ɔ yu pikin gɛt dis sik, di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ . I go mɔs bi se i go rifer yu to mental wɛlbɔdi advaysa (saykayatrist, sayɛnsman) we gɛt ɛkspiriɛns pan dis eria.
Wan mɛntɛl hεlth kɔlnɔ kin no dis sik bay wae i de tɔk to yu gud gud wan ɛn tek tɛm luk pan yu sayn dɛm. Dɛn go aks yu kwɛstyɔn dɛn lɛk:
- Yu ɛn yu famili in mɛdikal histri (especially mental sik).
- Bɔt yu yon rilayshɔnship dɛn.
- Skul ɔ wok istri.
- Di ebul fɔ kɔntrol di tin dɛn we yu de du.
Fɔ mek dɛn no se yu gɛt IED, yu fɔ mit at le wan pan dɛn tin ya:
| Tayp fɔ di Episod | Diskripshɔn (Krayteria) . |
|---|---|
| Frɛkuɛnt, bɔt lɔw intensiti erupshɔn (High Frequency/Low Intensity) . | Fɔ ambɔg pɔsin wit wɔd (fɔ ala, agyu) ɔ fɔ ambɔg pɔsin we nɔ de mek pɔsin du bad to prɔpati, animal, ɔ pipul dɛn, we kin apin tu tɛm insay di wik fɔ tri mɔnt. Dis nɔ de mek pɔsin gɛt siriɔs injury ɔ prɔpati pwɛl. |
| Nɔto ɔltɛm, bɔt i gɛt ay intensiti erupshɔn (Lɔ Frikyuɛnsi/High Intensity) . | Insay 12 mɔnt, at le tri big big bɔm dɛn kin bɔn we kin mek dɛn pwɛl prɔpati ɔ wund animal/pipul dɛn bɔdi. |
Di tin we impɔtant pas ɔl na dat di lɛvɛl we pɔsin kin vɛks kin kɔmɔt nia di tin we apin. I nɔto bay wilful bak. Di dɔktɔ go mek shɔ bak se dɛn sayn ya nɔr de kam bikɔs ɔf ɔda mɛntɛl sik, bɔdi sik, ɔr fɔ tek sɔm kayn mɛrɛsin.
Tritmɛnt de fɔ dis sik?
Yɛs, na fɔ tru. IED na wan kɔndishɔn we dɛn kin ebul fɔ manej fayn fayn wan. Di men gol fɔ tritmɛnt na fɔ pul di sik dɛn kpatakpata (we kin vɛks bad bad wan) ɔ fɔ ridyus di kayn we aw dɛn kin fil ɛn aw dɛn kin du am to wan lɛvul usay di pɔsin ɛn ɔda pipul dɛn go ebul fɔ liv sef wan.
Dɛn kin sheb di we aw dɛn kin trit am mɔ to tu pat:
1. Saykotɛrapi
Dis na di men we fɔ trit pɔsin. Kכgnitiv Bihεviכral Tεrapi (CBT) spεshal wan de rili saksesful.
Insay CBT, dɔktɔ kin ɛp yu fɔ luk dip wan pan aw yu de tink ɛn fil. Yu kin ɔndastand aw di tin dɛn we yu de tink bɔt kin afɛkt di tin dɛn we yu de du. Tru dis, yu kin lan fɔ chenj di rɔng we aw yu de tink we kin mek yu vɛks ɛn tink ɛn biev fayn fayn wan.
Sɔm patikyula we dɛn we dɛn kin yuz fɔ du CBT:
- Cognitive Restructuring: Fɔ chenj di we aw yu de tink bɔt tin dɛn we kin mek pɔsin vɛks.
- Rilaks Trenin: Praktis fɔ ansa kol at to situeshɔn dɛm we de mek yu vɛks tru tɛknik dɛm lɛk fɔ brith dip dip ɛn rilaks mɔsul dɛm.
- Coping Skills Training: Rol-play situations wae kin mek yu vɛks ɛn praktis aw fɔ dil wit am na wɛl bɔdi we (e.g., fɔ lɛf di situeshɔn).
- Rilaps Prevention: If dis kayn bihayvya apin bak afta tritmɛnt, dɛn nɔ kin tek am se na fɔ win, bɔt na lɛsin we dɛn lan ɛn tich aw fɔ go bifo.
2. Mɛrɛsin we dɛn kin gi
Sɔntɛnde, dɔktɔ dɛn kin se yu fɔ yuz mɛrɛsin wit di saykotɛrapi. Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek yu vɛks. Dis min se yu nɔ de vɛks igen fɔ smɔl smɔl tin dɛn we bin de mek yu vɛks trade.
Fluoxetine na di mɛrɛsin we dɛn dɔn stɔdi mɔ bɔt fɔ dis. Apat frɔm dat, di dɔktɔ kin gi am bak mɛrɛsin fɔ pwɛl pwɛl hat, mɛrɛsin wae de mek pɔrsin nɔr de fil fayn, ɛn tin wae de mek pɔrsin nɔr de fil fayn, i kin dipen pan di ej ɛn di sayn dɛm.
Yu tink se dis tin go kɔntinyu fɔ apin? Us ɔda prɔblɛm dɛn kin apin?
Pipul dɛm wae gɛt IED kin gɛt say wae dɛn kin satisfay wit dɛn layf ɛn dɛn nɔr kin gɛt bɛtɛ kwaliti fɔ liv. Dis kin gɛt bad bad impak pan yu wɛl bɔdi ɛn yu yon rilayshɔnship.
Pan ɔl we dɛn kin ebul fɔ manej am fayn fayn wan wit tritmɛnt, stɔdi dɔn sho se IED kin bi wan sik we kin de fɔ lɔng tɛm, we kin las fɔ 12-20 ia, ɔ ivin fɔ ɔl in layf.
Apat frɔm dat, pipul dɛn we gɛt IED kin gɛt mɔ risk fɔ gɛt dɛn kayn tin ya:
- Pwɛl at
- Wɔri
- Dizayd fɔ Yuz Alkol ɛn Sɔbstans
Di big tin wae kin mek pɔrsin gɛt dis sik na fɔ du bad to insɛf ɛn fɔ tink bɔt fɔ kil insɛf . So, if yu ɔ sɔmbɔdi na yu famili gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.
If yu ɔ pɔsin we yu sabi de tink fɔ du bad to insɛf, duya kɔl di nashɔnal mental wɛlbɔdi ɛplayn nɔmba 1926 na Sri Lanka wantɛm wantɛm.
Tin dɛn we yu kin du fɔ kia fɔ yusɛf
If yu gɛt IED, i impɔtant fɔ go to pɔsin we sabi du in wok. Apat frɔm dat, e fayn fɔ put di tin dɛm wae yu kin lan frɔm tritmɛnt na yu layf.
- Praktis aw fɔ mek yu at kol: Praktis tin dɛn lɛk fɔ blo dip dip wan ɛvride.
- Chenj aw yu de tink: We yu vɛks, aks yusɛf, "Wetin mek dis de apin to mi?" ɛn tray fɔ chenj da tink de.
- Divɛlɔp di kɔmyunikeshɔn skil dɛm: Praktis fɔ sho aw yu de fil wit kol at tru wɔd, ɛn nɔ vɛks.
- Rimov yusɛf frɔm tin dɛn we de mek yu strɛs: If yu fil se yu de vɛks, pul yusɛf pan di tin fɔ sɔm tɛm if i pɔsibul.
Nɔ drink rɔm ɛn tek drɔgs kpatakpata. Dɛn tin ya kin mek di we aw yu de biev kwik kwik wan, wɔs.
If pɔsin na yu famili ɔr we de nia yu gɛt IED, i kin mek yu bak gɛt prɔblɛm wit yu maynd. So, tek kia ɔf yu maynd wɛlbɔdi bak. Go to advays if nid de. I rili impɔtant bak fɔ tek stɛp fɔ protɛkt yusɛf ɛn yu pikin dɛn.
Mɛsej we dɛn kin kɛr go na os
- Intermittent Explosive Disorder (IED) nɔr kin jɔs fil fɔ vɛks, na mɛntɛl sik wae nid fɔ gɛt tritmɛnt.
- Di vɛks we de ya nɔ gri wit di tin we apin we mek i vɛks.
- Dis kכndyushכn kin kכmכt frכm di jεnεtik, bayolojikal (bren chenj), εn di envayroment fכs (di tin dεm we dεn kin gεt we i bin pikin).
- Dɛn kin ebul fɔ mɛn dis sik fayn fayn wan wit saykotɛrapi lɛk CBT ɛn if nid de, mɛrɛsin.
- If yu ɔr pɔrsin wae yu sabi gɛt dis sik, nɔr shem ɔr frayd fɔ go to dɔktɔ ɛn aks fɔ ɛp. Na di big ɛp we yu go ebul fɔ du fɔ yusɛf.
- If yu de tink bɔt fɔ kil yusɛf, duya kɔl di ɛplayn nɔmba 1926. Nɔto yu wan de.
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