We yu pikin de wɔri smɔl ɔ i de fil bad, yu kin fil fayn if yu kɛr dɛn go to dɔktɔ ɛn dɛn gi am mɛrɛsin. Na nɔmal tin fɔ tink se, "Okay, naw mi pikin go fil fayn." Bɔt sɔm mɛrɛsin dɛn de we wi fɔ rili no bɔt, mɔ we i kam pan pikin dɛn maynd wɛlbɔdi prɔblɛm. Tide wi go tok abaut dat. Dis na smɔl tɔpik we rili impɔtant, bɔt as mama ɛn papa, dis no rili impɔtant fɔ wi.
Wetin rili na dis risk?
Dis stori bigin wit wan tin we apin na Amɛrika insay 2004. Wan 13 ia ol bɔbɔ we nem Mat kil insɛf. Leta in papa bin se na wan FDA (US Food and Drug Administration) hiring se, "Mi bɔy pikin day afta dɛn gi am wan drɔg we wi nɔ ɛva yɛri bɔt, fɔ wan kɔndishɔn we dɔktɔ nɔ bin ivin no se i de." Dɛn bin dɔn gi Mat wan mɛrɛsin we dɛn kɔl `Zoloft`, we dɛn kin yuz fɔ mɛn pwɛl hat. Di dɔktɔ bin dɔn tɔk se di wangren tin we kin apin to pɔsin na we i nɔ kin slip ɛn we in bɛlɛ kin pwɛl.
Wit bɔku tin dɛn lɛk dis we dɛn de ripɔt, di FDA bigin fɔ chɛk di tin dip wan. Wetin dɛn fɛn bin mek di wan ol wɔl sɔprayz.
Dat min se, smɔl bɔt big risk de fɔ mek sɔm mɛrɛsin wae dɛn kin yuse fɔ trit pwɛl hat, mɔr lɛk pikin ɛn yɔŋ pipul dɛm, kin mek dɛn pwɛl hat pasmak ɛn kin mek dɛn tink bɔt fɔ kil dɛnsɛf, mɔr lɛk wae dɛn fɔs bigin fɔ yuse dɛn.
Bikɔs ɔf dis, di ɛjɛnshi dɛm we de rigul di drɔgs na Amɛrika ɛn Briten dɔn tɛl dɛn se dɛn mɛrɛsin ya fɔ put "blak bɔks" wɔnin, we na wɔnin bɔt wan rili siriɔs risk, pan dɛn pak.
Wetin na dɛn SSRI mɛrɛsin ya?
Bɔku tɛm dɛn kin tɔk bɔt dis risk wit wan klas ɔf drɔgs we dɛn kɔl `SSRIs (Selective Serotonin Reuptake Inhibitors)`. Fɔ tɔk am simpul wan, wi bren gɛt wan kemikal mɛsenja we dɛn kɔl `Serotonin`. Dis na wetin de kɔntrol wi gladi at, slip, ɛn we wi want fɔ it. Pɔsin wae gɛt pwɛl hat kin gɛt low lɛvɛl pan dis `Serotonin`. Wetin SSRI drɔgs de du na fɔ ɛp di bren fɔ yuz di `Serotonin` we i gɛt mɔ efyushɔn.
Sɔm pan di mɛrɛsin dɛn we dɛn kin yuz mɔ na Sri Lanka we de insay dis kategori na:
- Fluoxetine (we dɛn sabi wit di brand nem Prozac) .
- Sertraline (we dɛn sabi wit di brand nem Zoloft) .
- Citalopram (we dɛn sabi wit di brand nem Celexa) .
- Escitalopram (we dɛn kɔl am ɔnda di brand nem Lexapro)
- Paroxetine (we dɛn sabi wit di brand nem Paxil) .
Impɔtant tin na dat, dis risk nɔto fɔ SSRI nɔmɔ. Dis wɔnin naw de fɔ bɔku pan di mɛrɛsin dɛn we de mek pɔsin fil bad .
Wetin na di sayn dɛn we yu fɔ luk fɔ as mama ɔ papa?
If yu pikin bigin fɔ tek dis kayn mɛrɛsin, i impɔtant fɔ tek tɛm bad bad wan , mɔ di fɔs wik ɛn mɔnt dɛn . Dis atɛnshɔn impɔtant ɛnitɛm we di dɔktɔ chenj di doz.
| Chenj dɛn we yu fɔ wach fɔ | Tɔk bɔt |
|---|---|
| Fɔ tɔk bɔt fɔ kil yusɛf | If yu se tin dɛm lɛk "A fil lɛk fɔ day," "Dis layf nɔ gɛt minin," ɔ if yu de luk fɔ we fɔ du bad to yusɛf. |
| Di chenj dɛn we kin apin wantɛm wantɛm na di we aw pɔsin de biev | Fɔ nɔ rɛst pas aw i bin de bifo, fɔ de waka go ɛn kam ɔltɛm, ɛn fɔ du tin dɛn we nɔ de tek tɛm ɛn we de mek pɔsin denja. |
| Fɔ vɛks bad bad wan ɔ fɔ wɔri | If yu vɛks kwik pas aw yu bin de vɛks bifo, fil fɔ fred ɔltɛm, ɔr gɛt panik atak (we yu de fred wantɛm wantɛm). |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de slip | Nɔ slip ɔ fɔ slip pasmak. |
| Diprɛshɔn kin bɔku | If i tan lɛk se yu pikin in filin fɔ fil bad, wɔri, ɛn fɔ de in wan dɔn bɔku afta i dɔn bigin fɔ tek mɛrɛsin. |
| Wetin yu kin du if yu si sɔntin lɛk dis? | |
| Kɔl yu pikin in dɔktɔ wantɛm wantɛm. If yu gɛt ɛnitin fɔ tink se yu pikin de pan denja fɔ du bad to insɛf, kɛr am go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.Nɔ ɛva lɛf yu pikin in wan. | |
Tek tɛm bɔt di sik we dɛn kɔl bipolar disorder bak.
Sɔm pikin dɛn nɔ kin gɛt nɔmal pwɛl hat, bɔt dɛn kin gɛt wan sik we dɛn kɔl `Bipolar Disorder` (we dɛn bin de kɔl `Manic Depression`). Insay dis, chenj kin de pan di stet dɛm wae pɔrsin kin wɔri pasmak (diprɛshɔn) ɛn wae pɔrsin kin du pasmak (mania). If pɔsin na di famili gɛt dis sik, di pikin sɛf kin gɛt dis sik. If dɛn jɔs gi pikin we gɛt `Bipolar Disorder` mɛrɛsin fɔ pwɛl hat, i kin mek di `mania` stet wɔs ɛn i kin mek di risk fɔ kil insɛf bɔku. So, i rili impɔtant fɔ gi di dɔktɔ kɔmplit diskripshɔn bɔt di famili in sik dɛn.
So yu tink se i bad fɔ gi dis mɛrɛsin?
Di impɔtant tin fɔ ɔndastand ya na dat dɛn mɛrɛsin ya dɔn sev bɔku bɔku pipul dɛn layf . Bɔrku pipul wae gɛt siriɔs pwɛl hat kin gɛt bɔrku blɔd frɔm dɛn. Di prɔblɛm na dat, we dɛn gi dɛn mɛrɛsin ya to pikin ɛn yɔŋ pipul dɛn, dɛn nid fɔ tek tɛm wej di bɛnifit ɛn di prɔblɛm dɛn we dɛn kin gɛt.
Sɔm stɔdi dɔn sho se di kayn we aw pipul dɛn kin tink bɔt fɔ kil dɛnsɛf kin bɔku, nɔto bikɔs ɔf di mɛrɛsin insɛf, bɔt na bikɔs ɔf di kayn pwɛl hat sik wae de kam pan pɔrsin. Pruf de bak fɔ se di risk kin bɔku pan di fɔs stej dɛm fɔ saykotɛrapi.
Bɔt dɛn de tɔk bak se di famasi kɔmni dɛn dɔn de makɛt dis mɛrɛsin bay we dɛn de ayd di risach rizɔlt dɛn we nɔ fayn ɛn jɔs de pul fayn rizɔlt dɛn. Dis na di rizin we mek, as mama ɛn papa, wi nid fɔ no bɔt dis ɛn aks kwɛstyɔn.
Yu tink se na mɛrɛsin nɔmɔ go sɔlv di prɔblɛm?
Nɔ, di bɛst tin kin apin bay we dɛn gi advays ɔ saykotɛrapi wit mɛrɛsin.
Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) kin rili wok fayn. I de sho di bad we aw di pikin de tink, chenj am, ɛn tich am aw fɔ dil wit prɔblɛm dɛn.
Di fambul stɔdi we dɛn kɔl TADS (Treatment for Adolescents with Depression) sho se dɛn kin gɛt di bɛst rizɔlt we dɛn gi ɔl tu di Prozac ɛn CBT togɛda. Bɔt di sem stɔdi sho bak se Prozac nɔmɔ bin wok pas CBT nɔmɔ.
Di prɔblɛm na dat, ivin na Sri Lanka, i nɔ kin izi fɔ fɛn pipul dɛn we gɛt trenin we go ebul fɔ gi `CBT` tɛrapi fayn fayn wan. Bɔt yu kin aks yu pikin in dɔktɔ bɔt dis ɛn aks dɛn fɔ rifer yu to pɔsin we fit yu.
Mɛsej we dɛn kin kɛr go na os
- Lɛf di mɛrɛsin disayd to di dɔktɔ:Na dɔktɔ we sabi du di wok fɔ disayd if pikin nid mɛrɛsin fɔ gɛt pwɛl hat ɔ nɔ nid am, ɛn us mɛrɛsin fɔ gi am . Tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu wit yu dɔktɔ.
- Di fɔs mɔnt rili impɔtant: Pe atɛnshɔn gud wan to aw yu pikin de biev insay di fɔs wik ɛn mɔnt afta yu dɔn bigin fɔ tek di mɛrɛsin. Ripɔt ɛni chenj we nɔ kɔmɔn to di dɔktɔ wantɛm wantɛm.
- Nɔ stɔp di mɛrɛsin wantɛm wantɛm: Nɔ ɛva stɔp fɔ gi di mɛrɛsin if di dɔktɔ nɔ advays yu. If yu du dat, dat kin mek di pikin in sik wɔs.
- Risk ɛn bɛnifit dɛn: Jɔs lɛk ɔl di mɛrɛsin dɛn, risk ɛn bɛnifit dɛn de. Bɔrku tɛm, de risk fɔ gɛt pwɛl hat wae yu nɔr gɛt tritmɛnt kin pas de risk wae yu gɛt mɛrɛsin.
- Nɔto yu wan: Fɔ dil wit pikin in maynd wɛlbɔdi prɔblɛm nɔ kin izi. If nid de, luk fɔ sɔpɔt fɔ advays bɔt pɔsin in maynd. Yu maynd wɛl bɔdi bak rili impɔtant to yu pikin.
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