Sɔntɛnde, yu kin fil bad bad wan, yu de fil yu wan, ɛn yu nɔ kin fil fɔ du ɛnitin? Wi ɔl gɛt dɛn de dɛn de na wi layf. Na nɔmal tin. Bɔt if dis tin kin kɔntinyu fɔ sɔm wik ɔr mɔnt, if yu maynd nɔr de fil fayn so dat yu nɔr kin ebul fɔ du yu tin dɛm wae yu kin du ɛvride, e kin bi sɔmtin pas jɔs nɔrmal sɔri-at. Insay mɛrɛsin, wi kin kɔl dis sik Major Depressive Disorder (MDD) . Dis nɔto wi maynd wikɛd, bɔt na rial sik we nid tritmɛnt.
Wetin na diprɛshɔn we nɔ de tek drɔgs (TRD)?
Bɔrku tɛm, wae dɔktɔ bigin fɔ trit pɔrsin wae gɛt pwɛl hat sik, bɔrku pipul kin bigin fɔ fil fayn afta sɔm tɛm. Bɔt sɔm pipul dɛn nɔ kin du dat. Fɔ ɛgzampul, if yu sik nɔr de bɛtɛ ivin afta yu dɔn tek at le tu antidipreshan wae yu dɔktɔ gi yu, pan di rayt doz, fɔ lɔng tɛm (bɔku tɛm fɔ 4 to 6 wik), wi kin kɔl dat tritmɛnt- resistant depression (TRD) .
Fɔ tɔk am simpul wan, i min se yu bɔdi ɛn yu bren nɔ de du wɛl to di mɛrɛsin dɛn we dɛn kin tek fɔ mek yu nɔ fil bad. Nɔ mek yu fred fɔ dis. Dis nɔ min se yu nɔ go ɛva wɛl. I jɔs min se wi nid fɔ tink bɔt ɔda tritmɛnt dɛn we go wok fayn.
Di tin we impɔtant pas ɔl na fɔ tɔk opin wan wit yu dɔktɔ if yu fil se yu nɔ de gɛt ɛni rilif frɔm di mɛrɛsin, we yu nɔ kip am to yusɛf.
Wetin na de kɔmɔn sayn dɛm fɔ pwɛl hat ɛn TRD?
De sayn dɛm wae de sho se pɔrsin gɛt pwɛl hat sik wae nɔr kin gɛt tritmɛnt (TRD) kin tan lɛk de sik wae de mɛk pɔrsin fil bad (MDD). Di difrɛns na dat dɛn sik ya kin kɔntinyu ivin afta dɛn dɔn tek mɛrɛsin. Lɛ wi tek wan luk pan wetin na dɛn sayn ya. Sɔntɛm yusɛf go dɔn ɛkspiriɛns sɔm pan dɛn tin ya.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Pwɛl hat ɛn lɔw ɛnaji | Wan filin fɔ sɔri ɛn ɛmti we kin las ɔl di de. Bɔdi we nɔ gɛt layf, we de fil les fɔ du ivin di smɔl smɔl wok dɛn. |
| Anhedonia (nɔ gɛt gladi at frɔm ɛnitin) . | Tin dɛm we yu bin de ɛnjɔy fɔ du (e.g. fɔ wach fim, tɔk to padi dɛm, tin dɛm we yu lɛk fɔ du) naw tan lɛk se yu nɔ gɛt wan minin. |
| Disapɔyntmɛnt bɔt di tumara bambay | Negatif tin dɛm lɛk "A nɔ go ɛva wɛl" ɛn "Mi layf dɔn dɔn" kin kam na mi maynd ɔltɛm. |
| I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu | Fɔ gɛt prɔblɛm fɔ rid buk, fɔ du wok, fɔ disayd fɔ du sɔntin. Nɔ ebul fɔ kip yu maynd na wan ples. |
| Fɔ fil gilti bɔt yusɛf | Fɔ fil se yu nɔ gɛt wan valyu, fɔ blem yusɛf fɔ ivin di smɔl smɔl tin dɛn. |
| Slip kin chenj | Either slip tu moch (drowsiness during the day), or nɔr kin ebul fɔ slip na nɛt ɔr wek frɔm slip. |
| Di chenj dɛn we de apin na di we aw pɔsin want fɔ it ɛn di wet we i gɛt | We yu de lɔs yu wet bikɔs yu nɔ want fɔ it ɔ yu de gɛt bɔku bɔku wet bikɔs yu de it pasmak. |
| Tin dɛn we pɔsin kin tink bɔt day ɔ kil insɛf | Fɔ fil lɛk se yu wish se yu go ebul fɔ dɔn yu layf. Dis na siriɔs sayn, ɛn if yu gɛt dɛn tin ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. |
Wetin kin apin if dɛn nɔ trit dis sik?
Pwɛl hat sik wae nɔr trit kin kam wit tin dɛm lɛk wae yu nɔr ebul fɔ kia fɔ yusɛf ɛn nɔr de wit ɔda pipul dɛm. Sɔntɛm yu nɔ go ebul fɔ du yu wok fayn fayn wan. Yu kin gɛt prɔblɛm wit yu famili layf ɛn padi biznɛs. If i bad pas ɔl, i kin ivin mek pɔsin in layf de pan denja.
So nɔ tek dɛn sayn ya as sɔntin we nɔ impɔtant. Nɔto yu fɔlt. Na wan mεdikal kכndyushכn we de kכz fכ di kεmεkal dεm we de na di bren we nכ balans. No shem nɔ de fɔ gɛt ɛp fɔ am. I jɔs tan lɛk fɔ tek mɛrɛsin fɔ dayabitis ɔ fɔ gɛt ay blɔd prɛshɔn.
Yu tink se op de? Mɔdan tritmɛnt dɛn!
Na dis na di gud nyus! Mɛdikal sayɛns dɔn mek big big chenj fɔ mɛn pwɛl hat sik insay di las sɔm ia. Nɔr lɛk aw dɛn bin de du trade, naw bɔrku tritmɛnt de wae de woke fayn fayn wan, ivin fɔ di wan dɛm wae gɛt pwɛl hat sik wae nɔr de mɛn (TRD).
Di ol mɛrɛsin dɛn bin de mɔ pan di kemikal dɛn (nyurotransmitta) na di bren lɛk sɛrotonin, dopamin, ɛn norepinephrine. Bɔt nyu tritmɛnt dɛn kin wok difrɛn we, dɛn kin wok tru ɔda rod dɛn na di bren.
Mɛrɛsin dɛn we De Akt Fast
Wan pan di big bɛnifit dɛn we dɛn tritmɛnt ya we dɛn de yuz tide gɛt na we dɛn de spid. Tink bɔt am, trade, yu bin gɛt fɔ wet fɔ sɔm wiks, sɔntɛm wan ɔ tu mɔnt fɔ fil di bad tin dɛn we wan drɔg kin du. Bɔt wit sɔm pan di mɔdan tritmɛnt dɛm we de naw, yu kin bigin fɔ fil fri frɔm di sayn dɛm insay sɔm awa ɔr dez.
Aw bɔku op dis de fɔ pɔsin we de sɔfa wit TRD ɛn we de fil bad bɔt in layf? Di wangren big big trɛnk na dɛn maynd we go ɛp dɛn fɔ wɛl kwik kwik wan frɔm dɛn bad bad kɔndishɔn. Yu kin aks yu dɔktɔ fɔ no bɔt dɛn tritmɛnt ya tide. Nɔto ɔl di tritmɛnt dɛn fayn fɔ ɔlman. So, na yu dɔktɔ go tek tɛm chɛk yu sik ɛn disayd us tritmɛnt go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Pwɛl hat na sik: i nɔr de mek yu at wik, ɛn nɔto yu fɔlt. Na rial sik wae nid tritmɛnt.
- Tɛl yu dɔktɔ if di mɛrɛsin nɔr de woke: If yu nɔr de fil fayn wit di mɛrɛsin wae yu de tek, nɔr ol am ɛn sɔfa, bɔt fɔ tru, tɛl yu dɔktɔ. Yu kin gɛt pwɛl hat sik wae nɔr kin gɛt tritmɛnt (TRD).
- Mɔdan tritmɛnt dɛn de: Ivin di wan dɛn we gɛt TRD kin gɛt op naw. Naw, dɛn dɔn gɛt di mɔdan tritmɛnt dɛn we de wok kwik kwik wan ɛn we de wok fayn fayn wan.
- Nɔr frayd fɔ aks fɔ ɛp: Mental wɛl bɔdi impɔtant jɔs lɛk aw yu bɔdi gɛt wɛl bɔdi. We yu aks fɔ ɛp, dat min se yu gɛt trɛnk, nɔto wikɛd. Yu dɔktɔ de de ɔltɛm fɔ ɛp yu.
- Nɔr to yu wan: bɔrku bɔrku pipul dɛm na Sri Lanka ɛn ɔlsay na di wɔl de liv wit pwɛl hat. If yu gɛt di rayt tritmɛnt ɛn sɔpɔt, yusɛf go ebul fɔ liv fayn layf bak.
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