Afta yu kam fɔ no se yu gɛt pwɛl hat, sɔntɛm yu go to dɔktɔ ɛn bigin fɔ tek mɛrɛsin. Naw yu go dɔn fil se yu de wɛl. Da ebi ebi lod ɛn prɛshɔn we yu bin de fil dɔn smɔl naw. So naw yu go mɔs tink se, "Okay, naw a fil fayn, so a kin stɔp fɔ tek dis mɛrɛsin." Bɔt yu dɔktɔ go mɔs se, "Wi go kɔntinyu fɔ yuz dis mɛrɛsin fɔ sɔm tɛm mɔ." Wetin mek yu de tɔk dat? Lɛ wi tɔk bɔt dis ditayli tide.
Wetin mek a nid fɔ kɔntinyu fɔ tek mɛrɛsin ivin afta we a dɔn wɛl?
Di fɔs tin fɔ ɔndastand na dat, mɛrɛsin wae de mek pɔrsin fil bad nɔr tan lɛk mɛrɛsin fɔ kol ɔr kɔf. We wi gɛt kol, wi kin tek mɛrɛsin fɔ sɔm dez fɔ mɛn di sik kpatakpata. Bɔt pwɛl hat na difrɛn tin. Dɛn mɛrɛsin ya kin kɔntrol di sayn dɛm wae de sho se yu gɛt pwɛl hat ɛn kin mek yu maynd fil fayn.
Tink bɔt am lɛk fɔ tek mɛrɛsin fɔ dayabitis ɔ fɔ gɛt ay blɔd prɛshɔn. Bifo dɛn mɛrɛsin dɛn de pul di sik kɔmɔt kpatakpata, i kin ɛp yu fɔ kɔntrol am ɛn ɛp yu fɔ liv nɔmal layf. Sɔntɛnde, pwɛl hat kin bi wan sik wae nɔr de dɔn ɛn wae kin nid fɔ gɛt tritmɛnt fɔ lɔng tɛm .
If yu de gɛt pwɛl hat fɔ di fɔs tɛm, di American Psychiatric Association se yu fɔ kɔntinyu fɔ tek mɛrɛsin fɔ lɛk 4 to 5 mɔnt , ivin afta yu sik dɔn rili bɛtɛ ɛn yu fil fayn. If yu dɔn gɛt pwɛl hat bɔku tɛm bifo dis tɛm, yu go nid fɔ tek mɛrɛsin fɔ lɔng tɛm, sɔntɛm ivin fɔ di res ɔf yu layf.
Dis na bikɔs if yu stɔp fɔ tek di mɛrɛsin tumɔs, di risk fɔ mek yu gɛt di mɛrɛsin bak go bɔku. Fɔ kɔntinyu fɔ tek mɛrɛsin fɔ kɔntrol di sik dis kayn we dɛn kin kɔl am "Maintenance Treatment."
Wetin na di kɔmɔn mɛrɛsin fɔ pwɛl hat?
Bɔrku kayn mɛrɛsin de wae dɛn kin yuse fɔ mɛn pwɛl hat. Ɛni wan pan dɛn tin ya de wok difrɛn we smɔl. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu bay di sik we yu gɛt, di sayn dɛn we yu gɛt, ɛn ɔda wɛlbɔdi prɔblɛm dɛn.
Nyu Antidipreshɔn
Insay di las tu dikɔs, dɛn dɔn bigin fɔ yuz bɔku ɔda mɛrɛsin dɛn we go wok fayn ɛn we nɔ gɛt bɔku sayd ɛfɛkt dɛn.
| Kategori fɔ drɔgs | Di we aw i de wok na simpul wan. | Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt |
|---|---|---|
| SSRI dɛn (Sɛlektiv Sɛrotonin Riuptek Inhibitɔ dɛn) . Eks: Fluoksɛtin, Sɛtralin, Sitalɔpram, Ɛsitalɔpram | I de mek di sɛrotonin , we na wan kemikal mɛsenja na di bren we de kɔntrol di we aw wi de fil, wok fayn. | Bɛlɛ we de at, we yu nɔ de du mami ɛn dadi biznɛs, we yu nɔ de slip, we yu de tɔn diziz, we yu de chenj yu wet, yu ed de at. (Bɔku pan dɛn nɔ kin gɛt bɛtɛ trɛnk) |
| SNRI dɛn (Serotonin ɛn Norepinephrine Riuptek Inhibitɔ dɛn) . Eks: Venlafaksin, Dulɔksɛtin | i de mek di tu kεmikכl mεsenja dεm we dεn kכl sεrotonin εn norepinephrine de wok bכku . | Bɛlɛ de at, slip prɔblɛm, mami ɛn dadi biznɛs, ed we de at, wɔri, diziz, wik. |
| NDRI dεm (Norepinephrine εn Dopamin Riuptek Inhibitors) . Eks: Bupropion (Wɛlbɔrin) . | I de afɛkt di wok we di kemikal mɛsenja dɛn we dɛn kɔl norepinephrine ɛn dopamine de du . | Bɛlɛ de at, ed de at, slip prɔblɛm, tret, wɔri. (Di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs ɛn we i kin gɛt bɔku bɔku bɔdi nɔ kin bɔku. ) Dis mɛrɛsin nɔ fayn fɔ pipul dɛn we bin dɔn gɛt sik we dɛn bin dɔn gɛt trade. |
| NaSSAs (Noradrenergic ɛn Spɛsifi k Serotonergic Antidipreshan) . Eks: Mirtazapin (Rɛmɛrɔn) . | Ɔl tu di sɛrotonin ɛn norepinephrine kin afɛkt difrɛn we. | Bɛlɛ de at, slip, wet, wɔri, diziz. |
Old Antidipreshan
Sɔm mɛrɛsin dɛn de bak we dɛn bin de yuz fɔ mɛn pwɛl hat trade. Dɛn tin ya na Trisayklik Antidipreshɔn ɛn MAOI (Monoamine Oxidase Inhibitors).dis dεm de wok bay we dεn de afekt di kεmikכl mεsenja dεm (nyurotransmitta dεm) na di bren.
Pan ɔl we dɛn mɛrɛsin ya kin rili wok fɔ sɔm pipul dɛn, dɛn kin gɛt bɔku bad bad tin dɛn we kin apin to dɛn. Ɛn bikɔs dɛn kin mek prɔblɛm wit ɔda mɛrɛsin dɛn ɛn sɔm it dɛn, dɔktɔ dɛn nɔ kin tɛl dɛn igen fɔ bi di fɔs tin we dɛn fɔ pik. Bɔt dɛn ol mɛrɛsin ya kin bi fayn tin fɔ sɔm pipul dɛn we nɔ de tek nyu mɛrɛsin.
Ɔda Mɛrɛsin dɛn
Sɔntɛnde, di dɔktɔ kin disayd fɔ gi ɔda mɛrɛsin wit di mɛrɛsin fɔ pwɛl hat.
- Mɛrɛsin fɔ wɔri ɔr nɔr de slip: Dɛn tin ya kin ɛp fɔ kɔntrol de wɔri ɛn slip prɔblɛm wae kin kam wit pwɛl hat.
- Atypical Antipsychotics: Mεdikeshכn dεm lεk Aripiprazole (Abilify) εn Quetiapine (Seroquel), we dεn kin gi fכ schizophrenia כ bipolar disorder, kin εp fכ bכst di effektiv fכ wan antidipreshכn we i nכ inof.
- L-methylfolate (Deplin): Pan ɔl we di FDA nɔ klas am as drɔg, dɛn kin tek am se na "mɛdikal it." Dis na wan pawaful fכm fכ di B vaytamεn we dεn kכl fכlet. I de ɛp fɔ rigul di kemikal mɛsenja dɛn na di bren we de kɔntrol di we aw pɔsin de fil. I dɔn wok fayn fɔ mɛn pwɛl hat sik wae nɔr dɔn du ɔda tritmɛnt.
Aw yu go fɛn di rayt mɛrɛsin fɔ yu?
Bɔt i sɔri fɔ no se i nɔ izi fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu. Ɔlman kin ansa difrɛn we we dɛn tek di sem mɛrɛsin. Ivin yu dɔktɔ nɔ kin ebul fɔ tɔk klia wan aw wan mɛrɛsin go wok fɔ yu.
So dis na sɔntin we dɛn nid fɔ du wit sɔm peshɛnt . Yu kin nid fɔ tray fɔ chenj bitwin di mɛrɛsin dɛn. Bɔrku tɛm, yu go bigin fɔ fil sɔm kayn fridɔm insay sɔm wiks wae yu bigin fɔ tek mɛrɛsin wae de mek yu fil bad, bɔt e kin tek sɔm mɔnt fɔ fil de ful ifɛkt. So nɔ giv-ɔp kwik kwik wan. As tɛm de go, yu dɔktɔ kin inkrisayz ɔ ridyus yu doz bay di sik we yu gɛt.
If yu dɔn de tek mɛrɛsin fɔ lɔng tɛm ɛn i nɔ de ɛp, mek shɔ se yu tɔk to yu dɔktɔ bɔt am. I kin se yu fɔ tray ɔda mɛrɛsin. As tɛm de go, yu kin fɛn mɛrɛsin ɔ kɔmbayn mɛrɛsin we go wok fɔ yu.
Di tin we impɔtant pas ɔl na dat, ilɛksɛf yu fil fayn naw, nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ go to yu dɔktɔ fɔs. If yu du dat kin mek yu pwɛl hat kam bak, ɔr wit sɔm mɛrɛsin, kin mek yu gɛt sɔm kayn sayd ɛfɛkt lɛk flu, nɔs, ɛn diziz. So, if yu stɔp fɔ tek yu mɛrɛsin, du am smɔl smɔl, fala wetin yu dɔktɔ tɛl yu fɔ du.
Yu dɔktɔ fɔ si yu ɔltɛm, mɔ we yu fɔs bigin fɔ tek nyu mɛrɛsin. Insay dis tɛm, tɔk opin wan bɔt ɛni prɔblɛm ɔ prɔblɛm we yu go gɛt wit di mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Pwɛl hat nɔto wikɛd tin, na mɛrɛsin wae nid fɔ gɛt tritmɛnt, jɔs lɛk dayabitis.
- Ivin if yu fil fayn, kɔntinyu fɔ tek yu mɛrɛsin fɔ as lɔng as yu dɔktɔ tɛl yu fɔ mek yu nɔ gɛt di sik bak. Dɛn kɔl dis "mɛntɛnans tritmɛnt."
- I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu, so peshɛnt wit yu tritmɛnt.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ gri fɔ tek am.
- If yu gɛt ɛni kwɛstyɔn bɔt di mɛrɛsin ɔ ɛni prɔblɛm we yu de gɛt, tɔk bɔt am opin wan wit yu dɔktɔ.
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