Wi ɔl kin fil bad ɛn wi kin fil bad sɔntɛnde. Na nɔmal tin. Bɔt yu dɔn ɛva fil, fɔ no patikyula rizin, wan dip ɛmti insay, wan sɛns fɔ ɛmti we nɔ de briŋ gladi-at igen, ivin pan di tin dɛn we yu bin de ɛnjɔy trade, fil se di wan ol wɔl blak ɛn wayt? Dis nɔto jɔs fɔ fil bad. Tide wi go tɔk bɔt dis kayn sik, dat na Melancholic Depression, we na wan siriɔs sɔbtayp fɔ Dipreshɔn. Dis nɔto wikɛd tin na yu maynd, bɔt fɔ tru, na mɛdikal kɔndishɔn we gɛt fɔ du wit chenj na di bɔdi, mɔ na di sɛntral nervɔs sistɛm.
Wetin rili na dis tin we dɛn kɔl Melancholic Depression?
Fɔ tɔk am simpul wan, Melancholic Depression na wan kayn pwɛl hat sik wae kin rili bad, wae de mɛk pɔrsin fil bad. Sɔm pipul dɛn kin kɔl am bak Melancholia. Risach pipul dɛn biliv se dis sik kin afɛkt wi sɛntral nervɔs sistɛm mɔ. Bitwin 25% ɛn 30% pan pipul dɛm wae gɛt dis kayn pwɛl hat sik kin gɛt dis kayn pwɛl hat sik.
Fɔ trit dis sik kin tranga bikɔs i nɔr kin ansa fayn to sɔm pan de tritmɛnt dɛm fɔ jenɛral pwɛl hat, lɛk mɛrɛsin dɛm lɛk SSRI (Selective serotonin reuptake inhibitors) ɔr tɔk tɛrapi.
Bɔt dat nɔ min se no tritmɛnt nɔ de fɔ am. Tu tritmɛnt dɛn de we rili fayn fɔ dis:
- Ilɛktrokɔnvulsiv tɛrapi (ECT): Dis kin min fɔ sɛn rili smɔl smɔl ilɛktrik signal dɛn we dɛn kin kɔntrol to di bren fɔ mek i nɔ gɛt di sik.
- Tricyclic antidepressants (TCAs): Dis na wan kayn mɛrɛsin wae dɛn kin fɔs introdyus fɔ pwɛl hat.
De impɔtant tin na dat, pan ɔl wae de sayn dɛm fɔ dis sik kin tranga, yu kin ebul fɔ kɔntrol dɛn sik ya ɛn liv fayn fayn wan wit di ɛp fɔ kwalifay mɛntɛl hεlth pɔrsin, inklud yu dɔktɔ.
Wetin na di sayn dɛm fɔ dis sik?
Melancholic Depression nɔr kin jɔs bi bɔt pwɛl hat ɔr kray, bɔt na fɔ gɛt mɔr bɔdi sayn dɛm. Yu kin fil se yu nɔ gɛt pawa ɛn yu ɛmti insay yu at. Sɔntɛm yu nɔ go ebul fɔ ɛnjɔy ivin gud tin dɛn. Yu kin ivin slo fɔ tink ɛn muv. Lɛ wi brok dɛn sayn ya dɔŋ.
| Kategori fɔ di simptom dɛn | Tɔk bɔt |
|---|---|
| Di tu men tin dɛn we de apin | 1. Fɔ lɔs fɔ ɛnjɔy yusɛf. 2. Nɔ ebul fɔ ansa fayn to sɔntin we gud ɔ we go mek yu satisfay. |
| Ɔda tin dɛn we pipul dɛn kin du |
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| Chenj dεm na di fyzikal muvmεnt dεm (Saykomotor sayn dεm) . | |
| Di we aw pipul dɛn de biev kin chenj |
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| Bɔdi pen | Sɔm risach dɔn sho se te to 70% pan pipul dɛm wae gɛt dis sik kin gɛt pen na dɛn mɔskul ɛn skel. |
Wetin mek dis de apin? Wetin na di rizin dɛn?
Dɛn kin tek di men rizin fɔ dis na di bayolojikal chenj dɛn we de apin na wi bren ɛn di ɔmon sistɛm. Imajin, wi bren gɛt spɛshal pat dɛn we de kɔntrol aw wi de mɛmba, aw wi de tink, ɛn aw wi de fil. wan sistεm de we kכnekt to dεn wan ya εn de wok we dεn kכl di ``Hypothalamic-pituitary-adrenal (HPA) axis''. Fɔ tɔk am simpul wan, dis na di men sistɛm na wi bɔdi we de kɔntrol bɔku tin dɛn lɛk strɛs ɛn fɔ want fɔ it.
Na pɔrsin wae gɛt Melancholic Depression, dis HPA aks nɔr de woke fayn fayn wan. fכ dat, we wi strεs, di כmon `(kכtisol)` we wi bכdi de mek de na ay lεvεl we nכ nid. dis inkrεs pan di `(kכtisol)` lεvεl dεm kin afekt wi apetit, mεtabolism, εn mεmכri dεm dεn wan dεm. pan tap dat, chenj dεm na di signal sistεm (`(nyuron)`) we de kכri mεsej bitwin nεv sεl dεm na di bren kin bi bak.
Udat de pan big risk fɔ gɛt dis sik?
- Ej: Bɔrku tɛm, de sayn dɛm fɔ Melancholic Depression kin apun leta na yu layf, dat na, as yu de ol.
- Jɛnɛtiks: Dis sik kin te fɔ rɔn na famili. If pɔrsin na yu famili dɔn gɛt dis kayn maynd sik bifo, yu kin de pan denja bak.
- Weta ɛn sizin: Fɔ sɔm pipul dɛn, dɛn sik ya kin wɔs we di san nɔ de shayn bɛtɛ, we di de nɔ kin shayn shɔt, ɛn we di ples kol.
- di chenj dεm we kin apin afta dεn bכn pikin: Sɔm mama dεm we gεt diprεshכn afta dεn bכn kin gεt dεn mεlankolik simptom dεm ya bak.
Aw dɔktɔ kin no bɔt dis?
Yu dɔktɔ ɔr mɛntɛl hεlth kɔlnɔ go no dis sik afta i dɔn tek tɛm stɔdi yu sayn dɛm. Fɔ mek dɛn no di sik, yu fɔ gɛt wan ɔ ɔl tu pan dɛn impɔtant sayn ya:
Di men tin dɛn: I nɔ go ebul fɔ ɛnjɔy layf ɔ fɔ du tin dɛn we de mek pɔsin gladi.
Apat frɔm dat, yu fɔ gɛt at le tri pan dɛn kwaliti dɛn ya:
- Fɔ fil bad bad wan we nɔ gɛt natin fɔ du wit pwɛl at, lɛk we pɔsin we yu lɛk day.
- Nɔbɔdi nɔ kin want fɔ it ɔ yu kin lɔs yu wet bad bad wan.
- di chenj dεm we de apin na di fכs muvmεnt (dεn de slo כ yu nכ de rεst).
- Fɔ fil mɔ strɛs ɛn sɔri na mɔnin pas ɔda tɛm dɛn na di de.
- We yu wek at le 2 awa bifo tɛm pas aw yu bin de tink.
- Fɔ fil gilti bad bad wan bɔt insɛf.
Wetin na di tritmɛnt dɛn?
Dɛn kin trit pwɛl hat sik wit wan kɔmbayn mɛrɛsin ɛn ɔda tritmɛnt dɛm.
| Di we aw dɛn kin trit am | Na jɔs bɔt am |
|---|---|
| Mɛrɛsin dɛn (Antidipreshɔn) . | Bɔku tɛm, dɔktɔ dɛn kin gi dɛn wan klas mɛrɛsin we dɛn kɔl tricyclic antidepressants (TCA) . Drug dɛm lɛk Amitriptyline, Imipramine, ɛn Nortriptyline de pan dis klas. Apat frɔm dat, yu dɔktɔ kin tɛl yu fɔ tek ɔda mɛrɛsin dɛn dipen pan di sik we yu gɛt. |
| Ilɛktrokɔnvulsiv tɛrapi (ECT) . | We ɔda tritmɛnt dɛn nɔ wok, yu dɔktɔ kin tɛl yu fɔ du ECT. Dis kin min fɔ put yu ɔnda jenɛral anestezi ɛn sɛn smɔl smɔl ilɛktrik impuls dɛn to yu bren fɔ mek di bren gɛt kemikal balans bak ɛn fɔ mek di sik nɔ kam. Dis na tritmɛnt we rili sef ɛn we go wok fayn. |
| Saykotɛrapi | Dɛn kin kɔl am bak ‘tɔk tɛrapi’, dis we ya kin min fɔ tɔk to saykayatrist ɔr sayɛnsman bɔt aw yu de fil, aw yu de tink, ɛn aw yu de biev. Bɔt nɔr lɛk ɔda kayn pwɛl hat sik, dis tritmɛnt nɔmɔ nɔr kin rili woke fɔ pwɛl hat sik. Bɔku tɛm dɛn kin yuz am wit mɛrɛsin. |
Aw fɔ liv wit dis sityueshɔn?
Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu. Pan ɔl we yu de fala da tritmɛnt de ɛksaktɔli, yu kin mek smɔl chenj dɛn bak na yu layf.
- Tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am: Tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm, ɛn go to yu dɔktɔ ɔltɛm bifo yu tek ɛni ɔda mɛrɛsin ɔ sɔpɔtmɛnt.
- Ɛksesaiz: Du sɔntin we go mek yu bɔdi ɛksesaiz ɛvride, lɛk fɔ waka, fɔ swim, fɔ dans, ɔ fɔ du yoga.
- Mek slip fɔs: Yu fɔ gɛt di abit fɔ go slip ɛn wek di sem tɛm.
- Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: It tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt balans.
- Nɔ smok ɛn drink rɔm: Dɛn tin ya kin mek yu at pwɛl mɔ ɛn mɔ.
- Spɛn tɛm wit yu padi dɛn: Tɔk ɛn spɛn tɛm wit yu fambul ɛn padi dɛn we lɛk yu ɛn we ɔndastand yu.
Ɛp pɔsin we bisin bɔt pɔsin lɛk dis.
If yu gɛt famili ɔ padi we gɛt dis sik, yu sɔpɔt rili impɔtant. Bɔt fɔ kia fɔ pɔsin lɛk dat nɔ kin izi. Yu kin fil bak taya, yu wan de fil, ɛn yu kin strɛs. So, i rili impɔtant fɔ tek kia ɔf yusɛf bak.
- Tink bak bɔt yu wɛlbɔdi biznɛs: slip fayn, it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, ɛn ɛksesaiz.
- Aks fɔ ɛp: Nɔ tray fɔ du ɔltin yu wan. Aks fɔ ɛp frɔm ɔda famili ɛn padi dɛn.
- Gi yusɛf smɔl tɛm fɔ blo: Sɛt smɔl tɛm ɛvride fɔ yusɛf. Rid buk, lisin to siŋ, du sɔntin we yu lɛk.
- Go to dɔktɔ if yu de fil strɛs: If yu nɔ go ebul fɔ bia wit di strɛs we yu de gɛt we yu de kia fɔ pɔsin, tɔk to dɔktɔ ɔ pɔsin we de gi yu advays bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Melancholic Depression nɔr kin bi wae yu hat wik ɔr de fil lɛk yu les. Na rial sik wae de kam bikɔs ɔf chenj na di bren ɛn di ɔmon dɛm.
- Di men tin we de sho dis na dat ivin tin dɛn we pipul dɛn bin de ɛnjɔy trade nɔ de briŋ ɛni gladi at ɔ gladi at igen.
- Tritmεnt dεm de we rili fayn (lεk ECT εn TCA dεm) fכ dis kכndyushכn.
- If yu ɔ pɔsin we yu sabi de gɛt dɛn kayn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan ɛn aks fɔ advays, pas fɔ sɔfa yu wan.
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