Yu dɔn ɛva fil gladi pasmak, ful-ɔp wit trɛnk, ɛn di sem tɛm, yu at pwɛl pasmak ɛn yu nɔ gɛt natin? Ɔ pɔsin we yu sabi dɔn gladi so wan mɔnt ɛn wantɛm wantɛm i bigin kray fɔ natin di nɛks tɛm? Dis kin rili kɔnfyus ɛn at fɔ ɔndastand. Tide wi de tɔk bɔt dɛn ‘miks ficha’ wae kin apun wit bipola muud disɔda. Dis kin apin mɔ pas aw yu go tink.
Wetin na ‘Mixed Features’ fɔ bipola muud disɔda?
Fɔ tɔk am simpul wan, bipolar disorder na wan sik wae pɔrsin in maynd kin chenj bitwin tu tin dɛm wae pasmak. Wan tin we kin rili bad na mania, we na di tɛm dɛn we pɔsin kin gladi pasmak, gɛt bɔku trɛnk, ɛn du tin dɛn. De ɔda tin wae kin pasmak na pwɛl hat, wae na tɛm wae pɔrsin kin fil bad bad wan, nɔr kin gɛt bɛtɛ trɛnk, ɛn nɔr kin fil bad bɔt layf. Dɛn tu tin ya we kin rili bad kin chenj chenj.
Bɔt insay wan kɔndishɔn we dɛn kɔl ‘Mixed Features’, di sayn dɛm fɔ dɛn tu ekstrem ya kin apin di sem tɛm, di sem de, ɔ insay di sem ɛpisod. Tink bɔt am lɛk we yu de step pan di aksilarayt ɛn di brek na motoka di sem tɛm. We yu maynd de tray fɔ go ɔp na wan say, i de pul yu dɔŋ na di ɔda say. Dis na tin we kin rili kɔnfyus ɛn we kin mek pɔsin fil pen.
Udat kin gɛt dis sik pas ɔlman?
Miks ficha dεm kin kכmכn pan pipul dεm wae gεt bipolar disorder . Sɔm stɔdi dɔn sho se lɛk af pan di wan dɛn we gɛt bipola muud kin gɛt sɔm kayn manik tin dɛn we dɛn kin gɛt we dɛn de fil bad.
- Ej: Bɔrku tɛm, di sayn dɛm fɔ bipola muud disɔda fɔs kin apin pan yɔŋ pipul dɛm , bitwin 15 ɛn 25 ia. E nɔr kin izi fɔ mek pɔrsin gɛt bipola muud disɔda fɔ di fɔs tɛm afta i dɔn ol 50 ia.
- Famili histri: If pɔrsin na yu fambul wae de nia yu (mama ɛn papa, brɔda ɛn sista) gɛt bipola muud disɔda , yu kin gɛt dis sik.
- Pipul wae gɛt pwɛl hat sik nɔmɔ: Sɔmtɛm, pɔrsin wae nɔr dɔn no gud gud wan se i gɛt bipola muud disɔda bɔt wae gɛt big pwɛl hat sik kin sho sɔm kayn lɔw-grɛd mania simptom dɛm bak wit pwɛl hat. Dɛn kɔl dis ‘dipreshɔn ɛpisod wit miks ficha dɛm’.
Wetin na di kwaliti dɛn we ‘Mixed Episode’ gɛt?
Dis na wan kɔmbayn sayn dɛm fɔ mania ɛn pwɛl hat. Big big difrɛns de bitwin di filin dɛn we de na di maynd ɛn di we aw di bɔdi de wok.
| Manik simptom dɛm | Di sayn dɛm wae kin mek pɔrsin fil bad |
|---|---|
| Fɔ fil se yu gɛt trɛnk pasmak, fɔ muv ɔltɛm ɛn nɔ rɛst | Filin fɔ sɔri, pwɛl hat, ɛn ɛmti tin we yu nɔ go ebul fɔ bia |
| Racing tink ɛn tɔk | Fɔ lɔs intres pan tin dɛn we yu bin de ɛnjɔy trade |
| Fɔ vɛks, fɔ vɛks kwik kwik wan fɔ ivin di smɔl smɔl tin dɛn | Fɔ fil se yu nɔ gɛt trɛnk, yu de taya ɔltɛm |
| Fɔ de du tin we nɔ kɔmɔn, nɔ ebul fɔ de na wan ples | Fɔ fil gilti bɔt yusɛf, fɔ tink se yu nɔ fit fɔ bi pɔsin |
| Tɛmt fɔ du tin dɛn we gɛt risk (e.g., fɔ spɛn bɔku mɔni) . | Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf |
Yu go de tink se, "Aw dɛn tu tin ya go apin togɛda?" Dis kin rili pɔsibul. Imajin se sɔmbɔdi de kray lawd wan ɛn se, "A nɔ ɛva fil so gladi na mi layf." Ɔ dɛn kin gladi bad bad wan wantɛm wantɛm ɛn di nɛks sɛkɔn dɛn go de ledɔm na grɔn de kray bikɔs dɛn de fil pen. Dɛn tin ya kin te fɔ sɔm dez, wik, ɔ ivin sɔm mɔnt we dɛn nɔ gɛt tritmɛnt.
Wetin na di risk dɛm fɔ gɛt ‘Mixed Features’?
Di risk we siriɔs ɛn sɔri pas ɔl we wi nid fɔ tɔk bɔt ya na fɔ kil wisɛf.Pipul wae gɛt bipola muud disɔda kin kil dɛnsɛf 10-20 tɛm pas di jenɛral pipul dɛm.
Risach dɔn sho se di risk fɔ kil insɛf pan pipul dɛm wae gɛt ‘miks ficha’ kin bɔrku pas wae pɔrsin gɛt jɛnɛral pwɛl hat.
Dis na bikɔs de pwɛl hat pasmak, nɔr gɛt op, ɛn fil se yu nɔr gɛt wan valyu fɔ pwɛl hat kin kam togɛda wit de trɛnk pasmak, nɔr kin rɛst, ɛn fɔ de fil kwik kwik wan. Dis denja kɔmbayn de mek di ɛnaji ɛn motiveshɔn fɔ akt pan di tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf.
Di nɛks big prɔblɛm na fɔ tek drɔgs ɛn fɔ drink rɔm . Sɔm pipul dɛn kin tɔn to drɔgs fɔ tray fɔ rɔnawe pan dis trɔbul ɛn pen we dɛn nɔ kin ebul fɔ bia. Dis nɔr kin jɔs de mek de sik wɔs, bɔt i kin mek i nɔr izi fɔ trit am.
If yu de tink bɔt dɛn tin ya, duya nɔ sɔfa yu wan . Tɔk to yu padi ɔ go to yu dɔktɔ wantɛm wantɛm. If nid de, nɔ shek fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Wetin na di tritmɛnt dɛm fɔ dis?
Di gud nyus na dat, tritmɛnt dɛn de fɔ dis sik. Bɔt, i kin tranga smɔl fɔ kɔntrol am pas fɔ gɛt nɔmal stet fɔ mania ɔr pwɛl hat. Dɛn kin yuz bɔku men we dɛn fɔ trit pɔsin.
Di tin dɛn we de mek pɔsin in maynd stebul
Dɛn mɛrɛsin ya kin kɔntrol dɛn tin ya we kin apin na di maynd.
- Lithium: Na mɛrɛsin wae de woke fayn fayn wan wae dɛn dɔn de yuse fɔ lɔng lɔng tɛm fɔ bipola disɔda. Bɔt i nɔ kin wok so pan kes dɛm we gɛt ‘miks ficha dɛm’.
- Valproic acid (Depakote): Dis na tin bak we de mek yu fil fayn. Sɔm stɔdi dɔn sho se i kin wok fayn pas litiɔm fɔ ‘miks ficha’ kɔndishɔn.
- Ɔda mɛrɛsin dɛn: Apat frɔm dis, dɛn kin yuz mɛrɛsin dɛn lɛk `(Carbamazepine)` ɛn `(Lamotrigine)` bak.
Antisaykotiks
Dɛn kin gi dɛn mɛrɛsin ya bak dɛn wan ɔ dɛn kin gi am wit di tin dɛn we de mek pɔsin fil fayn fɔ kɔntrol di ‘Mixed Features’ kɔndishɔn. Ɛgzampul dɛn na drɔgs lɛk `(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)`.
Ilɛktrokɔnvulsiv Tɛrapi (ECT) .
Di nem kin mek sɔm pipul dɛn fred, bɔt ECT na tritmɛnt we rili fayn ɛn we nɔ bad , mɔ pan siriɔs kes dɛm we ɔda mɛrɛsin nɔr dɔn woke, ɛn usay di risk fɔ kil dɛnsɛf rili bɔku.
Wan spɛshal wɔnin bɔt mɛrɛsin wae de mek pɔrsin fil bad!
Wan big mistek wae bɔrku pipul kin mek ya na fɔ yuse antidipreshan wae dɛn kin gi fɔ jenɛral pwɛl hat, wae dɛn kin tink se dɛn kin sɔri. Fɔ ɛgzampul, `(Fluoxetine)`, `(Sɛtralin)`. Bɔt if dɛn yuz dɛn mɛrɛsin ya we ‘Mixed Features’ de, instead fɔ ridyus pwɛl hat, dɛn kin mek di manik simptom dɛn wɔs. So, yu fɔ avɔyd fɔ yuz dɛn kayn mɛrɛsin dɛn de atɔl if yu nɔ gɛt spɛshal advays.
Bɔrku tɛm, bipola muud na wan sik wae de apun wae pɔrsin de fil fɔ yu layf. So, ivin afta dɛn dɔn kɔntrol di sayn dɛm, i impɔtant fɔ kɔntinyu fɔ tek mentenɛns tritmɛnt lɛk aw yu dɔktɔ tɛl yu fɔ mek yu nɔ gɛt di sik igen.
Mɛsej we dɛn kin kɛr go na os
- ‘Mixed Features’ de tɔk bɔt di wan tɛm wae de simptom dɛm wae de kam wit ɔl tu di ekstrem gladi ɛn sɔri-at pan bipola muud disɔda.
- Dis tin kin rili kɔnfyus, ɛn di risk fɔ kil insɛf rili bɔku.
- If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, nɔ tray fɔ fɛn sɔlv fɔ yusɛf. Aks advays frɔm pɔsin we sabi du mɛrɛsin wantɛm wantɛm.
- Nɔ tek mɛrɛsin wae de mek pɔrsin fil bad, mɔr di wan dɛm wae de fɔ jenɛral pwɛl hat, wae yu nɔr gɛt dɔktɔ advays. Dɛn kin mek di sik wɔs.
- If yu tek di rayt tritmɛnt (mood stabilizers, antipsychotics) ɛn mɛnejɛmɛnt fɔ lɔng tɛm, dɛn kin kɔntrol dis kɔndishɔn fayn fayn wan ɛn dɛn kin liv nɔmal layf.
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