De big tin wae bɔrku pipul kin frayd wae dɛn kin bigin fɔ tek mɛrɛsin fɔ pwɛl hat na de sayd ɛfɛkt. Na nɔmal tin fɔ gɛt kwɛstyɔn dɛn lɛk "I go mek a fil fayn?", "I go afɛkt mi sɛks layf?", "Ɔda prɔblɛm go de?". So tide wi go tɔk bɔt wan rili nyu kayn mɛrɛsin we nɔ gɛt bɔku sayd ɛfɛkt pas ɔda wan dɛn. Dat na wan mɛrɛsin we de mek pɔsin nɔ fil bad we dɛn kɔl NDRI. If yu dɔktɔ dɔn gi yu dis kayn mɛrɛsin, dis atikul go rili impɔtant fɔ yu.
Wetin na NDRI? Aw i kin wok?
Fɔ tɔk am simpul wan, na di kemikal mɛsenja dɛn we de na di bren we dɛn kɔl nyurotransmitta de kɔntrol di we aw wi de fil fɔ gladi, sɔri, ɛn fɔ du tin dɛn. Insay kɔndishɔn lɛk pwɛl hat, de balans pan dɛn mɛsenja ya kin pwɛl smɔl. Difrɛn kayn mɛrɛsin wae de mek wi nɔr gɛt pwɛl hat sik kin mek wi fil fayn bay wae dɛn kin afɛkt dɛn mɛsenja ya difrɛn we dɛn.
NDRI na abbrevieshɔn fɔ Norepinephrine ɛn Dopamine Riuptek Inhibitors . Dɛn mɛrɛsin ya kin wok mɔ bay we dɛn de mek di lɛvɛl dɛn we tu nyurotransmitta dɛn na di bren we dɛn kɔl Norepinephrine ɛn Dopamine go ɔp. Dɛn tin ya kin rili afɛkt di we aw wi de wach ɛn gladi at.
Di onli NDRI we de naw na Sri Lanka na Bupropion . Yu dɔktɔ go dɔn gi am ɔnda wan brand nem lɛk Wellbutrin . Sɔmtɛm dɛn kin ad am to ɔda mɛrɛsin wae de mek pɔrsin fil bad fɔ pipul dɛm wae nɔr dɔn ful-ɔp wit ɔda mɛrɛsin wae de mek pɔrsin fil bad. Dɔktɔ dɛn kin gi am bak bupropion ɔnda di brand nem Zyban as ɛp fɔ lɛf fɔ smok.
Wan big bɛnifit fɔ NDRI na dat dɛn nɔ kin gɛt bɔku sayd ɛfɛkt, lɛk fɔ gɛt bɔku bɔku bɔdi ɔ fɔ lɛ pɔsin nɔ want fɔ du mami ɛn dadi biznɛs, we dɛn kin si wit bɔku ɔda mɛrɛsin dɛn we de mek pɔsin fil bad.
Kɔmɔn (bɔt nɔto fɔ mek pɔsin fred) sayd ɛfɛkt dɛn
Lɛk ɛni mɛrɛsin, NDRI kin gɛt smɔl smɔl sayd ɛfɛkt. Bɔt bɔku pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ . Dat min se, dɛn go mɔs go afta sɔm wiks we yu dɔn yuz di mɛrɛsin as yu bɔdi de yus to am.
| Sayd Ifɛkt we i kin gɛt | Tin dɛn fɔ du ɛn tin dɛn fɔ no |
|---|---|
| Dray Mɔt | Dis na di sayd ɛfɛkt we dɛn kin gɛt mɔ. Drink bɔku wata, sok ays kiub, brus yu tit ɔltɛm. If yu stɔp fɔ it tin dɛn lɛk rɔm, kɔfi, ɛn smok, dat kin ɛp bak. |
| Nɔs/Vɔmit | Dis kin ridyus bad bad wan we dɛn tek di mɛrɛsin wit it. |
| Nɔ ebul slip | NDRI kin mek sɔm pipul dɛn gɛt prɔblɛm fɔ slip bikɔs dɛn kin mek dɛn fil fayn smɔl. If yu gɛt dis prɔblɛm, nɔ tek yu las doz fɔ di de tumɔs nia fɔ go slip. |
| Ed de at | Dis kin go insay sɔm dez afta yu bigin fɔ tek di mɛrɛsin. |
| We yu de lɔs yu wet | Pan ɔl we bɔku mɛrɛsin dɛn we de mek yu nɔ gɛt pwɛl hat kin kɔmplen bɔt aw yu de gɛt bɔku bɔku bɔdi, NDRI kin rili ɛp yu fɔ lɛf fɔ it smɔl. |
| Wɔri | Tin dɛn lɛk ɛksesaiz, yoga, ɛn tink gud wan kin ɛp fɔ mek yu maynd kol. |
| Diziz we pɔsin kin gɛt | Dis kin apin we yu grap tu ali. Grap sloslo ɛn drink bɔku wata. |
| Banbɛlɛ | If yu it it dɛn we gɛt bɔku fayv (frut, vɛjitebul, ligɛm), ɛksesaiz, ɛn drink bɔku wata kin ɛp. |
Apat frɔm dɛn tin ya, di bad tin dɛn we nɔ kin apin so ɔltɛm na we yu at kin bit kwik kwik wan, yu trot kin at, yu kin shek we yu nɔ ebul fɔ kɔntrol, yu skin kin rɔsh, yu kin swet, yu yes kin ring, yu bɛlɛ kin pen, yu mɔsul dɛn kin pen, ɛn yu kin pis ɔltɛm.
Siriɔs sayd ɛfɛkt dɛn we yu fɔ wach fɔ
Dɛn tin ya nɔ kin apin so ɔltɛm, bɔt wi fɔ rili no bɔt dɛn. If yu gɛt ɛnitin lɛk dis, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
1. Di sik we de mek pɔsin sik
Fɔ bɔrku pipul dɛm, dis risk kin rili smɔl. Bɔt de risk kin pas smɔl fɔ pɔrsin wae gɛt dis sik:
- If yu gɛt prɔblɛm wit yu it (Anorexia ɔ Bulimia) .
- If yu dɔn gɛt sik we dɛn kɔl seizure bifo
- If yu dɔn gɛt siriɔs injuri na yu ed
- If yu gɛt liva sik
- If yu gɛt adikshɔn to rɔm ɔ drɔgs
2. Ay Blɔd Prɛshɔn
Yu dɔktɔ go de chɛk yu blɔd prɛshɔn ɔltɛm afta yu dɔn bigin fɔ tek di mɛrɛsin. Dis impɔtant mɔ if yu de yuz sɔntin lɛk nikotin pat fɔ lɛf fɔ smok.
3. Prεshכn we de go כp na di yay (Angle-closure Glaucoma) .
Dis na ay imejensi we kin kam wantɛm wantɛm. I kin ivin mek pɔsin nɔ ebul fɔ si fayn igen. If yu gɛt pen na yu yay, yu de chenj yu yay, yu de swel ɔ yu de rɛd na ɔ rawnd yu yay , tɛl yu dɔktɔ wantɛm wantɛm.
4. Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf
Dis rili impɔtant. Insay di fɔs tɛm we dɛn kin yuz ɛni antidipreshan, inklud NDRI, chans de fɔ mek sɔm pipul dɛn (especially yɔŋ pipul dɛn) gɛt pwɛl hat ɔr kin tink bɔt fɔ kil dɛnsɛf.
If yu ɔ pɔsin we yu sabi gɛt bad bad vɛks, agyumɛnt, sɔri, fred, ɔ ɛni ɔda tin we nɔ kɔmɔn, we rili bad we yu de tek dis mɛrɛsin, i impɔtant fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
Intarakshɔn wit ɔda mɛrɛsin dɛn
Dis na tin bak we rili impɔtant. Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn, ɛbul sɔpɔtmɛnt, ɛn ivin mɛrɛsin dɛn we yu nɔ de bay. Sɔm mɛrɛsin kin mek yu gɛt mɔ sik we yu put dɛn togɛda wit NDRI. Ɔda mɛrɛsin dɛn kin mek bak di NDRI dɛn nɔ wok fayn.
Mek shɔ se yu aks yu dɔktɔ if i sef fɔ tek NDRI, mɔ if yu de tek ɛni wan pan dɛn tin ya:
- MAOI antidipreshan (if yu tek am insay 2 wik) .
- Ɛni ɔda mɛrɛsin we de mek pɔsin in at pwɛl
- Alkol ɛn drɔgs
- Antisaykotiks
- Mɛrɛsin fɔ mek pɔsin gɛt sik we de mek pɔsin sik
- Di tin dɛn we de mek pɔsin want fɔ du sɔntin
- Di kayn Stɛroyd dɛn we dɛn kin yuz
- Insulin ɛn ɔda mɛrɛsin dɛn fɔ gɛt dayabitis
- Sɔm antibayɔtik dɛn
- Beta-blɔk dɛn
- Mɛrɛsin fɔ di prɔblɛm dɛn we kin mek pɔsin gɛt at ritm
- Di mɛrɛsin dɛn we de mek pɔsin fil pen we gɛt kɔdin
- Pils fɔ slip ɛn tin dɛn we de mek pɔsin fil fayn
Di tin we impɔtant pas ɔl: Nɔ ɛva tek pas wan mɛrɛsin we gɛt Bupropion wan tɛm (e.g., tek Wellbutrin ɛn Zyban togɛda). If yu tek bɔku mɛrɛsin (we yu tek am pasmak) i kin mek yu gɛt siriɔs sayd ɛfɛkt, yu kin gɛt sik, ɔ ivin day.
Ustɛm fɔ kɔl di dɔktɔ
Ivin if yu gɛt smɔl sayd ɛfɛkt, tɛl yu dɔktɔ bɔt am. I kin ebul fɔ ajɔst di doz ɔ gi am difrɛn mɛrɛsin fɔ kɔntrol di sayd ɛfɛkt. Dɔn bak, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ.
If yu gɛt ɛni wan pan dɛn sayn ya, na imejensi . Kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) . If yu tink se yu dɔn tek di mɛrɛsin pasmak, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
| Sɔntin yu nɔ plan! Go to dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di sayn we de sho se di sik de | Tɔk bɔt |
| Di sik dɛn we kin mek pɔsin sik | If di bɔdi shek we i nɔ ebul fɔ kɔntrol. |
| Di tin dɛn we pɔsin kin si we i de tink bɔt sɔntin | If yu si ɔ yɛri tin dɛn we nɔ rili de. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | If yu lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm. |
| Di chenj dɛn we de apin na di at rit | If yu fil lɛk se yu at de bit tumɔs, tu lawd, tu slo, ɔ tu nɔr de bit ɔltɛm. |
Mɛsej we dɛn kin kɛr go na os
- NDRI na wan kayn mɛrɛsin wae nɔr kin sef fɔ mɛn pwɛl hat wit smɔl kɔmɔn sayd ɛfɛkt dɛm, lɛk wae yu gɛt bɔku bɔku bɔdi ɛn yu nɔr kin want fɔ du mami ɛn dadi biznɛs.
- Smɔl sayd ɛfɛkt lɛk we yu mɔt dray ɛn we yu nɔ de slip kin apin, bɔt dɛn kin dɔn insay sɔm wiks.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu nɔ gɛt dɔktɔ advays.
- If yu gɛt siriɔs sayn lɛk wae yu de swɛla, yu nɔr de no natin, ɔr yu de chenj yu maynd bad bad wan, go to dɔktɔ kwik kwik wan.
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