Yu kin tink ɛn fil di sem tin ɔltɛm? Lɛ wi tɔk bɔt OCD (Obsessive-Compulsive Disorder)!

Sɔntɛnde, yu kin tink di sem tin bak ɛn bak? Ɔ yu kin chɛk ɔltɛm if yu dɔn du sɔntin ɔ yu nɔ du am? Fɔ ɛgzampul, tin dɛn lɛk fɔ ɔf di gas stov ɔ fɔ lɔk di domɔt. Dis na tin dɛn we wi ɔl gɛt te to sɔm mak. Bɔt fɔ sɔm pipul dɛn, dɛn tin ya we dɛn kin tink bɔt ɛn di tin dɛn we dɛn kin du fɔ ansa dɛn kin afɛkt dɛn layf ɛvride te dɛn nɔ ebul fɔ wok. Na da tɛm de wi nid fɔ tink dip smɔl bɔt dis kɔndishɔn. Dis na wetin dεn kכl `(Obsessive-Compulsive Disorder)` כ `(OCD)` insay mεdikal sayns.

Wetin na OCD (Obsessive-Compulsive Disorder)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Obsessive-Compulsive Disorder (OCD) na wan sik wae yu kin gɛt intrusive tinkin (we dɛn kɔl obsessions) wae de intrusive ɛn ripit (we dɛn kɔl compulsions) fɔ pul de strɛs ɛn wɔri wae de kam wit dɛn tin dɛm de. Dɛn ripit bihayvya ya kin ambɔg yu soshal intarakshɔn ɛn ɛvride woke.

OCD kin bi wan sik wae de kam wae yu de liv yu layf (wan krεse sik), bכt di sayn dεm kin bכku כ dכn as tεm de go.

Wi ɔl kin gɛt sɔm digri pan `obsessions` ɛn `compulsions` sɔm tɛm na wi layf. Fɔ ɛgzampul, i nɔmal fɔ chɛk tu tɛm if di stov dɔn ɔf, ɔ fɔ chɛk if di domɔt lɔk. Ɛn bɔku tɛm wi kin tɔk tin dɛn lɛk, "A de obsess." Bɔt `(OCD)` na bɔku tin pas dat. I kin west sɔm awa dɛn na pɔsin in de. Ɔl di nɔmal tin dɛn we pɔsin kin du na layf kin ambɔg. Dɛn `obsession` ya na tin dɛm wae pɔrsin wae gɛt `(OCD)` kin gɛt wae dɛn nɔr kin ebul fɔ kɔntrol. Ɛn dɛn nɔ kin gɛt ɛni gladi at we dɛn de du dɛn `kɔmplɔshɔn` ya.

OCD ɛn OCPD na tu difrɛn tin?

Bɔku pipul dɛn kin kɔnfyus dɛn tu nem dɛn ya bikɔs dɛn saund rili fiba. Bɔt, `(Obsessive-Compulsive Disorder - OCD)` ɛn `(Obsessive-Compulsive Personality Disorder - OCPD)` na tu kɔmplit difrɛn kɔndishɔn dɛm.

Obsessive-compulsive disorder (OCPD) na wan pɔrsin in pasɔnaliti disɔda wae de sho se pɔrsin de fil pafɛkt, wae pɔrsin kin want fɔ du ɔltin fayn fayn wan, wae de fala lɔ, ɛn wae pɔrsin kin tray fɔ kɔntrol ɔltin.

Pipul wae gɛt OCD kin no se dɛn nɔr de tink ɛn du tin ɛn dɛn gɛt prɔblɛm. Dɛn kin gri bak se dɛn nid tritmɛnt. Bɔt bɔrku tɛm, pipul dɛm wae gɛt OCPD nɔr kin tink se natin nɔr fayn wit dɛn bihayvya ɔr biliv.

Udat dɛn kin afɛkt mɔ pan dis OCD kɔndishɔn?

Ɛnibɔdi kin gɛt OCD. Dis sik kin bigin arawnd di ej 19. Na lɛk 50% pan di pipul dɛm wae gɛt OCD kin gɛt dis sik wae dɛn smɔl ɔr yɔŋ.

I nɔ kin izi fɔ mek pɔsin gɛt OCD afta i dɔn ol 40 ia.

Aw kɔmɔn tin na OCD?

Obsessive-Compulsive Disorder (OCD) na rili wan sik wae kin pasmak. Dɛn ripɔt se i kin afɛkt bitwin 1.6% ɛn 2.3% pan di jenɛral pipul dɛm na Amɛrika. Na bɔku pipul dɛn de we gɛt dis sik na Sri Lanka bak.

Wetin na di sayn dɛm fɔ OCD?

Di men sayn dɛm fɔ OCD na di obsession (tin dɛm wae yu nɔr want) ɛn kɔmpalshɔn (akshɔn dɛm wae yu kin du fɔ ansa dɛm), wae wi bin dɔn tɔk bɔt. Dɛn sayn ya kin ambɔg yu nɔrmal woke. Fɔ ɛgzampul, dɛn sayn ya kin mek yu nɔ ebul fɔ go wok di rayt tɛm. Ɔ yu kin tek lɔng tɛm pas aw yu kin tek fɔ rɛdi fɔ slip na nɛt.

Yu kin no se dɛn sik ya na prɔblɛm, bɔt yu nɔ go ebul fɔ stɔp dɛn. Di OCD simptom kin flawa, stɔp, ɛn wɔs ɔr bɛtɛ as tɛm de go.

If yu ɔ yu pikin de gɛt sɔm sayn dɛn fɔ OCD we de afɛkt yu ɛvride layf, i go fayn fɔ mek yu go to dɔktɔ fɔ advays.

Obsession (tin wae yu nɔr want, wae de mek yu fil bad) wae kin apun na OCD

Insai OCD, obseshon na tin wae de intrusive tinkin or mental images wae yu nor kin kontrol en wae de mek yu de fil bad pasmak or de frayd pasmak. Bɔrku pipul dɛm wae gɛt OCD no se dɛn tin ya nɔr kin fayn ɛn nɔr kin fayn.

Sɔm kɔmɔn ɛgzampul dɛn fɔ `obsessions` na:

• Fɔ fred pasmak fɔ tɔch ɔ sik wit jem, dɔti, ɔ ɔda dɔti tin. Imajin, yu de fred fɔ tɔch waya na bɔs, chenj mɔni na shɔp, ɔ ivin shek yu an.
• Fɔ fred fɔ du bad to yusɛf ɔ ɔda pipul dɛn. Speshali, tinkin laik, "If a no tek kia, a go du bad to pesin?" "If a no lok di doa, tifman go brok in and harm di famili?" Sɔntɛnde, dɛn kin fred bak fɔ du sɔntin we gɛt fɛt-fɛt we dɛn nɔ ebul fɔ kɔntrol.
• Di fɔmɛshɔn fɔ tin dɛm we yu nɔ want, we nɔ fayn ɔr mental imej dɛm wae gɛt fɔ du wit mami ɛn dadi biznɛs na yu maynd. Dɛn tin ya kin kam wae pɔrsin nɔr gri fɔ du ɛn kin mek pɔrsin gɛt bɔrku prɔblɛm wit in maynd.
• Fɔ fred pasmak fɔ mek mistek. If yu mek mistek, ilɛksɛf na smɔl mistek, yu go shem bad bad wan.
• Fɔ tink pasmak bɔt wetin rayt ɛn wetin rɔŋ (morality). Ova tink ɔltin, aks "Dis rayt? Dis na rɔng?"
• Fɔ fil ɔltɛm se i de dawt ɛn i nɔ lɛk am.
• Di rili nid fɔ mek ɔltin ɔganayz, simɛtrik, ɛn nɔ gɛt wan fɔlt. I at fɔ biliv se ivin di buk dɛn we de na di tebul ɛn di klos dɛn we de na di kloz, dɛn kin muf ivin wan milimita.
• I nid fɔ mek ɔda pipul dɛn fil fayn ɔltɛm. A kin aks ɔltɛm se, "A du dis rayt?" "A bin ɔf di stov?"

Kɔmplɛshɔn (ripit akshɔn) we kin apin na OCD

Insay OCD, dɛn ‘kɔmplɔshɔn’ ya na tin dɛn we yu kin du ɔltɛm we yu kin fil se yu fɔ du fɔ pul di prɛshɔn ɛn fred we di ‘obsessions’ we wi bin dɔn tɔk bɔt, ɔ fɔ gɛt sɔm rilif frɔm am.

Pipul wae gɛt OCD nɔr kin want fɔ du dɛn kɔmpalshɔn ya, ɛn dɛn nɔr kin ɛnjɔy fɔ du dɛm. Bɔt dɛn kin fil se if dɛn nɔ du dɛn tin ya, di fred ɛn strɛs we dɛn de tink bɔt we de mek dɛn at pwɛl go mek dɛn fred mɔ ɛn mɔ. Bɔt di fridɔm we pɔsin kin gɛt frɔm dɛn kɔmpɛlshɔn dɛn ya na fɔ shɔt tɛm nɔmɔ. Afta sɔm tɛm, di tin dɛn we dɛn kin tink bɔt kin kam bak na dɛn maynd, ɛn dɛn kin tɛmpt fɔ du di tin dɛn we dɛn kin fos dɛn bak. I tan lɛk saykl.

Dɛn `kɔmplɔshɔn` ya de west bɔku tɛm ɛn ambɔg di impɔtant tin dɛm we yu valyu. Dɛn akshɔn ya nɔr nid fɔ gɛt fɔ du wit yu `obsession`.

Sɔm ɛgzampul dɛn na:

• Fɔ arenj ɔltin di rayt we. Fɔ ɛgzampul, yu fɔ arenj di tin dɛn ɛn buk dɛn we de na yu tebul di sem ɔda ɛn di sem we. If yu muv am smɔl, yu fɔ bigin bak.
• Ripit fɔ was, klin, was an. Sɔm pipul dɛn kin was dɛn an tɛn to fayvtin tɛm insay di de, dɛn kin rɔb ɛn rɔb fɔ sɔm minit.
• Hoarding na di akt fɔ gɛda ɔ gɛda tin dɛn we nɔ gɛt ɛni valyu fɔ yusɛf ɔ fɔ mɔni. Tin dɛn lɛk ol nyuspepa ɛn ɛmti bɔtul dɛn kin gɛda ɛn dɛn nɔ kin trowe dɛn.
• Fɔ chɛk tin dɛn bɔku bɔku tɛm. Fɔ chɛk fɔ si if dɛn lɔk di domɔt dɛn, dɛn dɔn ɔf di layt dɛn, dɛn dɔn ɔf di gas stov. Sɔm pipul dɛn kin kɔmɔt na di os, waka fɔ shɔt tɛm, dɔn dɛn kin kam bak ɛn chɛk.
• Ɔltɛm fɔ tray fɔ mek shɔ se nɔbɔdi nɔ gɛt bad bad tin bikɔs ɔf wetin dɛn de du.
• Fɔ de tray ɔltɛm fɔ mek ɔda pipul dɛn biliv yu.
• Ritual dɛn we gɛt fɔ du wit nɔmba dɛn. Fɔ ɛgzampul, fɔ du sɔntin wan patikyula nɔmba tɛm (lɛk fɔ du am tri tɛm, fɔ du am sɛvin tɛm), ɔ fɔ lɛk ɔ avɔyd sɔm nɔmba dɛn.
• Fɔ tɔk sɔm wɔd dɛn ɔ prea dɛn we yu de du wok we nɔ gɛt natin fɔ du wit am.

Di kɔmpalshɔn kin inklud bak fɔ avɔyd tin dɛn we kin mek pɔsin fil bad. Fɔ ɛgzampul, fɔ nɔ gri fɔ shek an wit ɔda pipul dɛn ɔ fɔ tɔch tin dɛn we bɔku pipul dɛn de tɔch, lɛk di domɔt knob.

Wetin kin mek pɔsin gɛt OCD?

Di wan dɛn we de stɔdi bɔt dis stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt OCD, bɔt dɛn tink se bɔku tin dɛn kin mek i apin:

• Jɛnɛtiks: Stɔdi dɔn sho se if pɔsin na di famili (mama ɛn papa, brɔda ɛn sista) gɛt OCD, ɔda pipul dɛn kin gɛt dis sik. Dɔn bak, if sɔmbɔdi na di famili dɔn gɛt OCD we i bin smɔl ɔ we i bin yɔŋ, di prɔblɛm kin pas dat.
• Di chenj dɛn we de apin na di bren:imej stכdi dεn sho se pipul dεm we gεt OCD gεt sכm chenj dεm na di fכnt kכtεks εn rilatεd sכbkכtikal strכkchכ dεm. OCD gɛt fɔ du bak wit nyurolɔjik kɔndishɔn dɛn we kin afɛkt di sem kayn say dɛn na di bren, lɛk Pakinsin sik, Tourette’s syndrome, ɛn epilepsy.
• PANDAS sindrom: PANDAS na akɔdin fɔ "pidiatrik ɔtoimyun nyurosaykayatrik dizayd dɛm we gɛt fɔ du wit strɛptokɔk infɛkshɔn." I de tɔk bɔt wan grup we kin afɛkt sɔm pikin dɛn we dɔn gɛt strɛptokɔk baktriyal infɛkshɔn, lɛk strɛp trot ɔ skarlet fiva. OCD na wan pan dɛn tin ya.
• Trauma we dɛn kin gɛt we dɛn smɔl: Sɔm stɔdi dɛn sho se wan link de bitwin traumatik ɛkspiriɛns dɛm lɛk aw dɛn kin trit dɛn bad ɛn nɔr de kia fɔ dɛn pikin dɛm ɛn aw dɛn kin gɛt OCD.

Aw dɛn kin no se pɔsin gɛt OCD?

No patikyula tɛst nɔ de fɔ no if pɔsin gɛt OCD. Dɔktɔ go no bɔt de sik afta i aks yu bɔt yu sik, mɛdikal histri, ɛn mɛntɛl hεlth histri. Dɔktɔ dɛn kin yuz krayteria frɔm di Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) fɔ no if pɔsin gɛt OCD.

Dɛn krayteria dɛn de na:

• Fɔ gɛt `obsessions` (tin dɛm we yu nɔ want) ɔ `compulsions` (akshɔn dɛm we dɛn tek fɔ ansa dɛn), ɔ ɔl tu.
• Dɛn `obsession` ɔ `compulsions` ya kin tek pas wan awa insay di de.
• Dɛn tin ya wae kin mek pɔrsin fil bad ɔr kin mek pɔrsin fil bad ɔr kin ambɔg pɔrsin wae de wit ɔda pipul dɛm, woke, ɔr ɔda impɔtant tin dɛm na layf.
• Dɛn sayn ya nɔr kin kam bikɔs ɔf drɔgs, rɔm, ɔda mɛrɛsin, ɔr ɔda kayn bɔdi.
• Dɛn sayn ya nɔr kin ebul fɔ ɛksplen bay ɔda mɛntɛl sik (e.g., jɛnɛral anxiety disorder, it disorder, body image disorder).

Wetin na di tritmɛnt dɛm fɔ OCD?

Di tritmɛnt plan we dɛn kin yuz mɔ fɔ OCD na saykotɛrapi (tɔk tɛrapi) ɛn mɛrɛsin.

If dɛn tritmɛnt ya nɔr de pul yu OCD simptom dɛm ɛn yu simptom dɛm tranga, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt wae dɛn kɔl Transcranial Magnetic Stimulation (TMS).

Saykotɛrapi fɔ OCD

Saykotɛrapi na difrɛn tritmɛnt wae de ɛp yu fɔ no ɛn chenj yu filin, tink, ɛn bihayvya wae nɔr fayn. Yu de wok wit pɔsin we sabi bɔt mental wɛlbɔdi biznɛs , lɛk pɔsin we de stɔdi bɔt pɔsin in maynd.

Bɔku kayn saykotɛrapi de. Di we dɛn we kin wok fayn ɛn we dɛn kin yuz fɔ OCD na:

• Kɔgnitiv Biɛvhɔral Tɛrapi (CBT): .Insay CBT, di dɔktɔ kin ɛp yu fɔ chɛk ɛn ɔndastand aw yu de tink ɛn fil. Fɔ sɔm tɛm, CBT kin ɛp yu fɔ chenj yu bad tin wae yu de tink bɔt, stɔp yu abit dɛm wae nɔr fayn, ɛn introduks wɛl bɔdi we fɔ bia wit yu situeshɔn. Imajin se yu gɛt lay lay biliv na yu maynd, lɛk "If a tɔch di domɔt, a go sik," ɛn yu aks yusɛf if na tru ɛn if ɛni sayɛns bies de fɔ am.
• Eksposhɔn ɛn Rispɔns Prɛvenshɔn (ERP): Dis na pat bak pan CBT. Insai dis, de thεrapist de εkspכz yu sכmtεm sכmtεm to di situeshכn כ tink wae yu de frayd, bכt i nכ de alaw yu fכ du di kompulshכn (ripit akshכn) we yu de du fכ ansa. Fɔ ɛgzampul, dɛn kin aks yu fɔ tɔch sɔntin we yu tink se dɔti, dɔn yu kin stɔp fɔ du am we yu de tray fɔ was yu an. We yu de na dis kayn frayd frayd, ɛn nɔr bad tin nɔr de apin, yu kin no se yu frayd tinkin na jɔs tin dɛm wae yu de tink bɔt, ɛn dat nɔr rili rial. Dis na tritmɛnt we at, bɔt we rili wok fɔ OCD.
• Akseptans ɛn Kɔmitmɛnt Tɛrapi (ACT): ACT de ɛp yu fɔ aksept se yu obsessive tinkin na jɔs tinkin, ɛn fɔ ridyus dɛn pawa. Wan ACT thɛrapist kin ɛp yu fɔ liv yu layf we gɛt minin pan ɔl we yu gɛt OCD simptom. Dat min se, bifo yu fɛt dɛn tin ya, yu kin gri se dɛn go kam ɛn go ɛn pe atɛnshɔn pan di tin dɛn na yu layf we impɔtant to yu.

Di we aw yu de tink gud wan ɛn rilaks kin ɛp bak fɔ kɔntrol di sayn dɛm.

Mɛrɛsin fɔ OCD

Mεdikeshכn dεm we dεn kכl Serotonin Riuptek Inhibitors (SRIs), Selective Serotonin Reuptake Inhibitors (SSRIs), εn trisayklik antidipreshכn dεm kin εp fכ trit OCD. Dɛn kin wok bay we dɛn de balans di wok we di nyurotransmitta sɛrotonin de du na di bren.

Bɔku tɛm, dɔktɔ dɛn kin gi SSRI fɔ OCD. Dɛn kin gi dɛn tin ya pasmak pas di wan dɛn we dɛn kin yuz fɔ wɔri ɔr pwɛl hat. Sɔm pan di SSRI dɛn we di U.S. Food and Drug Administration (FDA) dɔn gri fɔ na:

• `(Fluɔksɛtin)`
• `(Fluvoksamin)`
• `(Paroxetin)`
• `(Sɛtralayn)`

I kin tek bitwin 8 ɛn 12 wik fɔ mek dɛn mɛrɛsin ya bigin fɔ wok. So nɔ stɔp fɔ tek dɛn wantɛm wantɛm bikɔs dɛn nɔ de wok. Yu fɔ kɔntinyu fɔ tek dɛn lɛk aw yu dɔktɔ tɛl yu.

Wetin na di prɔgnosis fɔ OCD?

Di we aw pipul dɛn kin si OCD kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔrku tɛm, OCD kin bi wan sik wae de apun to yu layf, wit sɔm tɛm wae i kin lɛf fɔ du am.

Bɔt di kwaliti fɔ layf fɔ di wan dɛn we gɛt OCD we dɛn de gɛt di rayt tritmɛnt kin bɛtɛ pasmak.Dɛn padi biznɛs wit ɔda pipul dɛn, di wok we dɛn de du na skul, ɔ di wok we dɛn de du kin bɛtɛ bak.

If yu nɔr gɛt tritmɛnt, dis saykl fɔ obsession ɛn kɔmpalshɔn kin at fɔ brok ɛn trit, bikɔs as tɛm de go, strɔkchɔral chenj kin apin na yu bren. So, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan if yu ɔ yu pikin bigin fɔ gɛt di sik.

A kin ebul fɔ mek yu nɔ gɛt OCD?

Bɔt i sɔri fɔ no se, no we nɔ de fɔ mek dɛn nɔ gɛt OCD. Bɔt if yu no di sik kwik kwik wan ɛn trit yu, dat kin ɛp fɔ ridyus di sayn dɛm ɛn ridyus di impak we i kin gɛt pan yu layf.

If a gɛt OCD, aw a go tek kia ɔf misɛf?

Apat frɔm we yu de go to dɔktɔ fɔ OCD, fɔ kia fɔ yusɛf kin ɛp yu bak fɔ kɔntrol di sik dɛn we yu gɛt. Fɔ ɛgzampul:

• Gɛt gud slip. Slip at le 7-8 awa insay di de.
• Ɛksesaiz ɔltɛm. Du sɔntin lɛk fɔ waka, fɔ rɔn, ɔ fɔ swim.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. It mɔ vɛjitebul, frut, ɛn klin it dɛn.
• Spend tɛm wit pipul dɛm wae yu lɛk wae de sɔpɔt yu ɛn ɔndastand yu OCD.
• Praktis di we aw yu de rilaks. Tin dɛn lɛk fɔ tink gud wan, yoga, masaj, ɛn fɔ si tin dɛn we yu de si.
• Join sɔpɔt grup fɔ pipul dɛm wae gɛt OCD. Dɛn tin ya kin apin na di Intanɛt ɔ yu kin si dɛn. Fɔ tɔk to pipul dɛm wae dɔn pas di sem tin dɛm lɛk yu kin rili gi yu pawa.

Ustɛm a fɔ go to mi dɔktɔ bɔt OCD?

If dɛn dɔn no se yu ɔ yu pikin gɛt Obsessive-Compulsive Disorder, yu go nid fɔ go to yu dɔktɔ ɛn/ɔ mental wɛlbɔdi pɔsin ɔltɛm fɔ mek shɔ se yu tritmɛnt de wok fayn fayn wan.

If yu de tek mɛrɛsin fɔ OCD ɛn yu de gɛt ɛni bad bad tin we nɔ fayn, tɔk to yu dɔktɔ bɔt am.

De tin wae impɔtant pas ɔl fɔ mɛmba na dis: Obsessive-Compulsive Disorder (OCD) na wan sik wae de kam pan pɔrsin in maynd. Lɛk ɛni ɔda mental sik, fɔ go to ɛp jɔs lɛk aw yu notis di sayn dɛm kin ɛp fɔ ridyus de disrɔpshɔn na yu layf. Dɔktɔ ɛn mɛntɛl hεlth pɔrsin kin gi yu tritmɛnt plan fɔ ɛp yu fɔ kɔntrol yu obseshon ɛn kɔmpalshɔn.

Di impɔtant tin dɛn we yu nid fɔ no (Take-Home Message) .

• Obsessive-compulsive disorder (OCD) na wan mɛntɛl kɔndishɔn wae de sho se pɔrsin de tink bɔt insɛf (obsessions) ɛn de ripit bihayvya (compulsions) fɔ pul de pwɛl hat wae dɛn kin kam wit.
• Dis nɔto sɔntin we wi kin se, "A kin tink tumɔs bɔt di ɔda pɔsin," bɔt na sɔntin we siriɔs pasmak ɛn we kin afɛkt ɛvride layf.
• `(OCD)` ɛn `(OCPD)` na tu difrɛn tin dɛn.
• Pan ɔl we wi nɔ no di rayt tin we kin mek i gɛt dis sik, di jin, di chenj dɛn we kin apin na di bren, sɔm infɛkshɔn dɛn, ɛn di tin dɛn we kin apin to pɔsin we i smɔl kin ɛp fɔ du sɔntin.
• Saykotɛrapi (especially `CBT` ɛn `ERP`) ɛn mɛrɛsin na di men tritmɛnt dɛm.
• If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu layf bɛtɛ.
• If yu ɔr pɔrsin wae yu sabi gɛt dis sik, nɔr shem ɔr frayd fɔ go to dɔktɔ. Nɔto yu wan de, ɛn we yu gɛt ɛp, dat de sho se yu gɛt trɛnk.

` OCD, Obsessive-Compulsive Disorder, Mental Health, Intrusive Thoughts, Ripit Akshɔn, Wɔri, Tritmɛnt