Fɔ disayd if i fɔ kɔntinyu ɔ stɔp fɔ tek mɛrɛsin fɔ pwɛl at we i gɛt bɛlɛ na wan pan di tin dɛn we mama kin disayd fɔ du we nɔ izi fɔ am. Na wan say, if dɛn nɔ trit am, i kin afɛkt yu maynd ɛn bak di pikin we yu nɔ bɔn yet. Bɔt pipul dɛn kin fred se if yu kɔntinyu fɔ tek di mɛrɛsin, i kin put yu pikin pan denja. Dis na sɔntin we rili kɔnfyus. So lɛ wi tɔk bɔt am opin wan.
Wetin na di rilayshɔn bitwin pwɛl hat ɛn bɛlɛ?
Bɔku pipul dɛn bin de tink se di chenj we di ɔmon dɛn kin chenj we dɛn gɛt bɛlɛ, dat kin mek uman dɛn nɔ gɛt pwɛl at. Bɔt nɔto dat na di tru. Wi no naw se pwɛl hat kin apin wae uman gɛt bɛlɛ, ɛn bɔrku mama dɛn nid mɛrɛsin fɔ mɛn pwɛl hat fɔ mɛn am. Infakt, sɔv dɔn sho se di nɔmba fɔ uman dɛn we de yuz mɛrɛsin fɔ pwɛl pwɛl hat kin bɔku frɔm tri mɔnt bifo dɛn gɛt bɛlɛ ɛn ɔl di tɛm we dɛn gɛt bɛlɛ.
Pan ɔl we pipul dɛn kin aks kwɛstyɔn bɔt aw i sef fɔ yuz dɛn mɛrɛsin ya we uman gɛt bɛlɛ, risach dɔn sho se bɔku pan di mɛrɛsin dɛn we de mek pɔsin fil bad, mɔ di SSRI (Selective Serotonin Reuptake Inhibitors), kin jɔs sef . Pan ɔl we prɔblɛm dɛn kin apin lɛk we dɛn bɔn pikin we nɔ fayn, di prɔblɛm kin rili smɔl .
Wetin di wan dɛn we sabi bɔt mɛrɛsin se bɔt dis?
Yu Ob-Gyn ɛn Saykayatri ɔl tu gri se if yu gɛt smɔl pwɛl hat ɛn yu nɔr gɛt ɛni sik fɔ lɛk 6 mɔnt, yu kin tray fɔ taper ɔf yu mɛrɛsin ɔnda mɛdikal sɔpɔtishɔn. Sɔntɛm wit jɔs saykotɛrapi ɛn sɔm chenj dɛn na yu layf , yu kin ebul fɔ pas dis tɛm fayn fayn wan.
Bɔt if dɛn tin ya apin to yu, if yu tek mɛrɛsin we yu gɛt bɛlɛ, i go bɛnifit yu ɛn yu pikin mɔ.
| Pozishɔn | Advays we di dɔktɔ dɛn kin gi |
|---|---|
| If yu gɛt smɔl pwɛl hat sik ɛn yu nɔr gɛt ɛni sayn fɔ pas 6 mɔnt. | Yu kin tink bɔt fɔ stɔp fɔ tek mɛrɛsin ɔnda dɔktɔ in sɔpɔtishɔn. Bifo dat, tin dɛn lɛk saykotɛrapi, ɛksesaiz, ɛn yoga kin ɛp. |
| If yu dɔn gɛt siriɔs pwɛl hat ɔr wae de kam bak , ɔda kayn maynd sik lɛk bipolar disorder, ɔr yu dɔn de tink bɔt fɔ kil yusɛf. | I bɛtɛ fɔ mek yu ɛn yu pikin kɔntinyu fɔ tek di mɛrɛsin. |
Wetin na de risk fɔ lɛf fɔ gɛt pwɛl hat sik wae yu nɔr gɛt tritmɛnt?
Dis na sɔntin we wi rili nid fɔ pe atɛnshɔn to. Pwɛl hat sik wae nɔr trit kin gɛt siriɔs prɔblɛm fɔ yu ɛn yu pikin.
- Nɔr fɔ kia fɔ yusɛf smɔl : Wae yu gɛt pwɛl hat, yu kin fɔgɛt fɔ du tin lɛk fɔ it ɛn drink, ɛn go na di klinik di rayt tɛm.
- Di tin dɛn we kin mek pɔsin fil bad: Di chans de fɔ mek pɔsin smok, drink rɔm, ɔ yuz ɔda drɔgs. Ɔl dɛn tin ya kin mek di pikin gɛt siriɔs prɔblɛm, lɛk we i nɔ gɛt bɛlɛ, we i bɔn bifo tɛm, ɛn we i nɔ gɛt bɛtɛ wet.
- Impekt pan famili layf: Imajin se yu gɛt ɔda pikin. If yu maynd nɔ fayn, i kin at fɔ kia fɔ da pikin de ɛn ivin fɔ de wit yu man. Dis prɛshɔn kin bi tin we di wan ol famili nɔ go ebul fɔ bia. So, i rili impɔtant fɔ mek yu wɛl fɔ di famili bak.
Pwɛl hat sik wae nɔr de trit yu nɔr de jɔs sɔfa we yu nɔr de tɔk. I kin afɛkt yu, yu pikin, ɛn yu wan ol famili dairekt wan.
Wetin na di prɔblɛm dɛn we kin apin to di pikin we i tek mɛrɛsin?
Na tru se nɔ mɛrɛsin nɔ de 100% sef we uman gɛt bɛlɛ. Sɔntɛnde, di tin dɛn we dɛn kin du we dɛn dɔn stɔdi bɔt mɛrɛsin dɛn we de mek pɔsin fil bad nɔ kin gri wit dɛnsɛf. Bɔt bɔku pan di prɔblɛm dɛn we dɛn dɔn si kin rili smɔl.
| Risk ɛn tɛmporari simptom dɛm we kin apin to di pikin bikɔs ɔf mɛrɛsin | |
|---|---|
| Risk to di pikin (i nɔ kin izi fɔ am) . | |
| PPHN (Persistent Pulmonary Hypertension in di Nyu Bɔn) . | Wan siriɔs sik we gɛt fɔ du wit di blɔd vesel dɛn we de na di lɔng dɛn fɔ di pikin we dɛn jɔs bɔn. |
| Di Difɛkt dɛn we Dɛn Bɔn dɛn | Disɔda na di at, bren, spayna (Anencephaly), skel (Craniosynostosis), bɛlɛ (Omphalocele), ɔ di limb dɛm. |
| Ɔda prɔblɛm dɛn we kin apin | di bכdi we dεn bכn, di pikin we dεn bכn bifo tεm (bifo 37 wik), di pikin we dεn bכn lכw wet (lεs dan 2.5 kg). |
| Fɔ lɛf fɔ tek di pikin Simptom dɛm we di pikin kin gɛt afta dɛn bɔn am | |
| We pɔsin nɔ de rɛst | I nɔ izi fɔ blo, fɔ blo bɔku tɛm, fɔ kray ɔltɛm. |
| Ɔda tin dɛn we de apin | I nɔ kin izi fɔ drink milk, di blɔd shuga lɛvɛl smɔl (Hypoglycemia), di bɔdi nɔ kin fayn. |
Di impɔtant tin fɔ ɔndastand ya na dat dɛn sayn ya we pɔsin kin gɛt we i de lɛf fɔ smok na fɔ shɔt tɛm nɔmɔ . Sɔm pikin dɛn kin nid fɔ de na di Nionatal ICU fɔ sɔm dez (wan to 4 dez) bikɔs ɔf dɛn tin ya. Bɔt dɛn nɔ dɔn si se ɛni wan pan dɛn tin ya kin ambɔg di pikin fɔ lɔng tɛm.
Lɛ wi ɔndastand dɛn risk dɛn ya gud gud wan.
I mek sɛns fɔ fred we yu de tɔk bɔt dɛn prɔblɛm ya. Bɔt wi nid fɔ luk dis fayn fayn wan. insay eni bεlε, ivin if yu nכ tek nכ mεdikeshכn, di avεrej risk de fכ bכn pikin wit eni kayn bכn difεkt we na lεk 3%.
Di tru tin se antidipreshan de inkrisayz di risk na wan rili smɔl pasɛnt we dɛn ad pan dis 3%. Fɔ ɛgzampul, wan stɔdi sho se dɛn mɛrɛsin ya jɔs de inkrisayz di risk fɔ PPHN bay 1%. Dis min se ivin if yu tek di mɛrɛsin, di ɔl risk fɔ mek di pikin gɛt prɔblɛm stil rili smɔl .
Us mɛrɛsin dɛn we bɛtɛ fɔ mek uman gɛt bɛlɛ?
Dɛn kin tek sɔm mɛrɛsin dɛn we de mek pɔsin fil bad we i gɛt bɛlɛ pas ɔda wan dɛn. Na sɔm ɛgzampul dɛn ya:
- Sitalopram (Sɛlɛksa) .
- Fluoksɛtin (Prozak, Sarafem) .
- Sertralin (Zoloft) we dɛn kɔl .
- Amitriptilin (Elavil) we dɛn kɔl .
- Dɛsipramin (Nɔpramin) .
- Nɔtriptilin (Pamelor) .
- Bupropion (Wɛlbɔrin) .
Bɔt nɔ wɔri if yu de tek mɛrɛsin we nɔ de na dis list. Ivin di mɛrɛsin dɛn we dɛn kin tɔk bɔt pas ɔl, lɛk Paroxetine (Paxil), gɛt rili smɔl risk. Dɛn kin wɔri bak bɔt fɔ chenj di mɛrɛsin wantɛm wantɛm we uman gɛt bɛlɛ. I bɛtɛ fɔ tɔk to yu dɔktɔ fɔ disayd wetin go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Fɔ tek ɔ stɔp mɛrɛsin fɔ pwɛl hat we yu gɛt bɛlɛ na sɔntin we yu ɛn yu dɔktɔ fɔ disayd fɔ du wit di gud ɛn bad tin dɛn togɛda.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin, chenj di doz, ɔ bigin fɔ tek nyu wan we yu nɔ gɛt dɔktɔ advays.
- Bɔku tɛm, di prɔblɛm dɛn we kin apin to mama ɛn pikin we dɛn nɔ gɛt tritmɛnt, kin pas di smɔl smɔl prɔblɛm dɛn we kin apin we dɛn tek mɛrɛsin.
- Nɔ fil gilti fɔ di tin we yu disayd fɔ du. Yu dɔktɔ want di bɛst fɔ yu ɛn yu pikin. So abop pan di tin we yu ɛn yu dɔktɔ disayd togɛda, ɛn spɛn dis tɛm wit gladi at.
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