Sɔntɛm yu dɔn de sɔfa wit pwɛl hat fɔ lɔng tɛm. Yu go dɔn tray nɔto wan, bɔt tu ɔ tri mɛrɛsin dɛn we yu dɔktɔ gi yu. Bɔt yu stil nɔ gɛt di rilif we yu bin de op fɔ? Sɔntɛnde yu kin wɔnda, "Wetin mek dis de apin to mi wan? Dis sik nɔ go ɛva dɔn?" Nɔ wɔri. Nɔto yu wan de. Bɔku pipul dɛn de we kin gɛt dis prɔblɛm. Insay mɛrɛsin, wi kin kɔl dis "treatment-resistant depression" ɔr "TREATMENT-RESISTANT DEPRESSION" (TRD) . So, tide wi go tɔk bɔt sɔm pan di impɔtant kwɛstyɔn dɛn we yu fɔ rili aks we yu de tɔk to yu dɔktɔ bɔt dis.
1. Dɔktɔ dɛm, wetin rili na Treatment-Resistant Depression?
E fayn fɔ ɔndastand fɔs wetin na dis kɔndishɔn. Difrɛn dɔktɔ dɛn kin gɛt smɔl difrɛn difinishɔn fɔ wetin "treatment-resistant" min. Bɔt in jɔnal, i min se yu sik nɔr dɔn bɛtɛ afta yu tek at le tu difrɛn klas dɛm fɔ antidipreshan, pan di rayt doz ɛn fɔ sɔm tɛm (bɔku tɛm na lɛk 8 wik) . So mek shɔ se yu aks yu dɔktɔ aw i de si dis sik, wetin i min, ɛn aw i go afɛkt di tritmɛnt we yu go gɛt tumara bambay.
2. Wetin na yu ɛkspiriɛns fɔ trit dɛn kayn sik ya?
Dis kin tan lɛk se na impɔtant tin, bɔt nɔ fred fɔ aks. Tritmɛnt-Resistant Diprɛshɔn na wan sik wae kin kɔmpleks pas aw pɔrsin kin gɛt pwɛl hat ɔltɛm. Na dat mek i impɔtant fɔ si pɔsin we gɛt di sɛns ɛn ɛkspiriɛns fɔ trit am. Saykayatrist na dɛn kin trit dɛn kayn sik ya. Dɔktɔ wae gɛt ɛkspiriɛns fɔ ɛp pipul dɛm wae gɛt pwɛl hat sik fɔ lɔng tɛm kin ɛp dɛn bad bad wan. So aks yu dɔktɔ bɔt dis.
3. Wetin mek i nɔ izi fɔ trit mi pwɛl at wit mɛrɛsin?
Bɔku rizin dɛn kin de fɔ dis. Tɔk to yu dɔktɔ bɔt am opin wan.
- Sɔntɛm yu nɔ bin tek di doz we dɛn bin dɔn tɛl yu fɔ tek di mɛrɛsin we yu bin de tek bifo.
- Ɔ sɔntɛm yu nɔr dɔn tek di mɛrɛsin fɔ lɔng tɛm (6-8 wik) fɔ mek i tek ɛfɛkt.
- Ɔda mɛrɛsin wae yu gɛt (fɔ ɛgzampul, tayroyd prɔblɛm - Hypothyroidism ) kin de afɛkt dis.
- Ɔda mental wɛl bɔdi prɔblɛm (lɛk fɔ drink rɔm ɔr drɔgs, wɔri hat sik) kin ambɔg tritmɛnt fɔ pwɛl hat.
De tin wae impɔtant pas ɔl na dat bɔrku pan de antidipreshan kin tek siks to et wik fɔ woke, so e fayn fɔ peshɛnt wit yu tritmɛnt.
4. Ɔda mɛrɛsin dɛn de we go ɛp mi?
Fɔ tru, i de. Nɔ ɛva giv ɔp op if di mɛrɛsin we yu dɔn tray te naw nɔ wok. Nyu tin dɛn de ɔltɛm fɔ du fɔ mɛn pipul dɛn. Yu kin ebul fɔ wɛl wit difrɛn kayn mɛrɛsin, difrɛn doz, ɔr wan kɔmbayn mɛrɛsin. Tɔk to yu dɔktɔ bɔt wetin na dɛn tin dɛn de ɛn wetin dɛn kin du, dɔn disayd fɔ du sɔntin.
5. Us ɔda tritmɛnt dɛn de apat frɔm mɛrɛsin?
Mɛrɛsin na jɔs wan tin we yu kin du. Bɔku ɔda tritmɛnt dɛn de we go wok fayn. Aks yu dɔktɔ bɔt ɔda we dɛn we i kin yuz fɔ ɛp pasɛnt dɛn lɛk dis.
| Di we aw dɛn kin trit am | Wan simpul ɛksplen |
|---|---|
| Tɔk Tɛrapi | Kɔnsul, mɔ di we dɛn lɛk Kɔgnitiv Biɛvhɔral Tɛrapi (CBT), kin ɛp yu fɔ chenj di we aw yu de tink. |
| Ketamin Tɛrapi | Dis na tritmɛnt wae de mɛk pɔrsin de kia fɔ wae de gi pɔrsin kwik kwik wan fɔ sɔm kayn bad bad pwɛl hat sik. |
| Bren Stimulashɔn Tɛrapi | Bɔku tritmɛnt dɛn de we de ɔnda dis kategori. Sɔm ɛgzampul dɛn na: Ilɛktrokɔnvulsiv Tɛrapi (ECT) , Transkranial Magnɛtik Stimuleshɔn (TMS) , ɛn Vagus Nɛv Stimuleshɔn (VNS) . Dɛn tin ya kin rili woke fɔ pipul dɛm wae nɔr de tek mɛrɛsin. |
6. Aw a go mek mi tritmɛnt plan simpul as a ebul?
Di tritmɛnt plan kin kɔmpleks, ɛn dis kin mek i nɔ izi fɔ fala. So if sɔntin nɔ klia to yu, aks kwɛstyɔn dɛn.
- Us tɛm pan di de a fɔ tek di mɛrɛsin?
- Yu tink se da tɛm de fit yu layf ɛvride?
- A fɔ tek mɛrɛsin bifo a it ɔ afta a it?
Mek shɔ se yu ɔndastand ɔl dis. Dɔn bak, tɔk to yu dɔktɔ bɔt di kɔst fɔ tritmɛnt ɛn di inshɔrans we yu go gɛt.
7. Ɔda sik ɔ mɛrɛsin kin afɛkt mi pwɛl hat?
Yɛs, na fɔ tru. Bɔrku tin kin mek pɔrsin gɛt pwɛl hat sik ɔr kin wɔs, lɛk at sik, kansa, tayroyd prɔblɛm, ɛn fɔ tek sɔm kayn mɛrɛsin. Dɔn bak, sɔm ɔda mɛrɛsin dɛn we yu kin tek kin mek di mɛrɛsin dɛn we de mek yu nɔ gɛt pwɛl hat nɔ wok fayn. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit mɛdikal istri ɛn ɔl di mɛrɛsin dɛn (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn) we yu de tek .
8. A fɔ tink bɔt nyu tritmɛnt dɛn we stil de na di risach pat?
If yu nɔr dɔn fɛn rilif frɔm kɔmɔn tritmɛnt dɛm, yu kin tink bɔt dis. Dɛn kɔl dis klinik trial . Dis na drɔgs ɔ tritmɛnt dɛm wae stil de na di risach faz ɛn nɔr dɔn ful apruv frɔm ɛjɛnshi dɛm lɛk FDA (Food and Drug Administration) as tritmɛnt fɔ pwɛl hat. Aks yu dɔktɔ if yu na gud kandidet fɔ dis kayn trial.
9. Us chenj dɛn a nid fɔ mek na mi layf?
As kɔmplimɛnt fɔ tritmɛnt, bɔrku tin de wae yu kin du yusɛf. Dɛn tin ya kin ɛp yu fɔ ridyus yu sik.
- Fɔ ɛksesaiz yu bɔdi: Fɔ ɛksesaiz smɔl ɛvride kin rili fayn fɔ yu maynd wɛl bɔdi.
- Slip: Fɔ slip fayn na nɛt rili impɔtant. Tray fɔ mek yu nɔ chenj di tɛm we yu de go slip ɛn wek.
- Di it: It di it we balans ɛn we gɛt fayn fayn tin dɛn fɔ it.
Gɛt advays frɔm yu dɔktɔ bɔt dis we fayn fɔ yu.
10. Wetin a fɔ du we tin nɔ izi fɔ mi?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Yu ɛn yu famili fɔ gɛt klia plan fɔ wetin fɔ du if ɛnitin apin (kraysis) . If yu ɛva fil fɔ du bad to yusɛf ɔ ɔda pipul dɛn, tɔk to yu dɔktɔ bɔt wetin fɔ du. Bi klia wan bɔt udat fɔ tɔk to ɛn usay fɔ go (lɛk di ɔspitul imejensi rum we de nia yu (ETU) ).
Mɛsej we dɛn kin kɛr go na os
- Tritmɛnt-Resistant Diprɛshɔn nɔto yu fɔlt. Na wan sik we pɔsin kin gɛt we i de mɛn.
- Tɔk to yu dɔktɔ opin wan ɛn ɔnɛs wan. Aks am bɔt aw yu de fil, wetin yu de fred, ɛn di kwɛstyɔn dɛn we yu de aks.
- Bɔku ɔda tin dɛn de we yu kin du, nɔto jɔs mɛrɛsin, lɛk fɔ advays yu ɛn fɔ mek yu bren wok fayn.
- Smɔl chenj na yu layf (ɛksɛsayz, gud slip, gud it) go go fa fɔ mek yu wɛl.
- Nɔ ɛva sɔfa yu wan. Nɔ shek fɔ aks fɔ ɛp we ɛnitin apin we nɔ izi fɔ yu. Pipul dɛn de ɔltɛm we go ebul fɔ ɛp yu.
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