Yu ɔ pɔrsin wae yu sabi gɛt bipola muud disɔda ? If na so i bi, sɔntɛm yu dɔn ɛkspiriɛns am. Sɔntɛnde, yu kin fil gladi pasmak, yu kin gɛt zil, ɛn yu kin gɛt bɔku trɛnk. Bɔt afta dat, tɛm kin de we yu kin fil bad sote yu nɔ ebul fɔ du natin, yu kin fil bad, ɛn yu at pwɛl. Pan ɔl we bɔku tɛm, sɔm tɛm kin de we dɛn tu kayn we ya nɔ kin chenj, fɔ sɔm pipul dɛn dis chenj kin apin kwik kwik wan, bɔku tɛm insay wan ia. Na dat wi de kɔl "Rapid Cycling" na mɛrɛsin. Lɛ wi tɔk bɔt dis simpul ɛn klia wan tide.
Fɔ tɔk am simpul wan, wetin na Rapid Cycling?
Rapid Cycling na wan patɛn fɔ bipola muud disɔda. I nɔto wan sik we pɔsin kin gɛt we i sik. Fɔ tɔk am simpul wan, if pɔrsin wae gɛt bipola muud disɔda gɛt at le 4 ɔr mɔr difrɛn difrɛn mud swing (episodes) insay wan ia , wi kin kɔl da kɔndishɔn de Rapid Cycling. Dɛn episod ya kin bi wae pɔrsin kin fil bad bad wan, wae nɔr kin fil fayn, ɔr kin gɛt siriɔs pwɛl hat sik.
Tink bɔt am lɛk di wɛda. Wan de, san kin blo, di nɛks de, big big briz kin blo ɛn ren kin kam bad bad wan. Afta sɔm dez, i kin gɛt san bak. Dɔn ren de kam bak. Dis na di say we di mud swing kin apin. Dis patɛn kin apun to ɛnibɔdi wae gɛt bipola muud disɔda, pan ɛni stej wae de sik. Ɛn nɔto sɔntin we "fiks" sote go. If dɛn trit am di rayt we, dɛn kin kɔntrol dis we aw i de apin kwik kwik wan ɛn ivin go dɔn as tɛm de go.
Udat go mɔs gɛt dis sik?
Bipolar disorder kin afɛkt ɛnibɔdi. Na lɛk 2.5% pan di pipul dɛm na Amɛrika, ɔr lɛk 6 milyɔn pipul dɛm, kin sɔfa wit sɔm kayn dis sik. pan dεn wan dεm, bitwin 10% εn 20% kin εkspiriεns rεpid sayklis. Stɔdi dɔn sho se uman ɛn pipul dɛm wae gɛt bipola II disɔda kin gɛt smɔl chans fɔ rayd baysikul kwik kwik wan.
Fɔ bɔrku pipul dɛm, de bipola muud sik kin bigin fɔs wae dɛn yɔŋ, arawnd 18-25 ia. Dɔn bak, if pɔrsin wae de na yu fambul wae de nia am (mama, papa, brɔda ɛn sista) gɛt bipola muud disɔda, de risk kin bɔrku smɔl pas ɔda pipul dɛm.
Wetin na di men tin dɛm wae kin mek pɔrsin fil bad wae de mɛk pɔrsin fil bad?
I rili impɔtant fɔ ɔndastand dis klia wan, bikɔs insay Rapid Cycling, dɛn mud ya kin chenj kwik kwik wan. Lɛ wi luk dɛn tin ya wan bay wan.
| Di Episod fɔ di Mud | Tɔk bɔt |
|---|---|
| Mania we de mek pɔsin vɛks | Dis na tɛm we wi kin fil gladi, gladi, ɛn trɛnk we nɔ kɔmɔn . I tan lɛk se dɛn dɔn ɔn motoka na yu bɔdi. Sɔntɛm yu nɔ go ebul fɔ slip, wok we yu nɔ de stɔp, tɔk bɔku, du tin dɛn we yu nɔ de tink bɔt, ɛn spɛn bɔku mɔni. Dis stet kin las fɔ at le 7 dez . |
| Hypomania we pɔsin kin gɛt | Dis na tɛm wae yu kin fil fayn smɔl ɛn gɛt trɛnk , nɔr kin tranga lɛk mania. Yu kin du yu wok fayn ɛn yu kin lɛk fɔ spɛn tɛm wit ɔda pipul dɛn. Bɔt i pas aw i fɔ bi. I kin las fɔ at le 4 dez . Bɔrku pipul nɔr kin tink bɔt dis as mɛrɛsin, dɛn kin tink se na “jɔs gud tɛm.” |
| Big Dipreshɔn | Insay dis tɛm, yu kin fil bad bad wan, yu kin ɛmti, ɛn yu at kin pwɛl . Yu nɔ de intres igen pan tin dɛn we yu bin de ɛnjɔy trade. Yu nɔ gɛt trɛnk, yu slip ɛn it chenj, yu de fil bad bɔt yusɛf, ɛn yu nɔ gɛt op igen na layf. |
Impɔtant tin na dat, bɔrku pipul dɛm wae de rayd baysikul kin spɛn bɔrku pan dɛn tɛm pan pwɛl hat. Mania ɔ hypomania nɔ kin apin ɔltɛm ɛn i nɔ kin te. Dis na wae mek dɛn nɔr kin no se dɛn pipul ya gɛt "unipolar depression."
Aw dɔktɔ kin no se yu gɛt Rapid Cycling?
As wi bin dɔn tɔk, Rapid Cycling nɔto wan ɔda sik, bɔt na wɔd wae de tɔk bɔt aw pɔrsin kin gɛt bipola muud. Dɔktɔ go no if yu gɛt am afta i dɔn tek tɛm lisin to yu sayn dɛn. If dɛn kɔnfyus se yu gɛt 4 ɔr mɔr episɔd dɛm fɔ Mania, Hypomania, ɔr Dipreshɔn insay wan ia, dɛn kin kɔl am Rapid Cycling pattern.
Bɔt sɔntɛnde, i kin at fɔ no dis. Bikɔs ivin wan pat kin apin smɔl mɔ ɔ smɔl. I at fɔ no if na 4 difrɛn episɔd dɛn ɔ na jɔs wan. Dɔn bak, bikɔs de pɔrsin nɔr de tɔk bɔt de hypomania tɛm, de dɔktɔ kin jɔs si de pwɛl hat sik wae de go bifo. So, fɔ rayt di dayari fɔ di we aw yu de fil kin rili ɛp di dɔktɔ fɔ ɔndastand yu.
Aw dɛn kin trit dis?
Di men gol fɔ tritmɛnt fɔ rapid sayklɔs na fɔ mek yu muud stebul , spɛshal wan fɔ kɔntrol di pwɛl hat we de go bifo ɛn fɔ mek yu nɔ gɛt nyu episɔd.
De wɔnin wae impɔtant pas ɔl: Bɔt mɛrɛsin wae de mek pɔrsin fil bad
Di mɛrɛsin wae dɛn kin gi pɔrsin wae gɛt pwɛl hat sik, lɛk fluoxetine (Prozac), paroxetine (Paxil), ɛn sertraline (Zoloft), bɔrku tɛm nɔr kin fayn fɔ pipul dɛm wae gɛt rapid cycling bipolar disorder. Stɔdi dɔn sho se dɛn mɛrɛsin ya kin mek di sik dɛn we dɛn kin gɛt mɔ ɛn mɔ. So, dɔktɔ dɛn nɔ kin gi dɛn sik pipul ya mɛrɛsin fɔ mek dɛn nɔ fil bad, mɔ fɔ lɔng tɛm.
Men tritmɛnt: Mood Stabilizers
Di kɔr tritmɛnt fɔ dis kɔndishɔn na mɛrɛsin wae de mek yu fil fayn.
Sɔm ɛgzampul dɛn bɔt dɛn na:
- Kabamazɛpin (Tegretol) we dɛn kɔl .
- Lamotrijin (lamotrijin (Lamiktal)) .
- Litiɔm (litiɔm (Lithobid)) .
- Valproate ( Dɛpakɔt ) .
Bɔku tɛm, wan mɛrɛsin nɔmɔ nɔ kin ebul fɔ kɔntrol dis we aw pɔsin kin gɛt am kwik kwik wan. If na so i bi, di dɔktɔ kin disayd fɔ gi tu ɔ mɔ pan dɛn mɛrɛsin ya togɛda. pan tap dat, dεn kin yus sכm antisaykotik mεdikeshכn dεm, lεk `olanzapine (Zyprexa)` כ `quetiapine (Seroquel),` bak fכ mek di mכd stebul.
Dis tritmɛnt fɔ kɔntinyu ivin we yu nɔ gɛt ɛni sik ɛn yu de fil fayn. Dis na aw yu kin mek yu nɔ gɛt di episɔd dɛn we go kam. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ tɔk to yu dɔktɔ fɔs.
Wetin na di siriɔs prɔblɛm dɛn we kin apin we pɔsin de rayd baysikul kwik kwik wan?
De mɔs siriɔs ɛn trajik risk wae gɛt fɔ du wit dis sik na fɔ kil insɛf. Pipul wae gɛt bipola muud disɔda kin kil dɛnsɛf 10-20 tɛm pas di jenɛral pipul dɛm. I sɔri fɔ no se bitwin 8% ɛn 20% pan di wan dɛn we gɛt bipolar sik kin dɔn day bay we dɛn kil dɛnsɛf.
Dis risk kin ivin big fɔ di wan dɛn we gɛt sayklis we de rɔn kwik kwik wan.Dɛn kin put dɛn na ɔspitul bɔku tɛm, ɛn i nɔ kin izi fɔ kɔntrol dɛn sik dɛn.
Bɔt di gud nyus na dat , dis risk kin ridyus bad bad wan if dɛn trit am fayn. Na mɔtalman, dɛn dɔn sho se if pɔsin yuz mɛrɛsin lɛk litiɔm fɔ lɔng tɛm, dat kin mek pɔsin nɔ kil insɛf.
Apat frɔm dat, fɔ yuz sɔbstans abiuz na kɔmɔn tin fɔ pipul dɛn we gɛt bipolar sik. Na lɛk 60% pan di sik pipul dɛn kin gɛt dis prɔblɛm. Fɔ yuz sɔm kayn mɛrɛsin kin mek di sik wɔs ɛn nɔr kin ebul fɔ kɔntrol am.
Mɛsej we dɛn kin kɛr go na os
- Rapid cycling na we pɔsin kin gɛt 4 ɔ mɔ di mud swing insay wan ia. Dis na wan patɛn fɔ bipola muud disɔda, nɔto wan ɔda sik.
- Pwɛl hat na de sik wae de mɛk pɔrsin gɛt dis sik, so e kin mɔs no se na nɔrmal pwɛl hat sik.
- Di men tritmɛnt ya na ‘mood stabilizers’, ɛn ɔltɛm antidipreshan kin mek di kɔndishɔn wɔs.
- Dis na siriɔs sik wae gɛt bɔrku risk fɔ kil insɛf. So, yu nɔ fɔ ɛva stɔp ɔ chenj yu tritmɛnt if yu dɔktɔ nɔ advays yu.
- If yu ɔ pɔsin we yu sabi de gɛt dɛn sik ya ɔ yu de tink bɔt fɔ kil insɛf, duya go to dɔktɔ wantɛm wantɛm. If yu trit yu fayn, yu go mɔs liv bɛtɛ layf.
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