Yu fil lɛk se yu filin, ilɛksɛf na gladi at ɔ sɔri, de go ɔp ɛn dɔŋ pan wan rit we yu nɔ go biliv? Yu kin fil so gladi ɛn gɛt trɛnk tide, ɛn afta dat yu kin fil bad ɛn ɛmti dat yu nɔ kin ivin ebul fɔ grap na bed tumara? Dis saykl wae de kam kwik kwik wan kin gɛt fɔ du wit bipola muud disɔda . Lɛ wi tɔk bɔt dis tide, jɔs lɛk aw wi de tɔk to wi padi.
Wetin rili na Rapid Sayklin?
Fɔ tɔk am simpul wan, Rapid Cycling na wan patɛn wae de chenj ɔltɛm, kwik kwik wan pan pɔrsin wae gɛt Bipolar Disorder. Speshal, dɔktɔ dɛn kin kɔl am Rapid Cycling if yu gɛt at le 4 ɔ mɔ difrɛn tɛm dɛn we yu kin gɛt mania, hypomania, ɔ pwɛl hat insay wan ia .
De impɔtant tin fɔ ɔndastand ya na dat dis nɔr to ɔda sik. Na wan kwaliti fɔ Bipolar Disorder, ɔr "kɔs spɛsifa." Dis patɛn kin bigin ɛnitɛm, ɛn i kin go bak as tɛm de go wit tritmɛnt. So nɔ tink se na sɔntin we go de ɔltɛm.
Udat kin gɛt dis sik?
Bipolar disorder kin afɛkt ɛnibɔdi. I kin afɛkt bɔku pan di pipul dɛn na di wɔl. Fɔ dɛn wan ya, bitwin 10% ɛn 20% kin gɛt sayklis kwik kwik wan .
Risach dɔn sho se dis sik kin apin smɔl pan uman ɛn di wan dɛn we gɛt Bipolar II Disorder.
Di sayn dɛm fɔ bipola muud disɔda kin fɔs apia pan yɔŋ pipul dɛm, arawnd 18-25 ia. Bɔrku tɛm, dɛn kin no dis sik bifo yu ol 50. If pɔrsin wae de nia yu (mama, papa, brɔda ɛn sista) gɛt bipola muud disɔda, yu kin gɛt dis sik bak.
Wetin na di men sayn dɛm wae de sho se yu gɛt Bipolar Disorder?
Bifo wi ɔndastand dis rapid sayklis, lɛ wi lan smɔl bɔt di tri men mental stet dɛm fɔ Bipolar Disorder.
| Di Episod fɔ di Mud | Fɔ tɔk am simpul wan... |
|---|---|
| Mania we de mek pɔsin vɛks | Fɔ fil se yu gladi pasmak ɛn yu ful-ɔp wit trɛnk. Dis stet kin las fɔ at le wan wik. Tin dɛn lɛk fɔ nɔ ebul fɔ slip na nɛt, fɔ tɔk tumɔs, fɔ spɛn mɔni wit sɛns, ɛn fɔ du tin dɛn we go mek yu gɛt prɔblɛm kin apin insay dis tɛm. |
| Hypomania we pɔsin kin gɛt | Dis na wan stet wae nɔr kin tranga pasmak, wae kin mεnεj yu fɔ gladi. I kin las fɔ at le 4 dez. Bɔrku gladi ɛn ɛnaji stil de pan dis tɛm, bɔt e nɔr de ambɔg ɛvride layf lɛk aw e kin ambɔg wae pɔrsin gɛt mania. Bɔku pipul dɛn kin tink se dis na "tɛm we pɔsin kin fil fayn." |
| Big Dipreshɔn | Fɔ fil bad bad wan, fɔ nɔ gɛt op, ɛn fɔ lɛf fɔ bisin bɔt tin dɛn we yu bin de ɛnjɔy trade, na tin we kɔmɔn insay dis tɛm. Sɔm kayn sik lɛk wae yu de fil lɛk yu taya, yu de taya ɔltɛm, yu de chenj yu slip ɛn yu want fɔ it, ɛn yu nɔr de fil bad bɔt yu layf. |
Fɔ bɔrku pipul dɛm wae gɛt sayklɔs kwik kwik wan, dɛn kin spɛn mɔr tɛm pan pwɛl hat pas wae dɛn kin gɛt mania ɔr hypomania. Dis min se dɛn kin gɛt pwɛl hat ɔltɛm, wit shɔt tɛm wae dɛn kin gɛt yufɔria (manic/hypomanic) ɔr nɔrmal mud.
Aw dɔktɔ go no if yu gɛt Rapid Cycling?
Sɔntɛnde dis kin tranga smɔl fɔ no, bikɔs sɔmtɛm di sem episɔd nɔ kin go ɔlsay, bɔt i kin bi mɔ ɔ smɔl. I kin tranga fɔ no if na 4 difrɛn episɔd ɔ jɔs wan chenj.
Wan pan di big prɔblɛm dɛn wit dis na fɔ misdiagnosis . Bikɔs bɔrku pipul dɛm wae gɛt Rapid Cycling kin gɛt pwɛl hat bak, dɛn kin misdiagnose dɛm as "general depression" ɔr "unipolar depression" instead of bipolar disorder.
Tink bɔt am dis we. Yu go to dɔktɔ fɔ tɛl am bɔt aw yu at pwɛl pasmak ɛn yu at pwɛl. Bɔt yu nɔ kin tɛl am bɔt di wan wan tɛm we i kin gɛt hypomania. Bikɔs yu kin tink bɔt am as "nays, gladi tɛm fɔ sɔm tɛm, we yu kin du bɔku tin," nɔto as sayn fɔ sik. Dɔn di dɔktɔ jɔs gɛt wan say na di stori. Na dat mek i nɔ de gɛt di ful pikchɔ bɔt aw yu de fil.Dat min se i rili impɔtant fɔ tɔk opin wan wit yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔrku pipul dɛm wae de rapid sayklɔs kin gɛt big big pwɛl hat sik. So di men gol fכ tritmεnt na fכ stεbyul yu mכd (`mood stabilization`). Dat na fɔ mek yu nɔ gɛt nyu episɔd dɛn we yu de pul pwɛl hat.
Yu fɔ wɔri bɔt mɛrɛsin dɛn we de mek yu nɔ gɛt pwɛl hat?
Stɔdi dɔn sho se mɛrɛsin fɔ jenɛral pwɛl hat, lɛk fluoxetine (Prozac) ɛn sertraline (Zoloft), nɔr kin rili woke fɔ trit rapid cycling bipolar disorder. Sɔntɛnde dɛn kin mek di episɔd dɛn wɔs . Na dat mek bɔku dɔktɔ dɛn kin shem fɔ yuz dɛn mɛrɛsin ya fɔ pipul dɛn we gɛt sayklis kwik kwik wan, mɔ fɔ lɔng tɛm.
So wetin na di men tritmɛnt dɛn?
Di men tritmɛnt we dɛn kin gi na ya na drɔgs we kin mek pɔsin fil fayn .
- `kabamazɛpin (Tegretol)`
- ` Lamotrijin (Lamiktal)`
- `litiɔm (Lithobid)`
- `valproate (Dɛpakɔt)`
Dis na di men tin fɔ di tritmɛnt. Sɔntɛnde, wan mɛrɛsin nɔmɔ nɔ kin du fɔ kɔntrol dis saykl we kin apin kwik kwik wan. If na so i bi, di dɔktɔ kin disayd fɔ gi tu ɔ mɔ pan dɛn mɛrɛsin ya togɛda.
Apat frɔm dat, dɛn kin yuz sɔm mɛrɛsin dɛn we de mek pɔsin in maynd nɔ fil fayn, lɛk olanzapine (Zyprexa) ɔ quetiapine (Seroquel), fɔ ɛp fɔ mek di we aw pɔsin de fil nɔ de fil fayn, ilɛksɛf saykosis de ɔ nɔ de.
I rili impɔtant: Nɔ stɔp fɔ tek di mɛrɛsin we yu dɔktɔ dɔn tɛl yu, ilɛksɛf yu fil fayn ɛn yu nɔ gɛt ɛni prɔblɛm. Kɔntinyu fɔ tek dis mɛrɛsin fɔ mek yu nɔ gɛt di sik dɛn we go apin tumara bambay. If yu nid fɔ ridyus ɔ stɔp di mɛrɛsin we yu de tek, na ɔnda di advays we yu dɔktɔ gi yu nɔmɔ .
Wetin na di bad tin dɛn we kin apin we pɔsin de rayd baysikul kwik kwik wan?
Dis na tɔpik we at fɔ tɔk bɔt, bɔt i impɔtant fɔ no. Di mɔs siriɔs risk wae gɛt fɔ du wit sayklɔs kwik kwik wan pan bipola disɔda na fɔ kil insɛf . Pipul wae gɛt dis sik kin kil dɛnsɛf 10-20 tɛm pas di wan dɛm wae nɔr gɛt dis sik. I sɔri fɔ no se bitwin 8% ɛn 20% pan di pipul dɛm wae gɛt bipola muud disɔda kin day bikɔs dɛn kil dɛnsɛf.
Dis risk kin ivin pasmak fɔ pipul dɛm wae gɛt rapid sayklis patɛn. Dɛn kin nid fɔ go na ɔspitul bɔku tɛm, ɛn i kin at fɔ kɔntrol di sayn dɛn we dɛn kin gɛt.
Bɔt di rayt tritmɛnt kin ridyus dis risk bad bad wan.Na mɔtalman dɛn dɔn sho se if pɔsin yuz di drɔg we dɛn kɔl lithium fɔ lɔng tɛm, dat kin mek i nɔ ebul fɔ kil insɛf.
Apat frɔm dat, pipul dɛm wae gɛt dis maynia sik kin de pan denja fɔ gɛt drɔg ɛn rɔm. Dɛn adikshɔn ya kin mek di sik wɔs ɛn at fɔ kɔntrol.
Mɛsej we dɛn kin kɛr go na os
- Rapid Cycling nɔto wan sɛpret sik, bɔt na wan patɛn insay Bipolar Disorder. If yu gɛt klia mud swing (ɛpisod) pas 4 tɛm insay di ia, i kin bi dis patɛn.
- Bɔrku pipul dɛm wae gɛt dis pat kin gɛt mɔr pwɛl hat sik, wae dɛn kin misdiagnose as jɛnɛral pwɛl hat.
- Di men gol fɔ tritmɛnt na fɔ kɔntrol di filin dɛn we yu de yuz tin dɛn we de mek yu fil fayn. Dɛn kin tek tɛm yuz mɛrɛsin fɔ mɛn pwɛl hat.
- Bi opin ɛn ɔnɛs wit yu dɔktɔ bɔt yu tɛm dɛn we yu de fil bad (hypomania) ɛn we yu nɔ de fil fayn.
- Ivin if yu fil fayn, nɔ stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu. Tritmɛnt na di bɛst we fɔ ɛp yu.
- If yu ɔr pɔrsin wae yu sabi de gɛt dis kayn diskɔmfɔt, nɔr de yu wan. Si dɔktɔ wantɛm wantɛm ɛn aks fɔ ɛp. If yu trit yu fayn, yu kin kɔntrol dis sik ɛn liv nɔrmal layf.
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