If yu gɛt ol mama ɔ papa, grani ɛn granpa, ɔ pɔsin we yu lɛk we gɛt Alzaima sik, yu go dɔn gɛt tin dɛn we de mek yu vɛks wantɛm wantɛm, we yu nɔ gɛt wanwɔd, ɛn we yu vɛks. Yu kin wɔri bak we yu si dɛn de tɔk bad bɔt dɛnsɛf, de flay dɛn an, ɛn muv rawnd we dɛn nɔ de na wan ples. Yu kin fil bak se yu nɔ ebul fɔ du ɛnitin lɛk dis, ɛn yu nɔ kin ebul fɔ no wetin fɔ du. Tide, wi go tɔk bɔt wan mɛrɛsin we go ɛp fɔ kɔntrol dɛn kayn we ya.
Wetin na dis agiteshɔn wae kin apun pan Alzaima sik?
Alzaima sik nɔto jɔs wan sik wae de mek pɔrsin nɔr de mɛmba fayn fayn wan. De chenj wae kin apin na di bren wit dis sik kin mek bak big chenj na pɔrsin in bihayvya. Agiteshɔn na wan pan di men sayn dɛm.
Fɔ tɔk am simpul wan, na dis kin apin:
- Fɔ de tɔk bad: fɔ ala ɔltɛm, kɔs ɔda pipul dɛn.
- Fɔ bi pɔsin we de fɛt: fɔ bit ɔda pipul dɛn, fɔ push dɛn, fɔ trowe tin dɛn pan dɛn.
- Rɛstlɛs: Pacing, rɛstlɛs, rɛstlɛs.
Dis sik kin mek di pɔsin we sik ɛn di wan dɛn we tan lɛk yu we de kia fɔ am strɛs bad bad wan. Dɛn dɔn de yuz difrɛn mɛrɛsin dɛn frɔm trade trade fɔ kɔntrol dis kayn we aw pɔsin de biev. Bɔt dɛn kin gɛt bɔku prɔblɛm dɛn we kin apin to dɛn. Bɔt naw, mɔdan mɛrɛsin dɛn de we dɛn dɔn gri fɔ du dis, ɛn dɛn nɔ gɛt bɔku sayd ɛfɛkt dɛn. Rexulti na wan pan dɛn mɛrɛsin dɛn de.
Aw dis mɛrɛsin we dɛn kɔl Rexulti de wok?
Rexulti na wan tɔd jɛnɛreshɔn antisaykotik drɔg. Okay, dis wod de soun likl komplikayt? Mek wi kip am simpul.
Wi bren de kɔntrol di we aw wi de fil, di we aw wi de biev, ɛn di tin dɛn we wi de tink bɔt tru kemikal mɛsenja dɛn we dɛn kɔl nyurotransmitta . Dopamin ɛn sɛrotonin na tu pan di men mɛsenja dɛn. Insay Alzaima sik, dɛn mɛsenja ya kin nɔr balans. Rεxulti de wok bay we i de εp fכ mek di lεvεl dεm fכ dopamin εn sεrotonin na di bren kam bak. Dis kin mek yu fil fayn ɛn biev fayn.
Di tin we impɔtant pas ɔl na dat dis nɔ tan lɛk ol drɔgs, ɛn bikɔs i de wok mɔ wit kεmikכl dεm na di bren, i nɔr kin gεt bad bad sayd ifekt dεm lεk trem εn mכsul dεm stiff.
Aw a fɔ yuz dis mɛrɛsin?
Rexulti na wan pill we yu kin it wan tɛm ɛvride. Yu kin tek am bifo ɔ afta yu it.
Yu dɔktɔ go ɔltɛm stat yu pan wan rili smɔl doz.. Dɔn, dɛn kin ad di doz smɔl smɔl bay aw yu bɔdi de ansa am, ɔda mɛrɛsin dɛn we yu de tek, ɛn aw yu liva ɛn kidni dɛn de wok. di maksimal doz fכ de na bכt 3 miligram.
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin di rayt tɛm, di rayt doz, lɛk aw yu dɔktɔ tɛl yu. If yu tek di mɛrɛsin ɔltɛm ɛvride, dat go mek yu gɛt di bɛst rizɔlt. I kin tek sɔm wik ɔ wan mɔnt fɔ mek di mɛrɛsin sho aw i de du tin. So, nɔ stɔp fɔ tek am af-af, tink se, "No difrɛns nɔ de yet." Nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ.
Aw yu go no if di mɛrɛsin de wok?
Yu kin notis sɔm fayn fayn chenj dɛn na yu pɔsin we yu lɛk in bihayvya afta sɔm wiks we yu dɔn bigin fɔ tek di mɛrɛsin. Dɛn chenj ya go kam fɔ notis smɔl smɔl.
| Wi kin si gud chenj dɛn |
|---|
| - Dikɛs pan di ala ɛn kɔs. |
| - Di dεkrεshכn fכ di fyzikal agitεshכn. |
| - Fכ gi mכr sכpכt we yu de kia fכ di pikin (e.g., fכ it, was). |
| - Sɔm impɔtant tin dɛn we kin apin we pɔsin de slip. |
| - Fɔ sho se yu want fɔ de wit yu famili ɔ fɔ tek pat pan ɔda tin dɛn. |
| - Ɔl togɛda, i de mek am izi fɔ kia fɔ di pɔsin we sik. |
Aw lɔng yu nid fɔ tek dis mɛrɛsin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin bɛnifit frɔm am fɔ shɔt tɛm. Ɔda pipul dɛn kin nid fɔ tek am fɔ lɔng tɛm. Na yu dɔktɔ go disayd dis. If yu nɔ si ɛni impɔtant tin afta sɔm mɔnt, tɛl yu dɔktɔ bɔt am.
Sayd ɛfɛkt ɛn aw fɔ mɛn dɛn?
Lɛk ɛni mɛrɛsin, Rexulti kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Lɛ wi tek tɛm luk pan sɔm pan de sayd ɛfɛkt dɛm wae kin kam ɛn wetin yu kin du bɔt dɛm.
| Kɔmɔn sayd ɛfɛkt dɛn | Aw fɔ manej |
|---|---|
| We yu de gɛt bɔku bɔku wet, yu de slip, yu de tɔn diziz | Fɔ kɔntrol yu wet, it mɔ vɛjitebul ɛn frut dɛn. Du simpul ɛgzampul dɛn lɛk fɔ waka ɛvride. If yu fil se yu de slip, aks yu dɔktɔ ɛn tek mɛrɛsin bifo yu go slip na nɛt. If yu fil se yu ed de tɔn, nɔ grap wantɛm wantɛm we yu sidɔm ɔ ledɔm. |
| Akathisia (we nɔ de rɛst) . | Dis kin apin ali na di tritmɛnt. We yu waka ɛn ɛksesaiz layt, dat kin ɛp fɔ ridyus dis. Limit ti ɛn kɔfi bikɔs dɛn kin mek dis ifɛkt bɔku. |
| Simptom dɛm we tan lɛk kol | Bɔku tɛm, dɛn tin ya kin stɔp insay sɔm dez. If dɛn kɔntinyu fɔ du dat, tɛl yu dɔktɔ. |
| Dray mɔt, kɔnstipɛshɔn | If yu mɔt dray, drink bɔku wata. Yu kin mek yu nɔ gɛt kɔnstipɛshɔn if yu it tin dɛn we gɛt fayv (spinach, kale, frut) ɛn drink bɔku wata. |
I rili impɔtant: Apat frɔm dat, if yu gɛt ɛni bad bad sayn lɛk ay fiva, mɔsul dɛn we stif, bad bad kɔnfyushɔn, ɔ muvmɛnt we nɔ kɔmɔn, we yu nɔ ebul fɔ kɔntrol, tɛl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Us tɛst dɛn fɔ du we dɛn de trit am?
We yu de gi yu dis mɛrɛsin, yu dɔktɔ kin tɛl yu fɔ du sɔm blɔd tɛst fɔ wach sɔm tin dɛn na yu bɔdi. Dɛn kin du dis fɔ si if di mɛrɛsin fayn fɔ yu ɛn if risk de fɔ gɛt sayd ɛfɛkt.
- di wet ɛn di say we yu de wɛst: Dɛn kin wach di wet bifo ɛn we dɛn de trit yu.
- Kɔmplit Blɔd Kɔnt (CBC): I de chɛk di lɛvɛl we di wayt ɛn rɛd blɔd sɛl dɛn de na di blɔd.
- Fast blɔd tɛst: Chɛk di kɔlɔstrel ɛn shuga (blɔd glukɔs ɔ HbA1c) lɛvɛl.
- Blɔd Prɛshɔn: Chɛk ɔltɛm.
- AIMS test: Dis nɔto tɛst, bɔt na wetin di dɔktɔ de si. i de chεk fכ di bכdi muvmεnt dεm we nכ nכmal (tardive dyskinesia).
Dis kin mek dɛn gɛt intarakshɔn wit ɔda mɛrɛsin dɛn?
Yɛs, dis na pɔynt we rili impɔtant. Sɔm ɔda mɛrɛsin dɛm wae yu de tek kin mek Rexulti woke ɔr nɔr de woke fayn. If dɛn mek di wok we i de du bɔku, di risk fɔ gɛt di sayd ɛfɛkt dɛn go bɔku. If i stɔp, di mɛrɛsin nɔ go wok lɛk aw i de wok.
Fɔ ɛgzampul, sɔm antifɔngal (e.g., fluconazole, ketoconazole), antibayɔtik (e.g., clarithromycin), ɛn antidipreshan (e.g., fluoxetine, paroxetine) kin nid fɔ ajɔst di doz we dɛn tek dɛn wit dis mɛrɛsin. Prɔblɛm kin de bak wit sɔm mɛrɛsin fɔ ɛpilepshi (e.g., phenytoin).
So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu pɔsin we yu lɛk de tek. Dis min se nɔto jɔs di Wɛstinian mɛrɛsin dɛn, bɔt i min bak Ayurveda mɛrɛsin, tradishɔnal mɛrɛsin, vaytamɛn, ɛbul prɔdak, ɛn ɔda tin dɛn Dis go ɛp di dɔktɔ fɔ plan wan sef tritmɛnt plan.
Mɛsej we dɛn kin kɛr go na os
- De disruptiv bihayvya wae de kam wit Alzaima sik na chalenj fɔ di pɔrsin ɛn di wan dɛm wae de kia fɔ am, bɔt tritmɛnt dɛn de.
- Rexulti (Brexpiprazole) na wan patikyula mɛrɛsin we dɔktɔ kin gi fɔ kɔntrol dis sik.
- Tek di doz we dɛn tɛl yu fɔ tek di tɛm we yu dɔn tɛl yu lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ ɛni rizin we yu nɔ go to yu dɔktɔ.
- Yu fɔ no bɔt di bad tin dɛn we kin apin to yu. If yu gɛt ɛnitin we nɔ kɔmɔn ɔ if di sayd ɛfɛkt dɛn de mɔna yu, tɛl yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn (inklud Ayurveda ɛn tradishɔnal mɛrɛsin dɛn) we yu pɔsin de yuz.
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