Yu ɔr pɔrsin wae yu sabi gɛt bipola muud disɔda? Dɔn yu no aw i nɔ kin izi fɔ mek yu tink na wan ples. Wan de yu kin fil gladi ɛn gladi pasmak (wi kin kɔl dis mania). Di nɛks de yu fil bad ɛn pwɛl at dat yu nɔ want fɔ liv na di wɔl. Dɛn tin ya we kin apin kin mek layf rili kɔnfyus. Tide wi go tɔk bɔt de pwɛl hat sik wae kin apun pan dis bipola muud disorder, dat na, bipolar depression . Lɛ wi tɔk bɔt di tritmɛnt dɛm fɔ dis na simpul we we yu go ɔndastand.
Wetin na de men tritmɛnt fɔ bipola muud diprɛshɔn?
Trade, dɛn bin de trit dɛn sik ya wit mɛrɛsin dɛn we kin mek pɔsin slip pasmak ɛn we kin gɛt bɔku sayd ɛfɛkt dɛn. Bɔt dat nɔ de apin igen. Mɛdikal sayɛns dɔn go bifo bɔku. Tide, di tin dɛm wae de mek pɔrsin nɔr de fil fayn na di men tin wae dɛn kin gi fɔ trit pɔrsin wae gɛt dis maynia sik.
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya kin ɛp fɔ kɔntrol dɛn kayn we ya we yu de fil ɛn mek yu maynd nɔ de chenj. Pan ɔl we dɛn kin kɔntrol di pwɛl hat sik, dɛn kin ɛp bak fɔ mek dɛn nɔ gɛt manik.
Mɛmba se, pwɛl hat kin bɔku pas manik ɛpisod na bipola muud disɔda, so i impɔtant fɔ trit dis fayn fayn wan.
Sɔm pan di men kayn tin dɛn we dɛn kin yuz fɔ mek pɔsin nɔ fil fayn we dɔktɔ dɛn kin advays bɔku tɛm na:
- Litiɔm we dɛn kɔl
- Lamotrijin we dɛn kɔl Lamotrigine
- Valproate we gɛt di sik
- Kabamazɛpin we dɛn kɔl
Sɔmtɛm, yu dɔktɔ kin yuse dɛn mɛrɛsin ya ‘ɔf-lɛbul’, pan ɔl we dɛn nɔ ɔfishal wan gri fɔ bipola dipreshɔn. Dis min se dɛn kin yuz mɛrɛsin we dɛn dɔn gri fɔ fɔ ɔda sik if di dɔktɔ in ɛkspiriɛns ɛn no bɔt dis sho se i fayn fɔ dis sik. Sɔm sik pipul dɛn kin kɔntrol dɛn kɔndishɔn wit jɔs wan tin we de mek dɛn fil fayn . Bɔt if dat nɔ go du, di dɔktɔ kin disayd fɔ ad ɔda tin we de mek pɔsin fil fayn ɔ wan mɛrɛsin we kɔmɔt na difrɛn klas mɛrɛsin.
Dɛn kin yuse mɛrɛsin wae de mek pɔrsin fil bad fɔ dis? Dis na tin we kɔmplikt smɔl!
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Pan ɔl we di mɛrɛsin dɛn we de mek pɔsin fil bad bad wan kin rili ɛp fɔ mɛn dipreshɔn we pɔsin kin gɛt we i gɛt wan sik, dɛn kin tek tɛm yuz dɛn wit dipreshɔn we pɔsin kin gɛt we i gɛt bipolar dipreshɔn.
Imajin, if yu gi pɔrsin wae gɛt bipola muud disɔda wan antidipreshan wae nɔr gɛt mod stabilizer, e kin trigger dat manic episode. Dat min se, dɛn kin kɔmɔt frɔm we dɛn de fil bad to pipul dɛn we de mek dɛn fil bad to we dɛn de mek dɛn fil bad. Bikɔs ɔf dis risk, dɔktɔ dɛn nɔr kin ɛva gi wan mɛrɛsin wae de mek pɔrsin fil bad fɔ pɔrsin wae gɛt dis maynia sik.
Wan pan di tin dɛm we dɛn fɛn pan wan big stɔdi we dɛn kɔl STEP-BD we di Nashɔnal Instityut fɔ Mental Ɛlth (NIMH) na Amɛrika bin du na dat fɔ ad wan antidipreshan to wan mud stebyulayza nɔ bin mek big difrɛns pan di autkam. Dis bin mek wi no se i impɔtant fɔ fɛn ɔda tritmɛnt fɔ bipola muud pwɛl hat sik.
Aw di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt maynd sik kin ɛp?
Stɔdi dɛm wae dɛn dɔn du dis biɛn tɛm dɔn sho se sɔm mɛrɛsin dɛm wae de mek pɔrsin gɛt dis maynia sik kin rili woke fayn fɔ pɔrsin wae gɛt dis maynia sik wae de mɛk pɔrsin fil bad. Dɛn kɔl dɛn tin ya ‘Atypical Antipsychotics’.
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya de wok bay we dɛn de afɛkt di kemikal mɛsenja dɛn (nyurotransmitta) na wi bren we de kɔntrol di we aw wi de fil ɛn di we aw wi de biev. Yu dɔktɔ go wej di gud ɛn bad tin dɛm fɔ ɛni mɛrɛsin ɛn pik di bɛst tritmɛnt fɔ yu fɔ win yu pwɛl hat ɛn nɔr go gɛt prɔblɛm wit mania.
Sɔm antisaykotik mɛrɛsin dɛm wae dɛn kin yuse fɔ bipola muud diprɛshɔn de na di tebul wae de dɔŋ ya.
| Nem fɔ di drɔg (ɛgzampul) . | Aw fɔ yuz am |
|---|---|
| Lumateperone, Kwɛtiapin | Yu kin yuse am wan as shɔt tɛm tritmɛnt fɔ bipola muud diprɛshɔn. |
| Olanzapin ɛn Fluoxetine | Dɛn kin yuz dɛn tu drɔgs ya as wan kɔmbayn. |
| Lurasidone we gɛt di sik | Yuz am wan ɔ yu kin yuz am wit Lithium/Valproate. |
| Kariprazin we dɛn kɔl | Pan ɔl we na mɛrɛsin we dɛn dɔn gri fɔ fɔ bipolar mania, dɛn kin yuz am bak as ɔf-lɛbul opshɔn fɔ pwɛl hat. |
Lɛ wi lan bak bɔt CNS dipreshɔn.
Dis grup gɛt mɛrɛsin dɛn we dɛn kɔl bɛnzodiazepin. Sɔm ɛgzampul dɛn na drɔgs lɛk Klɔnazepam, Lorazepam, ɛn Alprazolam.
Dɛn kin yuse dɛn tin ya fɔ akyu sik lɛk fɔ nɔr de rɛst pasmak, wɔri, ɛn nɔr de slip. Dɛn mɛrɛsin ya nɔto gud mɛrɛsin fɔ yuz fɔ lɔng tɛm. Dɛn kin gɛt bɔku prɔblɛm bak fɔ gɛt adikshɔn . So, na fɔ shɔt tɛm nɔmɔ dɛn kin yuz dɛn, ɛn dɔktɔ de kia fɔ dɛn strikt wan.
Yu tink se ilɛktrokonvulsiv tɛrapi (ECT) na sɔntin we yu fɔ fred?
Ilɛktrokɔnvulsiv Tɛrapi (ECT) kin mek sɔm pipul dɛn fred, bɔt fɔ tru, na rili fayn ɛn sef tritmɛnt fɔ siriɔs bipolar dipreshɔn.
I fayn mɔ fɔ di wan dɛn we gɛt saykotik simptom ɔ di wan dɛn we gɛt bɔku risk fɔ kil dɛnsɛf . ECT na sef ɛn fayn tritmɛnt bak fɔ uman dɛn we gɛt siriɔs bipola dipreshɔn ɔ mania we dɛn gɛt bɛlɛ, we nɔ go ambɔg di pikin.
Yu tink se mɛrɛsin nɔmɔ nɔ go du fɔ yu? Di impɔtant tin bɔt saykotɛrapi
Dis rili impɔtant. We yu de trit bipola muud pwɛl hat, mɛrɛsin na wan say nɔmɔ pan di ikwal. Di ɔda say na saykotɛrapi .
Dis go ɛp yu fɔ bɛtɛ manej yu soshal rilayshɔnship, tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ du, ɛn ɔganayz yu ɛvride rutin (slip, wek, it, ɛn drink tɛm).
Wan ɔda tin we dɛn bin fɛn na di STEP-BD stɔdi we wi bin dɔn tɔk bɔt na dat we dɛn jɔyn strɔkchɔ saykotɛrapi wit mɛrɛsin, di rit fɔ wɛl kin go ɔp bay lɛk 150%!
Bɔku fayn fayn saykotɛrapi we dɛn kin yuz fɔ dis:
- Cognitive Behavioral Therapy (CBT): I de ɛp yu fɔ no ɛn chenj yu maynd ɛn bihayvya we nɔr fayn.
- Intapɔsɔnal ɛn Sɔshial Ritm Tɛrapi (IPSRT): I de ɛp yu fɔ mek yu gɛt stebul maynd bay we i de mek yu de du tin dɛn we yu de du ɛvride ɛn fɔ mek yu gɛt padi biznɛs wit ɔda pipul dɛn.
- Famili-fokus Tɛrapi: Na we fɔ trit yu famili ɛn involv dɛn insay di prɔses wit dɛn sɔpɔt.
Mɛsej we dɛn kin kɛr go na os
- Bipolar dipreshɔn na wan sik wae dɛn kin trit. Nɔ giv ɔp. If yu gɛt di rayt tritmɛnt, yu go ebul fɔ liv nɔmal layf.
- Di men pat pan tritmɛnt na di mɛrɛsin we de mek yu fil fayn. Yuz dɛn tin ya jɔs lɛk aw yu dɔktɔ se, insay di kɔrɛkt doz ɛn fɔ di kɔrɛkt tɛm.
- Yu fɔ tek tɛm yuz di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad. Nɔ ɛva yuz dɛn if dɔktɔ nɔ de wach dɛn.
- Saykotɛrapi impɔtant jɔs lɛk aw mɛrɛsin impɔtant. We dɛn tu tin ya go togɛda, di tin dɛn we kin apin kin rili fayn.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔr bad tin bɔt yu tritmɛnt, tɔk bɔt am opin wan wit yu dɔktɔ. Nɔ kip ɛnitin fɔ yusɛf.
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