Yu kin dɔn de tek mɛrɛsin fɔ pwɛl hat fɔ sɔm mɔnt, sɔntɛm ivin fɔ lɔng tɛm. Sɔntɛm yu dɔn go to bɔku dɔktɔ dɛn. Bɔt yu stil nɔ fil ɛni rilif ɔ chenj? Yu tink se da dak, ebi filin de stil de? Yu fil se dɛn tritmɛnt ya nɔ go ɛp? Dɔn nɔto yu wangren de. Dis na sɔntin we kin apin to bɔku pipul dɛn. We dis kayn tritmɛnt nɔr de woke, wi kin kɔl am na mɛrɛsin ‘Treatment-Resistant Depression’ (TRD) .
Fɔ tɔk am simpul wan, wetin na dis ‘dipreshɔn we nɔ de tek tritmɛnt’?
Dis kin tan lɛk big tin we yu yɛri di nem. Bɔt fɔ tɔk am simpul wan, i min se yu de tek di rayt tritmɛnt fɔ pwɛl hat, we min se at le tu antidipreshɔn mɛrɛsin frɔm difrɛn klas, pan di rayt doz, fɔ di rayt tɛm, bɔt yu sik nɔr de bɛtɛ bɛtɛ wan.
Tink bɔt dis: Na lɛk tu-tɛd pan pipul dɛm wae gɛt pwɛl hat sik nɔr kin si se de fɔs mɛrɛsin wae dɛn kin tray fɔ tek kin woke fayn. Ɛn lɛk wan pat pan tri pat nɔ kin bɛtɛ ivin afta dɛn dɔn tray fɔ tek bɔku mɛrɛsin dɛn.
Di impɔtant tin na dat, dis nɔto yu fɔlt. Ɛn i nɔ min se yu nɔ go ɛva wɛl frɔm am. E jɔs min se yu go gɛt fɔ wok tranga wan smɔl fɔ fɛn di rayt tritmɛnt fɔ yu.
Wetin a go du if a tink se a gɛt dis sik?
If yusɛf gɛt dawt bɔt dis, aks yusɛf dɛn kwɛstyɔn ya.
| Yusɛf de fil dis kayn we? |
|---|
| Yu nɔr kin fil ɛni impɔtant ɔr chenj afta de tritmɛnt wae yu de gɛt? |
| Pan ɔl we yu kin fil fayn smɔl afta yu dɔn gɛt tritmɛnt, yu kin fil lɛk se yu ol trɛnk ɛn gladi at nɔ kam bak? |
| I nɔ kin izi fɔ yu fɔ bia wit di bad tin dɛn we di mɛrɛsin dɛn we dɛn dɔn gi yu kin gɛt? |
| Di frɛkuɛns ɛn di kayn we aw pɔrsin kin gɛt pwɛl hat dɔn bɔku pasmak as tɛm de go? |
| Yu fil lɛk se ɔda prɔblɛm dɛn na yu maynd, lɛk fɔ wɔri, dɔn bɔku? |
If yu ansa "yes" to ɛni wan pan dɛn tin ya, yu fɔ rili tɔk to yu dɔktɔ bɔt am. I nɔ min se yu gɛt TRD, bɔt na gud sayn fɔ se yu nid fɔ chenj yu tritmɛnt plan.
Aw ɛksaktɔli yu kin gɛt ɛp?
Bɔrku tɛm, yu praymari dɔktɔ kin trit pwɛl hat. Bɔt if yu fil se yu sik nɔ go ebul fɔ du dis kayn tritmɛnt, i go fayn fɔ go to dɔktɔ we de mɛn pipul dɛn we gɛt prɔblɛm wit dɛn maynd, we gɛt spɛshal no bɔt aw fɔ trit dɛn kɔmpleks sik ya.
We yu go to spɛshal pɔsin, i go tek tɛm chɛk dɛn tin ya:
1. Mek shɔ se wetin yu dɔn no bɔt yu sik kɔrɛkt: Sɔntɛnde, wetin yu tink se na pwɛl hat kin rili bi ɔda tin. Fɔ ɛgzampul, pɔrsin wae gɛt bipola muud disɔda nɔr kin du wɛl to di kayn mɛrɛsin wae dɛn kin gi pɔrsin wae de mɛk pɔrsin fil bad. Dɔn bak, de sayn dɛm fɔ pwɛl hat kin kam bikɔs ɔf sɔm kayn tin wae de apin na yu bɔdi lɛk haypo tayroyd. So if di diagnosis nɔ kɔrɛkt, di tritmɛnt nɔ go wok.
2. Chek if yu de tek yu mɛrɛsin kɔrɛkt wan: Sɔm pipul nɔ kin tek dɛn mɛrɛsin di rayt tɛm, skip doz, ɔ stɔp fɔ tek am bikɔs ɔf di sayd ɛfɛkt dɛm. Mɛmba se e kin tek 4 to 12 wiks fɔ mek wan mɛrɛsin wae de mek pɔrsin fil bad fɔ woke. So i nɔ fayn fɔ lɛ yu stɔp fɔ tek am tumɔs kwik.
3. Chek fɔ ɔda tin wae kin mek pɔrsin gɛt dis sik: Fɔ drink rɔm, fɔ tek drɔgs, fɔ tek mɛrɛsin fɔ ɔda sik, ɛn ɔda tin dɛm kin mek pɔrsin gɛt pwɛl hat sik ɔr kin mek i nɔr de du tritmɛnt.
Us tritmɛnt opshɔn dɛn de?
Nɔ giv ɔp fɔ op! Bɔku tritmɛnt dɛn de fɔ TRD. Yu dɔktɔ go ɛp yu fɔ pik di wan we fayn fɔ yu.
Strateji dɛn fɔ tek mɛrɛsin
Kεmikכl mεsenja dεm de na wi bren we de kכntro di mכd, wi kכl dεm nyurotransmitta . Di mɛrɛsin wae de mek pɔrsin fil bad kin woke bay wae dɛn de balans aw dɛn tin ya de du. If wan mɛrɛsin nɔ wok, yu kin tray ɔda mɛrɛsin we de wok difrɛn we.
- Switching Medications: If wan SSRI (Selective Serotonin Reuptake Inhibitor) nɔ wok fɔ yu, ɔda mɛrɛsin we de na di sem klas kin wok. Ɔ yu kin chenj to wan kɔmplit difrɛn klas, lɛk SNRI, Tricyclics, ɔ MAO inhibitor.
- Fɔ ad ɔda mɛrɛsin (Augmentation/Adjunct):Sɔntɛnde, if yu de gɛt sɔm kayn fridɔm frɔm di mɛrɛsin we yu de tek naw, yu dɔktɔ kin disayd fɔ ad mɛrɛsin frɔm ɔda klas fɔ ɛp, pas fɔ stɔp am. Fɔ ɛgzampul, dɛn kin yuz mɛrɛsin dɛn lɛk Aripiprazole ɛn Quetiapine dis we.
- Mɔdan tritmɛnt dɛn: Dɛn de yuz di nos sprɛy we dɛn jɔs dɔn mek we nem Esketamine (Spravato) ɛn di Ketamine we dɛn kin injɛkt bak fayn fayn wan fɔ TRD. Dɛn kin afɛkt di bren difrɛn we pas di wan dɛn we dɛn kin yuz fɔ mɛn di sik, ɛn dis kin ɛp fɔ mek i fil fayn kwik kwik wan.
Tritmɛnt dɛn we Nɔ Gɛt Mɛdikal
Bɔku ɔda we dɛn de fɔ ɛp wit TRD, nɔto jɔs mɛrɛsin.
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan, . |
|---|---|
| Saykotɛrapi | Di we dɛn lɛk Cognitive Behavioral Therapy (CBT) kin ɛp yu fɔ pul pwɛl hat bay we yu de chenj aw yu de tink ɛn aw yu de biev. We dɛn put dis tritmɛnt togɛda wit mɛrɛsin, i kin rili wok. |
| Ilɛktrokɔnvulsiv Tɛrapi (ECT) . | Nɔ fred we yu yɛri dis nem. Dis na tritmɛnt we rili sef, we de mek pɔsin nɔ fil fayn, ɛn we dɔktɔ de kia fɔ am. I kin rili woke fɔ gi rilif kwik kwik wan to di wan dɛm wae gɛt siriɔs pwɛl hat ɛn wae de tink bɔt fɔ kil dɛnsɛf wae nɔr dɔn du ɛni ɔda tritmɛnt. |
| Transkranial Magnεtik Stimulεshכn (TMS) . | Dis na tritmɛnt we nɔto ɔspitul we de yuz magnɛtik wev frɔm ɔdasay na di skel fɔ mek sɔm patikyula pat dɛn na di bren wok. Dis na tritmɛnt bak we kin wok fayn. |
| Vagus Nεv Stimulεshכn (VNS) . | Dɛn kin ɔpreshɔn wan smɔl tin ɔnda di skin na di chɛst ɛn i kin mek di vagus nerve we de na di nɛk wok. Dɛn kin yuse dis fɔ pwɛl hat wae kin teik lɔng tɛm, wae nɔr kin gɛt tritmɛnt. |
Fɔ go na ɔspitul
Sɔntɛnde, if yu pwɛl hat sik so bad dat yu de pan denja fɔ du bad to yusɛf, yu dɔktɔ kin disayd fɔ put yu na ɔspitul fɔ shɔt tɛm. Dis kin mek yu de na say we sef, fa frɔm di strɛs dɛn we yu kin gɛt ɛvride, ɛn i kin mek yu dɔktɔ dɛn mek wan tritmɛnt plan we go fayn fɔ yu.
Tin dɛm wae yu kin du wae yu de liv wit dis sik
I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu. Insai dis tɛm, dɛn tin ya kin ɛp yu fɔ kɔntrol yu sik.
- Fɔ fala yu tritmɛnt plan di rayt we. Nɔ stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz te yu dɔktɔ tɛl yu fɔ tek am.
- Nɔ drink rɔm ɛn tek drɔgs kpatakpata. Dɛn tin ya kin ambɔg di we aw di mɛrɛsin dɛn we de mek pɔsin fil bad nɔ wok fayn ɛn dɛn kin mek dipreshɔn wɔs.
- Gɛt gud slip na nɛt. Tray fɔ gɛt 7-8 awa fɔ slip we yu nɔ go ambɔg yu wan de.
- Manej di strɛs. Du sɔntin ɛvride we go mek yu gɛt pis, lɛk fɔ tink gud wan, fɔ du yoga, ɔ fɔ lisin to myuzik.
- Ɛksasayz. We yu waka ɔ rɔn fɔ at le 30 minit ɛvride, dat kin ɛp fɔ mek yu fil fayn.
Mɛsej we dɛn kin kɛr go na os
- Diprɛshɔn wae nɔr kin gɛt tritmɛnt (TRD) nɔr na yu fɔlt ɔr yu wik. Na wan sik we pɔsin kin gɛt we i de mɛn pipul dɛn.
- Na nɔmal tin fɔ tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu. I nid fɔ peshɛnt ɛn tray tranga wan.
- Insay dis kayn tin, i rili impɔtant fɔ wok wit spɛshal saykayatrist.
- Bɔku tɛm, we dɛn miks ɔl tu di mɛrɛsin ɛn tɔk tɛrapi (saykotɛrapi) kin wok fayn pas ɔl.
- Nɔ ɛva giv ɔp op. Yu kin wɛl kpatakpata frɔm dis kɔndishɔn. Bɔku tritmɛnt ɛn we dɛn de we go ɛp yu.
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