Yu dɔktɔ dɔn gi yu mɛrɛsin fɔ wan sik lɛk pwɛl hat ɔr pen wae nɔr de dɔn? Yu dɔn yɛri bɔt di nem ‘tricyclic antidepressants’ pan dɛn mɛrɛsin dɛn de? Pan ɔl we dɛn mɛrɛsin ya na sɔm ol jɛnɛreshɔn mɛrɛsin, dɛn stil rili yusful pan sɔm kes dɛm. So tide, lɛ wi tɔk bɔt ɔltin bɔt dɛn trisayklik antidipreshan ya, ɔ ``TCA'' fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na dɛn trisayklik antidipreshan (TCA) ya?
Tricyclic antidepressants (TCA) na wan klas ɔf mɛrɛsin wae de ɛp fɔ kɔntrol di sayn dɛm wae de sho se pɔrsin fil bad. Pan ɔl we dɛn gɛt di wɔd "antidepressant" na dɛn nem, dɔktɔ dɛn kin gi dɛn bak fɔ difrɛn ɔda sik dɛn.
Dɛn kin kɔl dɛn tin ya bak "fɔs-jɛnɛreshɔn" antidipreshan bikɔs na dɛn bin de fɔs antidipreshan dɛm we dɛn bin dɔn fɛn. dεn kכl dεm "tricyclic" biכs dεn gεt tri ring dεm na dεn kεmikכl strכkchכ.
Naw, bikɔs nyu mɛrɛsin fɔ pwɛl hat kin sef ɛn nɔr kin gɛt bɛtɛ sayd ɛfɛkt (lɛk SSRI), dɔktɔ dɛn nɔr kin gi TCA fɔ pwɛl hat bɔrku tɛm. Bɔt dɛn kin woke mɔr fɔ sɔm pipul dɛm wae nɔr dɔn tek ɔda mɛrɛsin. Dɛn kin yuse dɛn bak fɔ ɔda sik dɛn.
Wetin na di kayn TCA dɛn? Us kayn sik dɔktɔ dɛn kin gi dɛn fɔ?
Bɔku men kayn TCA dɛn de we dɛn kin yuz na Sri Lanka ɛn ɔlsay na di wɔl. Chek fɔ si if di mɛrɛsin we yu dɔktɔ gi yu na wan pan dɛn mɛrɛsin ya.
| Jɛnɛrik Nem | Kes dɛn we dɛn kin yuz bɔku tɛm |
|---|---|
| Amitriptaylin we dɛn kɔl | Nɔ mek yu nɔ gɛt pwɛl hat, pen we nɔ de dɔn, pen na yu nerv, ɛn maygren |
| Imipramin we dɛn kɔl imipramin | Pwɛl hat, bedwet na yɔŋ pikin dɛm |
| Nɔtriptaylin we dɛn kɔl | Pwɛl hat, pen we nɔ de dɔn |
| Klɔmipramin we dɛn kɔl | I kin rili woke fɔ Obsessive-Compulsive Disorder (OCD), we na wan sik wae de sho se pɔrsin de tink ɛn du tin wae yu nɔr want. |
| Dɔksɛpin we dɛn kɔl | Pwɛl hat, wɔri, nɔr de slip |
Apat frɔm di pwɛl hat ɛn OCD we wi bin dɔn tɔk bɔt, dɔktɔ dɛn kin gi dis mɛrɛsin fɔ sɔm ɔda sik dɛn. Dɛn kɔl dis "ɔf-lɛbul yus." Dis min se dɛn kin gi di mɛrɛsin fɔ ɔda kɔndishɔn pas di wan we dɛn bin gri fɔ, we risach dɔn sho se i fayn fɔ ɔda sik.
- Pen we nɔ de dɔn: Ɛspɛshali pen we gɛt fɔ du wit di nerve, lɛk dayabitik nyuropati ɛn posthɛpɛtik nyuraljia.
- Fɔ mek yu nɔ gɛt maygren: Kɔntrol maygren we yu kin gɛt ɔltɛm.
- Inshɔmnia: Dɛn kin gi sɔm pipul dɛn smɔl smɔl fɔ ɛp dɛn fɔ slip.
- Di prɔblɛm dɛn we kin mek pɔsin wɔri
- Fibromyalgia: Pen ɛn taya ɔlsay na di bɔdi.
- Bedwetting: Sɔntɛnde, dɛn kin advays dis sik fɔ yɔŋ pikin dɛn.
Aw dis mɛrɛsin de wok na di bɔdi?
Fɔ tɔk am simpul wan, wi bren gɛt kemikal dɛn we de transmit mɛsej bitwin di nɛv sɛl dɛn. Wi kin kɔl dɛn nyurotransmitta ya . `Norepinephrine` εn `Serotonin` na tu rili imכtant nyurotransmit dεm we de kכntro wi mכd, gladi at, εn bihayvya.
Dɛn lɛvɛl ya kin smɔl pan tin dɛm lɛk pwɛl hat. di TCA dεm de wok bay we dεn de inkrεs di lεvεl dεm fכ dεn nyurotransmitta dεm, ``Norepinephrine`` εn ``Serotonin`` na di bren, we de mek di kכmyunikeshn bitwin di nεv sεl dεm bכku.
We dɛn de kɔntrol di pen, dɛn mɛrɛsin ya de blok di pen signal dɛn frɔm di spɛshal kɔd to di bren.
bכt wit dis prכsεs, כda rεsεpכta dεm na di bכdi de blכk bak. Na dat mek sayd ɛfɛkt lɛk dray mɔt ɛn prɔblɛm fɔ pis kin apin.
Wetin na di sayd ɛfɛkt ɛn risk dɛm fɔ dɛn mɛrɛsin ya?
TCA dɛn gɛt smɔl ay insidɛns fɔ sayd ɛfɛkt pas nyu mɛrɛsin dɛn. Bɔt, nɔto ɔlman kin gɛt dɛn. If dɛn du dat, dɛn go stɔp as tɛm de go as di bɔdi de yus to di mɛrɛsin.
Kɔmɔn sayd ɛfɛkt dɛn
- Dray mɔt
- Banbɛlɛ
- Diziz we pɔsin kin gɛt
- Di we aw pɔsin kin slip
- Di vishɔn we nɔ klia
Ɔda sayd ɛfɛkt dɛn
- I nɔ izi fɔ pis ɔ fɔ kip yu pis
- Di at rit we de go ɔp (Tachycardia) .
- Ɔtostatik haypɔtɛnshɔn (lɔ blɔd prɛshɔn we yu tinap ɔ grap) .
- I kin mek pɔsin want fɔ it mɔ ɛn mɔ ɛn i kin gɛt mɔ wet
If dɛn sayd ɛfɛkt ya de mɔna yu, mek shɔ se yu tɔk to yu dɔktɔ bifo yu stɔp di mɛrɛsin. I kin ebul fɔ ajɔst di doz ɔ tɔk ɔda we fɔ sɔlv di prɔblɛm.
Kes dɛn we nid spɛshal atɛnshɔn
- If yu gɛt hat sik: TCA kin afɛkt sɔm at sik, so yu dɔktɔ kin want fɔ du EKG bifo yu bigin dis mɛrɛsin.
- If yu gɛt ɛpilepsi/fit: Dis mɛrɛsin kin mek yu gɛt smɔl sik fɔ mek yu gɛt sik.
- If yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ: TCA nɔ kin rili sef we yu gɛt bɛlɛ, so i impɔtant fɔ tɔk to yu dɔktɔ bɔt dis.
Impɔtant: Smɔl inkris risk dɔn de fɔ tink bɔt fɔ kil dɛnsɛf we yɔŋ pipul dɛn we nɔ rich 25 ia yet bigin fɔ yuz dis mɛrɛsin. If yu ɔ yu pikin gɛt dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
Yu fɔ wɔri bɔt ɔvadoz?
Yɛs, dis na sɔntin we wi fɔ rili pe atɛnshɔn to. TCA na wan klas ɔf drɔgs we kin mek pɔsin gɛt siriɔs pɔyzin if dɛn tek am pasmak.
Bɔt mɛmba se dis risk nɔ kin apin as lɔng as yu tek di rayt doz we yu dɔktɔ tɛl yu fɔ tek. Ɔvados kin apin nɔmɔ if yu tek bɔku mɛrɛsin bay mistek, we yu nɔ no natin, ɔ bay wilful.
So, ɔltɛm tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu. Kip yu pils na say we sef we pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
Di sayn dɛn we de sho se pɔsin dɔn tek di mɛrɛsin pasmak
- Di at bit we nɔ de bit
- Blɔd prɛshɔn we rili smɔl
- I kin slip bad bad wan
- Di sik dɛn we kin mek pɔsin sik
- Di we aw pɔsin kin shek shek
- Dimɛnshɔnal sik
- Kɔma stet
If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, nɔ de te. Wantɛm wantɛm, kɔl 1990 fɔ ambulans, ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu. If nid de, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Mɛsej we dɛn kin kɛr go na os
- TCA na wan ol, bɔt rili yusful klas fɔ mɛrɛsin wae de trit difrɛn kayn sik dɛm, lɛk pwɛl hat, pen wae nɔr de dɔn, ɛn maygren.
- Dɛn tin ya kin gɛt smɔl mɔ sayd ɛfɛkt pas di nyu mɛrɛsin dɛn, bɔt nɔto ɔlman kin gɛt dɛn. If yu gɛt ɛni sayd ɛfɛkt we de mɔna yu, tɔk to yu dɔktɔ.
- Nɔ ɛva chenj di doz fɔ di mɛrɛsin ɔ stɔp fɔ tek am wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Ɔltɛm kip mɛrɛsin na say we sef usay pikin dɛn nɔ go ebul fɔ rich.
- Yu fɔ no di sayn dɛn we pɔsin kin gɛt we i tek di mɛrɛsin pasmak. If yu saspek dis kayn tin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt yu mɛrɛsin, aw i de wok, ɔ di bad tin dɛn we kin apin to yu, nɔ fred fɔ aks yu dɔktɔ. I de de fɔ ɛp yu.
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