Dis dɔn ɛva apin to yu ɔ pɔsin we yu sabi? Sɔntɛnde, yu kin gladi ɛn gɛt zil we yu nɔ go biliv. Ɔda tɛm dɛn, yu kin fil bad sote yu nɔ kin ebul fɔ du natin, yu kin fil lɛk se yu dɔn bost wit di wɔl, ɛn yu kin fil bad. Dis oscillation bitwin tu contradictory states of mind na di men kwaliti fɔ de mental sik wae wi de tɔk bɔt tide. I tan lɛk tu say dɛn na kɔyn.
Fɔ tɔk am simpul wan, wetin na bipolar disorder?
Bipolar disorder , wae dɛn kin kɔl bak manic depression, na wan sik wae de kam pan pɔrsin in maynd wae kin gɛt bɔrku impak pan aw pɔrsin de fil, in trɛnk, aw i de tink, ɛn aw i de biev. Di wɔd "bipolar" min "tu pol." Dis min se pipul dɛm wae gɛt dis sik kin gɛt tu kayn tin wae kin pasmak, ɔr pol dɛm, wae dɛn kin fil.
1. Mania: Dis na di ekstrem. Insay dis tɛm, pɔsin kin fil gladi pasmak, i kin gɛt trɛnk, ɛn i kin gɛt zil. Dɛn kin fil lɛk se dɛn go ebul fɔ win di wɔl. Sɔntɛnde, dis kayn we aw pɔrsin kin du tin pasmak kin kam wit wae pɔrsin kin vɛks, kin du tin kwik kwik wan, ɛn fɔ tek risk. Sɔm pipul dɛn kin gɛt delusion ɔr hallucination bak insay dis tɛm.
2. Pwɛl hat: Dis na di ɔda tin we kin rili bad. Insay dis tɛm, yu kin fil bad bad wan, yu nɔ gɛt op, ɛn yu nɔ gɛt bɛtɛ trɛnk igen. Yu nɔ de intres igen pan tin dɛn we yu bin de ɛnjɔy trade. Dɛn sayn ya kin rili fiba de sayn dɛm wae de kam wit Klinik Diprɛshɔn.
Bitwin dɛn tu ekstrim ya, dat na we nɔr de ``Mania'' ɔr `` Diprɛshɔn '', di sikman in mud de kɔntinyu fɔ de na nɔmal, stebul lɛvɛl.
Di impɔtant tin na dat, dis nɔto wikɛd tin we pɔsin gɛt. Na wan mεdikal kכndyushכn wae, lεk dayabεtis εn at sik, na di chenj dεm na di bren kεmεstri.
Dɛn kin gɛt men kayn sik wae de mɛk pɔrsin fil bad?
Yɛs, sɔm men kayn tin dɛn de fɔ dis sik. Yu dɔktɔ go no us kayn yu fɔdɔm pan bay di kayn sik we yu gɛt.
- Bipolar I : Dis kayn tin kin bi wae yu kin gɛt siriɔs mania wae kin te fɔ at le wan wik. Sɔntɛnde, di sik kin so bad dat dɛn kin nid fɔ go na ɔspitul. Dɛn kin gɛt sɔm kayn pwɛl hat sik bak wae kin teik tu wiks.
- Bipolar II: 1.Nɔr siriɔs episɔd nɔr de fɔ mania. Bifo dat, wan tin kin de we nɔ kin izi fɔ du ɛn we nɔ kin rili bad. Bɔt, yu nɔr go ebul fɔ avɔyd fɔ gɛt siriɔs pwɛl hat sik.
- Sayklɔtaymik Disɔda: Dis na sik wae de mɛk pɔrsin fil bad ɛn de pwɛl hat sik kin de fɔ lɔng tɛm, at le tu ia pan big pɔrsin ɛn wan ia pan yɔŋ pikin. Bɔt dɛn sik ya nɔ kin rili bad lɛk di wan dɛn we de na Bipolar I ɔ II.
- Rapid Cycling: Dis nɔto difrɛn kayn we. Na wɔd wae dɛn kin yuse fɔ tɔk bɔt wan patɛn wae de sik pan pɔrsin wae gɛt Bipolar I ɔr II. If 4 ɔ mɔ tɛm we pɔsin kin chenj in maynd insay wan ia, dɛn kin kɔl am Rapid Cycling.
Wetin na di sayn dɛm fɔ dis sik?
Insay bipola muud disɔda, dɛn ay ɛn lɔw ya, ɔr episɔd wae de mek pɔrsin gɛt mania ɛn pwɛl hat, nɔr kin apin pan wan patikyula pat. Pɔsin kin gɛt di sem kayn muud stet (e.g., pwɛl hat) sɔm tɛm bifo i chenj to di ɔda ekstrim (mania). Dɛn tin ya kin las fɔ sɔm wik, mɔnt, ɔ ivin fɔ lɔng lɔng tɛm.
Fɔ mek i izi fɔ ɔndastand, lɛ wi luk dɛn sayn ya na tebul.
| Simptom dɛm fɔ Mania | Di sayn dɛm fɔ pwɛl hat |
|---|---|
| Fɔ fil se yu rili gladi ɛn gladi. | I nɔ gɛt trɛnk igen. |
| Fɔ vɛks kwik kwik wan, wantɛm wantɛm chenj frɔm gladi at to vɛks. | Fɔ fil se yu at pwɛl bad bad wan ɛn yu nɔ gɛt op igen. |
| Di nid fɔ slip kin ridyus bad bad wan. | Nɔ intres pan tin dɛn we yu bin de ɛnjɔy trade. |
| Tok rili fast ɛn nɔ de stɔp. | Fɔ fɔgɛt ɛn i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin. |
| Fɔ mek big big plan dɛn we nɔ rili apin. | I nɔ izi fɔ disayd fɔ du sɔntin, fɔ tɔk sloslo. |
| Fɔ spɛn mɔni we yu nɔ nid, fɔ nɔ tek tɛm. | Nɔ slip ɔ fɔ slip pasmak. |
| Di abit fɔ yuz drɔgs ɛn rɔm mɔ ɛn mɔ. | Chenj na di apɛtit (inkris ɔ dikɛs). |
| Fɔ biliv dɛnsɛf pasmak, fɔ tink se dɛn go ebul fɔ du ɛnitin. | Fɔ tink bɔt layf, day, ɔ tray fɔ kil yusɛf. |
Di sayn dɛm fɔ pikin ɛn yɔŋ pipul dɛm
Di sayn dɛm wae de kam pan pikin ɛn yɔŋ pipul dɛm kin tan lɛk di wan dɛm wae de pan big pipul dɛm. Bɔt sɔntɛnde, dɛn kin kɔnfyus dɛn wit ɔda tin dɛn, lɛk di atɛnshɔn dɛfisit haypa aktiviti disɔda (ADHD). So if yu tink se yu pikin gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ we de mɛn pikin dɛn ɔ dɔktɔ we de mɛn dɛn maynd fɔ advays.
Wetin na de tin wae kin mek pɔrsin gɛt dis maynia sik?
Dɛn nɔ dɔn fɛn wan patikyula rizin yet, bɔt di wan dɛn we de stɔdi bɔt dis biliv se sɔm tin dɛn we dɛn jɔyn togɛda kin ɛp fɔ du dat.
- Jɛnɛtiks: If pɔrsin na yu famili gɛt dis sik, yu kin gɛt dis sik smɔl, bɔt i nɔr min se yu go mɔs gɛt am.
- di bren strכkchכ εn di wok we dεn de du: dεn dכn fכnshכn se di sik pipul dεm gεt imbalans εn strכkchכral chenj dεm na sכm kεmikכl dεm ( nyurotransmitta dεm ) na dεn bren.
- Tin dɛm wae de kam wit di envayrɔmɛnt: Tin dɛm lɛk tin dɛm wae kin mek pɔrsin fil bad wae yu smɔl, wae yu gɛt bɔrku strɛs, ɛn wae pɔrsin lɛk pɔrsin kin lɔs kin mek di sik bigin ɔr kin mek di sik wɔs.
- Drug ɛn rɔm: Dɛn tin ya kin mek yu gɛt sɔm kayn sik ɔr mek de sik wɔs.
Aw dɛn kin trit am?
Di gud nyus na dat di sik wae de mɛk pɔrsin fil fayn na wan sik wae dɛn kin mɛn fayn fayn wan wit tritmɛnt . Fɔ gɛt kɔrɛkt diagnosis na di fɔs tin we impɔtant pas ɔl.
Bikɔs dis na sik we kin de fɔ lɔng tɛm, dɛn nid fɔ kɔntinyu fɔ gɛt tritmɛnt. Bɔku tɛm, dɛn kin yuz kɔmbayn tritmɛnt dɛn.
Mɛrɛsin we dɛn kin gi
Dis na di men tritmɛnt. Yu dɔktɔ go gi yu mɛrɛsin we fit fɔ yu sik.
- Mod Stabilizers: Fɔ ɛgzampul, Lithium, Valproate.
- Antisaykotik: Dɛn tin ya kin ɛp fɔ kɔntrol di manik simptom dɛm.
- Antidipreshan: Dɛn kin gi dɛn tin ya fɔ di prɛshɔn episɔd dɛm. Bɔt sɔm tɛm dɛn kin mek yu gɛt manik, so dɛn kin gi dɛn ɔltɛm wit mɛrɛsin we de mek yu fil fayn.
Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu. I kin tek sɔm tɛm fɔ fɛn di rayt kɔmbayn mɛrɛsin fɔ yu. So i impɔtant fɔ peshɛnt wit di tritmɛnt we yu de gi yu.
Saykotɛrapi
Apat frɔm mɛrɛsin, saykayatrik advays bak rili impɔtant.
- Cognitive Behavioral Therapy (CBT): Dis kin ɛp fɔ no di bad tin dɛn we pɔsin kin tink ɛn di we aw i de biev ɛn chenj am to fayn tin dɛn.
- Intapɔsɔnal ɛn Sɔshial Ritm Tɛrapi (IPSRT): Dis kin ɛp fɔ kɔntrol di we aw pɔsin de fil bay we i de mek wan kɔnsistɛns schedule fɔ tin dɛn lɛk slip ɛn it ɛvride, ɛn liv to da ritm de.
- Saykoedukeshɔn: Fɔ tich yusɛf ɛn yu famili bɔt dis sik na big trɛnk fɔ liv wit di sik.
Ɔda tritmɛnt dɛn ɛn chenj dɛn layf
- Ilɛktrokɔnvulsiv Tɛrapi (ECT): Dɛn kin yuz dis tritmɛnt ɔnda di klos sɔpɔtishɔn fɔ dɔktɔ dɛn pan kes dɛm we rili siriɔs we nɔ de ansa to mɛrɛsin.
- Wan tin we yu fɔ du ɔltɛm: Yu fɔ gɛt di abit fɔ go slip, wek, ɛn it di sem tɛm ɛvride.
- Ɛksesaiz: Ɛksesaiz ɔltɛm rili fayn fɔ mek yu maynd gɛt wɛlbɔdi.
- Nɔ drink rɔm ɛn tek drɔgs kpatakpata.
- Manej di strɛs: Tin dɛn lɛk yoga ɛn meditashɔn kin ɛp.
Wetin fɔ du if yu ɔ pɔsin we yu lɛk nid ɛp?
If yu ɔr pɔrsin wae yu sabi gɛt dis sik, duya nɔr sɔfa yu wan.
- Si dɔktɔ wantɛm wantɛm: Tɔk to yu famili dɔktɔ ɔr dɔktɔ we de mɛn yu maynd bɔt dis.
- Tɛl di wan dɛn we yu lɛk:Tɔk to yu famili ɛn yu tayt padi dɛn bɔt dis. Dɛn sɔpɔt go bi big trɛnk fɔ yu pan dis waka.
- Insay imejensi: If pɔsin de tink bɔt fɔ kil insɛf ɔ i de insay di pozishɔn fɔ du bad to insɛf ɔ ɔda pipul dɛn, kɛr am go na di ɔspitul we de nia am wantɛm wantɛm na di Imejɛnsi Tritmɛnt Yunit (ETU).
Fɔ liv wit bipola muud disɔda kin tranga, bɔt if yu gɛt di rayt tritmɛnt, yu famili sɔpɔt yu, ɛn yu de gi yusɛf to yu yone layf, yu kin liv nɔrmal layf ɛn gladi at.
Mɛsej we dɛn kin kɛr go na os
- Bipolar disorder nɔto pɔrsin in fɔlt ɔr wik. Na wan sik we pɔsin kin gɛt we i nid fɔ trit.
- di men kכntribyushכn na oscillation bitwin tu ekstrem dεm fכ mכd (gεdi bכku bכku bכku bכku wan εn pasmak sad).
- If dɛn no di sik ɛn trit am fayn fayn wan, dɛn kin kɔntrol dis sik fayn fayn wan ɛn dɛn kin liv nɔmal layf.
- I rili impɔtant fɔ tek mɛrɛsin lɛk aw yu dɔktɔ tɛl yu ɛn aks fɔ advays bɔt saykayatrik. Nɔ ɛva stɔp fɔ tek mɛrɛsin fɔ yusɛf.
- If yu ɔ pɔrsin wae yu sabi gɛt dɛn kayn sik ya, nɔr delay fɔ go to dɔktɔ. Nɔto yu wan de, ɛn ɛp de.
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