Sɔm de yu kin fil gladi pasmak, gladi, ɛn ful wit ɛnaji... Bɔt ɔda de dɛn yu kin fil so dɔŋ dat yu nɔ kin ebul fɔ du ɛnitin, ɛn yu kin fil lɛk se yu dɔn bost wit di wɔl... Wi kin kɔl dis sɔdɛn imɔshɔnal swing ‘mood swings’. I go mɔs bi se yusɛf dɔn ɛkspiriɛns dis. Dis kin bi wan big sayn fɔ wan maynd sik wae dɛn kɔl bipolar. Tide, insay dis atikul, wi go tɔk bɔt Bipolar I Disorder ɛn di drɔg Vraylar we dɛn kin yuz fɔ trit am.
Wetin rili na Bipolar I?
Fɔ tɔk am simpul wan, bipola muud na wan sik wae kin mek yu de fil bad bad wan, yu ɛnaji, ɛn aw yu de du tin. I gɛt tu men we aw pɔsin de biev.
1. Manic Episode: Insay dis tɛm, yu kin fil rili gladi, gladi, ɛn gɛt trɛnk. Yu kin gɛt prɔblɛm wit yu bɔdi, yu kin tɔk kwik kwik wan, yu kin wok we yu nɔ de stɔp, ɛn yu kin disayd fɔ du sɔntin we go mek yu gɛt prɔblɛm.
2. Diprɛshɔn Episode: Insay dis tɛm, yu kin fil bad bad wan, pwɛl hat, ɛn nɔr kin intres pan ɛnitin. Yu kin taya ɔltɛm, yu nɔ kin want fɔ it , ɛn yu nɔ kin fil fɔ du tin dɛn we yu bin de ɛnjɔy trade.
Pɔsin we gɛt bipolar a fɔ dɔn ɛkspiriɛns at le wan manik ɛpisod. Sɔmtɛm, miks ɛpisod kin apin, we ɔl tu di manik ɛn pwɛl hat sik kin apin togɛda. Pan ɔl we no mɛrɛsin nɔ de fɔ dis sik, if yu tek di rayt mɛrɛsin ɛn tritmɛnt, i pɔsibul fɔ kɔntrol di sik ɛn liv nɔmal layf .
Vraylar na wan mɛrɛsin wae dɛn kin yuse fɔ trit ɔl dɛn tri tin ya (mania, pwɛl hat, ɛn miks). Di tin we de mek i wok na kariprazin. I de pan wan klas ɔf drɔgs we dɛn kɔl sɛkɔn jɛnɛreshɔn antisaykotik. Dis klas ɔf drɔgs bɛtɛ pas ol drɔgs bikɔs dɛn nɔ kin gɛt sayd ɛfɛkt we gɛt fɔ du wit muvmɛnt (ɛkstrapyramidal simptom) lɛk fɔ shek ɛn nɔr kin rɛst.
Pan ɔl we dɛn nɔ ɔndastand gud gud wan yet aw dis mɛrɛsin de wok, wi no se i de balans di wok we tu kemikal dɛn we de na di bren we dɛn kɔl sɛrotonin ɛn dopamine . Dɛn tu kemikal ya na di wan dɛn we kin ɛp mɔ fɔ kɔntrol di we aw wi de fil.
Aw yu kin yuz dis mɛrɛsin?
Vraylar de kam insay kapsul. Yu kin tek am wan tɛm insay di de, wit it ɔ yu nɔ it am. Bɔt di tin we impɔtant pas ɔl na fɔ tek am jɔs lɛk aw yu dɔktɔ tɛl yu, insay di rayt doz, di rayt tɛm.Yu dɔktɔ kin chenj di doz dipen pan di sayn dɛm we yu gɛt.
Impɔtant: Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ inkrisayz ɔ ridyus di doz if yu nɔ go to yu dɔktɔ fɔs.
Di tebul we de dɔŋ ya de sho aw dɔktɔ kin gi dɛn dis mɛrɛsin.
| Tayp fɔ di Episod | Di doz we dɛn kin yuz fɔ stat | Di maksimal doz we di dɔktɔ kin chenj |
|---|---|---|
| Manik ɔ Miks Ɛpisod dɛn | 1.5mg pan di fכs de, kin inkrεs to 3mg frכm di sεkכn de. | 6mg fɔ wan de |
| Diprɛshɔn Ɛpisod dɛn | 1.5mg na di fɔs de. | afta 15 dez, dεn kin inkrεs di doz to 3mg pan de if nid de. |
Aw lɔng i kin tek fɔ mek di mɛrɛsin wok?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Vraylar nɔ de wok wantɛm wantɛm. I kin bigin fɔ afɛkt yu bɔdi smɔl smɔl. So i kin tek sɔm wiks fɔ si di rizɔlt. Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ tek di mɛrɛsin we yu nɔ mis wan de ɛn fɔ lɔng tɛm we yu dɔktɔ tɛl yu fɔ tek am. If yu fɔgɛt fɔ tek yu mɛrɛsin, yu kin yuz pilbɔks ɔ sɛt mɛsej fɔ mɛmba na yu fon.
Sɔntin we wi fɔ tek tɛm mɔ bɔt!
We yu bigin fɔ tek mɛrɛsin fɔ ɛni mental sik, mɔ insay di fɔs mɔnt ɛn we yu de chenj di doz, sɔm pipul dɛn kin gɛt chenj na dɛn maynd. Risk de fɔ mek pɔsin tink ɔ du sɔntin fɔ kil insɛf . Nɔ fred dis, bɔt yu fɔ rili tek tɛm.
If yu ɔ pɔsin we yu sabi fil lɛk fɔ du bad to dɛnsɛf, go na di ɔspitul we de nia yu ɛn nɔ de te.Go na di Imejɛnsi Dipatmɛnt (ETU) ɔ kɔl yu dɔktɔ wantɛm wantɛm.
Kip yu yay fɔ dɛn tin ya:
- Nyu ɔ mɔ tink bɔt fɔ kil dɛnsɛf.
- Fɔ tray fɔ kil insɛf.
- Nyu ɔr de wɔri pasmak , pwɛl hat, ɔr ɔda kayn chenj wae nɔr kɔmɔn pan aw pɔrsin de biev.
Wetin fɔ du if di sayd ɛfɛkt dɛn apin?
Lɛk ɔl di mɛrɛsin dɛn, Vraylar kin mek yu gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn. Ilɛksɛf dɛn du dat, bɔku tɛm dɛn kin ebul fɔ kɔntrol dɛn. Dis dɔŋ ya na sɔm pan de sayd ɛfɛkt dɛm wae kin kam ɛn wetin yu kin du bɔt dɛm.
| Sayd Ifɛkt we i kin gɛt | Tin dɛn we yu go ebul fɔ du ɛn wetin yu nid fɔ no |
|---|---|
| muvmεnt dεm we dεn nכ kin kכntro (ekstrapyramidal simptom dεm) - fכ egzampl. tremor, rigidity | Dɛn tin ya kin rili mɔna yu. If yu gɛt dɛn sik ya , tɛl yu dɔktɔ wantɛm wantɛm . I kin ebul fɔ chenj di mɛrɛsin ɔ gi yu difrɛn mɛrɛsin. |
| Nɔ rɛst (Akathisia) . | Dis na di sem tin wit wetin dɛn bin dɔn tɔk ɔp. Tɔk to di dɔktɔ. I go gi wi sɔlv fɔ dis. |
| Bɛlɛ de at, nɔs, vɔmit | Drink bɔku wata fɔ mek yu nɔ gɛt wata na yu bɔdi. It layt it dɛn lɛk krak krak ɛn bred. Nɔ it tin dɛn we gɛt ɔyl ɛn we gɛt spays. If yu sik nɔr de bɛtɛ, tɛl yu dɔktɔ. |
| Di we aw pɔsin kin slip | Nɔ drayv ɔ yuz mashin dɛn we nid fɔ de wach te yu no gud gud wan aw di mɛrɛsin de afɛkt yu. |
Bikɔs Vraylar kin de na di bɔdi fɔ lɔng tɛm, sɔm sayd ɛfɛkt dɛn nɔ kin apin wantɛm wantɛm, bɔt i kin apin sɔm wiks afta dat. So na fɔ no bɔt ɛni nyu sayn we yu gɛt.
Prɔblɛm kin de wit ɔda mɛrɛsin dɛn?
Yɛs, na fɔ tru. Ɔda mɛrɛsin dɛn we yu de tek kin afɛkt di we aw Vraylar de wok. Vraylar kin chenj di we aw ɔda mɛrɛsin dɛn kin wok bak. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di mɛrɛsin dɛn fɔ ɔda sik dɛn, mɛrɛsin dɛn we de mek yu nɔ gɛt pen, vaytamɛn dɛn, ɛn ivin Ayurveda mɛrɛsin dɛn). I kin gi yu di mɛrɛsin we bɛtɛ fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Bipolar I na wan sik wae dɛn kin kɔntrol fayn fayn wan wit tritmɛnt. Vraylar na wan fayn mɛrɛsin we dɛn kin yuz fɔ am.
- Fɔ bigin, chenj di doz, ɛn stɔp dis mɛrɛsin fɔ jɔs du am bay yu dɔktɔ in advays.
- I kin tek sɔm wiks fɔ si di ful ifɛkt dɛm we di mɛrɛsin gɛt, so i rili impɔtant fɔ kɔntinyu fɔ yuz am ɛn nɔ mis wan de.
- Wach gud gud wan fɔ ɛni chenj na yu maynd, lɛk fɔ tink bɔt fɔ kil yusɛf, di fɔs tɛm we yu de trit yu. If yu gɛt ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu.
- Nɔ fred ɛni sayd ɛfɛkt we go apin, bɔt tɔk opin wan wit yu dɔktɔ bɔt am. I go gi yu di bɛst sɔlvishɔn.
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