ADHD: Olugendo lw’okutegeera n’okuddukanya obwongo obw’enjawulo

Ebintu eby’okuzannyisa ebya langi ez’enjawulo ebyali bisaasaanidde mu kisenge mwe balindirira ebiseera ebisinga byaleetera Wren akamwenyumwenyu, ne bimujjukiza mutabani we Leo. Naye leero, bakoma ku kwongera ku kavuyo ke ak’omunda. Yali wano olw’omwana we ow’emyaka 7 omugezi era ow’amaanyi, eyali alwanagana mu ssomero. Bulijjo yali asikaasikanya, nga tabulwa maanyi, era omusomesa we yali agambye mpola nti ADHD yandiba nga esoboka. Omutima gwa Wren gwamuluma. Bulijjo yali akimanyi nti Leo wa njawulo, naye ekirowoozo ky’okuzuula obulwadde kyawulira nga kizibu nnyo. Era yali alabye mukwano gwe Olivia ng’akola ku bintu ebifaananako bwe bityo n’omwana we. Yateekawo essaawa ne Dr. Priya, omusawo waabwe ow’amaka , ng’asuubira nti ajja kumutegeera bulungi n’okulungamizibwa.

“Webale kutulaba, Dr. Priya,” Wren bwe yagamba ng’eddoboozi lye lizitowa olw’okweraliikirira ng’atudde wansi nga Leo asikaasikanya mu ntebe eyali ku mabbali ge. "Nfaayo nnyo ku Leo. Omusomesa we yayogera ku ADHD , era mukwano gwange, Olivia, alina omwana alina ADHD, alowooza nti naye ayinza okuba nayo. It just feels like so much to take in."

Dr. Priya, omusawo w’amaka omuto era omusaasizi, yawaayo akamwenyumwenyu akagumya. "Kitegeerekeka ddala okuwulira ng'ozitoowereddwa, Wren. ADHD eyinza okuba nnyingi okukolako. Naye era mbeera ya bulijjo nnyo era esobola okuddukanyizibwa. Ka tutandike nga twogera ku ADHD kye ki, engeri gye yeeyanjula mu baana, ne kye tuyinza okukola okuyamba Leo. Tujja kwogera ne ku kye kitegeeza eri abantu abakulu, anti okusoomoozebwa kungi kwe kumu."

ADHD kye ki?

“ADHD kitegeeza Attention Deficit Hyperactivity Disorder,” Dr. Priya bwe yatandika. “Embeera ya nkula y’obusimu, ekitegeeza nti ekosa engeri obwongo gye bukulamu n’engeri gye bukolamu.Abantu abalina ADHD batera okuba n’enjawulo mu mirimu gy’obwongo, naddala mu bitundu ebifuga okufaayo,enneeyisa , n’ebiruubirirwa.”

“Kikulu okutegeera nti ADHD si kwoleka magezi ga mwana oba obusobozi bw’omuzadde,” bwe yaggumiza. “Enjawulo ya nnamaddala mu busimu eyinza okukifuula okusoomoozebwa okussa essira, okutereeza enneewulira, okufuga ebirowoozo, n’okuddukanya emirimu egya buli lunaku .”

“Abantu bangi bafuna obutafaayo n’enkyukakyuka mu mitendera gy’amaanyi , naye eri omuntu alina ADHD, kino kibaawo emirundi mingi era mu ngeri ey’amaanyi.Ddala kiyinza okukosa obulamu bwe, essomero, emirimu, omukwano , buli kimu,” Dr. Priya ADD ed.

Okutegeera Obubonero: Obubonero bwa ADHD

“Kale, bubonero ki obulaga ADHD, naddala mu mwana nga Leo?” Wren bwe yabuuzizza ng’agezaako okuyunga ennukuta.

“Obubonero buyinza okwawukana, Wren,” Dr. Priya bwe yannyonnyola. "Naye okutwalira awamu, zigwa mu biti bisatu ebikulu: obutafaayo, okukola ennyo, n'okukola ennyo.Ate era kikulu okugaana embeera endala zonna ez'obujjanjabi eziyinza okuba nga ze zireeta obubonero buno."

Obutafaayo: Okusinga Okuloota Emisana

• Okukaluubirirwa okussa essira: “Kino kiyinza okulabika ng’ekizibu ky’okussaayo omwoyo mu kibiina, okwanguyirwa okuwugulibwa ng’okola emirimu gy’awaka, oba okulwana okugoberera ebiragiro naddala nga waliwo emitendera mingi.”
• Okwerabira: “Emirundi mingi okwerabira emirimu, emirimu gy’awaka oba gy’agenda okusisinkana.Leo ayinza okwerabira okuleeta bbokisi ye ey’ekyemisana awaka oba okwerabira nti alina okwegezaamu mu mupiira.”
• Okulabika ng’atawuliriza: “Okulabika ng’olina ‘spaced out’ oba nga tofumbiriganwa ng’oyogera naye butereevu.”
• Okukola ensobi ezitafaayo: “Okubulwa ebikwata ku nsonga oba okukola ensobi ku mirimu gy’essomero olw’okuba tafaayo nnyo.”
• Okukaluubirirwa okutegeka emirimu: “Okulwana okuteekateeka n’okukulembeza emirimu, ekiyinza okuvaako ekisenge ekitabuddwatabuddwa oba pulojekiti ezitajjuvu.”
• Okufiirwa ebintu enfunda n’enfunda: “Okukyusa ebintu by’essomero, eby’okuzannyisa, oba ebintu ebirala ebikulu.”
• Okwewala emirimu egyetaagisa okufuba ennyo mu birowoozo: “Okulwawo okukola emirimu gy’awaka oba okunoonya ensonga eziyinza okwekwasa okwewala ebintu ebizibu mu birowoozo.”

Okukola ennyo: Okusinga okubeera n’amaanyi gokka

• Okuwuubaala n’okuwuubaala: “Okutambula buli kiseera, ng’akuba ebigere, ng’asikaasikanya n’emikono gye, ne bw’aba ng’ateekeddwa okutudde, nga mu kibiina.”
• Obutawummula: “Okuwulira ng’awulira munda nti tateredde, ng’alinga atasobola kuwummulamu oba okumala ebbanga eddene ng’atudde.”
• Okudduka oba okulinnya mu ngeri etasaana: “Oyogedde nti Leo ayagala nnyo okulinnya, Wren. Ng’akola emirimu egy’amaanyi, kiyinza okuba mu mbeera nga tekirina bulabe oba nga tekisaanira, gamba ng’okulinnya ku bintu by’omu nnyumba munda.”
• Okukaluubirirwa okuzannya mu kasirise: “Okulwana okwenyigira mu mirimu egy’omu kasirise oba ebintu by’ayagala ennyo. Bulijjo ayinza okwetaaga okuba ‘ku mugendo.’”
• Okwogera ekisukkiridde: “Okwogera okusinga abaana abalala, emirundi mingi okutaataaganya oba okufuga emboozi.”

Impulsivity: Okukola nga Tonnalowooza

• Okuddamu okuwuuma: “Okuyita mu kibiina nga tolinze kuyitibwa.”
• Okusalako emboozi: “Okuyingira mu mboozi oba emirimu nga toyitiddwa.”
• Okukaluubirirwa okulinda eddaala lyabwe: “Okulwana okulinda mu layini oba okukyusakyusa mu mizannyo.”
• Okukola nga tofuddeeyo ku biyinza okuddirira: “Okwenyigira mu nneeyisa ey’akabi nga tolowooza ku kabi akayinza okubaawo.”

“Kikulu okujjukira nti bino byakulabirako byokka,” Dr. Priya bwe yagasseeko. "Si buli mwana alina ADHD nti ajja kuba n'obubonero buno bwonna, era obuzibu bwabwo buyinza okwawukana.

Ebika eby’enjawulo eby’obulwadde bwa ADHD

“Waliwo ebika bya ADHD eby’enjawulo?Mukwano gwange Olivia yalina kye yayogera ku ekyo,” Wren bwe yajjukira.

“Yee, waliwo,” Dr. Priya bwe yakakasa. “Ekibiina ekigatta abasawo b’emitwe mu Amerika kikkiriza ensonga ssatu enkulu ezikwata ku ADHD:”

1. Okusinga Okwanjula Okutaliimu Kufaayo

“Kino kye kyayitibwanga ADD,” Dr. Priya bwe yannyonnyodde. "Abantu abalina ekika kino okusinga balwanagana n'obubonero bw'obutafaayo.Bayinza okwanguyirwa okuwugulibwa, okwerabira, n'okukaluubirirwa okutegeka emirimu.Kyokka, bayinza obutaba bayitiridde okuyitiridde oba okubeera abayitirivu."

“Ekyewuunyisa, okunoonyereza kulaga nti ekika kino kiyinza obutazuulibwa bulungi mu baana naddala abawala, kubanga bayinza obutalaga nneeyisa etaataaganya ezisikiriza abantu okufaayo ku ntalo zaabwe mu mbeera y’ekibiina.”

2. Okusinga Ennyanjula ya Hyperactive-Impulsive

“Abantu abalina ekika kino basinga kufuna buzibu bungi nnyo n’obutafaayo,” Dr. Priya bwe yategeezezza. "Bayinza okuwuubaala buli kiseera, okufuna obuzibu okusigala nga batudde, okwogera ekisusse, n'okusalako abalala. Wadde ng'obutafaayo kuyinza okubaawo, tebulabika nnyo okusinga obubonero obw'okukola ennyo-okukola ennyo."

3. Enyanjula ey’okugatta

“Kino kye kika ky’obulwadde bwa ADHD obusinga okumanyibwa,” Dr. Priya bwe yagamba. “Abantu abalina ennyanjula ey’okugatta bafuna okutabula okw’amaanyi okw’obubonero obw’obutafaayo n’obw’okukola ennyo-obutafaayo.”

“Era kikulu okumanya nti ennyanjula y’obulwadde bwa ADHD esobola okukyuka okumala ekiseera,” bwe yagasseeko. “Omwana asinga okubeera n’ebintu ebisukkiridde-okukola ennyo, ayinza okweyongera obutafaayo bwe bagenda bakaddiwa.”

Kiki Ekivaako ADHD? Okunoonyereza ku Emirandira

“Kiki ekivaako ADHD mu kusooka?” Wren bwe yabuuzizza ng’anoonya ennyonyola ku kusoomoozebwa kwa Leo.

“Wadde nga tetunnaba kufuna by’okuddamu byonna, okunoonyereza kulaga nti ensonga zigatta wamu,” Dr. Priya bwe yaddamu.

• Obuzaale: “ADHD etera okutambulira mu maka, ekiraga nti waliwo ekitundu eky’amaanyi eky’obuzaale.Singa omuzadde oba muganda we alina ADHD, omwana naye atera okubufuna.”
• Enzimba y’obwongo n’enkola y’emirimu: “Okunoonyereza kuzudde enjawulo mu nsengeka y’obwongo n’enkola y’emirimu gy’abantu abalina obulwadde bwa ADHD, naddala mu bintu ebikwata ku kussaayo omwoyo, okufuga ebirowoozo, n’emirimu gy’abakulira.
• Obusimu obutambuza obusimu: “Obutakwatagana mu ddagala erimu ery’obwongo naddala dopamine ne norepinephrine, kirowoozebwa nti kikola kinene.Dopamine yeenyigira mu kukubiriza, empeera, n’okutambula, ate norepinephrine yeenyigira mu kubeera obulindaala n’okussaayo omwoyo.Okunoonyereza kulaga nti okukendeera kw’ekirungo kya dopamine kye kivaako ADHD.”
• Ensonga ezikwata ku butonde: “Wadde nga si nsonga eziviirako obutereevu, ensonga ezimu ezikwata ku butonde bw’ensi ng’oli lubuto oba mu buto ziyinza okwongera ku bulabe, gamba ng’okukwatibwa obutwa ng’omusulo, okuzaala nga tebanneetuuka, oba okuzaala omugejjo omutono.”
• Okukwatibwa nga tonnazaala: “Okunoonyereza okumu kulaga nti okunywa sigala ng’oli lubuto kiyinza okwongera ku bulabe bw’okulwala ADHD mu baana.”

“Kiyinza okuba nga kikwatagana n’ensonga zino mu ngeri enzibu, okusinga okukwatagana n’ekintu kimu,” Dr. Priya bwe yakiggumiza.

Okufuna okuzuulibwa: Okwekenenya okujjuvu

“Kale, ADHD ezuulibwa etya?” Wren bwe yabuuzizza. “Waliwo ekigezo ekigere?”

“Tewali kukebera kumu ku ADHD, ng’okukebera omusaayi,” Dr. Priya bwe yannyonnyola. “Okuzuula obulwadde kwesigamiziddwa ku kwekenneenya okujjuvu nga kulowooza ku nsonga ez’enjawulo.”

Emitendera mu kwekenneenya ADHD

1. Clinical Interview: “Omusawo ajja kwogera naawe, era bwe kiba kisoboka omwana wo, ku bubonero bwe, ebyafaayo by’obujjanjabi, ebyafaayo by’amaka, n’ebintu byonna ebimweraliikiriza.Bajja kubuuza ku ddi obubonero bwe bwatandika, engeri gye bukosaamu obulamu obwa bulijjo, era oba bubaawo mu mbeera eziwera (okugeza, awaka, essomero, embeera z’abantu).”
2. Enkalala z’obubonero n’okugereka: “Ebibuuzo ebituufu n’ebipimo bitera okukozesebwa okukung’aanya amawulire okuva mu bazadde, abasomesa, n’oluusi omuntu yennyini.
3. Okwetegereza enneeyisa: “Omusawo ayinza okwetegereza enneeyisa y’omwana wo, mu ofiisi oba ng’ayita mu lipoota okuva mu basomesa oba abalabirira abalala, ng’anoonya obubonero obulaga nti tafuddeeyo, ng’akola kisusse, era ng’akola ebintu mu ngeri ey’ekimpowooze.”
4. Okukeberebwa Abasawo: “Okukebera omubiri kikulu okusobola okugaana embeera endala ez’obujjanjabi eziyinza okuba nga zireeta obubonero obufaananako bwe butyo, gamba ng’obuzibu mu thyroid, obuzibu mu tulo, oba obutawulira bulungi.”
5. Okukebera mu by’enjigiriza: “Eri abaana abali mu myaka egy’okusoma, amawulire okuva mu ssomero agakwata ku ngeri gye basomamu, enneeyisa yaabwe, n’obuzibu bwonna mu kuyiga gakulu nnyo.Amasomero gasobola okukola okwekenneenya okuyamba mu kuzuula obulwadde.”

“Okuzuula obulwadde bwa ADHD kitera okukolebwa singa omuntu atuukiriza ebisaanyizo ebitongole ebiragiddwa mu kitabo ekiyitibwa Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5),” Dr. Priya bwe yagasseeko. “Emisingi gino mulimu enkola etaggwaawo ey’obutafaayo ne/oba hyperactivity-impulsivity etaataaganya enkola oba enkulaakulana, ne obubonero obulabika nga tannaweza myaka 12 era mu mbeera eziwera.”

Enkola z’obujjanjabi: Enkola ey’enjawulo

Leo bw’aba alina obulwadde bwa ADHD, bujjanjabi ki bw’ayinza okukozesa?” Wren bwe yabuuzizza ng’essuubi n’okutya bitabuddwamu mu ddoboozi lye.

“Amawulire amalungi gali nti ADHD ejjanjabibwa nnyo,” Dr. Priya bwe yamugumya. “Enkola esinga okukola obulungi etera okuzingiramu okugatta obukodyo obutuukagana n’ebyetaago by’omuntu ssekinnoomu.”

1. Obujjanjabi bw’enneeyisa: Okuyiga Obukugu okusobola okutuuka ku buwanguzi

“Obujjanjabi bw’enneeyisa butera kuba bujjanjabi bwa layini esooka naddala eri abaana abato,” Dr. Priya bwe yannyonnyola. “Essa essira ku kusomesa obukugu obw’omugaso okuddukanya obubonero bwa ADHD n’okulongoosa enkola ya buli lunaku.”

• Okutendeka Abazadde: “Eri abaana abalina ADHD, okutendeka abazadde kikulu nnyo.Kuyigiriza abazadde obukodyo obulungi obw’okuddukanya enneeyisa y’omwana waabwe, okuteekawo ebisuubirwa mu ngeri etegeerekeka, okukozesa okunyweza okulungi, n’okutondawo embeera entegeke.”
• Enzirukanya y’Ekibiina: “Abasomesa basobola okussa mu nkola obukodyo mu kibiina okuwagira abaana abalina obulwadde bwa ADHD, gamba ng’okuwa ebiragiro ebitegeerekeka obulungi, okugabanyaamu emirimu mu mitendera emitonotono, okukozesa ebikozesebwa mu kulaba, n’okuwaayo okuwummulamu enfunda eziwera.”
• Cognitive Behavioral Therapy (CBT): "CBT esobola okuyamba abaana abakulu, abatiini, n'abantu abakulu abalina ADHD. Eyamba abantu ssekinnoomu okuzuula n'okukyusa endowooza embi n'enneeyisa ezibaviirako ebizibu byabwe. Era esobola okuyigiriza obukugu mu kugumira embeera okusobola okuddukanya situleesi, okulongoosa enteekateeka, n'okutumbula okukozesa obudde."
• Okutendekebwa mu bukugu mu mbeera z‟abantu: “Abantu abamu abalina ADHD balwanagana n‟enkolagana n‟abantu.Okutendekebwa mu bukugu mu mbeera z‟abantu kuyinza okubayamba okuyiga okutegeera obulungi ebiraga embeera z‟abantu, okuwuliziganya obulungi, n‟okuzimba enkolagana ennungi.”

2. Eddagala: Okulongoosa obulungi Chemistry y’obwongo

“Eddagala liyinza okuba ekitundu ekikola ennyo mu nteekateeka y’obujjanjabi bwa ADHD naddala ku bubonero obw’ekigero oba obw’amaanyi,” Dr. Priya bwe yategeezezza. “Kikulu okutegeera nti eddagala teriwonya ADHD, naye liyinza okulongoosa ennyo okussa essira, okukendeeza ku kukola ennyo n’okukola ennyo, n’okuyamba abantu ssekinnoomu okuddukanya obulungi obubonero bwabwe.”

Ebisikiriza: Ekintu Ekisinga Okulonda

“Eddagala erizimba omubiri lye ddagala erisinga okuwandiikibwa ku ADHD,” Dr. Priya bwe yannyonnyodde. “Zikola nga bongera ku miwendo gya dopamine ne norepinephrine mu bwongo, obusimu obutambuza obusimu obukola kinene mu kufaayo, . okukubiriza, n’okufuga ebirowoozo.”

• Methylphenidate (Ritalin, Concerta): “Kino ddagala erikozesebwa ennyo mu kusitula omubiri era nga lijja mu nkola ezikola mu kiseera ekitono, ezikola mu makkati, n’ezikola okumala ebbanga eddene.”
• Amphetamine-Based Stimulants (Adderall, Vyvanse): "Ebizimba bino nabyo bisangibwa mu nkola ez'enjawulo. Okugeza Vyvanse, ddagala erisooka, ekitegeeza nti likyusibwa ne lifuuka active form (dextroamphetamine) mu mubiri. Kino kiyinza okuwa ekikolwa ekigonvu, mpolampola era kiyinza okukendeeza ku buzibu bw'okukozesa obubi."

“Kikulu okumanya nti wadde ng’okutwalira awamu ebirungo ebizimba omubiri tebirina bulabe era bikola bulungi nga bikozesebwa nga bwe biwandiikiddwa, bisobola okuvaako ebizibu,” Dr. Priya bwe yalabudde. "Ebizibu ebitera okuvaamu mulimu okukendeeza ku njagala y'okulya, okukaluubirirwa okwebaka, okulumwa omutwe, n'okulumwa olubuto. Ebitatera kubaawo, bisobola okuleeta tics oba okukyusa mu muudu. Kikulu nnyo okukolagana obulungi n'omusawo ng'omira eddagala lino."

Ebitali Bisitula: Enkola endala

“Singa eddagala erizimba omubiri tebikola oba nga ligumiikiriza bulungi, oba bwe wabaawo okweraliikirira ku nkozesa yaabyo, eddagala eritali lya kuzimba lye kirala,” Dr. Priya bwe yagambye.

• Atomoxetine (Strattera): "Kino ddagala eriziyiza okuddamu okukwata eddagala lya norepinephrine. Likola nga lyongera ku muwendo gwa norepinephrine mu bwongo, ekiyinza okulongoosa okufaayo n'okukendeeza ku buzibu.
• Guanfacine (Intuniv) ne Clonidine (Kapvay): "Eddagala lino ddagala lya alpha-2 adrenergic agonists. Mu kusooka lyakolebwa okujjanjaba puleesa naye era kizuuliddwa nti liyamba ku ADHD naddala mu kuddukanya emirimu egy’amaanyi n’okukola ennyo. Liyinza okukozesebwa gokka oba nga ligatta wamu n’ebizimba.”
• Eddagala eriweweeza ku kweraliikirira: “Eddagala erimu eriweweeza ku kweraliikirira, gamba nga bupropion (Wellbutrin), oluusi liyinza okuyamba ku ADHD naddala nga likwatagana n’okwennyamira .

“Okulonda eddagala n’omuwendo omutuufu nkola eyeetaaga okulowooza ennyo n’okulondoola ennyo omusawo,” Dr. Priya bwe yakikkaatirizza. "Ekisinga okukola ku muntu omu kiyinza obutakola ku mulala. Ebiseera ebisinga kizingiramu okugezesa n'ensobi okuzuula eddagala n'omuwendo ogusinga obulungi ogusinga okuwa omugaso nga tegulina bizibu bitono."

Ritalin vs. Adderall: Ekizibu ekitera okubaawo

“Nze mpulidde bingi ku Ritalin ne Adderall,” Wren bwe yayogera. “Njawulo ki eriwo, era osalawo otya ani asinga?”

“Ekyo kibuuzo ekitera okubuuzibwa,” Dr. Priya bwe yakkiriza. Ritalin ne Adderall byombi ddagala erizimba omubiri eritera okukozesebwa okujjanjaba ADHD. Zombi zikola nga zongera ku dopamine ne norepinephrine mu bwongo, naye zirina enjawulo enkulu:”

• Ritalin (Eddagala lya Methylphenidate): .
  • Enkola: Okusinga eziyiza okuddamu okukwatibwa kwa dopamine ne norepinephrine, okwongera okubeerawo kwazo mu synapse (ekifo wakati w’obutoffaali bw’obusimu).
  • Entandikwa n’Ebbanga: Okutwalira awamu etandika amangu okukola naye ng’emala ekiseera kitono bw’ogeraageranya ne Adderall. Enkola ezikola mu bbanga ttono zitera okumala essaawa 3-4, ate ezikola okumala ebbanga eddene zisobola okumala essaawa 6-12.
  • Ebizibu ebivaamu: Ebizibu ebitera okuvaamu bifaananako n’eddagala eddala erizimba era biyinza okuli okukendeeza ku njagala y’okulya, obuteebaka, okulumwa omutwe, okulumwa olubuto n’okubeera n’obunkenke.
• Adderall (Eddagala lya Amphetamine/Eddagala lya Dextroamphetamine):
  • Enkola: Tekoma ku kuziyiza kuddamu kukwatibwa dopamine ne norepinephrine wabula era esitula okufuluma kwazo okuva mu butoffaali bw’obusimu.
  • Entandikwa n’ebbanga: Atera okuba n’okutandika mpola katono naye ng’akola okumala ebbanga ddene bw’ogeraageranya ne Ritalin. Enkola ezikola mu bbanga ttono zitera okumala essaawa 4-6, ate ezikola okumala ebbanga eddene zisobola okumala essaawa 10-12 oba okusingawo.
  • Ebizibu ebivaamu: Efaananako ne Ritalin, naye eyinza okuba n’obusobozi obusingako katono obw’okukendeeza ku njagala y’okulya n’okutaataaganya otulo mu bantu abamu.

“Okulonda wakati wa Ritalin ne Adderall kutera okuva ku ngeri omuntu kinnoomu gy’addamu n’okwagala,” Dr. Priya bwe yannyonnyola. "Abantu abamu bakizuula nti eddagala erimu libakolera bulungi okusinga eddala, oba bayinza okugumiikiriza obulungi emu mu nsonga z'ebizibu ebivaamu. Ebiseera ebisinga kyetaagisa okugezesa okusobola okuzuula ekisinga okukwatagana."

“Waliwo n’eddagala eddala erizimba omubiri erisangibwawo omuli ne Vyvanse nga bwe wayogeddeko emabegako,” bwe yagasseeko. "Vyvanse ddagala erisooka erya dextroamphetamine, ekitegeeza nti likyusibwa ne lifuuka active form mu mubiri. Kino kiyinza okuvaamu okukola obulungi, mpolampola era kiyinza okukendeeza ku buzibu bw'okukozesa obubi. Kitera okugezesebwa singa wabaawo ensonga ezigumiikiriza Adderall oba Ritalin."

Enkola ezitali za ddagala: Engeri y‟obulamu n‟obuwagizi

“Waliwo ebirala bye tuyinza okukola, ng’oggyeeko eddagala, okuyamba Leo?” Wren bwe yabuuzizza ng’ayagala okunoonyereza ku ngeri zonna.

“Ddala,” Dr. Priya bwe yakakasa. “Okukyusa mu bulamu n’obukodyo obw’okuwagira bisobola okukola kinene mu kuddukanya ADHD.”

• Dduyiro Bulijjo: “Okukola emirimu gy’omubiri ngeri ya kitalo ey’okuyamba okuddukanya obubonero bwa ADHD. Kiyinza okulongoosa okussa essira, okukendeeza ku kukola ennyo, okutumbula embeera y’omuntu, n’okutumbula otulo otulungi.”
• Endya Ennungi: “Emmere ennungi erimu ebibala, enva endiirwa, emmere ey’empeke, ne puloteyina ezitaliimu mafuta esobola okuyamba obulamu okutwalira awamu n’okukola kw’obwongo.Okunoonyereza okumu kulaga nti okussa ekkomo ku mmere erongooseddwa, ebyokunywa ebirimu ssukaali, n’ebirungo ebikoleddwa mu ngeri ey’ekikugu kiyinza okuba eky’omugaso eri abantu abamu abalina obulwadde bwa ADHD.”
• Otulo Obamala: “Okwebaka ekimala kikulu nnyo eri buli muntu, naye kikulu nnyo naddala eri abantu abalina obulwadde bwa ADHD.Obutaba na tulo kiyinza okwonoona obubonero bw’obutafaayo, okukola ennyo, n’okukola ennyo.”
• Ensengeka n’Enkola: “Okutondawo enkola etakyukakyuka buli lunaku ng’olina enteekateeka eziteeberezebwa ez’okulya, emirimu gy’awaka, emirimu, n’okwebaka kiyinza okuyamba ennyo naddala eri abaana abalina obulwadde bwa ADHD.”
• Enkola z’Okutegeka: “Okukozesa ebikozesebwa ng’abateekateeka, enkalala z’okukebera, n’okujjukiza okulabika kiyinza okuyamba mu kutegeka n’okukozesa obudde.”
• Obukodyo bw’okulowooza n’okuwummulamu: “Eby’okukola ng’okufumiitiriza mu birowoozo, dduyiro w’okussa ennyo, ne yoga bisobola okuyamba okulongoosa okussa essira, okukendeeza ku situleesi, n’okutumbula okutereeza enneewulira.”
• Obuwagizi bw’abazadde n’abasomesa: Kino kikulu mu kubayamba okutegeera omwana.

Obutakola bulungi mu mirimu gy’abakulira emirimu: Olutalo olukwekeddwa

Wren yagamba nti: “Mukwano gwange Olivia naye yayogera ku kintu ekiyitibwa ‘obuzibu bw’okukola emirimu gy’abakulira emirimu.’ “Ekyo kye ki, era kikwatagana kitya ne ADHD?”

“Obutakola bulungi mu kitongole kigambo ekikozesebwa okutegeeza ebizibu ebirina obukugu obw’omutwe obwetaagisa ennyo mu kutegeka, okutegeka, okutandika n’okumaliriza emirimu, okuddukanya obudde, okussaayo omwoyo, n’okutereeza enneewulira,” Dr. Priya bwe yannyonnyodde. “Obukugu buno butera okukosebwa mu bantu abalina obulwadde bwa ADHD.”

“Lowooza ku mirimu gy’abakulira emirimu nga ‘CEO’ w’obwongo bwo,” bwe yayongeddeko. “Bavunaanyizibwa ku kuddukanya n’okukwasaganya enkola endala zonna ez’okutegeera.”

Okusoomoozebwa okwa bulijjo okw’obutakola bulungi mu kitongole mu ADHD

• Okuteekateeka n’okukulembeza: “Okulwana okuteekateeka pulojekiti, okumenya emirimu mu mitendera emitonotono, n’okukulembeza ebyo ebirina okusooka okukolebwa.”
• Enteekateeka: “Okukaluubirirwa okulondoola ebintu, okuddukanya obulungi ebiseera, n’okulabirira ekifo we bakolera nga kitegekeddwa.”
• Okujjukira Okukola: “Obuzibu bw’okukwata amawulire mu birowoozo ng’okola omulimu, gamba ng’okujjukira ebiragiro oba okugoberera enkola ey’emitendera mingi.”
• Okutandika n’okugoberera: “Okukaluubirirwa okutandika emirimu naddala egyo egitwalibwa ng’egiboola oba egy’okusoomoozebwa, n’okulwana okusigala ng’olina ekiruubirirwa n’okugimaliriza.”
• Okulungamya okufaayo: “Okuwugula mangu, okufuna obuzibu okukyusa essira wakati w’emirimu, n’okulwana okuyimirizaawo okufaayo okumala ebbanga eddene.”
• Okulung’amya Enneewulira: “Okufuna enneewulira ez’amaanyi, okukaluubirirwa okufuga okwetamwa oba obusungu, n’okutera okubeera n’obusungu.”
• Okwelondoola: “Okukaluubirirwa okwekenneenya emirimu gy’omuntu yennyini, okutegeera ensobi, n’okukola enkyukakyuka nga bwe kyetaagisa.”

“Okusoomoozebwa kuno kuyinza okukosa ennyo enkola y’okusoma, okukola obulungi emirimu, n’obulamu obwa bulijjo,” Dr. Priya bwe yagasseeko. “Kikulu okukola ku buzibu bw’abakulira emirimu naddala n’obukodyo ng’okukozesa ebikozesebwa mu kulaba, okumenya emirimu, okukozesa ebiseera n’okujjukiza, n’okutondawo embeera entegeke.”

ADHD mu bantu abakulu: Si Mbeera ya Buto Yokka

“Nga bwe tubadde essira tulitadde ku Leo, kikulu okujjukira nti ADHD era esobola okukosa abantu abakulu,” Dr. Priya bwe yagambye. "Abantu abakulu bangi abalina ADHD tebazuulibwangako nga bakyali bato.Bayinza okuba nga baakulaakulanya enkola z’okugumira embeera okumala emyaka, naye bayinza okuba nga bakyalwanagana n’obutafaayo, okubeera n’obutafaayo, n’obutakola bulungi mu mirimu gy’emirimu.”

Yannyonnyola nti: “ADHD y’abantu abakulu esobola okweyoleka mu ngeri ey’enjawulo okusinga ADHD ey’abaana.” "Okukola ennyo kuyinza obutalabika nnyo, ate obutafaayo, obutategeka, n'obuzibu mu kulungamya enneewulira biyinza okuba nga byeyoleka nnyo. Kiyinza okukosa enkola y'emirimu, enkolagana, n'omutindo gw'obulamu okutwalira awamu."

Obubonero Obutera okulabika Obulaga ADHD y’abantu abakulu

• Okukaluubirirwa okussaayo omwoyo mu nkuŋŋaana oba mu mboozi.
• Obuzibu mu kuddukanya obudde n’okutuukiriza nsalesale.
• Okulwawo n’okukaluubirirwa okutandika oba okumaliriza emirimu.
• Obutawummula n’obutasobola kuwummulamu.
• Obutafaayo, gamba ng’okusalako abalala oba okusalawo mu bwangu.
• Okwerabira n’okukaluubirirwa okujjukira enteekateeka oba okweyama.
• Obutabeera bulungi mu nneewulira, gamba ng’okukyukakyuka mu mbeera oba okukaluubirirwa okufuga obusungu.
• Ebizibu by‟omukwano olw‟okwerabira, obutafaayo, oba okubeera n‟okwegomba.

“Bwe kiba nti waliwo ekimu ku bino ekikukwatako, Wren, kirungi okukubaganya ebirowoozo n’omusawo wo,” Dr. Priya bwe yawa amagezi. “AdHD y’abantu abakulu etera obutazuulibwa bulungi, naye obujjanjabi obulungi bubaawo.” Kiteeberezebwa nti abaana abasukka mu 60 ku buli 100 abazuuliddwa nga balina obulwadde bwa ADHD bakyagenda mu maaso n’okuba n’obubonero okutuusa lwe bakula.

Embeera Ezibeera Wamu: Nga ADHD Tetambula Yokka

“Era kikulu okumanya nti ADHD etera okubeera awamu n’embeera endala ez’obulamu bw’obwongo,” Dr. Priya bwe yategeezezza. “Kino kiyinza okufuula okuzuula obulwadde n’okujjanjaba okuzibuwalirwa.”

Embeera eza bulijjo ezibeera awamu

• Obuzibu bw’okweraliikirira: “Kya bulijjo nnyo abantu abalina ADHD nabo okufuna okweraliikirira.Okusoomoozebwa okuli mu kuddukanya obubonero bwa ADHD kuyinza okuvaako okweraliikirira, era okweraliikirira kuyinza okwonoona obubonero bwa ADHD, ne kireetawo enzirukanya embi.”
• Okwennyamira: “Abantu abalina obulwadde bwa ADHD nabo bali mu bulabe obw’amaanyi obw’okwennyamira.Situleesi ezitawona, obuzibu mu kusoma oba mu mirimu, n’okusoomoozebwa mu mbeera z’abantu okukwatagana n’obulwadde bwa ADHD bisobola okuleetera omuntu okuwulira ennaku, obutaba na ssuubi, n’okwetwala ng’abantu abatono.”
• Obulemu mu kuyiga: “ADHD esobola okubeera awamu n’obulemu mu kuyiga, gamba ng’obuzibu mu kusoma (obuzibu mu kusoma) oba obuzibu mu kubala (obuzibu mu kubala).Kino kiyinza okwongera okukaluubiriza enkola y’okusoma era kyetaagisa obuyambi obw’enjawulo mu by’enjigiriza.”
• Oppositional Defiant Disorder (ODD) ne Conduct Disorder (CD): “Obuzibu buno obw’enneeyisa businga kubeera mu baana abalina ADHD. ODD emanyiddwa olw’okujeemera, okuyomba, n’obusungu, ate CD ezingiramu enneeyisa ey’amaanyi ennyo ey’okumenya amateeka n’obusungu.”
• Obuzibu mu kukozesa ebiragalalagala: “Abatiini n’abantu abakulu abalina ADHD bayinza okuba mu bulabe obw’amaanyi obw’okukozesa ebiragalalagala, ekiyinza okuba ng’engeri y’okwejjanjaba oba okugumira ebizibu ebiva mu ADHD.”

“Kikulu nnyo okukola ku mbeera zonna ezibeera awamu ku mabbali ga ADHD,” Dr. Priya bwe yaggumiza. “Okujjanjaba ADHD yokka nga tokola ku kweraliikirira oba okwennyamira okusirikitu, okugeza, kiyinza obutaba kya mugaso mu bujjuvu.”

Obukulu bw’okuyingira mu nsonga nga bukyali n’okuwagira

“Endowooza ki ey’ekiseera ekiwanvu eri abaana abalina ADHD?” Wren bwe yabuuzizza ng’okweraliikirira kumuwandiikiddwa ku maaso.

“Bw’abaana abalina obulwadde bwa ADHD bazuuliddwa bulungi n’obujjanjabi obutuufu, basobola okukulaakulana,” Dr. Priya bwe yamugumya. "Okuyingira mu nsonga nga bukyali kikulu. Kiyinza okuyamba okuziyiza obuzibu mu kusoma, ebizibu mu mbeera z'abantu, n'okwetwala ng'omuntu omutono. Era kiyinza okukendeeza ku bulabe bw'okufuna embeera ezibeera awamu ng'okweraliikirira n'okwennyamira."

“Ekigendererwa ky’obujjanjabi si ‘kuwonya’ ADHD wabula okuddukanya obulungi obubonero, okukola obukodyo bw’okugumira embeera, n’okuzimba ku maanyi g’omuntu ssekinnoomu,” bwe yannyonnyola. “Kikwata ku kuwa abantu ssekinnoomu abalina ADHD amaanyi okutuuka ku busobozi bwabwe mu bujjuvu.”

Ekkubo erigenda mu maaso: Essuubi n’okuweebwa amaanyi

“Weebale, Dr. Priya,” Wren bwe yagamba ng’obuweerero bumunaaba. "Kino kibadde kiyamba nnyo mu ngeri etategeerekeka.Mpulira nga nfunye amawulire mangi nnyo era nga ndi mwetegefu okuyamba Leo."

“Oyaniriziddwa Wren,” Dr. Priya bwe yaddamu ng’amwenya. "Jjukira nti si ggwe wekka ku lugendo luno. Waliwo ebintu bingi ebisobola okukuyamba ggwe ne Leo. Tugenda kukolera wamu okukola enteekateeka ekwata ku byetaago bye ebitongole, era ndi mugumu nti asobola okukulaakulana n'obuwagizi obutuufu."

"Era kikulu okujjukira nti abantu bangi abalina obulwadde bwa ADHD balina amaanyi n'ebitone eby'enjawulo. Bangi bayiiya nnyo, balina amaanyi, era balowooza ebweru w'ekibokisi. Bwe baba bajjanjabiddwa obulungi n'obuwagizi, basobola okuyiga okuddukanya obubonero bwabwe n'okubeera n'obulamu obumatiza." Yagasseeko nti.

Wren bwe yava mu ofiisi y’omusawo, yawulira ng’azzeemu okuwulira essuubi. Ekkubo eryali mu maaso liyinza okuba nga lirimu okusoomoozebwa, naye yali takyawulira ng’abuze era ng’azitoowereddwa. Ng’akutte okumanya, okutegeera, n’omusawo amuwagira, yali mwetegefu okuyamba mutabani we okutambulira mu kkubo lye ery’enjawulo n’okukkiriza obusobozi bwe bwonna. Era yakitegeera nti ayinza okwagala okwekenneenya naye, okuva bwe kiri nti obubonero bungi obw’abantu abakulu bwawulikika ng’amanyiddwa ennyo.

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