Wali olabye oba owuliddeko abantu abafera abalala, abeeyambisa abalala, abatafaayo ku mateeka, era nga tebalina kwejjusa olw’ebikolwa byabwe? Mpozzi waliwo embeera y’obwongo eri emabega w’ebintu bino. Eyo y'embeera gyetugenda okwogerako leero , Antisocial Personality Disorder (ASPD) . Wadde guno mulamwa muzibu, ka tugwogerako mu ngeri ennyangu era ey’empisa, kubanga kikulu nnyo okugumanya.
Obuzibu bw‟obuntu obukontana n‟embeera z‟abantu (ASPD) kye ki?
Mu ngeri ennyangu, ASPD mbeera ya bulamu bwa bwongo ekosa engeri omuntu gy’alowoozaamu n’okukolagana n’abalala. Omuntu alina embeera eno ayinza:
- Balimba abalala oba okubalimba.
- Bakozesa oba bakozesa abalala olw'obulungi bwabwe .
- Tebassa kitiibwa mu mateeka wadde eddembe ly'abantu abalala.
- Tebawulira kwejjusa oba okwesalira omusango olw’ebyo bye bakola.
Abantu abalina ASPD batera okulabibwa ng’abatassa kitiibwa mu bantu, abamenya amateeka, abatafaayo ku biyinza okuva mu bikolwa byabwe, era nga tebaagala kutwala buvunaanyizibwa. Eno eyinza okuba embeera ey’akabi, kubanga abantu bano batera okwetuusaako obulabe n’abalala, mu mubiri ne mu nneewulira.
ASPD kye kimu ku bizibu bingi eby'obuntu . Obuzibu mu buntu mbeera ezikosa engeri gy’olowoozaamu n’engeri gy’okweyisaamu.
Embeera eno ya bulijjo etya?
Kiteeberezebwa nti wakati wa 1% ne 4% ku bantu abakulu mu Amerika balina embeera eno (ASPD). Embeera efaananako bwetyo era elabibwa ne mu Sri Lanka, naye ebibalo ebituufu kizibu okuzuula.
Bubonero ki obw'omuntu alina `(ASPD)`?
Omuntu alina `(ASPD)` ayinza okulaga obubonero buno wammanga:
- Okulumba abalala mu mubiri, okuba n’obulabe, okweyisa mu ngeri ey’effujjo . Teebereza, ng’onyiiga mu bwangu n’otandika okulwanagana olw’ekintu kyonna.
- Beeyisa nga tebalowoozezza ku kintu kyonna, nga basalawo mangu , nga balinga abatalina kye bafaayo ku biseera eby’omu maaso.
- Bamenya amateeka, tebafaayo ku mpisa z’embeera z’abantu . Bakemebwa okweyisa ebweru w’amateeka okuva mu buto.
- Banyiiga ne balowooza nti ba maanyi era basukkulumye ku balala .
- Bakozesa obukuusa, okwogera, n’okunyumya okulimba abalala , era balimba olw’okuganyula oba okusanyuka.
- Tebatwala buvunaanyizibwa ku bikolwa byabwe. Bulijjo banenya abalala.
- Tebalaga kwejjusa, nnaku, oba okufaayo ku nneeyisa yaabwe. Beeyisa nga tewali kibaddewo.
Obubonero buno tebulabika mu ngeri y’emu ku buli muntu. Abantu abamu bayinza okuba nga batera okufuna obubonero obumu .
Mugaso:Bw’oba ggwe oba omuntu gw’omanyi alina ebirowoozo eby’okutuusa obulabe ku ye oba ku balala, nsaba onoonye obuyambi. Laba omusawo. Mu Sri Lanka, osobola okufuna obuyambi okuva mu kibiina nga Sumithrayo (0112692909). Mu mbeera ey’amangu, kuba essimu ya ambyulensi eya 1990.
Embeera `(ASPD)` ekula ku myaka emeka?
ASPD etera okutandika nga tannaweza myaka 15. Esooka kuzuulibwa nga Conduct Disorder . Abaana abalina obuzibu mu mpisa beeyisa mu ngeri ey’obukambwe era tebagondera mu ngeri eyinza okutuusa obulabe ku balala. Bayinza okulimba, okubba, okumenya amateeka, n’okutulugunya abaana abalala.
Teebereza omwana wo bwe yali akyali muto, oba omwana gw’omanyi, wali omulabye ng’atulugunya abaana abalala buli kiseera, ng’alimba, ng’abba, oba nga yeeyisa mu ngeri etafaayo ku mateeka gonna? Oluusi enneeyisa ez'ekika kino bubonero bwa ``Conduct Disorder.`` Okusingira ddala, okubeera n'omuliro mu buto n'okutulugunya ebisolo bibiri eby'obulabe ebisookerwako embeera eno eya ``ASPD``.
Oluusi abazadde n'abasawo bayinza okusubwa obubonero bwa ``Conduct Disorder`` kubanga obubonero buno buyinza okutabulwa n'embeera endala. Okugeza nga:
- Obuzibu bw‟obutafaayo/okukola ennyo (ADHD) .
- Ennaku
- Obuzibu bw’okujeemera abavuganya (ODD) .
Singa ``Conduct Disorder`` ezuulibwa nga bukyali era obujjanjabi ne butandika ku myaka emito, enneeyisa zino ziyinza obutasigalawo okutuuka mu bukulu. Naye singa enneeyisa zino zisigala, zizuulibwa nga ``(ASPD)`` oluvannyuma lw'emyaka 18 .
Okunoonyereza kulaga nti obubonero bwa ASPD buli ku bubi wakati w’emyaka 20 ne 40, era butera okukendeera katono oluvannyuma lw’emyaka 40 .
Biki ebivaako embeera `(ASPD)`?
Abasawo tebamanyi bulungi kivaako ASPD, naye okunoonyereza kulaga nti kiyinza okuva ku bintu eby’enjawulo, okuva ku buzaale bwo okutuuka ku ngeri gy’okuzibwamu n’ebyo by’oyitamu.
Ensonga emu enkulu ye biology y'obwongo . Kiyinza okuba nti serotonin mu bwongo bwo si kya bulijjo. Serotonin ddagala erifuga embeera yo n’enneewulira zo, gamba ng’essanyu. Enkyukakyuka zino mu miwendo gya serotonin ziyinza okuvaako enneeyisa ya ASPD.
`(ASPD)` kintu ekiva mu buzaale?
Yee, ensengeka yo ey’obuzaale.Kino kiyinza okwongera ku bulabe bwo obw’okukwatibwa ASPD. Okunoonyereza kugenda mu maaso, naye obuzaale obutuufu obuvunaanyizibwa ku mbeera eno tebunnazuulibwa. Okunoonyereza kuzudde nti singa omuntu wo ow’omusaayi alina ASPD, oba mu bulabe bwa maanyi okufuna embeera eno.
Biki ebiyinza okuleeta akabi eri `(ASPD)`?
ASPD esobola okukosa omuntu yenna. Naye oyinza okuba mu bulabe obw’amaanyi obw’okufuna embeera eno olw’ensonga zino wammanga:
- Okuzuulibwa nti alina obuzibu bw’empisa nga tannaweza myaka 15.
- Oli musajja (embeera eno esinga kubeera mu basajja).
- Obuvune oba okutulugunyizibwa mu buto .
- Okubeera n‟ obuzibu bw‟okukozesa ebiragalalagala (SUD) oba okuba n‟omuntu w‟omu maka alina embeera eno.
- Okubeera n'ebyafaayo by'embeera z'obwongo mu b'eŋŋanda zo ez'omusaayi .
- Omutendera gw’obuyigirize ogwa wansi bw’ogeraageranya n’abalala.
- Okubeera mu kkomera .
Bizibu ki ebiyinza okuva mu ASPD?
ASPD mbeera ya bulabe, oluusi eyinza okutta obulamu bw’omuntu akoseddwa n’abo ababeetoolodde. Kiyinza okuvaako ebizibu nga:
- Okutulugunya oba obukambwe.
- Obutafaayo, okulagajjalira.
- Okwetta .
- Obuzibu mu kukozesa ebiragalalagala .
- Obuzibu mu kukozesa omwenge .
- Okukwatibwa n’okusibwa.
- Ebizibu ebirala ebiva mu bulamu.
- Embeera endala ez‟obulamu bw‟omutwe (e.g., okwennyamira , okweraliikirira) .
- Obutasobola kutuukiriza buvunaanyizibwa bwa muntu ku bubwe, obw’embeera z’abantu, obw’emirimu oba obw’ebyenjigiriza.
Oyinza otya okuzuula `(ASPD)`?
Omukugu mu by’obulamu bw’obwongo, gamba ng’omusawo w’eby’omutwe oba omukugu mu by’empisa , azuula ASPD. Bakola okwekenneenya kw'eby'omwoyo . Kino kizingiramu okwekenneenya ebirowoozo by’omuntu n’enneeyisa ye okulaba oba alina obubonero bwa ASPD. Abasawo bakozesa ekitabo ekiyitibwa Diagnostic and Statistical Manual of Mental Illnesses, 5th edition, Text Revision (DSM-5-TR) ng’omulagirizi.
Abantu abasinga abalina ASPD tebanoonya kuzuulibwa ku lwabwe. Ebiseera ebisinga banoonya okwekebejjebwa omusawo w’eby’omutwe oluvannyuma lw’ekiragiro kya kkooti.
Waliwo okugezesebwa okw'enjawulo ku `(ASPD)`?
Nedda, tewali kwekebejja, kwekebejja musaayi, oba sikaani esobola okuzuula ASPD. Kirungi okunoonya amagezi g’omusawo bw’oba weeraliikirira obubonero oba enneeyisa yo yonna. Oyinza okusooka okulaba omusawo asookerwako (PCP). Ajja kutwala ebyafaayo byo eby’obujjanjabi, akukebere omubiri, era akebere obubonero bwo. Olwo bayinza okukusindika ew’omusawo w’eby’omutwe oba omukugu mu by’empisa okuzuula obulwadde bwa ASPD.
Embeera endala eziyinza okutabulwa ne `(ASPD)` (Differential Diagnosis) .
Embeera z’obulamu ezimu ziyinza okuba n’obubonero obufaananako n’obw’obulwadde bwa ASPD, n’olwekyo omusawo wo ajja kulowooza ku bino wammanga nga tannazuula bulwadde mu butongole:
- Borderline Personality Disorder (BPD) : Emiudu ezitali nnywevu n‟enneeyisa ey‟okukozesa obubi.
- Obuzibu bw’omuntu (NPD) : Okwetwala ng’omuntu alina ekitiibwa ekisusse.
- Obuzibu bw’okukozesa ebiragalalagala : Omuze gw’okukozesa ebiragalalagala oba omwenge.
ASPD ejjanjabwa etya?
Abasawo bayinza okukuwa amagezi ku bujjanjabi buno ku ASPD:
- Eddagala: Eddagala liyinza okuyamba okufuga obubonero ng’obusungu n’okukyukakyuka mu mbeera.
- Obujjanjabi bw‟eby‟omutwe: Obujjanjabi bw‟enneeyisa y‟okutegeera (CBT) kika kya kubuulirira nga essira liteekebwa ku kukyusa ebirowoozo byo n‟enneeyisa zo. Obujjanjabi buno bukuyamba okutegeera engeri enneeyisa yo gy’ekwata ku balala. Oyinza okuganyulwa mu bujjanjabi obw’omuntu kinnoomu, obw’okujjanjaba mu bibinja, oba obw’amaka.
Omusawo ayinza n’okumuwa amagezi okukozesa eddagala n’obujjanjabi bw’eby’omutwe. Ate era, singa wabaawo embeera endala ez’obulamu ezisibukako, gamba ng’okukozesa ebiragalalagala, nazo zijja kujjanjabibwa.
Mu butuufu, okujjanjaba ASPD kiyinza okuba ekizibu katono. Kubanga omuntu alina embeera eno ayinza obutasobola kukkiriza nti enneeyisa ye n’ebirowoozo bye bya bulabe. Kya bulijjo okunyiiga n’okuziyiza ng’omuntu azze okuyamba. Naye ekikulu okutegeera nti bw’oba omwetegefu okukikkiriza, oba olina obujjanjabi. Si kyangu naye bw’ofuna obujjanjabi osobola okwekuuma n’abo abakwetoolodde.
Eddagala ki eriweebwa ku `(ASPD)`?
Tewali ddagala lya njawulo erikkirizibwa ku ASPD. Kyokka, eddagala liyinza okuyamba okufuga obusungu, okwennyamira oba okukyukakyuka mu mbeera. Omusawo ayinza okukuwa eddagala nga:
- Eddagala eriweweeza ku kweraliikirira: Lino lisobola okufuga omuwendo gwa serotonin mu bwongo. Eby’okulabirako: Sertraline, Fluoxetine .
- Eddagala eriweweeza ku bwongo: Liyinza okufuga enneeyisa ey’effujjo oba obusungu. Eby’okulabirako: Eddagala lya Risperidone, Quetiapine .
- Ebintu Ebitebenkeza Omuudu:Ayamba okufuga enkyukakyuka ez’amaanyi mu muudu oba mu nneeyisa. Eby’okulabirako: `(Lithium)`, `(Carbamazepine)` .
Entunula ki eri `(ASPD)`?
ASPD mbeera ya bulamu bwonna . Obubonero butera kuba bubi nnyo ku myaka 20, ate oluusi butereera katono ku myaka 40. Okunoonyereza kugenda mu maaso okutegeera lwaki obubonero bukyuka n’emyaka.
Bw’ofuna obujjanjabi, endowooza yo esobola okutereera. Naye okwewala ebizibu, olina okugenda mu maaso n’obujjanjabi obulamu bwo bwonna. Kikulu okutegeera nti okujjanjaba ASPD si kyangu. Kyetaagisa amaanyi mangi n’okufuba ennyo okusobola okukola enkyukakyuka ku muntu ku bubwe. Singa olekera awo obujjanjabi, obubonero bwo buyinza okweyongera , ne kyongera obulabe eri ggwe kennyini n’abo abakwetoolodde.
ASPD esobola okuwona ddala?
Nedda, tewali ddagala lya ASPD. Wabula embeera eno esobola okuddukanyizibwa n’obujjanjabi obw’obulamu bwonna. Obujjanjabi obutuufu busobola okukuyamba okukyusa enneeyisa yo n’okukendeeza ku bulabe bw’otuusa ku bantu abakwetoolodde. Okukuuma enkolagana ennungi n‟okubeera n‟ekitundu ekiwagira bye bintu bibiri ebikulu mu kuddukanya ASPD okumala ebbanga eddene.
ASPD esobola okuziyizibwa?
Tewali ngeri yonna gye tuyinza kuziyiza ASPD. Naye singa embeera eno ezuulibwa era n’ejjanjabibwa ku myaka emito, obulabe bw’okufuna ASPD mu bukulu buyinza okukendeera.
Ddi lw’osaanidde okulaba omusawo?
Bw’oba ggwe oba omuntu gw’omanyi alina obubonero buno, funa amagezi mu bwangu omusawo :
- Okukyukakyuka okw'amaanyi mu muudu .
- Ebirowoozo oba ebikolwa eby’okwetuusaako obulabe .
- Ebirowoozo by'okwetta .
- Enneeyisa ey'effujjo .
Mu Sri Lanka, okufuna obuyambi obw’amangu obw’obulamu bw’obwongo, osobola okukuba ku nnamba y’eggwanga ey’obuyambi ku bulamu bw’obwongo 1926. Era, Sumitrayo (0112692909 / 0112682535) egaba obuyambi obw’ekyama. Mu mbeera ey’amangu, kuba ku mpeereza ya ambyulensi 1990 oba ku nnamba ya poliisi ey’amangu 119.
Bibuuzo ki by’osaanidde okubuuza omusawo wo?
Osobola okubuuza omusawo ebibuuzo nga:
- Bujjanjabi bwa ngeri ki gy’oteesa?
- Waliwo ebizibu byonna ebiva mu bujjanjabi buno?
- Nneetaaga okugenda mu maaso n’obujjanjabi wadde nga mpulira bulungi?
- Bujjanjabi bwa ngeri ki obw’eby’omwoyo bw’oteesa?
- Nze nneetaaga okumala bbanga ki okugenda mu ddwaaliro ly’eby’omwoyo?
N’ekisembayo, jjukira...
Abantu bangi balowooza nti ASPD buzibu bwa buntu obubaleetera obutayagala kubeera na bantu balala era nga baagala okubeera bokka. Naye ASPD mu butuufu mbeera ya bulamu bwa bwongo ya maanyi.. Abantu abalina embeera eno bayinza okweyisa nga tebalowoozezza ku biyinza okuva mu nneeyisa yaabwe oba engeri gye bikosaamu abalala. Ebiseera ebisinga, olw’empisa ezimenya amateeka, okuzuula obulwadde n’okujjanjaba biragirwa kkooti. Kino kiyinza okutaasa obulamu.
Ekisinga obukulu kwe kutegeera nti obujjanjabi si kibonerezo. Bw’olabirirwa n’obuwagizi bw’abo abakwetoolodde, waliwo obujjanjabi obuyinza okukuyamba okuwulira obulungi. Kale totya kusaba buyambi.
` Obuzibu bw‟obuntu obutali bumu, ASPD, obulamu bw‟omutwe, ebizibu mu nneeyisa, obuzibu mu buntu, obuzibu mu nneeyisa, obujjanjabi











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