Oluusi owulira essanyu ery’ekitalo, ng’olina essanyu, era ng’olina amaanyi? Naye mu kiseera kye kimu, olina ennaku z’ekizikiza ng’owulira ng’oli wansi awatali nsonga, era nga tolina ky’oyagala kukola? Ekika kino eky’okukyukakyuka mu mbeera tukiyita ‘ mood swings ’. Embeera eno eyinza okukwatagana n’endwadde ezimu ez’obwongo. Bipolar Spectrum ndowooza ngazi eyogera ku kibinja ky’endwadde ng’ezo. Leero, kino tugenda kukyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.
Mu ngeri ennyangu, kino Bipolar Spectrum kye ki?
Kilowoozeeko ng’amaliba amanene. Wansi w’omuggo guno, okutwalira awamu tetussaamu `Bipolar Disorder` yokka ffenna gye tumanyi, naye n’embeera endala eziwerako ez’omutwe eziraga obubonero obufaanagana. Bano bayinza obutaba na mania oba hypomania etegeerekeka, naye bayinza okuba n’obubonero bw’okwennyamira n’okukyukakyuka okw’amaanyi mu muudu.
Okusinziira ku basawo b’emitwe abamu, endowooza eno eya ‘Bipolar Spectrum’ ya mugaso nnyo mu kutegeera ekikolo ky’ebizibu bingi eby’obulamu bw’obwongo. Wabula abakugu abalala bagamba nti tekisoboka kuzuula bulwadde nga basinziira ku bubonero bwokka, kubanga obubonero bwe bumu buyinza okubaawo mu ndwadde endala era nga kiyinza okwetaagisa obujjanjabi obw’enjawulo. N’olwekyo, guno mulamwa gwa kukubaganya birowoozo mu basawo.
Bika ki ebikulu eby‟obuzibu bw‟okuwuguka?
Mu nnono, obulwadde bw’okuwuguka bwawulwamu ebika bina ebikulu. Okusobola okutegeera bino obulungi, laba ekipande ekiri wansi.
| Ekika kya Bipolar | Ebikulu Ebirimu |
|---|---|
| Obuzibu bw’okutabuka emitwe (Bpolar I Disorder). | Okufuna waakiri ekitundu kimu eky’okusannyalala okw’amaanyi okumala waakiri wiiki emu. Okugatta ku ekyo, ebiseera by‟okwennyamira okw‟amaanyi (okwennyamira okw‟amaanyi) nabyo bisobola okubaawo. Okwennyamira kuyinza okumala ekiseera ekiwanvu emirundi nga esatu okusinga obulwadde bw’okwennyamira. |
| Obulwadde bwa Bipolar II | Eno ngeri ya mania etali ya maanyi, emala ennaku ntono. Kyokka, ebiseera by’okwennyamira biba bya maanyi nnyo. Okwennyamira kuyinza okumala emirundi 40 okusinga obululu. Olw’okuba obulwadde buno buyinza okukyamulwa nti buba bwa ssanyu erya bulijjo, butera okuzuulibwa mu bukyamu nti ‘okwennyamira kwokka.’ |
| Obuzibu bwa Cyclothymic Disorder (Abamu era bakiyita Bipolar III) | Wano, ebiseera by’okutabuka emitwe n’okwennyamira okw’ekiseera ekitono bikyukakyuka emirundi mingi. Wabula obubonero bw’okwennyamira tebutuuka ku ddaala lya maanyi (major depression). |
| Obulwadde bw’okuwuguka (BIpolar Disorder) Tebulambikiddwa mu ngeri ndala | Ebifaananyi bya manic oba paramanic bibaawo, naye si bya maanyi oba ebiwangaala ekimala okutuukiriza ebisaanyizo by’ebika ebyo waggulu. |
Waliwo ebika ebirala ebiteeseddwa eby’obulwadde bw’okutabuka emitwe?
Yee, naye bino tebinnaba kumanyibwa mu butongole ebizuuliddwa. Bino bye birowoozo ebiri ku mutendera gw’okunoonyereza.
- Bipolar IV: Okubeerawo kw’obulwadde bwa mania oba hypomania oluvannyuma lw’okumira eddagala erimu eriziyiza okwennyamira.
- Bipolar V: Abalwadde abalina omuntu ow’omu maka alina obuzibu bw’okuwuguka, naye nga balina obubonero bwokka obw’okwennyamira okw’amaanyi .
Olw’okuba tewannabaawo kunoonyereza kumala ku bino, tebinnaba kutuumibwa mannya ng’endwadde ez’enjawulo.
Embeera endala eziyinza okuba nga za bipolar spectrum
Okusinziira ku ndowooza empanvu eya ‘Bipolar Spectrum’, embeera endala eziwerako ez’omutwe n’enneeyisa ezigabana engeri ezifaanagana ne ‘Bipolar Disorder’ zisobola okugwa wansi w’omuggo guno. Kino tekitegeeza nti bino byonna birina ‘Bipolar’, wabula nti wayinza okubaawo akakwate akatono mu biramu.
- Okwennyamira okw’amaanyi okutera okubaawo oba okutaddamu ku bujjanjabi
- Obuzibu bw’okwegomba (impulsive disorders).
- Obuzibu bw‟okukozesa ebiragalalagala
- Obuzibu mu kulya , okugeza Anorexia ne Bulimia
- Ebizibu ebimu eby’obuntu, okugeza, Borderline Personality Disorder
- Ebizibu by’enneeyisa y’abaana
Abanoonyereza bakyanoonyereza ku nkolagana eriwo wakati w’embeera zino n’obuzibu bw’okuwuguka .
Engeri obubonero gye bukwataganamu
Obuzibu buli nti endwadde z’obwongo ez’enjawulo zirina obubonero obufaanagana. Okugeza, omuntu alina obuzibu bwa Borderline Personality Disorder ayinza okuba ng’akyuka nnyo mu mutima n’enneeyisa ey’okwegomba. Mu ngeri y’emu, omuntu alina obulwadde bwa ADHD ayinza okukaluubirirwa okussa ebirowoozo byo ku kintu ekimu, ng’omuntu alina obulwadde bwa Bipolar Disorder.
Wadde ng’endwadde zino tezituukana na mutindo mu bujjuvu ogw’obuzibu bw’okuwuguka, abasawo abamu balowooza nti waliwo akakwate akakulu wakati wazo.
Obubonero obutera okulabika ku Bipolar Spectrum mulimu:
- Okwennyamira kumanyiddwa ng’embeera y’omuntu ekyukakyuka mu bwangu oba emirundi mingi.
- Obusungu oba okunyiiga okumala ebbanga.
- Obutamanya bwa maanyi (impulsivity).
- Essanyu n’amaanyi ebisukkiridde ebiwulirwa ne bwe biba nga tokozesa biragalalagala (kino kiyinza okulabibwa mu banywa ebiragalalagala).
Embeera zino zijjanjabwa zitya?
Ekirala ekikwata ku ndowooza ya ‘Bipolar Spectrum’ y’endowooza nti eddagala erikozesebwa okujjanjaba obuzibu bw’okuwuguka nalyo liyinza okuyamba ku mbeera endala ku spectrum. Abasawo bakimanyi nti eddagala eriweweeza ku mbeera y’omuntu, gamba nga lithium, liyinza okukola obulungi eri abantu abatalina bipolar naye nga balina obuzibu mu kweraliikirira n’okufuga ebirowoozo.
Abasawo oluusi bayinza okuwandiika eddagala eriyitibwa "bipolar" eri abalwadde be balowooza nti bali ku bipolar spectrum. Eddagala lino litera okuba mu biti eby’okulwanyisa okukonziba oba eddagala eriweweeza ku bulwadde bw’okusannyalala.
Ebimu ku byokulabirako:
- `Lithium`
- `Lamictal (lamotrigine)`
- `Depakote (divalproex)`
- `Tegretol (ekirungo kya carbamazepine)`
- `Okusobozesa (aripiprazole)`
- `Ekiwuka ekiyitibwa Risperdal (risperidone)`
Kikulu nnyo: Eddagala lino lirina kukozesebwa nga lilabirirwa n’obulagirizi bw’omusawo w’eby’omutwe. Bw’oba olina obubonero buno bwonna, teweejjanjaba ng’osinziira ku by’osoma ku mikutu gya yintaneeti oba mukwano gwo by’akuteesa. Kiyinza okuba eky’akabi ennyo. Kakasa nti olaba omusawo w’amaka go era bwe kiba kyetaagisa, ogenda ew’omusawo omukugu.
Olw’okuba tewannabaawo kunoonyereza kwa maanyi ku ngeri eddagala lino gye lirina obukuumi n’okukola obulungi ku mbeera endala okuggyako Bipolar I ne II, n’abasawo abakugu beegendereza nnyo okulikozesa.
Obubaka Obutwala Awaka
- ‘Bipolar Spectrum’ ndowooza ngazi nga terimu ‘Bipolar Disorder’ yokka, wabula n’embeera endala ez’omutwe eziwerako ezirina engeri ezifaanagana.
- Omuudu yo bw’eba ekyukakyuka buli kiseera, bw’oba onyiiga, bw’oba olina omuudu, tokibuusa maaso.
- Weewale okwezuula ng’osinziira ku bubonero. Obubonero bwe bumu buyinza okuba obw’enjawulo ku ndwadde nnyingi ez’enjawulo.
- Bw’oba ggwe oba omuntu gw’omanyi alina ekizibu kino, ekisinga obulungi kwe kulaba omusawo akuwe amagezi. Okuzuula obulwadde mu butuufu gwe mutendera ogusooka okutuuka ku bujjanjabi obulungi.
- Obulamu bw’obwongo bukulu nnyo ng’obulamu bw’omubiri. Toswala kukyogerako oba okunoonya obuyambi.
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