Ebirowoozo byo tebiri mu kifo kimu? Kizibu okufuga enneewulira zo? Ka twogere ku bulwadde bwa Borderline Personality Disorder (BPD) .

Oluusi owulira nga tosobola kufuga nneewulira zo, era ebintu bikujja mangu nnyo? Oba olina gw’omanyi ng’embeera ze zikyuka mu bwangu ne kiba nti atera okutaataaganya enkolagana yaabwe n’abalala? Mpozzi ekivaako enneewulira zino y’embeera y’obwongo gye tugenda okwogerako leero. Kino kiyitibwa Borderline Personality Disorder (BPD) .

Kino kye bayita obuzibu bw’omuntu ow’ensalo (BPD) kye ki?

Mu ngeri ennyangu, obuzibu bw’obuntu obw’ensalo (BPD) mbeera ya bulamu bw’obwongo eraga enkyukakyuka ez’amaanyi mu muudu , obutabeera mu ntebenkevu mu nkolagana wakati w’abantu , n’obutafaayo .

Abantu abalina BPD balina okutya okw'amaanyi okusuulibwa . Era bafuna obuzibu okutereeza enneewulira zaabwe naddala obusungu. Era bayinza okweyisa mu ngeri ey’ekimpowooze, oluusi mu ngeri ey’akabi (okugeza, okuvuga mu ngeri etali ya bwegendereza, okutiisatiisa okwetuusaako obulabe) . Enneeyisa zino zonna ziyinza okubakaluubiriza okukuuma enkolagana ennungi n’abalala.

Obuzibu bw'obuntu obw'ensalo kika kya buzibu bw'obuntu obuyitibwa ``Cluster B``. Obuzibu buno obw'obuntu obwa ``Cluster B`` bumanyiddwa olw'enneeyisa ey'ekitalo, etera okuba ey'ekyewuunyo. Obuzibu bw‟obuntu bwe nneeyisa ezitawona, ezitakola bulungi era ezitaataaganya emirimu gya buli lunaku . Enneeyisa zino nzibu okukyusa, ziri buli wamu, era ziyinza okuvaako ebizibu mu bantu n‟okunyigirizibwa mu birowoozo.

Ebiseera ebisinga, abantu abalina BPD tebamanyi nti balina embeera eno, era tebamanyi nti basobola okweyisa n‟okukwatagana n‟abalala mu ngeri ennungi.

Embeera zino ebbiri ziyitibwa BPD ne bipolar disorder?

Yee, waliwo enjawulo entegeerekeka wakati w’ebintu bino byombi. Wadde ng’obuzibu bw’okuwuguka era buzingiramu enkyukakyuka ennene mu mbeera n’enneeyisa, bwa njawulo ku BPD.

Mu BPD, embeera n‟enneeyisa bisobola okukyuka amangu era mu bwangu nga ofunye situleesi ey‟amaanyi, naddala ng‟okolagana n‟abalala . In bipolar disorder, moods are more sustained , era teziddamu mangu nga ebibaawo ebweru. Abantu abalina obulwadde bw’okuwuguka balina enkyukakyuka ennene mu maanyi n’emirimu, ekintu eky’enjawulo ku bantu abalina BPD.

Ani asinga okukosebwa embeera eno?

Obuzibu bungi obw’obuntu butandika mu myaka gy’obutiini, ng’omuntu wo akyakula era ng’akula.N’olwekyo, abantu abasinga obungi abazuulibwa n’obuzibu bw’omuntu ku nsalo baba basukka emyaka 18.

Wadde ng’omuntu yenna asobola okukwatibwa BPD, otera okugifuna singa omuntu mu maka go alina BPD (ebyafaayo by’amaka ebya BPD) . Obulabe buno era buba bungi eri abantu abalina embeera endala ez’obulamu bw’obwongo, gamba ng’okweraliikirira, okwennyamira, oba obuzibu mu kulya .

Abantu nga 75% abazuuliddwa nga balina BPD bakyala , naye okunoonyereza kulaga nti n’abasajja basobola okukosebwa embeera eno. Kyokka, bayinza okuzuulibwa mu bukyamu nti balina obulwadde bwa Post-Traumatic Stress Disorder (PTSD) oba okwennyamira.

Embeera eno ya bulijjo etya?

Obuzibu bw'obuntu obw'ensalo embeera etali ya bulijjo . Ebitundu nga 1.4% ku bantu abakulu mu Amerika balina BPD.

Bubonero ki obw‟obuzibu bw‟omuntu ku nsalo (BPD)?

Obubonero bwa BPD butera okulabika mu myaka gyo egy'obutiini oba ng'obukulu buto . Obubonero buno buyinza okutandikibwawo oba okweyongera olw‟ekintu ekizibu oba ekintu ekikuleetera okunyigirizibwa.

Ekiseera bwe kigenda kiyitawo, obubonero buno butera okukendeera era buyinza n’okuggwaawo ddala.

Obubonero buyinza okuva ku buyinza okuddukanyizibwa okutuuka ku buzibu ennyo. Oyinza okulaba obubonero buno bwonna nga bugattibwa wamu:

• Okutya okusuulibwa: Kitera okubaawo abantu abalina BPD okuwulira nga tebanyuma kubeera bokka. Bwe bawulira nga basuuliddwa oba nga tebafaayo, bayinza okuwulira okutya oba obusungu obuyitiridde. Bayinza okunoonya abaagalwa baabwe ne bagezaako okubalemesa okugenda. Oba, bayinza okusika omuntu nga tebannasemberera nnyo, nga batya okugaanibwa. Teebereza mukwano gwo anyiiga ng'olwawo katono okuddamu obubaka n'agamba nti, "Ondese."
• Enkolagana etali nnywevu, ey‟amaanyi: Abantu abalina BPD balina okusoomoozebwa okukuuma enkolagana ennungi ey‟obuntu kubanga basobola okukyusa mu ngeri ey‟amangu era ey‟amaanyi mu ngeri gye balowoozaamu ku balala. Bayinza okutwala omuntu nga katonda akaseera akamu ate oluvannyuma ne bamutwala ng’abatalina mugaso. Kino nakyo kiyinza okuba eky’enjawulo. Emikwano gyabwe, obufumbo bwabwe, n’enkolagana yaabwe n’ab’omu maka gaabwe bitera kuba bya kavuyo era nga tebinywevu.
• Ekifaananyi ky’okwefaako ekitali kinywevu oba okuwulira nti weewulira:Abantu abalina BPD batera okuba n’ekifaananyi ekikyamye, ekitali kitegeerekeka bulungi. Batera okuwulira omusango n'okuswala, era beelaba nga "ababi." Bayinza okukyusa mu ngeri ey’ekitalo mu ngeri ey’ekitalo mu ngeri gye beetunuuliramu, ne bakyusa ebiruubirirwa byabwe, endowooza zaabwe, emirimu gyabwe, n’emikwano gyabwe. Era bayinza okusaanyawo enkulaakulana yaabwe. Okugeza, bayinza okukola "okulemererwa" ekigezo, okwonoona omukwano, oba okugobwa ku mirimu gyabwe.
• Enkyukakyuka mu bwangu mu mbeera: Abantu abalina BPD bayinza okufuna enkyukakyuka ez’amangu mu ngeri gye bawuliramu ku balala, bo bennyini, n’ensi ebeetoolodde. Enneewulira ezitaliimu magezi ng’obusungu, okutya, okweraliikirira, obukyayi, ennaku, n’okwagala bisobola okukyuka amangu era mu bwangu. Enkyukakyuka zino zitera okumala essaawa ntono zokka, nga tezitera kusukka nnaku ntono.
• Enneeyisa ey’okwegomba era ey’akabi: Okuvuga mmotoka mu ngeri ey’okwegomba, okulwana, okukuba zzaala, okukozesa ebiragalalagala, okulya ennyo, ne/oba okwegatta okutali kwa bukuumi bitera okubeera mu bantu abalina BPD.
• Okwetuusaako obulabe oba okwetta enfunda eziwera: Abantu abalina BPD bayinza okwesala, okwokya, oba okwetuusaako obulabe, oba okutiisatiisa okukikola. Era bayinza okuba n’ebirowoozo eby’okwetta. Enneeyisa zino ez’okwetuusaako obulabe zitera okubaawo ng’omuntu azigaana, ng’awulira ng’azisuuliddwa, oba ng’azinyiize olw’omuntu azilabirira oba omuntu we.
• Enneewulira ezitaggwaawo ez‟obwereere: Abantu bangi abalina BPD bawulira ennaku, okuboola, nga tebatuukiridde, era "nga tebalina kintu kyonna." Okuwulira nti tolina mugaso n’okwekyawa nakyo kitera okubaawo.
• Ensonga z‟okuddukanya obusungu: Abantu abalina BPD bafuna obuzibu okufuga obusungu bwabwe, era banyiiga nnyo. Bayinza okufulumya obusungu bwabwe nga bayita mu kusaaga okw’obukambwe, ebigambo ebikambwe, oba okuleekaana mu ngeri ey’olwatu n’okulayira. Bayinza okuwulira ensonyi era nga balina omusango oluvannyuma lw’ebiseera ng’ebyo.
• Ebirowoozo eby’ekiseera ekitono eby’okuwuubaala: Oluusi oyinza okufuna ebitundu ebikutuka , ebirowoozo eby’okuwuubaala, ate oluusi oyinza okulaba oba okuwulira ebintu ebitaliiwo (okulaba ebirooto). Bino bitera okubaawo ng’oli ku situleesi nnyingi naddala ng’otya okusuulibwa. Obubonero buno buba bwa kaseera buseera era ebiseera ebisinga tebuba bwa maanyi nnyo okusobola okutwalibwa ng’obulwadde obw’enjawulo.

Ekikulu nti si buli muntu alina obuzibu bw’obuntu obw’ensalo nti alina obubonero buno bwonna. Obuzibu bw’obubonero, emirundi gye bubaawo, n’ebbanga lye bumala byawukana okusinziira ku muntu.

Biki ebiyinza okuba nga bye bivuddeko kino?

Abasawo balowooza nti ebintu byonna awamu bye biyamba okukulaakulanya obulwadde bwa BPD. Ebikulu bye bino:

• Okutulugunyizibwa mu buto n‟okulumwa: Abantu nga 70% abalina BPD bafunye okutulugunyizibwa mu by‟okwegatta, mu nneewulira, oba mu mubiri nga bakyali bato. Okwawukana ne maama, enkolagana embi ne maama, ensalo ezitasaana mu maka, n’omuze gw’abazadde okukozesa ebiragalalagala nabyo bikwatagana ne BPD.
• Ensengekera y’obuzaale: Okunoonyereza kulaga nti obuzibu bw’obuntu obw’ensalo butambulira mu maka. Singa omuntu mu maka go alina BPD, otera okugifuna, naye si bukakafu nti ojja kugifuna.
• Enkyukakyuka mu bwongo: Ebitundu by’obwongo ebifuga enneewulira n’enneeyisa mu bantu abalina BPD tebiwuliziganya bulungi. Ebizibu bino bikosa engeri obwongo bwabwe gye bukolamu.

Embeera eno ogitegeera otya?

Olw’okuba omuntu agenda mu maaso n’okutondebwawo mu buto n’obuvubuka, abasawo batera obutazuula muntu alina obuzibu bw’obuntu obw’ensalo nga tannaweza myaka 18. Kyokka, si bulijjo, omuntu atali wansi w’emyaka 18 ayinza okuzuulibwa n’obulwadde bwa BPD singa obubonero bwe buba bwa maanyi nnyo era nga bumaze waakiri omwaka mulamba.

Obuzibu bw’obuntu obw’ensalo, omuli n’obuzibu obulala obw’obuntu, buyinza okuba obw’akakodyo katono okuzuula kubanga abantu bangi abalina obuzibu bw’obuntu tebamanyi nneeyisa n’engeri z’okulowooza ezitawaanya abalala.

Ne bwe baba nga banoonya obuyambi, si lwa buzibu bw’obuntu bwennyini. Wabula, banoonya obuyambi ku mbeera nga okweraliikirira oba okwennyamira ebiva ku bizibu ebikwatagana n‟obuzibu bw‟obuntu bwabwe (e.g., okwawukana, okufiirwa enkolagana).

Omukugu mu by‟obulamu bw‟obwongo alina layisinsi – omusawo w‟eby‟omutwe , omukugu mu by‟empisa , oba omukozi w‟ensonga z‟abantu mu malwaliro – asobola okuzuula BPD. Bakozesa emisingi egy’okuzuula BPD mu kitabo ekiyitibwa American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) .

Okukola kino, bano:

• Yintaviyu enzijuvu ekolebwa era obubonero ne buteesebwako.
• Ebyafaayo by‟obujjanjabi bw‟omuntu n‟ebyafaayo by‟obujjanjabi bw‟amaka bibuuzibwa naddala ku mbeera z‟obulamu bw‟omutwe.
• Okubuuza ku mirimu egyayita.
• Babuuza oba basobola okufuga ebirowoozo byabwe eby’amangu.

Abakugu mu by’obulamu bw’obwongo batera okwogera n’ab’omu maka ge n’emikwano gy’omuntu oyo okukung’aanya ebisingawo ku nneeyisa ye n’ebyafaayo bye.

Bujjanjabi ki obukolebwa ku kino?

Mu byafaayo, okujjanjaba BPD kibadde kizibu. Kyokka, olw’obujjanjabi obupya obwesigamye ku bujulizi, abantu bangi abalina BPD bafunye obubonero obukendedde, bakendedde ku buzibu, balongooseddwa enkola y’emirimu, n’omutindo gw’obulamu ogutereera.

Kyokka, obujjanjabi obulungi bwetaagisa ebiseera, obugumiikiriza, n’okwewaayo.Obujjanjabi buyinza okuli obujjanjabi bw’eby’omwoyo (obujjanjabi obw’okwogera), eddagala oba byombi.

Bw’oba ​​oli ku situleesi nnyingi oba ng’oli mu bulabe bw’okutuusa obulabe ku ggwe oba ku balala, omusawo ayinza okukuwa amagezi okuweebwa ekitanda mu ddwaaliro okumala akaseera katono. Mu kiseera ky’onoomala mu ddwaaliro, omusawo ajja kukolagana naawe okukola enteekateeka y’obujjanjabi.

Abantu abalina obuzibu bw‟obuntu obw‟ensalo batera okuba n‟embeera endala ez‟obulamu bw‟omutwe:

• Obuzibu mu mbeera (wakati wa 80% ne 96% ku bantu abalina BPD) .
• Obuzibu mu kweraliikirira (88%) .
• Obuzibu mu kukozesa ebiragalalagala (64%) .
• Obuzibu mu kulya (53%) .
• Obuzibu bw‟obutafaayo/okukola ennyo (ADHD) (wakati wa 10% ne 30%) .
• Obuzibu bw‟okuwuguka (15%) .
• Obuzibu bwa somatoform (10%) .

Bwe baba n’embeera endala nga eno, nayo beetaaga okufuna obujjanjabi.

Obujjanjabi bw’eby’omutwe ku BPD

Obujjanjabi bw’eby’omutwe bwe bujjanjabi obusinga ku BPD. Ekigendererwa ky‟obujjanjabi kwe kukuyamba okuzuula ebikubiriza n‟okutya emabega w‟ebirowoozo byo n‟enneeyisa zo, n‟okukuyamba okuyiga okukwatagana n‟abalala mu ngeri ennungi.

Waliwo obujjanjabi obuwerako obuyinza okuyamba ku BPD:

• Dialectical Behavior Therapy (DBT): Obujjanjabi obw’ekika kino butegekeddwa nnyo eri abantu abalina BPD. DBT essira erisinga kulissa ku kukuyamba okukkiriza obutuufu bw’obulamu bwo n’enneeyisa zo, n’okuyiga okukyusa obulamu bwo, omuli n’enneeyisa ezitayamba. Kiyigiriza obukugu okukuyamba okuddukanya enneewulira ez’amaanyi, okukendeeza ku nneeyisa eyeetuusaako obulabe, n’okulongoosa omukwano.
• Cognitive Behavioral Therapy (CBT): Buno bujjanjabi obutegekeddwa, obugendereddwamu. Omusawo wo oba omukugu mu by’empisa ajja kukuyamba okutunuulira ebirowoozo byo n’enneewulira zo. Ojja kuyiga engeri ebirowoozo byo gye bikwata ku bikolwa byo. Okuyita mu CBT, osobola okuyiga okuleka ebirowoozo n‟enneeyisa embi n‟okukulaakulanya endowooza n‟emize egy‟obulamu obulungi.
• Obujjanjabi mu bibinja: Kino kika kya bujjanjabi bwa bwongo. Mu kino, ekibinja ky’abantu bajja wamu, ne bannyonnyola era ne bateesa ku bizibu byabwe nga balabirirwa omusawo oba omukugu mu by’empisa. Obujjanjabi bw‟ekibinja busobola okuyamba abantu abalina BPD okukolagana obulungi n‟abalala n‟okweyoleka obulungi.

Eddagala eriweweeza ku bulwadde bwa BPD

Olw’okuba emigaso gy’eddagala eriwonya obuzibu bw’omuntu ku nsalo tegitegeerekeka bulungi, abasawo tebatera kuwandiika ddagala ng’obujjanjabi obukulu eri BPD.

Kyokka, mu mbeera ezimu, omusawo w’eby’omutwe ayinza okumuwa eddagala okujjanjaba obubonero obw’enjawulo oba embeera endala ez’obulamu bw’obwongo ezibeera awamu. Eddagala liyinza okuyamba okujjanjaba okweraliikirira n’okwennyamira, okuddukanya enkyukakyuka mu mutima oba okufuga enneeyisa ey’okwegomba. Eddagala eriweweeza ku bulwadde bw’emitwe (antipsychotic/Neuroleptic drugs) liyamba abantu abamu abalina BPD.

Endowooza etya eri embeera eno? (Okuteebereza)

Emirundi egisinga, obubonero bwa BPD bugenda butereera mpolampola n’emyaka. Abantu abamu obubonero buvaawo nga bawezezza emyaka 40. Abantu bangi abalina BPD bwe baba n’obujjanjabi obutuufu, bayiga okuddukanya obubonero bwabwe n’okutumbula omutindo gw’obulamu bwabwe.

Awatali bujjanjabi – oba singa obujjanjabi bulemererwa – abantu abalina obuzibu bw’obuntu obw’ensalo bali mu bulabe obw’amaanyi obw’oku:

• Obuzibu mu kukozesa ebiragalalagala n‟obuzibu mu kukozesa omwenge.
• Ennaku.
• Okwetuusaako obulabe.
• Okwetta.

Obulabe bw’okwetta mu bantu abalina BPD businga emirundi 40 okusinga abantu bonna. Abantu abalina BPD wakati wa 8% ne 10% bafa nga beetuga.

Abantu bangi abalina BPD etajjanjabiddwa balina enkolagana ey’obuntu etali nnywevu era ey’akavuyo, era bafuna obuzibu okukwata omulimu. Bali mu bulabe obw’amaanyi obw’okugattululwa, okwawukana n’ab’omu maka, n’okusasika kw’emikwano. Ebizibu by’amateeka n’eby’ensimbi nabyo bitera okubaawo.

Embeera eno esobola okuziyizibwa?

Ebyembi, tewali ngeri yonna gye tuyinza kuziyiza buzibu bwa borderline personality disorder.

BPD etera okutambulira mu maka, ekitegeeza nti singa omuntu mu maka go alina BPD, oba mu bulabe bwa maanyi okugifuna. Buuza omusawo wo engeri gy’oyinza okumanyamu obubonero bw’obuzibu buno osobole okufuna obujjanjabi amangu ddala nga bwe kisoboka.

Oyinza otya okuyamba omuntu alina BPD?

Bw’oba ​​omanyi omuntu awangaala n’obuzibu bw’obuntubulamu obw’ensalo, wano waliwo engeri gy’oyinza okumuyambamu:

• Twala obudde oyige ku BPD otegeere omwagalwa wo by’ayitamu.
• Kubiriza omwagalwa wo okunoonya obujjanjabi bwa BPD. Bw’oba ​​oli wa luganda, buuza ku bujjanjabi bw’amaka.
• Waayo obuyambi mu nneewulira, okutegeera, n’obugumiikiriza. Enkyukakyuka eyinza okuba enzibu era etiisa eri abantu abalina BPD. Kyokka, bwe bafuna obujjanjabi, obubonero bwabwe busobola okutereera oluvannyuma lw’ekiseera.
• Bw’oba ​​owulira situleesi oba ng’olina obubonero bw’embeera y’obulamu bw’obwongo ng’okweraliikirira oba okwennyamira, lowooza ku ky’okunoonya obujjanjabi. Londa omuntu omulala atali omwagalwa wo nga ye musawo wo.

Enneeyisa y‟okwetuusaako obulabe n‟okwetta eri waggulu nnyo mu bantu abalina BPD okusinga mu bantu bonna.

Abantu abalina BPD abalowooleza mu kwetuusaako obulabe oba okugezaako okwetta beetaaga obuyambi mu bwangu.

Bw’oba ​​ggwe oba omuntu gw’omanyi afuna obuzibu obw’amangu oba ng’alowooza ku ky’okwetuusaako obulabe, kuba 1926 (ssimu ya Sri Lanka ey’okuziyiza okwetta).

Ekintu ekisinga obukulu okujjukira (Take-Home Message)

Kikulu okujjukira nti obuzibu bw‟omuntu ku nsalo (BPD) mbeera ya bulamu bw‟obwongo obw‟obulamu bwonna. Kyokka, obujjanjabi obw’ekiseera ekiwanvu, obutasalako, gamba ng’okukozesa eddagala n’okwogera, busobola okukuyamba okuddukanya obubonero bwo. Kikulu okusisinkana ttiimu yo ey‟ebyobulamu buli kiseera okwekenneenya enteekateeka yo ey‟obujjanjabi n‟obubonero bwo. Kimanye nti abasawo bo n’abaagalwa bo baliwo okukuwagira.

Ab’omu maka n’abaagalwa b’abantu abalina obuzibu bw’obuntu obw’ensalo batera okufuna situleesi, okwennyamira, ennaku, n’okubeera bokka. Kikulu okwerabirira obulamu bwo obw’omutwe n’okunoonya obuyambi bw’oba ​​ofuna obubonero buno.

` BPD, Borderline Personality Disorder, Obulamu bw'obwongo, Obuzibu bw'obuntu, Okulungamya enneewulira, Ebizibu by'omukwano, Ebizibu by'enneeyisa