Omwana wo yeeyisa mu ngeri etafugibwa? Amenya amateeka? Ka twogere ku Conduct Disorder!

Omwana wo tawuliriza kigambo ky’oyogera? Alwana buli kiseera? Atulugunya abaana abalala mpozzi n’ebisolo? Oluusi oyinza okulowooza nti, ‘Kiki ekikyamu omwana ono? Lwaki yeeyisa bubi nnyo?’. Mu butuufu, singa enneeyisa ey’ekika kino egenda mu maaso okumala emyezi, si buvuyo bwangu . Kiyinza okuba akabonero k'embeera y'obulamu bw'obwongo eyitibwa ``Conduct Disorder''. Ka twogere ku nsonga eno mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Kino (Conduct Disorder) kye ki?

Mu ngeri ennyangu, ``Conduct Disorder`` mbeera ya bulamu bwa bwongo esobola okulabibwa mu baana n'abavubuka (abali wakati w'emyaka 10 ne 19). Mu kino, ekikulu kwe kuba nti omwana buli kiseera yeeyisa mu ngeri ey’obukambwe nga tafuddeeyo ku balala era yeeyisa mu ngeri eyonoona obulamu obulungi n’eddembe ly’abalala. Ate era, abaana bano batera okumenya amateeka awaka ne ku ssomero, era tebafaayo n’akatono ku mpisa z’embeera z’abantu.

Kilowoozeeko ng’ekibinja ky’abazibu mu nneeyisa. Oyinza okuba nga wali owulidde ku mbeera eyitibwa Oppositional Defiant Disorder (ODD). Mu mbeera eno, omwana tagondera bantu bakulu, ayomba nnyo, era n’anyiiza abalala mu bugenderevu. Oluusi, ODD eno esobola okweyongera okubeera ey’amaanyi n’efuuka Conduct Disorder.

Ekirala ekikulu kiri nti abaana abalina ``Conduct Disorder`` batera okuba n'embeera endala ez'obulamu bw'obwongo nazo. Okugeza nga:

• Ennaku .
• Obuzibu bw’okussaayo omwoyo/okukola ennyo (ADHD) .
• Obuzibu mu kuyiga .

Njawulo ki eriwo wakati w’obuzibu bw’empisa n’obuzibu bw’obuntu?

Kati oyinza okuba nga weebuuza, buno buzibu bwa muntu? Obuzibu bw‟obuntu kizibu ekimala ebbanga eddene, eky‟amaanyi ku birowoozo by‟omuntu, enneeyisa ye, embeera ye, n‟enkolagana ye n‟abalala. Ebiseera ebisinga, obuzibu buno obw’obuntu butandika mu myaka gy’obutiini, ng’omuntu akyakula. N’olwekyo, abantu abasukka mu myaka 18 batera okuzuulibwa nga balina obuzibu mu buntu.

Kyokka, waliwo ekintu kimu ekitali ku kino. Eyo mbeera eyitibwa `(Antisocial Personality Disorder - ASPD)`. Abantu nga 80% abalina embeera eno basobola okutandika okulaga obubonero nga bukyali ku myaka 11 egy’obukulu. Mu butuufu, tewali njawulo nnene wakati wa `(Conduct Disorder)` elabibwa mu buto ne `(ASPD)` erabibwa mu bukulu. Wabula `(Conduct Disorder)` kwe kuzuula obulwadde obuweebwa abaana. Singa omuntu omukulu alaga obubonero obukwatagana n‟embeera zino zombi, omukugu mu kubuulirira ku bulamu bw‟obwongo ajja kuwa okuzuula kwa `(ASPD)` mu kifo kya `(Conduct Disorder).

Ani afuna obuzibu bw’empisa?

Embeera eno ekosa abaana n’abavubuka abakulu. Oluusi kiyinza okutandika nga bukyali ku myaka 10, ekiyitibwa "okutandika amangu." Wabula businga kubeera mu bavubuka abakulu (abali wakati w’emyaka 10 ne 19).

Okusinziira ku bibalo, embeera eno esinga kubeera mu balenzi okusinga abawala. Obubonero butera okutandika okulabika wakati w’emyaka 10-12 mu balenzi ne 14-16 mu bawala.

Obuzibu bw’Enneeyisa butera kwenkana wa?

Okusinziira ku bibalo mu Amerika, embeera eno ekosa wakati wa 2% ne 10% ku baana n’abavubuka abakulu. Embeera efaananako bwetyo erabibwa ne mu nsi yaffe, naye kizibu okuwa ebibalo ebituufu.

Bubonero ki obw’obuzibu bw’empisa?

Kino si kintu ekibaawo mu kiro kimu. Enneeyisa ezikwatagana ne ``Conduct Disorder`` zikula mpolampola mu mwana. Abaana bano bakakanyavu, bazibu okufuga, era kirabika tebafaayo ku nneewulira z’abalala.

Waliwo ebika bina ebikulu eby‟ obuzibu bw‟empisa :

1. Okubeera omukambwe eri abantu n‟ebisolo ne/oba okutyoboola eddembe ly‟abalala ery‟omusingi.

2. Okusaanyaawo ebintu.

3. Okufera, okulimba ne/oba okubba.

4. Okumenya ennyo amateeka n’ebiragiro.

Kati katutunuulire buli emu ku nneeyisa zino mu bujjuvu katono.

1. Obusungu eri abalala n’ebisolo

Bino wammanga bye bimu ku bifaananyi:

• Okutulugunya abaana abalala.
• Okukubwa mu mubiri (oboolyawo n’okukozesa ebyokulwanyisa ebisongovu ).
• Bulijjo balwana na bigambo n’okutiisatiisa.
• Bawalirizibwa okwegatta.
• Banenya abalala olw’ensobi zaabwe.
• Ebisolo birumwa n’okutulugunyizibwa.

Teebereza, waliwo omwana ayitibwa ‘Kasun’ mu ssomero. Bulijjo akuba abaana abalala mu kibiina, ababba emmere, n’okubasekerera. Oluusi akuba embwa amayinja ku luguudo. Bw’asigala ng’akola ebintu nga bino, kiba kintu kya kweraliikirira.

2. Okusaanyaawo ebintu

Kuno kw’ogatta:

• Okukuma omuliro mu bantu kigenderere.
• Okwonoona oba okusaanyaawo ebintu by’abantu abalala. Okugeza, okumenya emmeeza n’entebe z’amasomero, oba okuwandiika ebiwandiiko ku bisenge.

3. Okufera, okulimba n’okubba

Engeri zino ze zino:

• Bulijjo balimba okufuna enkizo oba okwewala obuvunaanyizibwa.
• Babba ku bantu abalala oba mu maduuka.
• Beekukuma mu maka ne bizinensi okubba ebyamaguzi.

4. Okumenya ennyo amateeka n’ebiragiro

Ebintu ebijja wansi wa kino:

• Okumenya amateeka awatali nsonga.
• Obutasoma kikolwa kya butagenda ku ssomero.
• Okudduka okuva awaka.
• Bulijjo bamenya amateeka abazadde baabwe ge bateekawo.

Obubonero obulala obumanyiddwa ennyo obw’obuzibu bw’empisa

Ng’oggyeeko ebintu bino ebikulu, osobola okulaba ebintu ebirala:

• Okukozesa omwenge ne/oba ebiragalalagala ebisusse .
• Enneeyisa y’okwegatta ey’akabi enfunda eziwera.
• Anyiiga mangu era n’atabuka.
• Tebafuba kukweka nneeyisa yaabwe ey’obukambwe.
• Tebalaga nti tebeejjusa olw’ebikolwa byabwe ebibi.
• Kizibu okukola emikwano n’okukuuma emikwano.

Ekikulu kiri nti oluusi n’oluusi enneeyisa ey’obukakanyavu n’obujeemu ya bulijjo mu buto n’obuvubuka. Naye okuzuulibwa nga ``Conduct Disorder'', engeri zino zirina okuba nga zitaggwaawo, ezitaataaganya abalala, era nga zibeerawo mu ngeri eddiŋŋana.

Obubonero bw’obuzibu mu mpisa mu bantu abakulu

Abaana abalina obuzibu bw’empisa bwe bakula, bayinza okukaluubirirwa okukwata omulimu oba okukuuma enkolagana. Era bayinza okwenyigira mu bikolwa ebimenya amateeka oba eby’akabi. Nga bwe kyayogeddwako emabegako, singa omuntu omukulu alaga engeri zino, kiyinza okuyitibwa Antisocial Personality Disorder (ASPD).

Biki ebivaako obuzibu mu mpisa?

Kati osanga olowooza nti, "Lwaki ku nsi kino kituuka ku mwana wange?" Ddala kizibu okulaga ensonga emu yokka. Abanoonyereza bagamba nti kirabika kizibu okugatta ensonga zombi ez’obuzaale/ebiramu n’ensonga z’obutonde .

Ensonga z’obuzaale/ebiramu:

• Okunoonyereza okw'enjawulo kulaga nti engeri ezimu ezikwatagana ne ``Conduct Disorder'' (e.g. enneeyisa etali ya bantu, ekigendererwa, okunyiiga amangu, obusungu, obutawulira kubonereza) zisobola okusikira .
• Kizuuliddwa nti okweyongera kw’obusimu bwa ``Testosterone`` mu mubiri kukwatagana n’obulumbaganyi.
• Obuvune ku bwongo obuva ku buvune, okukonziba, n’okwonooneka kw’obusimu nabyo bisobola okuleeta okweyisa mu ngeri ey’obukambwe.

Ensonga z’abazadde, amaka n’obutonde:

• Abazadde b‟abaana abato abalina obuzibu mu mpisa bayinza okwenyigira mu kukozesa ebiragalalagala oba enneeyisa etali ya bantu. Era bayinza okuba n‟embeera nga ADHD, obuzibu mu mbeera y‟omuntu, obulwadde bw‟okutabuka emitwe, oba obuzibu bw‟omuntu obutakwatagana na bantu.
• Singa embeera y’awaka eba ya kavuyo, nga tewali kulabirirwa bulungi, oba wabaawo entalo enfunda eziwera wakati w’abazadde , kiyinza okukosa enneeyisa y’omwana. Bino bisobola okuvaako ``Conduct Disorder``.
• Abaana abatera okukwatibwa obutabanguko mu maka batera okufuna ``Conduct Disorder''.
• Okubeera mu mbeera eya wansi mu by’enfuna n’embeera z’abantu, okubeera n’abantu abangi mu maka, n’ebbula ly’emirimu kiyinza okuvaako okunyigirizibwa mu by’enfuna n’embeera z’abantu. Kino kiyinza okukaluubiriza abazadde okulabirira obulungi abaana baabwe. Embeera eno esinga kubeera mu baana ababeera mu mbeera entono mu by’enfuna n’embeera z’abantu.
• Singa ebiragalalagala biba byangu okufunibwa mu mbeera omwana gy'abeera, era singa wabaawo obumenyi bw'amateeka bungi , omwana oyo aba mu bulabe bwa maanyi okufuna ``Conduct Disorder''.

Naye jjukira kino: N'abaana okuva mu maka agakola obulungi ennyo, amalamu basobola okulwala ``Conduct Disorder.'' Kale tolowooza nti, "Tewali kikyamu mu maka gange, kale kino kyabadde kitya?"

Otegeera otya (Conduct Disorder)?

Kino kisobola okuzuulibwa omukugu mu by’obulamu bw’obwongo yekka. Ekyo kitegeeza ``Psychologist`` oba ``Psychiatrist``. Bakozesa emisingi okuva mu kitabo ekilungamya ekibiina ekigatta abasawo b’emitwe mu Amerika ekya ``Diagnostic and Statistical Manual of Mental Disorders (DSM)``.

Okusinziira ku musingi ogwo, omwana oba omuvubuka alina okuba nga yayolesezza enneeyisa ssatu oba okusingawo ku zino wammanga mu myezi 12 egiyise . Ate era, waakiri obubonero bumu ku bubonero buteekwa okuba nga bwaliwo mu myezi 6 egiyise :

• Obulumbaganyi ku bantu ne/oba ebisolo.
• Okusaanyaawo ebintu.
• Okufera, okulimba oba okubba.
• Okumenya ennyo amateeka g’abazadde.

Enneeyisa zino era zirina okuba n’akakwate akakulu ku nkolagana y’omwana, obulamu bw’awaka, emirimu gy’essomero, ne/oba emirimu (bwe kiba mwana muto) .

Omwana wo bw’aba alaga obubonero bw’obuzibu bw’empisa, ayinza okwetaaga okusindikibwa ew’omusawo w’eby’empisa mu baana n’abavubuka oba omusawo w’eby’omutwe mu baana n’abavubuka. Abakugu bano bakozesa yintaviyu n‟ebikozesebwa mu kwekenneenya ebikoleddwa mu ngeri ey‟enjawulo okwekenneenya omwana oba alina embeera y‟obulamu bw‟obwongo.

Ebiseera ebisinga, abakugu mu by’empisa n’abasawo b’eby’omutwe bafuna amawulire okuva mu bazadde b’omwana, baganda be, mikwano gye, n’abasomesa okusobola okufuna ekifaananyi ekijjuvu ku nneeyisa y’omwana.

Obuzibu bw’Enneeyisa bujjanjabwa butya?

Obujjanjabi obukulu obw'obuzibu bw'empisa bwe bujjanjabi obw'enjawulo obw'eby'omwoyo . Bino byetaaga okukolebwa n‟omwana, amaka, n‟oluusi ku mutendera gw‟ekitundu.

Ezimu ku nkola enkulu ez’obujjanjabi ze zino:

• Okutendeka abazadde mu nzirukanya y’emirimu: Kino kizingiramu okutendeka abazadde b’omwana ku ngeri y’okukangavvula omwana waabwe, okuteekawo amateeka agakwatagana, okusasula n’okukubiriza enneeyisa ennungi, n’okufuga enneeyisa embi. Mu ngeri ennyangu, babayigiriza engeri y’oku ‘ddukanya’ omwana waabwe.
• Obujjanjabi bw‟eby‟omutwe: Obujjanjabi bw‟eby‟omutwe gwe kibinja ky‟obukodyo bw‟obujjanjabi obuyamba omuntu okuzuula n‟okukyusa enneewulira ze, ebirowoozo bye n‟enneeyisa ye ezimutawaanya. Nga bakolagana n ‟omubuulirizi w‟ebyobulamu bw‟omutwe, omwana n‟ab‟omu maka bafuna obuyambi, okusomesebwa, n‟obulagirizi. Obujjanjabi bw‟eby‟omutwe ku buzibu bw‟empisa butera okussa essira ku bulamu bw‟amaka n‟obulamu bw‟essomero, okuyamba okulongoosa enkolagana y‟amaka, obuwanguzi mu kusoma, n‟enneeyisa y‟omwana mu mbeera ez‟enjawulo.
• Okutendekebwa mu kuddukanya obusungu: Ekigendererwa kya kino kwe kukendeeza ku kucamuka mu nneewulira n’omubiri omwana kw’afuna olw’obusungu. Okuva bwe kiri nti tekisoboka kwewala ddala bantu oba ebintu ebibanyiiza, okutendekebwa kuno kuyigiriza omwana engeri y’okufuga engeri gye yeeyisaamu.
• Obujjanjabi bw‟eby‟omwoyo obw‟omuntu kinnoomu, gamba ng‟obujjanjabi bw‟enneeyisa y‟omuntu (CBT): Obujjanjabi obw‟omuntu kinnoomu eri omwana alina obuzibu mu nneeyisa bussa essira ku kukulaakulanya obukugu mu kugonjoola ebizibu, okugonjoola enkaayana n‟okunyweza enkolagana, n‟okukulaakulanya obukugu okugaana ebikosa ebibi mu butonde.
• Obujjanjabi obusinziira mu kitundu: Kuno kuzingiramu amasomero agajjanjaba n’ebifo eby’obujjanjabi mu maka. Bino bisobola okuwa pulogulaamu entegeke okukendeeza ku nneeyisa z’omwana ezitaataaganya.

Abasawo tebatera kuwandiika ddagala butereevu ku Conduct Disorder. Naye olw‟okuba embeera eno esobola okuwerekerwako embeera endala ez‟obulamu bw‟omutwe (e.g. ADHD, Depression), omwana ayinza okuganyulwa mu ddagala okuddukanya embeera ezo.

Obutabanguko mu mpisa busobola okuziyizibwa?

Okusinziira ku kye tumanyi, tewali ngeri ntongole ey'okuziyiza `(Conduct Disorder)`. Kino kiri bwe kityo kubanga kiva ku nsonga ezigatta ebintu ebizibu. Kyokka singa obujjanjabi butandikibwawo amangu ddala ng’obubonero bulabika , ebizibu bingi ebikwatagana nabwo bisobola okukendeera. Okunoonya obuyambi nga bukyali kiyinza okukendeeza ku kutaataaganyizibwa mu bulamu bw’omwana, mu maka ge, n’emikwano gye.

Kiki ekitegeeza nti omuntu alina obuzibu mu mpisa?

Endowooza y’embeera eno esinziira ku ngeri gy’ekula amangu n’okumanya oba ejjanjabwa.

Mu bujjuvu, enneeyisa ezitaataaganya ezikwatagana n‟obuzibu bw‟empisa zigonjoolwa nga bakyali bato. Kyokka, mu mbeera nga kimu kya kusatu, enneeyisa zino zisigalawo. Bangi ku balwadde bano batuukana n’ebisaanyizo by’obuzibu bw’omuntu (Antisocial Personality Disorder – ASPD).

Embeera eno okutandika amangu nga tannaweza myaka 10 kikwatagana n’okulaba obubi. Era kikwatagana nnyo n’okukosebwa okw’amaanyi mu nkola y’amasomero.

Abaana n‟abavubuka abamu abalina obuzibu mu mpisa nabo bayinza okuba n‟embeera endala ez‟obulamu bw‟omutwe. Eby’okulabirako mulimu:

• Obuzibu mu muudu oba okweraliikirira.
• Obuzibu bw’obubonero bw’omubiri (Somatic symptom disorder).
• Obuzibu mu kukozesa omwenge ne/oba obuzibu mu kukozesa ebiragalalagala.
• Obuzibu bw‟eby‟omutwe obutandika nga bukyali.

Embeera nga okwennyamira n‟obuzibu bw‟okuwuguka zisobola okubaawo mu myaka gy‟obutiini n‟okukula nga bukyali.Ekirowoozo ky’okwetta kiyinza okuba ekizibu ky’embeera zino. Omwana wo bw’aba ayogera oba ng’atiisatiisa okwetta, kikulu nnyo okunoonya obuyambi bw’abasawo mu bwangu.

Nlabirira ntya omwana wange alina obuzibu mu mpisa?

Singa omwana wo alina ``Conduct Disorder,'' ng'oggyeeko okunoonya obuyambi bw'abakugu, wano waliwo engeri gy'oyinza okweyamba n'omwana wo:

• Yiga ku `(Conduct Disorder)` era omanye ku kunoonyereza okusembyeyo ku bujjanjabi obulungi.
• Yogerako n'omukugu mu kubudaabuda abantu ku bulamu bw'obwongo . Bwe kiba kisoboka, funa omuntu omutendeke mu kuzuula n’okujjanjaba obuzibu bw’empisa.
• Noonyereza ku bujjanjabi obuliwo. Obujjanjabi bulina okusinziira ku byetaago by’omwana era nga bukwata ku maka.
• Funa ekibiina oba ekibiina ekiyamba amaka mu kitundu kyo.

Ddi lwe nnina okulaba omusawo ku bulwadde bw’omwana wange (Conduct Disorder)?

Singa omwana wo azuuliddwa n'obulwadde bwa ``Conduct Disorder'' era nga enneeyisa ye yeeyongera okwonooneka, oba ng'ataataaganya obulamu bw'amaka oba emirimu gy'essomero, yogerako n'omukugu we mu by'obulamu bw'obwongo.

Ekisinga obukulu: Omwana wo bw’alaga enneeyisa ez’akabi eziyinza okwetuusaako obulabe, ku balala, oba ebisolo, genda mangu omusawo obuyambi.

Abaana abajeemu, abakambwe bayinza okuba ekizibu ekinene eri abazadde. Wadde nga kya bulijjo abaana abato n'abaana abato okulaga oluusi n'oluusi enneeyisa ey'obujeemu, enneeyisa ey'okugumiikiriza, etaataaganya, ey'obusungu eyinza okuba akabonero k'obuzibu bwa ``Conduct Disorder.''

Kikulu nnyo okutandika obujjanjabi bwa Conduct Disorder nga bukyali . Omutendera ogusooka mu bujjanjabi kwe kwogera n'omusawo oba omukugu mu kubudaabuda abantu ku bulamu bw'obwongo . Totya kubuuza musawo wo bibuuzo. Baliwo okukuyamba.

Obubaka Obutwala Awaka

• Obuzibu mu mpisa nkola ya nneeyisa ya maanyi erabibwa mu baana n’abakadde. Buno si buvuyo bwangu.
• Singa obubonero ng’obusungu, okumenya amateeka, okukoppa, n’okusaanyaawo ebintu bisigala nga bibaawo , kakasa nti onoonya amagezi okuva mu bakugu .
• Kino kiva ku nsonga z’obuzaale, ebiramu n’obutonde bw’ensi okugatta awamu.
• Okuzuula amangu n‟obujjanjabi obutuufu (naddala obujjanjabi bw‟eby‟omutwe n‟okutendeka abazadde) kiyinza okuleeta obuweerero bungi eri omwana n‟amaka.
• Toli wekka. Totya kusaba buyambi. Singa obuwagizi obutuufu, embeera eno esobola okuddukanyizibwa.

` Obuzibu mu mpisa, Ebizibu by'enneeyisa y'abaana, Obulamu bw'obwongo, Obujjanjabi bw'eby'omutwe mu baana, Okubuulirira ku bazadde, Abaana abakambwe, Obuzibu mu nneeyisa