Oluusi owulira ng’ofuna obuzibu n’endwadde eza buli ngeri awatali nsonga? Kuba akafaananyi ng’olemeddwa okufuga emikono oba amagulu, amangu ago n’otandika okukankana, oluusi n’obulwa amaaso oba obutasobola kwogera. Abasawo ne bwe bakola ebigezo bimeka, bagamba nti, "Tetulina bujulizi bwonna bugamba nti buno bulwadde bwa mubiri." Mu biseera ng’ebyo, twetaaga okulowooza ennyo ku mbeera eno eyitibwa `(Conversion Disorder).` Wadde nga kino mu butuufu kikwatagana n’obulamu bw’obwongo, obubonero bw’omubiri bwe buleeta si bwa bicupuli, bintu bya ddala.
Ddala Obuzibu bw’Okukyusa (Conversion Disorder) kye ki?
Mu ngeri ennyangu, `(Conversion Disorder)` mbeera ng’enkola y’obwongo oba enkola y’obusimu etaataaganyizibwa olw’okukwata ku bulamu bwo obw’omutwe, ekivaamu obubonero bw’omubiri. Ekibaawo wano kiri nti ekintu nga situleesi y'obwongo, okulumwa, n'ebirala "kikyusibwa" ne kifuuka akabonero k'omubiri. Ekikulu kiri nti obubonero buno bwa ddala. Kino si kintu ky’ojingirira oba ky’okola okusobola okufuna attention okuva mu balala. Ate era, kino si kintu kyokka ekiri mu birowoozo byo. Obubonero buno tebusobola kufugibwa nga olowooza kwokka.
Jjukira nti ``Conversion Disorder`` bulwadde bwa bwongo obw'amazima. Obuzibu mu mubiri bwe buleeta bwa ddala.
Njawulo ki eriwo wakati w’obuzibu bw’okukyuka n’obuzibu bw’obubonero bw’omubiri?
Embeera zino zombi zigwa mu kiti kye kimu mu kibiina ekigatta abasawo b’emitwe ekya American Psychiatric Association (DSM-5) ekigabanya obuzibu bw’obwongo. Kino kitegeeza nti ebintu bino byombi bifaanagana bingi, era oluusi bisobola n’okubeera awamu.
Mu Somatic Symptom Disorder, olina obubonero bumu oba okusingawo obuleeta okutaataaganyizibwa okw’amaanyi n’obutabeera bulungi mu bulamu bwo. N’ekyavaamu, ggwe:
- Bulijjo ndowooza ku bubonero obwo.
- Bulijjo nneeraliikirivu era ntya olw’obubonero obwo.
- Bamala ebiseera n’amaanyi ag’ekitalo ku bubonero obwo.
Naye ekikulu ekikwata ku `(Conversion Disorder)` kwe kuba nti ofuna obubonero bumu oba obusingawo obulabika nga bwekuusa ku bwongo. Bino biyinza okukutaataaganya ennyo ne kiba nti tosobola kukola mirimu gyo egya bulijjo. Kyokka tewali bulwadde bwa busimu busobola kusangibwa busobola kunnyonnyola bubonero buno.
Ani asinga okukosebwa embeera eno?
Obuzibu bw‟okukyuka busobola okubaawo ku myaka gyonna, ne mu baana abato ennyo. Kyokka obubonero obumu businga kubeera mu bibinja by’emyaka egimu. Okugeza, obubonero ng’okukonziba businga kubeera mu bantu abali wakati w’emyaka 20 ne 29, ate obubonero obulala obukwata ku ntambula y’omubiri businga kubeera mu bantu abali wakati w’emyaka 30 ne 39. Era kizuuliddwa nti embeera eno esinga kubeera mu bakyala .
Eno si mbeera ya bulijjo nnyo. Abakugu bagamba nti abantu abali wakati wa bana ne kkumi na babiri ku buli lukumi bazuulibwa n'obulwadde bwa ``Conversion Disorder`` buli mwaka.
Obuzibu bw’okukyuka bukosa butya omubiri gwange?
Mu mbeera eno, obubonero bw’omubiri bubaawo olw’enkyukakyuka mu ngeri obwongo bwo gye bukolamu. Sikaani ez’enjawulo, gamba nga MRI ekola, zisobola okutunuulira emirimu gy’obwongo bw’abantu abalina embeera eno ne ziraga oba ebitundu by’obwongo ebikwatagana n’obubonero obwo bikola kitono oba bikyuse mu ngeri etaali ya bulijjo. Kino si kintu omuntu ky’ayinza okujingirira.
Bubonero ki obw’obuzibu bw’okukyuka?
Obubonero buyinza okwawukana ennyo okusinziira ku kitundu ky’obwongo ekikoseddwa. Bino bye bimu ku bubonero obusinga okulabika:
- Psychogenic Non-Epileptic Seizures (PNES): Okukonziba kutera kuva ku buzibu mu nsengeka oba enkola y’obwongo. Wabula ekika kino eky’okukonziba ekiyitibwa PNES kiva ku buzibu bw’obwongo.
- Okutaataaganyizibwa mu bitundu by’omubiri: Okutaataaganyizibwa mu busimu bw’okulaba, okuwulira, okuwunyiriza, okuwooma n’okukwata kuyinza okubaawo. Ng’ekyokulabirako, okulaba ebifaananyi bibiri omulundi gumu, okulaba mu tunnel, okubulwa okuwulira, okuwunya, n’okubulwa okuwulira ng’ekintu kikwata ku lususu.
- Obulumi: Abantu abalina obuzibu bw’okukyuka bayinza okulumwa buli kiseera. Oluusi kiyinza okuwerekerwako obubonero obulala, oluusi kiyinza okuba nga kiruma kwokka.
- Okukaluba kw’ebinywa mu ngeri etaali ya bulijjo, okukankana, okukankana n’okukankana: Bino byonna biva ku nkyukakyuka mu ngeri obwongo bwo gye bufugamu ebinywa byo.
- Embeera nga okunafuwa kw’ebinywa oba okusannyalala.
- Okukaluubirirwa okumira (Dysphagia).
- Okuziyira.
- Okuwulira ennyogovu oba okuzirika (Syncope).
- Obukoowu obutawona oba obutaba na maanyi.
Naye ekyewuunyisa, wadde abantu abamu balina obubonero obw’amaanyi bwe butyo, balabika tebakyeraliikirira nnyo oba okutya. Bali nga, ‘Ekyo kiki?’. Kino abasawo bakiyita "la belle indifference." Naye kino si kintu buli muntu ky’alina, era tekiyinza kutwalibwa ng’akabonero.
Biki ebivaako obuzibu bw’okukyuka?
Abakugu n’okutuusa kati tebamanyi bulungi kiki ekikireeta. Kyokka bakizudde nti kikwatagana n’embeera ezimu n’embeera z’obujjanjabi. Embeera ezisinga okubeerawo ze zino:
- Okutulugunyizibwa mu by’okwegatta, mu mubiri oba mu birowoozo ng’akyali mwana muto.
- Okubeera n‟embeera endala ez‟obulamu bw‟omutwe naddala okwennyamira oba okweraliikirira .
- Situleesi ey’amaanyi oba ekintu ekizibu ennyo gye buvuddeko awo.
- Obulwadde bw’omubiri oba ekintu ekyaliwo gye buvuddeko kiyinza okuba nga kye kyavaako okutandikawo Obuzibu bw’Okukyusa.
Embeera eno tesiigibwa. Ekyo kitegeeza nti tosobola kugikwata ku bantu balala, era tosobola kugibunyisa mu balala.
Obuzibu bw’okukyuka buzuulibwa butya?
Omusawo wo ajja kuzuula embeera eno ng’agatta ebintu ebiwerako, omuli okukebera omubiri n’obusimu, okukebera okuzuula embeera eno, ne sikaani. Okuzuulibwa nti olina ``Conversion Disorder``, ensonga zino zonna ennya zirina okutuukibwako:
1. Olina okuba n’obubonero bumu oba obusingawo obukwata ku bwongo obufuga entambula zo oba okuwulira kwo.
2. Obubonero bwo tebulina kukwatagana bulungi na mbeera ndala ezimanyiddwa abasawo.
3. Obubonero bwo tebulina kunnyonnyolwa mbeera ndala yonna ey’omubiri oba ekizibu ky’obwongo.
4. Obubonero oba ebizibu bino birina okutaataaganya obulamu bwo obwa bulijjo naddala ku mirimu n’enkolagana n’abantu.
"Obutakwatagana" kitegeeza ki?
Mu `(Conversion Disorder),` kikulu nnyo nti obubonero bwo "tebukwatagana" n'embeera y'obujjanjabi emanyiddwa. Omusawo wo ajja kuba alina okunoonya engeri obubonero bwo gye butakwatagana na ndwadde endala ezimanyiddwa. Kino tekitegeeza nti tebakukkiriza, wadde obubonero bwo bulimba. Mu butuufu, okuzuula obutakwatagana bwe butyo kye kiyamba okuzuula obulungi `(Conversion Disorder).` Kwe kugamba, basobola okukakasa nti tolina bulwadde bwa bwongo obw’amaanyi ennyo obuyinza okuba obw’amaanyi ennyo.
Bikebere ki ebikolebwa okuzuula embeera eno?
Omusawo ajja kusalawo ebigezo by’olina okukola okusinziira ku bubonero bwo. Ebiseera ebisinga okukeberebwa bino wammanga bye bisemba:
- Okukebera omusaayi (bino bisobola okukebera ebintu ng’obuzibu bw’abaserikale b’omubiri, obutwa, n’ebyuma ebimu).
- `(Okukebera ebifaananyi mu kompyuta - CT) Scan`.
- Electroencephalogram (EEG) (okukebera okutunuulira enkola y’amasannyalaze g’obwongo).
- Electromyogram (EMG) (okukebera okukebera enkola y’ebinywa n’obusimu).
- `Evoked potentials test` (okugezesa okutunuulira engeri obwongo gye buddamu okuwulira).
- Sikaani y’okukuba ebifaananyi mu ngeri ya magineeti (MRI).
Obuzibu bw’okukyuka bujjanjabwa butya? Kisobola okuwona?
Olw’okuba obuzibu bw’okukyuka (Conversion Disorder) mbeera ya bulamu bwa bwongo ereeta obubonero bw’omubiri, obujjanjabi businga kutunuulira ludda lw’eby’omwoyo. Obujjanjabi bw‟eby‟omutwe butera okuba omutendera ogusooka, era era y‟enkola esinga okukola obulungi. Enkola z’obujjanjabi bw’eby’omwoyo ezisinga okukozesebwa ze zino:
- Cognitive Behavioral Therapy (CBT): Eno y’engeri y’obujjanjabi esinga okusemba era esinga okukola obulungi. Kikuyamba okukyusa ebirowoozo byo, enneewulira zo, n’enneeyisa yo.
- (Obujjanjabi bw’okuwunyiriza):Kino oluusi kikozesebwa ng’eky’okubiri naddala eri abo abalina obuzibu mu kwogera oba obubonero bw’okuwulira.
- Okubuulirira mu bibinja oba amaka: Okubuulirira mu bibinja kukusobozesa okugabana ku by‟ayitamu n‟abalala abayita mu bizibu ebifaananako bwe bityo n‟okufuna obuwagizi okuva gye bali. Okubuulirira amaka kiyamba abaagalwa bo okutegeera embeera gy’olimu n’okukulambika mu kubayamba.
Ng’oggyeeko kino, waliwo n’obujjanjabi obulala obuyinza okuyamba:
- Obujjanjabi bw'omubiri: Wadde nga ``Obuzibu bw'okukyuka`` butandikira ku nsonga y'eby'omwoyo, ebiva mu mubiri bya ddala. Obujjanjabi bw’omubiri busobola okukuyamba okuwona oba okumanyiira obubonero obwo obw’omubiri.
- Eddagala: Bw’oba olina embeera endala, gamba ng’okwennyamira oba okweraliikirira, wamu n’obuzibu bw’okukyuka, eddagala ly’embeera ezo nalyo liyinza okuyamba okumalawo obubonero bw’obuzibu bw’okukyuka. Eddagala eriweweeza ku kweraliikirira liyinza okuyamba naddala ng’olina obubonero obuzingiramu obulumi.
- Biofeedback: Eno nkola ya ddagala eddala. Mu kino, weeyigiriza okukyusa engeri omubiri gwo gye gukolamu. Ng’okozesa ebyuma, opima emirimu gy’omubiri gwo era n’otendekebwa okukola enkyukakyuka okusinziira ku ngeri ezo.
Ebizibu oba ebizibu ebiyinza okuva mu bujjanjabi buno naddala ku ddagala byawukana okusinziira ku bujjanjabi. Omusawo wo y’asinga okukunnyonnyola kino.
Nkola ntya okwerabirira/nkwata ntya obubonero?
`(Conversion Disorder)` kiyinza okuba ekizibu okuzuula ne ku musawo alina obumanyirivu. Obubonero obuwerekera embeera eno bufaananako nnyo n’obubonero bw’endwadde ez’akabi, ezitta obulamu nga `(Stroke)` ezikosa obwongo. N’olwekyo, togezaako kuzuula mbeera eno ggwe kennyini oba okugijjanjaba wekka. Bulijjo noonya amagezi g’abasawo.
Ebbanga lye kinaatwala okuwulira obulungi nga mmaze okutandika obujjanjabi, kuba eno mbeera ya bulamu bwa bwongo, kisinziira ku bintu bingi. Omusawo wo y’asinga okukuwa ekirowoozo ku kino.
Nsobola okuziyiza obuzibu bw’okukyuka?
Obuzibu bw‟okukyuka (Conversion Disorder) mbeera ya bulamu bwa bwongo ebaawo mu ngeri etasuubirwa. N’olwekyo, tewali ngeri ntongole ey’okubuziyiza oba okukendeeza ku bulabe bw’okubufuna.
Kiki ekibaawo singa mba n’obuzibu bw’okukyuka?
Embeera eno esobola okukosa ennyo obulamu bwo, okusinziira ku bubonero bw’olina. Abantu bangi tebasobola kukwata mulimu, kukola mirimu gya buli lunaku, oba okwenyigira mu bintu eby’okwesanyusaamu olw’obubonero obw’amaanyi.
Abantu bangi balwanagana n’engeri gye bawuliramu embeera eno n’engeri abalala gye babayisaamu. Batera okufuna enneewulira nga, "Tewali anzikiriza," "Buli muntu alowooza nti nnimba era nga nkola katemba," era bayinza n'okulekera awo okunoonya obujjanjabi naddala singa bafuna ebikolwa ng'ebyo okuva mu basawo.
Obuzibu bw‟okukyuka busobola okumala emyaka mingi. Abantu abamu balina obulwadde obw’amaanyi obumala emyezi egitawera mukaaga, ate abalala balina obulwadde obutawona obumala emyezi egisukka mu mukaaga. Oluusi kiba kizibu kya kaseera buseera, eky’ekiseera ekitono naddala mu baana. Kyokka eri abantu abalina obubonero obw’amaanyi, abatanoonya bujjanjabi, oba abatagoberera bulungi bujjanjabi, busobola okumala emyaka, wadde obulamu bwabwe bwonna.
Endowooza ki eriwo ku buzibu bw‟okukyuka?
Eno si mbeera ya bulabe eri obulamu bwo oba ey’akabi butereevu, naye eyinza okukosa ennyo obulamu bwo obw’omutwe okutwalira awamu n’obulamu bwo obulungi.
Obuyinza bw’ekivaamu ekirungi bukendeera:
- Bw’olwawo okunoonya amagezi g’abasawo.
- Singa bagaana okukkiriza nti balina embeera eno.
- Bw’oba tolina nkolagana nnungi oba empuliziganya nnungi n’omusawo wo.
- Singa togoberera bulungi nteekateeka ya bujjanjabi omusawo gy’akuwadde.
Ekisinga okuvaamu kwe kudda engulu mu bujjuvu. Omuntu bw’alongoosa obulamu bwe obw’omutwe n’obulamu bwe obulungi, okutaataaganyizibwa mu bwongo kuyinza okukendeera oba n’okuggwaawo ddala.
Nnyinza ntya okwerabirira?
Wadde nga kiyinza okuba ekizibu okutegeera engeri obulamu bwo obw’omutwe gye buyinza okuleeta obubonero mu mubiri, kikulu okujjukira nti kino kituufu ku ndwadde endala nnyingi. Lowooza ku nsonga eno, situleesi, okweraliikirira n’okutya bisobola okwonoona embeera ng’amabwa, puleesa, n’endwadde z’omutima, nedda?
Bwoba olina `(Conversion Disorder),` ekisinga obulungi kyoyinza okukola kwe kukola n'omusawo wo n'ogoberera ebiragiro by'obujjanjabi bye. Abantu bangi okuzuula obulwadde buno bakisanga nga kizibu okukkiriza. Bw’oba owulira bw’otyo, tobeera wekka.
Bw’oba olina obuzibu okukkiriza okuzuulibwa kuno, yogerako n’omusawo wo ku nsonga eno. Okuzimba enkolagana ey’amaanyi era enzigule n’omusawo wo kye kimu ku bintu ebikulu by’oyinza okukola okuyamba.
Ate era, kola ebintu bino:
- Genda ew’omusawo nga bw’akugambye.
- Weetabe mu biseera by‟okubudaabuda (obujjanjabi bw‟omubiri, okubudaabudibwa mu by‟omwoyo) era osseemu nnyo.
- Eddagala bwe liba liwandiikiddwa, limira ddala nga bwe liragiddwa.
Enkulaakulana nkulaakulana!
Okudda engulu n‟okutereera okuva mu mbeera z‟obulamu bw‟obwongo tekitera kuba layini engolokofu. Kya bulijjo okuyita mu biseera ebizibu okuwona. Oluusi ebizibu byo oba obubonero bwo buyinza okweyongera mu kifo ky’okutereera. Kino kya bulijjo nnyo. Kino tekitegeeza nti oli mulemye oba nti embeera gy’olimu terina ssuubi.
Bw’oba olina obuzibu obw’ekika kino, yogerako n’omusawo wo. Basobola okukuwa amagezi g’abasawo ku kkubo lyo ery’okuwona. Era basobola okuteesa ku bukodyo obuyinza okukuyamba okuvvuunuka ebizibu bino n’ebiseera ebizibu.
Ddi lwe nnina okunoonya obujjanjabi obw’amangu?
Abantu abalina obuzibu bw‟okukyuka batera okuba n‟ebizibu ebirala eby‟obulamu bw‟omutwe, gamba ng‟okwennyamira n‟okweraliikirira. Era bali mu bulabe bwa maanyi obw’okugezaako okwetta.
Bw’oba olina ebirowoozo eby’okwetuusaako obulabe, okwetta oba okutuusa obulabe ku balala, olina okugenda mu ddwaaliro ery’amangu mu bwangu. Bw’oba olina ebirowoozo bino, mu Sri Lanka, osobola okukuba ku ssimu 1926 (the National Mental Health Helpline) oba okugenda mu kisenge ky’abalwadde ab’amangu eky’eddwaliro ekikuli okumpi.
Nnyinza ntya okuyamba omwagalwa wange alina obuzibu bw’okukyuka?
Singa omuntu wo ow’oku lusegere alina obuzibu bw’okukyuka, obuwagizi bwo busobola okuleeta enjawulo nnene mu kudda engulu kwe n’ebiva mu bujjanjabi bwe. Wano waliwo "eby'okukola" ne "by'otolina" by'olina okukuuma mu birowoozo:
Ebintu by'olina okukola:
- Zikkirize, ziwulirize: Obuzibu bw’okukyuka mbeera ya bujjanjabi ddala. Abantu abalina obulwadde buno bayinza okuwulira ng’abalala tebabikkiriza. Enneewulira eno esobola okubalemesa okunoonya obuyambi. Okuwulira ng’omuntu abakkiririzaamu kiba kizibu nnyo okunoonya obujjanjabi.
- Buuza engeri gy’oyinza okuyambamu: Abantu abalina obuzibu bw’okukyuka basobola okuwulira nga bali bokka nnyo era nga beeyawudde ku balala. Okumanya nti omuntu mwetegefu okuyamba kiyinza okuleetawo enjawulo nnene. Osobola n’okubakubiriza okweyongera okunoonya obujjanjabi nga bafunye obuzibu.
- Manya ebisingawo ku mbeera yaabwe, beera mwetegefu okubawagira: Omusawo w’omwagalwa wo ayinza okwagala okwogera naawe ku mbeera eno. Omwagalwa wo oba omusawo we ayinza okukubuuza oba wandyagadde okugenda mu kiseera ky’okubudaabudibwa. Fuba okugendayo, kubanga by’oyiga bijja kukuyamba okuwagira omwagalwa wo.
Ebintu by’otolina kukola:
- Tobalumiriza nti bakijingirira: Okubalumiriza okujingirira obubonero bw'embeera entuufu, emanyiddwa eyitibwa ``Conversion Disorder'' kiyinza okuleeta omwagalwa wo obulumi bungi n'okunyigirizibwa.
- Togamba nti, "Kiri mu birowoozo byo byokka": Ebiva mu bulamu bw'obwongo tebibeerawo munda mu mutwe gw'omuntu gwokka. Abanoonyereza n’abakugu bakakasizza nti ensonga z’obulamu bw’obwongo zikwata ku mubiri gw’omuntu gwonna, era ezimu ziyinza okuvaako obubonero obw’amaanyi era obw’entiisa mu mubiri.
- Tewerabira okwerabirira: Okufaananako n‟embeera endala nnyingi ez‟obujjanjabi, abaagalwa b‟abantu abalina obuzibu bw‟okukyuka nabo basobola okufuna situleesi. Tewerabira okwerabirira obulamu bwo n'obulungi bwo. Bw’oba tosobola kwerabirira, tojja kusobola kuyamba muntu mulala bulungi.
N’ekisembayo, ekintu eky’okulowoozaako.
Obuzibu bw’obubonero bw’obusimu obukola oba obumanyiddwa ennyo nga Conversion Disorder, mbeera ng’ekizibu ky’obwongo kireeta obubonero bw’omubiri. Embeera eyo ya ddala, era obubonero si kintu omuntu ky’asobola okufuga. Ebyembi, abantu bangi abalina embeera eno bawulira nti abalala – naddala abakugu mu by’obujjanjabi – tebabikkiriza. Kino kiyinza okubaleetera okwewala okunoonya obujjanjabi obuyinza okubayamba, ekitera okubaleetera obubonero obw’amaanyi.
Bwoba olina `(Conversion Disorder)`, oba omusawo wo bw'aba ateebereza nti oyinza okuba n'embeera eno, kyabulijjo okuwulira ng'otya oba okweraliikirira kye kitegeeza. Bw’oba weeraliikirira kino, oba bw’oba weebuuza oba omusawo akukkiriza, ekisinga obulungi kwe kutegeeza omusawo wo. Omulimu gw’omusawo wo si kukusalira musango. Omulimu gwabwe kwe kuzuula ekikutuukako, lwaki kigenda mu maaso, n’oluvannyuma bagezeeko okukijjanjaba. Singa omusawo wo aba amanyi ebikweraliikiriza n’okutya kwo, ajja kusobola okukuwuliriza n’okukuwa obuwagizi, amagezi oba eby’okugonjoola ebizibu okukuyamba okuteeka ebirowoozo byo mu mbeera ennungi.
` Obuzibu bw'okukyusa, Obulamu bw'obwongo, Obubonero bw'omubiri, Obubonero bw'obusimu, Obujjanjabi bw'eby'omwoyo, Stress, Somatoform Disorders

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