Oboolyawo owulidde erinnya obulwadde bw'okutabuka emitwe . Naye si kukyusa muudu yokka. Embeera ya bujjanjabi erimu okuzuula n’obujjanjabi obw’enjawulo. Naye omanyi ekirowoozo ky’obulwadde bwe tukiyita leero bwe kyajja? Waliwo emboozi ennyuvu ennyo emabega waakyo edda emabega enkumi n'enkumi z'emyaka. Ka twogereko katono ku mboozi eyo leero.
Ebirowoozo okuva edda ennyo
Emboozi eno etandikira mu Buyonaani ey’edda. Hippocrates, gwe tumanyi nga "taata w'obusawo," ye yasooka okuwandiika kino. Ye yasooka okulaba ng’abantu balina ebisukkiridde bibiri mu mbeera zaabwe. Ekimu kwe nnaku n'okweraliikirira okuyitiridde . Leero kino tukiyita okwennyamira . Ekirala ge maanyi agayitiridde n'obunyiikivu . Leero kino tukiyita mania .
Mu kiseera ekyo, Hippocrates yalowooza nti ebintu bino byava ku nkyukakyuka mu mazzi (bilie) mu mubiri.
- Melancholia: Yagamba nti ennaku esukkiridde eva ku kweyongera kwa "black bile ." "Melas" kitegeeza omuddugavu, ate "chole" kitegeeza bile.
- Mania: Yalowooza nti amaanyi agasukkiridde gava ku kweyongera kwa "yellow bile."
Awo, omusawo omulala Omuyonaani ayitibwa Aretaeus ow’e Kapadokiya, eyaliwo mu kyasa ekyasooka, endowooza eno yagitwala mu maaso katono. Ye yali alaga nti ennaku eno esukkiridde n’amaanyi agasukkiridde biyinza okuba ebisukkiridde bibiri eby’embeera y’emu. Era ye yasooka okugamba nti embeera zombi zaali zeekuusa ku buzibu obumu mu bwongo . Kino kyali kizuuliddwa kinene mu kiseera ekyo.
Mu ngeri ennyangu, abasawo babadde bagezaako okutegeera endowooza nti embeera zino si kuwulira nnaku oba essanyu zokka, wabula zeekuusa ku nkyukakyuka mu biramu ezibeerawo mu mubiri naddala mu bwongo.
Okwennyamira n’okwennyamira biba njuyi bbiri ez’ekinusu kimu?
Okumala ebikumi n’ebikumi by’emyaka, abasawo baali balowooza nti okwennyamira n’okwewuunya ndwadde bbiri ez’enjawulo ddala. Naye mu makkati g’ekyasa eky’ekkumi n’omwenda, abasawo b’eby’omutwe babiri Abafaransa baakyusa endowooza eno.
- Jean-Pierre Falret: Ye yasooka okugamba nti buno bulwadde bwe bumu, nti bujja mu cycles. Yakiyita "folie circulaire" (obulalu obw'enzirukanya). Ekirowoozo kye kyali nti omuntu asobola okufuna ekiwuubaalo, n’alyoka abeera wa bulijjo okumala akaseera, n’alyoka afuna ekiwuubaalo. Enzirukanya eno egenda mu maaso.
- Jules Baillarger: agamba nti:Omusawo omulala Omufaransa okuva mu kiseera kye kimu yagamba nti yali cycle, naye nga tewali kiseera kya bulijjo wakati w’okwennyamira n’okulwala , era nti amangu ddala ng’ekimu kiwedde, ekirala kyatandika.
Mu kiseera kino, omusawo Omugirimaani ayitibwa Emil Kraepelin, atwalibwa nga "taata w'obujjanjabi bw'emitwe obw'omulembe guno," yagatta ebirowoozo bino byonna n'awa embeera eno erinnya limu: "manic-depressive insanity." Ekirowoozo kye kyakkirizibwa kumpi mu nsi yonna mu kiseera ekyo.
Engeri DSM gye yakyusaamu buli kimu
Mu myaka gya 1950, abasawo b’eby’omutwe bajja wamu ne bakola enkola ey’awamu, ekitabo ky’amateeka, eky’okuzuula endwadde z’obwongo. Kiyitibwa ekitabo ekiyitibwa Diagnostic and Statistical Manual of Mental Disorders (DSM) . Kiringa ekitabo ekilungamya abasawo kye bakozesa okuzuula obulungi obulwadde bw’obwongo. Ekitabo kino kitereezebwa buli luvannyuma lwa kiseera. Engeri obulwadde bw’okuwuguka gye buzuulibwamu ekyuse wamu nabwo.
| Enkyusa ya DSM (Enkyusa) . | Engeri obulwadde bwa Bipolar Disorder gye bwaleetebwawo |
|---|---|
| DSM-I (1952) nga . | "Manic-depressive insanity" ya Kraepelin yagabanyizibwamu emitendera esatu: manic, depressive, ne "other." Cyclicality yassibwa mu mutendera "omulala". |
| DSM-II (1968) Omuwandiisi w’ebitabo. | Erinnya lino lyakyusibwa ne lifuuka "obulwadde bw'okwennyamira (manic-depressive illness." Mu kifo kya "endala," ekika ekipya kyaleetebwa ekiyitibwa "cyclical," ekitegeeza abantu abafunye ebiseera byombi eby'okuwuubaala n'okwennyamira waakiri omulundi gumu. |
| DSM-III (1980) (1980) nga ye. | Eno ye yali enkyukakyuka! Erinnya "Bipolar Disorder" lyasooka kukozesebwa wano. Era kyaleetebwa ng’obulwadde obw’enjawulo, obw’enjawulo ku kweraliikirira okwa bulijjo. Emisingi gye tukozesa leero gyasinziira wano. |
Engeri gye tulabamu obulwadde bwa Bipolar Disorder leero
Leero, abasawo baawuddemu obulwadde bw’okuwuguka mu bika bina ebikulu. Okugabanya kuno kusobozesezza okuwa omulwadde obujjanjabi obutuufu era obutuufu .
| Ekika ky’obuzibu bw’okuwuguka | Mu ngeri ennyangu... |
|---|---|
| Obulwadde bw’okuwuguka I | Babaddeko waakiri ekitundu kimu ekijjuvu ekya manic episode ekimala waakiri ennaku 7. Ebiseera eby’okwennyamira biyinza okujja ne bigenda. |
| Ebiwuka ebibiri (bipolar II). | Tewali bitundu bya manic ebijjuvu. Mu kifo ky’ekyo, waliwo ebiseera ebikyukakyuka eby’ebiseera eby’okutabuka emitwe n’eby’okwennyamira . |
| Obuzibu bwa Cyclothymic Disorder | Okumala waakiri emyaka ebiri, nga bakyusakyusa obubonero bw’okuwuubaala n’obw’okwennyamira. Naye bino si bya maanyi nga mu Bipolar I oba II. Ekiseera ky’omala mu muudu eya bulijjo tekiwera wiiki 8. |
| Obuzibu bw’okuwuguka obutategeerekeka | Emisango omuntu gy’alina enkyukakyuka ez’amaanyi mu muudu naye nga tatuukiriza bisaanyizo bya mutendera gwonna ku ebyo waggulu. |
Mu nsonga z’obujjanjabi, enkyukakyuka ennene yagwawo mu myaka gya 1970 nga eddagala lya lithium likkirizibwa . Leero, waliwo eddagala lingi erikola obulungi, gamba ng’okutebenkeza embeera y’omuntu, eddagala erimu eriziyiza okusannyalala, n’eddagala eriweweeza ku bwongo.
Enkola y’obuwangwa n’embeera z’abantu
Obulwadde bwa Bipolar Disorder mbeera eyinza okukwata abantu mu nsi yonna n’obuwangwa bwonna. Okusinziira ku kitongole ky’ebyobulamu mu nsi yonna, abantu nga obukadde 45 mu nsi yonna balina embeera eno.
Kyokka, obuwangwa n’embeera z’abantu bikwata ku ngeri abantu gye bazuulamu n’okufuna obujjanjabi.
- Obuvuyo: Ne mu nsi yaffe, abantu abamu bakwatibwa ensonyi n’okutya okwogera ku bulwadde bw’obwongo oba okulaba omusawo. Olw'okuba "okuvumwavumwa" kuno, abantu bangi tebanoonya bujjanjabi butuufu. Kino kiyinza okulwawo okuzuula obulwadde mu butuufu.
- Engeri obubonero gye bulagibwamu: Okunoonyereza okumu kulaga nti abantu mu nsi za Asia batera okwogera nnyo ku bubonero bw’omubiri (e.g., okulumwa omubiri, okulumwa omutwe) okusinga ku bizibu by’obulamu bw’obwongo. Kino era kiyinza okuvaako okuzuula obulwadde obw’enjawulo.
Ebibiina byonna ebikulu eby’obusawo, omuli n’ekitongole ky’ebyobulamu mu nsi yonna, kiggumiza nti eddagala n’obuyambi mu by’omwoyo/embeera z’abantu byombi byetaagisa nnyo mu kuddukanya embeera eno.
Obubaka Obutwala Awaka
- Obulwadde bwa Bipolar Disorder si kipya. Okutegeera kwaffe ku kyo kweyongedde okumala ekiseera, okuva ku ndowooza enkadde nga "black bile" okutuuka ku bulwadde bw'obwongo bwe tumanyi leero.
- Kino si kukyusa muudu yokka. Ye nkyukakyuka ey’enzirukanya wakati w’ebiseera by’okuwuubaala, ng’owulira amaanyi mangi, n’ebiseera by’okwennyamira, ng’owulira ennaku ennyo.
- Leero, waliwo ensengeka ezenjawulo nga Bipolar I ne II, kale obulwadde buno busobola okuzuulibwa obulungi n’okujjanjabibwa.
- Bw’oba ggwe oba omuntu gw’omanyi alina obubonero buno, tokwatibwa nsonyi wadde okutya. Yogerako n’omusawo oba nnansi wo ku nsonga eno. Leero, waliwo obujjanjabi obulungi obuyinza okuyamba okuddukanya embeera eno obulungi ennyo.











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