Omwana wo akola katemba? Buzibu bwa kufuga ebirowoozo? Ka twogere ku nsonga eno!

Owulira ng’omwana wo bulijjo azannya katemba, nga tafaayo ku balala? Oluusi asunguwala olw’ebintu ebitonotono? Oba afuna obuzibu obw’amaanyi olw’okuba tasobola kulekera awo mize egimu emibi? Ng’omuzadde, kya bulijjo okuwulira ennaku ennyo, mpozzi n’okutya, ng’olaba ebintu nga bino. Leero tugenda kwogera ku nneeyisa ez'ekika kino, mu ngeri y'obusawo eziyitibwa ``Impulse Control Disorders'' oba impulse control disorders.

Buzibu buno obw’okufuga ebirowoozo bye biruwa?

Mu ngeri ennyangu, ``Impulse Control Disorders'' kibinja kya mbeera z'ebirowoozo n'enneeyisa ezikaluubiriza okufuga ebirowoozo by'omuntu, oba enneewulira ze, n'ebikolwa ebibigoberera. Emirundi mingi enneeyisa ng’ezo zisobola okwetuusaako obulabe ku muntu oba ku balala. Mu mbeera ezimu, enneeyisa zino nazo zisobola okuleeta obuzibu mu mateeka.

Teebereza, obusungu obw’amangu obukuleetera okuleekaana, okusuula ebintu, oba okuba n’okwagala okutafugibwa okutwala ekintu eky’omuntu omulala. Bino bye byokulabirako ebitonotono.

Ebimu ku bikolwa bino ebizibu mulimu:

• Obusungu obw’amangu, obw’effujjo n’ebikolwa ebibuwerekerako.
• Okuyomba n’okulwana n’abalala buli kiseera.
• Okusaanyaawo ebintu by'abantu abalala n'ebintu by'olukale.
• Okujeemera abakadde n’abakulu, obutafaayo ku magezi gaabwe.
• Okubba.
• Okumenya amateeka.

Obubonero bw'obuzibu buno obwa ``Impulse Control Disorders'' butera okutandika mu buto , era oluusi, singa tebujjanjabwa, embeera zino zisobola okusigalawo okutuuka mu bukulu.

Bika ki ebikulu eby’obuzibu bw’okufuga ebirowoozo?

Okusinziira ku kitabo ky'ekibiina ekigatta abasawo b'emitwe ekya American Psychiatric Association (American Psychiatric Association) ekikwata ku kugabanya endwadde z'obwongo, DSM-5, ebika ebikulu ebiwerako ebya ``Impulse Control Disorders'' bizuuliddwa. Ka tulabe kiki kye bali.

1. Obuzibu bw’okujeemera abavuganya (ODD) .

Ekibaawo mu kino kiri nti omwana agumiikiriza, kwe kugamba, okumala emyezi, ajeemera abantu ab’obuyinza (nga abazadde, abasomesa), ayomba nabo buli kiseera, era yeeyisa mu ngeri ebanyiiza. Bayinza okunyiiza abalala mu bugenderevu n’okunyiiza. Naye eno si nsonga ya bugenderevu yokka, wabula kizibu kya maanyi nnyo.

2. Obutabanguko mu mpisa

Embeera eno ya maanyi katono okusinga ``ODD''. Wano, omwana oba omuvubuka asigala yeeyisa mu ngeri ey’obukambwe eri abalala, okutulugunya ebisolo, okulimba, okubba, okwekweka okuva mu nnyumba, n’okumenya ennyo amateeka g’essomero . Tebafaayo ku mpisa z’embeera z’abantu oba eddembe ly’abalala.

3. Obuzibu bw’okubwatuka obutasalako

Kiki ekibaawo mu kino, .Obusungu obw’amangu, oba awatali nsonga oba olw’ensonga entono, obwo buba bwa maanyi nnyo ne kiba nti tekisoboka kubufuga. Amangu ago, baleekaana, bakolima, basuula ebintu ku ttaka, ne balumba abalala. Oluvannyuma lw’okubutuka kuno, bayinza okwejjusa ennyo. Naye mu kaseera ako, tebalina kye bafuga.

4. Obulwadde bwa Kleptomania

Eno embeera ya njawulo katono. Ekigenda mu maaso wano kwe kuba nti olina ekirowoozo ekitafugibwa, eky’amaanyi eky’okubba ebintu ebitaliimu mugaso era nga teweetaaga wadde. Okimanyi nti okubba kikyamu era ojja kukwatibwa. Naye tosobola kufuga kwegomba okwo n’obba. Owulira obuweerero bungi oluvannyuma lw’okubba, naye nga tonnaba kuwulira puleesa n’okweraliikirira kungi.

5. Obulwadde bwa Pyromania

Eno mbeera ya bbula nnyo. Ekibaawo mu kino kiri nti waliwo okwegomba okutafugibwa, okw’amaanyi okw’okukuma omuliro mu bugenderevu. Wadde nga bakimanyi nti okukuma omuliro kijja kuleeta obulabe, tebasobola kufuga kwegomba okwo ne bakukumako omuliro. Bawulira okusika omuguwa n’okweraliikirira kungi nga tebannakuma muliro, n’essanyu n’obuweerero bungi oluvannyuma lw’okukuma omuliro. Tebakuma muliro lwa nsonga ndala yonna (nga okwesasuza, ssente), wabula olw’okwegomba kuno.

Ebizibu bino ebya ``Impulse Control Disorders'' bitera bitya?

Obunene bwa buli emu ku buzibu buno obwa ``Impulse Control Disorders'' mu bantu bwawukana. Ng’ekyokulabirako, okusinziira ku bibalo ebiri mu Amerika:

• Obulwadde bwa Oppositional Defiant Disorder (ODD): Ebitundu nga 3.3% ku baana n’abavubuka abakulu.
• Obuzibu mu mpisa: Ebitundu nga 4% ku baana n’abavubuka abakulu.
• Obuzibu bw’okubwatuka obutasalako: Ebitundu nga 2.7% ku bantu bonna.
• Kleptomania: Nga 0.6% ku bantu bonna.

Pyromania y’esinga obutono ku zino. Okunoonyereza okumu kwalaga nti abantu 3% bokka abali mu makomera olw’okukuma omuliro mu bantu be baayoleka obubonero bw’obulwadde bwa pyromania. Embeera ezifaananako bwe zityo zirabibwa ne mu Sri Lanka, naye kizibu okufuna ebibalo ebituufu.

Bubonero ki obwa `(Impulse Control Disorders)`?

Wadde nga buli ``Impulse Control Disorder`` erina obubonero bwayo obw'enjawulo, ekintu ekikwatagana ku byonna kwe kukendeeza ku busobozi bw'omuntu okufuga enneeyisa ye. Kino kitera okuleeta obuzibu eri abalala oba ne kivaako obuzibu mu mateeka.

Ebiseera ebisinga, abantu abalina ``Impulse Control Disorder'' bakimanyi nti enneeyisa yaabwe nkyamu era tesaana. Naye tebasobola kukikomya. Abantu bano nga tebannaba kweyisa mu ngeri etasaana, bawulira puleesa n’okweraliikirira kungi nga bizimba munda mu bo. Oluvannyuma lw’okukola enneeyisa eyo etasaana, bawulira obuweerero bungi n’eddembe.

Mu ngeri endala, abantu abalina ``ICDs'' zino bafulumya obusungu bwabwe, obutasanyuka, n'okunyiiga nga bayita mu balala. Kwe kugamba, baba ``bafulumya'' enneeyisa yaabwe.Kino kitera okuvaako obutakkaanya n’abalala. Kino kyawukana ku mbeera ng’obuzibu bw’okweraliikirira oba obuzibu mu muudu, omuntu mw’ayingiza munda mu bunkenke n’okunyigirizibwa kwe.

Naye wuuno ekintu ekikulu ky'olina okujjukira. Abaana bangi naddala mu myaka gyabwe egy’obuto ne mu myaka gyabwe egy’obutiini, beeyisa mu ngeri ey’obukakanyavu katono, nga tebagondera bantu bakulu. Kino bakikola okuyiga ekkomo lyabwe n’ekkomo ly’abalala kye liri. Ekyo kya bulijjo. Naye mu ``Impulse Control Disorders'', enneeyisa zino zitera, za maanyi, era zisigalawo okumala ebbanga ddene. Era enneeyisa zino zirina kinene kye zikola ku mirimu gy’omwana egya bulijjo, okusoma, enkolagana n’ab’omu maka, n’enkolagana n’emikwano.

Biki ebivaako `(Impulse Control Disorders)`?

Abanoonyereza bakyagezaako okuzuula ebituufu ebivaako obuzibu buno obwa ``Impulse Control Disorders.`` Okusinziira ku kye tumanyi, kirabika ensonga ezigatta.

• Ensengekera y’obuzaale : Okunoonyereza kulaga nti abazadde b’abaana abalina ODD batera okufuna obuzibu mu mbeera y’omuntu. Mu ngeri y’emu, abazadde b’abaana abalina obuzibu mu mpisa bayinza okuba n’embeera ng’obulwadde bw’okutabuka emitwe , obuzibu bw’okussaayo omwoyo (ADHD), obuzibu mu kukozesa ebiragalalagala (SUD), oba obuzibu bw’obuntubulamu (ASPDs). Kino kiraga nti wayinza okubaawo akakwate ku buzaale.
• Ensonga z’obutonde : Okunoonyereza kuzudde nti ensonga z’obutonde zisobola okuyamba okukulaakulanya embeera ng’ezo mu baana abava mu maka agafuna ssente entono, abaana abakulira mu mbeera ey’obutabanguko mu mbeera z’abantu, abaana abatafuna kufaayo n’okulabirira okutuufu okuva mu bazadde baabwe nga bakyali bato, abaana abatulugunyizibwa oba ababadde batulugunyizibwa mu mubiri oba mu birowoozo, n’abaana abalina emikwano n’emikwano emibi.
• Ebivaako ebiramu : Okunoonyereza okumu kulaga nti abantu abalina ICDs baba n’enkyukakyuka ezitali za bulijjo mu nkola z’obwongo ezimu oba mu busimu (okugeza, obusimu obuyitibwa cortisol).

Oyinza otya okuzuula `(Impulse Control Disorders)`?

Embeera zino zizuulibwa abakugu mu by’obulamu bw’obwongo, gamba ng’abasawo b’eby’omutwe oba abakugu mu by’empisa. Bakozesa emisingi egiri mu DSM-5. Mu budde obutuufu, obubonero bulina okumala waakiri emyezi 6 ku 12. Era zirina okuleeta okunyigirizibwa okw’amaanyi oba okutaataaganya obulamu obwa bulijjo.

Bwoba oteebereza nti ggwe oba omwana wo muyinza okuba n'obubonero bwa ``Impulse Control Disorder,'' olina okulaba omusawo w'eby'omutwe oba omukugu mu by'empisa. Bakozesa enkola ez‟enjawulo ez‟okubuuza ebibuuzo n‟okukebera okuzuula obulungi embeera zino ez‟omutwe n‟enneeyisa.

Ebiseera ebisinga, abakugu bano bafuna amawulire okuva mu bantu abasinga okubeera ku lusegere lw’omuntu oyo (nga abazadde, baganda be, mikwano gyabwe, abasomesa) okufuna ekifaananyi ekijjuvu ku nneeyisa y’omuntu oyo.

`(Impulse Control Disorders)` zijjanjabwa zitya?

Mu kiseera kino tewali ddagala likkirizibwa mu ngeri ey’enjawulo ekitongole kya Amerika ekivunaanyizibwa ku by’emmere n’eddagala (FDA) okujjanjaba obulwadde buno obwa ``Impulse Control Disorders''. N’olwekyo, obujjanjabi obukulu bwe bujjanjabi obw’enjawulo n’okukola enkyukakyuka ezeetaagisa mu ngeri abazadde gye bakwatamu abaana baabwe.

Wano waliwo obukodyo obw’omugaso abazadde bwe bayinza okugoberera okuyamba okufuga enneeyisa zino ezizibu mu baana:

• Okukendeeza ku kuddamu okulungi eri enneeyisa etasaana (e.g., okuwa omwana ky’ayagala ng’akaaba).
• Okukubiriza enneeyisa ez‟okusaasira n‟okufaayo (prosocial behaviors) eri abalala.
• Okukozesa enkola z’okukangavvula ezitali za ffujjo.
• Okusalawo okutambula obulungi, okuteeberezebwa nga okangavvula abaana (si ngeri emu leero, endala enkya).

Enkola ezimu ez’enjawulo ez’obujjanjabi eziyamba ku kino ze zino:

• Okutendeka abazadde mu nzirukanya y’emirimu (PMT) : Kino kizingiramu okutendeka abazadde oba abalabirira omwana mu bukodyo obuyamba omwana waabwe okulongoosa enneeyisa ye n’okuyiga obukugu obupya. Ekigendererwa ky’obujjanjabi buno kwe kuwa empisa ezitakyukakyuka ate nga ziwa endowooza entuufu, ennungi ku nneeyisa ennungi ey’omwana.
• Multisystemic Therapy (MST) : Enzijanjaba eno ekozesa amaanyi g’amaka okukubiriza okugumira embeera ennungi. Omusawo alina layisinsi akolagana n’abazadde okuyamba okunyweza enneeyisa ennungi n’okukendeeza ku nneeyisa embi. Era ziyamba amaka okukulaakulanya obuvunaanyizibwa n’obukugu mu kugonjoola ebizibu.
• Cognitive Behavioral Therapy (CBT) : CBT ngeri ya bujjanjabi bw’eby’omwoyo etegekeddwa, egenderera ebiruubirirwa. Kitera okukozesebwa awamu n’okutendeka abaana. Mu CBT, omusawo ayamba omwana okwekenneenya ebirowoozo bye n’enneewulira ze. Olwo omwana n’ategeera engeri ebirowoozo bye gye bikosaamu ebikolwa bye. Okuyita mu CBT, omwana asobola okukyusa endowooza embi, embi n‟enneeyisa n‟okuyiga endowooza n‟enneeyisa ennungi.

Kiki ekitegeeza nti `(Impulse Control Disorders)`?

Endowooza ya bino `(Impulse Control Disorders)`, kwe kugamba, embeera bwegenda okufaanana, esobola okwawukana okusinziira ku mbeera n'obuzibu bwayo. Naye okutwaliza awamu, bino `(ICDs)` biyinza okuba embeera ezitawona . Era zisobola okukosa ennyo obulamu bw’omuntu akwatibwako n’abaagalwa baabwe.

Okunoonyereza kulaga nti abantu abalina ICDs batera okufuna bino wammanga mu biseera eby’omu maaso:

• Okudda ku kukozesa ebiragalalagala.
• Ennaku.
• Obulabe bw’okufiirwa omulimu.
• Okukaluubirirwa okukuuma enkolagana.

Naye, okuyingira mu nsonga z‟obujjanjabi obw‟amaanyi kuyinza okugenda wala mu kuyamba okufuga enneeyisa zino ezirimu ebizibu.

``Obuzibu bw'okufuga empuliziganya'' busobola okuziyizibwa?

Embeera zino ziyinza obutaziyizibwa ddala. Kyokka, bw’ozuula n’okujjanjaba embeera eno nga bukyali , osobola okukendeeza ennyo ku situleesi n’obuzibu omwana wo n’ab’omu maka go bye banaayitamu. Si ekyo kyokka, naye era kiyinza okuyamba okuziyiza ebizibu ebirala (nga okutaataaganyizibwa mu by'enjigiriza n'ensonga z'amateeka) ebiyinza okukwatagana ne ``ICDs'' zino.

Abaana n’abavubuka abeeyisa obusungu n’okumenya amateeka kusoomoozebwa kwa maanyi eri abazadde. Wadde nga kya bulijjo abaana abato n'abavubuka okweyisa mu ngeri ey'okwegomba oluusi n'oluusi, singa beeyisa obutakyukakyuka era mu ngeri etaataaganya abalala, kiyinza okuba akabonero ka ``Impulse Control Disorder``.

Kikulu nnyo okutandika okujjanjaba bino `(Impulse Control Disorders)` amangu ddala nga bwe kisoboka. Omutendera ogusooka mu kunoonya obujjanjabi kwe kusisinkana omusawo w’amaka go, omusawo w’eby’omutwe oba omukugu mu by’empisa ne mwogera ku nsonga eno. Totya kubuuza bibuuzo ebikuli mu birowoozo. Baliwo okukuyamba.

Mu bufunze n’obubaka bw’okutwala awaka

``Impulse Control Disorders'' ze tubadde twogerako ze nneeyisa ezitali za bulijjo ezitasobola kufugibwa. Bino si mulimu gwa "omwana mubi" gwokka, biyinza okuba embeera enzito eyeetaaga okuyingira mu nsonga z'abasawo.

Ekisinga obukulu kwe kunoonya obuyambi bw’abakugu singa oba olina ebikweraliikiriza eby’amaanyi ku nneeyisa y’omwana wo, okusinga okugibuusa amaaso. Gy’okoma okuzuulibwa amangu, ebiva mu bujjanjabi gye bikoma okuba ebirungi.

Okujjukira:

• Ezimu ku nneeyisa ezirabibwa mu buto za bulijjo, naye mu ICDs, enneeyisa zino zitera okubaawo, za maanyi era ziwangaala.
• Embeera zino ziyinza okukwatibwako ensonga z’obuzaale, obutonde, n’ebiramu.
• Enkola z‟obujjanjabi n‟enteekateeka z‟okutendeka abazadde zikola bulungi nnyo ng‟obujjanjabi.
• Toli wekka. Waliwo abazadde abalala bangi abayolekagana n’okusoomoozebwa okufaananako bwe kutyo, era waliwo abakugu abasobola okukuyamba.

Bw’oba ​​oteebereza nti omwana wo alina ekizibu nga kino, nsaba onoonye abasawo amagezi. Okuyingira mu nsonga nga bukyali kiyinza okuleeta okubudaabudibwa okw’amaanyi eri omwana n’amaka gonna.

` Okufuga impulse, ebizibu mu nneeyisa, obulamu bw‟omwana obw‟omutwe, ODD, Conduct Disorder, okubuulirira ku bazadde, obujjanjabi bw‟eby‟omutwe