Ffenna tuwulira ennaku era nga tuli wansi oluusi. Kya bulijjo. Naye wali owuliddeko, awatali nsonga ntongole, obwereere obw’amaanyi munda, okuwulira obwereere obutakyakuleetera ssanyu, ne mu bintu bye wali onyumirwa, okuwulira nti ensi yonna ddugavu na njeru? Kino si nnaku yokka. Leero tugenda kwogera ku mbeera ng’eyo, kwe kugamba, Melancholic Depression, ekika ekitono eky’amaanyi eky’Okwennyamira. Kino si bunafu mu birowoozo byo, wabula mu butuufu mbeera ya bujjanjabi eyeekuusa ku nkyukakyuka mu mubiri naddala mu busimu obw’omu makkati.
Kino kye bayita Melancholic Depression kye ki ddala?
Mu ngeri ennyangu, Melancholic Depression ngeri ya kwennyamira ya maanyi nnyo, ey’amaanyi. Abantu abamu era bakiyita Melancholia. Abanoonyereza balowooza nti embeera eno okusinga ekosa obusimu bwaffe obw’omu makkati. Abantu abalina ekiwuubaalo wakati wa 25% ne 30% balina ekiwuubaalo eky’ekika kino.
Okujjanjaba embeera eno kiyinza okuba ekizibu kubanga eyinza obutaddamu bulungi bumu ku bujjanjabi bw’okwennyamira okwa bulijjo, gamba ng’eddagala nga SSRIs (Selective serotonin reuptake inhibitors) oba obujjanjabi bw’okwogera.
Naye ekyo tekitegeeza nti tewali bujjanjabi bugijjanjaba. Waliwo obujjanjabi bubiri obukola ennyo ku kino:
- Electroconvulsive therapy (ECT): Kino kizingiramu okusindika obubaka obutono ennyo obw’amasannyalaze obufugibwa ku bwongo okumalawo obubonero.
- Tricyclic antidepressants (TCAs): Zino kika kya ddagala erisooka okuleetebwa ku kweraliikirira.
Ekikulu kiri nti, newankubadde obubonero bw’embeera eno bwa maanyi, osobola okuddukanya obubonero buno n’obeera obulungi ng’oyambibwako omukugu mu by’obulamu bw’obwongo alina ebisaanyizo, omuli n’omusawo wo.
Bubonero ki obulaga embeera eno?
Okwennyamira okw’ennaku si kwa nnaku oba kukaaba kwokka, wabula n’obubonero obw’omubiri obusingawo. Oyinza okuwulira nga tolina maanyi era nga tolina kintu kyonna munda. Oyinza obutasobola kunyumirwa wadde ebintu ebirungi. Ebirowoozo byo n’entambula zo biyinza n’okukendeera. Katumenye obubonero buno.
| Ekika ky’obubonero | Okunnyonnyola |
|---|---|
| Ebintu ebikulu ebibiri | 1. Okufiirwa essanyu. 2. Obutasobola kwanukula bulungi kintu kirungi oba ekimatiza. |
| Ebintu ebirala ebitera okubeerawo |
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| Enkyukakyuka mu ntambula z’omubiri (Psychomotor signs) . | |
| Enkyukakyuka mu nneeyisa |
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| Obulumi bw’omubiri | Okunoonyereza okumu kulaga nti abantu abawera 70% abalina embeera eno bayinza okulumwa ebinywa n’amagumba. |
Lwaki kino kigenda mu maaso? Ensonga ze ziruwa?
Ensonga enkulu lwaki kino kikolebwa kitwalibwa ng’enkyukakyuka mu biramu mu bwongo bwaffe n’enkola y’obusimu. Teebereza, obwongo bwaffe bulina ebitundu eby’enjawulo ebifuga okujjukira, ebirowoozo, n’enneewulira. Waliwo enkola eyungibwa ku bino era ekola eyitibwa ``Hypothalamic-pituitary-adrenal (HPA) axis''. Mu ngeri ennyangu, eno y’enkola enkulu mu mubiri gwaffe etereeza ebintu bingi, gamba ng’okunyigirizibwa n’okwagala okulya.
Mu muntu alina Melancholic Depression, ekisiki kino ekya HPA tekikola bulungi. N’olwekyo, bwe tuba ku situleesi, obusimu `(cortisol)` obukolebwa omubiri gwaffe buba ku mutindo gwa waggulu mu ngeri eteetaagisa. Okweyongera kuno mu miwendo gya `(cortisol)` kuyinza okukosa butereevu apetite yaffe, metabolism, n'okujjukira. Okugatta ku ekyo, enkyukakyuka mu nkola y’obubonero (`(neurons)`) etambuza obubaka wakati w’obutoffaali bw’obusimu mu bwongo nazo ziyinza okuba nga ze zivunaanyizibwa.
Ani ali mu bulabe obw’amaanyi obw’okufuna embeera eno?
- Emyaka: Obubonero bw’Okwennyamira (Melancholic Depression) butera okulabika ng’ogenda mu maaso, kwe kugamba, ng’ogenda okaddiwa.
- Ensengekera y’obuzaale: Embeera eno etera okutambulira mu maka. Singa omuntu mu maka go abadde n’obulwadde bw’obwongo obw’ekika kino emabegako, naawe oyinza okuba mu bulabe.
- Obudde ne sizoni: Abantu abamu obubonero buno buyinza okweyongera mu biseera omusana omutono, emisana emitono, n’obudde obw’obunnyogovu.
- Enkyukakyuka oluvannyuma lw’okuzaala: Bamaama abamu abalina ekiwuubaalo oluvannyuma lw’okuzaala nabo bayinza okufuna obubonero buno obw’ennaku.
Omusawo akizuula atya kino?
Omusawo wo oba omukugu mu kubuulirira ku bulamu bw’obwongo ajja kuzuula embeera eno oluvannyuma lw’okunoonyereza n’obwegendereza obubonero bwo. Okusobola okuzuulibwa, olina okuba n’obubonero bumu oba byombi ku bubonero obukulu buno wammanga:
Ebikulu: Okufiirwa obusobozi bw’okunyumirwa obulamu oba okuddamu ebintu ebisanyusa.
Okugatta ku ekyo, olina okuba n’engeri ezitakka wansi wa ssatu ku zino wammanga:
- Okwewulira ng’olina okuggwaamu essuubi ennyo nga tekikwatagana na nnaku, gamba ng’okufiirwa omuntu wo.
- Okubulwa apetite oba okugejja ennyo.
- Enkyukakyuka mu ntambula z‟omubiri (okulwawo oba obutawummula).
- Okuwulira nga olina situleesi n’ennaku ku makya okusinga mu biseera ebirala eby’olunaku.
- Okuzuukuka nga bukyali waakiri essaawa 2 okusinga bwe kyali kisuubirwa.
- Okwewulira ng’olina omusango ogw’amaanyi ku muntu yennyini.
Obujjanjabi bwe buruwa?
Okwennyamira okw’ennaku (melancholic depression) kujjanjabwa n’eddagala n’obujjanjabi obulala.
| Enkola y’obujjanjabi | Simply ku nsonga eyo |
|---|---|
| Eddagala (Eddagala eriweweeza ku kweraliikirira) . | Abasawo batera okuwandiika eddagala eriyitibwa tricyclic antidepressants (TCAs) . Eddagala nga Amitriptyline, Imipramine, ne Nortriptyline liri mu kibinja kino. Okugatta ku ekyo, omusawo ayinza okukuwa eddagala eddala okusinziira ku mbeera gy’olimu. |
| Obujjanjabi bw’amasannyalaze (ECT) . | Obujjanjabi obulala bwe butakola, omusawo ayinza okukuwa amagezi okukozesa ECT. Kino kizingiramu okukuteeka mu bujjanjabi obw’okubudamya n’okusindika obuuma obutonotono obw’amasannyalaze mu bwongo bwo okuzzaawo bbalansi y’eddagala ly’obwongo n’okumalawo obubonero. Buno bujjanjabi bwa bulabe nnyo era bukola bulungi. |
| Obujjanjabi bw’eby’omutwe | Enkola eno era emanyiddwa nga ‘talk therapy’, erimu okwogera n’omusawo w’eby’omutwe oba omukugu mu by’empisa ku nneewulira zo, ebirowoozo byo, n’enneeyisa zo. Kyokka, obutafaananako bika birala eby’okwennyamira, obujjanjabi buno bwokka buyinza obutakola nnyo ku kweraliikirira okw’ennaku. Kitera okukozesebwa wamu n’eddagala. |
Obeera otya n’embeera eno?
Omusawo ajja kutondawo enteekateeka y’obujjanjabi ekusaanira. Wadde ng’ogoberera ddala obujjanjabi obwo, osobola n’okukola enkyukakyuka entonotono mu bulamu bwo.
- Eddagala lyo limira ddala nga bwe likulagidde: Limira eddagala lyo ddala nga bwe likulagiddwa, mu kiseera ekituufu, era bulijjo weebuuze ku musawo wo nga tonnamira ddagala eddala lyonna oba eddagala eriweweeza ku bulwadde.
- Dduyiro: Kola ekintu ekikuwa omubiri gwo dduyiro buli lunaku, gamba ng’okutambula, okuwuga, okuzina oba yoga.
- Okwebaka kikulembeze: Funa omuze gw’okwebaka n’okuzuukuka mu kiseera kye kimu.
- Endya ennungi: Lya emmere erimu ebiriisa era erimu enzikiriziganya.
- Weewale okunywa sigala n’omwenge: Bino biyinza okwongera okwennyamira.
- Mala ebiseera n’emikwano: Yogera era omale ebiseera n’ab’omu maka go n’emikwano abakwagala era abakutegeera.
Yamba omuntu afaayo ku muntu nga ono.
Bw’oba olina omuntu ow’omu maka oba mukwano gwo alina embeera eno, obuwagizi bwo bwa muwendo nnyo. Naye okulabirira omuntu ng’oyo si kyangu. Ate era oyinza okuwulira ng’okooye, ng’oli wekka, era ng’olina situleesi. N’olwekyo, kikulu nnyo n’okwefaako.
- Naawe lowooza ku bulamu bwo: weebake bulungi, okulya emmere erimu ebiriisa, era dduyiro.
- Saba obuyambi: Togezaako kukola buli kimu wekka. Saba obuyambi okuva mu b’omu maka abalala n’emikwano.
- Naawe weewummuleko: Buli lunaku teekawo akaseera akatono ku ggwe kennyini. Soma ekitabo, wuliriza oluyimba, kola ekintu ekikunyumira.
- Funa omusawo amagezi bw’oba owulira ng’olina situleesi: Singa situleesi y’okulabirira omuntu tegigumiikiriza, yogerako n’omusawo oba omubuulirizi ku nsonga eyo.
Obubaka Obutwala Awaka
- Okwennyamira okw’ennaku si bunafu bwa mutima oba okuwulira ng’oli mugayaavu. Buno bulwadde bwa ddala obuva ku nkyukakyuka mu bwongo ne mu busimu.
- Ekikulu ekiraga kino kwe kuba nti n’ebintu ebyali binyumirwa edda tebikyaleeta ssanyu wadde essanyu.
- Waliwo obujjanjabi obukola ennyo (nga eddagala lya ECT ne TCA) eri embeera eno.
- Bw’oba ggwe oba omuntu gw’omanyi afuna obubonero buno, kikulu nnyo okulaba omusawo amangu ddala n’onoonya amagezi, okusinga okubonaabona wekka.











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