Omaze ebbanga ng’omira eddagala eriwonya embeera y’obwongo ng’okwennyamira? Kati ng’owulira bulungi nnyo, olowoozezza ku ky’okukendeeza ku ddagala lino, naye tekibadde kyangu nga bwe wali olowooza. Obadde otabuddwa olw’obuzibu obw’ekyewuunyo obujja n’okuyimiriza eddagala? Olwo ekitundu kino kijja kuba kikulu nnyo gy’oli. Kino ka twogere mu bujjuvu.
Lowooza ku mboozi y’omukazi ayitibwa Morgan Stewart. Yali amaze emyaka ng’amira eddagala eriweweeza ku kiwuubaalo. Yali amira eddagala eriyitibwa Sertraline (erinnya ly’ekika Zoloft). Oluvannyuma lw’akaseera, yasalawo nti yeetaaga okulekera awo okumira eddagala lino kubanga embeera ye yali etereera. Omusawo we yamugamba okukikomya omulundi gumu oba okubeera ku ludda olutaliiko bulabe, akendeeze ku ddagala. Morgan yalonze ekyo eky’oluvannyuma.
Wabula oluvannyuma lwa wiiki ntono ng’akendeeza ku ddagala lya 50 mg okutuuka ku kitundu, yatandika okufuna obubonero obw’ekyewuunyo. Omutima okukuba amangu mu ngeri etategeerekeka, okuziyira, okukuba mu matu, okulumwa omutwe ennyo, n’obuteebaka . Oluvannyuma lw’omwezi gumu oba ebiri ng’alekera ddala eddagala lino, embeera ye yeeyongera okwonooneka. Yali tasobola kutuula butuuzi, yali tasobola kwebaka bulungi, era yatandika okufuna ebirowoozo ebiyingirira eby’okutuusa obulabe ku muntu gwe yali ayagala oba ye kennyini.
Ebintu byagenda bibi nnyo ne kiba nti Morgan yatuuka n’okumala ennaku ntono mu ddwaaliro ly’abalwadde b’emitwe. Wano we yategeeredde nti kino si kwe kuddamu okwennyamira kwe, wabula obubonero bw’okulekera awo eddagala eryajja n’okuyimiriza eddagala. Abasawo bino babiyita ``obubonero bw'okulekera awo okukozesa''. Naye tewali yali amanyi bulungi kya kuzikola. Oluvannyuma, yalagirwa eddagala eddala bbiri (``Clonazepam`` ne ``Buspirone``) okufuga obubonero buno obupya. Oluvannyuma yasobodde okukomya eddagala limu n’asibira ku ddagala eddala bbiri eryali lizibu okulekera awo. Wabula Morgan bwe yali anoonya amawulire ku yintaneeti mwe yayigira ku nkola eno empya ng’erina omusingi gwa ssaayansi oguyitibwa ``Hyperbolic Tapering``.
Lwaki oluusi kiba kikyamu okukendeeza ku ddagala mu ngeri eya bulijjo?
Okusinziira ku kunoonyereza okumu, wakati wa 30% ne 40% ku bantu abalekera awo okumira eddagala eriweweeza ku kweraliikirira bayinza okufuna obubonero obw’omutindo ogutali gumu obw’okulivaako. Obulabe bw’ebizibu eby’amaanyi buba bwa maanyi naddala singa abantu abamaze omwaka n’okusoba nga bamira eddagala lino.
Obuzibu buli mu nkola abasawo bangi gye bakozesa okukendeeza ku ddagala. Kiyitibwa ``linear tapering.'' Mu ngeri ennyangu, kino kizingiramu okukendeeza ku ddoozi y'eddagala n'omuwendo gwe gumu buli wiiki oba omwezi . Okugeza okugikendeeza miligiraamu nga 10 buli wiiki.
"Naye enkola eno ya mangu nnyo eri omuntu aludde ng'amira eddagala lino," Dr. Mark Horowitz, omusawo era omunoonyereza ow'e London bw'agamba. "Obulabe buno buba bungi naddala ng'eddagala linaatera okuyimirira ddala."
Akinnyonnyola bw’ati: Teebereza omuntu ng’amira miligiraamu 20 ez’eddagala `(Lexapro)`. Okugikendeeza okuva ku 5 okutuuka ku 0 owulira ng’olina amaanyi emirundi nga amakumi abiri eri obwongo okusinga okugikendeeza okuva ku 20 okutuuka ku 15. Kiba ng’okubuuka okuva ku jjinja. Wadde 5mg eyinza okulabika nga ddoozi entono eri abasawo, si sayizi y’empeke y’esinga obukulu, wabula y’ekola ku bwongo.
N’olwekyo, bw’osooka okukendeeza ku ddagala, tekiwulira ng’ekizibu kinene. Naye bw'okendeeza ku miligiraamu ezisembayo, kiyinza okuwulira nga "ggeyeena." Abasawo bwe baba tebamanyi kino, bayinza okulowooza nti, "Omulwadde ono azzeemu okulwala."
Obumanyirivu bw’omusawo ku bubwe
Dr. Horowitz bino byonna abimanyi bulungi, kubanga ye kennyini abiyiseemu. Bwe yalekera awo okumira eddagala lya Lexapro, lye yali amaze emyaka 12 ng’amira, naye yafuna ebizibu eby’amaanyi omuli n’okulowooza okwetta. "Kyali kiseera ekisinga okuntiisa kye nnali nfunye mu bulamu bwange," bw'agamba.
Oluvannyuma lw’ebyo bye yayitamu, yatandika okulowooza ennyo ku nsonga eno. Yasoma n’obwegendereza obubonero obwali bugenda okulabika ng’alekera awo okumira eddagala lino.
| Obubonero bw’okulekera awo | |
|---|---|
| Obubonero obutera okulabika | Obubonero obutatera kulabika |
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Sayansi ki ali emabega w’enkola eno eyitibwa Hyperbolic Tapering?
Mu ngeri ennyangu, ``Hyperbolic Tapering`` nkola ya kukendeeza mpolampola ddoozi y'eddagala, n'ogikendeeza mpolampola, n'okwongera okugikendeeza. Eno nkola ya mpola nnyo egenda mu maaso okumala emyezi mingi, oluusi emyaka.
Okugeza, eddagala ly’omuntu liyinza okukendeezebwako ebitundu 10% buli mwezi . Wabula ebitundu bino 10% bibalirirwa okuva ku ddoozi esinga okusembyeyo, ekendeezeddwa. Kale eddagala bwe likendeera, omuwendo gw’eddagala gukendeera. Okunoonyereza kulaga nti enkola eno esobola okukozesebwa obulungi okuyimiriza eddagala ly’okwennyamira, obuteebaka, okweraliikirira, n’endwadde endala ez’omutwe, awamu n’okukomya eddagala eriwonya embeera endala.
Naye kino si kyangu kukikola. Waliwo okusoomoozebwa okukulu kubiri ku kino:
1. Okunoonya omusawo alina okumanya: Kizibu okufuna omusawo amanyi enkola eno era asobola okukola enteekateeka ekusaanira.
2. Okufuna ddoozi entono ennyo: Kkampuni z’eddagala tezikola ddagala mu ddoozi ntono bwe zityo. Kale olina okukozesa eddagala ery’amazzi oba okukola dose zino entonotono ng’oyita mu dduuka ly’eddagala erikola ebirungo ebikola eddagala. Bino byombi biyinza okuba eby’ebbeeyi.
Ddala enkola eno yeetaagibwa etya? Lwaki abasawo baffe tebamanyi bingi ku nsonga eno?
Abakugu abamu bagamba nti enkola eno eya ``Hyperbolic Tapering'' yeetaagibwa ku bantu batono nnyo abalina obubonero obw'amaanyi, era nti eri abantu abasinga obungi, obubonero obubaawo ng'eddagala liyimiriziddwa mu ngeri eya bulijjo buba butono era bugenda ku bwabwo.
Naye Dr. Horowitz takkiriziganya na kino. Agamba nti, "Kino si kizibu kya bantu batono." Okunoonyereza kwe kulaga nti omuntu omu ku buli bantu musanvu (1/7) abamira eddagala lino okumala emyaka egisukka mu ebiri afuna ebizibu eby’amaanyi.
Ekizibu ekikulu abasawo bangi tebatendekeddwa bulungi mu kino. Basomesebwa nti ebizibu ebivaamu biba bitono era bijja kuggwaawo mu nnaku ntono. Kale, omulwadde bw'ayingira n'aloopa obubonero obw'amaanyi, balowooza nti, "Kino si kuggyamu, obulwadde bwo obw'omutwe bukomyewo." Oluvannyuma omulwadde ne bamuzza ku ddagala.
Eky’okuba nti enkumi n’enkumi z’abantu nga bano bagenda ku yintaneeti okwenoonyeza eby’okugonjoola ebizibu kitegeeza nti wabaddewo okulemererwa okw’amaanyi awalala mu nkola yaffe ey’obujjanjabi.
Eno y’ensonga lwaki abalwadde bangi bakoze ebibiina ku yintaneeti okwogera ku bizibu byabwe n’okunoonya eby’okugonjoola, kubanga abasawo baabwe tebabitwala nga bikulu.
'Nga okuzuukuka okuva mu kirooto'.
Leero, Morgan agamba nti awulira nga "azuukuka okuva mu kirooto ekibi." Omusawo we yali tawagira nkola eno empya, kwe kunoonya obuyambi okuva eri omusawo omulala eyali atendekeddwa mu kino.
Eddagala lye yategekera awaka. Empeke yagisaanuusa mu mazzi, n’akozesa empiso, era n’apima ddala mililita mmeka ze yali yeetaaga okumira buli lunaku. Naye eno nkola ya bulabe nnyo era esoomooza. Kino yakikola okumala emyezi 15 era yasobola okulekera awo okumira Clonazepam nga talina buzibu bupya bwonna.
Ekikulu: Kyabulabe nnyo okugezaako ebintu bino ku bubwo. Mazima ddala olina okulowooza ku kukola ebintu bino byokka ng’olabirirwa omusawo amanyi ku nsonga eno. Okukyamusa eddagala lino kiyinza okuvaamu ebizibu eby’amaanyi.
Morgan agamba nti obulamu bwe buzzeemu okujjula essanyu. "Kati ndi wa ddembe," bw'agamba. "Kyamagero, okusinziira ku gye nnali."
Obubaka Obutwala Awaka
- Bwe balekera awo okumira eddagala erimala ebbanga eddene eri endwadde z’obwongo ng’okwennyamira, abantu abamu bayinza okufuna ebizibu eby’amaanyi (obubonero bw’okulekera awo).
- Enkola eya bulijjo (linear tapering) egobererwa abasawo bangi tekola ku buli muntu naddala abo abamaze ebbanga nga bamira eddagala lino.
- Hyperbolic Tapering nkola etali ya bulabe ey’okukendeeza ku ddoozi y’eddagala mpola nnyo, mu bungi obutono ennyo, okumala emyezi oba emyaka.
- Tolekera awo kumira ddagala oba okukyusa eddagala ku bubwo nga toyogedde na musawo wo.
- Bw’oba olina obuzibu okuyimiriza eddagala lyo, yogerako n’omusawo wo ku nkola eno eya Hyperbolic Tapering. Ayinza okuba nga takimanyi, naye okwogera ku kunoonyereza kuno okupya kiyinza okukuyamba okufuna eky’okugonjoola ensonga eno.











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