Naawe otawaanyizibwa obuteebaka olw’ebirooto ebibi? Ka tuyige buli kimu ku Nightmare Disorder!

Teebereza, osula bulungi. Amangu ago ozuukuka ng’otuuyana ng’ekifuba kikuzitowa. Wafuna ekirooto ekitiisa ennyo. Kikyawulikika nga weekulukuunya mu mutwe. Si kibi okumala olunaku lumu oba bbiri, naye bw’osigala ng’oloota ebirooto ebibi nga bino, olunaku lwo lwonna luyinza okubeera olutabula. Mpozzi naawe olina embeera eno eyitibwa ``Nightmare Disorder'' . Kino tunaayogera mu bujjuvu leero?

Kino ``Obulwadde bw'ekirooto'' kye ki?

Mu ngeri ennyangu, ``Nightmare Disorder`` kwe kubeerawo kw'ebirooto ebitera okubaawo, ebirabika obulungi ennyo, ebitiisa. Ebirooto bino bikuleetera okunakuwala ennyo oba okukulemesa okukola obulungi emirimu gyo egya bulijjo. Kino nakyo kika kya butabeera bulungi mu nneeyisa ekibaawo nga twebaka, kye tuyita ``Parasomnias`` .

Obuzibu bw’embeera eno buyinza okwawukana, okusinziira ku mirundi gy’oloota ebirooto bino:

• Mild: Tewasukka mulundi gumu mu wiiki.
• Kya kigero: Omulundi gumu mu wiiki oba okusingawo, naye si buli kiro.
• Severe: Buli kiro nfuna ebirooto ebibi.

Ate era, ebbanga lye limaze nalyo likwata ku:

• Obw’ekiseera ekitono `(Acute nightmare disorder)`: Bumala omwezi mulamba oba wansi.
• Short-term moderate `(Subacute nightmare disorder): Bubeerawo okumala waakiri omwezi gumu, naye nga tebuwera myezi mukaaga.
• Obuzibu bw’ekirooto ekitali kya bulijjo: bumala emyezi mukaaga oba okusingawo.

Ebirooto bino ebisinga bibaawo mu kitundu eky’okubiri eky’otulo, ekiyitibwa REM (rapid eye movement) sleep . Ekintu eky’enjawulo ku buzibu bw’ekirooto ekibi kwe kuba nti ekirooto okijjukira bulungi ng’ozuukuse. Kino kyawukana ku ntiisa y’otulo. Embeera eno eyinza okukutaataaganya ennyo otulo era eyinza okukosa omutindo gw’obulamu bwo. Era kiyinza okwonoona embeera z‟obulamu bw‟omutwe ezisibukako, gamba ng‟okwennyamira oba okweraliikirira.

Ani asinga okukosebwa embeera eno?

Obuzibu buno obwa ``Nightmare Disorder'' busobola okukula mu muntu yenna, okuva ku baana abato okutuuka ku bantu abakulu.

Wabula abantu abamu batera okubufuna naddala ng’olina emu ku mbeera zino wammanga:

• Obuzibu mu nneeyisa ya REM (RBD) .
• Obulwadde bw’okwebaka
• Obulwadde bw’okusannyalala mu tulo
• Obuzibu bw’okutambula kw’ebitundu by’omubiri buli luvannyuma lwa kiseera (PLMD) .
• Obuzibu bw‟okunyigirizibwa oluvannyuma lw‟okukosebwa (PTSD) .
• Obuzibu bw‟okweraliikirira okwa bulijjo
• Obuzibu bw‟okweraliikirira mu bantu
• Ennaku

Obadde okimanyi nti abantu abalina obuzibu bw’okweraliikirira mu bantu oba obuzibu obw’okweraliikirira abantu bonna batera okufuna obuzibu bw’ekirooto eky’ekirooto emirundi esatu? Era, embeera eno ekosa wakati wa 50% ne 90% ku bantu abalina PTSD.

Embeera eno ya bulijjo etya?

Wadde nga tewali bibalo bituufu mu Sri Lanka, kigambibwa nti wakati wa 2% ne 8% ku bantu bonna mu nsi nga Amerika balina kino ``Nightmare Disorder.'' Ekyo si kya bulijjo nga bw'oyinza okulowooza.

Bubonero ki obw'obulwadde bwa ``Nightmare Disorder''?

Akabonero akakulu kwe kuloota ebirooto ebibi ennyo . Wadde nga kya bulijjo okuloota ebirooto ebibi buli luvannyuma lwa kiseera, bw'oba obifuna bulijjo era nga bitaataaganya emirimu gyo egya bulijjo, oyinza okuba n'obuzibu bwa ``Nightmare Disorder''.

Emiramwa egya bulijjo mu birooto bino eby’ekirooto gye gino:

• Obulamu bwo buli mu matigga .
• Obulabe ku bulamu bwo obw’omubiri .
• Obulabe eri obukuumi bwo .

Kuba akafaananyi ng’omuntu akugoba, ng’ova mu kifo ekigulumivu, oba ng’oli mu mbeera etasobola kukola. Bino bye birooto ebisinga okulabika.

Bw’oloota ekirooto ekibi, oyinza n’okufuna obubonero mu mubiri nga:

• Okutuuyana
• Okukaluubirirwa okussa
• Okukuba kw’omutima

Enneewulira enkulu ereetebwa ebirooto ebibi kwe kutya . Kyokka, enneewulira endala nazo ziyinza okuvaamu, gamba nga:

• Obusungu
• Okweraliikirira
• Okuswala
• Okwetamwa
• Ensonyi
• Ennaku

Obubonero buno obw’omubiri n’enneewulira bisobola okubaawo mu kiseera ky’ekirooto, ng’ozuukuse okuva mu kirooto, oba oluvannyuma ng’ojjukira ekirooto.

Nightmare Disorder era esobola okukuleetera okufuna bino wammanga:

• Mood changes , okugeza, okweraliikirira oba okwennyamira.
• Obutayagala kwebaka (olw’okutya okuloota ekirooto ekirala).
• Akooye nnyo .
• Otulo otungi emisana (Hypersomnia) .
• Okukaluubirirwa okussa ebirowoozo ku kintu ekimu .
• Ebizibu mu nneeyisa .
• Okukosa emirimu oba enkola y'essomero .
• Okutabangula enkolagana y'abantu .

Otulo otulungi kikulu nnyo eri obulamu bwaffe okutwalira awamu. N'olwekyo, bw'oba olowooza nti olina ``Nightmare Disorder'', kikulu nnyo okwogera n'omusawo.

Lwaki kino ``Ekirooto ky'ekirooto'' kibaawo?

Mu butuufu, abanoonyereza bakyanoonyereza ku tulo n’engeri gye kitukosaamu. Wadde nga bazudde bingi ebikwata ku tulo, ebirooto, n’ebirooto ebibi, naye wakyaliwo ebintu bingi bye tutamanyi.

Abanoonyereza tebamanyi kituufu ekivaako ebirooto ebibi n’obuzibu bw’ekirooto ekibi.Naye, balina endowooza ez’enjawulo.

Endowooza emu eri nti embeera eno eyinza okuva ku hyperarousal, embeera y’okukola emirimu egy’amaanyi ekuŋŋaanyizibwa emisana gyonna ne yeeyongerayo okutuuka ekiro. Hyperarousal mbeera ya birowoozo ng’onyiiga buli kiseera, ng’onyiiga, era ng’oteebereza buli kimu. Buno kabonero ka bulijjo ak’obulwadde bwa PTSD n’obuteebaka. Okusikirizibwa kuno okusukkiridde kuyinza okuvaako ebitundu by’obwongo okukola ennyo ng’osula, ekikuleetera okuloota ebirooto ebibi.

Waliwo endowooza endala ku ndowooza ya ``Fear extinction.`` Mu mbeera eza bulijjo, obwongo bwaffe busobola okukwataganya ebijjukizo ebitiisa n'ebintu ebipya n'ebitali bikwatagana, ne kisobozesa otulo n'ebirooto ebya bulijjo. Kino kiyitibwa ``Fear extinction.`` Okusinziira ku ndowooza eno eya ``impaired fear extinction``, obwongo bw'abantu abalina ``Nightmare Disorder`` bukyagenda mu maaso n'okukola ku bijjukizo ebitiisa ne bwe baba nga beebase. Okusinziira ku ndowooza eno, abantu abafuna obuzibu okufuga enneewulira zaabwe mu mbeera ezirimu situleesi, era abakola obubi ku situleesi, batera okuloota ebirooto ebibi.

Otegeera otya ``(Obulwadde bw'ekirooto)``?

Tewali kukeberebwa kwa musawo kwonna okuzuula kino. Wabula abasawo bajja kutwala ebyafaayo ebirungi eby’ebirooto byo ebibi n’obubonero obulala. Era bajja kubuuza ku byafaayo byo eby’obujjanjabi n’obulamu bw’obwongo.

Eddagala erimu era liyinza okuleeta ebirooto ebibi . N’olwekyo, omusawo ayinza okwagala okubuuza ku ddagala lyonna ly’omira mu kiseera kino, oba ayinza okulagira okukeberebwa eddagala okulaba oba ekyo kye kivaako. Eddagala n’ebintu ebiyinza okuvaako ebirooto ebibi mulimu:

• Beta-blockers (ekika ky’eddagala eriweebwa ku puleesa) .
• Eddagala eriweweeza ku kweraliikirira
• Nicotine (okuva mu biva mu taaba n’okunywa sigala) .

Ebirooto ebibi era bisobola okuva ku bubonero bw’okulekera awo okunywa omwenge obubaawo ng’olekera awo okukozesa ebintu ng’omwenge mu bwangu.

``Obulwadde bw'ekirooto'' bujjanjabwa butya?

Okujjanjaba kino, omusawo ayinza okukuwa amagezi okukozesa obujjanjabi obw’omugatte, omuli obujjanjabi bw’eby’omwoyo ( talk therapy) n’eddagala .

Obujjanjabi obukulu obw'eby'omwoyo obukozesebwa ku ``Nightmare Disorder`` bwe bujjanjabi obwesigamiziddwa ku ``Cognitive Behavioral Therapy (CBT) .`` Kwe kugamba:

• Obujjanjabi bw’okwegezzaamu mu bifaananyi (IRT) .
• Obujjanjabi bw’okubikkula, okuwummulamu, n’okuddamu okuwandiika (ERRT) .

Ebisingawo katono ku by’obujjanjabi bw’eby’omwoyo

Ekitongole kya American Academy of Sleep Medicine (AASM) kigamba nti IRT ne ERRT ze zisinga okukola obulungi ku buzibu bw’ekirooto ekibi mu bantu abakulu.

Zino `(IRT)` ne `(ERRT)` bujjanjabi obutuukira ddala ku buli muntu ssekinnoomu. Kuno kw’ogatta ensonga eziwerako:

• Okukuuma diary y‟otulo (sleep log) n‟okuwandiika engeri y‟okwebaka/okuzuukuka buli lunaku.
• Kuuma diary y’otulo okuwandiika emirundi n’engeri ebirooto byo ebibi gye biba eby’amaanyi.
• Okuyiga ku butonde bw’ebirooto ebibi.
• Obukugu mu kutendeka obugenderera ebifaananyi, ebirowoozo, n‟enneewulira ezikwatagana n‟ebirooto ebibi. Kino kiyinza okukendeeza ku mirundi n’obuzibu bw’ebirooto ebibi.

Enzijanjaba zino ezesigamiziddwa ku CBT ziraga nti ebirooto ebibi mu kusooka bya mugaso, bikuyamba okukola ku bintu eby’emabega, naye oluvannyuma lw’ekiseera bifuuka ebitaataaganya.

Enzijanjaba zino zitunuulira ebirooto ebibi ng'emize oba enneeyisa eziyigiddwa eziyinza okukyusibwa singa zikolebwa . Omukugu mu by’obulamu bw’obwongo, gamba ng’omukugu mu by’empisa oba omujjanjabi, asobola okukuyamba okuddamu okulowooza ku birooto byo eby’ekirooto mu ngeri ey’enjawulo, etali ya kutiisa nnyo oba ekutawaanya.

Omulimu gw’awaka mukulu nnyo mu bujjanjabi buno. Ekyo kitegeeza okwegezaamu ekirooto ekipya ky’olowoozaako buli lunaku. Ekigendererwa wano kwe "okuddamu pulogulaamu" ebirooto byo ebibi obutatiisa nnyo singa biddamu okulabika.

Eddagala erijjanjaba `(Obulwadde bw'ekirooto)`

Singa obujjanjabi bw’eby’omwoyo obwogeddwako emabegako tebuyamba, omusawo wo ayinza okulowooza ku ky’okukozesa eddagala.

Waliwo ebika by’eddagala ebiwerako ebiyinza okuyamba ku Nightmare Disorder ekwatagana ne PTSD. Wano waliwo ebyokulabirako ebitonotono:

• `Eddagala lya Olanzapine`
• `Eddagala lya Risperidone`
• `Eddagala lya Aripiprazole`
• `Klonidini`
• `Eddagala lya Cyproheptadine`
• `Eddagala lya Fluvoxamine`
• `Gabapentin`
• `Nabilone`
• `Phenelzine`
• `Prazosin` (kino kitera okukozesebwa) .
• `Topiramate`
• `Eddagala lya Trazodone`
• Eddagala eriweweeza ku kweraliikirira erya tricyclic

Eddagala eriyinza okuyamba ku Nightmare Disorder etakwatagana na PTSD mulimu:

• `Eddagala lya Prazosin`
• `Triazolam`

Ekisinga obukulu eddagala lyonna liyinza okuba n'ebizibu ebivaamu . N’olwekyo, kikulu nnyo okwogera n’omusawo wo ku birungi n’ebibi ebiri mu ddagala erimu, n’okumulaba singa ofuna ebizibu ebivaamu.

Embeera eno etegeeza ki?

Endowooza y'embeera eno eya ``Nightmare Disorder`` eyinza okwawukana okusinziira ku muntu.

Ku bantu abamu, kino kiyinza okutereera nga tewali bujjanjabi bwonna . Kyokka, eri abalala, embeera eno esobola okumala emyaka mingi singa tegijjanjabwa.

Olw'obuzibu bw'ekirooto obutawona`` obutajjanjabwa, obumaze ebbanga nga bujjanjabiddwaObulabe bw’okugezaako okwetta n’okuddamu okwetta bweyongera.

Olw’ensonga eno, era olw’okuba otulo kyetaagisa nnyo eri obulamu okutwalira awamu, kikulu nnyo okunoonya obuyambi bw’oba ​​otera okuloota ebirooto ebibi.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​otera okuloota ebirooto ebibi, era nga bitaataaganya omutindo gw’obulamu bwo, laba omusawo oba omukugu mu kubuulirira ku bulamu bw’obwongo mu bwangu .

Bw'oba ozuuliddwa n'obulwadde bwa ``Nightmare Disorder'' era ng'obujjanjabi bwo mu kiseera kino tebuyamba, yogerako n'omusawo wo ku ngeri endala.

Ebirooto ebibi bulwadde bwa bwongo?

Wadde ng’ebirooto ebibi bikwatagana n’embeera ezimu ez’obulamu bw’obwongo, gamba nga PTSD, okweraliikirira, n’okwennyamira, ebirooto ebibi tebitwalibwa ng’obulwadde bw’obwongo . Zino kika kya buzibu mu nneeyisa eziyitibwa parasomnias, ezibeerawo nga zeebase.

``Obulwadde bw'ekirooto'' kye kimu ne ``PTSD''?

Abantu bangi abalina obuzibu bw’okunyigirizibwa oluvannyuma lw’okukosebwa (PTSD) nabo balina obuzibu bw’ekirooto ekibi. Kyokka oyinza okuba n’obuzibu bw’ekirooto ekibi nga tolina PTSD. Kino kitegeeza nti ebibiri bino si bye bimu.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Okufuna otulo otulungi kyetaagisa nnyo mu bulamu bwaffe. Kiyamba emibiri gyaffe okuwummula, okuddamu amaanyi n’okweddaabiriza. Okubeera n‟obuzibu bw‟ekirooto kiyinza okukosa ennyo omutindo gw‟otulo bwo n‟omutindo gw‟obulamu bwo.

Naye, amawulire amalungi gali nti eno mbeera ejjanjabibwa . Enzijanjaba ez’enjawulo ez’okwogera n’eddagala bisobola okuyamba. N’olwekyo, ebirooto ebibi bwe biba bitaataaganya obulamu bwo, totya kulaba musawo. Si ggwe wekka, era waliwo engeri gy’oyinza okufunamu obuyambi.

` Ebirooto ebibi, otulo, obulamu bw'obwongo, otulo REM, PTSD, okweraliikirira, obujjanjabi