Omwana wo asigala akola ebintu bye bimu? Ka tuyige ku (Stereotypic Movement Disorder)!

Oboolyawo olabye abaana abato, oboolyawo omwana wo yennyini, nga bakuba emikono, nga banyenya emitwe oba nga bakankanya emibiri gyabwe mu ngeri y’emu. Bino bya kuzannyisa byokka, oba kabonero akalaga ekintu kye tusaanidde okweraliikirira? Leero tugenda kwogera ku ntambula zino eziddiŋŋana, naddala embeera eyitibwa Stereotypic Movement Disorder (SMD) . Teweeraliikiriranga, kino tujja kukyogerako mu ngeri ennyangu gy’osobola okutegeera.

`(Obuzibu bw'okutambula mu ngeri ey'ekibogwe)` kye ki?

Mu ngeri ennyangu, Stereotypic Movement Disorder mbeera omwana mw’akola entambula eziddiŋŋana, eziddiŋŋana nga talina kigendererwa kyonna kitegeerekeka . Lowooza ku kukuba omutwe, okukankanya omubiri, n’ebirala Entambula zino ziyinza okutaataaganya emirimu gy’omwana egya bulijjo era oluusi ziyinza okuba ez’obulabe eri omubiri.

Okusinziira ku ndagiriro abasawo gye bakozesa okuzuula embeera eno, Diagnostic and Statistical Manual of Mental Disorders (DSM-5), entambula zino ziyitibwa "SMD" singa teziyinza kunnyonnyolwa mbeera ndala ya bujjanjabi oba eddagala.

Embeera eno etera okutandika nga tannaweza myaka 3 , era oluusi esobola okusigalawo okutuuka mu bukulu.

`(Motor Stereotypies)` kitegeeza ki? Kino kyawukana ku `(SMD)`?

Yee, waliwo enjawulo entono wakati w’ebintu bino byombi. Nga tetunnatuuka ku `(SMD)`, ka tutegeere `(Motor Stereotypies)` kye kitegeeza. `(Motor Stereotypies)` kitegeeza entambula ezo, kwe kugamba, obubonero. `(Stereotypic Movement Disorder)` kitegeeza embeera eyo, kwe kugamba, obulwadde.

Abasawo bagabanyaamu ``Motor Stereotypies`` mu bika bibiri:

• Simple Motor Stereotypies: Zino za bulijjo nnyo. Ziyinza okulabibwa mu baana abato nga kw’otadde n’abantu abakulu. Okugeza okunuuna engalo ensajja, okukuba amagulu, okuwuuta enviiri n’okuluma emisumaali. Entambula zino ennyangu ebiseera ebisinga tezitaataaganya mirimu gya bulijjo oba okuleeta okunyigirizibwa okw’amaanyi. Bino si bye tukola nga tukyali bato kyokka, naye oluusi ne bwe tukula.

• Complex Motor Stereotypies: Zino ntambula nzibu, eziddiŋŋana. Okugeza, okukuba engalo, okukankanya omubiri, n’okuddiŋŋana okutambula mu kamwa ne mu maaso. Entambula zino enzibu zitera okutandika nga tannaweza myaka 3 , oluusi zisigalawo okutuuka mu myaka gy’obuvubuka, era ziyinza okusigalawo okutuuka mu myaka egy’obukulu. Ziyinza okutaataaganya emirimu gya buli lunaku era ziyinza okwonoona omubiri. Ebintu bino ebizibu ebikwata ku nkola y’omubiri (complex motor stereotypies) bitera okulabibwa mu SMD.

Olwo, ebika bino ebibiri ebya ``Motor Stereotypies'' byongera okugabanyizibwamu ebika bibiri:

• Primary Motor Stereotypies: Bino bibaawo awatali nsonga yonna, kwe kugamba, awatali buzibu bulala mu nkula y’obusimu.

• Enkola z’Ekyuma ez’Ensimbi ez’Okubiri:Bino bisobola okubaawo ng’ekimu ku bitundu by’embeera endala ey’obujjanjabi. Okugeza, omwana alina embeera eyitibwa ``Autism Spectrum Disorder (ASD)`` oba ``Developmental Delay`` ayinza okuba n'entambula zino.

Mu ngeri ennyangu, singa omwana alina `(ASD)` akola entambula ez'ekika kino, abasawo bakitwala ng'ekitundu kya `(ASD)` yennyini. Abamu era bakiyita `(stimming)`. Okuyitibwa `(SMD)`, tewayinza kubaawo nsonga ndala yonna etegeerekeka (embeera endala ey’obujjanjabi) eri entambula zino.

Obuzibu bw’okutambula mu ngeri ey’ekifuulannenge butera kwenkana wa?

Abanoonyereza tebakakasa bulungi ngeri SMD gy’etera okubeerawo, naye okutwalira awamu etwalibwa ng’embeera etali ya bulijjo . Wabula waliwo data ezimu ku Motor Stereotypies.

Complex Motor Stereotypies tezitera kubaawo. Okunoonyereza kulaga nti zikwata abaana wakati wa 3% ne 4%. Wabula omuwendo guno gusinga mu baana abalina embeera z’obujjanjabi ezimu. Okugeza, abaana 61% abalina obulemu mu nkula n‟abaana 88% abalina obuzibu bw‟okutambula (ASD) bayinza okuba n‟entambula zino enzibu.

Naye, enkola ennyangu ey’okukozesa enkola y’omubiri (simple motor stereotypies) ya bulijjo nnyo. Ziyinza okukwata wakati wa 20% ne 70% ku baana abakula mu ngeri eya bulijjo. Kino kitegeeza nti tezitiisa nga bw’oyinza okulowooza.

Bubonero ki obwa `(Stereotypic Movement Disorder)`?

Omwana alina SMD ayinza okufuna endowooza z‟enkola y‟omubiri ezitaataaganya emirimu gya bulijjo oba okuleeta obulabe ku mubiri. Ebimu ku byokulabirako bye bino:

• Okukuba omukono
• Omubiri nga gukankana
• Okukuba omutwe
• Okutambula kw’engalo oba emikono obutasalako
• Okukola entambula z’akamwa ne ffeesi ez’ekika kye kimu (orofacial movements) .
• Okwekuba, okwelonda, okweluma.
• Okuluma emisumaali okw’amaanyi

Enneeyisa zino zisinga kubeera mu biseera nga bino:

• Situleesi bwe yeeyongera
• Okweraliikirira bwe kujja
• Bw’oba ​​osanyuse nnyo (okucamuka) .
• Bw’oba ​​ng’essira olitadde nnyo ku kintu (focused concentration) .
• Bwoba owulira nga weetamye `(boredom)`

Kyokka, singa okufaayo kukyusibwa, enneeyisa zino zitera okukendeera oba okubula.

Abaana abalina SMD batera okugamba nti bawulira essanyu era "okay" bwe bakola entambula zino. Kino kyawukana ku mbeera nga Obsessive-Compulsive Disorder (OCD). Mu OCD, entambula zikolebwa okwewugula okuva ku birowoozo ebitaataaganya. Kyokka, singa ogezaako okulemesa omwana alina SMD okukola entambula zino, ayinza okunyiiga, okunyiiga oba okunyiiga .

Biki ebivaako `(Stereotypic Movement Disorder)`?

Abanoonyereza tebannaba kuzuula kituufu kivaako bulwadde bwa Stereotypic Movement Disorder. Entambula zino eziddiŋŋana tezikwatagana na bulwadde bulala bwonna obw’obusimu oba obuzibu bw’enkula y’obusimu.

Naye okutwaliza awamu, abanoonyereza balowooza nti bino ``Motor Stereotypies`` biyinza okuva ku nkyukakyuka mu bbalansi y'eddagala erimu mu bwongo, lye tuyita ``neurotransmitters``, okugeza ``dopamine``, ``acetylcholine`` ne ``GABA`` .

Kirabika waliwo akakwate k’obuzaale ku `(Motor Stereotypies)` ezitali zimu. Kino kitegeeza nti omwana alina entambula zino atera okuba n’omuntu ow’omu maka ow’oku lusegere (muganda we, mwannyina oba omuzadde) alina embeera eno. Wabula tewali ggiini ntongole ezuuliddwa n’okutuusa kati.

Oyinza otya okuzuula obulwadde bwa `(Stereotypic Movement Disorder)`?

Omusawo okusobola okuzuula omwana wo ng’alina obulwadde bwa Stereotypic Movement Disorder (SMD), obukwakkulizo buno bwonna bulina okutuukirira :

• Entambula zino eziddiŋŋana zirina okumala waakiri wiiki nnya .
• Entambula zino zirina okutaataaganya enkolagana y’omwana mu bantu, emirimu gy’essomero, n’emirimu gya buli lunaku, oba omwana alina okwetuusaako obulabe.
• Tewayinza kubaawo nsonga ndala ya bujjanjabi ku ntambula zino.

Okusooka, omusawo w’omwana wo ajja kukukebera omubiri era akubuuze ku byafaayo by’obujjanjabi bw’omwana wo. Era bajja kubuuza ku bubonero bw’omwana wo okugeza:

• Ekibiina kino kyatandika ddi?
• Ebintu bino bibaawo emirundi emeka?
• Bino byeyongera olw’embeera oba embeera ezimu?
• Bino bikwata bitya ku mirimu gy’omwana egya bulijjo?

Era kikulu okugaana embeera endala eza bulijjo eziyinza okuleeta enkola zino ezitali za bulijjo ez’enkola y’omubiri, gamba nga Autism Spectrum Disorder (ASD). Kino kiyinza okwetaagisa okwekenneenya n’okugezesebwa okw’enjawulo.

Omusawo w’omwana wo era ayinza okukuwa amagezi okukebera ebimu, gamba ng’okukebera omusaayi, okulaba oba waliwo ekivaako mu mubiri entambula zino.

Bujjanjabi ki obwa `(Stereotypic Movement Disorder)`?

Ebiseera ebisinga, tewali bujjanjabi bwa njawulo bwetaagibwa ku Stereotypic Movement Disorder. Wabula singa omwana wo yeetaaga obuyambi okukendeeza ku ntambula zino, oba nga yeetuusaako obulabe olw’enneeyisa zino, obujjanjabi bw’enneeyisa obuyitibwa Habit Reversal Training (HRT) buyinza okukola ennyo. Kino kiyinza okuyamba okukendeeza ku maanyi g’entambula n’emirundi gye zibeerawo.

Mu nkola eyitibwa `(HRT)`, omwana atendekebwa okutegeera obubonero ng’entambula zino zinaatera okutandika n’okukola enneeyisa endala mu kifo ky’ekyo. Omwana ayiga okufuga enneeyisa ye ng’akozesa obukodyo buno. Mu kibiina ne mu maka, omusomesa w’omwana naawe osobola okukomya enneeyisa zino n’owugula omwana amangu ddala ng’ozirabye.

Singa omwana wo yeetuusaako obulabe (okugeza, okukuba omutwe oba okwelonda) olw'enkola zino eza ``Motor Stereotypies'', kiyinza okwetaagisa okukolebwa eby'enjawulo okumukuuma. Kino kiyinza okuzingiramu okubayamba okwambala ``enkoofiira'' oba okwambala ggalavu okukendeeza ku kulonda. Osobola okusaba omusawo w'omwana wo oba ``Occupational Therapist'' akuwe amagezi ku nkola entongole ezisaanira enneeyisa y'omwana wo.

Okunoonyereza kulaga nti eddagala erimu liyinza okuyamba okufuga enkola enzibu mu baana abalina autism n’obuzibu obulala obw’enkula y’obusimu. Wabula tewali kunoonyereza kulaga nti eddagala lino liyamba ku bulwadde bwa Stereotypic Movement Disorder.

Singa omwana wange alina `(Stereotypic Movement Disorder)`, kiki kye nsuubira?

Enneeyisa za `(SMD)` zitera okugenda mu maaso okutuuka mu myaka gy'obuvubuka n'obukulu. Jjukira nti omwana kasita aba nga teyeekolako bulabe, enneeyisa zino teziba za bulabe. Kiyinzika okuba nti eno ngeri yaabwe yokka gye bakolaganamu n’ensi. Yee, kiyinza okuba eky’enjawulo ku birala. Naye si ‘kikyamu’.

Omwana wo bw’aba yeetaaga obuyambi mu ntambula zino, laba omusawo we oba omusawo w’emirimu. Okuwa omwana wo okwogera ku kusalawo ku ndabirira ye kiyinza okumuyamba okuwulira ng’afuga omubiri gwe era kiyinza okuba n’akakwate akalungi ku bulamu bwe obw’omutwe.

Bibuuzo ki bye nnina okubuuza omusawo w’omwana wange?

Omwana wo bw’aba alina obulwadde bwa Stereotypic Movement Disorder, kiyinza okuba eky’omugaso okubuuza omusawo ebibuuzo nga bino:

• "Lwaki, Omusawo/Miss, omwana wange alina kino `(Stereotypic Movement Disorder)`?"
• "Tuyinza tutya okumanya mu bukakafu nti omwana wange alina bulwadde buno so si bulwadde bulala?"
• "Waliwo obubonero obulala bwe nsaanidde okubeera ku bunkenke?"
• "Nnyinza ntya okuyamba omwana wange alina obuzibu bw'okutambula mu ngeri ya Stereotypic Movement Disorder?"
• "Bakugu ba kika ki abayinza okuyamba omwana wange?"

Obuzibu bw’okutambula mu ngeri ey’ekika kya Stereotypic Movement Disorder busobola okuziyizibwa?

Okuva bwe kiri nti ekituufu ekivaako Stereotypic Movement Disorder tekimanyiddwa, tekiyinza kuziyizibwa.

Ng’omuzadde, kya bulijjo okuwulira nga weeraliikirira ng’olaba n’enkyukakyuka entonotono mu nneeyisa y’omwana wo. ‘SMD’ okusinga ngeri yokka ey’okugabanyaamu entambula eziddiŋŋana, ezitaliimu kigendererwa nga zino. Omwana wo ayinza okwetaaga obuyambi mu nsonga eno oba nedda. Kyokka ekisinga obukulu kwe kulabirira omwana wo. Osobola n’okufuna obuyambi okuva ew’omusawo w’omwana wo. Totya kubuuza bibuuzo n'okugabana ebirowoozo byo. Baliwo okukuyamba.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okay, kale bino bye bimu ku bintu ebikulu by’olina okukuuma mu birowoozo okuva ku bye twogeddeko:

• Stereotypic Movement Disorder (SMD) mbeera nga waliwo entambula eziddiŋŋana ezibeerawo mu ngeri y’emu nga tezirina kigendererwa kitegeerekeka.
• Entambula zino zonna si za maanyi. ``Motor stereotypies`` ennyangu ennyo zitera okubeerawo.
• Singa entambula zino zitaataaganya obulamu bw’omwana obwa bulijjo, bwe ziba zeetuusaako obulabe, oba omwana bw’aba atawaanyizibwa kino, noonya omusawo amagezi.
• Enzijanjaba z‟enneeyisa nga ``Habit Reversal Training (HRT)`` zisobola okuyamba okufuga embeera eno.
• Ekisinga obukulu kwe kutegeera omwana, okumuwa omukwano n’obuwagizi, n’okukkiriza entambula zino ng’ekitundu ku ye.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kwogera na musawo wa famire yo oba omusawo w’abaana.

` Obuzibu bw‟okutambula mu ngeri etali ya bulijjo, okutambula okuddiŋŋana, okulowooza ku nkola y‟omubiri, autism, ASD, ebizibu mu nneeyisa, obulamu bw‟obwongo bw‟omwana, okwetuusaako obulabe