Olina ebintu ng’okunyiga amaaso n’okunyiga ensingo? Ka twogere ku buzibu buno obwa Tic Disorders!

Oluusi oyinza okuba nga wakirabye, nga totegedde na nti amaaso go gazibuka, ebibegabega byo bisika ebibegabega oba ng’olina okulumwa emimiro gyokka. Mpozzi n’okutya omwana wo ng’akola kino. Bino bye tuyita ‘tics’. Zino mbeera ezikwatagana n'obusimu bwaffe . Ebiseera ebisinga kino tekiba kya kweraliikirira naye kikulu nnyo ggwe n’omwana wo kino okukimanya.

Ebizibu bino ebya Tic Disorders bye biruwa?

Mu ngeri ennyangu, obuzibu bw’okuwunya (tic disorder) mbeera eri mu busimu bwaffe etuleetera okuba n’entambula z’omubiri ez’amangu, eziddiŋŋana oba amaloboozi agazibu okufuga. Teebereza, omu ku baana bataano ajja kufuna embeera eno mu kiseera ekimu mu bulamu bwe.

Bino bitera okutandika wakati w’emyaka 4 ne 6. Wabula obubonero buno businga kubeera wakati w’emyaka 10 ne 12. Obuzibu bw’okuwunya oluusi buyinza okuwerekerwako ebizibu ebirala eby’obulamu bw’obwongo. Ng’ekyokulabirako, embeera ng’okwennyamira, ADHD (Attention Deficit Hyperactivity Disorder), OCD (Obsessive-Compulsive Disorder), n’okweraliikirira.

Bika ki ebikulu eby’obulwadde bwa tic?

Ekitabo abasawo kye bakozesa okuzuula embeera zino, DSM-5-TR, kiraga ebika bisatu eby’obuzibu bw’okuzimba. Ka tulabe kiki kye bali.

1. Provisional Tic Disorder: Kino kye kika ky’obulwadde bwa tic obusinga okubeerawo . Bukwata abaana nga 20% abali mu myaka egy’okusoma. Singa omwana wo alina ekizibu ky’omubiri oba eddoboozi kimu oba okusingawo okumala omwezi ogusukka mu gumu naye nga tekiwera mwaka mulamba, omusawo ayinza okumuzuula nti alina obuzibu bw’okuwunyiriza okw’ekiseera.

2. Obuzibu obutambula (Chronic) Motor or Vocal tic disorder : Wadde nga tics ez’ekiseera zitera okuggwaawo mu mwaka gumu, tics ez’ekika kino ziwangaala okumala omwaka ogusukka mu gumu. Mu mbeera eno, omwana ayinza okuba n’ebikonde by’enkola y’omubiri byokka oba ebizimba by’amaloboozi byokka. Kyokka ebika byombi tebibeerawo wamu. Kino kikwata omwana nga 1 ku buli 100.

3. Obulwadde bwa Tourette Syndrome: Buno bwe businga okuba obw’amaanyi era obuzibu mu bulwadde bwa tic. Wadde nga kiyinza okulabika ng’ekizimba ekitawona, kiyinza okuba akabonero k’obulwadde bwa Tourette syndrome. Omwana alina embeera enoBombi motor tics ne vocal tics bibaawo wamu. Obubonero buno butera okutandika wakati w’emyaka 5 ne 10.

Enkolagana wakati w‟okweraliikirira ne tics

Ebiseera ebisinga, tics zino zeeyongera nga tuli ku situleesi oba okweraliikirira. Ensonga lwaki kino tukituuseeko eyinza okuba nti obusobozi bwaffe obw’okufuga omubiri gwaffe bukendeera nga tuli ku situleesi. Ate era, okweraliikirira kuyinza okwongera ku mirundi gy’okulwala tics.

Lwaki obuzibu buno obwa tic bubaawo?

Ekituufu ekivaako kino tekinnazuulibwa, naye abanoonyereza balowooza nti ensonga eziwerako ze ziviirako kino.

• Ensengekera y’obuzaale: Bino bitera okutambulira mu maka, ekitegeeza nti singa omuzadde oba ow’oluganda ow’oku lusegere abirina, omwana atera okubifuna.
• Ebizibu ebirala eby‟enneeyisa: Bino biyinza okuba nga byekuusa ku mbeera nga ADHD ne OCD, ze twayogeddeko emabegako.
• Ebizibu ebibaawo ng’oli lubuto: Kirowoozebwa nti akabi kano era kayinza okweyongera olw’ensonga nga maama okunywa sigala ng’ali lubuto n’omwana okuzaalibwa ng’azaalibwa nga muzito mutono.

Obulabe bw’okufuna embeera eno mu balenzi businga ku bawala emirundi esatu oba ena.

Bubonero ki obuyinza okuba nga buva ku kino?

Obubonero buno busobola okwawulwamu ebika bibiri ebikulu: Motor Tics ne Vocal Tics. Buli mutendera gulina ebitundu ebyangu era ebizibu. Katutunuulire bino mu mmeeza.

Omusawo azuula atya kino ng’obulwadde?

Bw’ogenda okulaba omusawo, ajja kuzuula oba buno buzibu bwa tic ng’atunuulira ensonga eziwerako.

• Olina tics za kika ki ? (Eby’omubiri, eby’eddoboozi oba byombi?)
• Bino bimaze bbanga ki ?
• Bino byatandikira ku myaka emeka ?
• Waliwo omuntu yenna mu maka go alina/alina embeera eno?
• Omira eddagala ly'obulwadde obulala ?

Ebiseera ebisinga, tekyetaagisa kukebera musaayi oba sikaani okuzuula kino. Kyokka, si bulijjo nnyo, singa wabaawo okuteebereza nti obubonero buno buva ku mbeera endala ey’obujjanjabi, omusawo ayinza okulagira okukeberebwa omusaayi, MRI, CT scan, oba EEG.

Bujjanjabi ki obuweebwa embeera eno?

Tewali ddagala liwonya buzibu bwa tic. Wabula waliwo obujjanjabi bungi obuyinza okuyamba okufuga n’okukendeeza ku bubonero, n’okukuyamba okubeera n’obulamu obwa bulijjo. Obujjanjabi butera okulowoozebwako singa tics zireeta obulumi, obuvune, zitaataaganya emirimu gya buli lunaku, oba zireeta okunyigirizibwa okw’amaanyi mu birowoozo.

Eddagala

Omusawo ayinza okukuwa eddagala okufuga obubonero obw’amaanyi. Wabula eddagala lino terijja kumalawo ddala tics, lijja kugifuga yokka.

• Alpha-adrenergic agonists: Zino ze zisooka okuweebwa. Eby’okulabirako: `Clonidine`, `Guanfacine`.
• Eddagala eriweweeza ku bwongo: Lino liweebwa singa obubonero buba buzibu okufuga. Eby’okulabirako: `Haloperidol`, `Risperidone`.
• Eddagala eriziyiza okukonziba: Eddagala erimu erikozesebwa okujjanjaba obulwadde bw’okusannyalala, nga Topiramate (Topamax), lizuuliddwa nti liyamba abantu abamu abalina obulwadde bwa Tourette syndrome.
• Empiso za Botox: Ensigo eruma esobola okuwummuzibwa ng’ofuyira empiso ya `Botox` mu kinywa.

Obujjanjabi bw’Enneeyisa

Eno nkola ya bujjanjabi nkulu nnyo. Ekibaawo wano kwe kwegezaamu enkola ez’enjawulo okukendeeza ku mirundi n’obuzibu bw’okuzimba.

• Habit Reversal Therapy: Mu kino, ozuula enneewulira gy’owulira nga tic tennajja n’okola ekintu ekirala (a competing response) okukyusa tic mu kiseera ekyo. Okugeza bw’oba ​​olina ekiwujjo ekikusika omutwe, kiringa okuteeka emikono gyo ku maviivi amangu ddala ng’enneewulira ezze.
• CBIT (Comprehensive Behavioral Intervention for Tics): Eno nkola ya bujjanjabi enzijuvu egatta obujjanjabi bwa Habit Reversal, okusomesa ku tics, n’obukodyo bw’okuwummulamu.

Okusitula Obwongo Obuziba (DBS) .

Buno bujjanjabi obukyali mu mutendera gw’okunoonyereza era nga bulowoozebwako eri abo bokka abalina obulwadde obw’amaanyi ennyo abatazzeemu bujjanjabi bulala. Mu bujjanjabi buno, ekyuma ekitono kiteekebwa mu bwongo ne kiweereza obubaka bw’amasannyalaze.

Tuyamba tutya omwana alina obulwadde bwa tic disorder?

Omwana wo bw’aba alina embeera eno, ebintu bingi by’osobola okukola ng’omuzadde.

• Tegeeza essomero: Tegeeza abasomesa n’omukulu w’essomero ku mbeera y’omwana wo basobole okuwa obuyambi obwetaagisa mu kibiina n’okukakasa nti tewali buzibu na baana balala.
• Weeyongere okwekkiririzaamu: Yamba omwana wo okukola ebintu by’anyumirwa, okukulaakulanya ebitone bye, n’okumukubiriza okukola emikwano.
• Tonenya mwana wo: Kino kikulu nnyo. Omwana ebintu bino aba tabikola mu bugenderevu. Kale tolumya mwana wo ng'oyogera ebintu nga "Lwaki okola kino?" oba "Kiyimiriza." Mu kifo ky’ekyo, bategeere era bawagire.
• Goberera amagezi g’abasawo: Goberera ebiragiro by’omusawo wo era ogende ku ssaawa z’obujjanjabi.