Okwennyamira okw’ekika kya bipolar kijjanjabwa kitya? Ka twogere.

Ggwe oba omuntu gw’omanyi olina obuzibu bw’okuwuguka? Olwo n’omanya engeri gye kizibu okukuuma ebirowoozo byo mu kifo kimu. Olunaku lumu owulira essanyu n’okucamuka mu ngeri etategeerekeka (kino tukiyita mania). Enkeera owulira ennaku n’okwennyamira nga toyagala kubeera mu nsi. Ebintu bino eby’okulinnya n’okukka bisobola okubuzaabuza ennyo obulamu. Leero tugenda kwogera ku kweraliikirira okubaawo mu kiseera kino eky’obuzibu bw’okuwuguka, kwe kugamba, okwennyamira okw’okuwuguka . Ka twogere ku bujjanjabi bwa kino mu ngeri ennyangu gy’osobola okutegeera.

Bujjanjabi ki obukulu obw’okwennyamira okw’ekika kya bipolar depression?

Edda embeera zino zaajjanjabibwanga n’eddagala erireetera omuntu okwebaka ekisusse era nga lirina ebizibu bingi. Naye ekyo tekikyali bwe kityo. Sayansi w’obusawo akulaakulana nnyo. Leero, ebirungo ebitereeza embeera y’omuntu bye bisinga okukozesebwa mu kujjanjaba obulwadde bw’okuwuguka.

Mu ngeri ennyangu, eddagala lino liyamba okufuga enkyukakyuka zino ez’embeera n’okukuuma embeera yo nga tekyukakyuka. Wadde nga zifuga ebiseera by’okwennyamira, era ziyamba okuziyiza ebiseera by’okwennyamira.

Ebimu ku bika by’eddagala eritereeza embeera y’omuntu abasawo bye batera okugamba bye bino:

• Lithium
• Lamotrigine, eddagala eriyitibwa Lamotrigine
• Ekirungo kya Valproate
• Eddagala lya Carbamazepine

Oluusi, omusawo wo ayinza okukozesa eddagala lino ‘off-label’, wadde nga terikkirizibwa mu butongole ku bipolar depression. Kino kitegeeza nti eddagala erikkiriziddwa ku mbeera endala likozesebwa singa obumanyirivu n’okumanya kw’omusawo biraga nti lisaanira embeera eno. Abalwadde abamu basobola okufuga embeera yaabwe nga bakozesa eddagala limu lyokka eritereeza embeera y'omuntu . Naye ekyo bwe kiba tekimala, omusawo ayinza okusalawo okugattako eddagala eddala eritereeza embeera y’omuntu oba eddagala okuva mu kiraasi y’eddagala ery’enjawulo.

Eddagala eriweweeza ku kweraliikirira likozesebwa ku kino? Kino kizibu katono!

Kino kibuuzo abantu bangi kye babuuza. Wadde ng’eddagala eriweweeza ku kweraliikirira likola nnyo mu kujjanjaba okwennyamira okw’ekika kya unipolar, likozesebwa n’obwegendereza bungi mu kweraliikirira okw’ekika kya bipolar.

Teebereza, singa omuwa omuntu alina obulwadde bw’okuwuguka eddagala eriweweeza ku kweraliikirira nga tolina ddagala linyweza muudu, liyinza okuvaako ekiseera ekyo eky’okuwuguka. Kwe kugamba, basobola okuva mu kweraliikirira ne bafuuka ba maniacal ne bafuuka ba maniacal. Olw’akabi kano, abasawo tebawa ddagala eriweweeza ku kweraliikirira lyokka eri obulwadde bw’okuwuguka.

Ekimu ku bizuuliddwa mu kunoonyereza okunene okwayitibwa STEP-BD okwakolebwa ekitongole kya National Institute of Mental Health (NIMH) mu Amerika kwe kuba nti okugattako eddagala eriweweeza ku kweraliikirira mu ddagala eritereeza embeera y’omuntu tekyakola njawulo nnene mu bivaamu. Kino kyatuleetera okutegeera obukulu bw’okunoonya obujjanjabi obulala obw’okwennyamira okw’ekika kya bipolar.

Eddagala eriweweeza ku bwongo liyamba litya?

Okunoonyereza okwakakolebwa kulaga nti eddagala erimu eriweweeza ku bwongo likola nnyo ku kweraliikirira okw’ekika kya bipolar. Zino ziyitibwa ‘Atypical Antipsychotics’.

Mu ngeri ennyangu, eddagala lino likola nga likosa ababaka b’eddagala (neurotransmitters) mu bwongo bwaffe abafuga embeera n’enneeyisa. Omusawo wo ajja kupima ebirungi n’ebibi ebiri mu buli ddagala era akulonde obujjanjabi obusinga obulungi okusobola okuvvuunuka ekiwuubaalo kyo nga tolina bulabe bwa bulwadde bwa bulwadde.

Eddagala erimu eriweweeza ku bwongo erikozesebwa ku kweraliikirira okw’ekika kya bipolar liwandiikiddwa mu kipande wansi.

Ka tuyige ne ku ddagala eriweweeza ku bulwadde bwa CNS.

Ekibinja kino kirimu eddagala eriyitibwa benzodiazepines. Eby’okulabirako mulimu eddagala nga Clonazepam, Lorazepam, ne Alprazolam.

Bino bikozesebwa ku mbeera ez’amaanyi zokka ng’obutawummula nnyo, okweraliikirira, n’obuteebaka. Lino si ddagala ddungi erikozesebwa okumala ebbanga eddene. Era balina akabi ak'amaanyi ak'okukwatibwa emize . N’olwekyo, zikozesebwa okumala ekiseera kitono nnyo, nga zilabirirwa nnyo omusawo.

Obujjanjabi bw’amasannyalaze (ECT) kintu kya kutya?

Electroconvulsive Therapy (ECT) eyinza okutiisa abantu abamu, naye mu butuufu ddagala ddungi nnyo era eritali lya bulabe eri obulwadde bw’okwennyamira okw’amaanyi.

Kisaanira nnyo abalwadde abalina obubonero bw'okutabuka emitwe oba abali mu bulabe obw'amaanyi obw'okwetta . ECT era bujjanjabi bwa bulabe era bukola bulungi eri abakyala abalina ekiwuubaalo eky’amaanyi oba mania nga bali lubuto, awatali bulabe ku mwana.

Eddagala lyokka terimala? Obukulu bw’obujjanjabi bw’eby’omutwe

Kino kikulu nnyo. Bw’oba ​​ojjanjaba ekiwuubaalo, eddagala liba ludda lumu lwokka olw’ennyingo. Oludda olulala kwe kujjanjaba ebirowoozo .

Kino kijja kukuyamba okuddukanya obulungi enkolagana yo n’abantu, okumira eddagala lyo nga bwe likulagiddwa, n’okutegeka emirimu gyo egya bulijjo (okwebaka, okuzuukuka, okulya n’okunywa ebiseera).

Waliwo enkola eziwerako ez’obujjanjabi bw’eby’omwoyo ezituuse ku buwanguzi ezikozesebwa ku kino:

• Cognitive Behavioral Therapy (CBT): Ekuyamba okuzuula n’okukyusa ebirowoozo byo n’enneeyisa zo ezitali nnungi.
• Interpersonal and Social Rhythm Therapy (IPSRT): Ekuyamba okukuuma embeera ng’otereeza emirimu gyo egya bulijjo n’enkolagana yo n’abantu.
• Obujjanjabi obutunuulidde amaka: Enkola y’obujjanjabi erimu amaka go era nga gabayingiza mu nkola nga bayambibwako.