Omwana wo omuto asunguwala mu ngeri etategeerekeka olw’ebintu ebitonotono? Asuula obusungu ng’onaaba, ng’osika enviiri, oba n’okugezaako okulinnya bbaasi y’essomero? Kino kiyinza obutaba buvuyo oba bukakanyavu bwa lwatu. Mu butuufu, wayinza okubaawo embeera y‟obulamu bw‟omutwe enzito emabega w‟enneeyisa eno. Leero twogera ku mbeera emu ng’ezo, Disruptive Mood Dysregulation Disorder, oba DMDD mu bufunze.
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DMDD kye ki?
Mu ngeri ennyangu, DMDD mbeera ya bulamu bwa bwongo abaana mwe batasobola kufuga nneewulira zaabwe naddala obusungu. N'ekyavaamu, batera okuba n'okubutuka okw'effujjo ennyo, kwe tuyita "okunyiiga," era ekyo kye babiyita. Okubutuka kuno kutera okubaawo nga balina okukola ekintu kye batayagala kukola.
Ekikulu, eno si muudu mbi yokka. Ebiseera ebisinga, embeera y’omwana embi ejja kuggwaawo oluvannyuma lw’akaseera. Naye omwana alina DMDD ekyo takikola mangu. Obusungu n’okweraliikirira kwabwe bigenda mu maaso.
Embeera eno yassibwa mu butongole mu kitabo ekiyitibwa Diagnostic and Statistical Manual of Mental Disorders (DSM-5) mu 2013. Emabegako, abaana abalina obubonero buno oluusi baazuulibwa mu bukyamu nti balina obulwadde bw’okuwuguka kw’abaana. DMDD yaleetebwa okuziyiza kino n’okuwa okuzuula okutuufu. Kino kiyinza okuleeta obuzibu obw’amaanyi eri omwana awaka, ku ssomero, ne mu nkolagana n’abantu, gamba ng’emikwano.
Bubonero ki obulaga DMDD?
Buno bwe bubonero obukulu obuyinza okulabibwa mu mwana alina DMDD.
- Obusungu obw’amaanyi: Kino si busungu bwokka. Kizingiramu okweyisa mu ngeri ey’effujjo eyinza okuli okukuba omuntu mu bigambo, okukuba enduulu, okusuula ebintu, oba n’okulumba omuntu mu mubiri.
- Okunyiiga ennyo: Okunyiiga kuno okw’amaanyi kubaawo emirundi esatu oba okusingawo mu wiiki.
- Okweraliikirira ne bw’aba nga tonyiize: Omwana ne bw’aba talina kizibu kinene, ayinza okumala olunaku olusinga ng’anyiize, nga yeeraliikirira, oba ng’anyiize . Kino kitegeerekeka nnyo eri ab’omu maka n’abasomesa.
- Eby’okuddamu ebitasaana ku kizibu: Bw’otunuulira ensonga lwaki omwana asunguwala, okuddamu kw’alaga tekusaanira ddala. Abwatuka ku kintu n’ekitono ennyo.
- Okukaluubirirwa okussa essira awaka ne ku ssomero: Embeera eno ey’obwongo ekaluubiriza omwana okussa essira ku mirimu gy’essomero awamu n’okukola emirimu gy’awaka.
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Check Availability →Okuzuula DMDD n’Ebivaako
Okunoonyereza okutuusa kati tekuzudde bulungi nti kino kye kivaako DMDD. Kale ng’omuzadde, towulira musango ku nsonga eno.
Bw’oba oteebereza nti omwana wo alina DMDD, ekisinga obulungi kwe kwogera n’omusawo w’omwana wo . Omusawo ajja kukubuuza bingi ku nneeyisa y’omwana wo. Kakasa nti onnyonnyola omwana wo bwe yeeyisaamu awaka, ku ssomero, ne bwe babeera nga batambula. Olwo omusawo ajja kukebera omwana wo alabe oba waliwo ebintu ebirala ebiyinza okuvaako obubonero buno mu mubiri.
Olwo, omusawo ajja kutera okusindika omwana eri omukugu mu by’obulamu bw’obwongo, kubanga DMDD eyinza okutabulwa n’embeera endala ez’obulamu bw’obwongo. Okugeza nga:
- Obuzibu bw‟okussaayo omwoyo/okukola ennyo (ADHD) .
- Obuzibu bw’okujeemera abavuganya (ODD) .
- Obuzibu bw’okweraliikirira
Omwana okusobola okuzuulibwa mu butongole nti alina DMDD, emitendera gino wammanga girina okutuukirira. Kino ka tukitunuulire mu mmeeza.
| Emisingi gy’okuzuula obulwadde | Okunnyonnyola |
|---|---|
| Obusungu obw’amaanyi | Okubwatuka kw’ebigambo oba ebikolwa eby’effujjo ebitasaana ku mbeera eyo. |
| Emirundi | Ebiseera ebisinga emirundi esatu mu wiiki oba okusingawo . |
| Omuudu nga tonyiize | Okuwulira obusungu oba okweraliikirira olunaku olusinga obungi, ne mu kiseera ky’okunyiiga. |
| Ebiseera ebigere | Obubonero bulina okumala waakiri emyezi 12 (omwaka gumu). |
| Emyaaka | Obubonero bulina okuba nga bwatandika nga tebannaweza myaka 10. Okuzuula obulwadde buno buweebwa baana bokka abali wakati w’emyaka 6 ne 18 . |
Bujjanjabi ki obuweebwa DMDD?
Olw’okuba DMDD bulwadde bupya, abasawo bakyanoonyereza ku bujjanjabi obusinga obulungi. Naye waliwo dda obujjanjabi obulaga nti buwanguzi. Ebika by’obujjanjabi ebikulu bibiri bye bikozesebwa.
1. Eddagala
Eddagala erimu liyinza okuyamba okufuga obubonero bwa DMDD naddala obusungu n’okukyukakyuka mu mbeera. Bino birina kuweebwa wansi w’okuteesa n’okulabirirwa kw’omusawo.
- Ebizimba: Bino bitera okukozesebwa ku ADHD era biyamba okukendeeza ku busungu obulabibwa mu DMDD.
- Eddagala eriweweeza ku kweraliikirira: Eddagala lino liyinza okuyamba okumalawo obusungu n’obuzibu bw’embeera y’omuntu.
- Atypical Antipsychotics: Eddagala ery’ekika kino oluusi liweebwa abaana abanyiize ennyo naddala abalina enneeyisa ey’obulabe eri abalala mu mubiri.
2. Obujjanjabi bw’Eby’Empuliziganya
Obujjanjabi obw’eby’omwoyo bukulu nnyo ng’eddagala, bwe kiba nga tekisingawo.
- Okutendeka abazadde: Kino kikulu nnyo. Abazadde balina okusomesebwa ku ngeri y‟okukolaganamu n‟omwana alina DMDD. Abazadde balina okuyiga okutegeera ebivaako omwana waabwe obusungu, okuddamu mu ngeri esaanidde bwe bubaawo, n’okutendereza omwana waabwe olw’empisa ennungi.
- Obujjanjabi bw’omwana: Obujjanjabi obutereevu eri omwana nabwo kikulu nnyo. Obujjanjabi bw’enneeyisa y’okutegeera (CBT) bukola nnyo wano. Kino kiyamba omwana okuyiga okutegeera obusungu bwe, okuyiga engeri gy’ayinza okubufuga, okuwuliziganya obulungi n’abalala, n’okukola ku mbeera ezirimu ebizibu.
Obubaka Obutwala Awaka
- DMDD si bukakanyavu bwa mwana oba enneeyisa embi. Embeera ya bujjanjabi ya ddala eyeetaaga okujjanjabibwa.
- Obubonero obukulu bwe busungu obutera okubutuka, n’okweraliikirira okutambula obutasalako.
- Omwana wo bw’aba alina obubonero buno, kakasa nti ogenda ew’omusawo akuwe amagezi.
- Embeera eno esobola okuddukanyizibwa obulungi ennyo n‟eddagala n‟obujjanjabi obw‟eby‟omwoyo (naddala okutendeka abazadde n‟obujjanjabi bw‟enneeyisa eri omwana).
- Ng’abazadde, okwagala kwammwe, obugumiikiriza n’okutegeera kwammwe biyamba omwana wammwe okutereera amangu.
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