Created at:1/16/2025
Question on this topic? Get an instant answer from August.
ADHD ku bakuru ni uburwayi bwo mu bwonko butera impinduka mu buryo ubwonko bwawe bugenzura uburyo bwo kwibanda, kwihangana, n’ibikorwa. Ushobora kumva nk’aho ubwenge bwawe buhora buri mu gusiganwa, ugakora cyane kugira ngo wibande ku mirimo, cyangwa ukabona wihuta uvuye ku mushinga umwe ujya ku wundi utabirangiza.
Abantu bakuru benshi bamenya ko bafite ADHD nyuma y’imyaka myinshi, akenshi iyo abana babo babimenyeshejwe cyangwa iyo ibyo ubuzima busaba bigenda bigorana. Icyo kumenya bishobora gutera impuhwe n’ibibazo ku cyo bivuze ku buzima bwawe bwa buri munsi n’imibanire yawe.
ADHD ku bakuru ni uburwayi bumwe nk’ubwo ku bana, ariko bigaragara mu buryo butandukanye uko ugenda ukura. Ubwonko bwawe butunganya amakuru kandi bugacunga imikorere y’ubuyobozi nk’igenamigambi, gutegura, no kugenzura kwihangana mu buryo budasanzwe bushobora gutera imbogamizi n’imbaraga.
Ubwo burwayi ntibugira mu bukuru - uba wavukanye. Ariko, ibimenyetso bikunze kugaragara cyane iyo inshingano z’ubukuru ziyongera cyangwa iyo uburyo bwo guhangana wari ukoresha imyaka myinshi butakikora neza. Abantu bagera kuri 4% mu bakuru babana na ADHD, nubwo benshi bataramenyekana.
ADHD igira ingaruka ku bice bitatu by’ingenzi by’imikorere y’ubwonko. Ibyo birimo kugenzura uburyo bwo kwibanda, kugenzura kwihangana, n’ibikorwa. Buri wese abigiramo uburyo butandukanye, ariyo mpamvu ADHD ishobora kugaragara itandukanye ku muntu ku wundi.
Ibimenyetso bya ADHD ku bakuru bikunze kumvikana nk’ibibazo by’imbere abandi batabona. Ushobora kugaragara ufite intsinzi hanze mugihe wumva uhangayitse, udasobanutse, cyangwa uhora uheruka inyuma.
Ibimenyetso bikunze kugaragara bigabanyijemo ibice bitatu by’ingenzi bishobora kugira ingaruka ku buzima bwawe bwa buri munsi:
Bamwe mu bakuru bagira kandi ibimenyetso bitagaragara cyane bishobora kugorana kimwe. Ibyo bishobora kuba harimo gutinda buri gihe, kugorana gucunga amarangamutima, ibibazo byo gucunga igihe, cyangwa kumva uremerewe n’imirimo ya buri munsi abandi babona ko boroshye.
Abagore bakunze kugira ADHD mu buryo butandukanye n’abagabo, bafite ibimenyetso bishobora kuba byibasiye imbere. Ushobora guhangayika no kurota, kumva udashize, cyangwa kugira imitekerereze ikomeye, bishobora rimwe na rimwe gusiba cyangwa kutumvikana n’abandi.
ADHD ku bakuru igira ubwoko butatu nyamukuru, buri bwoko bufite uburyo bwabwo bw’ibimenyetso. Gusobanukirwa ubwoko bwawe bishobora kugufasha wowe n’abaganga bawe gutegura gahunda y’ubuvuzi ikwiranye.
Ubwoko bugaragara cyane bwo kudashyiraho umutima bugira ingaruka ku buryo wibandaho kandi ukora ibintu. Ushobora guhangayika kurangiza imirimo, kwita ku bintu by’ingenzi, cyangwa kwibuka gahunda. Ubu bwoko bukunda kwitwa “ADD” mu biganiro bisanzwe, nubwo izina ryemewe ari ADHD ubwoko budashyiraho umutima.
Ubwoko bugaragara cyane bwo kwihuta cyane no guhubuka burimo kudashira amahoro no gufata ibyemezo vuba. Ushobora kumva nk’aho uhora ugendagenda, uhagarika ibiganiro, cyangwa ugakora ibicuruzwa byihuse. Ubu bwoko si bwo bugaragara cyane mu bakuru ugereranyije n’abana.
Ubwoko buhuriweho bugizwe n’ibimenyetso byombi byo mu byiciro byombi. Abantu bakuru benshi bafite ADHD bagaragara muri iki cyiciro, bagaragaza ibibazo byo kwitabira ndetse n’umuvuduko cyangwa guhubuka. Ibimenyetso byawe bishobora guhinduka hagati y’amoko bitewe n’ibibazo by’umutima, imimerere y’ubuzima, cyangwa ndetse n’impinduka z’imisemburo.
Adult ADHD iterwa n’ihuriro ry’imiterere ya gene ndetse n’imiterere y’ubwonko wavukanye. Ubushakashatsi bwerekana ko ADHD ikunda kugaragara mu miryango, aho imfura igaragaraho 70-80% by’ibyago.
Imikorere y’ubwonko bwawe n’imiti ibanza bikora mu buryo butandukanye iyo ufite ADHD. Ibice bishinzwe gukora neza, kwitabira, no kugenzura umuvuduko bishobora kuba bito cyangwa bikora mu buryo butandukanye ugereranyije n’ubwonko busanzwe. Ibinyabuzima bya neurotransmitter nka dopamine na norepinephrine na byo bikora mu buryo butandukanye, bigira ingaruka ku buryo ubwonko bwawe butunganya ibihembo kandi bugakomeza kwibanda.
Ibintu byinshi mu gihe cyo gutwita no mu ntangiriro z’iterambere bishobora kugira uruhare mu kubaho kw’ibyago bya ADHD, nubwo bidatanga impamvu yabyo:
Ni ngombwa kumenya ko uburyo bwo kurera, amasaha menshi yo kureba amashusho, cyangwa kurya isukari nyinshi bidatera ADHD. Ibi ni ibinyoma bishobora gutera ikimwaro cyangwa ikosa ritari ngombwa. ADHD ni indwara yemewe n’abaganga ifite inkomoko ya biological.
Wagombye gutekereza kubona muganga niba ibimenyetso bya ADHD bigutera ibibazo mu kazi, mu mibanire, cyangwa mu mikorere ya buri munsi. Abantu bakuru benshi bashaka ubufasha iyo bamenye ko ibibazo byabo atari imico yabo gusa cyangwa amakosa y’ubunyangamugayo.
Tegura umwanya niba ufite ibibazo bikomeye kandi bidahoraho mu bice byinshi by’ubuzima bwawe. Ibi bishobora kuba birimo ibibazo bya buri gihe bijyanye no kwita ku bintu, guhindura akazi kenshi kubera ikibazo cy’umusaruro, amakimbirane mu rukundo kubera kwita ku kintu kimwe cyangwa kwihuta, cyangwa kumva uremerewe n’imirimo abandi babasha gukora byoroshye.
Rimwe na rimwe, impinduka mu buzima zituma hakenewe isuzuma. Gutangira akazi gakomeye, kubyara abana, cyangwa kunyura mu bibazo bikomeye bishobora gutuma ibimenyetso bya ADHD bisanzwe biboneka cyane. Niba ukoresha uburyo butanoze bwo guhangana nka kafe nyinshi, inzoga, cyangwa imyitwarire mibi kugira ngo uhangane n’ibimenyetso byawe, ni igihe cyiza cyo gushaka ubufasha bw’umwuga.
Ntugatege amatwi niba wumva uhangayitse, uhangayitse, cyangwa ufite ibitekerezo byo kwangiza ubuzima bwawe bifitanye isano n’ibibazo byawe. ADHD ikunze kugaragara hamwe n’izindi ndwara zo mu mutwe, kandi kubona ubuvuzi burambuye bishobora gutuma ubuzima bwawe buhinduka cyane.
Hari ibintu byinshi bishobora kongera amahirwe yo kugira ADHD, nubwo kugira ibintu byongera ibyago ntibihamya ko uzayirwara. Kubyumva bishobora gufasha gusobanura impamvu bamwe bafite amahirwe yo kugira ADHD kurusha abandi.
Amateka y’umuryango ni yo ntandaro ikomeye y’ibyago - niba ababyeyi bawe cyangwa bene wanyu bafite ADHD, ufite amahirwe menshi yo kuyigira nawe. Igice cy’impeshyi gikomeye ku buryo niba impanga imwe ifite ADHD, indi mpanga ifite amahirwe agera kuri 75-85% yo kuyigira na yo.
Ibintu bimwe na bimwe byabaye imbere y’ivuka n’ibyabaye mu buto bwa mbere bishobora kongera ibyago:
Kugira ibindi bibazo byo mu mutwe bishobora kandi guhurirana na ADHD. Ubwoba, kwiheba, ubumuga bwo kwiga, cyangwa autism spectrum disorder rimwe na rimwe bibaho rimwe na ADHD, nubwo bitabiteza.
ADHD itabonye ubuvuzi ishobora gutera ibibazo mu bice byinshi by’ubuzima bwawe, ariko gusobanukirwa ibyo bibazo bishobora kugufasha gufata ingamba zo kubikumira. Ibibazo byinshi bigenda bigaragara buhoro buhoro kandi bishobora kuvurwa neza ukoresheje ubuvuzi n’ubufasha bikwiye.
Ibibazo bijyanye n’akazi n’umwuga ni byo bisanzwe bibaho iyo ibimenyetso bya ADHD bitavuwe. Ushobora kugorwa no kurangiza imirimo mu gihe, gutegura imishinga, cyangwa kugumana umusaruro uhamye. Ibi bishobora gutuma uhindura akazi kenshi, utabona akazi k’igihe cyose, cyangwa ugira ikibazo cyo kuzamuka mu kazi nubwo ufite ubumenyi n’ubwenge byiza.
Ibibazo mu mibanire bikunze kuvuka iyo ADHD igira ingaruka ku itumanaho n’imibanire ya buri munsi:
Ibibazo by’imari bishobora kuvuka bitewe no gukoresha amafaranga mu buryo bwihuse, kugorwa no kubara amafaranga, cyangwa kwibagirwa kwishyura amadeni. Ushobora kugura ibintu byinshi utabanje kubitekerezaho cyangwa ugira ikibazo cyo kubitsa amafaranga kugira ngo ugere ku ntego z’igihe kirekire.
Ibibazo byo mu mutwe bibaho kenshi iyo ADHD itabonye ubuvuzi. Ibibazo by’igihe kirekire bishobora gutera ubwoba, kwiheba, cyangwa kugira icyizere gito. Bamwe mu bantu bakuru barwara ibibazo byo gukoresha ibiyobyabwenge mu gihe bagerageza kuvura ibimenyetso byabo bakoresheje inzoga, ibiyobyabwenge, cyangwa caffeine nyinshi.
Ubuzima bw’umubiri na bwo bushobora kwibasirwa, nubwo ibi bibazo bikunze kwirengagizwa. Ushobora kugira ikibazo cyo kubungabunga gahunda zisanzwe zo kuryama, ukibagirwa gufata imiti, cyangwa ukagira ikibazo cyo kurya ibyo kurya bisanzwe. Bamwe mu bakuru bagira impanuka cyangwa imvune nyinshi bitewe n’uburangare cyangwa kudashishoza.
ADHD ku bakuru ntishobora kwirindwa kuko ari indwara y’ubwonko uba wavukanye. Ariko rero, ushobora gufata ingamba zo kugabanya uburemere bw’ibimenyetso no kwirinda ko ibibazo bikomeza kuza.
Kumenya hakiri kare no kuvurwa bigira uruhare runini mu mibereho. Niba ukekako ufite ADHD, kwipimisha no kuvurwa bishobora kwirinda ibibazo byinshi bibaho iyo ibimenyetso bidakurikiranwa imyaka myinshi.
Kurema ibidukikije bifasha n’imigenzo myiza bishobora gufasha kugabanya ingaruka z’ibimenyetso bya ADHD:
Ku muryango ufite amateka ya ADHD, kumenya ibimenyetso ku bana bishobora gutuma habaho ubufasha hakiri kare. Nubwo utazibuza ADHD, ubufasha bwa hakiri kare no kuvurwa bishobora gufasha abana guteza imbere ubushobozi bwo guhangana n’ibibazo no kwirinda ibibazo by’ishuri cyangwa imibanire mbonezamubano.
Kumenya ADHD ku bakuru bisaba isuzuma rirambuye rikorwa n’umuganga w’inzobere, akenshi aba ari umuganga w’indwara zo mu mutwe, umujyanama mu by’imitekerereze, cyangwa umuganga w’inzobere mu kuvura indwara rusange. Nta kizami kimwe gipima ADHD - ahubwo, muganga wawe azakusanya amakuru aturuka mu nzego nyinshi kugira ngo yumve ibimenyetso byawe n’ingaruka zabyo.
Ubusanzwe, igikorwa cyo gusuzuma gitangira hakoreshejwe ibibazo birambuye ku birebana n’ibimenyetso ubu ufite n’amateka yawe y’ubuzima. Muganga wawe azakubaza ibyabaye mu bwana bwawe, uko wari ukarangwa mu ishuri, amateka yawe y’akazi, n’imibanire yawe n’abandi. Azashaka kumenya ukuntu ibyo bimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi niba byari bisanzweho kuva mu bwana.
Umuvuzi wawe azakoresha ibipimo byihariye byo kuvura kugira ngo asuzume ibimenyetso byawe:
Isuzuma rishobora kuba ririmo ibibazo cyangwa amanota yanditswe hakurikijwe uburyo runaka, wowe ubwawe, rimwe na rimwe abagize umuryango wawe cyangwa abakunzi bawe mukaba mubisuzuye. Ibi bifasha mu gupima ibimenyetso no kubigereranya n’imikorere isanzwe iboneka muri ADHD.
Muganga wawe azakurinda kandi izindi ndwara zishobora kumera nk’ibimenyetso bya ADHD. Ibi bishobora kuba bikubiyemo kuganira ku mateka yawe y’ubuzima, gusubiramo imiti ukoresha, cyangwa rimwe na rimwe gutegeka ibizamini by’amaraso kugira ngo harebwe ibibazo by’umwijima cyangwa ibindi bibazo by’ubuzima.
Uyu murimo wose urasaba gahunda nyinshi kandi ushobora kumva ko ari byinshi, ariko ubu buryo burambuye buzatuma ubona ubuvuzi bukwiye n’uburyo bukwiye bwo kuvura.
Ubusanzwe kuvura ADHD ku bakuru bihuza imiti hamwe n’ingamba zo guhindura imyitwarire n’imibereho. Uburyo bugira ingaruka cyane busanzwe buhindurirwa umuntu ku giti cye, hakurikijwe ibimenyetso bye byihariye, imimerere y’ubuzima bwe, n’intego z’ubuvuzi.
Imiti ikunze kuba uburyo bwa mbere bwo kuvura kuko ishobora kugabanya ibimenyetso byihuse. Imiti ikangura nk’iya methylphenidate cyangwa amphetamines ikora ikongera dopamine na norepinephrine mu bwonko bwawe, ikafasha kwibanda no kugabanya umujinya.
Imiti idatera ubwenge nayo iboneka kandi ishobora kuba ikwiranye nawe niba ufite uburwayi runaka, amateka yo gukoresha ibiyobyabwenge, cyangwa udakira neza imiti itera ubwenge. Ibi birimo atomoxetine, bupropion, cyangwa imiti imwe n'imwe igabanya umuvuduko w'amaraso imaze kugaragara ko ifasha ku ndwara ya ADHD.
Ubuvuzi bw’imyitwarire n’ubujyanama bitanga ubumenyi bukenewe mu gucunga ADHD mu buzima bwa buri munsi:
Guhindura imibereho bishobora kunoza cyane ibindi bivura. Gukora siporo buri gihe bifatwa nk’imiti itera ubwenge y’umubiri, bikongerera imbaraga zo kwibanda no kunoza imimerere.
Ibikorwa byo gufasha ku kazi bishobora kugira uruhare rukomeye mu buzima bwawe bw’akazi. Ibi bishobora kuba harimo gahunda zihinduka, ahantu ho gukorera hatuje, amabwiriza yanditse, cyangwa uburenganzira bwo kuruhuka igihe bikenewe. Abakoresha benshi basabwa gutanga ubufasha bukwiye hakurikijwe amategeko arebana n’ubumuga.
Kwitwara neza ufite ADHD mu rugo bisobanura gushyiraho sisitemu n’imikorere ikorana n’ubwonko bwawe aho kuyirwanya. Ikintu nyamukuru ni ukubona ingamba zikumva zikubereye kandi zigufasha aho kongera umutwaro ku buzima bwawe.
Sisitemu z’imikorere zigomba kuba zoroheje kandi zigaragara aho kuba zigoye cyangwa zihishe. Koresha kalendari, ibyapa byo gutegura ibikorwa, cyangwa porogaramu za terefone zigufasha kwibuka ibikorwa n’ibyarangwa by’ingenzi. Komereza ibintu by’ingenzi nka buri munsi mu myanya imwe yagenwe.
Gabanya imirimo minini mu bice bito, byoroshye kugira ngo wirinde kwiheba. Aho kuvuga ngo “nuzura inzu,” gerageza ngo “mara iminota 15 utunganya icyumba cyo kwicara.” Ubu buryo butuma imirimo itagaragara nk’ikibazo kandi buguha amahirwe menshi yo kumva ko ukoze.
Ingamba zo gucunga igihe zishobora gufasha mu bibazo bisanzwe bya ADHD:
Shyiraho ahantu hafasha kwibanda hagamijwe kugabanya ibintu bidutera guhungabana. Ibi bishobora gusobanura gukoresha utwuma duhagarika urusaku, kugumana ahantu hakorerwa hakeye, cyangwa kugira ahantu hatuje hagenewe imirimo y’ingenzi.
Tegura gahunda y’ibikorwa bya buri munsi nko gutegura mu gitondo cyangwa igihe cyo kuryama. Kugira gahunda ihoraho bigabanya imbaraga zo gutekereza bikenewe mu gufata ibyemezo kandi bifasha guhamya ko imirimo y’ingenzi itabagirana.
Gutegura uruzinduko rwawe ku muganga ufite ubumenyi bwa ADHD bifasha guhamya ko ubona ubuvuzi bwiza kandi bukoreshwa neza. Gukusanya amakuru mbere byagabanya igihe kandi bigaha muganga wawe ishusho isobanutse y’ibyo uhuye na byo.
Tangira ubanza kwandika ibimenyetso byawe n’ingaruka bifite ku buzima bwawe bwa buri munsi. Andika ingero zihariye z’uburyo ubushishozi buke, kwihuta cyane, cyangwa kwihutira bituma uhangayika mu kazi, mu mibanire, no mu mirimo yawe bwite. Fata mo ibibazo uhanganye nabyo ubu hamwe n’ibyo wibuka kuva mu bwana niba bishoboka.
Zana urutonde rwuzuye rw’amakuru ku muhango wawe:
Tekereza gusaba umuntu wo mu muryango cyangwa umukunzi wawe wizewe kuza kumwe nawe ku muhango cyangwa gutanga ibitekerezo. Bashobora kubona ibimenyetso cyangwa imiterere utazi neza, kandi ibitekerezo byabo bishobora kugira akamaro mu gupima.
Tegura ibibazo ku bijyanye n’uburyo bwo kuvura, ingaruka mbi zishoboka, n’icyo witeze mu gihe kiri imbere. Byandika mbere kugira ngo utabyibagirwa mu gihe cy’umuhango.
Ba ukuri ku ikoreshwa ry’ibiyobyabwenge, harimo inzoga, kafeyin, cyangwa ibiyobyabwenge byo kwidagadura. Aya makuru ni ingenzi mu gutegura ubuvuzi butekanye kandi bugira ingaruka, kandi muganga wawe akeneye kubimenya kugira ngo aguhe ubuvuzi bwiza.
ADHD ku bakuru ni indwara nyakuri kandi ivurwa ishobora kwibasira abantu benshi. Kugira ADHD ntibivuze ko uri umuntu mubi cyangwa ufite amakosa - ubwonko bwawe gusa bukora mu buryo butandukanye, butuma ugira ibibazo ndetse n’imbaraga zidasanzwe.
Ikintu gikomeye cyane cyo gusobanukirwa ni uko ubuvuzi bugira ingaruka buhari. Hamwe n’imiti ikwiye, terapi, n’ingamba zo mu buzima, abantu benshi bafite ADHD bashobora kunoza cyane ibimenyetso byabo n’imibereho yabo. Abantu benshi bumva bagabanirijwe umunaniro gusa bamenye ko hari izina ry’ibibazo byabo kandi ko ubufasha buhari.
Gusobanukirwa no kuvurwa bishobora guhindura ubuzima, bikarushaho kunoza imibanire yawe, imikorere yawe mu kazi, n’imibereho yawe muri rusange. Nturetse ipfunwe cyangwa imyumvire mibi bikubuze gushaka ubufasha niba wibonamo ibimenyetso bya ADHD.
Wibuke ko gucunga ADHD ari urugendo rukomeza, atari igisubizo kimwe. Icyakora gishobora guhinduka uko igihe gihita, kandi ibyo ni ibisanzwe. Jya wihangana uko uiga ingamba nshya kandi ukamenya icyakugirira akamaro mu mimerere yawe yihariye.
Oya, abantu bakuru ntibashobora kurwara ADHD batunguranye kuko ni indwara y’imiterere y’ubwonko ibaho kuva umuntu avutse. Ariko kandi, ibimenyetso bishobora kugaragara cyane mu bihe by’umunaniro mwinshi, impinduka z’ubuzima, cyangwa igihe ingamba zo guhangana zireka gukora neza. Abantu bakuru benshi babimenya nyuma y’imyaka myinshi iyo ibimenyetso byabo bibaye byinshi cyangwa bigatera ibibazo.
Imiti ya ADHD ntigomba guhindura kamere yawe cyangwa ikagutera kumva umeze nk’undi muntu. Iyo yatanzwe neza kandi ikagenzurwa, imiti isanzwe igufasha kumva umeze nk’uwe nyakuri binyuze mu kugabanya ibimenyetso bishobora kuba byari bihishe kamere yawe nyakuri. Niba ubonye impinduka zikomeye za kamere, biganiro n’umuganga wawe kuko bishobora kugaragaza ko hakenewe impinduka z’umwanya cyangwa imiti itandukanye.
Yego, ushobora kugira ADHD nubwo wari ufite amanota meza mu ishuri. Abantu benshi b’abahanga bafite ADHD bahangana n’ibimenyetso byabo binyuze mu bwenge buhanitse, inkunga ikomeye, cyangwa amasomo abashimisha. Bamwe ntibahangana n’ibibazo kugeza muri kaminuza cyangwa igihe ibyo basabwa mu kazi birengeje ubushobozi bwabo bwo guhangana. Amanota meza ntiyakuraho ADHD, cyane cyane mu bakobwa n’abagore ibimenyetso byabo bikunze kudahungabanya cyane mu ishuri.
ADHD ku bakuze ntabwo ari ubunebwe cyangwa kutagira disipuline - ni uburwayi bw’ukuri bufite ibitandukanye byo mu bwonko bishobora kupimwa. Abantu bafite ADHD bakora cyane kurusha abandi kugira ngo basohoze imirimo imwe. Icyo gitekerezo cy’uko ari urwitwazo gituruka ku kutumva neza no ku kwigunga. Ibimenyetso bya ADHD ni ibyo mu bwonko, atari amakosa y’inyangamugayo, kandi bishobora kuvurwa neza.
Imiti ikurura akamaro ikunze kugaragaza ingaruka nyuma y’iminota 30-60 kandi ishobora gutanga iterambere ryumvikana ku munsi wa mbere. Ariko, gushaka imiti ikwiye n’umwanya wayo bishobora gufata ibyumweru cyangwa amezi. Imiti idakurura akamaro isanzwe ifata ibyumweru 2-4 kugira ngo igaragaze ingaruka zuzuye. Ubuvuzi bw’imyitwarire n’impinduka mu mibereho bisanzwe bigaragaza iterambere ridafite igihe runaka mu mezi menshi. Igihe cy’umuntu wese gitandukanye, bityo kwihangana no kuvugana buri gihe n’abaganga bawe ni ingenzi.