Created at:1/16/2025
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Sikirijia y'abana ni indwara y'agahinda idahwitse ariko ikomeye, igira ingaruka ku buryo umwana atekereza, yumva, kandi abona ibintu. Iyi ndwara igira ibimenyetso nka kwibona ibintu bitariho, gutekereza bitazanye, n'ibitekerezo bidahwitse bigira ingaruka ku buzima bwa buri munsi bw'umwana n'iterambere rye.
Nubwo ijambo “sikirijia” rishobora gutera ubwoba, ni ingenzi kumenya ko hakoreshejwe ubuvuzi bukwiye n'ubufasha, abana bafite iyi ndwara bashobora kubona ubuzima bufite icyo buvuze. Kumenya hakiri kare no gutabara bigira uruhare rukomeye mu gufasha abana gucunga ibimenyetso byabo no gukomeza gukura no kwiga.
Sikirijia y'abana ni iyo ndwara nk'iya bakuru, ariko ikaba igaragara mbere y'imyaka 13. Igira ingaruka ku bana batarengeje umwe kuri 10.000, bituma iba nke cyane kurusha sikirijia y'abakuru.
Iyi ndwara ihungabanya iterambere risanzwe ry'ubwonko bw'umwana, igira ingaruka ku bushobozi bwe bwo kumenya icyo ari cyo cyangwa atari cyo. Abana bafite sikirijia bashobora kumva amajwi, kubona ibintu bitariho, cyangwa kugira imyemerere itahuye n'ukuri.
Uko sikirijia igaragara hakiri kare, ni nako iba ikomeye. Ariko, ibi ntibisobanura ko nta cyizere kiriho - bisobanura gusa ko ubuvuzi burambuye n'ubufasha biba by'ingenzi cyane mu gufasha umwana gukura neza.
Kumenya ibimenyetso mu bana bishobora kugorana kuko imyitwarire imwe ishobora kugaragara nk'ibitekerezo bisanzwe by'abana cyangwa ibyiciro by'iterambere. Itandukaniro nyamukuru ni uko ibimenyetso bya sikirijia biba bihoraho, bikomeye, kandi bigira ingaruka ku bushobozi bw'umwana bwo gukora neza.
Reka turebe ibice by'ingenzi by'ibimenyetso ushobora kubona:
Ibi bimenyetso bisanzwe bitera gahoro gahoro mu mezi aho kugaragara mu buryo butunguranye. Niba ubona bimwe muri ibi bimenyetso bikomeza ibyumweru, ni ngombwa kuvugana na muganga w’umwana wawe.
Intandaro nyayo ya schizophrenia mu bwana ntiyumvikana neza, ariko abashakashatsi bemeza ko iterwa n’ihuriro ry’imiterere y’impyiko, ubwonko, n’ibidukikije. Nta kintu kimwe giteza iyi ndwara - ahubwo ni nk’ibice byinshi by’igice kimwe bihuza.
Dore ibintu by’ingenzi byatumye abahanga mu bya siyansi babibona:
Kugira umuntu wo mu muryango ufite schizophrenia byongera ibyago, ariko ntibihamya ko umwana azagira iyo ndwara. Nubwo ababyeyi bombi bafite schizophrenia, abana benshi ntibazayirwara.
Uburyo runaka bwa gene zishobora gutuma bamwe mu bana bahura n’ibyago byinshi byo kurwara schizophrenia iyo bihujwe n’ibindi byago. Tekereza kuri gene nk’aho zirema ubushobozi aho kuba ukuri kw’ibintu.
Abana bafite schizophrenia bakunze kugaragaza itandukaniro mu miterere n’imikorere y’ubwonko. Iyo tandukaniro ishobora kuba ihari kuva ku ivuka cyangwa ikakura uko iminsi igenda ishira.
Uduce tw’ubwonko dukurikira ibitekerezo, kwibuka, no kubona ibintu bishobora gutera imbere mu buryo butandukanye mu bana baza kurwara schizophrenia. Izi mpinduka zishobora kugira ingaruka ku buryo ubwonko bubungabunga amakuru n’ibintu byabaye.
Ubunararibonye runaka mu gihe cyo gutwita cyangwa mu bwana bushobora kongera ibyago iyo bihujwe n’ubugingo bukomoka kuri gene:
Ni ngombwa kumva ko ababyeyi badatera schizophrenia y’umwana wabo binyuze mu myitwarire yabo cyangwa ibikorwa runaka. Iyi ndwara iterwa n’ibintu bigoye bya biological bitarenze ubushobozi bw’umuntu uwo ari we wese.
Wagomba kuvugana na muganga w’umwana wawe niba ubona impinduka ziramba mu myitwarire ye, mu bitekerezo bye, cyangwa mu buryo abona ibintu bikamara ibyumweru byinshi. Kugira imiti vuba bishobora kugira uruhare runini mu mibereho y’umwana wawe.
Tegereza kuvugana n’umukozi w’ubuzima niba umwana wawe afite:
Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo. Indwara zo mu mutwe ku bana zikunda gusaba ubufasha bw’umwuga kugira ngo zicungwe neza.
Niba umwana wawe avuga ko ashaka kwibabaza cyangwa kwangiza abandi, cyangwa niba asa n’uri mu kaga gakomeye, shaka ubufasha bw’ubuvuzi bwihuse. Ibi bihora ari byo bikwiye gukorwa iyo umutekano ari ikibazo.
Gusobanukirwa ibintu byongera ibyago bishobora kugufasha kumenya igihe ukwiye kwita cyane ku buzima bwo mu mutwe bw’umwana wawe. Ariko rero, kugira ibintu byongera ibyago ntibisobanura ko umwana wawe azahita arwara schizophrenia.
Dore ibintu bishobora kongera ibyago byo kurwara schizophrenia mu bwana:
Kugira umubyeyi cyangwa umuvandimwe urwaye schizophrenia byongera ibyago, nubwo abana benshi bafite abagize umuryango barwaye batayirwara. Ibyago birakomeye iyo abagize umuryango benshi barwaye schizophrenia cyangwa izindi ndwara zikomeye zo mu mutwe.
Bamwe mu bana baza kurwara schizophrenia bagaragaza ibimenyetso bya mbere byo gutinda kw’iterambere. Ibi bishobora kuba harimo gutinda kuvugira, ubuhanga bwo kugenda, cyangwa iterambere rya sosiyete.
Ariko rero, abana benshi bafite ubusembwa mu iterambere ntibarwara schizophrenia, bityo ibyo bimenyetso bya mbere ntibyerekana iyi ndwara ubwabyo.
Indwara zimwe na zimwe zikomoka ku mpyiko zidakunze kugaragara, nka syndrome yo kubura 22q11.2, zongera cyane ibyago byo kurwara schizophrenia. Abana bafite izi ndwara bagomba gukurikiranwa neza n’abaganga.
Ibyago byo kurwara bifasha abaganga gusa kumenya abantu bashobora kugira akamaro ko gukurikiranwa hafi. Ntibigena ejo hazaza ry’umwana wawe cyangwa ngo bibemeze ibyavuye.
Utabonye ubuvuzi bukwiye, schizophrenia mu bwana ishobora gutera ibibazo bikomeye bigira ingaruka ku bice byinshi by’ubuzima bw’umwana wawe. Ariko kandi, habonetse ubufasha n’ubuvuzi bikwiye, ibyinshi muri ibyo bibazo bishobora kwirindwa cyangwa kugabanuka.
Dore ibice by’ingenzi aho ibibazo bishobora kuvuka:
Abana bafite schizophrenia batavuwe bakunze kugorana kwiga ishuri kubera ibibazo byo kwibanda, kubona ibintu bitariho, cyangwa gutekereza kutahuje. Bashobora kandi kugira ibibazo mu kubana n’abandi cyangwa kwitabira ibikorwa by’imibanire.
Ibi bibazo bishobora gutuma basigara inyuma mu ishuri cyangwa bagatandukana n’abandi. Gutabara hakiri kare no gufashwa n’ishuri bishobora gufasha gukumira ibi bibazo bitagera ku rwego rwo hejuru.
Bamwe mu bana bashobora kugira imyitwarire y’ubugome cyangwa gukora ibikorwa by’uburangare kubera ibimenyetso byabo. Abandi bashobora kwirengagiza isuku yabo bwite cyangwa umutekano kubera gutekereza kutahuje.
Mu bihe bitoroshye, abana bashobora kwibabaza cyangwa kwangiza abandi, cyane cyane iyo bafite ibibazo bikomeye byo kubona ibintu bitariho cyangwa gutekereza ibintu bitari byo. Niyo mpamvu ubuvuzi bw’umwuga bukomeye ari ingenzi.
Kwita ku mwana ufite schizophrenia bishobora kunanira cyane mu buryo bw’amarangamutima no mu mubiri ku muryango. Abana babana bashobora kumva batitabwaho cyangwa gukonja kubera imyitwarire y’umuvandimwe wabo cyangwa mushiki wabo.
Ubuvuzi bw’umuryango n’amatsinda y’ubufasha bishobora gufasha buri wese mu muryango gusobanukirwa iyi ndwara no guteza imbere ingamba zo guhangana zikwiye hamwe.
Uko schizophrenia igaragara hakiri kare, ni ko ishobora guhungabanya iterambere ry’ubwonko n’imyigire bisanzwe. Ni yo mpamvu kuvurwa vuba ari ingenzi mu kurinda ubushobozi bw’umwana wawe mu gihe kizaza.
Hamwe no kuvurwa neza, abana benshi bafite schizophrenia bashobora gukomeza guteza imbere ubumenyi bw’ingenzi mu buzima no kugumana imibanire ifite agaciro mu buzima bwabo bwose.
Kumenya schizophrenia yo mu bwana bisaba isuzuma ry’inzobere mu buvuzi bw’ubuzima bwo mu mutwe zihanga mu gukorana n’abana. Nta kizami kimwe cyo gupima schizophrenia - ahubwo, abaganga bakoresha ibibazo birambuye, ibyo babona, n’isuzuma.
Uburyo bwo gupima busanzwe bugizwe n’inzira nyinshi kugira ngo habeho ukuri kw’ibipimo:
Umuganga w’indwara zo mu mutwe cyangwa umuhanga mu by’imitekerereze azakora ibibazo birambuye kuri wowe n’umwana wawe. Bazabaza ibimenyetso, igihe byatangiye, n’uko bigira ingaruka ku buzima bwa buri munsi.
Muganga azareba kandi imyitwarire y’umwana wawe, uburyo avuga, n’imitekerereze muri ibi bibazo. Ibi bimufasha gusobanukirwa uburemere n’imiterere y’ibimenyetso.
Umwana wawe azakenera isuzuma ry’umubiri n’ibisubizo byo mu labo bishobora kuba ngombwa kugira ngo habeho gukuraho indwara z’umubiri zishobora gutera ibimenyetso bisa. Udukoko tumwe na tumwe, imvune z’ubwonko, cyangwa ibindi bibazo by’ubuzima rimwe na rimwe bishobora kumera nk’ibimenyetso bya schizophrenia.
Muganga ashobora kandi kureba amateka y’ubuzima bw’umwana wawe n’imiti yose arimo gufata kugira ngo habeho kumenya neza ko nta kindi kibazo gikomeza gutera ibimenyetso bye.
Ibizamini byihariye bishobora gufasha mu gusuzuma ubushobozi bwo gutekereza, kwibuka, no kubona ibintu byumwana wawe. Ibi bizamini bifasha abaganga kumenya uko icyo kibazo gikurira ubushobozi bwo gutekereza bw'umwana wawe.
Ibyavuye muri ibyo bizamini bitanga kandi igishushanyo mbonera cyo gukurikirana iterambere ry'ubuvuzi mu gihe.
Kubera ko ibimenyetso bya schizophrenia bigomba gukomeza byibuze amezi atandatu kugira ngo hakorwe isuzuma, abaganga bakunze gukurikirana abana mu gihe runaka mbere yo gutanga isuzuma rya nyuma. Ubu buryo bukanganye bufasha mu kugaragaza ukuri no kwirinda gukosa mu isuzuma.
Muri iki gihe, umwana wawe ashobora guhabwa ubuvuzi bwo gufasha mu gucunga ibimenyetso mu gihe igikorwa cyo gusuzuma gikomeza.
Ubuvuzi bwa schizophrenia mu bwana busanzwe burimo imiti, ubuvuzi, n'ibikorwa byo gutera inkunga. Intego ni uguca ibimenyetso, kunoza imikorere, no gufasha umwana wawe kubaho ubuzima busanzwe.
Dore ibyo ubuvuzi burambuye busanzwe burimo:
Imiti yo kurwanya schizophrenia ni yo ivura ibimenyetso bya schizophrenia. Iyi miti ifasha kugabanya ibintu byo kubona ibintu bidahari, gutekereza nabi, no gutekereza kutahuje.
Umuganga w'umwana wawe azatangira n'umwanya muke ufite akamaro kandi azakurikirana hafi kugira ngo arebe ingaruka mbi. Kubona imiti ikwiye n'umwanya bikunze gufata igihe n'ubwitonzi.
Ingaruka mbi zisanzwe zishobora kuba harimo kwiyongera k'uburemere, uburwayi, cyangwa ibibazo byo kugenda. Umuganga wawe azakorana nawe kugira ngo mumenye uko mwakwitwararika izi ngaruka mugakomeza gucunga ibimenyetso.
Ubuvuzi bwo guhindura imyumvire (CBT) bushobora gufasha umwana wawe kumva uko yamererwe no guteza imbere uburyo bwo guhangana n'ibibazo. Ubu bwoko bw'ubuvuzi bwiga ubuhanga bw'ibikorwa byo gucunga ibimenyetso no kunoza imikorere ya buri munsi.
Ubuvuzi bw’imikino cyangwa ubundi buryo bukwiriye igihe cy’umwana bishobora gukoreshwa ku bana bato. Umuganga azahitamo uburyo bukwiye ireme ry’iterambere ry’umwana wawe n’ibyo akeneye.
Ubuvuzi bw’umuryango bufasha buri wese mu rugo rwanyu kumva indwara ya schizophrenia no kumenya uko bashobora gufasha umwana wawe neza. Ibi bishobora kugabanya umunaniro w’umuryango no kunoza itumanaho.
Uziga ingamba zo guhangana n’imyitwarire igoranye no guhanga ibidukikiro byo mu rugo bishimangira. Abandi bana bawe bazagira n’amahirwe yo kubaza ibibazo no kwerekana ibyiyumvo byabo.
Gukorana n’ishuri ry’umwana wawe ni ingenzi mu gukomeza amasomo ye n’iterambere ryi sosiyete. Ibi bishobora kuba birimo gutegura gahunda y’uburezi bwite (IEP) cyangwa gahunda ya 504.
Ibikorwa byihariye bishobora kuba birimo igihe cyongeyeho ibizamini, ahantu h’utuzuye ho gukorera, cyangwa imirimo yahinduwe. Intego ni ugufasha umwana wawe kugira umusaruro mu ishuri mu gihe acunga ibimenyetso bye.
Abana benshi barwaye schizophrenia bagira akamaro mu bikorwa biteguwe neza bigisha ubumenyi bw’imibanire kandi bibafasha kuvugana na bagenzi babo. Ibi bikorwa bishobora gukumira ukwigunga no kunoza imibanire.
Ubuvuzi bw’itsinda hamwe n’abandi bana bahura n’ibibazo nk’ibyo bishobora kandi gutanga inkunga y’abanyamuryango ikomeye no kumva.
Guhanga ibidukikiro byo mu rugo bishimangira bigira uruhare rukomeye mu gukira kw’umwana wawe no kumera neza. Urukundo rwawe, kwihangana, no kumva bigira itandukaniro rikomeye mu rugendo rwe.
Dore uburyo bworoshye bwo gufasha umwana wawe mu rugo:
Abana barwaye schizophrenia bakunze kugira akamaro mu mihigo y’iminsi yose isobanuwe neza. Amasaha yo kurya, amasaha yo kuryama, na gahunda y’imikino bishobora gufasha kugabanya imihangayiko no kunoza imikorere.
Mugumane gahunda zihinduka uko bikenewe hakurikijwe ibyo umwana wawe akeneye, ariko umuhe n’umutekano akeneye. Ibi bishobora gusobanura guhindura ibyo witeze mu bihe bikomeye.
Kigabanya umunaniro n’ibintu byinshi bimutera umunaniro mu rugo rwanyu aho bishoboka. Ibi bishobora gusobanura kugabanya urusaku, kugabanya abashyitsi mu bihe bikomeye, cyangwa gutegura ahantu hatuje aho umwana wawe ashobora kujya kuruhuka.
Ariko rero, ntumukureho burundu – aracyakeneye imibanire y’umuryango n’ibikorwa bikwiye igihe cye kugira ngo akomeze gutera imbere mu mibanire.
Fasha umwana wawe kumva impamvu imiti ye ari ingenzi kandi mukore hamwe kugira ngo ayinywe buri gihe. Ushobora gukoresha ibikoresho byo kubika imiti, ibimenyesha, cyangwa uburyo bwo guhemba kugira ngo ibi birusheho koroherwa.
Ntuzigere uhindura cyangwa uhagarika imiti udahamagaye muganga w’umwana wawe, nubwo ibimenyetso bigaragara ko bigenda bigabanyuka. Kunywa imiti buri gihe ni ingenzi mu kwirinda gusubira mu buzima busanzwe.
Ganira n’umwana wawe ku byamubayeho utamubangamiye cyangwa udatinya. Niba afite ibyo abona bitari byo, mumenyeshe ko wumva ibyo yumva ariko umusubize mu kuri gahoro gahoro.
Koresha ururimi rworoshye kandi rusobanutse, kandi wirinda gutongana ku birego bitari byo. Ahubwo, shyira imbaraga mu kumva uko yumva kandi icyamufasha kumva atekanye cyangwa aruhutse.
Menya uko wamenya ibimenyetso by’ibanze byerekana ko ibimenyetso by’umwana wawe bishobora kuba biri kwiyongera. Ibi bishobora kuba harimo guhindura imikorere yo kuryama, kwihisha cyane, cyangwa gusubira mu kubona ibyo atarabona.
Andika ibimenyetso n’ibintu bimutera ibyo bibazo kugira ngo ubisangize itsinda ryita ku buvuzi bw’umwana wawe. Aya makuru afasha abaganga guhindura gahunda z’ubuvuzi uko bikenewe.
Gutegura neza uruzinduko kwa muganga bifasha kwemeza ko umwana wawe ahabwa ubuvuzi bwiza. Gutegura neza kandi bigufasha kumva ufite icyizere kandi ugenzura ibyo bishobora kuba ibiganiro bibabaza.
Dore uko wakoresha neza igihe cyanyu mu kwa muganga:
Andika ibimenyetso byihariye, harimo icyabaye, igihe cyabaye, n’igihe cyamaranye. Shyiramo imyitwarire itera impungenge n’impinduka nziza.
Kora urutonde rw’ingaruka z’imiti, harimo ingaruka mbi ushobora kubona. Andika igihe wafashe imiti n’imiti utanyoye.
Tekereza ku kubaza ku bijyanye n’iterambere ry’ubuvuzi, guhindura imiti, uburyo bwo kwiga mu ishuri, cyangwa ubufasha bw’umuryango. Ntugatinye gusaba ko bagusobanurira ibyo utumva.
Niba bikwiriye hakurikijwe imyaka y’umwana wawe, mutegure kugira ngo umwana wawe asobanure uko yiyumva n’ibibazo afite kwa muganga. Ibitekerezo bye ni ingenzi mu gutegura ubuvuzi.
Mumufashe kumva ko muganga ari ho kumufasha kandi ko kuvuga ukuri ku bimenyetso bizatuma ahabwa ubuvuzi bwiza.
Zana urutonde rw’imiti umwana wawe afata, impinduka zabaye mu bimenyetso, n’ibyavuye mu ishuri cyangwa impungenge. Kugira ayo makuru biteguye bitwara igihe gito kandi bituma nta kintu cy’ingenzi cyibagirana.
Niba abagize umuryango benshi bitabira ibiganiro, banzura mbere y’igihe uzaba umuvugizi mukuru kugira ngo birinde urujijo.
Schizophrenia mu bwana ni indwara ikomeye ariko ivurwa, igira ingaruka ku buryo umwana wawe abona ibintu n’uko abana n’isi. Nubwo kuvura bishobora kugaragara nk’ibintu biremereye, kuvurwa hakiri kare no kuvurwa neza bishobora kugira uruhare rukomeye mu buzima bw’umwana wawe.
Wibuke ko iyi ndwara idasobanura ejo hazaza ry’umwana wawe. Hamwe n’imiti ikwiye, ubuvuzi, n’ubufasha bw’umuryango, abana benshi barwaye Schizophrenia bashobora gukomeza kwiga, gukura, no kugirana imibanire myiza.
Uruhare rwawe nk’umubyeyi ni ingenzi mu rugendo rw’umwana wawe. Urukundo rwawe, ubuvugizi, n’ubwitange mu kuvura kwe ni byo shingiro ry’ubuzima bwe no gukira kwe.
Witondere wowe n’umuryango wawe muri iki gihe gikomeye. Shaka ubufasha mu miryango y’abandi, abahanga mu buvuzi bwo mu mutwe, n’ibigo by’abaturage. Ntabwo ugomba kunyura muri uru rugendo wenyine.
Nubwo nta muti wa Schizophrenia, ni indwara ivurwa cyane. Hamwe n’imiti ikwiye n’ubufasha, abana benshi bashobora guhangana n’ibimenyetso byayo neza kandi bagira ubuzima buhimbaye. Kuvurwa hakiri kare bikunze gutuma habaho ibyiza mu gihe kirekire.
Intego y’ubuvuzi ni uguca ibimenyetso, kunoza imikorere, no gufasha umwana wawe kugera ku bushobozi bwe bwuzuye. Abantu benshi barwaye Schizophrenia bakomeza kugira akazi keza, imibanire myiza, n’imiryango.
Abana benshi barwaye Schizophrenia bashobora kujya kwiga mu ishuri rya buri munsi bafite ubufasha n’uburyo bukwiye. Ibi bishobora kuba birimo gahunda y’uburezi yihariye, imirimo y’ishuri ihinduwe, cyangwa serivisi z’ubujyanama zinyongera.
Icy’ingenzi ni ugukorana n’abakozi b’ishuri kugira ngo habeho ahantu umwana wawe ashobora kugira amanota meza mu gihe ahangana n’ibimenyetso bye. Bamwe mu bana bashobora kungukirwa no kugira ibyumba by’amashuri bito cyangwa gahunda zihariye.
Oya, izi ni indwara zitandukanye rwose. Schizophrenia irimo guhumbya, gutekereza nabi, no gutekereza bidasobanutse, mu gihe Dissociative Identity Disorder (yari izwi nka Multiple Personality Disorder) irimo kugira imico myinshi itandukanye.
Urujijo rwose ruva muri filime n’ibinyamakuru biterekana Schizophrenia uko biri. Ni ingenzi kubona amakuru nyayo ava ku baganga aho gukura amakuru mu bitaramo.
Abana benshi barwaye Schizophrenia bakenera kuvurwa igihe kirekire, bikunze gukomeza no mu bukure. Ariko, ubuvuzi bushobora guhinduka uko igihe gihita kuko ibimenyetso bihinduka kandi umwana wawe agira ubushobozi bwo guhangana.
Igihe n’uburemere by’ubuvuzi biterwa n’uko umwana wawe yitabira ubuvuzi n’uburemere bw’ibimenyetso. Bamwe mu bantu bashobora kugabanya imiti cyangwa kenshi bagakora ubuvuzi mu gihe bakomeza guhangana n’ibimenyetso.
Sobanura Schizophrenia mu magambo yumvikana hakurikijwe imyaka y’abana, ugaragaza ko ari indwara nk’igisukari cyangwa asma. Babwire ko umwana wabo atahitamo kwitwara mu buryo butandukanye kandi ko ibimenyetso biterwa n’uburwayi.
Shishikariza abana kubaza ibibazo kandi ubahe ubufasha buhoraho. Tekereza ku buvuzi bw’umuryango cyangwa amatsinda y’ubufasha ku bana kugira ngo babashe kumva no guhangana n’impinduka mu mibanire y’umuryango.