Iki ni iki, Indwara yo Guturika Kw’Uburakari (IED)? Ibimenyetso, Intandaro, n’Ubuvuzi

Indwara yo guturika kw’uburakari (IED) ni ikibazo cy’ubuzima bwo mu mutwe aho umuntu agira guturika k’uburakari, bikaba byihuse kandi bikomeye, bikaba bisa nk’ibirenze icyabiteye. Ibi si ukubura umutimanama gusa - ahubwo ni ibintu by’uburakari bukabije bishobora kuba harimo uburakari mu magambo, urugomo rw’umubiri, cyangwa imyitwarire yangiza ibintu, bikaba bigaragara nk’ibidashoboka guhagarika.

Niba wigeze wumva ko uburakari bugufata umubiri n’ubwonko mu buryo butunguranye, nturi wenyine. Iyi ndwara iza ku bantu benshi, kandi inkuru nziza ni uko ishobora kuvurwa kandi ikagabanuka igihe ufashe neza kandi ugahabwa ubumenyi.

Ibimenyetso by’Indwara yo Guturika Kw’Uburakari ni ibihe?

Ikimenyetso nyamukuru ni ukugira guturika k’uburakari kenshi, bikaba byihuse kandi bigaragara nk’ibidashoboka guhagarika. Ibi bintu bisanzwe biba iminota itageze kuri 30, ariko bishobora kukureka unaniwe, ufite icyaha, cyangwa udasobanukiwe ibyabaye.

Mu gihe cy’uburakari bukabije, ushobora guhura n’impinduka nyinshi z’umubiri n’umutima zishobora kukurenga. Dore ibyo bisanzwe bibaho:

• Uburakari butunguranye bugaragara nk’ubukomeye kurusha uko ikibazo kibyemerera
• Ibimenyetso by’umubiri nko gutera kw’umutima, guhinda umuriro, cyangwa guhinda umubiri
• Gutaka, gutera ubwoba, cyangwa gukoresha amagambo y’uburakari
• Gutera, kwangiza, cyangwa gukubita ibintu
• Urugomo rw’umubiri ku bantu (mu bihe bikomeye)
• Kubabara mu gituza cyangwa kumva udahumeka neza
• Guhora utekereza cyangwa kumva ubwenge bwawe burakonje

Nyuma y’igihe cy’uburakari bukabije, abantu benshi bumva bagaruye amahoro ako kanya, bakurikirwa n’icyaha, isoni, cyangwa kwihanira. Ushobora gusanga wihanira kenshi cyangwa ukumirwa n’imyitwarire yawe.

Icyo gitandukanya IED n’uburakari busanzwe ni uko iyo miterere ibaho nibura kabiri mu cyumweru mu mezi atatu, cyangwa ufite ibyabaye bike ariko bikomeye bikubiyemo iterabwoba ry’umubiri. Ubukana n’ubwinshi byabyo bitandukanya n’imyitwarire isanzwe y’amarangamutima.

Ubwoko bwa Intermittent Explosive Disorder ni ubuhe?

IED ntabwo ifite ubwoko bwemewe, ariko abahanga mu buzima bwo mu mutwe bazi ko ibyabaye bishobora gutandukana cyane mu bukana n’imiterere yabyo. Gusobanukirwa ibyo bishushanyo bishobora kugufasha kumenya icyo urimo guhura na cyo.

Bamwe mu bantu bagira ibyabaye bikunze kubaho ariko bidakomeye cyane, bigizwe ahanini n’uburakari bw’amagambo, kwangiza imitungo, cyangwa gutera ibintu. Ibyo bibaho buri gihe - kenshi kabiri mu cyumweru cyangwa birenga - ariko ntibikunze kubaho gukomeretsa abandi.

Abandi bagira ibyabaye bike ariko bikomeye cyane, bishobora kuba harimo iterabwoba ry’umubiri ku bantu cyangwa kwangiza imitungo bikomeye. Ibyo bibaho bikomeye bishobora kubaho inshuro nke mu mwaka, ariko bishobora gutera ibibazo bikomeye mu mibanire n’ingaruka mu buzima bwawe.

Abantu benshi bahura n’imiterere yombi, bafite ibyabaye bito buri gihe hamwe n’ibyabaye bikomeye rimwe na rimwe. Ikintu nyamukuru si ubwoko bw’ibyabaye, ahubwo ni uburyo bwo kutagira ubushobozi mu buryo bumva budakwiye kandi bukubuza amahoro.

Icyateye Intermittent Explosive Disorder ni iki?

Impamvu nyayo ya IED ntiyumvikana neza, ariko ubushakashatsi bwerekana ko itera kubera imiti y’ubwonko, imvange, n’ibyabaye mu buzima. Tekereza ko ari ibintu byinshi bihuriye hamwe kugira ngo bihe umuyaga ukomeye w’uburakari.

Imiti y’ubwonko igira uruhare runini mu buryo utunganya kandi usubiza ibibazo by’uburakari. Dore ibintu by’ingenzi bigira uruhare muri IED:

• Kubura ubusugire bw’imisemburo ya serotonin mu bwonko, ifasha mu kuringaniza imimerere n’uburyo bwo kwifata
• Itandukaniro mu bice by’ubwonko bigengwa n’ubugome n’uburyo bwo kugenzura amarangamutima
• Impamvu z’impeshyi - kugira abagize umuryango bafite ibibazo by’uburakari cyangwa izindi ndwara zo mu mutwe
• Ibyago byo mu bwana, ihohoterwa, cyangwa kuba umunyamuryango wabonye ihohoterwa
• Imvune z’umutwe, cyane cyane mu bice by’ubwonko bigengwa n’uburyo bwo kwifata
• Gukura mu midugudu aho uburakari bukabije bwagaragajwe cyangwa bwemewe
• Umuvuduko ukabije cyangwa impinduka zikomeye mu buzima zirengeje ubushobozi bwawe bwo guhangana

Ibintu byo mu kirere bishobora kandi kugira uruhare mu gihe ibyo bibazo biba. Ibintu nko kutumvikana mu rukundo, akazi k’umuvuduko, igitutu cy’amafaranga, cyangwa kumva utishimiwe bishobora gutera ibyago bikabije ku bantu basanzwe bafite uburwayi bwa IED.

Ni ngombwa kumva ko kugira IED ntibivuze ko uri umuntu mubi cyangwa ko uhisemo gukora ihohoterwa. Iyi ni indwara ifata uburyo ubwonko bwawe butekereza uburakari n’umuvuduko, kandi isubiza neza ku ivuriro rikwiye.

Ni ryari ukwiye kubona muganga kubera Intermittent Explosive Disorder?

Wagombye gutekereza kuvugana n’umukozi w’ubuzima niba ibyago byawe by’uburakari biguteza ibibazo mu mibanire yawe, mu kazi, cyangwa mu buzima bwa buri munsi. Uko ufashe ubufasha vuba, ni ko uza kumenya kwiyobora amarangamutima yawe.

Dore ibimenyetso bigaragara ko igihe kigeze cyo gusaba ubufasha bw’umwuga:

• Ibibazo byawe by’uburakari bikunda kubaho kandi ukumva utabyikubitaho
• Wangije imitungo, wakomerekeje umuntu, cyangwa wahuye n’ibibazo by’amategeko kubera uburakari
• Abo mu muryango wawe, inshuti cyangwa bagenzi bawe bagaragaje impungenge kubera uburakari bwawe
• Wumva uhangayitse cyane, ufite isoni, cyangwa wihannye nyuma y’ibibazo by’uburakari
• Uburakari bwawe bugira ingaruka ku kazi kawe cyangwa ku mibanire yawe
• Wirinda ibintu bimwe kubera gutinya ko wazongera kurakara
• Ukoresha inzoga cyangwa ibiyobyabwenge kugira ngo uhangane n’uburakari cyangwa utuze nyuma y’ibibazo by’uburakari

Niba ufite ibitekerezo byo kwibabaza cyangwa kwangiza undi muntu, cyangwa niba umaze gukora ikintu gikomeye cyangiza umubiri, shaka ubufasha bw’ihutirwa uhamagara serivisi z’ubutabazi cyangwa ujya mu bitaro by’ubutabazi hafi yawe.

Wibuke ko gusaba ubufasha bigaragaza imbaraga, atari intege nke. Abantu benshi bafite IED babaho ubuzima buzuye kandi bwiza iyo babonye ubuvuzi bukwiye n’ubufasha.

Ni ibihe bintu byongera ibyago byo kurwara Intermittent Explosive Disorder?

Ibintu byinshi bishobora kongera ibyago byo kurwara IED, nubwo kuba ufite ibyago ntibihamya ko uzayirwara. Kubyumva bishobora kugufasha kumenya imiterere no gushaka ubufasha hakiri kare niba bibaye ngombwa.

Imyaka n’igitsina bigira uruhare mu iterambere rya IED. Iyi ndwara isanzwe itangira mu bwana cyangwa mu gihe cy’ubwangavu, abantu benshi bagaragaza ibimenyetso byayo mbere y’imyaka 14. Abagabo bafite ibyago byinshi byo kurwara IED kurusha abagore, nubwo iyi ndwara iza ku bantu b’igitsina cyose.

Amateka yawe bwite n’ay’umuryango wawe agira ingaruka zikomeye ku kigero cy’ibyago byawe:

• Kugira ababyeyi cyangwa bene wabo bafite IED, kwiheba, cyangwa ibindi bibazo byo mu mutwe
• Guhura n’ihohoterwa ribabaza umubiri cyangwa umutima mu bwana
• Kubona urugomo rw’ingo cyangwa uburakari bukabije mu muryango wawe
• Kugira ibindi bibazo byo mu mutwe nka ADHD, kwiheba, cyangwa guhangayika
• Amateka yo gukomereka mu mutwe, cyane cyane abangiza igice cy’ubwonko kiyobora
• Ibibazo byo kunywa ibiyobyabwenge cyangwa ibiyobyabwenge
• Gukura mu midugudu ituje cyangwa idateganijwe

Ibintu bimwe na bimwe byo mu buzima bishobora kandi kongera ibyago byawe. Ibintu byinshi biteye ubwoba, ibibazo by’amafaranga, ibibazo by’umubano, cyangwa impinduka zikomeye mu buzima byose bishobora gutera iterambere ry’imikorere y’uburakari bukabije.

Kugira ibintu byongera ibyago ntibisobanura ko ugomba kurwara IED. Abantu benshi bafite ibintu byinshi byongera ibyago ntibahura n’iyi ndwara, mu gihe abandi bafite ibintu bike byongera ibyago bahura nayo. Ikintu nyamukuru ni ukumenya imikorere yawe no gushaka ubufasha niba ubona impinduka ziteye impungenge mu buryo bwo kwerekana uburakari.

Ni iki gishobora kuba ingaruka z’indwara yo guhora ufite uburakari?

Utabonye ubuvuzi bukwiye, IED ishobora kugira ingaruka zikomeye ku bice byinshi by’ubuzima bwawe, ikabera umuzenguruko aho ibikorwa by’uburakari bikabije bigatuma habaho umunaniro n’ibibazo byinshi. Inkuru nziza ni uko izi ngaruka zishobora kwirindwa kandi zikunda gukira hakoreshejwe ubuvuzi bukwiye.

Kwangirika kw’umubano niyo ngaruka ya hafi kandi ibabaza cyane. Ibikorwa by’uburakari bukabije bishobora kwangiza icyizere, gutera ubwoba abakunzi, no gutera ukwigunga kuko abantu batinya kuba hafi yawe mu gihe cy’uburakari.

Dore ingaruka zikomeye zishobora kuza mu gihe kirekire:

• Gutandukana, gutatana, cyangwa igihombo cy’imibanire ikomeye
• Gutakaza akazi cyangwa kugorana kubona akazi
• Ibibazo by’amategeko birimo ibirego by’ihohoterwa cyangwa amabwiriza yo kubuza kwegera
• Ibibazo by’imari biturutse ku kwangirika kw’umutungo cyangwa amafaranga y’amategeko
• Kugira ihungabana, guhangayika, cyangwa ibibazo byo kunywa ibiyobyabwenge
• Imvune z’umubiri kuri wowe cyangwa abandi mu gihe cy’ibyihebe
• Kwikurura mu bandi no gutakaza inshuti
• Gukora nabi inshingano zo kurera abana cyangwa kubura uburere bw’abana

Mu bihe bitoroshye, ibyihebe bikomeye bishobora gutera ingaruka zikomeye z’amategeko, harimo n’ibirego by’ibyaha cyangwa gufungwa. Bamwe mu bantu barwara indwara yo guhura n’ibyihebe, bahura n’ibibazo by’ubuzima bwo mu mutwe kubera icyaha n’isoni biturutse ku myitwarire yabo idahwitse.

Ingaruka zo mu mutwe ku bagize umuryango zishobora kuba zikomeye, rimwe na rimwe zigatuma bagira ibibazo by’ubuzima bwo mu mutwe. Abana babona ibyihebe bashobora kugira ihungabana, guhangayika, cyangwa kugira ibibazo byo kugenzura uburakari bwabo.

Ariko rero, ni ingenzi kwibuka ko izi ngaruka atari ngombwa ko zibaho. Hamwe no kuvurwa neza, abantu benshi barwaye indwara yo guhura n’ibyihebe bashobora gukumira izi ngaruka cyangwa gukosora ibyangiritse.

Uburyo bwo gukumira indwara yo guhura n’ibyihebe?

N’ubwo utazi gukumira burundu indwara yo guhura n’ibyihebe, cyane cyane niba ufite ibyago by’umutungo, hari intambwe ufata kugira ngo ugabanye ibyago cyangwa ukumire ibyihebe niba umaze kurwara iyo ndwara. Kugira ubufasha hakiri kare hamwe n’ingamba zo guhangana neza bigira uruhare rukomeye.

Kumenya guhangana n’umunaniro ni imwe mu ngamba z’ingenzi zo gukumira. Kubera ko umunaniro akenshi utera ibyihebe, kumenya guhangana n’ibibazo by’ubuzima mu mutuzo bishobora gufasha gukumira ko iyo ndwara ikura cyangwa ikomeza.

Dore ingamba zo gukumira zishobora gufasha:

• Kwigira uburyo bwo gucunga umunaniro mu buryo buzima nko guhumeka cyane cyangwa gukora imyitozo yo mu bwenge
• Gukora imyitozo ngororamubiri buri gihe kugira ngo ufashe mu kuringaniza imitekerereze no kugabanya umunaniro
• Kugira gahunda yo kuryama buri gihe no kuruhuka bihagije
• Kwirinda inzoga n’ibiyobyabwenge, bishobora kugabanya ubushobozi bwo kwifata
• Kubaka umubano ukomeye kandi ushyigikira n’umuryango n’inshuti
• Gushaka ubuvuzi hakiri kare niba ubona imiterere y’uburakari ikomeje gukura
• Kumenya ibintu bikurura uburakari bwawe n’ibimenyetso by’umubabaro
• Kumenyereza ubuhanga mu itumanaho kugira ngo ugaragaze ibibazo mu buryo bwubaka

Niba ufite abana kandi uhangayikishijwe n’ibintu by’ingaruka ku muryango, shyira imbaraga mu kurema ikirere cy’urugo gihamye kandi gishyigikira. Gerekaho uburyo buzima bwo guhangana n’ibibazo n’uburakari, kandi ushake ubufasha bw’umwuga niba ubona imiterere y’uburakari iteye impungenge kuri wowe cyangwa ku bana bawe.

Ku bantu basanzwe bafite indwara ya IED, kwirinda byibanda ku gukumira ibintu bibi binyuze mu buvuzi buhoraho, kubahiriza imiti, no gukomeza ubuvuzi. Intego ni ukumenya ibimenyetso by’umubabaro hakiri kare no gukoresha ingamba zo guhangana mbere y’uko ibintu bibi biba.

Uburwayi bwa Intermittent Explosive Disorder bumenyekana gute?

Kumenya uburwayi bwa IED bisaba isuzuma rirambuye rikorewe n’umuhanga mu buvuzi bwo mu mutwe uzasesengura ibimenyetso byawe, amateka yawe y’ubuzima, n’ingaruka z’ibintu bibi ku buzima bwawe. Nta kizami kimwe cyo gupima IED, bityo kumenya uburwayi bishingiye ku isuzuma ry’abaganga.

Muganga wawe azatangira akubaza ibibazo birambuye ku byabayeho, harimo ukuntu biba kenshi, icyabiteye, n’ukuntu bigira ingaruka ku buzima bwawe bwa buri munsi. Azashaka gusobanukirwa imiterere n’uburemere bw’ibintu bibi igihe kirekire.

Uburyo bwo gupima busanzwe burimo ibice bitandukanye:

1. Ikiganiro kirambuye ku birebana n’ibimenyetso byawe n’amateka yawe bwite
2. Suzuma ry’ubuzima kugira ngo habeho gukuraho impamvu z’umubiri z’ubugizi bwa nabi
3. Suzuma imiti cyangwa ibintu byose bishobora kugira ingaruka ku mimerere yawe
4. Gusuzuma izindi ndwara zo mu mutwe zishobora gutera ibimenyetso nk’ibyo
5. Ikiganiro n’abagize umuryango cyangwa incuti za hafi ku myitwarire yawe
6. Ibibazo byateguwe ku bijyanye n’uburakari n’ubugizi bwa nabi

Kugira ngo umenya ko ufite IED, ugomba kuba waragize ibikorwa byinshi by’ubugizi bwa nabi bidasanzwe, birenze urugero ugereranyije n’icyo kibitera. Ibyo bikorwa bigomba gutera umubabaro ukomeye cyangwa kubangamira ubuzima bwawe kandi bitasobanurwa neza n’izindi ndwara zo mu mutwe.

Muganga wawe azakurinda kandi izindi ndwara zishobora gutera uburakari budasanzwe, nka bipolar disorder, antisocial personality disorder, cyangwa ikoreshwa ry’ibiyobyabwenge. Rimwe na rimwe, isuzumwa ry’ubwonko cyangwa ibizamini by’amaraso bishobora gusabwa kugira ngo habeho gukuraho impamvu z’ubugizi bwa nabi zikomoka ku mubiri.

Uburyo bwo kuvura bushobora gufata igihe kinini kuko muganga wawe azaba akeneye amakuru arambuye. Ihangane muri ubu buryo – kumenya neza icyo ufite ni ingenzi kugira ngo ubone ubuvuzi bukwiye.

Ni iki kivura Intermittent Explosive Disorder?

Kuvura IED bisanzwe bihuza imiti n’ubuvuzi bw’imitekerereze, kandi inkuru nziza ni uko abantu benshi babona iterambere rigaragara bafashijwe n’uburyo bukwiye. Intego ni ugufasha kugira ubushobozi bwo kugenzura ibikorwa by’ubugizi bwa nabi no guteza imbere uburyo bwiza bwo gucunga uburakari n’umunaniro.

Ubuvuzi bw’imitekerereze, cyane cyane ubuvuzi bw’imitekerereze bushingiye ku myumvire (CBT), akenshi ni bwo buvuzi bwa mbere. Ubwo buryo bw’ubuvuzi burafasha gusobanukirwa icyo gitera uburakari, kumenya ibimenyetso by’uburakari mbere y’uko bigaragarira, no guteza imbere ingamba zifatika zo gucunga amarangamutima akomeye.

Ubwoko butandukanye bw’ubuvuzi bushobora kuba ingirakamaro cyane:

• Ubuvuzi bwo guhindura imitekerereze (Cognitive behavioral therapy) kugira ngo duhindure imitekerereze ituma umuntu arakaza cyane
• Ubuvuzi bwo guhangana n’amarangamutima (Dialectical behavior therapy) kugira ngo umuntu amenye gucunga amarangamutima ye kandi akomeze kwihangana mu bihe bikomeye
• Amasomo yo gucunga uburakari kugira ngo umuntu amenye uburyo bwihariye bwo kugenzura uburakari
• Ubuvuzi bw’umuryango kugira ngo hakosorwe imibanire kandi habeho itumanaho ryiza
• Ubuvuzi bwa groupe kugira ngo umuntu ahurire n’abandi bahura n’ibibazo nk’ibye

Imiti nayo ishobora kugira uruhare runini mu kuvura. Imiti yo kuvura ihungabana, cyane cyane imiti ya SSRI, ikunze kwandikwa kugira ngo ifashe mu gucunga amarangamutima no kugabanya imyitwarire yo kwihuta. Imiti yo gucunga amarangamutima cyangwa imiti yo kugabanya imihangayiko ishobora kandi gufasha bitewe n’ibimenyetso byawe.

Muganga wawe ashobora kugutegurira imiti nka fluoxetine, sertraline, cyangwa indi miti yo kuvura ihungabana ishobora kugabanya kenshi no gukomeza kw’ibibazo byo kurakara cyane. Bamwe bagira akamaro kandi mu miti yo gucunga amarangamutima nka lithium cyangwa imiti yo kuvura indwara z’ubwonko.

Ubuvuzi butegurwa ku giti cya buri muntu, kandi bishobora gutwara igihe kugira ngo ubone imiti n’ubuvuzi bikubereye. Abantu benshi batangira kubona impinduka mu gihe cy’ibyumweru bike kugeza ku mezi make nyuma yo gutangira kuvurwa.

Uburyo bwo gucunga indwara yo kurakara cyane mu rugo?

Guhangana n’indwara yo kurakara cyane mu rugo bisobanura gutegura ingamba zifatika ushobora gukoresha buri munsi kugira ngo wirinde ibibazo kandi uhangane n’uburakari mu buryo bwiza. Izi ngamba zo kwita ku buzima bwacu zigira akamaro cyane iyo zifatanije n’ubuvuzi bw’umwuga, atari nk’igisubizo cyabyo.

Kumenya ibimenyetso byawe by’ubuzima ni ingenzi mu kwirinda ibibazo byo kurakara cyane. Abantu benshi bagira ibimenyetso by’umubiri cyangwa ibimenyetso by’amarangamutima bibaho mbere y’uko batakaza umutekano, kandi kubimenya hakiri kare biguha umwanya wo gukoresha ingamba zo guhangana.

Dore ingamba zifatika zo gucunga indwara mu rugo ushobora gutangira gukoresha uyu munsi:

• Kora imyitozo yo guhumeka cyane cyangwa kwiruhutsa imitsi buhoro buhoro iyo wumva uburakari bugenda buzamuka
• Kwirukana mu bihe bituma urakara iyo bishoboka -fata akanya ko kuruhuka
• Komeza ibitabo byandika kugira ngo ukureho ibintu bituma urakara n’imiterere yabyo
• Kora imyitozo ngororamubiri buri gihe kugira ngo ugabanye umunaniro n’umuvuduko muri rusange
• Komeza gahunda yo kuryama buri gihe kandi wirinda ikawa mu masaha ya nimugoroba
• Koresha uburyo bwo guhagarara nk’ugukomeza kubara kugeza kuri cumi cyangwa kwibanda ku bwenge bwawe butanu
• Kora imyitozo yo kwibuka cyangwa gutekereza kugira ngo wongere ubumenyi bw’amarangamutima
• Kora itsinda ry’abantu bakuze cyangwa abo mu muryango w’abantu wizeye

Mu gihe wumva uburakari bugenda buzamuka, gerageza uburyo bwa "STOP": Hahagarika icyo ukora, Fata umwuka mwinshi, Banza ibitekerezo byawe n’ibyiyumvo byawe, hanyuma ukomeze usubize utuje. Ubu buryo burambuye bushobora gukumira ibintu byinshi by’amahano.

Byongeye kandi, ni ngombwa kwirinda inzoga n’ibiyobyabwenge, kuko bishobora kugabanya ubushobozi bwawe kandi bikongera ibyago byo kugira amahano. Ibanda ku kugumana imikorere myiza yerekeye kurya, kuryama, no gukora imyitozo ngororamubiri.

Wibuke ko gucunga IED ni ubuhanga buzamuka uko ukoresha. Jya wihangana nawe ubwawe uko ugenda wiga ingamba nshya zo guhangana, kandi ntutinye gusaba ubufasha bw’umwuga iyo ubukeneye.

Wagomba gutegura gute uruzinduko rwawe kwa muganga?

Gutegura uruzinduko rwawe bishobora kugufasha kubona ibyiza byinshi mu gihe cyawe hamwe n’umuntu utanga ubuvuzi kandi bikwizeza ko uboneye ubuvuzi bwiza. Kuza witeguye bigaragaza kandi ko wiyemeje kumera neza, ibyo bishobora gukomeza umubano wawe wo kuvurwa.

Tangira ukoresheje inyandiko irambuye y’ibintu byawe by’amahano byibuze icyumweru kimwe mbere y’uruzinduko rwawe. Shyiramo amakuru yerekeye icyateye buri kintu cyabaye, igihe cyamaranye, icyabaye muri icyo gihe, n’uko wumvise nyuma.

Dore ibyo uzakenera kuzana no gutegura uruzinduko rwawe:

• Urutonde rw’imiti n’ibindi byongerwamo byose ukoresha ubu
• Amakuru yerekeye amateka y’ubuzima bwo mu mutwe mu muryango wawe
• Ibisobanuro ku bijyanye n’ibintu byaguteye ubwoba cyangwa ibyabaye mu buzima bwawe bikomeye
• Inyandiko y’ibikorwa byawe by’uburakari bukabije, harimo ibyabiteye n’ubunini bwabyo
• Ibibazo wifuza kubabaza ku bijyanye no kubona uburwayi n’uburyo bwo kuvura
• Amakuru yerekeye uko ibimenyetso byawe bigira ingaruka ku kazi kawe n’imibanire yawe
• Ubuvuzi bwo mu mutwe wari warahawe mbere

Tegura kwivuga ku ngingo zikomeye mu kuri, harimo amateka y’ihohoterwa, ikoreshwa ry’ibiyobyabwenge, cyangwa ibibazo by’amategeko bifitanye isano n’ibikorwa byawe by’uburakari bukabije. Muganga wawe akeneye amakuru arambuye kugira ngo aguhe inama nziza zo kuvura.

Tekereza kuzana umuntu wo mu muryango wawe cyangwa incuti wizeye wabonye ibyo bikorwa byawe. Bashobora gutanga ibitekerezo by’agaciro ku bimenyetso byawe n’ingaruka zabyo ku mibanire yawe.

Andika ibibazo byawe mbere kugira ngo utabyibagirwa mu gihe cy’isura. Baza ku bijyanye n’uburyo bwo kuvura, icyo witeze ku buvuzi cyangwa imiti, n’uko wakwitwara mu gihe cy’uburakari bukabije mu gihe utangiye kuvurwa.

Ni iki gikuru wakuramo ku Burwayi bwo Guturika Kw’Uburakari Butaboneka?

Ikintu gikomeye cyane cyo kumva ku bijyanye na IED ni uko ari uburwayi bwavurwa, atari ikosa ry’umuntu cyangwa kunanirwa kwe. Hamwe no kubona uburwayi no kuvurwa neza, abantu benshi bafite IED bashobora kwiga gucunga ibyo bikorwa byabo by’uburakari bukabije no kubona ubuzima buzuye kandi bwiza.

Kuvurwa kwa IED bishoboka rwose, ariko bisaba kwiyemeza kuvurwa no kwihangana muri uwo mujyo. Ushobora kutazabona umusaruro wahise, ariko hamwe no kuvurwa buri gihe, imiti niba ikenewe, no gukora imyitozo yo guhangana, ushobora kongera kugenzura ibitekerezo byawe.

Nturetse isoni cyangwa ipfunwe bikubuze gushaka ubufasha. Abantu benshi bahangana n’uburakari bukabije, kandi abahanga mu buvuzi bw’ubuzima bwo mu mutwe bahuguwe gufasha batabigize uruhare. Uko utangiye kuvurwa hakiri kare, ni ko ugatangira gusana imibanire no kwirinda ingaruka mbi mu gihe kizaza.

Wibuke ko gucunga IED ari urugendo rukomeza, atari igisubizo kimwe. Uzahora ukomeza guteza imbere no kunoza ingamba zawe zo guhangana mu buzima bwawe bwose, kandi ibyo ni ibisanzwe. Ikintu gikomeye ni ugufata intambwe ya mbere yo gushaka ubufasha no kwiyemeza urugendo rwawe rwo gukira.

Ibibazo bikunze kubaho ku Burwayi bw’Uburakari Bukabije

Abana bashobora kugira Uburwayi bw’Uburakari Bukabije?

Yego, abana bashobora kugira IED, kandi ibimenyetso bikunze gutangira mu bwana bwa nyuma cyangwa mu bugimbi. Ariko, gupima IED mu bana bisaba isuzuma rikomeye kuko imyitwarire imwe y’uburakari ishobora kuba isanzwe mu iterambere. Niba umwana wawe afite uburakari bukabije kandi buhoraho, butari uko bikwiye bitewe n’imyaka ye n’aho ari, birakwiye kubiganiraho na muganga we cyangwa umuhanga mu by’imitekerereze y’abana.

Ese Uburwayi bw’Uburakari Bukabije bumwe n’ibibazo byo kugenzura uburakari?

Oya, IED ikomeye kurusha ibibazo bisanzwe byo kugenzura uburakari. Mu gihe abantu benshi bahangana no kugenzura umujinya wabo, IED ikubiyemo ibitero by’uburakari birenze urugero, bikaba bitera agahinda gakomeye cyangwa ubumuga. Ibibazo bisanzwe byo kugenzura uburakari ntibikunze kuba bikubiyemo kubura kwigenga kw’umubiri, nk’uko bigaragara muri IED.

Mbese nzagomba gufata imiti ubuzima bwanjye bwose?

Oya rwose. Bamwe mu bantu bafite IED bagira akamaro k’imiti ijyanye n’igihe kirekire, abandi bashobora kugenzura uburwayi bwabo binyuze mu buvuzi n’uburyo bwo guhangana gusa. Muganga wawe azakorana nawe kugira ngo amenye uburyo bwiza bushingiye ku bimenyetso byawe, uko uhanganye n’ubuvuzi, n’ibyo ukunda. Abantu benshi bashobora kugabanya cyangwa guhagarika imiti igihe kirekire bafite ubugenzuzi bukwiye.

Ese stress ishobora kubaza Intermittent Explosive Disorder?

Rwose. Stress ni kimwe mu bintu bisanzwe bitera ibibazo mu bantu bafite IED. Impinduka zikomeye mu buzima, ibibazo by’umubano, umuvuduko w’akazi, cyangwa ibibazo by’imari byose bishobora kongera umubare n’ubukana bw’ibikorwa bidasanzwe. Niyo mpamvu gucunga stress ari ingenzi cyane mu buvuzi kandi niyo mpamvu kugumana uburyo bwiza bwo guhangana ari ingenzi mu gucunga igihe kirekire.

Nsobanura gute uburwayi bwanjye ku muryango n’inshuti?

Kuvuga ku cyo urufite bishobora gutuma umubano wawe ukomeza kandi bigafasha abakunzi bawe kumva imyitwarire yawe neza. Basobanurire ko IED ari uburwayi bw’umubiri bugira ingaruka ku buryo ubwonko bwawe butekereza uburakari, kimwe n’uko diyabete igira ingaruka ku musukari w’amaraso. Babwire ko uri kuvurwa kandi ubasaba kwihangana no kubashigikira. Tekereza kubashyira mu nama z’umuryango aho bikwiye, kuko ibi bishobora gufasha buri wese kumenya uburyo bwiza bwo gutumanaho.