We yu de op fɔ bi mama, ɔ we yu de ɛkspɛkt nyu mɛmba fɔ jɔyn yu famili, di big tin we yu want na yu maynd na fɔ gɛt wɛlbɔdi pikin. Bɔt sɔntɛnde, we dɛn nɔ bin de ɛkspɛkt, dɛn kin bɔn di pikin wit sɔm chenj dɛn na in divɛlɔpmɛnt. Dis na wetin wi kɔl “ Birth Defects”. Na nɔmal tin fɔ mek yu fred smɔl ɛn fil bad we yu yɛri dis wɔd. Bɔt nɔ wɔri. I rili impɔtant fɔ mek wi ɔndastand dis fayn fayn wan. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.
Wetin na pɔsin we nɔ fayn we dɛn bɔn am?
Fɔ tɔk am simpul wan, di pikin we dɛn bɔn na di pikin we nɔ fayn na di divɛlɔpmɛnt we nɔ de apin we di pikin de gro. Dɛn chenj ya kin afɛkt ɛni pat na di pikin in bɔdi. Sɔm prɔblɛm dɛn we kin apin we dɛn bɔn pikin we dɔktɔ dɛn kin no we uman gɛt bɛlɛ . Dɛn kin no ɔda wan dɛn afta dɛn bɔn di pikin ɔ we di pikin dɔn big smɔl. Bɔrku tɛm, dɛn kin no dɛn kayn tin ya insay di fɔs ia we di pikin dɔn liv. Bɔt i impɔtant fɔ mɛmba se nɔto ɔl di sik dɛn we dɛn bɔn we dɛn bɔn kin si na do .
Pan ɔl we sɔm prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn kin mek pɔsin in layf de pan denja, nɔto ɔl dɛn kin de pan denja. Di we aw dɛn kin afɛkt pikin kin dipen pan di sik we dɛn de no bɔt. Sɔm prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin kin jɔs chenj di we aw pikin de luk. Bɔt ɔda wan dɛn kin afɛkt di we aw pikin de tink, muv, ɛn du wok dɛn we i de du ɛvride.
Wetin na di prɔblɛm dɛn we kin apin we dɛn bɔn pikin dɛn?
Dis na sɔm pan di prɔblɛm dɛn we kin apin we dɛn bɔn pikin dɛn:
- Kleft lip ɛn/ɔ cleft palata.
- Di tin dɛn we nɔ kin apin we di bon dɛn de gro, lɛk we i shɔt , we in an dɛn kin lɔs, ɔ we i kin gɛt skɔliosis.
- Di at kɔndishɔn dɛn we dɛn bɔn wit .
- di kromozom abnכmaliti – Wan egzampl na wan kכndyushכn we dεn kכl Down syndrome .
- Klɔbfut .
- di kכndishכn dεm we di mama de yuz rɔm we i bεlε (Fetal alcohol syndrome).
- Siklɔs sɛl anemia.
Dis list nɔr kɔmplit, bɔrku ɔda bɔrku prɔblɛm kin de lɛk dis.
Aw kɔmɔn tin kin apin we dɛn bɔn pikin dɛn we nɔ fayn?
Infakt, pikin dɛn we gɛt prɔblɛm we dɛn bɔn nɔ kin bɔku lɛk aw yu go tink. Fɔ ɛgzampul, akɔdin to sɔm statystik dɛn na Amɛrika, dɛn kin bɔn pikin wit prɔblɛm we dɛn bɔn am ɛvri 4 ɛn af minit. Dat min se lɛk wan pan ɛvri 33 pikin dɛn we dɛn bɔn kin gɛt sɔm kayn prɔblɛm we dɛn bɔn. Dis sho se dis na tin wae kin apun.
I kɔrɛkt fɔ yuz di wɔd "congenital disorder"?
“Borth defect” na wɔd we kɔrɛkt pan mɛrɛsin. dεn de yuz am fכ dεskrεb di chenj dεm na di strכkchכ na di bכdi di tεm we di εmbrayo de stej. So, natin nɔ bad fɔ kɔl wan sik “bɔn pikin we nɔ fayn.”
Bɔt, di impɔtant tin, nɔ kɔl pɔsin we gɛt di sik we dɛn bɔn wit "disabled" ɔ "disabled." Di difrɛns we dɛn gɛt pan dɛn bɔdi nɔ de sho udat dɛn bi. I impɔtant fɔ avɔyd fɔ yuz wɔd dɛn we de mek pɔsin fil bad, we nɔ fayn we yu de tɔk bɔt aw dɛn bɔn pikin, ɔ pipul dɛn we gɛt prɔblɛm wit dɛn bɔn pikin.
If yu gɛt prɔblɛm fɔ yuz di wɔd "birth defect," yu kin yuz ɔda wɔd dɛn lɛk dɛn wan ya:
- di abnכmaliti dεm we dεn bכn wit – dat na di abnכmaliti dεm we de de we dεn bכn am.
- Di kɔndishɔn dɛn we dɛn bɔn wit.
- Di bad tin dɛn we kin apin na di bɔdi.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt dis sik?
Di sayn dɛm wae de sho se pɔrsin nɔr gɛt dis sik kin kɔmɔt frɔm wae nɔr kin pasmak to wae i kin rili bad. Dɛn kin afɛkt ɛni pat na di bɔdi, ivin di bon dɛn ɛn di ɔgan dɛn we de insay di bɔdi.
di simptom dεm we dεn kin si we uman bεlε
We uman gɛt bɛlɛ, dɔktɔ dɛn kin yuz difrɛn tɛst dɛn fɔ chɛk fɔ no if pɔsin gɛt sayn dɛn we de sho se i nɔ fayn fɔ bɔn pikin. Di sayn dɛm wae kin apun dis tɛm na:
- di protin lεvεl dεm na di bכdi tεst we dεn lכs כ hכy pas aw dεn bin de εkspεkt.
- we dεn egzamin di כltra saund sho se εkstra wata de biεn di pikin in nεk.
- skan we de egzamin di pikin in at (fetal echocardiogram) de sho se di strכkchכ fכ di insay כgan dεm lεk di at.
di sayn dεm we dεn kin si afta dεn bכn di pikin
Sɔm prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn am nɔ kin si te dɛn bɔn di pikin, ɔ jɔs sɔm dez afta dɛn bɔn am. Di kɔmɔn sayn dɛm we dɛn kin si pan bebi ɛn smɔl pikin dɛm na:
- Wan abnɔmal ritm fɔ di at bit.
- I nɔ kin izi fɔ yu fɔ blo yu wan.
- Nɔ ansa we dɛn kɔl yu nem ɔ lawd nɔys.
- Nɔ fala yusɛf ɔ sɔntin we de bifo yu wit yu yay.
- I nɔ izi fɔ it ɛn drink milk.
- Fɔ gɛt wan patikyula tin we nɔ kɔmɔn na yu ed, yu fes, yu yay, yu yes, ɛn yu mɔt.
- fכ fכ rich di divεlכpmεnt maylston dεm we fit di ej (e.g., nכ de rכl ova כ sidon op).
- I nɔ kin rɛst ɔltɛm ɛn i kin vɛks bad bad wan.
Dis nɔto wan kɔmplit list.If yu notis ɛnitin we strenj ɔ difrɛn bɔt yu pikin, ɔ if yu si ɛni wan pan dɛn sayn ya, go to yu pikin in dɔktɔ wantɛm wantɛm.
Wetin na di tin dɛn we kin mek dɛn bɔn pikin dɛn we nɔ fayn?
Bɔku rizin dɛn kin de we kin mek dɛn bɔn pikin dɛn we nɔ fayn. Di men wan dɛn na:
- Di chenj dɛn we de apin na di jɛnɛtiks.
- As wan sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn.
- We pɔsin de pan sɔm tin dɛn ɔ sɔm kemikal dɛn.
- Di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ.
כl dεn tin ya de afekt di divεlכpmεnt fכ di pikin in divεlכpmεnt. Bɔku tɛm, dɛn tin ya na tin dɛn we wi nɔ ebul fɔ kɔntrol, so na smɔl tin nɔmɔ wi go ebul fɔ du fɔ mek wi nɔ gɛt dɛn.
sכm bכt di stej dεm we di pikin de divεlכp
tu men stej dεm de fכ divεlכpmεnt fכ di pikin afta i bכn na di bεlε.
1. di εmbrayo stej: dis na di fכs 10 wik afta dεn bכn am. dis na we di pikin in mכtalman in bכdi sistεm εn כgan dεm bigin fכ fכm. di risk fכ bכn difεkt de hכy pasmak insay dis εmbrayo stej, biכs di כgan dεm stil de divεlכp. fכ egzampl, if di mama gεt wan bad tin bitwin tu εn tεn wik afta dεn bכn am, i kin mek di pikin bכn bad bad wan.
2. Fetal stej: dis na di rεst fכ di bεlε. insay dis tεm, di כgan dεm we de divεlכp de kכntinyu fכ divεlכp εn di pikin jεnarali de gro.
Akɔdin to mɛdikal sayɛns, na lɛk 30% pan di pikin dɛn we gɛt difrɛn prɔblɛm dɛn nɔmɔ dɛn no naw. Dat min se fɔ lɛk 70%, dɛn nɔ dɔn fɛn klia kɔz. Sɔntɛm bitwin 50% ɛn 70% pan di prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn na jɔs random, ɛn dɛn nɔ no di rizin.
Di tin dɛn we kin apin we pɔsin bɔn ɛn di tin dɛn we kin apin we dɛn bɔn pikin
כlmost 20% pan di bכn difεkt dεm na di jεnεtik fכs. Wi bɔdi sɛl dɛn gɛt kromozom dɛn, bɔku tɛm na 46. Ɛni kromozom gɛt bɔku bɔku jin dɛn. Ɛni jin gɛt di plan fɔ mek wan patikyula pat na wi bɔdi gro ɔ wok. If pɔsin gɛt tumɔs ɔ tu smɔl kromozom dɛn, di mɛsej we di sɛl dɛn kin gɛt kin kɔnfyus.
di chenj dεm na di kromozom dεm kin apin insay dεn we ya:
- Fɔ gɛt ɛkstra kromozom: Wan ɛgzampul na Down syndrome. Pipul dεm we gεt dis kכndyushכn gεt εkstra kכpi fכ kromozom 21.
- di kromozom dεfεshכn: Turner syndrome na wan kכndyushכn we dεn bכn pכsin we nכ gεt pat כ כl di X sεks kromozom.
- dilit kromozom dεm: wan egzampl na Prader-Willi syndrome, usay wan pat pan di jεnεtik infכmeshכn na kromozom 15 nכ de.
- di kromozom dεm we dεn riloket / Translokeshכn: di kromozom dεm we de muv frכm dεn nכmal say to difrεn ples.
Sɔm prɔblɛm dɛn we pɔsin kin gɛt we i bɔn kin kɔmɔt frɔm am.Dat min se sɔmbɔdi na di famili kin gɛt am ɛn i kin apin bak to di pikin. Ɔda wan dɛn kin apin wan wan tɛm, we min se nɔbɔdi na di famili nɔ bin dɔn gɛt am bifo.
Sɔm mɛrɛsin ɛn bɔn pikin dɛn we nɔ fayn
Sɔm mɛrɛsin dɛn kin afɛkt di pikin we de gro ɛn mek dɛn bɔn pikin dɛn we nɔ fayn. Sɔm ɛgzampul dɛn:
- Isotretinoin (wan mɛrɛsin fɔ akni – Accutane® ɔ Roaccutane®)
- Sɔm mɛrɛsin dɛm wae dɛn kin gi fɔ fit (Antiepileptic mɛrɛsin dɛm), e.g. valproik asid we dɛn kɔl
- Litiɔm we dɛn kɔl
- Warfarin (na mɛrɛsin we de mek blɔd nɔ klin) .
If yu de plan fɔ gɛt bɛlɛ ɔ yu dɔn gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Aks bak bɔt di sayd ɛfɛkt dɛn we ɛni mɛrɛsin we yu dɔktɔ gi yu kin gɛt. Nɔ stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ gri fɔ tek am.
Na bikɔs ɔf sɔm tin dɛn ɛn sɔm kemikal dɛn
sכm tin dεm εn kεmεkal dεm we de na wi envayroment kin afekt di pikin in divεlכpmεnt εn mek i bכn difεkt.
- Rum.
- Sɔbstans dɛn we de mek pɔsin adikshɔn – ɛgz. kafinɛ (if dɛn tek am pasmak), mɛrɛsin dɛn we dɛn nɔ kin bay, nakotiks.
- Peshɛnt ɔ mɛrɛsin we dɛn kin yuz fɔ kil animal dɛn.
- Di pwɛl pwɛl we di envayrɔmɛnt de pwɛl.
Insay sɔm pat dɛn na di wɔl, dɛn bin de bɔn pikin dɛn we nɔ fayn bikɔs dɛn bin de yuz peshɛnt sayd ɛn ɛbisayd we denja. Wan ɛgzampul fɔ dis na di herbicide Ejen Ɔrɛnj we dɛn bin de yuz insay di Vietnam Wɔ.
Bikɔs ɔf di kɔmplikeshɔn dɛn we kin apin we uman gɛt bɛlɛ
difεkt dεm we dεn bכn kin apin bak bikoz fכ sכm kכmplikεshכn dεm we uman bεlε. Bɔku tɛm, dɛn tin ya na tin dɛn we di mama ɛn papa nɔ ebul fɔ kɔntrol, so we tin dɛn lɛk dis kin apin, i kin rili fil pen.
Ɛgzampul dɛn:
- di uterin constraint: di amniotic sak we de insay di pikin de rכp we i bεlε. dis kin mek yu gεt kכndyushכn lεk amniotic band syndrome, we kin pwεl di limb dεm.
- di wata we dεn nכ de fכm: di wata we nכ de rawnd di pikin we de insay di uterus. dis kin put prεshכn pan di pikin εn mek di lכng damej (pulmonary hypoplasia).
- infεkshכn: sכm infεkshכn dεm lεk toxoplasmosis εn cytomegalovirus kin afekt di pikin we de divεlכp.
Fɔ avɔyd dɛn prɔblɛm ya, tɔk to dɔktɔ bɔt aw fɔ mek yusɛf ɛn yu pikin we de divɛlɔp gɛt wɛlbɔdi we yu gɛt bɛlɛ.
Wetin na di risk factor dɛm wae de mek di risk fɔ bɔn pikin dɛm wae gɛt dis maynia sik?
Sɔm tin dɛn ɔ wɛlbɔdi prɔblɛm kin mek i gɛt mɔ prɔblɛm fɔ bɔn pikin we gɛt prɔblɛm wit in bɔdi.
- Shuga.
- Fat.
- Mama in ej (ɔva 35 ia).
- Fɔ gɛt wan jenɛtik prɛdispɔzishɔn pan pɔsin na di famili.
- Disɔda fɔ yuz sɔbstans.
- Fɔ tek sɔm mɛrɛsin dɛn.
If yu gɛt dis sik, yu dɔktɔ kin ɛp yu fɔ kɔntrol am. Dɛn kin du tɛst bak fɔ no if yu gɛt prɔblɛm wit yu jɛnɛtiks.
Aw dɛn kin no if dɛn bɔn pikin dɛn we nɔ fayn?
Dɔktɔ kin no se pɔsin gɛt prɔblɛm we i bɔn we i gɛt bɛlɛ, afta dɛn bɔn di pikin, ɔ leta we i de sho se i gɛt di sik. Test dɛn kin kɔnfirm di diagnosis.
Skrin Tεst dεm We Yu Bεlε
We yu gɛt bɛlɛ, yu kin disayd fɔ mek dɛn du tɛst fɔ no if yu bɔn pikin we nɔ fayn ɛn if yu gɛt prɔblɛm wit yu jɛnɛtiks. Dɛn tin ya kin bi ɔltra saund ɔ blɔd tɛst. If wan tɛst we dɛn de du fɔ chɛk pɔsin in bɔdi sho ɛnitin we nɔ fayn, yu dɔktɔ kin tɛl yu fɔ du tɛst fɔ no if yu gɛt di sik.
fכs trimεst tεst dεm: Chεk di pikin fכ at abnכmaliti εn kromozom kכndishכn dεm lεk Daun sεndrכm.
- di bכdi skrin: i de mכsu di protin lεvεl כ di fri fetal DNA we de sכkכt insay di mama in bכdi. di rizulεt dεm we nכ nכmal kin sho se di risk fכ wan kromozom kכndishכn na di pikin in bכdi de inkrεs.
- כltra saund: dis de chεk fכ εkstra wata bihayn di pikin in nεk. Dis kin bi sayn fɔ hat sik ɔr kromozom kɔndishɔn.
sεkכn trimεst tεst dεm: chεk fכ strכkchכral prכblεm dεm na di pikin.
- sεrum skrin: di bכdi tεst dεm we dεn du insay di sεkכn trimεst kin skrεn fכ di kromozom kכndishכn dεm εn/כ kכndishכn dεm lεk spina bifida.
- anomaly ultrasound: dis de chεk di saiz fכ di pikin εn i de chεk bak fכ difεkt we dεn bכn am.
Tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt di sik
If di rizɔlt fɔ wan tɛst we dɛn bin dɔn du trade nɔ nɔmal, di dɔktɔ kin tɛl yu fɔ du ɔda tɛst. Dɛn kin du dɛn tɛst ya bak pan bɛlɛ we gɛt ay risk.
- Fetal echocardiogram: dis na ultrasound skan we de luk spεshal wan pan di fetal hat. Bɔt i nɔ kin ebul fɔ no ɔl di at prɔblɛm dɛn bifo dɛn bɔn am.
- Fetal MRI: dis de egzamin di pikin in bren כ in nεv sεstem.
- di chorionic villus sampling (CVS): dis tεst de tek wan rili sכm pat pan di plasεnta εn i de tεst am fכ di kromozom כ jεnεtik kכndishכn dεm.
- Amniocentesis: dεn de pul sכm sכm di amniotic fluid. di sεl dεm we de insay de, dεn de tεst di kromozom abnכmaliti dεm εn di jεnεtik chenj dεm. I kin no bak sɔm infεkshכn dεm, lεk saytomegalovayrus (CMV).
Sɔm prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin, na dɔktɔ dɛn kin no am afta dɛn bɔn di pikin. Sɔm tin dɛn lɛk we di lip skata, dɛn kin no we dɛn bɔn am. Ɔda wan dɛn kin gɛt dis sik we dɛn smɔl ɔ we dɛn big.Yu fɔ pe atɛnshɔn to yu pikin in wɛlbɔdi ɛn tɛl yu pikin in dɔktɔ if yu notis ɛni sayn.
Wetin na di tritmɛnt fɔ pikin dɛn we gɛt prɔblɛm we dɛn bɔn?
Di tritmɛnt dipen pan di sik we dɛn dɔn no. Di tritmɛnt kin bi fɔ ridyus di simptom dɛm ɔ fɔ kɔrɛkt di strɔkchɔral abnɔmaliti dɛm. Dɛn tin ya kin bi:
- Ɔpreshɔn.
- Di mɛrɛsin dɛn we dɛn kin yuz.
- Fizik tɛrapi.
- Yuz tin dɛn lɛk tin fɔ ɛp pɔsin fɔ yɛri, glas, bres, ɛn wilchia.
- Edukeshonal sɔpɔt na skul (spɛshal ɛdyukeshɔn).
Yu tink se dɛn kin mɛn di sik dɛn we dɛn kin bɔn we dɛn bɔn dɛn ɔltogɛda?
Jɛnɛral wan, no mɛrɛsin nɔ de fɔ mɛn pikin dɛn we nɔ fayn, mɔ di wan dɛn we gɛt jɛnɛtiks. Tritmɛnt kin ɛp fɔ ridyus di sik dɛn we di pikin gɛt ɛn if di sik bad bad wan, i kin mek i nɔ gɛt prɔblɛm dɛn we go mek i day.
Yu tink se dɛn go ebul fɔ mek dɛn nɔ gɛt prɔblɛm we dɛn bɔn pikin dɛn? Wetin yu fɔ du fɔ mek yu gɛt wɛlbɔdi bɛlɛ?
Bɔku prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin dɛn nɔ kin ebul fɔ avɔyd. Bɔt sɔm tin dɛn de we yu kin du fɔ mek shɔ se yu gɛt wɛlbɔdi bɛlɛ:
- Si yu dɔktɔ ɔltɛm. If yu de tray fɔ gɛt bɛlɛ, ɔ if yu de du mami ɛn dadi biznɛs ɛn nɔ de yuz bɔn kɔntrol, tek wan vaytamɛn bifo yu bɔn we gɛt 400 mcg fɔlik asid.
- If yu tink se yu gɛt bɛlɛ, go to dɔktɔ wantɛm wantɛm.
- Nɔ drink rɔm.
- Tɔk to yu dɔktɔ bɔt di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek.
- Nɔ tek ɛni mɛrɛsin we dɔktɔ nɔ tɛl yu.
Wetin a fɔ tink if mi pikin gɛt prɔblɛm we i bɔn?
We dɛn bɔn pikin dɛn we nɔ fayn na tin we kɔmpleks ɛn we kin mek pɔsin fil bad. Di tru tin na dat, no mɛrɛsin nɔ de fɔ mek dɛn nɔ ebul fɔ mɛn bɔku pikin dɛn we nɔ fayn, dat kin mek pɔsin in at pwɛl ɛn i kin mek i fred.
If dɛn no se yu gɛt prɔblɛm we yu bɔn, yu kin gɛt bɔku kwɛstyɔn dɛn. Dɔktɔ, spɛshal pipul dɛn, ɛn pipul dɛn we de advays yu bɔt di jɛnɛtiks kin ɛp yu fɔ ɔndastand mɔ bɔt di sik we dɛn bɔn wit ɛn aw fɔ ɛp yu pikin.
Mɛmba se, kɔmɔn tin dɛn we kin apin we dɛn bɔn pikin dɛn we nɔ fayn. Bɔku tin dɛn we kin mek pɔsin nɔ ebul fɔ kɔntrol, ɛn dɛn kin apin bay wilful. No we nɔ de fɔ mek yu pikin nɔ gɛt ɛni prɔblɛm we dɛn bɔn am. Bɔt yu kin lɛk yu pikin, advatayz fɔ am, ɛn kia fɔ am. Dat na di gift we pas ɔl di ɔda gift dɛn we yu go gi dɛn.
If yu na mama ɔ papa fɔ pikin we gɛt prɔblɛm we i bɔn, go to yu pikin in dɔktɔ ɔltɛm. Yu ɛn di dɔktɔ fɔ tɔk gud wan bɔt di tin dɛn we kin mek yu gɛt dis sik, tɛst, tritmɛnt, fɔ sɛn yu to spɛshal pipul dɛn, ɛn sɔpɔt grup dɛn. If yu gɛt ɛni kwɛstyɔn, aks di wan dɛn we de kia fɔ yu pikin fɔ ɛp yu.
Ustɛm a fɔ go to dɔktɔ?
If yu pikin sho ɛni sayn fɔ se i nɔ bɔn yet, go to dɔktɔ.Speshali, pe atɛnshɔn to di impɔtant tin dɛn we yu pikin de du fɔ gro. Fɔ ɛgzampul, we dɛn tek dɛn fɔs step, ɛn if dɛn de du tin dɛn we fit dɛn ej. If yu pikin de mis ɛni maylston, go to yu dɔktɔ.
Ustɛm yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?
Go na di imejensi rum if yu pikin sho dɛn bad bad sayn ya:
- I nɔ kin izi fɔ yu fɔ blo.
- Skin de tɔn blu, pale, ɔ grey.
- di wayt dεm na di yay de yכlכ כ di skin de yכlכ.
- Wan at we nɔ de bit.
- I nɔ izi fɔ wek.
- Nɔ it/nɔ drink milk.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
- Wetin bin mek mi pikin gɛt prɔblɛm we dɛn bɔn am?
- A nid fɔ du sizarian sɛkshɔn?
- Us tritmɛnt dɛn de fɔ ɛp mi pikin?
- Ɛni bad tin de we di tritmɛnt kin du?
- Us sayn dɛn a fɔ luk fɔ?
- Yu kin rikomɛnd sɔpɔt grup dɛn we de ɛp famili dɛn?
Yu tink se dimples na tin we dɛn bɔn pikin?
Nɔ, dimples nɔto pɔsin we dɛn bɔn wit prɔblɛm. Dimpul na smɔl smɔl dip dip tin dɛn we kin apin na yu chɛst we yu de smayl. Pan ɔl we dɛn kin kɔmɔt frɔm dɛn mama ɛn papa, dɛn nɔ kin tek dɛn as tin we nɔ kin apin we pɔsin de gro.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Wan pan di tin dɛn we at fɔ mek mama ɔ papa we gɛt bɛlɛ kin yɛri na dat sɔntin de we nɔ fayn wit dɛn pikin we de na in bɛlɛ ɔ we dɛn jɔs bɔn. Pan ɔl we dɛn nɔ kin ebul fɔ avɔyd bɔku prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin, sɔm tin dɛn de we yu kin du bifo ɛn we yu gɛt bɛlɛ fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn we yu bɔn wit.
Mɛmba se nɔto yu wangren de. Yu dɔktɔ dɛn ɔndastand di prɔblɛm dɛn we pɔsin kin gɛt we i mɛn pikin we gɛt prɔblɛm we i bɔn. Dɛn go sheb infɔmeshɔn wit yu bɔt tɛst, mɛrɛsin, ɛn ɔda we dɛn fɔ ɛp yu pikin fɔ du ɔl wetin i ebul fɔ du. Yu lɔv, kia, ɛn advatayzmɛnt na di tin dɛn we gɛt valyu pas ɔl we pikin kin gɛt.











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