Yu nɔ kin gɛt prɔblɛm bak fɔ stɔp blɔd? Lɛ wi lan bɔt ɛmofilia!

Yu dɔn ɛva yɛri bɔt di sik we dɛn kɔl Ɛmofilia ? Yu kin fil fred smɔl we yu yɛri dis nem. Bɔt nɔ wɔri, bikɔs dis na sik we nɔ kin apin so ɔltɛm. Tide, wi go tɔk bɔt wetin na ɛmofilia, aw i kin kam, wetin na di sayn dɛm, ɛn if tritmɛnt de, ɔl dis na simpul we we yu go ɔndastand.

Wetin na ɛmofilia?

Fɔ tɔk am simpul wan, ɛmofilia na wan sik we pɔsin kin gɛt frɔm in blɔd we kin apin to pikin dɛn. Dis min se yu blɔd nɔ de klot fayn. Dis kin mek yu blɔd pasmak, ɔ ivin smɔl smɔl brus.

Tink bɔt am, spɛshal prɔtin dɛn de na wi bɔdi we de ɛp wi blɔd fɔ klɔt. Wi kin kɔl dɛn tin ya ‘klotin factors’ . Dɛn tan lɛk smɔl sojaman dɛn we de wok fɔ stɔp blɔd. we yu gεt εmofilia, di bכdi nכ de prodyuz inof pan wan כ mכr pan dεn ‘klotin fכktכ dεm ya. Dɔn di blɔd kin klɔt smɔl ɛn yu kin blɔd mɔ.

Bɔku men kayn ɛmofilia de. Di sik kin tranga, i kin smɔl, ɔ i kin smɔl, i kin dipen pan di kayn tin dɛn we de mek yu blɔd klɔt.

Di gud nyus na dat, tritmɛnt de fɔ dis. Dɔktɔ dɛn de tray fɔ put di tin dɛn we de mek di bɔdi nɔ gɛt bɛtɛ blɔd bak na di bɔdi. Naw, no mɛrɛsin nɔ de fɔ mɛn ɛmofilia. Bɔt, pipul dɛm wae gɛt dis sik kin liv lɔng lɛk ɔda pipul dɛm wae gɛt di rayt tritmɛnt. Sayɛnsman dɛn de du risach bak bɔt nyu we dɛn lɛk jin tɛrapi , fɔ si if dɛn go ebul fɔ mɛn am.

Yu tink se ɛmofilia kin kam afta dɛn bɔn am?

Yɛs, i kin apin. Bɔt i rili rare. Dɛn kɔl dis ‘akwyayz ɛmofilia’. Dat min se i nɔto inherit. Wetin kin apin ya na dat, sɔm tɛm dɛn de, wi bɔdi in yon difɛns protin dɛn , we dɛn kɔl antibodies , kin mistek atak wan pan wi yon blɔd klot. dis antibodi dεm we de atak di rכng we dεn kכl dεm ‘autoantibodies’ .

Yu tink se ɛmofilia na kɔmɔn sik?

Nɔ, nɔto so atɔl. Dis na sik we nɔ kin apin so ɔltɛm. Frɔm wetin dɛn dɔn tɔk bɔt na Amɛrika (CDC Ɔgɔst 2022), na lɛk 33,000 pipul dɛn we de de gɛt ɛmofilia. Bɔku tɛm, i kin afɛkt man dɛn. Na smɔl tɛm nɔmɔ uman dɛn kin gɛt sɔm sayn dɛn bak lɛk we di blɔd kin klɔt smɔl ɛn we i kin gɛt bɔku blɔd we dɛn de gɛt mɔnt.

Wetin na di kayn ɛmofilia?

Tri men kayn ɛmofilia de:

• Ɛmofilia A: Dis na di kayn we we pipul dɛn kin gɛt mɔ. I kin bi bikɔs di blɔd we de klɔt faktɔ nɔmba 8 nɔ de, we dɛn kin kɔl bak factor VIII., we di bɔdi nɔ gɛt inof pan am. Na lɛk 10 pan ɔl 100,000 pipul dɛn kin gɛt dis.
• Ɛmofilia B: Dis kin apin bikɔs di blɔd nɔ kin klɔt faktɔ 9, ɔ factor IX . Na lɛk 3 pan ɛvri 100,000 pipul dɛn gɛt dis kayn.
• Ɛmofilia C: Dɛn kin kɔl am bak factor XI deficiency , dis nɔ kin apin so ɔltɛm, i kin afɛkt lɛk wan pan ɛvri milyɔn pipul dɛn.

Yu tink se ɛmofilia na siriɔs sik?

Yɛs, sɔntɛnde dis kin rili siriɔs. Pipul dɛn we gɛt siriɔs ɛmofilia kin blɔd di kayn we we go mek dɛn day, we wi kin kɔl ‘ɛmoraji.’ Bɔt bɔku tɛm dɛn kin blɔd insay di mɔsul dɛn ɔ di jɔyn dɛn.

Wetin na di sayn dɛm fɔ ɛmofilia?

De sayn dɛm wae impɔtant pas ɔl na wae yu de blɔd ɛn yu de brus pasmak ɔr pasmak.

Di sayn dɛm we dɛn kin si bɔku tɛm

Pipul dɛn we gɛt ɛmofilia kin gɛt big big brus ivin if dɛn gɛt smɔl aksidɛnt. Dis min se blɔd de lik ɔnda di skin.

• Sɔntɛm afta dɛn dɔn du ɔpreshɔn, afta dɛn dɔn pul in tut, ɔ ivin jɔs kɔt in finga , blɔd kin las fɔ lɔng tɛm we nɔ kɔmɔn.
• Nɔs blɔd kin kɔmɔt wantɛm wantɛm fɔ natin.

Aw bɔku brus/blɔd yu gɛt de dipen pan if yu gɛt siriɔs, mɔdaret, ɔ smɔl ɛmofilia.

• Pipul dɛn we gɛt siriɔs ɛmofilia kin blɔd bɔku tɛm fɔ no rizin.
• Pipul dɛn we gɛt mɔdaret ɛmofilia kin blɔd fɔ lɔng tɛm we nɔ kin izi fɔ dɛn if dɛn gɛt siriɔs aksidɛnt.
• Pipul dɛn we gɛt smɔl ɛmofilia kin jɔs gɛt abnɔmal blɔd afta dɛn dɔn du big ɔpreshɔn ɔ big aksidɛnt.

Ɔda sayn dɛn kin de bak:

• Jɔyn pen bikɔs blɔd de gɛda na di bɔdi. Di say dɛn lɛk di anklɛ, ni, hip, ɛn sholda kin at, swel, ɔ fil wam we yu tɔch am.
• Blɔd we de kɔmɔt na di bren. Dis na tin we nɔ kin apin so ɔltɛm pan pipul dɛn we gɛt siriɔs ɛmofilia. If yu gɛt blɔd na yu bren, yu kin gɛt ed we de at ɔltɛm, yu nɔ kin si fayn, ɔ yu kin slip bad bad wan . If yu gɛt ɛmofilia, yu fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya.

Di simptom dεm na bebi dεm εn yכŋ pikin dεm

Sɔntɛnde, dɛn kin no se i gɛt ɛmofilia we dɛn sakɔmsayz bɔy pikin ɛn blɔd pas aw i kin blɔd. Ɔda tɛm, pikin dɛn kin sho sɔm mɔnt afta dɛn bɔn dɛn. De sayn dɛm wae kin kam pan pɔrsin na:

• Blɔd we de kɔmɔt: .Bebi dɛn kin blɔd kɔmɔt na dɛn mɔt we dɛn bit insay smɔl tɔys.
• Lump dεm we swεla na di ed: Bebi dεm εn yכŋ pikin dεm kin gεt big, rawnd lumps (goose eg) we dεn hit dεn ed.
• Kray ɔltɛm, nɔr kin rɛst, ɛn nɔr kin want fɔ kray ɔ waka: Dɛn tin ya kin apin if blɔd dɔn go insay wan mɔsul ɔ jɔyn. Di say kin fil brus, swel, wam we yu tɔch am, ɔ di pikin kin fil pen ivin we yu tɔch am smɔl.
• εmatoma: ‘hεmatoma’ na di bכdi we de kכlekt כnda di skin na bebi εn yכŋ pikin dεm. dis kayn εmatoma kin apin bak afta dεn injεkt am.

Wetin na di tin dɛn we kin mek pɔsin gɛt ɛmofilia?

dis ‘klotin fכktכ dεm' de mek frכm sכm jin dεm na wi bכdi. insay εmofilia we dεn kin gεt bכku bכku wan, di jin dεm we de instrכkt fכ mek dεn ‘klotin fכktכ dεm ya de chenj, we min se dεn de chenj. dis mutated jin dεm kin mek di rכng ‘klotin fכktכ dεm’ כ nכ de mek inof ‘klotin fכktכ dεm’. Bɔt lɛk 20% pan di wan dɛn we gɛt ɛmofilia kin apin bay dɛnsɛf, we min se dɛn kin gɛt di sik ivin if nɔbɔdi na di famili nɔ bin dɔn gɛt am bifo.

Aw dɛn kin gɛt ɛmofilia?

Dɛn tu kayn ɛmofilia A ɛn B na sik dɛn we gɛt fɔ du wit mami ɛn dadi biznɛs. dεn de inhεrit insay wan X-linked rεsεsiv we. Lɛ wi si aw dat kin apin:

• Wi ɔl kin gɛt wan sɛt kromozom frɔm wi mama ɛn wan sɛt kromozom frɔm wi papa. If yu gɛt X kromozom frɔm yu mama ɛn X kromozom frɔm yu papa, yu na gyal pikin. If yu gɛt X kromozom frɔm yu mama ɛn Y kromozom frɔm yu papa, yu na bɔy pikin. Fɔ tɔk am simpul wan, di mama kin gi in pikin wan X kromozom ɔltɛm. Yu kin no if di papa gi yu X ɔ Y kromozom.
• if uman gεt difεkt na di jin we de mek dis ‘klot fכktכ’ pan wan pan in tu X kromozom nכmכ, i kin bi se i de kכriכnt f כ εmofilia, bכt i nכ sho di simptom dεm biכs i gεt hεlty jin na in כda X kromozom.
• if mama we de kכriכt wit difεktiv X kromozom lεk dis gεt man pikin, 50% chans de fכ di pikin go inhεrit di dεfektiv X kromozom. If dat apin, di man pikin go gɛt ɛmofilia.
• if da mama de gεt gyal pikin, 50% chans de fכ di pikin bak go gεt di X kromozom we nכ de wok fayn. Bɔt i nɔ go sho di sik bikɔs i gɛt wɛlbɔdi X kromozom frɔm in papa. Dɔn da gyal pikin de go bi pɔsin we de kɛr go bak.

Dat min se uman we gɛt X kromozom we nɔ fayn, kin bi pɔsin we gɛt ɛmofilia. Sɔntɛm i nɔ kin gɛt sɔm sayn dɛn, bɔt i kin pas di sik to in pikin dɛn. Ɛni pikin we i gɛt gɛt 50% chans fɔ gɛt ɛmofilia.Man pikin dεm kin sho di sayn dεm if dεn gεt εmofilia, biכs dεn nכ de gεt hεlty X kromozom frכm dεn papa.

Yu tink se gyal pikin dɛnsɛf kin gɛt sayn dɛn we gɛt ɛmofilia?

Yɛs, i kin apin. Bɔt bɔku tɛm, di sayn dɛn we pɔsin kin gɛt nɔ kin at fɔ si. Fɔ ɛgzampul, uman we gɛt di ɛmofilia jin nɔ kin gɛt inof nɔmal tin dɛn we kin mek di bɔdi klɔt. If dis apin, i kin gɛt ebi ebi blɔd we nɔ kɔmɔn we i de gɛt prɛgnɛshɔn, i kin gɛt brus izi wan, i kin blɔd pasmak afta i bɔn pikin, ɔ i kin gɛt blɔd na in jɔyn dɛn, ɛn dis kin mek in jɔyn dɛn gɛt prɔblɛm.

Aw dɔktɔ dɛn kin no se pɔsin gɛt ɛmofilia?

Dɔktɔ go aks yu fɔs fɔ gɛt kɔmplit mɛdikal istri ɛn du wan ɛgzam fɔ yu bɔdi. If yu gɛt sayn dɛm fɔ ɛmofilia, dɛn go aks yu bak bɔt yu famili histri. Dɛn kin du tɛst dɛn lɛk:

• Kɔmplit Blɔd Kɔnt (CBC): Dɛn kin du dis fɔ luk di kayn sɛl dɛn we de na di blɔd.
• Prothrombin Time test (PT): Dis kin chɛk aw yu blɔd kin klot kwik kwik wan.
• Partial Thromboplastin Time test (PTT): Dis na ɔda tɛst we de sho di tɛm we i tek fɔ mek blɔd klɔt.
• Spɛsifi k klɔt faktɔ tɛst(dɛn): Dis blɔd tɛst de mɛzhɔ di lɛvɛl dɛn fɔ spɛshal klɔt faktɔ, lɛk factor VIII ɛn factor IX .

Wetin na dɛn klotin factor lɛvɛl ya?

Di tin dɛn we kin mek pɔsin blɔd klɔt na tin dɛn we kin ɛp fɔ kɔntrol di blɔd we de kɔmɔt. Dɔktɔ dɛn kin kɔl ɛmofilia we nɔ kin gɛt bɛtɛ blɔd, we nɔ kin gɛt bɛtɛ trɛnk, ɔ we kin rili bad bay di kayn tin dɛn we kin mek yu blɔd klɔt:

• Pipul dεm we gεt klot fכktכ bitwin 5% εn 30% pan di nכmal lεvεl dεm gεt mild hεmofilia.
• Pipul dεm we gεt klot fכktכ bitwin 1% εn 5% pan di nכmal lεvεl dεm gεt mכdarεt εmofilia.
• Pipul dεm wae gεt less dan 1% pan nכmal klot fכktכ dεm gεt siriכs εmofilia.

Wetin na di tritmɛnt fɔ ɛmofilia?

Dɔktɔ dɛn kin trit ɛmofilia bay we dɛn kin mek di tin dɛn we kin mek di bɔdi klɔt we nɔ bɔku ɔ dɛn kin tek di ples fɔ di tin dɛn we kin mek pɔsin nɔ gɛt wata. Dɛn kɔl dis riplesmɛnt tɛrapi .

insay dis riplesmεnt tεrapi, dεn de gi yu klotin fכktכ dεm we dεn mek frכm mכtalman plasma (hכman plasma kכnsantreyt) כ rεkombinεnt ‘klotin fכktכ dεm’. Bɔku tɛm, na pipul dɛn nɔmɔ we gɛt siriɔs ɛmofilia nid dis riplesmɛnt tritmɛnt ɔltɛm. Dɛn kin gi pipul dɛn we gɛt smɔl to mɔdaret ɛmofilia dis tritmɛnt if dɛn want fɔ gɛt ɔpreshɔn. Dɛn kin gi dɛn antifibrinolytics.Dɛn kin gi am bak mɛrɛsin dɛn we de mek di blɔd nɔ rɔtin.

Dɛn kin mek dɛn blɔd faktɔ kɔnsɛntret ya wit mɔtalman blɔd we dɛn dɔn gi. Dɛn kin klin dɛn ɛn tɛst dɛn fɔ ridyus di risk fɔ transmit sik dɛn lɛk epataytis ɛn HIV . Dɛn kin gi dɛn riplesmɛnt tin ya as infushɔn we dɛn kin put insay di bɛlɛ (IV) .

If yu gɛt siriɔs ɛmofilia ɛn yu de blɔd bɔku tɛm, yu dɔktɔ kin gi yu wan tritmɛnt we dɛn kɔl ‘prophylactic factor infusions’ fɔ mek yu nɔ blɔd.

Ɛni kɔmplikeshɔn de pan di tritmɛnt?

Sɔm pipul dɛm wae kin gɛt dis riplesmɛnt tritmɛnt kin gɛt antibodi dɛm , wae dɛn kɔl inhibitors , wae kin atak di blɔd factor dɛm wae dɛn kin gi dɛn. Dɔktɔ dɛn kin yuz wan tin we dɛn kɔl Immune Tolerance Induction (ITI) fɔ trit dis. ITI involv fכ gi dεm evride injεkshכn fכ klot fכktכ dεm fכ lכs di lεvεl dεm fכ di inhibito dεm. Dis kin bi tritmɛnt fɔ lɔng tɛm, ɛn sɔm pipul dɛn kin nid dis tritmɛnt fɔ sɔm mɔnt ɔ ivin fɔ lɔng tɛm.

Yu tink se dɛn go ebul fɔ mek dɛn nɔ gɛt ɛmofilia?

Nɔ, i nɔ go ebul fɔ du am. If yu gɛt ɛmofilia ɛn yu gɛt pikin dɛn, yu dɔktɔ go tɛl yu fɔ tɛst yu jɛnɛtiks . Da we de, yu ɛn yu pikin dɛn go ebul fɔ no if i go mɔs bi se dɛn go pas ɛmofilia to di nɛks jɛnɛreshɔn.

Us kayn op pɔsin we gɛt ɛmofilia fɔ gɛt?

If yu gɛt ɛmofilia, yu kin nid fɔ gɛt mɛrɛsin fɔ di res ɔf yu layf. Aw bɔku tritmɛnt yu nid de dipen pan di kayn ɛmofilia we yu gɛt, aw i siriɔs, ɛn if yu gɛt ‘inhibitors’ ɔ yu nɔ gɛt.

Wetin na di layf we pɔsin we gɛt ɛmofilia kin liv?

Di Wol Fɛdareshɔn fɔ Ɛmofilia bin tɔk se di layf we man we gɛt ɛmofilia kin liv kin shɔt fɔ lɛk 10 ia pas di wan we nɔ gɛt ɛmofilia, jɔs lɛk aw di Wol Fɛdareshɔn fɔ Ɛmofilia bin gɛt insay 2012. Bɔt dɛn se pikin dɛn we gɛt ɛmofilia we dɛn kin no ɛn trit dɛn we dɛn smɔl kin liv nɔmal layf .

Bɔt nɔto ɔlman na di sem. Wetin na tru fɔ wan pɔsin nɔ kin bi tru fɔ ɔda pɔsin. If yu ɔ yu pikin gɛt ɛmofilia, aks yu dɔktɔ wetin fɔ ɛkspɛkt. I no yu/yu pikin in kɔndishɔn ɛn jenɛral wɛlbɔdi bɛst.

Aw a kin kia fɔ misɛf?

Pipul dɛn we gɛt ɛmofilia kin nid fɔ kɔntinyu fɔ gɛt mɛrɛsin fɔ mek dɛn nɔ blɔd. Dɛn kin gɛt fɔ lɛf fɔ du sɔm tin dɛn bak ɛn fɔ tek sɔm mɛrɛsin dɛn. Bɔt bɔku tin dɛn de we yu kin du fɔ kɔntrol di impak we ɛmofilia kin gɛt pan yu layf.

Tin dɛn we yu nɔ fɔ du

Tin dɛm wae kin izi fɔ ɔda pipul dɛm fɔ bɔmp, fɔdɔm, ɔr trip kin kam wit siriɔs prɔblɛm fɔ pipul dɛm wae gɛt ɛmofilia. Dɛn fɔ avɔyd fɔ du tin dɛn we go mek dɛn gɛt bɔku prɔblɛm fɔ fɔdɔm ɔ fɔ mek dɛn bit dɛn bad bad wan. Ɛgzampul dɛn:

• Fɔ ple spɔt dɛn lɛk futbɔl, ɔki, ɛn rɔgbi.
• Fɔ tek pat pan tin dɛn lɛk bɔksin ɛn rɛslɛshɔn.
• Fɔ rayd motoka.
• Sketbɔd we dɛn kin yuz fɔ ple.

Ɔda spɔt dɛn lɛk sɔk, baskɛtbɔl, ɛn baysbɔl, kin mek pɔsin wund bad bad wan bak. If yu want fɔ ple dɛn spɔt ya, tɔk to yu dɔktɔ bɔt tin dɛn lɛk fɔ yuz tin dɛn fɔ protɛkt yusɛf.

Mɛrɛsin dɛn we nɔ fayn fɔ tek

Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk aspirin, ibuprofen, ɛn naproxen kin mek blɔd nɔ klɔt. Dɔn bak, fɔ tek antikɔagulant lɛk ɛparin ɔ warfarin nɔto fayn tin.

Tin dɛn we yu go du fɔ liv bɛtɛ layf

Bɔrku tin de wae yu kin du fɔ ridyus di impak wae ɛmofilia kin gɛt pan yu layf:

• Gɛt ɛksɛsayz: Yu kin wɔri se yu go gɛt injury we yu de ɛksesaiz. Bɔt tɔk to yu dɔktɔ bɔt aw fɔ kɔntinyu fɔ du tin ɛn nɔ go mek yu blɔd nɔ bɔku.
• Manej di strɛs : Ɛmofilia na wan sik we yu go gɛt fɔ yu layf, ɛn yu go nid fɔ tray tranga wan fɔ balans am wit yu famili ɛn di wok we yu fɔ du.
• Mek yu tit gɛt gud wɛlbɔdi: Fɔ brus, yuz flos, ɛn go to yu dɛntist ɔltɛm, dat kin mek yu nɔ nid fɔ gɛt tritmɛnt fɔ yu tit we kin mek yu blɔd kɔmɔt. Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt yu sik.
• Mek yu gɛt wɛl bɔdi wet: If yu gɛt prɔblɛm fɔ muv rawnd bikɔs yu de blɔd insay yu bɔdi ɛn yu jɔyn dɛn dɔn pwɛl, fɔ kɔntrol yu wet go ɛp.
• Tɛl di wan dɛn we de arawnd yu: If yu gɛt siriɔs ɛmofilia, yu kin gɛt blɔd we yu nɔ ebul fɔ kɔntrol, ilɛksɛf yu tek mɛrɛsin. Tɛl yu famili bɔt wetin fɔ du if dis apin to yu. If yu pikin gɛt ɛmofilia, tɛl di wan dɛn we de kia fɔ dɛn ɛn di wan dɛn we de wok na di skul bɔt wetin fɔ du if yu pikin gɛt blɔd.

Ustɛm a fɔ go to dɔktɔ?

If yu notis ɛni chenj na yu bɔdi, lɛk fɔ blɔd pasmak ɔ fɔ brus, go to dɔktɔ.

Ustɛm fɔ go na di Imejɛnsi Rum

Yu fɔ go na di imejensi rum wantɛm wantɛm we dɛn tin ya apin:

• If yu ed de at bad bad wan ɔ yu de gɛt diziz, dɛn sayn ya kin sho se yu de blɔd na yu bren.
• If yu gɛt jɔyn dɛn we dɔn swel ɛn/ɔ we de mek yu fil pen, ɛn yu nɔ gɛt mɛrɛsin fɔ tek di factor riplesmɛnt.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

If yu ɔ yu pikin gɛt ɛmofilia, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn ɛmofilia mi/mi pikin gɛt?
• Us tritmɛnt dɛn yu kin advays?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?
• Mi/mi pikin go gɛt fɔ gɛt tritmɛnt ɛvride?
• Us aktiviti dɛn nɔ fayn fɔ mi/mi pikin fɔ du?
• Us mɛrɛsin nɔ fayn fɔ mi/mi pikin fɔ tek?
• Wetin a kin du fɔ manej di impak we dis kɔndishɔn de gɛt pan mi/mi pikin in layf?

Mɛsej we dɛn kin kɛr go na os

Ɛmofilia na wan sik we nɔ kin apin so ɔltɛm, we pɔsin kin gɛt frɔm in blɔd. I kin rili afɛkt yu layf. Pipul wae gɛt ɛmofilia kin nid fɔ gɛt mɛrɛsin fɔ ɔl dɛn layf. Mama ɛn papa dɛn we gɛt pikin dɛn we gɛt ɛmofilia kin wɔri bɔt fɔ protɛkt dɛn pikin dɛn frɔm bad tin, ɛn fɔ tich dɛn bak fɔ liv wit ɛmofilia.

Naw, dɔktɔ dɛn nɔ ebul fɔ mɛn ɛmofilia kpatakpata. Bɔt dɛn kin gi tritmɛnt fɔ mek dɛn nɔ gɛt ɔ ridyus di sayn dɛn we de sho se pɔsin gɛt ɛmofilia. Dɛn kin tɔk bak bɔt tin dɛn we yu kin du fɔ ridyus di impak we ɛmofilia gɛt pan yu ɛvride layf. Di tin we impɔtant pas ɔl na fɔ de kwayɛt ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.