Yu kin gɛt tret bak we yu nɔ ebul fɔ kɔntrol? Yu kin fɔgɛt tin dɛn? Lɛ wi tɔk bɔt di sik we dɛn kɔl Huntington’s Disease!

Sɔntɛnde, yu kin fil lɛk se yu an ɛn yu fut de shek shek di we we yu nɔ ebul fɔ ɛksplen? Ɔ yu kin fil lɛk se yu de fɔgɛt di tin dɛn we yu bin de mɛmba gud gud wan? Ɔ pɔsin we yu sabi gɛt dis prɔblɛm? Wan tin wae kin mek pɔrsin gɛt dɛn tin ya na wan sik wae dɛn kɔl Huntington’s disease. Tide, wi go tɔk bɔt am ditayli, insay wan rili simpul we. Nɔr frayd, i rili impɔtant fɔ no bɔt dis.

Yu no wetin na di sik we dɛn kɔl Huntington’s Disease?

Fɔ tɔk am simpul wan, di sik we dɛn kɔl Huntington Disease na wan sik we pɔsin kin gɛt we i kam pan jɛnɛreshɔn. Na wan sik we sɔm pan di sɛl dɛn na wi bren kin pwɛl smɔl smɔl ɛn nɔ kin wok igen. Mɔtalman, i kin afɛkt di pat dɛn na di bren we de kɔntrol di muvmɛnt dɛn we wi want lɛk fɔ waka ɛn shek, ɛn di pat dɛn na di bren we de insay wi mɛmori .

Di sayn dɛm wae kin kam wit dis sik na wae wi nɔr kin kɔntrol wi muv lɛk fɔ jɔk ɛn shek, ɛn fɔ chenj di we aw wi de tink, biev, ɛn di kayn we aw wi de biev . Di sɔri tin na dat, dɛn sik ya kin wɔs as tɛm de go. Bɔt nɔ wɔri, we wi no bɔt dis kin ɛp wi fɔ rɛdi fɔ bɔku tin.

Wetin na di men kayn sik we dɛn kɔl Huntington’s Disease?

Tu men kayn sik de wae de kam wit Huntington:

1. Adult onset: Dis na di kayn we we pipul dɛn kin gɛt mɔ. Bɔrku tɛm, di sayn dɛm kin bigin fɔ sho afta i dɔn ol 30 ia.

2. Di sik we kin bigin kwik kwik wan (juvenile) Huntington’s disease: Dis na wan kayn we we nɔ kin apin so ɔltɛm. I kin afɛkt yɔŋ pikin dɛn ɛn yɔŋ pipul dɛn.

Aw dis sik kin bɔku? Udat go mɔs gɛt am?

Dɛn kin si dis sik na Huntington ɔlsay na di wɔl, bɔt bay sɔm statystik dɛm, i kin afɛkt lɛk tri to sɛvin pipul dɛm pan ɛvri ɔndrɛd tawzin pipul dɛm . I kin kɔmɔn mɔ pan pipul dɛn we kɔmɔt na Yurop (we min pipul dɛn we kɔmɔt na Yurop). Bɔt mɛmba se na tin we pɔsin kin gɛt frɔm in jɛnɛtiks, so ɛnibɔdi kin gɛt am.

Wetin na de sayn dɛm wae wi kin si pan dis sik?

Di sik we dɛn kɔl Huntington kin afɛkt wi bɔdi ɛn wi maynd bak. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.

Chenj dεm na di bכdi (di simptom dεm na di bכdi) .

Dis na di men tin dεm we wi kin si:

• Muvmεnt dεm we dεn nכ de kכntro lεk fכ shek כ twit di limb dεm: Dis na wetin wi mεdikal dεn k כl chorea .
• Lɔs fɔ balans : I nɔ kin izi fɔ waka ɔ tinap stret. Dɛn kɔl dis ataxia .
• I nɔ izi fɔ waka.
• Fɔd ɔ wata we de kɔmɔt na di bɔdiI nɔ kin izi fɔ swɛla: Dɛn kɔl dis disfagia .
• Tɔk we nɔ de tɔk fayn.

Dɛn sik ya na yu bɔdi nɔr kin apin wantɛm wantɛm. Dɛn kin bigin wit smɔl smɔl tin dɛn fɔs. Tink bɔt am, fɔ gɛt prɔblɛm fɔ ol pen fayn, fɔ drɔp tin dɛn ɔltɛm, fɔ lɛ yu nɔ balans. Bɔt as tɛm de go, dɛn sayn ya kin bɔku smɔl smɔl.

Efεkt pan di maynd εn di filin dεm (saykolojik simptom dεm) .

Apat frɔm di sayn dɛm na in bɔdi, pɔrsin wae gɛt dis sik kin gɛt chenj na in maynd ɛn in bihayvya lɛk:

• Chenj na aw yu de fil: yu kin vɛks ɔltɛm, yu kin wɔri, yu kin fil bad ( pwɛl hat ), yu kin vɛks.
• I nɔ izi fɔ mɛmba, fɔ pe atɛnshɔn, ɛn fɔ du bɔku tin dɛn.
• I nɔ izi fɔ lan nyu tin dɛn.
• I nɔ kin izi fɔ disayd fɔ du sɔntin ɛn fɔ tink di rayt we.

Fɔs, dɛn kayn sik ya na yu bɔdi ɛn maynd nɔr kin gɛt bɛtɛ impak pan di tin dɛm wae yu kin du ɛvride. Bɔt as tɛm de go, dɛn sik ya kin mek i nɔ izi fɔ mek pɔsin wok fɔ insɛf.

Wetin na dis tret we di an ɛn fut dɛn kin shek (Chorea) we dɛn kin si pan di sik we dɛn kɔl Huntington?

Wan pan di fɔs tin dɛn we kin sho se pɔsin gɛt di sik we dɛn kɔl Huntington na wan sik we dɛn kɔl chorea . Dis na we sɔm pat dɛn na di bɔdi de muv ɔ twitch we wi nɔ want ɛn we wi nɔ ebul fɔ kɔntrol. Bɔku tɛm, i kin afɛkt di an dɛn, di finga dɛn, ɛn di mɔsul dɛn na di fes fɔs. Leta, di an, di fut, ɛn di ɔp pat na di bɔdi sɛf kin bigin fɔ muf we i nɔ ebul fɔ kɔntrol. Kɔria kin mek i nɔ izi fɔ tɔk, it, ɛn waka. I kin afɛkt bak ɛvride wok lɛk fɔ drayv.

Wetin mek di sik we dɛn kɔl Huntington’s Disease kin apin? Wetin na di kɔz?

Di men tin we kin mek wi gɛt di sik we dɛn kɔl Huntington na we wi de chenj wi jin dɛn. fכ bi prεsis, i de kכz f כ wan mכtεshכn insay wan jin we dεn kכl `HTT` . dis `HTT` jin de prodyuz wan protin we dεn kכl `Huntingtin protein` insay wi bכdi. dis protin de εp wi nεv sεl dεm `(Nyuron)` fכ wok fayn fayn wan.

Bɔt pɔsin we gɛt di sik we dɛn kɔl Huntington nɔ gɛt ɔl di infɔmeshɔn na in DNA fɔ mek di huntingtin protin fayn fayn wan. Dis kin mek di prɔtin nɔ fɔm di rayt we, insay wan shep we nɔmal, ɛn instead fɔ ɛp wi nɛv sɛl dɛn , i kin bigin fɔ pwɛl dɛn. Dis jεnεtik mכtεshכn na in de mek di nεv sεl dεm day.

dis lכs fכ nεv sεl dεm de apin mεntal wan na di pat pan wi bren we dεn kכl ``Basal Ganglia`` we de kכntro di muvmεnt , εn na di ``Brain Cortex`` we de kכntro wi tink, disayd, εn mεmכri .

Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa?

Yɛs, di jenɛtik mutation we de mek pɔsin gɛt Huntington in sik kin kɔmɔt frɔm am. If wan pan yu mama ɛn papa we bɔn yu gɛt di jenɛtik mutation, i go mɔs bi se yusɛf go gɛt am. dis dεn kכl am כtosom dכminant patεn fכ inhεrit . Insay dis kayn we, if wan mama ɔ papa gɛt di sik, di pikin gɛt 50% chans fɔ gɛt di sik. Bɔt, na smɔl tɛm nɔmɔ pɔsin kin gɛt dis sik tru wan nyu jin we de chenj, ilɛksɛf nɔbɔdi na di famili nɔ bin dɔn gɛt dis sik bifo.

Udat dɛn kin gɛt dis sik?

Pan ɔl we ɛnibɔdi kin gɛt di sik we dɛn kɔl Huntington, yu kin gɛt di sik pasmak if pɔsin na yu famili we yu bɔn gɛt dis sik. As wi bin dɔn tɔk, if wan pan yu mama ɛn papa gɛt di sik we dɛn kɔl Huntington, yu gɛt 50% chans fɔ gɛt am bak.

Wetin na di prɔblɛm dɛn we kin kam wit di sik we dɛn kɔl Huntington’s Disease?

Di sik we dɛn kɔl Huntington na wan sik we de go bifo, we min se di sayn dɛm kin wɔs smɔl smɔl as tɛm de go . Di prɔblɛm dɛn we kin apin na:

• Dimɛnshɔn : Dis min se di bren nɔ de wok fayn, i nɔ de mɛmba fayn, ɛn i kin chenj di kayn pɔsin we i bi.
• Injury na yu bɔdi bikɔs yu nɔ de kɔntrol yu muv ɔ fɔdɔm.
• If i nɔ izi fɔ swɛla it, dat kin mek i nɔ ebul fɔ it ɛn drink fayn, ɛn dis kin mek i nɔ gɛt bɛtɛ it .
• Fɔ bi pɔsin we nɔ ebul fɔ waka we dɛn nɔ gɛt ɛnibɔdi fɔ ɛp am.
• Infεkshכn dεm we kin kam bכku tεm, εspεshali infεkshכn dεm na di lכng lεk nyumonia.

Pikin dɛn we gɛt di sik we dɛn kɔl Huntington’s disease we dɛn yɔŋ kin gɛt sik bak .

Aw yu kin no dis sik kɔrɛkt wan? (Diagnosis) .

Dɔktɔ, mɔ di nyurolɔjis , kin tɛl yu fɔ tru if yu gɛt di sik we dɛn kɔl Huntington. I go chɛk yu ɛn luk fɔ sayn dɛn we de sho se yu de shek shek, yu de shek shek, yu de balans, yu de riflɛs, ɛn yu de wok togɛda. Dɛn go aks bak if ɛnibɔdi na yu famili gɛt dis sik. Bɔku tɛm, dɛn kin nid fɔ du tɛst fɔ no if pɔsin gɛt di sik.

Fɔ mek dɛn nɔ gɛt ɔda tin dɛn we kin mek pɔsin gɛt di sem kayn sik ɛn fɔ mek dɛn no se na di sik we dɛn kɔl Huntington, dɛn kin du dɛn tɛst ya:

• Blɔd tɛst dɛn .
• Tɛst fɔ Jɛnɛtiks.
• Bren imej tεst dεm: fכ egzampl, `( MRI – Magnεtik Rεsכnans Imej)` εn `(CT skan – Kɔmpyuta Tomografi skan).

Wetin na fɔ tɛst pɔsin in jɛnɛtiks? Aw i kin no dis?

Jɛnɛtik tɛst na blɔd tɛst we de luk fɔ chenj dɛn na yu DNA. Yu dɔktɔ go tek blɔd sɛmpul frɔm yu ɛn sɛn am na lab fɔ tɛst yu DNA. dis tεst kin tεl yu fכ sכri if yu gεt di HTT jin mכtεshכn we wi bin dכn mεnshכn. Wan jenɛtik kɔlnɔ (pɔsin we spɛshal pan jenɛtik tɛst) go ɛksplen to yu di prɔses ɛn di rizɔlt.

Yu dɔktɔ kin tɛl yu bak se ɔda pipul dɛn na yu famili fɔ du dis jenɛtik tɛst. Dis go ɛp fɔ no aw dɛn kin gɛt dis sik ɔ fɔ bɔn pikin wit di sik tumara bambay.

I pɔsibul fɔ no if yu gɛt dis sik bifo yu si di sayn dɛm?

Yɛs, yu kin ebul. If wan pan yu mama ɛn papa ɔr brɔda ɛn sista gɛt di sik we dɛn kɔl Huntington, yusɛf kin gɛt dis sik. Predictive Genetic Testing kin tɛl yu if yu gɛt di gene mutation wae kin mek yu gɛt Huntington’s disease bifo di sayn dɛm sho .

Pipul dɛn kin biev difrɛn we we dɛn yɛri dis infɔmeshɔn. We yu no se yu gɛt di jin, dat go ɛp yu fɔ plan yu famili ɛn disayd fɔ du mɔni biznɛs. Bɔt i kin tranga bak pan aw pɔsin de fil, mɔ bikɔs dɛn nɔ kin ebul fɔ avɔyd di sik. So, e fayn fɔ tɔk to yu jenɛtik kɔlnɔ if i bɛtɛ fɔ mek yu du tɛst bifo yu si di sik.

Wetin na di tritmɛnt fɔ di sik we dɛn kɔl Huntington’s Disease?

Di men tin we dɛn kin pe atɛnshɔn pan fɔ trit di sik we dɛn kɔl Huntington na fɔ mek yu fil fayn as yu ebul. Naw, no mɛrɛsin nɔr de we go ebul fɔ stɔp di sik, delay fɔ mek di sik bigin, ɔr fɔ mek i nɔr gɛt am. Bikɔs dis sik kin afɛkt yu bɔdi, yu maynd, ɛn yu maynd, yu kin nid difrɛn tritmɛnt dɛn. Dɛn tin ya na:

• Fizik Tɛrapi ɔ Ɔkupeshɔn Tɛrapi.
• Spich Tɛrapi.
• Fɔ advays pɔsin.
• Di mɛrɛsin dɛn we dɛn kin yuz.

Us mɛrɛsin dɛn kin gi fɔ kɔntrol di sik?

Yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn dipen pan di sayn dɛn we yu gɛt.

Di mɛrɛsin dɛm wae dɛn kin gi fɔ kɔntrol kɔrea (jerking) na:

• `Tɛtrabenazin`
• `Dyutetrabenazin`
• `Halopɛridɔl`

Fɔ kɔntrol di sayn dɛm wae yu de fil (lɛk wae yu de fil kin chenj ɛn pwɛl hat), yu dɔktɔ kin gi yu mɛrɛsin lɛk:

• Antidipreshan: Fɔ ɛgzampul, Fluoxetine ɛn Sertraline.
• Antisaykotik mɛrɛsin: Fɔ ɛgzampul, Risperidone ɛn Olanzapine.
• Mɛrɛsin dɛn we de mek yu fil fayn: Fɔ ɛgzampul, dɛn kin yuz litiɔm.

Impɔtant: Ɔl dɛn mɛrɛsin ya kin mek sɔm bad bad tin dɛn apin. Fɔ ɛgzampul, yu kin gɛt mɔsul dɛn we de at afta yu dɔn gɛt fyzikal tritmɛnt, ɔ yu kin taya ɔr yu blɔd prɛshɔn smɔl bikɔs ɔf mɛrɛsin fɔ kɔrea. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo yu bigin fɔ trit yu, so dat yu go disayd fɔ du di rayt tin.

Udat na di mɛdikal tim we go ɛp yu?

De mɛdikal tim wae de ɛp yu fɔ dil wit dis sik kin gɛt spɛshal pipul dɛm lɛk:

• Dɔktɔ we spɛshal pan di bren ɛn di nerv dɛm (Neurologist).
• Wan dɔktɔ we de mɛn pipul dɛn we gɛt sik dɛn we de ambɔg dɛn maynd.
• Jɛnɛtik Kɔnsɔla.
• Wan dɔktɔ we de mɛn pɔsin in bɔdi.
• Ɔkupeshɔn Tɛrapist.
• Wan pɔsin we de mɛn pipul dɛn we de tɔk.

Wan we de fɔ mek dis sik nɔ kam?

Naw, no we nɔr de fɔ mek yu nɔr gɛt ɔr ridyus di risk fɔ gɛt di sik we dɛn kɔl Huntington. Bɔt if yu de plan fɔ gɛt famili, tɔk to pɔsin we de advays yu bɔt yu jɛnɛtiks ɛn lan bɔt aw fɔ tɛst yu jɛnɛtiks. Dis kin ɛp yu fɔ ɔndastand yu risk fɔ bɔn pikin wit di jenɛtik sik. Naw i pɔsibul fɔ yuz IVF (In Vitro Fertilization) wit jenɛtik tɛst fɔ mek di pikin dɛn we go kam nɔ gɛt di sik we dɛn kɔl Huntington.

Aw di sik we dɛn kɔl Huntington’s Disease kin wɔs as tɛm de go? (Stej dɛm fɔ di sik) .

Di sik we dɛn kɔl Huntington na wan sik we kin wɔs smɔl smɔl as tɛm de go. Pan ɔl we dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin, i kin go tru dɛn tin ya:

• Di fɔs stej: Di sayn dɛm nɔr kin so. Yu kin fil lɛk se yu nɔ de rɛst smɔl, yu nɔ kin ebul fɔ du natin, i nɔ kin izi fɔ yu fɔ tink bɔt tin dɛn we at fɔ ɔndastand, ɛn yu kin muv smɔl smɔl tin dɛn we yu nɔ ebul fɔ kɔntrol. Bɔt bɔku tɛm yu kin du tin dɛn we yu kin du ɛvride.
• Midul stej: .We pɔsin de chenj in bɔdi ɛn in maynd, dat kin mek i nɔ izi fɔ wok, drayv, ɛn du os wok dɛn. I nɔ kin izi fɔ swɛla, so fɔ tɔk ɛn it kin tranga, bɔt nɔto tin we nɔ pɔsibul. Big risk de fɔ lɛ yu fɔdɔm bikɔs yu nɔ gɛt bɛtɛ balans. Dɛn kin stil du pɔsin in yon wok lɛk fɔ was ɛn drɛs.
• Ɛnd stej: I rili at fɔ du ɛvride wok fɔ yusɛf. Bɔku pipul dɛn nɔ kin ebul fɔ ivin grap na bed if dɛn nɔ ɛp dɛn. Na dis stej, dɛn nid fɔ kia fɔ dɛn 24 awa fɔ it, was, ɛn kia fɔ dɛn wɛlbɔdi.

Yu tink se kɔmplit mɛrɛsin de fɔ dis?

Naw, no mɛrɛsin nɔ de fɔ mɛn di sik we dɛn kɔl Huntington. Bɔt, klinik trial ( tɛst pan mɔtalman) de go bifo fɔ lan mɔ bɔt dis sik ɛn si aw nyu tritmɛnt kin ɛp.

Aw lɔng yu kin liv wit dis sik?

Di avrej layf we pɔsin kin liv afta dɛn dɔn no se i gɛt di sik we dɛn kɔl Huntington, na bitwin 10 ɛn 30 ia .

Yu tink se di sik we dɛn kɔl Huntington’s Disease kin kil pɔsin?

Di sik we dɛn kɔl Huntington nɔ kin kil pɔsin dairekt wan. Bɔt as tɛm de go, di sik kin mek i nɔ izi fɔ du tin dɛn we pɔsin kin du ɛvride. Aw i kin wɔs kwik kwik wan kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt, prɔblɛm dɛn we di sik kin kam wit, lɛk nyumonia, ɔ wund we pɔsin kin gɛt we i fɔdɔm, kin mek pɔsin day.

Aw a go liv fayn wit dis sik? (Fɔ kia fɔ yusɛf) .

Ivin wae de sik na Huntington kin tranga, sɔm tin dɛn de wae yu kin du fɔ mek yu gɛt di bɛst kwaliti fɔ liv. Na sɔm advays dɛn ya:

• Ɛksesaiz ɔltɛm: Risach dɔn sho se ɛksesaiz kin mek yu fil fayn ɔltogɛda.
• It fayn it: Yu dɔktɔ kin tɛl yu fɔ chenj sɔm tin dɛn we yu de it. We pɔsin nɔ ebul fɔ kɔntrol insɛf, i kin bɔn 5,000 kalori ɛvride. So, i impɔtant fɔ it di rayt tin.
• Drink bɔku wata: We i nɔ izi fɔ yu fɔ swɛla it, i kin mek yu nɔ gɛt wata na yu bɔdi. So, dɔktɔ dɛn kin advays yu fɔ mek yu nɔ gɛt bɔku wata.
• Fɛn sɔpɔt grup: Aks yu dɔktɔ bɔt di kɔmyuniti risɔs usay yu kin kɔnɛkt wit ɔda pipul dɛn lɛk yu.
• Risach kia savis: Sɔm tɛm, yu kin nid fɔ kia fɔ yu na os ɔ kia fɔ kia fɔ ol pipul dɛn. Yu fɔ no dis bifo tɛm.
• Pik advaysa we yu go abop pan: As di sik de go bifo, yu go nid fɔ gi ɔda pɔsin di wok fɔ du wit mɔni ɛn fɔ disayd fɔ du sɔntin. Dis na tin we at fɔ disayd bɔt we impɔtant. Ɔganayz wetin yu de op fɔ bifo di sayn dɛm we yu gɛt fɔ mek i nɔ izi fɔ disayd fɔ du sɔntin.

Mɛmba se pan ɔl we dɛn nɔ go ebul fɔ avɔyd di sik we dɛn kɔl Huntington, yu kin plan fɔ am. E kin tek sɔm ia fɔ mek di sayn dɛm fɔ wɔs. Insay da tɛm de, yu kin gɛt tɛm fɔ fɛn dɔktɔ dɛn we yu kin abop pan ɛn gɛt di sɔpɔt we yu nid fɔ tumara bambay. If yu ɔ sɔmbɔdi na yu famili gɛt di sik we dɛn kɔl Huntington, tɔk to pɔsin we de advays yu bɔt aw yu de du tin bɔt yu jɛnɛtiks bɔt wetin yu nid fɔ no.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:

• Aw mi kɔndishɔn go tan lɛk fɔ go bifo? (Prɔgnosis) .
• Us tritmɛnt dɛn yu kin advays?
• Wetin na di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i gɛt tritmɛnt?
• Aw a go avɔyd prɔblɛm dɛn?
• Aw a fɔ rɛdi fɔ di ɛnd-stej fɔ di sik we dɛn kɔl Huntington?
• Yu go se mek dɛn du di ɔda pipul dɛn na mi famili bak fɔ tɛst dɛn jɛnɛtiks?

Huntington in sik kin mek i nɔr izi fɔ yu fɔ kia fɔ yusɛf as tɛm de go. I kin tranga fɔ no se yu ɔ pɔsin we yu lɛk gɛt dis sik. Bɔt bikɔs di sik kin tek sɔm ia fɔ mek yu gɛt di sik, yu kin gɛt tɛm fɔ rɛdi fɔ kia fɔ yu ɔltɛm ɛn fɔ sɔpɔt yu. Pan ɔl we yu go nid fɔ disayd fɔ lɔng tɛm bɔt yu wɛlbɔdi biznɛs, yu nɔ fɔ rɔsh fɔ disayd fɔ du dɛn tin ya we go afɛkt yu tumara bambay.

I kin izi fɔ lɛ yu lɛf fɔ gɛt op we yu no aw dis sik go afɛkt yu tumara bambay. Bɔt nɔto yu wangren de. Bɔrku pipul dɛn kin gɛt kɔrej wae dɛn kin tɔk to pɔrsin wae de gi dɛn mɛntɛl hεlth ɔr jɔyn sɔpɔt grup. Ɛn risach de kɔntinyu fɔ lan mɔ bɔt di tritmɛnt dɛn we go ɛp yu fɔ mek yu liv bɛtɛ layf.

Mɛsej we dɛn kin kɛr go na os:

Okay, so, frɔm wetin wi dɔn tɔk bɔt, sɔm tin dɛn de we yu fɔ rili mɛmba :

• Huntington’s Disease na wan sik wae de kam wit jεnεtiks wae de pwεl di bren sεl dεm.
• Dis kin mek yu nɔ ebul fɔ kɔntrol yu muvmɛnt (chorea) ɛn yu maynd kin chenj .
• Pan ɔl we no kɔmplit mɛrɛsin nɔ de fɔ dis, tritmɛnt dɛn de fɔ kɔntrol di sik dɛn ɛn fɔ mek pɔsin fil fayn mɔ.
• If yu ɔ sɔmbɔdi na yu famili tink se yu gɛt dis sik, i rili impɔtant fɔ go to dɔktɔ ɛn advays bɔt yu jɛnɛtiks.
• Pan ɔl we fɔ liv wit dis sik kin tranga, if yu plan fayn, sɔpɔt am, ɛn no bɔt am, yu go ebul fɔ bia wit dis sik strɔng wan. Risach bɔt nyu tritmɛnt dɛn de go bifo, so kɔntinyu fɔ gɛt op.

If yu want fɔ no mɔ bɔt dis, nɔ fred fɔ aks dɔktɔ. Stay wit wɛlbɔdi!