Yu tink se yu pikin go de pan denja we dɛn de bɔn am? Lɛ wi lan bɔt injury we dɛn bɔn pikin.

Ɔl mama ɛn papa kin fred smɔl we dɛn de ɛkspɛkt pikin, nɔto so? Dɛn kin wɔnda if di pikin go gɛt wɛlbɔdi, if ɛni prɔblɛm go de. bכku tεm כltin kin go fayn, bכt sכmtεm we di pikin kam na dis wכl, sכm sכm injuri dεm kin de, we dεn kכl ‘bכn injuri'. Bɔt nɔ wɔri, bɔku tɛm dɛn tin ya na smɔl smɔl tin dɛn.

Wetin na dis bɔn injury?

Fɔ tɔk am simpul wan, injuri we dɛn bɔn pikin, ɔ as dɔktɔ dɛn kin kɔl am, ‘neonatal birth trauma’, na ɛni damej we kin apin to pikin we dɛn de bɔn am. Dɛn tin ya nɔr kin bɔrku, ɛn bɔrku tɛm na smɔl smɔl injury. Bɔt, na smɔl tɛm nɔmɔ, siriɔs tin kin apin ɛn nid fɔ gɛt mɔ tritmɛnt.

Di dɔktɔ ɛn nɔs dɛm we de trit yu ɛn yu pikin ɔl de tray fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya ɔ at ɔl fɔ mek dɛn nɔ ambɔg yu. Bɔt mɛmba se nɔbɔdi nɔ go ebul fɔ kɔntrol di rayt we aw yu de sɛn di pikin. Dɔn bak, mɛmba se if sɔntin lɛk dis apin, nɔto yu fɔlt atɔl .

Bɔt dat nɔ min se yu nɔ go ebul fɔ du ɛnitin. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt bɔn pikin, aks yu Ob/Gyn prɔvayda. I kin gayd yu ɛn sɔntɛm i kin ivin tich yu we fɔ ridyus di prɔblɛm we yu go gɛt we i nɔ izi fɔ bɔn pikin.

Wetin na di kayn bad bad tin dɛn we kin apin we dɛn bɔn pikin?

Dɛn kin sheb di bad bad tin dɛn we kin apin we dɛn bɔn pikin to sɔm men kayn dɛn. Lɛ wi si wetin dɛn bi:

• Skalp injuri: Injury na di skin na pikin in ed. Dɛn tin ya na di wan dɛn we bɔku pipul dɛn kin du.
• Bɔn we de brok: Sɔntɛnde, we di pikin kɔmɔt na do, wan bon we de na in an, in leg, ɔ in kɔlabɔn kin brok.
• Ay injury: Smɔl brus na di yay ɛn smɔl blɔd insay di yay kin apin.
• Blɔd we de kɔmɔt insay di skel: Dis na tin we pɔsin fɔ wɔri bɔt sɔm tɛm.
• Nεv dεm we dεn dכn pwεl: We dεn de bכn pikin, sכm nerv dεm kin pwεl we dεn kכmprεshכn.
• Bren injury: Dis kin apin bak, bɔt i kin siriɔs if i apin.

Injury we dɛn bɔn pikin nɔto tin we nɔ kin apin insay jɛnɛral. Wan stɔdi we dɛn bin du insay 2021 sho se na 29 pikin dɛn nɔmɔ we dɛn bɔn wit injury pan ɛvri 1,000 pikin dɛn we dɛn bɔn layf layf wan. Fɔ dɛn 29 pipul dɛn de, 23 pan dɛn bin wund na dɛn ed. So nɔto bɔku tin de fɔ wɔri bɔt, nɔto so?

Wetin na di bad bad tin dɛn we kin apin we dɛn bɔn pikin?

Lɛ wi tɔk naw bɔt sɔm pan di bad bad tin dɛn we kin apin we dɛn bɔn pikin. Sɔntɛm yu dɔn yɛri bɔt sɔm pan dɛn tin ya.

• Di kɔlabɔn / klavikul dɛn we dɔn brok:dis kin apin we di pikin de bכn if i at fכ kכmכt na di pikin, lεk if di sכlda stכk. Bɔt i kin wɛl kwik kwik wan, ɛn sɔntɛnde dɛn nɔ kin nid spɛshal tritmɛnt.
• 'Caput Succedaneum': Dis na we di skin na di sכl fכ di nyu bכbi pikin de swel. I tan lɛk wan smɔl smɔl tin we de na di ed. Dis go go fɔ insɛf insay sɔm dez. I nɔto natin fɔ wɔri bɔt.
• Sεfalohεmatoma: Dis na sכm sכm bכdi we de kכlekt כnda di pikin in sכl skin. I de mɔ lokaliz pas wan ‘kaput’. Dis kin wɛl bak fɔ insɛf insay sɔm wiks.
• Erb’s Palsy: Dis kin apin we di brachial plexus, we na wan nɛtwɔk we de kɔmɔt na di nɛk to di an, dɔn pwɛl. Dis kin mek di pikin in an wik ɔ paralayz. Dis kin nid tritmɛnt lɛk fɔ trit yu bɔdi.
• Aylid swel: Dis na smɔl tin bak ɛn i go wɛl kwik kwik wan.
• sכbkutan fεt nεkrכsis fכ di nyu bכbi: dis na sכm sכm εria we de damej di fεt layεr כnda di pikin in skin. I kin tan lɛk smɔl smɔl bɔmp dɛn na di skin. Dis kin wɛl fɔ insɛf.
• Facial nerve paralysis: Insay dis kes, wan nerve na wan say na di pikin in fes kin kɔmprɛs, we kin mek da say de drɔp smɔl. Fɔ ɛgzampul, di mɔt kin drɔp to wan say we i de kray. Bɔrku tɛm, dis kin bi fɔ sɔm tɛm ɛn i kin sɔlv insay sɔm dez.
• Fraktrɔs na di ɔpa an bon (Humerus).
• Fεmur frakshכn dεm. Dɛn tin ya nɔ kin apin smɔl pas di kɔlabɔn we kin brok.
• intrakranial εmoraji - fכ egzampl, di blכd we de kכmכt na di sכbdural. Dis na tin dɛn we pɔsin fɔ pe atɛnshɔn to sɔm tɛm.
• Lacerations na di fes ɔ di skelp.
• Injuri na di nos, fכ egzampl, wan deviated septum.
• Rɛtina ɔ Sabkɔnjɔktival Ɛmoraji. Dɛn tin ya kin mek di yay rɛd, bɔt dɛn kin wɛl kwik ɛn nɔ kin afɛkt di we aw pɔsin de si.
• Skul we de brok brok. Dɛn tin ya nɔ kin apin so ɔltɛm.

Injury we Nɔ Kɔmɔn ɛn Rare Bɔn

Naw lɛ wi luk sɔm pan di bad bad tin dɛn we kin apin we dɛn bɔn pikin, ɔ we nɔ kin apin so ɔltɛm. Sɔm pan dɛn tin ya kin rili siriɔs, so i fayn fɔ no bɔt dɛn tin ya bak.

• Di kayn blɔd we de kɔmɔt na di bren, lɛk di epidural ɔ subarachnoid blɔd, na tin dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm.
• di bren dεm we de pwεl biכs fכ di כksijεn we nכ de (Hypoxic-Ischemic Encephalopathy / HIE).Dis na wan sik we rili siriɔs. dis kin apin if prכblεm de wit di pikin fכ gεt כksijεn we i de bכn.
• Di damej pan di insay ɔgan dɛm, fɔ ɛgzampul, blɔd we de kɔmɔt na di liva ɔ di splin.
• Rib we de brok brok.
• Spinal kɔd injuri dɛn. Dis na sik bak we nɔ kin apin so ɔltɛm, bɔt we kin rili siriɔs.
• Subgaleal hemorrhage: Dis na big blɔd we de kɔmɔt bitwin di skin na di skel ɛn di mɛmbran we de kɔba di skel. Dis na sik bak we yu nid fɔ pe atɛnshɔn to kwik kwik wan.

Sɔm pan dɛn aksidɛnt ya we nɔ kin apin so ɔltɛm kin rili siriɔs. Yu dɔktɔ go ɛksplen to yu jɔs aw di aksidɛnt rili siriɔs to yu pikin. I impɔtant fɔ lisin to wetin dɛn de tɔk ɛn nɔ panik.

Wetin na di sayn dɛm we pɔsin kin gɛt we i bɔn pikin?

We pɔsin bɔn pikin, i kin mek i gɛt difrɛn sayn dɛn, i kin dipen pan di kayn injuri we i gɛt. Na sɔm ɛgzampul dɛn ya:

• di chenj dεm we de kכmכt na do: Brus (Ecchymosis) , swεla (Edema) , sכm sכm spat dεm we dεn chenj di kכla na di skin (Petechiae) . Sɔm pat pan di pikin kin blu ɛn swel.
• Nɔ ebul fɔ muv sɔm pat dɛn na di bɔdi: Dis kin bi bikɔs yu bon brok ɔ yu nerv dɔn pwɛl. Fɔ ɛgzampul, if yu nɔ ebul fɔ muv wan an, i kin bi sayn fɔ wan sik we dɛn kɔl Erb’s Palsy.
• I nɔ izi fɔ gi pikin in bɛlɛ. If di pikin nɔ de sok fayn ɔ i de vɔmit afta i dɔn gi am in bɛlɛ, dɛn fɔ chɛk dat bak.
• Chenj na yu bihayvya, lɛk fɔ kray ɔltɛm ɛn nɔr de rɛst. If yu pikin jɔs de kray bɔku tɛm ɔ i nɔ izi fɔ kɔrej am, tɛl yu dɔktɔ bɔt dat bak.
• Di vɔys we de ala lawd lawd wan, we yu de swɛt we yu de kray (Stridor).
• I nɔ kin izi fɔ yu fɔ blo.
• Kɔndishɔn dɛn we tan lɛk se yu de sik.

If yu notis wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛn we kin mek dɛn bɔn pikin?

Bɔku men tin dɛn de we kin mek dɛn bɔn pikin dɛn injury. Lɛ wi tek wan luk pan wetin dɛn bi:

• If di pikin gɛt prɔblɛm fɔ kɔmɔt na di bɔn kanal: Fɔ ɛgzampul, pan kes dɛm lɛk sɔldɔm dystocia ɔ macrocephaly , di pikin in ed kin tu big. As di pikin de gro, i kin at fɔ kɔmɔt na di mama in bɔn kanal.
• We dɛn de tray fɔ muv di pikin rawnd ɛn put am fayn we i de bɔn, sɔntɛnde dɔktɔ dɛn kin gɛt fɔ chenj di pikin in pozishɔn.
• biכs fכ di ifekt dεm we di kכntrikshכn dεm de gi na di bכn kanal. na dεn kכntrikshכn dεm ya de push di pikin kכmכt, bכt sכmtεm da prεshכn de kin mek i gεt sכm injuri dεm bak.
• we yu de yuz di tin dεm we de εp: fכ egzampl, we yu de pul di pikin wit ‘vaykum’ (Vacuum Extraction Delivery) ., Forceps Delivery , ɔ C-section Surgery sɔntɛnde kin mek pɔsin gɛt smɔl injury. Dɛn kin yuz dɛn tin ya we tin nɔ izi fɔ du, fɔ mek di mama ɛn di pikin sef.

Wetin na di tin dɛn we kin mek pɔsin gɛt injury we dɛn bɔn am?

Bɔku tin dɛn de we kin mek pɔsin bɔn pikin. Dɛn na:

• di wet we dεn bכn bכku bכku: Dis risk de hכy fכ pikin dεm we we pas 4 kilogram (8 paund εn 13 כns), dat na, pikin dεm we gεt ' fetal macrosomia '.
• di pikin dεm we dεn bכn lכw wet כ we dεn bכn kwik kwik wan: Dis risk kin bכku fכ pikin dεm we dεn bכn bifo tεm כ pikin dεm we rili sכm, biכs dεn bכdi rili dilik.
• di pikin in posishכn: If di pikin nכ posishכn kכrekt, fכ egzampl, na brich posishכn , i go bכku chans fכ aksidεnt.
• di ed saiz: Dis kin apin to bebi dεm we jכs gεt big ed. Dɔn bak, sɔm sik dɛn we pɔsin kin gɛt kin mek i gɛt big ed.
• I nɔ kin izi fɔ bɔn pikin: We i nɔ kin izi fɔ bɔn pikin ɛn i kin tek lɔng tɛm, di chans fɔ mek aksidɛnt apin kin bɔku.
• Fɔ bɔn pikin kwik kwik wan: Dis risk kin de ivin we dɛn bɔn di pikin kwik kwik wan pas aw i kin bɔn.
• Dayabitis: Di pikin dɛn we mama dɛn we gɛt dayabitis bɔn kin gɛt bɔku risk fɔ gɛt injury we dɛn bɔn dɛn. Dis na bikɔs dayabitis kin mek di pikin big. So, i rili impɔtant fɔ kɔntrol di blɔd shuga we yu gɛt bɛlɛ.
• Di we aw mama in bɔdi tan: Sɔntɛnde, sɔm tin dɛn we de apin na di mama in bɔdi, fɔ ɛgzampul, di shep we di bɔdi de shep , kin mek i nɔ izi fɔ bɔn pikin. כlso, di sayz fכ di pikin in ed εn di mama in bכdi kin afekt am.

Wetin na di prɔblɛm dɛn we kin apin we dɛn bɔn pikin?

Risach dɔn sho se we uman bɔn pikin kin mek i gɛt difrɛn prɔblɛm dɛn. Sɔm pan dɛn na:

• Sεribra Palsi: Dis na prɔblɛm we de mek di bren de muv ɛn aw i de tinap.
• Fetal distress: di pikin kin fil sכm diskomfot we i de insay di bεlε.
• di nyu bכn janda de apin biכs di bilirubin lεvεl dεm we de inkrεs (hyperbilirubinemia).
• Meconium Aspiration Syndrome: Dis kin apin we pikin de fכs we i stil de na in bεlε εn inhal di wata. Dis kin mek yu gɛt infɛkshɔn na yu lɔng.
• Respiratory Distress Syndrome: I nɔ kin izi fɔ blo.
• Nid fɔ mek dɛn gɛt mɛkanikal ventileshɔn ɔ CPAP (Continuous Positive Airway Pressure) mashin dɛn.
• Di sik dɛn we kin mek pɔsin sik.
• Sepsis: Na bad bad infεkshכn we de spre כlsay na di bכdi.
• Transient Tachypnea: Fɔ blo kwik kwik wan fɔ sɔm tɛm.

Dɛn kɔmplikeshɔn ya nɔ kin apin pan ɛvri bɔn aksidɛnt, bɔt i impɔtant fɔ no bɔt dɛn.

Aw fɔ no pɔsin we gɛt injury we dɛn bɔn am?

di wan dεm we de wok fכ bכn pikin εn uman dεm (Ob/Gyns), di wan dεm we de wok fכ di pikin dεm we dεn bכn pikin dεm, כ di wan dεm we de wok fכ di pikin dεm we de bכn pikin dεm kin no dεn injury dεm ya we dεn bכn pikin. Dɛn kin yuz wan kɔmbayn we dɛn fɔ du tin:

• Fyzikal ɛgzam: Na standad we fɔ mek dɔktɔ chɛk di pikin wantɛm wantɛm afta dɛn bɔn am. dis dεn kin du fכ chεk fכ di kכndishכn dεm we dεn bכn wit εn di injuri dεm we dεn bכn. Dɛn kin tek tɛm chɛk di ed, di an ɛn fut, ɛn di chɛst ɔl.
• Diagnostic imaging: Tεst lεk bren ultrasound , CT skan , כ X-ray kin εp fכ no di injury εn frakshכn insay di pikin in bכdi. Rarely , dɛn kin yuz MRI bak.
• Blɔd tɛst: Labɔrɔtɔri tɛst kin ɛp dɔktɔ dɛn fɔ no sɔm injury ɔ kɔmplikeshɔn dɛn we dɛn bɔn we dɛn bɔn, lɛk infɛkshɔn ɛn bilirubin lɛvɛl.

Dɛn kin du ɔda tɛst dɛn dipen pan di tin we de apin. Yu pikin in dɔktɔ kin tɛl yu mɔ bɔt dɛn tɛst ya ɛn wetin mek dɛn kin ɛp.

Aw dɛn kin trit pɔsin we gɛt injury we dɛn bɔn am?

Di tritmɛnt fɔ di injuri we dɛn bɔn pikin kin dipen mɔ pan di kayn injuri. Sɔm pan di tritmɛnt dɛn we dɛn kin yuz mɔ na:

• Wach ɛn Wach: Bɔku pan di bad bad tin dɛn we kin apin we dɛn bɔn pikin kin wɛl fɔ dɛnsɛf. fכ egzampl, sכm sכm kכlabon frakshכn, kaput succedaneum, εn sכm sכm damej pan di brachial plexus nεv dεm. Dɔktɔ dɛn go de wach dɛn wan ya fɔ si if dɛn gɛt sayn dɛn we de sho se dɛn dɔn wund.
• Immobilization: If bon na in an ɔ leg brok, di pikin go nid fɔ immobilize fɔ sɔm wiks te i wɛl. Dis kin min se yu fɔ wɛr splint ɔ hans we dɛn mek spɛshal wan.
• Fizik tritmɛnt: Fizik tritmɛnt kin rili ɛp fɔ di brachial plexus nerve injuries. I de ɛp fɔ mek yu nɔ gɛt prɔblɛm lɛk fɔ mek yu gɛt mɔ nerve damej ɔ fɔ mek yu mɔsul wik. Dɛn kin gi di pikin ɛksesaiz fɔ mek di mɔsul dɛn strɔng.
• Ɔpreshɔn:Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ mek tin dɛn lɛk di wan dɛn we dɔn rɔtin. Dɛn kin du ɔpreshɔn bak fɔ mek di blɔd nɔ gɛda insay di pikin in skel ɛn put prɛshɔn pan di bren. Sɔntɛnde, ɔpreshɔn kin ɛp bak fɔ mek di nerve damej bay we i kin ɛp fɔ sɛn di nerve signal dɛn rawnd di bren.

Dipen pan di tin we de apin, yu mɛdikal tim kin tɛl yu fɔ du ɔda tritmɛnt dɛn. Yu pikin in dɔktɔ kin tɛl yu mɔ bɔt dis ɛn tɛl yu aw fɔ trit yu.

Wetin kin apin if mi pikin gɛt injuri we dɛn bɔn am?

Di luk fɔ injury we dɛn bɔn pikin kin dipen mɔ pan di kayn injury ɛn aw i siriɔs. Bɔt in jɛnɛral, di lukin-grɔn fɔ bɔku pan di bad bad tin dɛn we kin apin we dɛn bɔn pikin—espɛshali di wan dɛn we kin apin mɔ—na rili fayn. Insay di las sɔm dikɛd ia, masta sabi bukman dɛn dɔn wok tranga wan fɔ mek di risk fɔ mek dɛn bɔn pikin dɛn bad bad wan ɛn di we aw dɛn de trit dɛn. Siriɔs injury we dɛn bɔn pikin dɛn nɔ kin bɔku naw pas aw i bin de 30 ia bifo. Insay 1993, di wund we dɛn bɔn we dɛn bɔn na bin di nɔmba 11 tin we kin mek pikin dɛn we dɛn jɔs bɔn day. Bɔt frɔm 2007, di bad bad tin dɛn we kin apin we dɛn bɔn pikin nɔ de pan da list de. Yu nɔ tink se dat na gud tin?

Wetin a fɔ ɛkspɛkt if mi pikin gɛt injuri we dɛn bɔn am?

If yu pikin gɛt injuri we dɛn bɔn am, yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ manej di injuri ɛn tɔk to yu bɔt wetin de apin. Bɔku pan di bad bad tin dɛn we kin apin we dɛn bɔn pikin na smɔl smɔl tin dɛn ɛn dɛn nɔ nid fɔ kia fɔ dɛn bɔku. Bɔt sɔntɛnde, yu dɔktɔ kin tɛl yu ɛn yu pikin fɔ de na ɔspitul te yu pikin wɛl fɔ go na os.

We yu go na os, yu dɔktɔ go tɔk to yu bɔt aw fɔ kia fɔ yu pikin, wetin fɔ wach fɔ, ɛn ɔda tin dɛn. I kin izi fɔ fɔgɛt tin wit di slip we kin kam wit pikin, so i kin fayn fɔ rayt dɛn instrɔkshɔn ya ɔ aks fɔ wan kɔpi we dɛn print.

Di tin we impɔtant pas ɔl na dat, if yu nɔ ɔndastand sɔntin, if yu gɛt ɛnitin fɔ fred ɔ dawt, nɔ ɛva shem fɔ tɛl di dɔktɔ. Dɛn nɔ kin min fɔ ɛksplen tin dɛn to yu ɛn mek yu maynd fil fayn. Bikɔs dɛn want bak fɔ du wetin bɛtɛ fɔ yu ɛn yu pikin.

Yu tink se dɛn kin mek dɛn nɔ wund we dɛn bɔn pikin?

Dɛn nɔ kin ebul fɔ avɔyd di bad bad tin dɛn we kin apin we yu bɔn pikin, bɔt sɔm tin dɛn de we yu kin du we yu gɛt bɛlɛ we kin mek yu nɔ gɛt dɛn bad bad tin ya.

• Tɔk to yu ɔbstetrician/gynecologist (Ob/Gyn) kwik kwik wan. I kin ɛp yu fɔ rɛdi bifo yu ivin gɛt bɛlɛ. If nid de, dɛn kin rifer yu to spɛshal pipul dɛn lɛk dɔktɔ dɛn we de mɛn yu bɔdi.
• Manej yu krɛse sik.Yu ɔbstetrician ɔ fetal mɛrɛsin spɛshal kin gayd yu fɔ aw fɔ manej dɛn sik ya. Dis kin ridyus di risk fɔ bɔn injury we kin kam bikɔs ɔf tin dɛn lɛk dayabitis.
• Mek wan plan fɔ bɔn pikin. Yu dɔktɔ kin advays yu bɔt sɔm patikyula tin dɛn ɔ aw fɔ du tin we go mek yu nɔ gɛt bɔku prɔblɛm dɛn we yu bɔn. Dɛn kin tɛl yu bak bɔt bak-ap plan, lɛk we C-section na bɛtɛ opshɔn fɔ yu ɛn yu pikin in sef.

Yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ ridyus di risk fɔ bɔn pikin. Dɔktɔ, nɔs, ɛn ɔda pipul dɛn we de wok na di klinik ɔl go wok togɛda fɔ ɛp yu ɛn yu pikin.

Us kwɛstyɔn dɛn a fɔ aks mi pikin in dɔktɔ?

I fayn fɔ aks yu pikin in dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn bɔn injuri mi pikin gɛt?
• Aw i siriɔs?
• Yu tink se i nid tritmɛnt?
• Us tritmɛnt (if ɛni wan de) yu kin advays?
• Ustɛm mi pikin go ebul fɔ go na os?
• Wetin a fɔ pe atɛnshɔn to we a de kɛr mi pikin go na os?
• Ustɛm a fɔ kɔl yu ɔfis ɔ briŋ di pikin na ɔspitul?

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ?

Yu pikin in dɔktɔ go sɛt wan schedule fɔ fala yu pikin, ɔ rifer yu to pikin dɔktɔ we go kɔntinyu fɔ kia fɔ yu pikin. Dɛn go gɛt visit ɔltɛm fɔ wach aw yu pikin de wɛl ɛn mek shɔ se ɔltin de go fayn. Dɛn kin chenj di tritmɛnt plan bak if nid de.

Ustɛm a fɔ kɛr mi pikin go na ɔspitul?

Yu pikin in dɔktɔ go tɛl yu bɔt tin dɛn we nid fɔ gɛt tritmɛnt kwik kwik wan. Fɔ ɛgzampul (bɔt nɔto jɔs):

• If di pikin gɛt prɔblɛm fɔ blo .
• If di aktiviti dɔn dכn (Lethargy) , dat na if yu fil se yu de slip, yu nɔr gɛt layf.
• If di skin kol, i dɔn shayn, ɔ i dɔn chenj in kɔlɔ .
• If di nɛpi dɔn dray fɔ 12 awa ɔ mɔ (dat na if i nɔ bin dɔn pis).
• If yu nɔ de rɛst ɔ yu de slip we nɔ kɔmɔn .
• If yu no drink milk.

If yu si tin dɛn lɛk dis, go to dɔktɔ wantɛm wantɛm ɛn if nid de, kɛr dɛn go na ɔspitul.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Sɔntɛm yu bin de imajin se di bɔn we yu bɔn yu pikin as tɛm we yu go gladi ɛn pafɛkt. Fɔ no se yu pikin bin gɛt injuri we dɛn bɔn am nɔto sɔntin we ɛni nyu mama ɔ papa want fɔ yɛri. Nɔto tin we kin apin we dɛn bɔn pikin. Bɔt ivin if yu ɛn ɔlman we de kia fɔ yu ɛn yu pikin du ɔltin rayt, sɔntɛnde tin dɛn lɛk dis kin apin.

Bɔt di tin we kin mek pɔsin gladi na, .Bɔku pan di bad bad tin dɛn we kin apin we dɛn bɔn pikin na smɔl smɔl tin dɛn ɛn dɛn kin sɔlv fɔ dɛnsɛf wit smɔl ɛp ɔ dɛn nɔ kin ɛp dɛn. If i siriɔs, yu pikin in dɔktɔ dɛn go de fɔ bigin tritmɛnt kwik kwik wan.

If yu nɔ ɔndastand sɔntin, ɔ if yu de wɔri ɔr de fred bɔt sɔntin, tɔk to yu pikin in dɔktɔ. Dɛn kin ɛksplen tin to yu ɛn kɔnɛkt yu wit ɔda spɛshal pipul dɛm wae kin ɛp yu fɔ manej ɛn bia wit dis ɛkspiriɛns. Nɔ wɔri, nɔto yu wan de!

` Bɔn aksidɛnt, bɔn injuri, nyu bɔbɔ, bɔn pikin, pikin injuri, skel injuri, nerve damej, mɛdikal advays