Lɛ wi lan mɔ bɔt dis maynia sik. Yu tink se di wan dɛn we yu lɛk kin gɛt dis sik?

Sɔntɛnde, yu kin fɔgɛt smɔl smɔl tin dɛn? Lɛk usay yu ki dɛn de, ɔ pɔsin in nem. I kin bi nɔmal tin. Bɔt fɔ sɔm pipul dɛn, dis fɔgɛt kin so bad dat dɛn nɔ kin ivin ebul fɔ du ɛvride wok. Na da tɛm de wi nid fɔ tɔk bɔt wan sik wae dɛn kɔl dis maynia sik.

Fɔ tɔk am simpul wan, dis maynia sik nɔto wan patikyula sik. Na wan ɔmbrela wɔd we kin kɔba difrɛn kayn maynd prɔblɛm dɛn. Wi kin kɔl dis maynia sik wae de pɔrsin in maynd fayn fayn wan bifo de go dɔŋ smɔl smɔl te i kin so bad dat i kin ambɔg ɛvride layf. Fɔ mek dɛn no se pɔsin gɛt dis maynia sik, i fɔ gɛt at le tu pan dɛn tin ya:

• Mɛmba
• Fɔ tink gud wan
• Langwej
• Kɔdinɛshɔn
• Aw yu fil
• Biev

Yu tink se dis maynia sik ɛn Alzaima sik na di sem tin? Ɔ na tu pipul dɛn?

Bɔrku pipul dɛn kin tink se dis maynia sik ɛn Alzaima na tu difrɛn tin. Fɔ tru, dimɛns na big ɔmbrela, lɛk aw a bin dɔn tɔk. Alzaima sik na di men tin wae kin mek pɔrsin gɛt dis maynia sik ɔnda da ɔmbrela de. Dat min se nɔto ɔlman wae gɛt dis maynia sik kin gɛt dis maynia sik, bɔt nɔr to ɔlman wae gɛt dis maynia sik kin gɛt Alzaima sik. Sɔntɛm ɔda tin dɛn de we kin mek i apin.

Udat kin gɛt dis maynia sik? Aw i kɔmɔn?

Bɔrku tɛm, dis maynia sik kin kam wae wi de ol. Yu dɔn ɛva si wi grani ɛn granpa dɛn nɔ de mɛmba igen? Bitwin 5% ɛn 8% pan pipul dɛm wae dɔn pas 65 ia gɛt sɔm kayn dis maynia sik. Dis nɔmba kin dubl ɛvri fayv ia. Imajin, we yu ol 85 ia, sɔntɛm wan pan ɛvri tu pipul dɛn go gɛt dis maynia sik.

Yu tink se wae yu nɔr de mɛmba ɔltɛm, dat min se yu gɛt dis maynia sik?

Naw yu kin de tink se, ‘O, a kin fɔgɛt tin dɛn bak, so a gɛt dis maynia sik bak?’ Nɔ fred. Jɔs bikɔs yu dɔn lɔs yu mɛmori nɔr min se yu gɛt dis maynia sik. na nכmal tin fכ gεt sכm fכgεt as sכm pan di nyuron dεm na wi bren de day as wi de ol. Bɔt i nɔ de ambɔg di tin dɛn we wi de du ɛvride.

Dimɛnshɔn nɔto fɔ fɔgɛt usay yu put yu ki. Sɔmbɔdi wae gɛt dis maynia sik kin fɔgɛt bak wetin fɔ du wit ki. Na dat na di difrɛns. Dimɛnshɔn nɔto nɔmal tin fɔ mek pɔsin ol.

Difrɛn kayn dis maynia sik de?

Dɛn kin sheb dis maynia sik to tri men kayn:

1. Praymari Dimɛns: Insay dis, dimɛns na di men sik.

2. Sɛkɔndari Dimɛnshɔn: Dimɛns we ɔda sik kin kam wit.

3. Rivεrsibl dimεnshכn lεk dimεnshכn: Sɔm sik ɔr kכndishכn kin mek yu gεt dimεnshכn lεk dimεnshכn, bכt dεn simptom ya kin go we dεn trit dεm.

Tayp dɛm fɔ Praymari Dimɛnshɔn

• Di sik we dɛn kɔl Alzaima:Dis na di kayn we we pipul dɛn kin gɛt mɔ. tu kayn abnכmal protin dεm, Tau protin dεm εn Amyloid protin dεm, de kכmכt na di bren. Dɛn tin ya kin ambɔg di kɔmyunikeshɔn bitwin di nɛv sɛl dɛn na di bren, ɛn di sɛl dɛn kin bigin fɔ day. Fɔs, i kin mek pɔsin nɔ ebul fɔ mɛmba tin fɔ shɔt tɛm, i kin kɔnfyus, ɛn i kin chenj di we aw i de biev. Dɔn i nɔ kin izi fɔ tɔk, fɔgɛt ol tin, ɛn i nɔ kin izi fɔ waka. I kin apin mɔ pan pipul dɛn we dɔn ol. If pɔsin na di famili gɛt am, yu go gɛt am mɔ. Bitwin 60% ɛn 80% pan pipul dɛm wae gɛt dis maynia sik kin gɛt dis.
• Vascular dementia: Dis na di sɛkɔn tin we kin apin. i kin kכz fכ blok כ damej pan di bכdi vεsul dεm we de kכri bכdi to di bren (e.g., strok, atεrosklεrosis). Di sayn dɛm na wae yu nɔr de mɛmba prɔblɛm, yu kɔnfyus, yu nɔr kin ebul fɔ pe atɛnshɔn pan yu maynd, ɛn yu nɔr kin ebul fɔ dɔn di wok dɛm. I kin kam wantɛm wantɛm (afta big strok) ɔ smɔl smɔl (afta sɔm smɔl smɔl strok). Pipul dɛn we gɛt ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel kin gɛt mɔ risk.
• Lewy body dimentia: Insay dis, di protin kכlכm dεm we dεn kכl Lewy bכdi dεm de kכmכt na di nεv sεl dεm na di bren. Dɛn tin ya kin pwɛl di nerve cells. Di sayn dɛm na wae yu gɛt prɔblɛm wit yu bɔdi muvmɛnt ɛn balans, chenj wae yu de slip, yu nɔr de mɛmba fayn, yu nɔr kin ebul fɔ plan ɛn sɔlv prɔblɛm dɛm, ɛn yu kin si tin dɛn we yu de si .
• Frontotemporal dementia (FTD): Dis kin kam bikɔs di frɔntal ɛn tɛmporal lɔb dɛm na di bren dɔn pwɛl. I kin mek pɔsin de biev wit ɔda pipul dɛn, chenj in pɔsin, i nɔ kin ebul fɔ tɔk langwej (fɔ tɔk, ɔndastand, fɔgɛt wetin kɔmɔn wɔd dɛn min), ɔ i kin mek i gɛt prɔblɛm wit di we aw pɔsin de wok togɛda. Dis na wan kayn dis maynia sik wae kin kam pan pipul dɛm wae de bitwin 45 ɛn 64 ia, dat min se e kin kam pan pɔrsin wae yɔŋ.
• Miks dimɛns: Dis na tu ɔr mɔr kayn dis maynia sik wae de kam togɛda. De kayn wae wae kin pasmak na Alzaima sik ɛn vaskul dimɛnshɔn. E kin bɔrku pan pipul dɛm wae dɔn pas 80 ia. E kin tranga fɔ no bikɔs na wan kayn dis maynia sik nɔmɔ yu kin si klia wan. Di sayn dɛm kin go bifo kwik kwik wan pan dɛn pipul ya pas pipul dɛm wae gɛt wan kayn nɔmɔ.

Sɛkɔndari Dimɛnshɔn (Dimɛns we kin kam wit ɔda sik ɛn kɔndishɔn) .

• Huntington’s disease: Dis na wan sik wae de kam na yu bren wae de kam wit yu jenɛtiks wae nɔr fayn. I kin mek prɔblɛm wit aw pɔsin de kɔntrol in bɔdi, aw i de tink, aw i de disayd fɔ du sɔntin, aw i de mɛmba, ɛn aw i de chenj in pɔsin.
• Pakinsin sik: Bɔrku pipul dɛm wae gɛt dis sik kin gɛt dis maynia sik wae de kam leta. Prɔblɛm de fɔ tink, mɛmba, fɔ si tin dɛn we yu de tink bɔt, fɔ gɛt pwɛl hat, ɛn fɔ mek i nɔ izi fɔ tɔk.
• Di sik we dɛn kɔl Wernicke-Korsakoff:Dis na wan sik we de apin na di bren we pɔsin nɔ gɛt bɛtɛ thiamine (vitamin B1). Blɔd kin apin na di say dɛn na di bren we de insay di mɛmori. Bɔku tɛm, na bikɔs pɔsin de drink pasmak.
• Traumatik bren injury: Dis sik kin kam wae yu de blo yu ed ɔltɛm. Sɔm kayn sik lɛk wae pɔrsin nɔr de mɛmba fayn ɛn wae pɔrsin de chenj in bihayvya kin kam afta sɔm ia.

Rivεrsibl dimεnshכn lεk simptom dεm

Sɔmtɛm e kin tan lɛk dis maynia sik, bɔt e kin rili bi sayn fɔ ɔda sik. De bɛst pat na, wae dɛn dɔn trit am, de sik wae tan lɛk dis maynia sik go dɔn!

• Di bad tin dɛn we sɔm mɛrɛsin dɛn kin du: Sɔm mɛrɛsin dɛn lɛk slip ɛn tin dɛn we kin mek pɔsin fil fayn, kin mek i nɔ ebul fɔ mɛmba.
• Vitamin we nɔ de: Ɛspɛshali we vaytamɛn B12 nɔ bɔku.
• Tayrɔyd prɔblɛm (Hypothyroidism).
• Infεkshכn: Tin dεm lεk urinary tract infεkshכn (UTI), spεshal wan pan ol pipul dεm.
• nכmal prεshכn haydrosεfal (NPH): na di bכdi we di sεribrospεnal fכluid (CSF) de bכku. Dɛn kin trit dis wit ɔspitul shunt.

Wetin na de sayn dɛm wae de sho se pɔrsin gɛt dis maynia sik?

Na di fɔs tɛm, yu kin si sɔm sayn dɛm lɛk:

• Fɔ fɔgɛt di tin dɛn we dɔn apin ɛn di tin dɛn we dɛn dɔn lan dis biɛn tɛm.
• Fɔ ripit/aks tin dɛn we dɛn dɔn tɔk ɛn kwɛstyɔn dɛn we dɛn dɔn aks.
• Di tin dɛn we dɛn kin yuz bɔku tɛm nɔ de ɔ dɛn de na strenj ples dɛn.
• Nɔ ɔndastand mɔnt, ia, ɛn tɛm.
• I at fɔ fɛn di rayt wɔd dɛn.
• Wan chenj pan di we aw pɔsin de fil, di we aw i de biev, ɔ di tin dɛn we i lɛk.

As de sik de wɔs, sɔm sayn dɛm lɛk:

• Di mɛmori ɛn di we aw pɔsin kin disayd fɔ du sɔntin kin go dɔŋ mɔ.
• I de kam tranga fɔ tɔk, fɔ fɛn di rayt wɔd dɛn.
• Ivin simpul wok dɛn we yu kin du ɛvride lɛk fɔ brus yu tit, fɔ mek kɔfi, fɔ yuz di TV rimot, ɛn fɔ pe bil kin at.
• Di we aw i de tink gud wan, di we aw i de biev, ɛn di we aw i sabi fɔ sɔlv prɔblɛm dɛn kin go dɔŋ.
• Di we aw pɔsin kin slip kin chenj.
• Fɔ wɔri, fɔ fil bad, fɔ kɔnfyus, fɔ nɔr de rɛst, fɔ dawt, fɔ sɔri, ɛn fɔ gɛt pwɛl hat kin bɔku.
• Nid ɛp fɔ du ɛvride (fɔ drɛs, was, it) .
• Yu de hallucinate tin dɛn we nɔ rili de.

Wetin na de tin wae kin mek pɔrsin gɛt dis maynia sik?

Fɔ tɔk am simpul wan, dis maynia sik kin kam wae yu bren dɔn pwɛl. Dis damej de mek di nerve cells na yu bren nɔ ebul fɔ tɔk to dɛnsɛf. Sɔntɛnde, di blɔd we de flɔ na di bren kin stɔp, ɛn dis kin mek i nɔ gɛt ɔksijɛn ɛn tin dɛn we i nid fɔ it, ɛn di bren tisu kin day.

Aw dɛn kin no se pɔsin gɛt dis maynia sik?

Fɔ no if yu gɛt dis maynia sik kin tranga smɔl bikɔs de sik kin tan lɛk bɔrku ɔda sik. Yu dɔktɔ go du dɛn tin ya:

• A de aks bɔt yu simptom dɛm.
• A de aks bɔt yu ol sik.
• A go luk di mɛrɛsin we yu de tek naw.
• A de wɔnda if ɛnibɔdi na di famili dɔn gɛt dis maynia sik.

pan tap dat, dεn kin du bכdi tεst, bren skan (imaging tεst) lεk `(Computed tomography - CT)`, `(Magnetic resonance imaging - MRI)`, εn i kin bi `(FDG-PET scan)`, εn nyurokognitiv tεst dεm we de mכsu yu tinkin abiliti. Yu kin nid bak fɔ gɛt ɛp frɔm dɔktɔ we de mɛn yu maynd.

Tritmɛnt de fɔ dis maynia sik?

Na ya, wi nid fɔ ɔndastand di wɔd dɛn ‘treatable’, ‘reversible’, ɛn ‘fully curable’.

Bɔrku kayn dis maynia sik kin gɛt mɛrɛsin fɔ ɛp fɔ kɔntrol de sik wae de kam. Bɔt bɔrku kayn dis maynia sik nɔr kin ebul fɔ wɛl ɔl ɔr kin chenj am. Di tritmɛnt dɛn kin jɔs gi sɔm rilif.

Bɔt lɛk aw wi bin dɔn tɔk, sɔm kayn tin wae kin tan lɛk dis maynia sik (e.g., wae pɔrsin nɔr gɛt vaytamɛn, sɔm mɛrɛsin wae kin kam wit sɔm mɛrɛsin, tayroyd prɔblɛm) kin trit ɛn wɛl ɔl.

Fɔ kayn dis maynia sik wae nɔr kin mɛn (e.g. Alzaima sik, vaskul dimɛnshɔn), mɛrɛsin de fɔ kɔntrol aw pɔrsin kin mɛmba aw pɔrsin kin mɛmba ɛn aw pɔrsin kin gɛt prɔblɛm wit aw pɔrsin de biev. fכ egzampl, dεn de yuz kolεnεstεrayz inhibito dεm (lεk donepezil (Aricept®) εn rivastigmin (Exelon®)) εn NMDA rεsεptכr antagonist mεmantin (Namenda®). Nyu mɛrɛsin dɛn lɛk di anti-amyloid antibodi aducanumab (Aduhelm®) de bak. Pan ɔl we dɛn mɛrɛsin ya nɔ kin ebul fɔ stɔp di sik kpatakpata, dɛn kin mek i slo fɔ mek i wɔs.

Kɔmplikɛshɔn wae kin kam wae pɔrsin gɛt dis maynia sik

Sɔm pan de kɔmplikeshɔn wae kin kam bikɔs ɔf dis maynia sik na:

• Wata nɔ de ɛn nɔ it fayn.
• Bed sores (prɛshɔn ɔlsa).
• Injuri ɛn fraktrɔs bikɔs ɔf fɔdɔm.
• Strɔk we pɔsin kin gɛt.
• Nyumonia ɛn aspireshɔn nyumonia.
• Sepsis (we infεkshכn de skata ɔlsay na di bכdi).

Aw layf tan lɛk wit dis maynia sik?

Fɔ no se yu gɛt dis maynia sik na tin we rili sɔri. Bɔt aw lɔng yu kin liv wit dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin liv fɔ lɛk 8 ia wit wan kɔmɔn kayn dis maynia sik, lɛk Alzaima, ɛn ɔda wan dɛn kin liv fɔ te to 20 ia. Di tin we impɔtant pas ɔl na fɔ mek di pɔsin kɔntinyu fɔ liv in layf. Risach pipul dɛn stil de du risach bɔt dis sik ɛn aw fɔ kɔntrol am.

Dɛn kin ebul fɔ avɔyd dis maynia sik?

Pan ɔl wae dɛn nɔr kin ebul fɔ avɔyd dis maynia sik ɔltogɛda, wae pɔrsin de liv fayn layf kin mek pɔrsin nɔr gɛt sɔm kayn dis maynia sik.

• Lɛf fɔ smok.
• Fɔ fala gud it (e.g. Mɛditarenian it - mɔ vɛjitebul, frut, fish, grens, ɔliv ɔyl, smɔl rɛd mit).
• Ɛksasayz. At least 30 minit most de fo di wik.
• Kip yu bren aktif. Sɔlv pazl, ple wɔd gem dɛn. Dɛn tin ya kin mek yu nɔr gɛt dis maynia sik kwik kwik wan.
• Bi pɔsin we de wit ɔda pipul dɛn. Tɔk ɛn spɛn tɛm wit ɔda pipul dɛn.

Tin dɛm wae kin mek pɔrsin gɛt dis maynia sik

• Ej: Na di men tin we kin mek pɔsin ol. Di risk kin go ɔp wit di ej. I kin afɛkt pipul dɛn we dɔn pas 65 ia pas ɔlman.
• Famili istri: If yu mama ɛn papa ɔ yu brɔda ɛn sista dɛn gɛt am, yusɛf kin gɛt am.
• Daun sindrom: Pipul wae gɛt Daun sindrom kin gɛt risk fɔ gɛt Alzaima sik kwik kwik wan we dɛn dɔn ol.
• Nɔr gɛt wɛl bɔdi: If yu gɛt bɔku kɔlɔstrel, yu blɔd prɛshɔn, yu at nɔ de rɔtin, ɔ yu de smok, dat kin mek yu gɛt dis maynia sik. Dɛn wɛl bɔdi prɔblɛm ya, lɛk dayabitis, kin afɛkt yu blɔd vesel. Di blɔd vesel dɛn we dɔn pwɛl kin mek di blɔd nɔ flɔ ɛn mek i gɛt strok.
• Siriɔs ed injury (Bren injury): If yu dɔn gɛt siriɔs ed injury, yu kin gɛt bɔrku risk fɔ gɛt dis maynia sik.

Ustɛm yu nid fɔ go to dɔktɔ?

Si dɔktɔ if yu ɔ sɔmbɔdi na yu famili notis ɛni wan pan dɛn chenj ya:

• Di chenj dɛn we de apin na yu mɛmori.
• Di chenj dɛn we de apin na di we aw yu maynd de wok.
• Chenj dɛn na di we aw yu ebul fɔ du wok dɛn we yu de du ɛvride.
• Di chenj dɛn we de apin na di we aw yu de biev.
• Chenj dɛn na yu abit.

Wetin kin apin wae dis maynia sik kin kam tranga?

Bɔt i sɔri fɔ no se bɔku kayn dis maynia sik kin wɔs as tɛm de go. we di bren nכ gεt di nyutriεnt dεm εn כksijεn we i nid, כ we "junk" lεk abnכmal protin dεm de blכk di kכmyunikeshn bitwin di nεv sεl dεm na di bren, di bren tisu de bigin fכ day.

Alzaima sik ɛn ɔda kayn dis maynia sik kin bigin wit mɛmori lɔs ɛn smɔl smɔl laps wae yu de disayd – sɔmtin wae yu kin liv wit fɔ sɔm tɛm. As di bren de wok fayn mɔ ɛn mɔ, di impɔtant wok dɛn kin bigin fɔ afɛkt. Dɛn tin ya na fɔ blo, fɔ digest, fɔ rit, ɛn fɔ slip.

Na di las stej dɛm wae pɔrsin gɛt dis maynia sik, di bɔdi nɔr kin ebul fɔ du di wok dɛm wae i nid fɔ mek i kɔntinyu fɔ liv. Bikɔs di bren dɔn pwɛl ɛn di mɔsul dɛn wik, ivin simpul, nid fɔ muv nɔ kin pɔsibul. If pipul dɛn nɔ gɛt ɛp, dɛn nɔ kin ebul fɔ tɔk, waka, kɔntrol dɛn blad ɛn bɔdi, it, it, ɔ swɛla it.

We yu nɔ ebul fɔ kia fɔ yusɛf, muv muv, gɛt bɔku wata ɛn it, ɛn ivin fil bad, yu kin gɛt ɔda sik dɛn. Nyumonia na wan sik wae kin kam pan pipul dɛm wae gɛt dis maynia sik. Bɔdi we wik nɔ go ebul fɔ fɛt di infɛkshɔn ɔ bɛnifit frɔm mɛrɛsin. Di pen ɛn diskɔmfɔt we di pɔsin kin gɛt kin pas di tritmɛnt opshɔn dɛn we kin jɔs gi am rilif fɔ shɔt tɛm.

Dis tɛm ya, bɔku famili dɛn de pik fɔ kia fɔ dɛn na os fɔ di ɛnd ɔf layf. Hospice care de gi kɔmfɔt ɛn de pe atɛnshɔn pan kwaliti layf pas fɔ lɔng layf. Bɔrku pipul wae kin day wit dis maynia sik nɔr kin gɛt dis infɔmeshɔn na dɛn day satifiket. Dis na bikɔs dɛn rayt di kɔmplikɛshɔn we dɛn day frɔm – fɔ ɛgzampul, nyumonia – insted. Wan ɔda rizin kin bi bikɔs dɛn nɔ kin ɔfishal wan no se bɔku pipul dɛn gɛt dis maynia sik bifo dɛn day.

Stej dɛm de wae pɔrsin kin gɛt dis maynia sik?

Pan ɔl we dɛn nɔr kin gɛt ɛni patikyula klas fɔ dis maynia sik, tri stej de fɔ de kayn sik wae kin mɔna pas ɔl, dat na Alzaima sik. Dɛn kayn tin ya kin apin to bɔrku kayn dis maynia sik.

Di fɔs stej (Mild Stej) .

Insay dis tɛm, dɛn kin stil ebul fɔ du tin dɛn fɔ dɛnsɛf. Dɛn kin drayv, go wok, ɛn spɛn tɛm wit ɔda pipul dɛn. Sɔm chenj kin apin wae de pɔrsin wae gɛt Alzaima nɔr kin notis, bɔt in tayt padi ɛn fambul kin notis.

Di prɔblɛm dɛn kin tan lɛk dis:

• Afta dɛn dɔn introduks pɔsin, dɛn kin fɔgɛt in nem.
• Bɔku tin dɛn nɔ de ɔ dɛn nɔ put dɛn fayn.
• I nɔ kin izi ɔltɛm fɔ fɛn di rayt wɔd dɛn.
• I nɔ kin izi fɔ plan, ɔganayz, manej, ɔ dɔn di wok.
• A kin fɔgɛt wetin a kin rid ɔltɛm.

Modaret Stej

Pipul wae de na di midul stej fɔ Alzaima sik kin de na dis stej fɔ lɔng tɛm. Dɛn kin tek pat pan di tin dɛn we dɛn kin du ɛvride wit ɛp. Di sayn dɛm dɔn klia naw.

Di prɔblɛm dɛn kin tan lɛk dis:

• a konfuz boht wetin ia/taim i bi en usai i de.
• Fɔgɛt di tin dɛn we apin, nɔ ebul fɔ mɛmba yu yon ditil (fon nɔmba, adrɛs, skul we yu atɛnd).
• Chenj pan pɔrsin in pɔrsin, aw pɔrsin de fil, ɛn aw pɔrsin de biev, fɔ ɛgzampul, fɔ de dawt, fɔ si tin dɛm wae de mek pɔrsin fil bad, ɛn fɔ ripit di sem tin bak ɛn bak.
• Di we aw pɔsin kin slip na de/nayt kin chenj.
• I nɔ izi fɔ kɔntrol yu urine ɛn/ɔ stɔl.
• We yu wɛr klos we nɔ fayn fɔ di tɛm ɔ di tɛm.
• Wach arawnd ɛn fɔ lɔs.

Siv Stej we I Si

Pipul wae de na di let stej fɔ Alzaima sik nɔr kin ebul fɔ tɔk, nɔr kin no wetin de apun arawnd dɛn, ɛn nɔr kin ebul fɔ kɔntrol aw dɛn bɔdi de muv.

Di prɔblɛm dɛn kin tan lɛk dis:

• I at fɔ tɔk, sɔntɛm na sɔm wɔd ɔ frayz dɛn nɔmɔ.
• I at fɔ waka.
• I at fɔ swɛla.
• I izi fɔ gɛt infɛkshɔn, mɔ nyumonia.
• Dɛn nid fɔ kia fɔ dɛn 24 awa ɛvride.

If yu no kwik kwik wan se yu gɛt dis maynia sik kin ɛp yu ɛn yu famili fɔ kam togɛda fɔ mek plan fɔ liv layf we gɛt minin. I kin ɛp yu bak fɔ put yu ligal, mɔni, ɛn wɛlbɔdi plan ɛn wetin yu want insay ɔda. Yu mɛdikal tim, dɔktɔ, soshal woka, hospice woka, ɛn rilijɔn lida dɛn rɛdi fɔ gi yu ɔ di pɔsin we yu lɛk, tich, sɔpɔt, ɛn kia fɔ yu. Dɔn bak, aks yu tim bɔt di grup dɛm wae de sɔpɔt dis maynia sik na yu eria. Sɔpɔt grup kin bi fayn ples fɔ sheb advays bɔt aw fɔ kia fɔ pipul dɛn, fɔ fɛn kɔmfɔt, ɛn no se nɔto yu wan de.

Fɔ dɔn, tin dɛn we yu fɔ mɛmba

Dimɛnshɔn na siriɔs sik. Bɔt, i impɔtant fɔ no bɔt am kwik kwik wan. Dis go ɛp yu ɛn yu famili fɔ mek di plan dɛn we yu nid, ɛn tek kia ɔf ligal, mɔni ɛn wɛlbɔdi biznɛs. Yu mɛdikal tim, soshal wokman dɛm ɛn ɔda pipul dɛm ɔl rɛdi fɔ ɛp yu. Fɔ kia fɔ pɔrsin wae gɛt dis maynia sik nɔr kin izi, so nɔr kin ɛva shem fɔ aks fɔ ɛp ɛn sɔpɔt. Mɛmba se nɔto yu wangren de.

` Dimɛnshɔn, Alzaima, mɛmori lɔs, bren wɛl bɔdi, ol, intɛlektual dɛklin, fɔgɛt