Yu smɔl pikin gɛt prɔblɛm wit in yes? Lɛ wi lan ɛksaktɔli bɔt ia infɛkshɔn (Otitis Media)!

Yu smɔl pikin kin kɔmplen wantɛm wantɛm se in yes de at? Yu tink se i kin wek na nɛt de kray? Ɔ i kin tɔch ɔ pul in yes ɔltɛm? Dɛn tin ya kin bi sayn dɛn fɔ se yu gɛt infɛkshɔn na yu yes . Tide, wi go tɔk bɔt infɛkshɔn na yu yes, ɔ wetin dɔktɔ dɛn kɔl acute otitis media . Nɔ wɔri, dis kin rili kɔmɔn pan yɔŋ pikin dɛn.

Wetin na infεkshכn na in yes (Otitis Media)? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, yes infɛkshɔn na infekshɔn we kin apin insay yu midul yes . Naw yu go de wɔnda wetin na di midul yes. di midul ia na di smɔl ples we ful-ɔp wit briz bitwin di ɔda pat na yu yes ɛn di insay pat na yu yes. Fɔ tɔk di kɔrɛkt tin, na di say we de bitwin yu yes ɛn yu yes we de insay. Di midul yes gɛt tri rili smɔl bon dɛn we de ɛp wi fɔ yɛri sawnd. Di sawnd vaybreshɔn we de nak di ia drɔm de travul tru dɛn bon ya go na di insay yes, usay wi kin yɛri dɛn.

tu sכm sכm tכb dεm de we de kכnekt to di midul yes εn go na di bak pat pan di trot. Dɛn kɔl dɛn tin ya di Yustachian tyub dɛn . dis tכb dεm de rεgεl di prεshכn we di briz de insay di yes εn de mek wata nכ de bכku na di midul yes. Imajin wetin go apin if dɛn Yustachian tyub ya nɔ de wok fayn? Dɔn di wata we de na di midul ia nɔ kin ebul fɔ dray fayn fayn wan. Dɔn di yes kin ful-ɔp wit wata, we kin mek i fil ebi ɛn i nɔ kin izi fɔ yɛri.

Naw, we infεkshכn na di yes apin bikɔs ɔf vayrɔs ɔ baktri dɛm , di wata we de na di midul ia sɛf kin gɛt infεkshɔn. Na da tɛm de di yes kin bigin fɔ at ɛn lɛk aw wi bin dɔn tɔk, di yes kin fil ebi.

Aw kɔmɔn tin fɔ gɛt infɛkshɔn na yu yes?

Infakt, midul ia infεkshכn na di sik we kin kכmכn pan yכŋ pikin dεm, apat frכm di kכmכn kol. Dɛn kin kam pan pikin dɛn we ol bitwin 6 mɔnt ɛn 2 ia. Dɛn kin apin te to lɛk 8 ia so. Dis nɔ min se big pikin ɛn di wan dɛn we dɔn big smɔl nɔ kin gɛt yes infɛkshɔn, bɔt i nɔ kin bɔku lɛk aw i kin bi pan yɔŋ pikin dɛn.

Wetin mek yɔŋ pikin dɛn kin gɛt mɔ infɛkshɔn na dɛn yes pas big pipul dɛn?

Bɔku rizin dɛn de fɔ dis. Lɛ wi si wetin dɛn bi:

• difrεns insay Yustachian tyub dεm: yכŋ pikin dεm in Yustachian tyub dεm nכ de divεlכp fayn lεk big pipul dεm. Dɛn kin de bak mɔ ɔrizɔntal wan. pan big pipul dεm, dεn kin slop dכn sכmtεm, we kin mek wata kכmכt izi wan. pan pikin dεm, dis nכ kin bi, so wata kin kam bak biεn di ia dכm. Tink bɔt am lɛk wata paip we nɔ de slop fayn, we de mek wata stɔp.
• Wik imyun sistɛm: Yɔŋ pikin dɛn imyun sistɛm , we na di bɔdi in difɛns sistɛm we de fɛt sik, nɔ dɔn ful-ɔp yet. So dɛn nɔ kin ebul fɔ fɛt sik.
• Fɔ skata sik frɔm ɔda pipul dɛm:Yɔŋ pikin dɛn, mɔ di wan dɛn we de go na say dɛn we dɛn de kia fɔ pikin dɛn, kin gɛt sik frɔm ɔda pikin dɛn. If wan pikin gɛt kol, i kin pas kwik kwik wan to ɔda pikin dɛn.

Wetin na di sayn dɛm wae de sho se yu gɛt infɛkshɔn na yu yes?

Di sayn dɛm fɔ yu yes infɛkshɔn kin bigin sɔm dez afta yu dɔn kol. Na di men sayn dɛm ya:

• Earache: Dis na di men sayn. Sɔntɛnde, i kin rili mek yu fil pen.
• Fɔ want fɔ it: We smɔl pikin dɛn yes de at, dat kin mek dɛn nɔ want fɔ it ɛn drink igen.
• I nɔ izi fɔ slip: We yu yes de pen, i kin mek i nɔ izi fɔ slip fayn na nɛt.
• Yu nɔ de yɛri fayn frɔm yu yes we gɛt di sik: Di yes kin ful-ɔp wit wata, we kin mek yu nɔ yɛri fayn.
• Fɔ fil se yu ful-ɔp ɔ yu prɛs insay yu yes: Di yes kin fil ebi ɛn lɛk se sɔntin dɔn stɔp.
• Yɔlɔ, brawn, ɔ wayt wata we de kɔmɔt na di yes: Dis min se yu ia drɔm kin brok.

Impɔtant: If wata de kɔmɔt na di yes, nɔ put ɛnitin insay di yes. Ɛnitin we hit di ia drɔm we dɔn brok kin mek i pwɛl mɔ.

Aw fɔ no di kwaliti dɛn we bebi ɛn smɔl pikin dɛn gɛt?

Bebi ɛn smɔl pikin dɛn we nɔ ebul fɔ tɔk fayn nɔ kin ebul fɔ sho aw dɛn de fil bad. So yu fɔ pe atɛnshɔn gud wan to dɛn sayn dɛn ya:

• Dɛn kin ol di yes, pul am, ɔ rawnd am.
• A kin kray pas aw a kin kray ɛn a kin wɔri ɔltɛm.
• Fiva: Fiva kin de frɔm 38 to 40 digri sɛlshiɔs (100.5 - 104 digri Fahrenheit). Nɔto ɔl pikin dɛn kin gɛt fiva, bɔt lɛk af pan di pikin dɛn kin gɛt fiva wit infɛkshɔn na dɛn yes.
• We yu de blo na yu mɔt ɔ yu de snor mɔ ɛn mɔ: We yu de blo na yu mɔt, dat kin bi sayn fɔ se yu adenoid dɛn dɔn swel. adenoyd na sכm sכm tisu dεm we de na di tכp pat pan yu trot, bihayn yu nos, nia yu Yustachian tכb. di sem vayrus כ baktri dεm we de mek yu yes infεkshכn kin mek dεn adenoyd dεm ya swel bak.
• Nɔ want fɔ it we yu de gi pikin dɛn bɛlɛ ɔ we yu de gi pikin dɛn bɛlɛ: We smɔl pikin dɛn de swɛla, di prɛshɔn we de na di midul yes kin chenj. Dɔn di pen kin bɔku, ɛn di want fɔ it kin stɔp. Imajin, sɔntin we tan lɛk dis bin apin to Samanta in pikin. Di pikin kin kol ɛn i nɔ go drink milk fɔ tu ɔ tri dez, ɛn i kin kray bɔku na nɛt. Na we di dɔktɔ sho am, na in i kam fɔ no se na infɛkshɔn na in yes.

Wetin kin mek pɔsin gɛt infɛkshɔn na yu yes?

As wi bin dɔn tɔk, baktri ɛn vayrɔsDis na di men tin we kin mek pɔsin gɛt infɛkshɔn na yu yes. Bɔrku tɛm, di ia infεkshɔn kin bigin afta kol ɔr ɔda infekshɔn na di ɔpa respiratɔri. di jεm dεm we de mek dεn sik ya de travul go כp di Eustachian tכb insay di midul ia. We dɛn du dat, di jem dɛn kin mek di Yustachian tiub swel. We i swel, di tiub kin blok, i kin stɔp fɔ wok fayn, ɛn di midul yes kin ful-ɔp wit wata we gɛt di sik.

Yu tink se infɛkshɔn na di yes kin pas?

Iya infεkshכn nכ de spre dairekt frכm pכsin to pכsin. Bɔt di vayrɔs ɛn/ɔ baktri dɛm we de mek di sik kin pas. Bɔrku pan di sem baktri ɛn vayrɔs dɛm wae kin mek pɔrsin gɛt sik lɛk kɔmɔn kol ɛn flu kin mek pɔrsin gɛt infɛkshɔn na yu yes. So, if yu gɛt kol frɔm pɔsin we gɛt kol, yu go gɛt infɛkshɔn na yu yes leta.

Wetin na di tin dɛm wae kin mek yu gɛt infɛkshɔn na yu yes?

Di risk fɔ gɛt infɛkshɔn na yu yes kin bɔku if yu gɛt dɛn tin ya:

• Ej: Yɔŋ pikin dɛn we ol bitwin 6 mɔnt ɛn 2 ia kin gɛt di ay risk.
• Famili istri: If pɔsin na yu famili gɛt infɛkshɔn na yu yes bɔku tɛm, i kin bi se na in jɛnɛtiks.
• Kold: Wae yu kin kol ɔltɛm, dat kin mek yu gɛt infɛkshɔn na yu yes. Pikin dɛm wae kin go na di daycare center kin gɛt bɔrku risk bikɔs dɛn kin gɛt sik frɔm ɔda pipul dɛm.
• Sik dɛm wae nɔr de dɔn: Pipul dɛm wae gɛt lɔng tɛm sik dɛm wae de mek dɛn nɔr ebul fɔ blo fayn lɛk di sik dɛm wae de mek dɛn nɔr ebul fɔ blo fayn, sistik fibrosis, ɛn asma kin gɛt infɛkshɔn na dɛn yes.
• Etnik: Risach dɔn sho se pikin dɛn we kɔmɔt na sɔm etnik grup (e.g., American Indian, Hispanic, Alaska Native) kin gɛt infɛkshɔn na dɛn yes pas ɔda pipul dɛn.
• Di say dɛn we di briz nɔ de blo fayn ɛn di say dɛn we smok de: Di pwɛl pwɛl we di briz de pwɛl ɛn we pɔsin de smok we i de smok, dat kin mek i gɛt infɛkshɔn na di yes.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt infɛkshɔn na di yes?

Bɔrku pan di ia infεkshɔn nɔr kin kɔz prɔblɛm fɔ lɔng tɛm. Bɔt if yu gɛt infɛkshɔn na yu yes bɔku tɛm ɔ yu de kɔntinyu fɔ gɛt sɔm prɔblɛm dɛn.

• Yu nɔ de yɛri fayn: I kɔmɔn fɔ mek yu nɔ yɛri fayn fɔ sɔm tɛm ɛn yu nɔ de yɛri sawnd we yu gɛt infɛkshɔn na yu yes. Bɔt if di infekshɔn kɔntinyu ɔ di insay yes dɔn pwɛl, i kin mek pɔsin nɔ yɛri fayn fɔ ɔltɛm.
• Dilɛy fɔ tɔk ɛn fɔ divɛlɔp langwej: Yɔŋ pikin dɛn nid fɔ yɛri fayn fɔ lan langwej ɛn tɔk. If di pikin nɔ de yɛri fayn ivin fɔ shɔt tɛm, i kin rili afɛkt di we aw pikin de tɔk.
• di ia dכm we tכn: Bitwin 5% εn 10% pan di pikin dεm we gεt yes infεkshכn kin gεt sכm sכm tεm na di ia dכm. Bɔku tɛm, dis go wɛl fɔ insɛf . If i nɔ du dat, dɛn kin nid fɔ du ɔpreshɔn.
• Spread of the infection: If dɛn nɔ trit am, ɔ i wanIf dɛn nɔ trit di sik, i kin skata. di infεkshכn kin spre to di bon we de biεn di yes ( mastoiditis ). Na sכm tεm we di infεkshכn kin spre to di mεmbran dεm we de rawnd di bren εn di spεnal kכd ( meningitis ), we kin denja.

Aw yu go no se yu gɛt infɛkshɔn na yu yes?

Bɔku tɛm, dɔktɔ kin no if yu pikin gɛt infɛkshɔn na in yes bay we i luk di sayn dɛn we i gɛt, we i de chɛk in bɔdi fɔ si if i gɛt kol, ɛn we i de chɛk in yes. Fɔ chɛk di yes, di dɔktɔ kin yuz wan smɔl tin we gɛt layt we dɛn kɔl ɔtoskɔp . Dɛn kin yuz dis fɔ luk di ia drɔm. If di ia dram rεd εn swεla, dis na sayn fכ yu yes infεkshכn.

Sɔntɛnde di dɔktɔ go yuz nyumɛtik ɔtoskɔp fɔ chɛk fɔ si if wata de na di midul yes. Dis kin blo smɔl briz insay di ia drɔm. Dɔn di ia drɔm fɔ muf bak ɛn go bifo. If wata de na di yes, di ia drɔm nɔ go muf fayn.

Yu tink se mi pikin go nid fɔ du ɔda tɛst dɛn?

Sɔntɛnde, yu pikin kin nid ɔda tɛst dɛn bak, lɛk:

• Tympanometry: Dis tεst de yuz di εya prεshכn fכ chεk fכ wata na di midul ia.
• Akostik riflektometri: Dis de yuz sawnd wev fɔ chɛk if wata de na di midul yes.
• Tympanocentesis: Dis we aw dɛn kin du am kin mek di dɔktɔ pul smɔl wata na di midul ia ɛn tɛst am fɔ si if i gɛt vayrɔs ɛn baktri dɛm. Dis kin bi if di infekshɔn nɔr dɔn klia wit ɔda tritmɛnt dɛm.
• Test fɔ yɛri: Wan ɔdiɔlɔjis tɛst fɔ yɛri kin ɛp fɔ no if yu pikin nɔ de yɛri fayn. Pikin dɛm we gɛt infɛkshɔn na dɛn yes we nɔ de dɔn ɔ we kin kam ɔltɛm, ɔ we gɛt wata na dɛn midul yes we nɔ de dray fayn fayn wan, kin gɛt prɔblɛm wit dɛn yes.

Aw yu kin trit pɔsin we gɛt infɛkshɔn na yu yes?

Dɛn kin disayd aw fɔ trit am bay sɔm tin dɛn:

• Yu pikin in ej.
• Di kayn we aw di infɛkshɔn kin tranga.
• Di kayn we aw di infekshɔn tan (ilɛksɛf na di fɔs tɛm infɛkshɔn, di infekshɔn we de kɔntinyu, ɔ di infekshɔn we de kam bak).
• If di wata dɔn de na di midul ia fɔ lɔng tɛm.

Bɔrku pan di ia infɛkshɔn kin go fɔ dɛnsɛf if dɛn nɔr gɛt tritmɛnt. Yu dɔktɔ go mɔs wach yu pikin fɔ sɔm dez bifo i gi yu tritmɛnt. If di infekshɔn nɔ go, yu pikin kin nid antibayɔtik ɔ ɔpreshɔn. Insai da tɛm de, yu kin tek mɛrɛsin wae de mek yu fil pen fɔ ɛp yu fɔ kɔntrol di sayn dɛm wae yu de fil lɛk yu yes wae de at.

Antibayɔtiks

If yu pikin gɛt in yes we de at bikɔs ɔf baktriyal infɛkshɔn, i kin nid antibayɔtik. Bɔt bɔku tɛm, dɔktɔ dɛn go wet fɔ tri dez fɔ mek smɔl infekshɔn klia fɔ insɛf bifo dɛn gi dɛn antibayɔtik. If di infekshɔn tranga, dɛn kin nid fɔ bigin fɔ gi antibayɔtik kwik kwik wan.

Di American Academy of Pediatrics de gi advays bɔt ustɛm fɔ gi pikin antibayɔtik ɛn ustɛm i bɛtɛ fɔ wach am. Dis kin dipen pan tin dɛm lɛk di pikin in ej, aw di sik bad, ɛn if dɛn gɛt fiva.

Di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am, ilɛksɛf yu sik dɔn bɛtɛ. If yu nɔ tek di ful kɔs fɔ di mɛrɛsin fɔ di tɛm we dɛn tɛl yu, di infekshɔn kin kam bak.

Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen

Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ fil pen we yu de bay tin (OTC) lɛk asetaminofɛn (e.g., Tylenol®, Panadol®) ɔ ibuprofen (e.g., Advil®, Motrin®, Brufen®) fɔ mek yu nɔ gɛt pen ɛn fiva. Dɛn kin gi yu yes drɔp bak fɔ mek yu nɔ fil pen. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan fɔ no us mɛrɛsin dɛn we nɔ bad fɔ yu pikin.

Nɔ ɛva gi smɔl pikin dɛn aspirin. Aspirin kin mek pɔsin gɛt wan sik we de mek pɔsin in layf de pan denja we dɛn kɔl Reye’s syndrome .

Tiub dεm na di ia / Tympanostomy tyub dεm

If yu pikin gɛt infɛkshɔn na in yes bɔku tɛm, i gɛt infɛkshɔn we nɔ de ansa antibayɔtik, ɔ i nɔ de yɛri fayn bikɔs ɔf wata we de bɔku, dɛn kin nid fɔ put in yes tyub. Wan spɛshal dɔktɔ na di yes, nos, ɛn trot (ENT) go put di tiub dɛn insay wan tin we dɛn kɔl tympanostomy . Dis na simpul tin fɔ du we kin tek lɛk 10 minit so. Yu pikin kin go na os di sem de.

We dɛn de du timpanostomy, di dɔktɔ kin kɔt wan rili smɔl pat na di pikin in yes ɛn put wan smɔl mɛtal ɔ plastic tiub tru am. Dɛn kin kɔl dis tin bak we dɛn kin du we dɛn kin kɔt di ia drɔm ɛn pul di wata we de kɔmɔt na di yes , myringotomy . we di tכb dεm dכn de, dεn de alaw di briz fכ go insay di midul yes εn εp fכ mek wata kכmכt.

Dɛn kin lɛf dis tiub na in ples fɔ 12 to 18 mɔnt. I kin fɔdɔm fɔ insɛf , ɔ i kin nid fɔ du smɔl ɔpreshɔn fɔ pul am. afta dεn dכn pul di tכb, di ol we de na di ia dכm de hεl εn kכloz.

Yu tink se wan ia infɛkshɔn kin wɛl fɔ insɛf ?

Yɛs, bɔku pan di infɛkshɔn dɛn kin wɛl fɔ dɛnsɛf . Na dat mek yu dɔktɔ go wet fɔ sɔm tɛm bifo yu gi yu mɛrɛsin lɛk antibayɔtik. Insai da tɛm de, yu kin ebul fɔ kɔntrol di sayn dɛm lɛk di yes we de at wit mɛrɛsin fɔ mek yu fil pen.

Dipen pan yu pikin in ej, di sayn dɛm, ɛn fiva, yu kin nid antibayɔtik fɔ ɛp am fɔ wɛl. If yu pikin gɛt infɛkshɔn we nɔ de dɔn ɔ we i kin gɛt bɔku tɛm, ɔ if wata kin gɛda na in midul ia ɛn i kin gɛt prɔblɛm fɔ lɛ i nɔ yɛri fayn, dɛn kin put in yes tyub dɛn insay. Fɔ fala yu dɔktɔ in advays bɔt wetin bɛtɛ fɔ yu pikin.

Ustɛm mi pikin go ebul fɔ du tin dɛn we i kin du ɛvride?

We di pikin in fiva dɔn stɔp fɔ go, dɛn kin go skul ɔ na say usay dɛn de kia fɔ pikin dɛn.

Wetin a kin du fɔ mek a nɔ gɛt infɛkshɔn na di yes?

Dɛn tin ya kin ɛp fɔ ridyus di risk fɔ gɛt infɛkshɔn na yu yes fɔ yu ɔ yu pikin:

• Fɔ mek yu nɔ gɛt kol ɛn ɔda sik dɛn we yu kin gɛt we yu de blo: Tray yu bɛst fɔ mek yu nɔ gɛt kol, mɔ we yu pikin gɛt fɔs ia. Tich dɛn fɔ was dɛn an ɔltɛm, kɔba dɛn kɔf ɛn sniz wit dɛn ɛlb, ɛn nɔ fɔ sheb tin dɛn fɔ it, kɔp, ɛn spun. If i pɔsibul, nɔ sɛn yu pikin na say dɛn we pipul dɛn kin gɛda fɔ kia fɔ pikin dɛn te i big smɔl.
• Nɔ smok sɛkɔnhand: Nɔ mek ɔda pipul dɛn smok sigrɛt ɛn nɔ alaw ɛnibɔdi fɔ smok nia yu pikin.
• Gi yu pikin in mama in bɛlɛ: If i pɔsibul, gi yu pikin in bɛlɛ fɔ di fɔs 6 to 12 mɔnt. di antibodi dεm we de insay di mama in milk de fכt di vayrus dεm εn baktri dεm we de mek infεkshכn.
• If yu de gi yu pikin tin fɔ it na bɔtul, ol yu pikin tinap tranga wan: If yu de gi yu pikin tin fɔ it na bɔtul, ol yu pikin tinap stret so dat dɛn ed go ay pas dɛn bɛlɛ. dis posishכn kin εp fכ mek milk כ כda wata fכ fכlכ bak insay di yustachian tכb dεm.
• Mek yu pikin gɛt di vaysin: Mek shɔ se ɔl yu pikin in vaysin dɛn de ɔp to det. Pikin dɛn we dɔn pas 6 mɔnt fɔ gɛt di flu shot ɛvri ia. Aks yu dɔktɔ we de mɛn pikin dɛn bɔt di vaysin fɔ nyumokɔk sik ɛn mɛningaytis.

Ustɛm a fɔ go to dɔktɔ fɔ wan infɛkshɔn na mi yes?

If yu gɛt dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:

• If yu pikin in nɛk stif .
• If di pikin rili stil, i tan lɛk se i rili fil bad, ɛn i nɔ go stɔp fɔ kray ilɛksɛf yu rɔk dɛn.
• If di pikin in waka nɔ stedi.
• If yu ɔ yu pikin in yes pen rili bad.
• If yu ɔ yu pikin gɛt fiva we pas 40 digri sɛlshiɔs (104 Fahrenheit).
• if di pikin sho sayn dεm fכ in fes wik (e.g., i lεk se dεn pul di mכt na wan say we i de smayl).
• If yu si blɔd ɔ wata we ful-ɔp wit pus de kɔmɔt na di yes.

If yu gɛt dɛn sik ya, kɔl yu dɔktɔ insay ɔfis awa:

• If di fiva kɔntinyu fɔ de 48 awa afta dɛn dɔn bigin fɔ tek antibayɔtik, ɔ if di fiva kam bak.
• If di yes pen nɔr dɔn afta tri dez we yu tek antibayɔtik.

Yu tink se pikin we gɛt infɛkshɔn na in yes fɔ kɔba in yes we i de go na do?

Nɔ, yu nɔ nid fɔ kɔba yu yes we yu de go na do.

Pikin we gɛt infɛkshɔn na in yes kin swim?

If yu pikin nɔ gɛt pɔt ɔ wata we de kɔmɔt na in yes, i nɔ bad fɔ mek i swim.

A kin flay ɔ go na ay ay ples if a gɛt infɛkshɔn na mi yes?

I nɔ bad fɔ flay, mɔ na say dɛn we gɛt mawnten dɛn. Bɔt yu kin fil pen fɔ sɔm tɛm we yu de flay ɛn land. If yu drink wata ɔ chewing gum we yu de tek di plen, dat kin ɛp fɔ mek yu nɔ fil pen. If yu smɔl pikin gɛt infɛkshɔn na in yes, if yu gi dɛn pacifier fɔ sok we dɛn de flay, dat kin ɛp fɔ mek i nɔ fil fayn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

If yu pikin de sho sayn fɔ se i gɛt infɛkshɔn na in yes ɛn di sik nɔ de bɛtɛ insay tu to tri dez, i impɔtant fɔ go to dɔktɔ we de mɛn pikin dɛn. Bɔku pan di infɛkshɔn dɛn we kin apin na di yes kin dɔn if dɛn nɔ gɛt tritmɛnt. Bɔt i go dipen pan di ej we yu pikin ol ɛn di sayn dɛn we i gɛt, i kin nid fɔ gi antibayɔtik. Yu dɔktɔ go tɛl yu pikin fɔ tek di rayt mɛrɛsin fɔ mek i nɔ fil pen we in bɔdi de fɛt di infekshɔn. Nɔ ɛva panik, i impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.

` Iya infεkshכn, otitis mεdia, ia pen, pikin sik, antibaytik, ia dכm, yustachian tyub