Yu gɛt pen bak na di rayt say na yu bɛlɛ? Lɛ wi lan bɔt galston.

Imajin se yu de it fayn it ɛn wantɛm wantɛm yu fil shap pen na di ɔp rayt say na yu bɛlɛ. Sɔntɛnde, i kin tan lɛk se yu de nɔs ɛn yu kin ivin vɔmit. Dis kin bi bikɔs ɔf gal ston, we kin fɔm na yu gal blad. Bɔku pipul dɛn nɔ no bɔt dis. So mek wi tok abaut galstones in likl mo ditel tide, okay?

Wetin na dɛn gal ston ya?

Fɔ tɔk am simpul wan, gal ston na di bayl we at ɛn we tan lɛk ston we de fɔm na yu gal blad ɔ di bayl dakt dɛn. "Gall" min bayl. So "Gallstones" na "galstones." Yu gal blad tan lɛk smɔl bag we de gɛda ɛn kip di bayl. I de kip bayl fɔ yuz leta. wi liva de mek dis bayl, εn afta dat i de travul tru di bayl dakt dεm to di כgan dεm na wi biliary sistεm. Sɔmtɛm dɔktɔ dɛn kin kɔl dis sik "cholelithiasis." "Chole" min bayl, ɛn "lithiasis" min ston fɔmɛshɔn. dis gal ston dεm de fכm we sכm tin dεm na di bayl de kכlekt εn hat as tεm de go. Bɔku tɛm dis kin apin we dɛn ad tumɔs pan wan pan di men tin dɛn we de insay di bata.

Aw siriɔs dɛn gal ston ya kin bi?

If yu gɛt galston (cholelithiasis) nɔr kin mek yu gɛt ɛni prɔblɛm. Bɔku pipul dɛn gɛt dɛn ɛn dɛn nɔ ivin no am. Bɔt if dɛn ston ya bigin fɔ travul tru yu bayl dakt ɛn stɔp sɔmsay, dɛn kin denja. If dɛn du dat, dɛn kin blok yu bayl dakt, we kin mek yu fil bad bad wan ɛn siriɔs prɔblɛm dɛn. Di prɔblɛm na dat dɛn ston ya kin big. Dɛn kin bigin lɛk grens dɛn we gɛt san, ɛn as di bayl de kɔntinyu fɔ flɔ oba dɛn, mɔ ɛn mɔ tin dɛn kin de, ɛn dis kin mek di ston big. Sɔntɛnde dɛn ston ya kin big fɔ blok di bayl we de flɔ, mɔ if dɛn stɔp na smɔl ples lɛk bayl dakt.

Aw dɛn tin ya kɔmɔn?

Dɛn se lɛk 10% pan di big pipul dɛn na Amɛrika gɛt gal ston, ɛn 75% pan dɛn na uman dɛn. Bɔt na 20% pan di wan dɛn we dɛn kin no se gɛt dis sik kin gɛt sɔm sayn dɛn ɔ dɛn kin nid tritmɛnt. Wi kin si dis sityueshɔn to big ɔ smɔl pat na wi kɔntri, Sri Lanka.

Wetin na di sayn dɛm we de sho se pɔsin gɛt galston?

Bɔku tɛm, gal ston nɔ kin mek yu gɛt di sik te i lod na di gal blad ɛn mek i blok. Dis blok na in de mek yu gɛt di sik. Di sayn dɛm wae kin kam pan pɔrsin na di ɔpa bɛlɛ pen ɛn nɔs. Dɛn tin ya kin kam ɛn go, ɔ dɛn kin de ɔltɛm. If di blɔk kin tranga ɔ i kin te, yu kin gɛt ɔda sayn dɛn lɛk:

• We pɔsin de swet .
• Nature we gɛt fiva.
• Di at we de rit mɔ ɛn mɔ .
• Bloating ɛn pen we yu tɔch am.
• Jandis (we yu skin ɛn yu yay de yɔlɔ) .)`.
• urine we gɛt dak kɔlɔ ɛn stɔl we gɛt layt kɔlɔ.

Aw di pen we pɔsin kin gɛt we i gɛt galston kin fil?

Di pen we kɔmɔn gal ston kin fil na pen we kin kam wantɛm wantɛm ɛn we kin rili bad. I kin fil lɛk se yu bɛlɛ de kam fɔ bɔn. dεn kכl dis bak "gal stכn atak" כ "gal blad atak." Yu kin fil dis pen mɔs afta yu dɔn it. dis na biכs yu gal blad de kכntrakt, we de put mכr prεshכn pan yu biliary sistεm. Sɔntɛnde yu kin ivin wek frɔm slip wit dis pen. di pen we de go כp sכmtεm, de rich in mak, εn afta dat i de dכn sכmtεm dεn kכl am "biliary colic." I kin kam wan wan tɛm. I kin las frɔm sɔm minit to awa. Bɔrku tɛm, de pen kin dɔn wae di ston de muv ɔr di prɛshɔn dɔn go dɔŋ. Pipul wae de sɔfa wit dis pen kin se i kin rili tranga, i kin chuk am, i kin swɛt, ɔr kin swɛt . I kin so bad dat yu nɔ go ebul fɔ tinap wansay.

Usay di pen we gal ston kin fil de?

yu biliary tract de na di כp rayt say na yu bכdi, jכs dכn yu rayt rib kech. Bɔku pipul dɛn kin fil di pen we galston kin gɛt na ya. Bɔt sɔntɛnde, di pen kin go na ɔda say dɛn. Sɔm pipul dɛn kin fil di pen na dɛn rayt an, sholda, ɔ bak bitwin di sholda blad. Sɔm pipul dɛn kin fil di pen we dɛn gɛt gal ston na di midul pat na dɛn bɛlɛ ɔ dɛn chɛst. Dis kin mek yu kɔnfyus smɔl, bikɔs de pen kin tan lɛk ɔda tin dɛn. Sɔm pipul dɛn kin mistek kɔl galston pen fɔ gastritis ɔ at bɔn. Ɔda pipul dɛn kin tink se na at atak, we na mɛdikal imejensi.

Yu tink se di sayn dɛm we de sho se di galston kin gɛt difrɛn fɔ uman dɛn?

Nɔ, bɔku tɛm di sayn dɛn we pɔsin kin gɛt kin bi di sem. Bɔt uman dɛn kin gɛt "rɛfrɛn pen" - dat na, pen we dɛn kin fil ɔdasay pas usay i bigin. So dɛn kin fil di pen we di gal ston kin gɛt na dɛn an, sholda, chɛst ɔ bak. Uman dɛnsɛf kin gɛt pen we nɔ de dɔn. So dεn nכ kin pe bכku atεnshכn to pen we de kam εn go, lεk "biliary colic". Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ if yu gɛt siriɔs pen ɔ yu de fil pen bak, ilɛksɛf i dɔn go. If yu dɔn gɛt "galstone attack" wan tɛm, yu go gɛt ɔda wan.

Wetin kin mek dis galston pen?

Galston pen na we galston de stɔp na yu bayl dakt, we kin mek yu blok. If na big blok, yu go fil am wantɛm wantɛm. If na smɔl blɔk we ful-ɔp wit pus, yu nɔ go notis am te yu gal blad kɔnstrikt ɛn put mɔ prɛshɔn pan di sistɛm. Dis kɔnstrikshɔn kin kam bikɔs yu de it, mɔ we yu it it we gɛt ebi ebi fat .We yu it, di gal blad kin kɔntrakt tayt wan. Imajin if yu it gud biryani, fried rays, ɔ it rays wit chili sos we dɛn mek wit ɔyl, den wi smɔl intestinal go no di ɔyl we de insay da it de ɛn tɛl di gal blad ɔmɔs bayl i nid fɔ ɛp fɔ dayjɛst am. fכ ansa dis, di gal blad de sכk di bayl we i nid εn sεnd am to di bayl dakt dεm. Na da tɛm de di pen kin kɔmɔt frɔm da ston we dɔn stɔp.

Wetin na di impɔtant sayn dɛn we de sho se pɔsin gɛt gal ston?

"Biliary Colic" kin bi di onli wɔnin sayn we yu kin gɛt. i kin apin we wan gal ston blok di bayl dakt fכ sכm tεm, dεn de muv rawnd εn bigin fכ fכlכ bak. Ivin if de pen dɔn go, e fayn fɔ no dɛn sayn ya wae de wɔn yu.

If galston dɔn blok yu biliary system wan tɛm, i go mɔs bi se i go apin bak.

Sɔntɛm di ston de muf rawnd na di sem ples usay i stɔp, i de big ɛn big. Ɔ sɔntɛm, mɔ galston dɛn de. Wan de, galston kin stɔp ɛn stɔp de. Dat kin bi imejensi.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt galston?

if gal ston blok di fכ fכlכ di bayl tru di biliary sistεm, i kin afekt eni כgan na da sistεm de. di bayl we nכ kin fכ fכlכ kin bak כp insay di bayl dakt εn כgan dεm, we kin mek i inflameshn bad bad wan εn baktri infεkshכn . Dɛn tin ya kin mek pɔsin in layf de pan denja if dɛn kam tranga. Di prɔblɛm dɛn we kin apin kin bi:

• Cholecystitis : Inflameshɔn na di gal blad.
• Pankreas : Inflameshɔn na di pankrias .
• Cholangitis: Inflameshɔn na di bayl dakt dɛn .
• Epataytis: Na inflamɛns na di liva.
• Janda: di bayl de kכmכt na di bכdi (di skin de yכlכ).
• Septicemia: Jɛm dɛn we de kam insay di blɔd.

Yu tink se galston kin mek pɔsin taya ɛn in ed kin tɔn?

Diziz ɛn taya na sayn dɛm wae de sho se yu blɔd prɛshɔn de dɔŋ. Dis nɔto kɔmɔn sayn dɛm fɔ galston. Bɔt, lɔw blɔd prɛshɔn kin apin as sayd ɛfɛkt fɔ di prɔblɛm dɛn we di gal ston kin kam wit. If yu gɛt siriɔs inflamɛns ɔ infekshɔn na yu biliary sistɛm, yu at kin rit ɛn yu blɔd prɛshɔn kin go dɔŋ.

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

Gal ston dεm de fכm we tu mכch pan wan pan di men kכmכpכnt dεm fכ di bayl de. dis kכmכpכnt we pasmak de setul na di gal blad כ di bayl dakt dεm, sכmtεm i de at fכ bi ston. Kɔlɔstrel ston na di kayn we we dɛn kin yuz mɔ. di כda kayn na "pigment" ston dεm, we na bilirubin ston dεm. Difrɛn tin dɛn kin afɛkt dis prɔses, lɛk:

• Fɔ gɛt bɔku bɔku kɔlɔstrel: Yu liva de tek kɔlɔstrel frɔm yu blɔd fɔ mek bayl. If yu gɛt bɔku bɔku kɔlɔstrel na yu blɔd, di rishɔ fɔ di tin dɛn we de insay yu bayl kin chenj. i nid fכ bεlε bitwin di lipid dεm εn di asid dεm fכ ol כltin tכgeda na yu bayl. If yu gɛt tumɔs pan ɛnitin, i kin gɛt dipɔsit.
• Ay bilirubin: Bilirubin na bayprodukt we de brok di ol rεd blɔd sɛl dεm. If yu gɛt blɔd disɔda (we kin mek di rɛd blɔd sɛl dɛn pwɛl pasmak), ɔ if yu liva dɔn pwɛl ɛn i nɔ kin izi fɔ chenj di nɔmal bilirubin to bayl, yu kin gɛt bɔku bɔku bilirubin na yu bɔdi.
• di bayl asid dεm we nכ bכku (dεn kin kכl am bak bayl sכlt): Sכm sik dεm kin mek di bכdi nכ de tek di bayl asid fayn fayn wan (bayl asid malabsכpshכn) εn dεn kin kכmכt na di stכl. if tu mכch bayl asid de lכs, di liva nכ gεt inof bayl asid fכ mek bayl. we di bayl asid dεm nכ bכku, di amoun fכ di lipid dεm (kכlestכl) we de na di bayl de inkrεs.
• kכlestasis כ gal blad stasis: "Stasis" min wan stet we yu nכ de du tin. if yu bayl dakt dεm כ gal blad nכ de muv bayl tru di biliary sistεm fayn fayn wan, bayl go bכku bכku wan εn fכm ston. Dis kin bi prɔblɛm wit di mɔsul dɛm ɔ di kemikal signal dɛm we de tɛl dɛn fɔ wok.

Wetin na di tin dɛn we kin mek pɔsin gɛt galston (Cholelithiasis)?

Difrɛn sik ɛn kɔndishɔn kin afɛkt yu bayl flɔ ɔ yu kɔlɔstrel, bilirubin, ɛn bayl asid lɛvɛl. Bɔt nɔto ɔlman we gɛt galston gɛt wan sik we de ɔnda am. Sɔm pan di tin dɛn we kin mek yu gɛt dis sik kin bɔku, lɛk yu ej, yu jɛnɛtiks, di ɔmon lɛvɛl, ɛn di chenj we yu de chenj yu wet. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Ej: I kin tek tɛm fɔ mek di gal ston dɛn fɔm ɛn big fɔ mek i blok. Man dεm kin gεt dεm afta dεn rich 60. Uman dεm kin gεt dεm we dεn de fεtil, bitwin 20 εn 50 ia.
• Ɔmon: Uman dɛn kin gɛt gal ston tri tɛm pas dat. dis risk de inkrεs εn dכn wit dεn lεvεl dεm fכ di כmon dεm we dεn kכl εstrojen εn projεstεron. εstrojen de mek di kכlestכl lεvεl go כp, εn di prכjεstεron de mek di bayl ɛmti frכm di gal blad delay.
• We:as di bכdi fεt de inkrεs, di εstrojen prodakshכn de inkrεs bak, we de mek di εstrojen lεvεl εn di kכlestכl lεvεl go כp. Bɔt we pɔsin lɔs in wet wantɛm wantɛm, fɔ ɛgzampul afta dɛn dɔn du ɔpreshɔn pan pɔsin fɔ lɛf fɔ it bɔku bɔku it, i kin mek bak yu gɛt gal ston. We di bɔdi fat go dɔŋ wantɛm wantɛm, bɔku bɔku kɔlɔstrel kin gɛda na di bayl.
• Jɛnɛtiks: If yu kɔmɔt na (Native American) ɔ (Mexican) , yu jenɛtik mek-ap kin put yu pan ay risk fɔ gɛt galston bikɔs ɔf di ay kɔlɔstrel lɛvɛl na yu bayl. If pɔsin na yu famili dɔn gɛt galston, yu go gɛt am, ilɛk uskayn trayb yu kɔmɔt.

Aw yu go no if yu gɛt galston?

If yu gɛt sayn dɛn we de sho se yu gɛt galston, yu dɔktɔ go tɛl yu fɔ du blɔd tɛst ɛn fɔ tek imej tɛst. Blɔd tɛst kin no if yu gɛt inflamɛns, yu gɛt infekshɔn, ɔ yu gɛt janda, ɛn i kin mek yu no bak us ɔgan dɛn gɛt di sik. imej tεst kin εp fכ no usay insay yu biliary sistεm di blכk de.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt gal ston?

Fɔs, yu dɔktɔ go du ɔltrasɔund na yu bɛlɛ. Na kwik, izi tɛst we nɔ nid ɛni spɛshal pripiamɛnt. כltra saund kin fכn mכst gal ston dεm insay εn rawnd di gal blad. Bɔt if galston stɔp ɔdasay na di biliary system, dɛn go nid fɔ du difrɛn kayn tɛst fɔ fɛn am. Ɔda tɛst dɛn we dɛn kin du na:

• MRCP (Magnεtik Rεsכnans Kכlanjiכpankrεatografi) .
• HIDA skan `(HIDA skan)`
• Endoskopik ɔltra saund
• ERCP (εndoskopik rεtrogrεd kolεnjכpankrεatografi) .

Wetin na di tritmɛnt fɔ galston?

If yu nɔ ɛva gɛt prɔblɛm wit gal ston, yu nɔ go nid tritmɛnt fɔ am. Bɔt if gal ston de blok yu bayl dakt, yu dɔktɔ go tray fɔ pul am—nɔto jɔs di blok, bɔt ɔl dɛn. Bikɔs wans yu gɛt galston blɔk, yu go gɛt am bak. Bɔrku pipul dɛm wae nid tritmɛnt fɔ gal ston kin gɛt ɔpreshɔn fɔ pul dɛm. Ɔpreshɔn na di wangren we fɔ mek shɔ se gal ston nɔ de kɔz prɔblɛm igen. Bɔt if yu nɔ ebul ɔ yu nɔ want fɔ du ɔpreshɔn, ɔda tritmɛnt dɛn de we yu kin tray fɔ du, lɛk mɛrɛsin ɛn ɔda tin dɛn we yu fɔ du.

Ɔpreshɔn fɔ ston dɛn we de na di gal

Cholecystectomy na di onli rilibul, lכng tεm sכlushכn fכ gal ston.Dis na kɔmɔn ɔpreshɔn ɔlsay na di wɔl, dɛn kin du am wit laparoskopik (tru sɔm smɔl smɔl say dɛn we dɛn kin kɔt ɛn kamɛra). Yu kin liv fayn if yu nɔ gɛt gal blad. Dis na we di bayl we de kɔmɔt na di liva de go dairekt insay yu smɔl intestinal. Wan wan tɛm, sɔm pipul dɛn we nid tritmɛnt fɔ gal ston nɔ kin gɛt wɛlbɔdi fɔ mek dɛn du ɔpreshɔn fɔ pul dɛn gal blad. insay dis kayn kes dεm, "cholecystostomy" na opshכn. Dis na smɔl tin we dɛn kin du we dɛn kin put kateshɔn insay di gal blad ɛn pul di bayl ɛn ston dɛn.

Mεdikal tritmεnt (mεdikeshכn) fכ gal ston

Dɔktɔ dɛn nɔ kin gi mɛrɛsin fɔ galston bikɔs dɛn nɔ kin wok fayn. Mεdikeshכn dεm lεk Ursodiol εn Chenodiol כnli wok fכ sכm sכm kכlestכl ston dεm we nכ kכmplikt. Dɛn kin tek sɔm mɔnt to ia fɔ mek dɛn sɔlv, ɛn dɛn kin kam bak bak. Dis nɔto fayn we fɔ trit galston fɔ bɔku pipul dɛn. Bɔt sɔm tɛm dɛn de, di mɛrɛsin dɛn kin ɛp fɔ sɔm tɛm ɔ fɔ mek dɛn nɔ gɛt dis sik. If yu nɔto gud kandidet fɔ ɔpreshɔn na galston, yu dɔktɔ go tɔk to yu bɔt wetin dɛn se.

Aw mi kɔndishɔn go tan lɛk afta dɛn dɔn trit mi galston (Cholelithiasis)?

Afta dɛn dɔn du ɔpreshɔn, bɔku pipul dɛn nɔ kin ɛva nid fɔ mek dɛn trit dɛn gal ston igen. Kɔmplikeshɔn nɔ kin bɔku, bɔt sɔm pipul dɛn kin gɛt tin dɛn lɛk dayarɛa we nɔ de dɔn. dis na biכs di bayl naw de fכlכ insay di intestines kכntinyu, nכto jכs we i nid. dis kin trit wit mεdikeshכn dεm we dεn kכl "bile acid binders."

Aw a go mek a nɔ gɛt galston?

No surefire way nɔ de fɔ mek galston nɔ kam ɔlsay. Bɔt yu kin du sɔm tin dɛn fɔ ridyus di wan ol risk we yu gɛt. Fɔ ɛgzampul, yu kin ridyus di risk fɔ gɛt di kayn kɔlɔstrel ston we kɔmɔn pas ɔl bay we yu ridyus di kɔlɔstrel we de na yu it. כltu, dis nכ go mek "pigmεnt" ston dεm nכ fכm. If yu fat pasmak ɔ yu fat, if yu lɛf fɔ it smɔl, dat kin mek yu nɔ gɛt bɔku bɔku kɔlɔstrel ston. Bɔt if yu lɛf fɔ it bɔku bɔku it wantɛm wantɛm, dat kin mek yu gɛt mɔ prɔblɛm. If yu op fɔ lɔs yu wet kwik kwik wan tru wan we ɔ tritmɛnt, yu dɔktɔ go tɛl yu fɔ tek mɛrɛsin fɔ mek yu nɔ gɛt gal ston bifo tɛm.

Yu tink se galston dɛn kin go fɔ dɛnsɛf?

Galston nɔ kin go if dɛn nɔ gɛt tritmɛnt. Sɔntɛnde, gal ston kin pas kɔmɔt na yu bɔdi wit yu stɔl, bɔt nɔto ɔl dɛn. Ivin if yu dɔktɔ pul wan gal ston na wan pan yu bayl dakt, i kin stil gɛt ston, ɛn yu kin gɛt nyu wan. Fɔ pul yu gal blad na di wangren we fɔ stɔp dɛn fɔ mek dɛn nɔ fɔm fɔ ɔltɛm.

Aw galston kin pas wit stɔl?

wan gal ston we dכn go insay di kכmכn bayl dakt, if i nכ blכk, i kin pas insay di intestines εn pas aut wit di stכl. Dat na fɔtunate, bɔt nɔto ɔl galston dɛn go du dat, ɛn yu nɔ go ebul fɔ fos am fɔ du dat. No we nɔ de fɔ fos yu gal ston dɛn fɔ go insay di kɔmɔn bayl dakt, ɛn no garanti nɔ de fɔ se dɛn go pas sef wan na di insay. Dɛn kin de na di dakt ɛn gro big. in jεnarכl, i risk fכ gεt gal stכn na di kכmכn bayl dakt fכs.

Aw i kin fil we galston pas?

Sɔntɛm yu nɔ go fil se galston de pas na yu bɔdi. wan gal ston nid fכ sכm pas 5 milimita fכ pas tru di kכmכn bayl dakt. Dat nɔ big fɔ mek yu fil am na yu insay, bɔt yu kin fil sɔm pen we i de pas na di kɔmɔn bayl dakt.

Aw galston dɛn kin apia na tɔylɛt?

Gal ston we smɔl fɔ pas na di kɔmɔn bayl dakt kin tu smɔl fɔ mek yu si am na yu stɔl, ivin if yu luk fɔ am. Bɔt if yu si galston na di tɔylɛt, i go tan lɛk smɔl ston. I kin shep we nɔ rɛgyula, i kin angul smɔl. Bɔku pan dɛn na yɔlɔ, bɔt sɔm kin brawn.

Yu tink se galston kin pas aut wit urine?

Yu nɔ go ebul fɔ pas gal ston na yu urine bikɔs gal ston nɔ gɛt we fɔ go na yu urinary tract. Ston dεm we de na di urinary tract dεn kכl dεm kidni ston. Gal ston ɛn kidni ston fiba, bɔt dɛn kin travul difrɛn we dɛn. We yu de pis na yu kidni ston, nɔto gal ston.

Ustɛm a fɔ go to dɔktɔ bɔt galston?

If yu fil wan wan pen we yu de chuk yu na yu rayt bɛlɛ ɔ yu sholda, mɔ afta yu dɔn it, i kin bi se yu gal blad atak. Go to dɔktɔ wantɛm wantɛm. Nɔ wet fɔ mek i go, bikɔs sɔntɛm i nɔ go go. Dɔktɔ kin ɛp yu fɔ no wetin mek yu de fil pen ɛn i kin ɛp yu bak fɔ mek yu nɔ fil pen. If yu tink se yu dɔn gɛt biliary colic bifo, ivin if i nɔ de igen, go to dɔktɔ. Dɛn kin du skan fɔ yu biliary system fɔ chɛk fɔ si if yu gɛt gal ston. If na so, dɛn kin se yu fɔ trit dɛn bifo dɛn kɔz mɔ prɔblɛm. If dɛn nɔ trit di gal ston dɛn, i kin kɔntinyu fɔ mek ɛn gro. Galston na kɔmɔn tin, ɛn bɔku pipul dɛn nɔ kin ɛva gɛt ɛni prɔblɛm wit am. If dɛn de na wan ples, yu nɔ go ɛva ivin no se dɛn de. Bɔt we dɛn bigin fɔ muf, dɛn kin denja. Dɛn smɔl tin ya we tan lɛk ston kin pwɛl bad bad wan if dɛn stɔp na di tayt say dɛn na yu dilik biliary sistɛm.

We yu wet fɔ "galston atak" fɔ tɛl yu se yu gɛt galston kin bi ɛkspiriɛns we nɔ kin rili fayn. Yu kin wɔri mɔ we yu kam fɔ no se di tritmɛnt we dɛn kin gi yu na ɔpreshɔn. Bɔt ɔpreshɔn fɔ pul di gal blad na kɔmɔn tin we kin apin we kin rili fayn. Yu ɔl di prɔblɛm kin dɔn insay sɔm awa afta yu dɔn si di fɔs sayn dɛn.

Tek mɛsej na os

So, galston na sɔntin we yu kin kip kwayɛt, bɔt if i bigin fɔ mɔna yu, i kin mek yu fil pen bad bad wan. Di tin we impɔtant pas ɔl na dat, if yu gɛt pen we nɔ kɔmɔn, bad bad wan na yu bɛlɛ we de ɔp, yu nɔs, ɔ ɔda sayn dɛn, nɔ ignore dɛn. Ɛspɛshali if dɛn kam afta dɛn it fat it, mek shɔ se yu go to dɔktɔ fɔ advays. If yu no am kwik kwik wan, dat kin mek yu nɔ gɛt big big prɔblɛm dɛn. Stay wit wɛlbɔdi!

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