i tan lεk se yu pikin in chεst εn in nεk de pul insay we i de blo? Dat na di wan we dɛn kɔl (Retractions)''. Lɛ wi tɔk bɔt dis!

Sɔntɛnde we smɔl pikin, ɔ sɔntɛm big pɔsin, de blo, yu go dɔn notis se sɔm pat dɛn na di chɛst, we na di nɛk, kin go insay lɛk dat. I tan lɛk se i rili at fɔ blo. Na dat wi kin kɔl ``(Retractions)'' na mɛrɛsin. Tide wi go tɔk bɔt wetin dis rili bi, wetin mek i kin apin, ɛn if wi fɔ fred.

Wetin na di ɛksaktɔli ``(Retractions)``?

Fɔ tɔk am simpul wan, ``(Retractions)`` na we pɔsin inhal (dat na, i de inhal) ɛn di skin we de na say dɛn lɛk di nɛk, bitwin di rib dɛn, ɛn ɔnda di rib dɛn de sink insay, ɔ pul insay. Di men tin we dis kin tɛl wi na dat di pɔsin de tray tranga wan fɔ blo. I tan lɛk se dɛn de es ebi ebi wet, dɛn de tray tranga wan fɔ mek briz go insay dɛn lɔng. Yu go dɔn si aw sɔntɛnde we pikin de blo, di skin na dɛn chɛst kin pul insay, na dat i kin bi.

Aw wi kin blo nɔmal wan?

fכ כndastand bεtεh wetin na dεn ``(Retractions)`` dεm, wi nid fכ luk aw wi nכmal fכ brith. Imajin se i tan lɛk we yu pul drink ɔp tru wan straw.

Bitwin wi chɛst ɛn wi bɛlɛ, wan big flat mɔsul de we dɛn kɔl dayafragm . Apat frɔm dat, smɔl smɔl mɔsul dɛn de bitwin wi rib dɛn.

we wi de blo, dis big dayafragm de go dכn, εn di mכsul dεm bitwin di rib dεm de pul di rib dεm כp εn kכmכt sכmtεm. afta dat di spes insay di chεst (di chεst kεviti) de big. Dis kin mek di prɛshɔn we de insay di lɔng dɛn nɔ bɔku, ɛn di briz we de na do kin jɔs pul insay di lɔng dɛn. I tan lɛk se dɛn mek vaykum ɛn pul di briz insay.Dis kin apin we wi nɔ nid fɔ du bɔku tin.

Den wetin mek `(Retractions)` de apin?

Naw imajin se fɔ sɔm rizin, i nɔ izi fɔ mek pɔsin blo. Sɔntɛm di say dɛn we di briz de blo (bronchi) we de go na di lɔng dɛn kin blok, ɔ sɔm kayn infɛkshɔn de na di lɔng dɛn.

we i at fכ brith lεk dis, di mכsul dεm we de εp fכ di nכmal brith prכsεs (di mכsul dεm bitwin di dayafragm εn di rib dεm) nכ de inof fכ pul inof briz insay di lכng dεm.

Wetin kin apin da tɛm de? Wi bɔdi de tray fɔ yuz di ɛkstra mɔsul tisu fɔ dis. εspεshali di mכsul dεm na di nεk, sכm sכm sכm mכsul dεm bitwin di rib dεm, εn di mכsul dεm na di sכlda εria dεn de ad pan dis.

we dεn εkstra mכsul fayb dεm ya kכntrakt kwik kwik wan εn fכs, di skin εn di sכft tisu we de atak dεm de pul insay. Dis pul inward apinans na wetin wi kɔl ``(Retractions)``.

dat min se, we yu si `(Retractions)` min se di pכsin in bכdi de yuz 'ekstra sכpכt fכs' fכ pכmp εya insay di lכng dεm!

Usay a kin si `(Retractions)`?

Yu kin si dɛn indent ya na difrɛn say dɛn. Bays pan dɛn ples dɛm, sɔmtɛm wi kin gɛt sɔm aidia bɔt di kayn prɔblɛm wae de kam pan wi fɔ blo.

• Sabkɔstal Ritrakshɔn dɛn:di skin de bulge insay di εria we di bכdi εn di chεst de mit, na di bכtכm pat pan di rib kεj. Dis kin apin mɔ pan yɔŋ bebi dɛn.
• Intakostal Ritrakshכn: di skin bitwin tu rib dεm de kכmכt insay, lεk se di rib dεm de kכmכt.
• Supraclavicular Retractions: dis na sכm sכm say dεm we lεk pit na di tu say dεm na di nεk, oba di kכlabon (klavikul).
• suprasternal כ Substernal Retractions: di skin de pul insay oba כ dכn di flat bon we de na di midul pan di chεst (di stεnכm), lεk usay di nεk de bigin.

Yu kin si wan ɔ mɔ pan dɛn tin ya di sem tɛm. Di mɔ we dɛn de si dɛn tin ya, na di mɔ i nɔ kin izi fɔ blo.

Wetin na di tin dɛm we kin mek `(Retractions)`?

``(Retractions)`` nɔto sik, na simptom. Yu kin si am pan ɛni kɔndishɔn we kin mek i nɔ izi fɔ blo. Sɔm pan di tin dɛn we kin mek yɔŋ pikin dɛn kin gɛt dis sik na:

• Bronchiolitis: Na sik we de mek di sכm sכm aywe dεm na di lכng dεm inflameshn, spεshal wan pan pikin dεm we nכ rich 2 ia yet. Bɔku tɛm, na wan vayral infɛkshɔn kin kam wit am.
• Asma: Na sik we di say dɛn we di briz de blo kin swel ɛn kɔnstrikt, we kin mek i nɔ izi fɔ blo.
• Nyumonia: Na infεkshכn we di jεm dεm we de na di lכng dεm de kכz.
• Krɔp: Na sik we kin mek di larynx ɛn di ɔpa aywe dɛn swel, ɛn i kin mek pɔsin kɔf we i de bark.
• Fɔrin bɔdi aspireshɔn: If smɔl pikin gɛt sɔntin lɛk tɔys ɔ it we stɔp na in nos ɔ in mɔt, dis na imejensi!
• Ɔda tin dɛn we kin mek i apin: Dɛn kin si bak we pɔsin de tɔn bak pan sɔm kayn at, lɛk we i gɛt siriɔs alɛji (anaphylaxis).

Na big pipul, dis sayn kin apin bak pan tin dɛm lɛk COPD (Chronic Obstructive Pulmonary Disease), siriɔs nyumonia, ɛn at pwɛl.

Wetin ɔda tin wi fɔ luk fɔ wit `(Retractions)`? Ustɛm wi fɔ go to dɔktɔ?

If yu si `(Retractions)`, i nɔ fayn fɔ jɔs ignore am. Bikɔs i min se sɔm kayn prɔblɛm de.

Chek fɔ dɛn ficha ya wit `Retractions`:

• Yu tink se di we aw yu de blo tu fast? `(Rapid breathing / Tachypnea)` di nכmal brith rεt fכ yכŋ pikin dεm de difrεn dipכnt pan dεn ej. Bɔt tek tɛm if dɛn de blo klia wan tu fast.
• Yu nos de flay? `(Nasal flaring)` If yu nos de big we yu de blo.
• Yu kin mek sawnd we yu de grɔmbul we yu de blo? If yu mek sawnd lɛk "Agh... agh..." we yu de blo.
• Yu gɛt wisɛf? Yu tink se yɛs sawnd de kɔmɔt na yu chɛst we yu de blo?
• Yu gɛt kɔf?
• Yu lip, yu tɔŋ, ɛn yu nel dɛn kin tɔn blu? (Saynɔsis) .Dis na sayn we rili denja. I min se di bɔdi nɔ de gɛt bɛtɛ ɔksijɛn. Dis na imejensi! Go na di ɔspitul wantɛm wantɛm.
• di pikin nכ de gi in bεlε/it in bεlε? I de slip? Ɔ i nɔ rili rɛst?
• Yu gɛt fiva?

di tin we impɔtant pas ɔl: If yu pikin gɛt ``(Retractions)'', mɔ if na smɔl pikin, fɔ tru fɔ kɛr dɛn go to dɔktɔ. Na dɛn kin ebul fɔ fɛn di rayt tin ɛn bigin di tritmɛnt we nid.

Go to dɔktɔ wantɛm wantɛm, mɔ we i kam pan dɛn kayn tin ya:

• If di pikin nɔ rich 3 mɔnt.
• If yu lip dɛn tɔn blu wit `(Retractions)` ɛn i tan lɛk se yu de gɛt prɔblɛm fɔ blo.
• Di pikin de blo tranga wan, ɛn i nɔ ebul fɔ tɔk.
• If di brith rit rili ay.
• If i tan lɛk se di pikin rili wik ɛn i de slip.

Wetin wi kin du na os?

Bikɔs ``(Retractions)`` na wan sayn fɔ wan ɔndalayn kɔndishɔn, na smɔl tin dɛn de we yu kin du na os. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ.

Bɔt te yu go to dɔktɔ, yu kin du dɛn tin ya:

• Yu fɔ de kwayɛt: If yu de fred, yu pikin kin fred mɔ ɛn mɔ, ɛn dis kin mek i nɔ izi fɔ blo.
• Kɔl di pikin: tɔk to am wit lɔv, ol am.
• Mek di pikin de fayn fayn wan: I kin izi fɔ mek i blo we i sidɔm.
• If yu pikin gɛt asma: Yuz di reliever inhaler we yu dɔktɔ tɛl yu fɔ du.
• If fiva de: Yu kin gi sɔntin lɛk Paracetamol pan dɔktɔ advays.
• Ridyus smok ɛn dɔst na di rum.

Nɔ ɛva gi yusɛf ɛni mɛrɛsin if yu nɔ go to dɔktɔ fɔs.

Aw dɔktɔ dɛn kin no ɛn trit dis sik?

We yu kɛr yu pikin go to dɔktɔ, di fɔs tin we i go du na fɔ chɛk di pikin gud gud wan.

• wi de luk di patεn fכ brith, di ples dεm we ``(Retractions)'' de, εn di rεt fכ brith.
• di dכkta de lisin to di chεst wit stεtoskop fכ chεk fכ eni sawnd (krak krak, כda sawnd dεm we nכ kɔmɔn) na di lכng.
• Yu kin chɛk yu bɔdi in ɔksijɛn sɛtyureshɔn lɛvɛl bay we yu yuz wan smɔl tin we dɛn kɔl puls ɔksimita, we dɛn kin put na yu finga ɔ yes.
• If nid de, dɛn kin aks yu fɔ tek ɛkstrem rayt na yu chɛst. Dis kin ɛp fɔ no bɔt sik dɛn lɛk nyumonia.
• Sɔntɛnde, dɛn kin du tin dɛn lɛk blɔd tɛst ɛn nos swab tɛst bak.

Tritmɛnt de dipen pan di kɔz fɔ di retrakshɔn dɛm.

• If na baktriyal infεkshכn (e.g. nyumonia): Dɛn kin gi antibaytik.
• If na vayral infεkshכn (e.g., brכnkiolaytis): כltεm nכ spεshal tritmεnt de. di bכdi dεn alaw fכ hεl fכ insεf we i de trit di simptom dεm (e.g., כksijεn, salin).
• If yu gɛt asma: Dɛn kin gi nebulization ɔ inhalers fɔ inhale di vapour.
• If i rili at fɔ blo ɛn di ɔksijɛn nɔ bɔku: Yu kin nid fɔ go na ɔspitul ɛn gi yu ɔksijɛn.

Di tin we impɔtant pas ɔl na fɔ gɛt kɔrɛkt diagnosis kwik kwik wan ɛn bigin di tritmɛnt we yu nid.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht `(Retractions)` naw. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:

• ``(Retractions)`` de tכk bכt di skin na di chεst εn nεk we de pul insay we i de brith. Dis min se i nɔ izi fɔ di pɔsin fɔ blo ɛn i de tray tranga wan.
• Dis nɔto sik, bɔt na sayn we de sho se i nɔ izi fɔ blo.
• Dɛn kin si am pan yɔŋ pikin dɛn bikɔs ɔf tin dɛn lɛk `(Bronchiolitis)`, `(Asthma)`, ɛn `(Nimonia)`.
• luk gud wan fכ sayn dεm lεk di brith rεt we de bכku, di nos we de flay, we yu de wis, εn di blu lip dεm wit ``(Retractions)''.
• If yu pikin gɛt `(Retractions)`, mɔ if dɛn na smɔl pikin, yu fɔ rili go to dɔktɔ. I bɛtɛ fɔ lɛ yu nɔ fred, bɔt yu fɔ go to dɔktɔ ɛn nɔ de te.
• Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.

Mɛmba se we yu notis se yu pikin de blo chenj, nɔ tek am natin. If yu go to dɔktɔ kwik kwik wan, dat kin sɔlv bɔku prɔblɛm dɛn. Gud wɛlbɔdi fɔ una ɔl!

` Difεlεns fכ brith, rεtrakshכn, chεst indraw, pikin dεm sik, rεspiretכri prכblεm, brכnkiolaytis, nyumonia, asma