Yu pikin in bɛlɛ de big ɛn in an ɛn fut dɛn de tan lɛk tin? Mek wi lan boht dis (Kwashiorkor)?

Tide wi go tɔk bɔt wan denja sik we wi smɔl pikin dɛn kin gɛt, bɔt sɔntɛm wi nɔ go rili no bɔt am. Sɔntɛnde we wi si pikin we gɛt big bɛlɛ ɛn in an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk, wi kin tink se ɔda tin kin apin. Bɔt dis kin bi wan bad bad tin we nɔ de it fayn we dɛn kɔl (Kwashiorkor) . So, i rili impɔtant fɔ no bɔt dis.

Wetin na Kwashiorkor? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, Kwashiorkor na wan sik we kin kam bikɔs i nɔ gɛt bɛtɛ prɔtin . Protein impɔtant fɔ mek wi bɔdi gro, mɔ di yɔŋ pikin dɛn. So, Kwashiorkor de apin we di bכdi nכ de gεt di amoun fכ protin we i nid εn sכm imכtant maykronutriεnt dεm.

Wetin kin apin pan dis kes na we di prɔtin nɔ de, di bɔdi in tisu dɛn kin gɛda wata ɛn swel. Wi kin kɔl am `(edema)` na mɛrɛsin. Dis swɛlin na di men kwaliti we de mek Kwashiorkor difrɛn frɔm ɔda kɔndishɔn dɛn we nɔ de it fayn. Yu kin si se di pikin in an ɛn fut dɛn kin tan lɛk tin, bɔt in an, in leg, in fes, ɛn mɔ di bɛlɛ kin swel. We pɔsin si da bɛlɛ de we dɔn swel, sɔntɛnde pɔsin we nɔ no bɔt am kin tink se di pikin dɔn it fayn ɛn i dɔn ful-ɔp. Bɔt fɔ tru, i de sɔfa bad bad wan we i nɔ de it fayn .

Udat dɛn kin afɛkt mɔ pan dis sik (Kwashiorkor)?

Kwashiorkor na wan sik wae nɔr kin si na divɛlɔp kɔntri dɛm, lɛk Yurop ɛn Amɛrika. Dɛn kin si am mɔ na di divɛlop kɔntri dɛn. Di risk kin bɔku na kɔntri dɛn usay po, pipul dɛn nɔ kin gɛt tin fɔ it, usay dɛn nɔ de klin fayn, ɛn di sik dɛn we kin pas kin bɔku.

Pan ɔl we Kwashiorkor kin afɛkt ɛnibɔdi we ol ɛni ej, i kin afɛkt yɔŋ pikin dɛn mɔ, mɔ di wan dɛn we ol bitwin 3 ɛn 5. Dis na di ej we bɔku pikin dɛn kin pul dɛn mama in milk ɛn put ɔda it dɛn. sכmtεm, di it we dεn gi dεm kin gεt bכku kabohaydret (i.e. it dεm we gεt stach lεk rays, bred, εn potato) bכt i nכ gεt bכku protin εn כda nyutriεnt dεm. Dis na we di prɔblɛm kin kam mɔ ɛn mɔ.

Wetin na di difrɛns bitwin (Kwashiorkor) ɛn (Marasmus)?

Naw yu go de wɔnda, na Kwashiorkor na di wangren bad bad we fɔ mek pipul dɛn nɔ gɛt bɛtɛ it? Nɔ, wan ɔda wan de we dɛn kɔl Marasmus . Kwashiorkor ɛn Marasmus na di tu men kayn siriɔs prɔtin-ɛnaji ɔndanutrishɔn we di wɛlbɔdi wokman dɛm ɔlsay na di wɔl no.

Di men difrɛns bitwin dɛn tu tin ya na:

• Kwashiorkor na basically wan protin dɛfisiɛns .
• Marasmus na wan kכndyushכn we כl di makronutriεnt dεm lεk protin, kabohaydret, εn fεt, de rεdכks, we min se di tכtal kalori we yu de it de rεdכks.

Fɔ tɔk am simpul wan, we yu si pɔsin we gɛt marasmus, in bon dɛn kin rili tan. Bɔku tɛm, dɛn nɔ de gɛt inof kalori. Ɔ dɛn de it smɔl, ɔ dɛn bɔdi de yuz tumɔs ɛnaji (fɔ ɛgzampul, frɔm sɔntin lɛk dayarɛa ɔltɛm), ɔ ɔl tu. Bɔt i kin tan lɛk se pɔsin we gɛt kwashiorkor nɔ de gɛt inof kalori bikɔs ɔf di swel, bɔt dɛn nɔ de gɛt inof prɔtin.

Wetin na di sayn dɛm fɔ Kwashiorkor? Aw wi kin no am?

Okay, so aw wi go no dis kondishon (Kwashiorkor)? Wetin na di sayn dɛm wae pikin kin si? I rili impɔtant fɔ no bɔt dɛn tin ya, bikɔs da tɛm de wi kin tek akshɔn kwik kwik wan.

• Swel (edema): Dis na di men sayn. Ɛspɛshali na di anklɛ, leg, an, ɛn fes, swɛlin kin apin lɛk se di bɔdi ful-ɔp wit wata.
• di bכdi de distenshכn (big bεlε): di bכdi de big bikoz fכ di wata we de kכmכt (ascites). Sɔm pipul dɛn kin kɔl dis bak "tummy tuck".
• di ia de chenj: di ia de dray, brit, di ia de fכl, sכmtεm di ia kכla de chenj, i de layt (pigmεnt de dכn).
• Prɔblɛm dɛn na di skin (Dɛmatitis): Di skin kin dray ɛn i kin flay. Na sɔm say dɛn, i kin tan lɛk krɔs ɔ rɛd spat. If i wund, i nɔ go wɛl kwik.
• Liva we big: Dis kin bi sayn fɔ fat liva sik.
• di mכsul dεm we de west: Di mכsul dεm na di limb dεm kin tכn εn tכn. Bɔt i sɔprayz fɔ no se di fat we de ɔnda di skin kin stil de di sem.
• Di wata we nɔ de na di bɔdi: Wata nɔ de na di bɔdi.
• Anorexia: I nɔ kin want fɔ it ɛn i nɔ kin want fɔ it.
• I kin vɛks ɛn taya pasmak: Bɔku tɛm di pikin kin vɛks, i kin taya, ɛn i nɔ kin lɛk fɔ ple.
• Pikin dɛn kin gro sloslo: dɛn nɔ de gro lɔng, dɛn nɔ de gɛt wet, ɛn dɛn smɔl pas ɔda pikin dɛn we dɛn ej.

Ɔda kɔmplikɛshɔn dɛn we kin apin bikɔs ɔf Kwashiorkor

Apat frɔm dɛn sayn ya, if dɛn nɔ trit di sik (Kwashiorkor) fayn, i kin mek i gɛt mɔ siriɔs prɔblɛm. Dɛn tin ya kin ivin mek pɔsin in layf de pan denja.

• Di blɔd shuga lɛvɛl smɔl (Hypoglycemia).
• di dכn na di bכdi tεmprachכ `(Hypothermia)`.
• di bכdi de dכn (Hypovolemia) εn di shכk we de kכmכt (hypovolemic shock).
• di ilektrolayt imbalans na di bכdi bikoz fכ di wata we de dכn.
• Di imyun sistɛm wik pasmak. Dis kin mek infɛkshɔn (lɛk fiva, kol, dayarɛa, infɛkshɔn na di lɔng) kin apin bɔku tɛm, ɛn wund kin tek lɔng tɛm fɔ wɛl.
• Sirosis na di liva (di liva de at) ɛn di liva nɔ de wok fayn.
• di pankrias (we de mek di εnzym dεm we de εp wi fכ digεst it) de shrin, we de mek wi gεt prכblεm fכ digεst.
• di layn we de na di dijestiv trakt (gastrointestinal mucosa) de tכn. dis kin mek sכmtεm di sכm intestinal baktri dεm gro pasmak.
• di pikin dεm we de gro εn di bren divεlכpmεnt bכku bכku wan.
• Dɔn, we pɔsin fast kin ivin mek i day.

Wetin mek dis (Kwashiorkor) kin apin? Wetin na di tin dɛn we kin mek i apin?

Dɛn kin tek di prɔtin we nɔ de wok as di men tin we kin mek pɔsin gɛt Kwashiorkor. Bɔku pipul dɛn we de stɔdi bɔt dis biliv se na dis na di men tin we kin mek i apin. Bɔt sɔm pipul dɛn nɔ kin gri wit dis gud gud wan. Bikɔs insay sɔm kes dɛm, fɔ ad prɔtin to di it nɔ bin ebul fɔ protɛkt ɔ mɛn Kwashiorkor. dis sho se di protin dεm we dεn nכ gεt na כnli pat pan di stori, כda tin dεm kin de.

Di men tin dɛn we gɛt fɔ du wit Kwashiorkor na:

• Fɔ it it we gɛt bɔku kabɔhaydrɛt: Ɛspɛshali na di po pat dɛn na Afrika, Sɛntral Amɛrika, ɛn Sawt Is Eshia, we na say dɛn we gɛt bɔku risk, bɔku tɛm pipul dɛn kin gɛt fɔ it wan kayn kabɔhaydrɛt nɔmɔ. Fɔ ɛgzampul, vɛjitebul dɛn we gɛt stach lɛk rays, kɔn, maniok, ɛn swit pata. Dɛn tin ya nɔ dia ɛn i izi fɔ fɛn pas it dɛn we gɛt bɔku prɔtin (lɛk fish, mit, eg, milk, ɛn lentil). Dis kin apin mɔ na di rural eria dɛn usay dɛn kin du fam wok. Imajin, insay sɔm famili dɛn, na rays ɛn mash potato nɔmɔ dɛn kin gi pikin dɛn ɔl di de. Dɔn dɛn nɔ kin gɛt inof prɔtin. Mama dɛn we nɔ gɛt bɛtɛ prɔtin kin pas da prɔblɛm de to dɛn pikin dɛn.
• Fɔ it we nɔ fayn fɔ tek in ples afta dɛn dɔn wef: Di nem Kwashiorkor kɔmɔt frɔm di langwej we dɛn de tɔk na di Afrika kɔntri we nem Gana. i min sכmtin lεk "di sik we di big pikin kin gεt we di nyu pikin kam." Dis de tɔk bɔt wan sik we kin rili kɔmɔn. We dɛn bigin fɔ gi nyu pikin in bɛlɛ, dɛn kin pul di big pikin we stil de gi in bɛlɛ wantɛm wantɛm. Dɔn, ɔ bikɔs i nɔ gɛt di tin dɛn we i nid, i nɔ no bɔt it, ɔ ɔl tu, di pikin we dɛn pul na in bɛlɛ nɔ kin gɛt di rayt it fɔ tek in ples. Dɔn di we aw i de it tin dɛn kin pwɛl. Sɔm mama dɛn kin gi dɛn smɔl pikin smɔl rays ɔ pɔrit nɔmɔ. Bɔt dɛn kin fɔgɛt fɔ ad sɔntin we gɛt bɔku prɔtin lɛk lentil, smɔl fish, ɔ eg yolk, ɔ dɛn nɔ gɛt bɛtɛ mɔni fɔ du dat.

Apat frɔm dis, sɔm ɔda tin dɛn de we kin ɛp fɔ mek Kwashiorkor divɛlɔp:

• we yu nɔ gɛt impɔtant vaytamɛn dɛn (lɛk vaytamɛn A, B vaytamɛn dɛn) ɛn minral dɛn (lɛk ayɔn, zink).
• di antioksidant (dεn tin ya na tin dεm we de protεkt di bכdi in sεl dεm) na di it.
• Aflatoxins na pɔyzin we kɔmɔt frɔm wan kayn mold we de gro pan grens ɛn pinat we dɛn gro na ples we wam ɛn wet.
• Parasayt dɛm lɛk wom ɛn sik dɛm we kin pas lɛk mizɛl, malaria, ɛn HIV. Dɛn sik ya kin mek di bɔdi wik ɛn nɔ kin tek di tin dɛn we de insay di bɔdi.
• Big big tin dɛn we kin mek pɔsin strɛs na layf, lɛk angri, po, wɔ, ɛn natura disasta.

Aw dɛn kin no se Kwashiorkor gɛt am?

Aw dɔktɔ dɛn kin no dis sik kɔrɛkt wan (Kwashiorkor)?

Bɔku tɛm, dɔktɔ go fɔs no di sik bay we i de chɛk di pikin in bɔdi ɛn luk fɔ di sayn dɛn we wi bin dɔn tɔk bɔt (especially if i swel, i kin chenj in skin, ɛn i kin chenj in ia) .

Pantap dat:

• Aks di mama ɔ di pɔsin we de kia fɔ di pikin bɔt di it we di pikin de it, us kayn it dɛn de it ɛvride, ɛn if dɛn de gɛt inof prɔtin.
• Aks bɔt di sik dɛn we yu bin dɔn gɛt trade ɛn di infɛkshɔn dɛn we de go bifo.
• Dɛn kin mɛzhɔ di pikin in wet to ayt ɛn in ayt fɔ di ej ɛn kɔmpia am wit di chɛt dɛn we di Wɔl Ɛlth Ɔganayzeshɔn dɔn mek. Dɛn mɛzhɔmɛnt ya kin gi di dɔktɔ gud aidia bɔt aw di pikin in malnutrishɔn bad ɛn aw i dɔn afɛkt dɛn grow.

Aw dɛn kin trit Kwashiorkor?

Kwashiorkor na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan. Di mɔ we dɛn de delay fɔ di tritmɛnt, na di mɔ prɔblɛm dɛn kin apin. Di Wol Ɛlth Ɔganayzeshɔn (WHO) dɔn tɔk bɔt 10 tin dɛn we pɔsin fɔ du we i de trit pipul dɛn we nɔ de it fayn. Dɛn fɔ tek tɛm du dɛn tin ya, ɔnda dɔktɔ in sɔpɔtishɔn na ɔspitul.

1. Fɔ mek dɛn nɔ gɛt/trit di haypoglycemia: We dɛn gi pikin dɛn we nɔ de it fayn tin fɔ it wantɛm wantɛm, di shuga we de na dɛn blɔd kin go dɔŋ bad bad wan. fכ dat, dεn de gi spεshal fכmulayt fכluid dεm (we gεt glukכs) sכmtεm.

2. Fɔ mek yu nɔ gɛt/Trit Hypothermia: Animal dɛn we nɔ de it fayn kin gɛt prɔblɛm fɔ rigul dɛn bɔdi tɛmpracha. So, dɛn nid fɔ kip dɛn wam (wit wam klos, blankit).

3. Prɛvenshɔn/Tritmɛnt fɔ Dihaydreshɔn: Dɛn gi wan spɛshal fɔmula we dɛn kɔl RESOMAL (`REhydration SOlution for MALnutrition`) fɔ trit dihaydreshɔn na Kwashiorkor. dεn mek am fכ mek di wata εn sכlt (especially sodium) na di bכdi bεlε bak εn mεnten. Dɛn kin gi am bay mɔt ɔ if nid de, yu kin gi am tru tiub.

4. Kכrekt di ilektrolayt imbalans: di ilektrolayt imbalans na di bכdi, lεk potashכm εn magnεsium, na siriכs tin εn i kin mek i day. Dɛn tin ya kin chenj, mɔ we pɔsin we nɔ de it fayn bigin fɔ it bak. Di wɛlbɔdi wokman dɛm kin tray fɔ kɔrɛkt dɛn tin ya fɔs, bɔku tɛm tru di (RESOMAL) sɔlvishɔn.

5. Prɛvenshɔn/Tritmɛnt fɔ Infɛkshɔn: Bikɔs ɔf di wik imyun sistɛm we kin kam wit Kwashiorkor, ɛni infɛkshɔn na siriɔs trɛt fɔ mek pɔsin wɛl. So, ivin if ɛni dawt de, dɛn kin gi am bɔku bɔku antibayɔtiks.

6. Kכrekshכn fכ di maykronutriεnt dεfichεns:di impɔtant vaytamɛn ɛn minral dɛm we nɔ de lɛk vaytamɛn A, fɔlik asid, zink, ɛn ayɔn, dɛn kin kɔrɛkt am. Bɔt dɛn kin gi am ayɛn afta di pikin dɔn wɛl smɔl.

7. Start fɔ it fayn fayn wan: Dis na tin we rili impɔtant. di mεtabolism (di we aw di bכdi de prodyuz εn yuz εnεji) fכ pipul dεm we nכ gεt bכku it dεn chenj. we dεn bigin fכ it bak, dεn mεtabolism de bigin chenj bak. Bɔt if dis apin tumɔs kwik, wan kɔmplikeshɔn we de mek pɔsin in layf de pan denja we dɛn kɔl ``rifidin sindrom'' kin apin. fכ dat, dεn kin stat fכ it fכ it fayn fayn wan, sכm sכm, plεnti tεm insay di de, כnda kכl supavεshכn. εspεshali insay (Kwashiorkor), dεn fכ introdכks protin bak sכmtεm, sכmtεm sכmtεm.

. Di Wol Ɛlth Ɔganayzeshɔn dɔn mek spɛshal it dɛn we dɛn mek, we gɛt bɔku tin fɔ it, we dɛn dɔn rɛdi fɔ mɛn (RUTF). Dɛn kin gi dɛn tin ya bay mɔt ɔ bay tiub, if nid de. Dis na di nyutrishɔn rihabiliteshɔn faz. Dis kin tek sɔm wik (bɔku tɛm na 2-6 wik).

9. Gi sεns stimulashכn εn imoshכnal sכpכt: Pikin dεm we gεt Kwashiorkor kin taya εn lεtajik fכ lכng tεm. Dɛn intɛlektual, nyurolɔjik, ɛn soshal divɛlɔpmɛnt kin stɔp bikɔs dɛn nɔ de it fayn. Fɔ mek dɛn want fɔ du tin lɛk tɔys, fɔ tɔk, ɛn fɔ gi lɔv ɛn lɔv fɔ ɛp dɛn fɔ gɛt dɛn divɛlɔpmɛnt bak na pat pan di tritmɛnt plan. If i pɔsibul, di wɛlbɔdi wokman dɛm go involv di pikin in mama bak pan dis prɔses.

. If nid de, dɛn kin gi dɛn imunayzeshɔn. If i pɔsibul, ɛp fɔ gɛt tin fɔ it we nɔ de chenj ɛn we gɛt fayn fayn tin dɛn fɔ it.

Aw fɔ mek dɛn nɔ gɛt Kwashiorkor?

"I bɛtɛ fɔ mek yu nɔ gɛt sik pas fɔ trit am afta i dɔn gro." So tin dɛn de we wi kin du fɔ mek wi nɔ gɛt (Kwashiorkor).

• Edukeshכn εn awεshכn: I rili implεnt fכ tich mama εn papa εn di kכmyuniti bכt bεsik nyutrishכn, di imכpכtant fכ gi pikin bεlε (fכ gi pikin in bεlε fכ at le 6 mכnt, afta dat fכ gi bεlε wit komplimentari it fכ te 2 ia), di nyutrishכnal nid fכ pikin εn mama. I nid bak fɔ tich aw fɔ bigin fɔ it kɔmplimɛnt it dɛn di rayt ej ɛn di rayt we.
• Nyutrishɔn sɔpɔt: Di implimɛnt ɔf nyutrishɔn program dɛm we gɔvmɛnt ɛn difrɛn ɔganayzeshɔn dɛn de du. fכ egzampl, fכ gi nyutrishכnal supliment (e.g. Thriposha) to mama dεm we bεlε, mama dεm we de gi pikin milk εn yכŋ pikin dεm. Dɔn bak, fɔ protɛkt lokal krop dɛm (lɛk moringa, spinach, pis, soya) we de gi prɔtin ɛn maykronutriɛnt.
• Kɔntrol sik: Kɔntrol fɔ sik dɛn we pɔsin kin gɛt (lɛk dayarɛa, infɛkshɔn we pɔsin kin gɛt we i de blo) ɛn infɛkshɔn. Dɛn tin ya kin mek di bɔdi wik ɛn i kin mek di tin dɛn we de insay di bɔdi nɔ gɛt bɛtɛ tin fɔ it. Fɔ mek yu klin (was yu an, drink klin wata, yuz tɔylɛt) ɛn fɔ gi yu imunayzeshɔn di rayt tɛm, go ɛp yu fɔ mek yu nɔ gɛt bɛtɛ it.
• Fɔd sikyɔriti: Ɔl famili fɔ gɛt tin fɔ it we gɛt fayn fayn tin dɛn fɔ it.

Wetin go apin if dɛn nɔ trit Kwashiorkor? Wetin na di chans fɔ mek i wɛl?

Dis na sɔntin we wi rili nid fɔ no.

If dɛn nɔ trit Kwashiorkor, i kin kil pɔsin. Day kin kam bikɔs ɔf infekshɔn, wae yu nɔr gɛt wata na yu bɔdi, yu at nɔr de woke fayn, ɔr yu liva nɔr de woke fayn.

Ivin we di tritmɛnt bigin, risk de fɔ di kɔmplikeshɔn we wi bin dɔn tɔk bɔt we dɛn kɔl ``rifidin sindrom.'' Na dat mek dɛn kin du tritmɛnt bay we dɛn de na ɔspitul ɛn ɔnda dɔktɔ in sɔpɔtishɔn.

Bɔt di pikin dɛn we dɛn kin trit fayn ɛn we dɛn kin trit dɛn fayn ɛn we dɛn kin gɛt bak di rayt tɛm, kin mek dɛn wɛl fayn fayn wan. Pan ɔl we sɔm tin dɛn de we Kwashiorkor kin du fɔ lɔng tɛm (e.g., we pɔsin nɔ de gro fayn, we i nɔ ebul fɔ lan), dɛn kin go bak.

Di prɔblɛm dɛn we kin kam wit kwashiorkor kin rili bad ɛn kin las fɔ lɔng tɛm di mɔ we dɛn nɔ trit am. Sɔm pikin dɛn nɔ kin ɛva wɛl ɔl we dɛn kin delay fɔ gro ɛn divɛlɔp. Dɛn kin kɔntinyu fɔ gɛt liva sik ɛn pankrias insufficiency.

So, mɛmba se, di mɔ we dɛn no di sik kwik kwik wan ɛn bigin fɔ trit am, na di mɔ i go fayn.

Fɔ dɔn, Kwashiorkor nɔ kin tan lɛk malnutrishɔn bikɔs ɔf di swel ɛn blo. I kin gɛt bak sayd ɛfɛkt dɛm wae yu nɔr bin de ɛkspɛkt, wae ayd lɛk wae yu nɔr want fɔ it ɛn yu gɛt fat liva sik. Fɔ trit Kwashiorkor fayn fayn wan, i impɔtant fɔ ɔndastand am. Fɔ jɔs gi it we gɛt bɔku prɔtin na os nɔ go du, ɛn i kin ivin denja. So, if yu gɛt sayn dɛm fɔ Kwashiorkor, i impɔtant fɔ go to dɔktɔ kwik kwik wan, mɔ pan yɔŋ pikin dɛm. Di kwik we yu de du sɔntin, na di mɔ yu nɔ go sɔfa wit malnutrishɔn.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

Mɛmba dis gud gud wan:

• Kwashiorkor na wan bad bad sik we dɛn nɔ de it fayn we dɛn nɔ gɛt bɛtɛ prɔtin , mɔ we kin afɛkt yɔŋ pikin dɛn.
• Di men sayn dɛn na we yu bɛlɛ big, yu an ɛn fut dɛn kin swel, bɔt yu bɔdi kin tan lɛk tin . Apat frɔm dat, i kin chenj na di skin ɛn di ia, i nɔ kin want fɔ it igen, ɛn i kin vɛks.
• Dis na sik we kin kil pɔsin, so i impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Nɔ tray fɔ trit am na os.
• Bɔt di pikin in it, mɔMek shɔ se yu de gi yu pikin tin dɛn we gɛt bɔku prɔtin (lɛk fish, mit, eg, milk, lentil, ɛn pis). Mek shɔ se yu pikin de gɛt di rayt it we i de wef frɔm in mama in milk.
• Hajin (wash yu an, klin wata) ɛn fɔ mek yu nɔ gɛt sik (vaksin) de ɛp fɔ ridyus dis sityueshɔn.
• If yu pikin gɛt ɛni wan pan dɛn sik ya, nɔ de te ɛn go to di dɔktɔ ɔ ɔspitul we de nia yu. If yu trit am kwik kwik wan, dat kin sev di pikin in layf ɛn i kin mek i nɔ gɛt bɔku prɔblɛm dɛn we kin apin fɔ lɔng tɛm.

` Kwashiorkor, malnutrishɔn, prɔtin dɛfisiɛns, pikin it, blo, flatulɛns, nyutrishɔn dɛfisiɛns