Yu kin gɛt ebi ebi blɔd bak we yu de gɛt mɔnt? Lɛ wi tɔk bɔt Menorrhagia!

Fɔ bɔku uman dɛn, we dɛn de gɛt mɔnt, nɔto tin we kin mek dɛn gladi. Sɔm pipul dɛn kin gɛt prɔblɛm fɔ pas dɛn smɔl de ya na di mɔnt wit tin dɛn lɛk bɛlɛ we de at, fil wik, ɛn aw dɛn de fil. Bɔt if yu de blɔd bɔku pas aw i kin blɔd, if yu de blɔd fɔ sɔm dez insay wan row, ɔ if yu de pas big big blɔd klɔt, i kin bi wan mɛrɛsin we dɛn kɔl Menorrhagia . Dis kin ivin ambɔg yu ɛvride layf. So, lɛ wi tɔk bɔt dis smɔl mɔ tide.

Wetin na Mɛnɔrayjia? Yu gɛt dɛn sik ya bak?

Fɔ tɔk am simpul wan, menorrhagia na di blɔd we kin ebi pas aw i kin kɔmɔt we i de gɛt mɔnt ɔ we kin kɔntinyu fɔ sɔm dez. If yu tink se yu gɛt dis sik, tink bɔt dɛn sayn ya:

• Yu prɛgnɛshɔn kin las pas sɛvin dez ?
• Sɔntɛnde yu kin blɔd sote yu fɔ chenj pad ɔ tampon wan tɛm insay awa ?
• A fɔ yuz tu pad wan tɛm fɔ stɔp di blɔd?
• Yu geht foh grap nait foh chenj yu pad ivin we yu de slip?
• Yu kin pas blɔd we di sayz lɛk kɔyn ɔ we big pas dat bɔku tɛm insay di de?
• Yu kin fil so nɔr kin fil fayn we yu de gɛt prɛgnɛshɔn dat yu nɔ kin ebul fɔ du yu nɔmal tin dɛn ?

Bɔku pipul dɛn nɔ kin lɛk fɔ gɛt dɛn prɛgnɛshɔn. Bɔt if yu gɛt am (menorrhagia), i kin rili pwɛl yu ɛn i kin mek yu fil pen. Fɔ nɔ ebul fɔ go wok ɔ skul, fɔ yuz bɔku pad ɛn fɔ de na os kin rili mek yu at pwɛl.

If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm . I kin chɛk yu sayn dɛn ɛn no wetin mek yu de blɔd bɔku. Dɔn, dɛn kin gi yu di rayt tritmɛnt.

Aw dis sik kin kɔmɔn?

Infakt, di blɔd we de kɔmɔt na di mɔnt we yu de gɛt bɔku bɔku blɔd nɔ kin apin lɛk aw yu kin tink . I kin afɛkt bitwin 27% ɛn 54% pan uman dɛn we kin gɛt mɔnt. Dis min se nɔto yu wan de.

Aw yu go no if yu de lɔs bɔku blɔd?

Bɔku sayn dɛn de we de sho se pɔsin de blɔd pasmak. Wi don tok abaut dem likl bit bifo. In ɔda wɔd dɛn:

• Menstrueshɔn we kin las pas sɛvin dez.
• I pas wan blɔd we di sayz lɛk kɔyn kin pas. Dis blɔd kin bi rɛd, pink, brawn, ɔ ivin rɔst kɔlɔ.
• Blɔd we kin las fɔ lɛk tu awa so, we kin sok pas wan pad ɔ tampon fɔ wan awa.
• Fɔ grap na nɛt fɔ chenj di pad ivin we yu want fɔ slip.
• Yuz tu pad togɛda fɔ fred se blɔd go lik.
• Nɔmal wan, 2-3 tebul spɔnj blɔd kin lɔs we yu de gɛt mɔnt. Bɔt if pas 5 tebul spɔnj blɔd dɔn lɔs (dɛn nɔ kin izi fɔ mɛzhɔ dis, bɔt dɛn kin se na so i bi), dat na big blɔd bak.
• Fɔ gɛt siriɔs bɛlɛ pen ɔ fɔ gɛt pen we yu de gɛt mɔnt.
• If pɔsin blɔd pasmak, i kin mek i wik, i kin taya, ɛn i kin mek i nɔ ebul fɔ blo fayn . Dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd .

Aw yu go no fɔ tru if yu gɛt Mɛnɔrayjia? Aw i fɔ tan lɛk ɔnda nɔmal tin dɛn?

If yu blɔd bɔku we yu de gɛt mɔnt kin afɛkt yu kwaliti fɔ liv . Bɔku pipul dɛn kin tink se we uman kin gɛt mɔnt na sɔntin we nɔ kin mek pɔsin fil fayn ɛn we kin mek i gɛt prɔblɛm. Sɔntɛm dɛn dɔn si se dɛn famili de sɔfa wit ebi ebi mɔnt ɛn dɛn nɔ de go fɛn tritmɛnt fɔ am, ɛn dɛn dɔn yus fɔ liv di sem we. Bɔt we yu de gɛt mɔnt nɔ nid fɔ stɔp di tin dɛn we yu de du ɛvride ɔ fɔ bia we yu nɔ fil fayn.

Nɔmal wan, na dis kin apin we uman de gɛt mɔnt:

• Yu fɔ ebul fɔ yuz pad ɔ tampon we yu kin yuz ɔltɛm fɔ tri to 4 awa we yu nɔ chenj am.
• Yu fɔ ebul fɔ yuz jɔs wan pad ɔ tampon. Yu nɔ fɔ nid fɔ put tu togɛda.
• Yu fɔ ebul fɔ yuz pad fɔ wan nɛt we yu de slip na nɛt.
• Yu nɔ nid fɔ kɛr ɛkstra pad ɛn klos we yu de kɔmɔt na os.
• Yu fɔ ebul fɔ go wok, go na do, ɛn liv yu layf nɔmal wan ɛn nɔ gɛt ɛnitin fɔ ambɔg yu.

If yu prɛgnɛshɔn de ambɔg yu layf, na di bɛst tɛm fɔ go to dɔktɔ.

Wetin mek bɔku blɔd de kɔmɔt? Wetin na di tin dɛn we kin mek i apin?

Menorrhagia kin gɛt bɔku tin dɛn we kin mek i apin. I kin kam bikɔs ɔf prɔblɛm wit di ɔmon dɛn, sɔm mɛrɛsin dɛn, ɔ sɔm mɛrɛsin dɛn we yu de tek.

Di ɔmon dɛn we nɔ balans

Di ɔmon dɛn we yu bɔdi de mek lɛk ɛstrojen ɛn prɔjɛstɛron de kɔntrol yu mɔnt saykl. Dɛn ɔmon ya de sho bak ɔmɔs blɔd yu de blɔd we yu de gɛt prɛgnɛshɔn. If sɔntin de we kin mek dɛn ɔmon dɛn ya nɔ balans, yu kin gɛt blɔd pasmak. Fɔ ɛgzampul:

• Anovulation: I nɔ de rilis eg frɔm di ovaries.
• Tayrɔyd sik.
• Polisistik ovari sindrom (PCOS).

Apat frɔm dat, we pɔsin gɛt bɔku bɔku bɔdi , i kin afɛkt bak di ɔmon we i de mek ɛn i kin mek i blɔd pasmak. Tɔk to yu dɔktɔ bɔt yu bɔdi wet fɔ si if i de mek yu gɛt dis sik.

Di tin dɛn we nɔ gɛt kansa we de gro na yu uterus

sכm benign tכmכro dεm we de fכm na di uterus εn kכndishכn dεm we di uterus sεl dεm de gro abnכmal kin mek bak bכku bכku bכku wan.

• di polip dεm: dis na sכm sכm tin dεm we de fכm pan di layn na di uterus (εndometrium) כ sεviks.
• di fibroid dεm: dis na tin dεm we nכ de gro we nכ de kכnsa we de divεlכp na di mכsul dεm na di uterus. Bɔku uman dɛn kin gɛt dɛn, bɔt dɛn nɔ kin gɛt ɛni sayn.
• adenomyosis: dis na we di tisu we de kכmכt na di insay layn na di uterus de gro insay di mכsul layεr na di uterus.

Infεkshכn dεm

Sɔm infɛkshɔn, lɛk di sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI), kin mek bak blɔd bɔku.

• Di sik we dɛn kɔl Trichomoniasis
• Gɔnoria we de mek pɔsin gɛt sik
• Klamidia we gɛt di sik
• krכnik εndometritis - na infεkshכn we de tek lכng tεm na di insay layn na di uterus.

Di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ

di bכdi bכku bכku wan kin bi sayn bak fכ sכm kכmplikεshכn dεm we kin apin we uman bεlε.

• We uman kin pwɛl bɛlɛ.
• εktopik bεlε: εmbriyo de implant na do na di uterus.
• Prɔblɛm dɛn we gɛt fɔ du wit ska afta sizarian sɛkshɔn (C-section niche).

Ɔda tin dɛn we kin apin to pɔsin we sik

Menorrhagia na sayn fɔ bɔku ɔda sik dɛm, lɛk wae pɔrsin kin gɛt blɔd. Sɔm kɔmɔn sik dɛn we kin mek pɔsin blɔd pasmak na:

• Von Willebrand sik - wan prɔblɛm we de mek blɔd klɔt.
• Liva sik.
• Kidni sik.
• Pεlvik inflammatory sik (PID).
• Lukimia ɔ pletlɛt dizayd.

Kansa we de gro na yu uterus

Menorrhagia kin kam bak bay wan prɛkansa kכndyushכn we dεn kכl εndometrial haypaplasia. Dɔn bak, ɔda kansa dɛn we kin afɛkt yu riprodaktiv sistɛm kin mek yu blɔd bɔku.

• Kansa na di uterin.
• Kansa na di sɛvikal.

Sɔm mɛrɛsin dɛn

Sɔm mɛrɛsin dɛn kin mek bak yu blɔd bɔku we yu de gɛt mɔnt.

• Blɔd tin dɛn ɛn aspirin.
• Ɔmon riplesmɛnt tɛrapi.
• Tamoxifen (na wan mɛrɛsin we dɛn kin yuz fɔ mɛn bɔdi kansa).
• Divays dɛn we de insay di uterin (IUD).
• Implant dɛn we dɛn kin yuz fɔ kɔntrol bɔn pikin.
• Bכt kכntrכl pils εn injεkshכn dεm (e.g., NuvaRing®, Depo-Provera®, Implanon®).

If yu nɔ pul yu bɔn kɔntrol divays di rayt tɛm, dat kin mek bak di uterin blɔd we nɔmal. I impɔtant fɔ no ustɛm fɔ pul yu IUD ɔ implant.

Udat dɛn kin gɛt mɔ risk fɔ gɛt mɛnɔrayjia?

Ɛnibɔdi kin gɛt menorrhagia. Bɔt i kin apin mɔ pan di wan dɛn we de kam nia fɔ lɛ dɛn nɔ gɛt bɛlɛ . If yu gɛt ɛni ɔmon we nɔ balans ɔ yu fat (bɔdi mas indeks (BMI) we na 30 ɔ pas dat), yu go gɛt bɔku prɔblɛm fɔ gɛt ebi ebi prɛgnɛshɔn.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt ebi ebi blɔd we i de gɛt we i de in mɔnt?

We pɔsin de blɔd pasmak, .I kin denja, mɔ if yu lɔs inof blɔd te yu bigin fɔ sho sayn dɛn fɔ blɔd we nɔ gɛt blɔd. Anemia kin mek pɔsin in layf de pan denja if dɛn nɔ trit am.

Dɔn bak, sɔm tin dɛn lɛk kansa we kin mek pɔsin gɛt ebi ebi prɛgnɛshɔn kin nid fɔ go to dɔktɔ kwik kwik wan. Tɔk to yu dɔktɔ bɔt ɛni prɔblɛm we kin apin we yu de blɔd we yu de gɛt mɔnt.

Aw dɔktɔ dɛn kin no if pɔsin gɛt mɛnɔrayji?

Fɔ no if yu gɛt mɛnɔraygia, yu dɔktɔ go aks yu sɔm kwɛstyɔn dɛn bɔt yu mɛdikal istri ɛn yu mɔnt saykl, ɛn i go du yu bɔdi ɛgzam ɛn ɛgzam fɔ yu bɛlɛ.

Di dɔktɔ kin aks tin dɛn lɛk:

• Na us ej yu bin gɛt yu fɔs prɛgnɛshɔn?
• Ɔmɔs dez di mɔnt kin las?
• Na ɔmɔs pan dɛn de dɛn de yu kin blɔd bad bad wan?
• Yu tink se ɛnibɔdi na yu famili gɛt istri fɔ gɛt ebi ebi prɛgnɛshɔn?
• Wetin na yu bɛlɛ istri ɛn di we aw yu de kɔntrol aw yu de bɔn pikin naw?
• Us mɛrɛsin (inklud ɔva-di-kɔnta (OTC) mɛrɛsin) yu de tek naw?

Rɛdi fɔ tɔk bɔt yu layf bak. Di dɔktɔ go want fɔ no if yu de yuz tu pad wan tɛm, yu mis wok bikɔs yu gɛt prɛgnɛshɔn, ɔ yu gɛt ɛnitin we de ambɔg yu ɛvride.

Us tɛst dɛn dɛn kin du?

Pelvik ɔltrasɔund na di we we dɔktɔ dɛn kin no mɔ bɔt if pɔsin gɛt mɛnɔrayji. Dɛn kin du ɔda tɛst dɛn dipen pan yu ej ɛn aw yu sik bad bad wan.

• Blɔd tɛst: Chɛk fɔ si if pɔsin nɔ gɛt bɛtɛ blɔd, if i gɛt prɔblɛm wit di blɔd we de klɔt, ɛn if i gɛt tayroyd sik.
• transvaginal ultrasound: Luk di kondishכn fכ di כgan dεm εn tisu dεm na di pεlvik kεviti.
• Magnetic resonance imaging (MRI): If ɔltra saund nɔ gi inof infɔmeshɔn, dɛn kin yuz am fɔ luk fɔ abnɔmal strɔkchɔ dɛn na di uterus.
• Pap smear: I de egzamin di sεl dεm na di sεviks fכ si if di kεnsar chenj dεm.
• di sεvikal kכlt: fכ chεk fכ infεkshכn.
• εndometrial bayopsi: dεn de chεk fכ kεnsar sεl dεm כ כda abnכmaliti dεm na di uterin tisu.

Ɔda we dɛn we kin ɛp fɔ no wetin mek pɔsin de blɔd:

• Sonohysterogram (saline-infusion sonography): Fɔ chɛk fɔ si if prɔblɛm de wit di layn na di uterus. Dis min se yu fɔ ful-ɔp di uterus wit salin ɛn luk insay.
• Hysteroscopy: fכ chεk fכ polyp, fibroid, כ כda tisu dεm we nכ nכmal na di uterus. dis prosidur kin egzamin di vagina, di sεviks, εn di uterus. I kin pul tin dɛn bak we de mek pɔsin blɔd, lɛk fibroid ɛn polip.

Wetin na di bɛst tritmɛnt fɔ Menorrhagia?

Di tritmɛnt dipen pan wetin mek di blɔd de kɔmɔt, aw di blɔd de kɔmɔt, yu wɛlbɔdi, yu ej, ɛn yu mɛrɛsin histri.

Sɔntɛnde, mɛnɔrayji kin bɛtɛ if dɛn nɔ gɛt tritmɛnt. dis kin bi bikoz fכ sכm sכm כmon chenj dεm כ kכndishכn dεm lεk we yu de gεt wet (mεnorayji kin sכbכt wans yu rich wan hεlty wet).

Tɔk to yu dɔktɔ bɔt yu wɛl bɔdi prɔblɛm ɛn wetin yu de ɛkspɛkt frɔm tritmɛnt. Dɔn i kin tɛl yu di bɛst we fɔ du sɔntin.

Di mɛrɛsin dɛn we dɛn kin yuz

Bɔku tɛm, dɔktɔ dɛn kin gi dɛn mɛrɛsin bifo dɛn du di ɔpreshɔn.

• Ayɔn sɔpɔtmɛnt: Mek yu ayɛn lɛvɛl kam bak.
• Nonsteroidal anti-inflammatory drugs (NSAID): Tin dɛm lɛk ibuprofen ɔ aspirin kin ɛp fɔ ridyus pen ɛn ridyus blɔd.
• Kɔntrol fɔ bɔn pikin: Pil, vagina ring, pat, ɛn IUD kin ɛp fɔ mek yu gɛt mɔnt ɛn mek yu nɔ gɛt bɔku blɔd.
• Ɔmon riplesmɛnt tɛrapi (HRT): Dis kin ɛp fɔ balans di bɔdi in ɛstrojen ɛn prɔjɛstɛron lɛvɛl ɛn ridyus di blɔd we de kɔmɔt na di mɔnt. Pan ɔl we dɛn kin se dis fɔ mek yu blɔd bɔku we yu de lɛf fɔ gɛt bɛlɛ, i gɛt prɔblɛm dɛn, so tɔk to yu dɔktɔ bɔt am.
• Gonadotropin-releasing hormone (GnRH) agonist ɛn antagonist: Dɛn tin ya kin stɔp ɔ ridyus blɔd fɔ sɔm tɛm.
• Desmopressin nasal spray (Stimate®): I de ɛp fɔ stɔp blɔd we gɛt fɔ du wit von Willebrand sik bay we i de ɛp fɔ mek blɔd klɔt.
• Antifibrinolytic mεdisin dεm: Tin dεm lεk tranexamic acid de brok di bכdi we de kכlכt εn mek i nכ bכku bכku bכku wan.

Ɔpreshɔn ɛn ɔda tin dɛn we dɛn kin du

If di mɛrɛsin nɔr de pul di sik, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. I dipen pan wetin mek di blɔd de kɔmɔt.

• Hysteroscopy: Dis kin no ɛn trit di ebi ebi prɛgnɛshɔn. Di dɔktɔ kin yuz wan tin we gɛt layt fɔ luk insay di uterus. Dɔn, dɛn kin yuz ɔspitul inschrumɛnt fɔ pul ɛnitin we de mek di blɔd kɔmɔt, lɛk pɔlip.
• dilayshכn εn kכretεj (D&C): na di prכsidכs we dεn de pul di כtamost layt na di uterus. Dɛn kin sɛn dis tisu to lab fɔ no wetin mek di blɔd de kɔmɔt.
• Myomectomy: Na ɔpreshɔn fɔ pul di fibroid dɛn na di uterus.
• uterine artery embolization (UAE): na wan we we de mek di bכdi nכ de fכ di fibroid dεm εn di tכmכro dεm.
• εndometrial ablεshכn:wan tin we de pwεl כl כ pat pan di layn na di uterus.
• Hysterectomy: Na ɔpreshɔn fɔ pul di uterus. Afta dis, yu nɔ go gɛt bɛlɛ ɔ yu nɔ go gɛt bɛlɛ.

Yu dɔktɔ go tɛl yu di bɛst tritmɛnt fɔ di tin we mek yu blɔd de kɔmɔt. Di tritmɛnt kin bigin wit mɛrɛsin, dɔn dɛn kin go bifo to smɔl smɔl tin dɛn ɛn ɔpreshɔn. Tɔk to yu dɔktɔ fɔ pik wetin go fayn fɔ yu.

Wetin kin apin if dɛn nɔ trit mɛnɔrayjia?

If yu blɔd bɔku, dat kin mek yu gɛt anemia , ɛn dis kin rili bad. If yu tink se yu gɛt menorrhagia, i impɔtant fɔ go to dɔktɔ ɛn gɛt tritmɛnt.

De sik (Menorrhagia) kin bɛtɛ?

Yɛs, sɔntɛnde, mɛnɔrayji kin go if yu nɔ gɛt tritmɛnt. Bɔt i bɛtɛ fɔ tɔk to yu dɔktɔ fɔ no if dis na di kayn tin fɔ yu. Menorrhagia kin bi fɔ sɔm tɛm ɛn i kin bɛtɛ if dɔktɔ nɔ ɛp am. Bɔt bɔku tɛm, wan ɔndalayn kɔndishɔn de we de mek yu gɛt ebi ebi prɛgnɛshɔn. Yu nɔ go gɛt rilif frɔm yu ebi ebi prɛgnɛshɔn te dɛn trit da sik de.

Yu tink se dɛn go ebul fɔ mek di blɔd we de kɔmɔt na di mɔnt we i de gɛt bɔku bɔku wata?

Nɔto ɔl di tin dɛn we kin mek yu gɛt ebi ebi prɛgnɛshɔn, dɛn kin ebul fɔ avɔyd, bɔt fɔ tɔk to dɔktɔ fɔ no di sik ɛn tritmɛnt kin ɛp yu fɔ kɔntrol yu blɔd we nɔ go ambɔg yu kwaliti layf.

Wetin yu gɛt fɔ se bɔt aw fɔ liv wit dis sik? (Prɔgnosis) .

If yu nɔ trit yu, di ebi ebi prɛgnɛshɔn kin ambɔg yu layf. Apat frɔm dat, we yu gɛt ebi ebi prɛgnɛshɔn kin mek yu nɔ gɛt bɛtɛ blɔd, ɛn dis kin mek yu fil taya ɛn wik. If dɛn nɔ trit am, ɔda wɛlbɔdi prɔblɛm dɛn kin kam bak. If yu gɛt di rayt tritmɛnt ɛn di mɛrɛsin sɔpɔt, yu go ebul fɔ kɔntrol di ebi ebi prɛgnɛshɔn we yu nɔ go ambɔg yu wɛlbɔdi.

Ustɛm yu fɔ go to dɔktɔ if yu tink se yu de blɔd pasmak?

If yu gɛt sayn dɛn we de sho se yu gɛt ebi ebi prɛgnɛshɔn, blɔd blɔd, ɔ if yu prɛgnɛshɔn de afɛkt yu kwaliti layf, yu fɔ go to dɔktɔ. If yu kip trak fɔ yu prɛgnɛshɔn na kalenda ɔ na ap, dat kin ɛp yu fɔ no if yu prɛgnɛshɔn ebi pas aw i kin bi ɛn i kin las fɔ sɔm dez. Sho dɛn not ya to yu dɔktɔ.

Mek apɔntinmɛnt wit yu dɔktɔ jɔs afta yu notis se yu fɔ yuz tu pad wan tɛm, ɔ yu de mis tin dɛn we yu kin ɛnjɔy we yu de gɛt prɛgnɛshɔn.

Yu nid fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

Bɔku tɛm, we pɔsin kin gɛt ebi ebi prɛgnɛshɔn nɔ kin mek pɔsin in layf de pan denja. Bɔt if yu blɔd tumɔs, i kin denja. If yu de blɔd fɔ tu to tri awa stret, ɔ if yu de sok pas tu pad ɔ tampon fɔ wan awa, na sayn fɔ se yu nid fɔ go to dɔktɔ ɔ go to imejensi tritmɛnt.

Pan ɔl we ebi ebi prɛgnɛshɔn kin apin, yu nɔ nid fɔ bia di prɔblɛm we i kin mek yu nɔ fil fayn. If fɔ kɔntrol yu blɔd de ambɔg yu maynd ɛn bɔdi, tɔk to yu dɔktɔ. I kin ɛp yu fɔ fɛn tritmɛnt we go mek yu fil fayn ɛn alaw yu fɔ liv di layf we yu want, ivin we yu de gɛt prɛgnɛshɔn.

Faynal Mɛsej fɔ Tek-Hom

• Ebi ebi blɔd we de kɔmɔt na yu mɔnt (menorrhagia) kin bi siriɔs prɔblɛm, so nɔ shem ɔ fred, bɔt go to dɔktɔ.
• If yu gɛt sɔm kayn sik wae difrɛn frɔm yu nɔrmal prɛgnɛshɔn ɛn de mek yu nɔr fil fayn (e.g., fɔ chenj pad ɛvri awa, bɔrku blɔd de kɔmɔt, ɔr yu prɛgnɛshɔn we de las pas 7 dez), nɔr ignore am.
• Anemia na wan big prɔblɛm fɔ dis sik, so wach fɔ tin dɛm lɛk fɔ wik, taya, ɛn fɔ gɛt prɔblɛm fɔ blo.
• Dɛn kin kɔntrol dis sik fayn fayn wan bay wae yu fɛn di tin wae de mek yu gɛt dis sik ɛn gɛt di rayt tritmɛnt.
• Nɔto yu wangren de, bɔku pipul dɛn de we kin gɛt dɛn kayn prɔblɛm dɛn ya. So nɔ shem fɔ aks fɔ ɛp. Yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl!

` Menorrhagia, ebi ebi blɔd we de kɔmɔt na di mɔnt, we yu de gɛt mɔnt, uman dɛn wɛlbɔdi, uterus, ɔmon, anemia