Wetin na NDPH? Lɛ wi ɔndastand am simpul wan!
Fɔ tɔk am simpul wan, New Daily Persistent Headache (NDPH) na wan kayn ed pen we kin bigin wantɛm wantɛm ɛn te fɔ sɔm mɔnt, ɛn i kin kɔmɔt frɔm smɔl to siriɔs. Nɔto siriɔs sik, min se i nɔ de mek pɔsin in layf de pan denja. Bɔt, i kin ambɔg di tin dɛn we yu de du ɛvride ɛn di we aw yu de liv yu layf. Bɔku tɛm, i nɔ kin izi fɔ trit am. Tu men kayn NDPH de: 1. Praymari NDPH: Dɔktɔ dɛn kin kɔl am bak (idiopathic) NDPH . Dis min se dɛn nɔ go ebul fɔ fɛn ɛni patikyula rizin fɔ wetin mek i kin apin. 2. Sɛkɔndari NDPH: I kin apin wit ɔ as a rizulta fɔ ɔda mɛdikal kɔndishɔn. Bɔku tɛm, na wan sik we gɛt vayrɔs kin kam wit am .Udat dɛn kin afɛkt mɔ pan dis NDPH sityueshɔn?
NDPH kin divɛlɔp insay ɛnibɔdi. Bɔt i kin bɔku smɔl pan uman dɛn. Dɔn bak, pan ɔl we dis sik kin bɔku pan pikin ɛn yɔŋ pipul dɛn, mɔ di wan dɛn we ol bitwin 10 ɛn 18 ia, i kin kam pan ɛnibɔdi we ol ɛni ej.Aw kɔmɔn tin fɔ NDPH?
Na smɔl risach de bɔt aw NDPH rili kɔmɔn. Bɔt bay di data we de, na wan kɔndishɔn we nɔ kin apin so ɔltɛm. Stɔdi dɛm frɔm kɔntri dɛm lɛk Nɔwe ɛn Spen sho se i kin apin bitwin 30 ɛn 100 pan ɛvri 100,000 pipul dɛm. So, yu kin si aw dis nɔ kin apin so ɔltɛm.Wetin kin apin to wi bɔdi frɔm NDPH?
NDPH kin afɛkt yu bren mɔ . Bɔt if yu gɛt sayn dɛn we tan lɛk maygren , yu kin gɛt layt sɛnsitiviti, sawnd sɛnsitiv, vertigo, nɔs, ɔ vɔmit.Wetin na di sayn dɛm fɔ NDPH?
Di sayn dɛm fɔ NDPH kin tan lɛk ɔda ed pen, bɔt dis wan na spɛshal wan.- Ed kin at ɔltɛm: Fɔ mek dɔktɔ no se yu gɛt NDPH, yu fɔ gɛt ed pen fɔ at le tri mɔnt insay wan row.
- Di pen kin de ɔltɛm: Akɔdin to bɔku spɛshal pipul dɛn , wans NDPH bigin, di pen kin de ɔltɛm.
- Yu mɛmba di de we dis bigin: dis na sɔntin we rili impɔtant.Frɔm di ɔfishal gaydlayn dɛm fɔ di Intanɛshɔnal Ɛd-ak Sosayti, fɔ no if yu gɛt NDPH, yu nid fɔ mɛmba di rayt de, di tɛm, usay yu bin de, ɛn wetin yu bin de du we di ed-ak bigin. Imajin, yu mɛmba se, "A bin de wok na ɔfis Tɛstamɛnt mɔnin we dis ed-ak kam wantɛm wantɛm." Na so klia mɛmori yu nid.
- Bɔku tɛm, di pen kin smɔl to bad bad wan: Pipul dɛn we gɛt NDPH kin gɛt smɔl ɔ bad bad pen. Dis pen kin de ɔltɛm, ɛn dis kin mek i nɔ izi fɔ ivin du nɔmal tin dɛn.
Di kwaliti dɛm fɔ wan tɛnsiɔn ed pen:
- Pen na ɔl tu di say dɛn na di ed.
- I kin tan lɛk se dɛn de swɛt yu ed frɔm insay, lɛk se dɛn de swɛla am.
- De pen nɔr de inkrisayz dipen pan wetin yu de du.
Di sayn dɛn we de sho se pɔsin gɛt maygren:
- Pen na wan say na di ed.
- I kin tan lɛk se yu de fil pen we de blo ɛn we de pul yu at.
- Fɔtofɔbia: Fɔ fil fɔ layt, pen we yu de luk layt.
- Fonophobia: Fɔ fil fɔ sawnd, pen we yu de yɛri sawnd.
- Nɔs ɛn vɔmit .
- Vertigo : Diziz we pɔsin kin gɛt .
- Visual auras: Fɔ si difrɛn layt ɛn strek dɛn bifo di yay.
Wetin na di tin dɛn we kin mek pɔsin gɛt NDPH? Wetin mek dis kin apin?
Di masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek NDPH de divɛlɔp. Bɔt dɛn kin tink se sɔm tin dɛn we kin apin ɛn sɔm tin dɛn kin apin we kin mek dɛn gɛt dis sik . NDPH kin divεlכp di tεm dεm we yu strεs bad bad wan . NDPH kin divεlכp bak afta sɔm sik dεm. Bɔt nɔto inɔf data de fɔ kɔnfɔm se na dɛn tin ya de mek pɔsin gɛt NDPH. Wan men tin we kin mek pɔsin gɛt sik na infɛkshɔn . Bɔku tɛm, NDPH kin kam we vayral ɔ baktri infɛkshɔn de. Na sɔm ɛgzampul dɛn ya:- Epstein-Barr virus : Dis na di men tin we de mek pɔsin gɛt di sik we dɛn kɔl mononucleosis (mono) .
- Salmonella we dɛn kɔl Salmonella
- E. coli we dɛn kɔl E. coli
- Dengue fiva:Dis na tin we rili kɔmɔn na wi kɔntri, nɔto so?
- Covid-19 ( COVID-19 ) .
- Meningitis ɔ Ɛnsɛfalaytis: Dɛn kayn sik ya na di bren infɛkshɔn.
- Subarachnoid hemorrhage: Dis na we di bכdi de kכmכt na di mεmbran dεm we de rawnd di bren. Bɔrku tɛm i kin bigin wantɛm wantɛm wit wan bad bad, "tɛndklap ed pen."
- Lכw Sεribrospaynal Fluid (CSF) Prεshכn: Dis kin kכz fכ lik fכ CSF frכm sכmsay na di sכkul כ spεnal kכd. (CSF na di wata we de rawnd ɛn protɛkt wi bren ɛn spɛshal kɔd.)
- Hed pen we kin kam bikɔs di CSF prɛshɔn de go ɔp.
- Hed pen we kin apin afta yu injuri (e.g., afta yu dɔn kɔnkyushɔn ).
- Yuz mɛrɛsin pasmak , mɔ fɔ ed pen ɔ maygren, kin mek yu gɛt wan sik we dɛn kɔl "rebound headaches," we min se di ed kin wɔs afta yu tek di mɛrɛsin.
NDPH na sik we pɔsin kin pas?
Nɔ, NDPH nɔ kin pas frɔm wan pɔsin to ɔda pɔsin. Pan ɔl we NDPH kin gɛt afta sɔm infɛkshɔn, nɔto ɔlman we gɛt da infɛkshɔn de go gɛt NDPH.Aw dɔktɔ kin no se i gɛt NDPH?
Fɔ no bɔt NDPH na tin we gɛt bɔku tin dɛn fɔ du. 1. Step 1: Gɛt infɔmeshɔn bɔt yu sayn dɛm. Dis kin inklud aw lɔng yu dɔn gɛt di ed pen, ustɛm i bigin, ɛn wetin yu de fil. 2. Step 2: Rul ɔut ɔda tin dɛn we de mek yu ed pen. Insay di fɔs tin we yu fɔ du, yu dɔktɔ go aks yu kwɛstyɔn dɛn ɛn chɛk yu. I kin du nyurolɔjik ɛgzam bak fɔ si if ɛnitin de we nɔ fayn na yu nervɔs sistɛm. Dɔn, yu dɔktɔ go want fɔ mek shɔ se no ɔda tin nɔ de we kin mek yu du dat. Di simptom dɛm fɔ NDPH tan lɛk di wan dɛm fɔ bɔku ɔda nyurolɔjik kɔndishɔn dɛm.Fɔ no di sik bifo di tri mɔnt tɛm: Bɔku tɛm, pipul dɛn kin go to dɔktɔ bifo di tri mɔnt tɛm we dɛn nid fɔ kɔnfɔm NDPH dɔn pas. na da tεm de, di dכkta kin rכn כl di כda tεst dεm εn se "probable NDPH" we i nכ fכ finish di diagnosis. Afta yu dɔn gɛt di sik fɔ tri mɔnt, di dɔktɔ kin ɔfishal wan no se yu gɛt NDPH.
Us tɛst dɛn kin du fɔ no NDPH?
No patikyula tɛst nɔ de we go ebul fɔ no NDPH dairekt wan.Bifo dat, dɛn kin du tɛst fɔ no ɔda sik dɛn we gɛt di sem sayn, mɔ di wan dɛn we denja ɔ we de mek pɔsin in layf de pan denja. Sɔm pan dɛn tin ya na:- Kɔmpyuta Tomografi (CT) skan.
- Magnɛtik Rizɔnans Imej (MRI) skan.
- di lכmba pankshכn (spinal tap): Dis min fכ tek sכm sכm sכm sεribrospεnal fכluid (CSF) frכm di bak pat na di nεk, we de rawnd di spεnal kכd, εn tεst am. Dis kin ɛp fɔ no tin lɛk infɛkshɔn ɛn prɛshɔn pan di bren.
- Blɔd tɛst: Chɛk fɔ si if yu gɛt infɛkshɔn.
Aw dɛn kin trit NDPH? Yu tink se dɛn go ebul fɔ mɛn am kpatakpata?
Bɔrku tɛm, NDPH na wan sik wae nɔr kin izi fɔ trit. Sɔm kes dɛm, mɔ di wan dɛm wae gɛt sayn dɛm wae tan lɛk maygren, dɛn kin ebul fɔ mɛn am izi wan. Bɔt, NDPH wit tɛnsiɔn-tayp simptom nɔ kin rili ansa to tritmɛnt. Taym na di men tin. If yu trit yu kwik kwik wan, i kin woke pas di ia afta di sik bigin. Mɛrɛsin na di men tritmɛnt fɔ NDPH. Bɔt fɔ fɛn di rayt mɛrɛsin fɔ dis sik kin tranga. Na sɔm pan di mɛrɛsin dɛn we pɔsin kin yuz:- Antidipreshan: Mεdikeshכn lεk (Amitriptyline), (Nortriptyline), εn (Venlafaxine) kin εp sכmtεm wit NDPH biכs dεn kin εp bak fכ kכntrכl pen.
- Medikeshɔn dɛm fɔ antiseizure: Mɛrɛsin dɛm lɛk Gabapentin ɔ Topiramate .
- Botulinum toxin injection: Bɔku pipul dɛn sabi am as Botox® , dis de blok di nerve signal dɛm, inklud di pen signal dɛm. Ɔda tritmɛnt dɛn bak we dɛn kin yuz fɔ blok di nerv kin ɛp.
- Mεdikeshכn dεm fכ mek yu nכ gεt maygrεn: Beta-blכk dεm (e.g. Propranolol) εn Angiotensin-II rεsεpכta blכk dεm (e.g. Candesartan).
- Investigational anestetik/antidipreshan: Dɛn de yuz ketamine, wan pawaful anestetik, fɔ du risach fɔ trit tin dɛm lɛk pwɛl hat wae nɔr de ansa tritmɛnt. Dis kin ɛp bak sɔmtɛm wit NDPH.
Kɔmplikɛshɔn ɔ sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt
Di kɔmplikeshɔn ɛn sayd ɛfɛkt dɛm we dɛn tritmɛnt ya kin gɛt kin dipen pan bɔku tin dɛm, inklud di kayn mɛrɛsin we dɛn kin yuz. Tɔk to yu dɔktɔ bɔt di tritmɛnt we go fayn fɔ yu, di bad tin dɛn we kin apin to yu, ɛn aw yu go ebul fɔ avɔyd ɔ stɔp dɛn.Aw a kin tek kia ɔf misɛf ɔr kin kɔntrol di sayn dɛm?
I rili at fɔ trit NDPH fɔ yusɛf, mɔ if yu nɔ gɛt diagnosis. Dis na bikɔs di kɔndishɔn kin bi bɔku tɛmI nɔ de ansa to di kɔmɔn mɛrɛsin dɛn we de mek pɔsin in ed at. Dis min se nɔto jɔs di mɛrɛsin dɛn we dɛn kin bay na kɔt, bɔt bɔku mɛrɛsin dɛn we dɔktɔ kin gi dɛn nɔ kin ebul fɔ stɔp NDPH.I rili impɔtant: Yu nɔ fɔ ɛva no yusɛf ɔ trit yusɛf fɔ NDPH. Dis na bikɔs if yu ed pen wantɛm wantɛm we yu gɛt smɔl to siriɔs ed pen kin bi sayn fɔ strok . Strɔk kin kam bikɔs wan blɔd vesel na di bren blok ɔ ɔda tin we de ambɔg am. Di lɔng we i kin tek fɔ go to dɔktɔ afta di sik bigin, na di mɔ i nɔ kin izi fɔ mek di sik chenj. Dɔn, we pɔsin strok, i kin mek in bren pwɛl fɔ ɔltɛm ɔ i kin ivin day.If yu ɔ pɔsin we yu de wit gɛt ɛni wan pan dɛn sik ya, mɔ wit ɔda sayn dɛn we de sho se yu gɛt strok, kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm. Mɛmba dis fɔ no di sayn dɛm fɔ strok: FAST
- F - Fes: Aks di pɔsin fɔ smayl. Luk fɔ wan ɔ ɔl tu di say dɛn na di fes we de drɔp. Dis kin bi sayn fɔ paralayz (fes hemiplegia) ɔr di mɔsul dɛn wik.
- A - Am: Pɔsin we paralayz kin gɛt mɔsul wik ɔ swɛt na wan say. Aks di pɔsin fɔ es in tu an. If nyu wikɛd tin ɔ swɛt de na wan say, di ɔda an go drɔp dɔŋ we dɛn es wan an ɔp, ɔ i nɔ go pɔsibul fɔ es am atɔl.
- S - Tɔk: Bɔrku tɛm, paralayz kin mek yu nɔr ebul fɔ tɔk. Di tɔk kin mek pɔsin nɔ ebul fɔ tɔk fayn ɛn dɛn nɔ kin pik wɔd dɛn di rayt we.
- T - Taym: Taim na di essence, so no delay fo get helep! If i pɔsibul, luk di klok ɛn mɛmba di tɛm we yu sik bigin. If yu tɛl dɔktɔ ustɛm yu sik bigin, dat kin ɛp dɛn fɔ disayd us tritmɛnt go fayn fɔ yu.
Aw kwik a go fil fayn afta dɛn dɔn trit mi?
Bɔt i sɔri fɔ no se, no we nɔ de fɔ no uswan pan di difrɛn tritmɛnt dɛn go wok ɔ nɔ go wok. I kɔmɔn fɔ mek bɔku mɛrɛsin nɔ gɛt ɛni ɛfɛkt pan NDPH. Bɔrku tɛm, wan prɛvɛntiv tritmɛnt plan kin tek lɛk siks to et wiks fɔ bigin fɔ wok. Yu dɔktɔ kin gi yu di bɛst advays bɔt aw kwik wan mɛrɛsin – if i wok fayn – go wok. I go tɛl yu bak wetin fɔ du if di tritmɛnt nɔ wok fayn.I gɛt we fɔ ridyus ɔ mek di NDPH nɔ fɔm?
כnכfכs, NDPH kin apin insay wan we we yu nכ kin prεdikt. Dis min se no we nɔ de fɔ mek i nɔ apin. Bikɔs bɔku pan di tin dɛn we kin mek i apin we pɔsin nɔ bin de tink se i go apin, no fayn we nɔ de fɔ ridyus di prɔblɛm.If a gɛt NDPH, wetin a fɔ ɛkspɛkt?
If yu gɛt NDPH, yu kin ɛkspɛkt fɔ gɛt mɔdaret to siriɔs ed pen. Dɛn ed pen ya kin de fɔ at le tri mɔnt, dɛn kin de ɔltɛm, ɛn dɛn kin de ɔltɛm.Sɔm pipul dɛn kin gɛt fridɔm we dɛn de gi dɛn tritmɛnt, bɔt bɔku pan dɛn nɔ kin fil fayn.Aw lɔŋ NDPH go las?
Fɔ sɔm, NDPH na sɔntin we dɛn kin gɛt fɔ lɔng tɛm, ɛn afta dat i kin go as tɛm de go. Fɔ pipul dɛm na dis grup, de ed pen kin stɔp insay tri ia. Fɔ ɔda pipul dɛn, di ed we de at nɔ de ɛva dɔn. We NDPH nɔr de du tritmɛnt ɛn nɔr de go fɔ insɛf, de sik kin so bad dat e kin ambɔg tin dɛm lɛk fɔ go woke ɛn fɔ tek pat pan sɔshal aktiviti dɛm. As yu de lan fɔ liv wit dis sik, yu kin nid fɔ gɛt ɛp frɔm difrɛn spɛshal pipul dɛn, lɛk pɔsin we de advays yu bɔt yu maynd . I impɔtant fɔ fɛn tritmɛnt fɔ di saykilɔjik ifɛkt dɛm wae de kam wae yu de liv wit pen wae nɔr de dɔn.Wetin na di lukin-grɔn fɔ NDPH dɛn?
NDPH nɔto denja kɔndishɔn insɛf. Bɔt, dɛn no se fɔ liv wit mɔdaret to siriɔs pen we nɔr de dɔn , kin gɛt bad bad impak pan pɔrsin in maynd ɛn filin. Pipul wae gɛt pwɛl hat sik kin gɛt dis maynia sik lɛk wae dɛn kin wɔri ɛn pwɛl hat . Bɔrku rizin dɛn de wae kin mek i nɔr kin izi fɔ no bɔt dis sik:- Dis sityueshɔn nɔ kin apin so ɔltɛm.
- No patikyula diagnostik tɛst nɔ de we go ebul fɔ kɔnfɔm dis.
- Bɔrku tɛm, skan nɔr kin sho ɛni chenj wae kin ɛksplen de sik.
Aw a go kia fɔ mi wɛlbɔdi biznɛs?
If yu gɛt NDPH, yu dɔktɔ go mɔs gi yu advays bɔt wetin yu kin du fɔ ɛp wit di sik. Bɔrku tɛm, na smɔl tin wae bɔrku pipul kin du fɔ kɔntrol de sik. Bɔt sɔm pruf de fɔ se if yu pe atɛnshɔn pan yu jenɛral wɛlbɔdi ɛn wɛl-at kin mek sɔm tritmɛnt dɛn – mɔ di mɛrɛsin dɛn – go wok fayn. Jɛnɛral wan, di wɛl bɔdi abit dɛm wae dɛn kin tink se kin ɛp pas ɔl na:- It tin dɛn we go mek yu gɛt wɛlbɔdi.
- Ɛnjɔy fɔ du ɛksɛsayz ɔltɛm.
- Slip ɔltɛm ɛn rɛst fayn.
Ustɛm a fɔ go to dɔktɔ?
In jɛnɛral, if yu nɔr ɛva gɛt ed pen bifo, yu fɔ go to dɔktɔ if yu gɛt nyu, mɔdaret ed pen we mit ɛni wan pan dɛn krayteria ya:- If di mɛrɛsin dɛn we dɛn kin bay na kɔt nɔ ɛp ɛn/ɔ kɔntinyu fɔ wɔs.
- If na wan say nɔmɔ na di ed, ɔ if pen de we de bit ɔ puls.
- If yu gɛt ɔda sayn dɛm, lɛk fɔ gɛt bad bad nɔys ɛn vɔmit, ɔr yu de fil lɛk layt ɛn sawnd.
Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?
Bɔrku ed pen wae kin kam wantɛm wantɛm, nɔr kin bɛtɛ, ɛn kin wɔs as tɛm de go, kin bi sayn fɔ siriɔs ɔr denja. Ɔda sayn dɛn de we de sho se yu fɔ go to dɔktɔ wantɛm wantɛm. Dɛn tin ya na:- Wikɛd, swɛt, ɔr de tingling na wan ɔr ɔl tu say na di bɔdi.
- di lכs fכ si כ di tεm we i de si (e.g., blכr vishכn, dכbl vishכn).
- Fɔ fil se yu kɔnfyus ɔ yu taya pasmak.
- I nɔ izi fɔ mek yu balans ɔ fɔ tɔk. (Mɛmba se dɛn tin ya kin bi sayn dɛn we de sho se pɔsin paralayz!)
NDPH difrɛn frɔm ɔda kayn ed pen, lɛk maygren ɛn klasta ed pen?
Yes, NDPH difrɛn frɔm ɔda kayn ed pen. Pan ɔl we NDPH kin sheb sɔm pan di sem kayn tin dɛn we maygren ɛn ɔda kayn ed pen kin gɛt, i difrɛn so dat masta sabi pipul dɛn kin klas am as difrɛn kayn.Yu tink se NDPH go ɛva bɛtɛ ɔltogɛda?
NDPH de wok fɔ sɔm pipul dɛn, bɔt nɔto fɔ ɔlman. Bɔt i nɔ pɔsibul fɔ no ustɛm dis go apin ɔ udat go gɛt am.Ustɛm a fɔ wɔri bɔt we a kin gɛt ed we kin at ɔltɛm?
Yu fɔ wɔri bɔt ed we kin at ɔltɛm we nɔ kin at ɔ we kin rili bad, we nɔ kin bɛtɛ wit tritmɛnt, ɔ we nɔ kin go fɔ insɛf. If yu gɛt ed pen ɛvride, i fayn fɔ tɔk to yu praymari kia. Pan ɔl we i kɔmɔn fɔ mek ed pen ɛvride bikɔs bɔku pan di rizin dɛn we nɔ bad, lɛk fɔ nid glas ɔ kɔntakt lens, dɛn kin kam bak wit ɔda tin dɛn we rili siriɔs.Yu tink se i nɔmal fɔ mek yu gɛt smɔl ed pen ɛvride?
Nɔ, i nɔmal fɔ mek yu gɛt ed pen ɛvride. If yu gɛt ed we de at ɛvride, i fayn fɔ tɔk to dɔktɔ. I kin no if na siriɔs sik de mek yu ed pen ɔ if yu nid fɔ go to spɛshal dɔktɔ fɔ ɔda tritmɛnt. Bɔrku tɛm, dɔktɔ kin ɛp yu fɔ pul siriɔs sik ɛn fɛn we fɔ stɔp yu ed pen ɔ trit am if i apin.Faynal Mɛsej fɔ Tek-Hom
Nyu Ɛd-Ach we Nɔ De Apin ɛvride (NDPH) .Na wan sik we nɔ kin apin so ɔltɛm. Na wae pɔrsin gɛt nyu, mɔdaret ɔr siriɔs ed pen wae nɔr de bɛtɛ as tɛm de go ɛn de kam bak. E kin tranga fɔ trit, ɛn bɔrku pipul dɛn dɔn gɛt dis pen ɛn ɔda sayn dɛm fɔ lɔng lɔng tɛm. Sɔntɛnde, ed pen kin go fɔ insɛf, bɔt dis kin apin we yu nɔ bin de ɛkspɛkt. Pan ɔl we dɔktɔ dɛn kin tɔk bɔt aw fɔ trit am, dɛn nid fɔ du mɔ risach fɔ no wetin mek dis sik kin apin ɛn us tritmɛnt dɛn kin wok fayn pas ɔl. If yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ fɔ advays. Nɔ sɔfa yu wan, aks fɔ ɛp. Hed-ak, Kronik Pen, NDPH, Nyu Deli Pɛrsisɛnt Ɛd-ak, Maygren, Nyuropati, Simptom dɛm👩🏽 ⚕️ Kwɛshɔn dɛn we dɛn kin aks bɔku tɛm (FAQ) frɔm di Dɔkta
💬 Dɔktɔ dɛm, wetin na dis Nyu Daily Persistent Headache (NDPH)? Dis na sik we denja?
Dis NDPH na ed we de at we kin bigin wantɛm wantɛm ɛn te fɔ sɔm mɔnt. I kin kɔmɔt frɔm mɔdaret to siriɔs. Bɔt nɔ wɔri, i nɔto sik we go mek yu layf de pan denja. Bɔt, i kin mek di tin dɛn we yu de du ɛvride nɔ izi smɔl.
💬 Dɔktɔ, wetin mek dis pen kin apin? Udat kin gɛt am mɔ?
Gud kwɛstyɔn. Tu men kayn NDPH de. Sɔntɛnde, no patikyula kɔz nɔ de fɔ am, we dɛn kɔl ‘primary NDPH.’ Ɔda tɛm dɛn kin kam wit ɔda mɛrɛsin, mɔ di vayral infɛkshɔn, we dɛn kɔl ‘sɛkɔndari NDPH.’ Pan ɔl we i kin apin to ɛnibɔdi, i kin apin mɔ pan uman ɛn pikin dɛn we ol bitwin 10 ɛn 18 ia.











💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt