I tan lɛk se yu pikin fat smɔl? Lɛ wi lan bɔt aw pikin dɛn kin fat!

Sɔntɛnde, yu kin fil se yu smɔl pikin tu fat smɔl? Ɔ i luk big pas aw i bin de bifo? Sɔntɛm wan pan yu padi dɛn dɔn tɔk sɔntin lɛk dat. Infakt, pikin dɛn we fat pasmak na tin we kin apin na di wɔl ɛn na wi kɔntri. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na Childhood Obesity? Fɔ tɔk am simpul wan...

Pikin fat na we yu pikin fat pasmak ɔ fat fɔ in ej, ayt, ɛn man ɔ uman (i.e., if na bɔy pikin ɔ gyal pikin). Na wan sik wae nɔr de mɛn ɛn kin gɛt ɛfɛkt fɔ lɔng tɛm .

Dɔktɔ dɛn kin yuz wan we fɔ mɛzhɔ dis kɔrɛkt wan. Dɛn kɔl am di Bɔdi Mas Indeks (BMI) . Afta tu ia, if pikin in ``BMI'' ikwal ɔ pas di ``95th Percentile'' fɔ dɛn ej ɛn sɛks, dɔktɔ dɛn kin tek da pikin de fat.

Di we aw fɔ kɔl pikin in BMI difrɛn smɔl frɔm fɔ kɔl big pɔsin in BMI. Dis na bikɔs as pikin dɛn de gro, di shep we dɛn bɔdi gɛt ɛn di fat we de insay dɛn kin chenj bay dɛnsɛf. So, dɔktɔ dɛn kin yuz spɛshal chɛt dɛn we de sho aw pikin de gro fɔ no di BMI we pikin gɛt.

Aw dis sik kin kɔmɔn?

Infakt, we pikin dɛn fat pasmak na di sik we kin apin to pikin dɛn tide. Fɔ ɛgzampul, wan stɔdi we wan big ɔganayzeshɔn fɔ wɛlbɔdi biznɛs na Amɛrika, we na di Centers for Disease Control and Prevention (CDC) bin du, sho se frɔm 2017 to 2020, na lɛk 14.7 milyɔn pikin ɛn yɔŋ pipul dɛn we ol bitwin 2 ɛn 19 ia, ɔ lɛk 19.7 pasɛnt, bin sɔfa bikɔs dɛn fat.

We yu luk di ej grup dɛn:

• 12.7% pan di pikin dεm we ol 2-5 ia
• 20.7% pan di pikin dεm we ol 6-11 ia
• 22.2% pan di yɔŋ pipul dɛn we ol bitwin 12-19 ia

Dis tin kin rili bad pan sɔm etnik grup dɛn. Dɛn dɔn si bak se pikin dɛn we po, we de na say dɛn we dɛn nɔ gɛt bɛtɛ savis, we kɔmɔt na famili dɛn we kɔmɔt na ɔda kɔntri, ɛn pikin dɛn we dɛn de trit bad ɛn we dɛn nɔ de tek mek natin, na dɛn de pan denja pas ɔl. I klia se dis tin de go bifo smɔl smɔl na wi kɔntri bak.

Wetin mek dis kin apin to yɔŋ pikin dɛn? Wetin na di rizin dɛn?

Nɔto wan tin nɔmɔ kin mek pikin dɛn fat pasmak. Na bikɔs ɔf tin dɛn we dɛn jɔyn togɛda .

Fɔ tɔk am simpul wan, yu pikin in bɔdi nid sɔm kalori fɔ mek i gro ɛn divɛlɔp. Bɔt if di kalori we dɛn de it pas di kalori we dɛn de bɔn insay wan de, dɛn go kip dɛn ɛkstra kalori dɛn de as bɔdi fat (adipose tissue).

Di kayn it we wi de it, di kayn it we wi de it, ɛn di we aw wi bɔdi de yuz da ɛnaji de, ɔl dis kin afɛkt bɔku tin dɛn. Ɔl pikin in bɔdi ɛn di say we dɛn de, difrɛn. Sɔm pikin dɛn kin gɛt mɔ wet pas ɔda wan dɛn. I impɔtant fɔ ɔndastand se dis nɔto bikɔs i les ɔ i nɔ gɛt pawa fɔ du sɔntin.

Jɛnɛtiks ɛn Epijenɛtiks

Sɔm tin dɛn we kin apin to pikin kin mek di pikin fat mɔ ɛn mɔ. If pikin in mama ɛn papa ɔ in brɔda ɛn sista dɛn fat, da pikin de kin fat bak. Stɔdi dɛn dɔn sho se difrɛn jin dɛn kin mek pɔsin gɛt mɔ wet. Bɔt nɔto ɔl pikin dɛn we gɛt famili histri bɔt fat go fat.

Epigenetics na di stכdi fכ aw yu bihayvya εn di envayroment de afekt di we aw yu jin dεm de wok. Pikin dɛn we kin gɛt bad bad tin dɛn lɛk fɔ trit pipul dɛn we kɔmɔt na ɔda kɔntri ɛn fɛt-fɛt kin gɛt chenj na dɛn jin. Dɛn chenj ya kin afɛkt dɛn imyun sistɛm ɛn mɛtabolism , chenj di we aw di bɔdi de yuz ɛnaji ɛn i kin mek dɛn fat mɔ ɛn mɔ.

Na sɔm ɔda `(Epigenetic)` factor dɛm:

• Wan ɔ dɛn tu mama ɛn papa fɔ fat bifo dɛn bɔn di pikin.
• Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ.
• We yu gɛt bɔku bɔku wet we yu gɛt bɛlɛ.

Di inflɛns we famili ɛn di say we dɛn de na os gɛt

Tin dɛn we famili dɛn kin du togɛda ɛn sɔm tin dɛn we dɛn kin du na dɛn os kin afɛkt di we aw pikin dɛn kin fat.

• Di kayn it we mama ɛn papa dɛn kin gi dɛn pikin dɛn ɛn aw ɔltɛm dɛn kin it.
• Fɔ drink drink dɛn we gɛt shuga bɔku tɛm.
• Fɔ mek di it we dɛn de gi bɔku pan wan it.
• Fɔ it tin dɛn we dɛn dɔn prosɛs bɔku tɛm wit bɔku atifishal tin dɛn.
• Bifo a kuk na os, bɔku tɛm a kin it na do.
• Inkris skrin tɛm (TV, fon, tablɛt).
• Nɔr fɔ du tin dɛm wae de gi di bɔdi ɛksɛsayz (Sedentary Behavior).
• Nɔ gɛt bɛtɛ slip.
• Fɔ inhal smok we ɔda pɔsin de smok dɛn kɔl am ``Sɛkɛnd Smok Ɛksplɔshɔn''.
• Advays Pikin Ɛkspiriɛns (ACEs). Tink bɔt am, if fɛt-fɛt de ɔltɛm na os, if di pikin de fred, dɛn tin dɛn de kin afɛkt bak.

Sɔshial Ditarminant fɔ Wɛlbɔdi (`SDoHs`) .

Di tin dɛn we de apin na di say we wi bɔn, liv, lan, wok, ɛn ple kin afɛkt wi wɛlbɔdi. Dɛn kɔl dis di Sɔshial Ditarminant fɔ Wɛlbɔdi (SDoHs) .

Di eria usay yu famili de kin afɛkt bak dairekt wan di risk fɔ mek yu pikin fat. Di it ɛn drink we dɛn kin gi yu pikin na skul ɛn di say we dɛn de kia fɔ pikin kin afɛkt di we aw i de it. Dɛn kin ɛp bak fɔ mek yu pikin de du ɛksasaiz ɛvride.

Ɔda tin dɛn we de afɛkt di soshio-ikɔnomik tin dɛn:

• Di afɔdabiliti ɛn izi fɔ fɛn gud, fayn it.
• Fɔ gɛt fast fud shɔp dɛn we de nia os dɛn.
• Transpɔt fasiliti dɛn.
• Pipul dɛn we de de fɔ ɛp yu, soshal kɔnekshɔn.
• Nɔ gɛt tin dɛn (lɛk ples fɔ ple ɛn pak) fɔ ple spɔt ɛn fɔ du ɛksɛsayz, ɔ nɔ gɛt sef fɔ go de.

Di tin dɛn we de ambɔg di kɔlchɔ

Advatayzmɛnt fɔ it ɛn drink dɛn we nɔ fayn na di say dɛn we dɛn kin sɛl fast fud kin mek pikin dɛn fat. Pikin dɛn kin si dɛn advatayzmɛnt ya na TV, na di Intanɛt, ɛn na stɔ dɛn.

Stɔdi dɔn sho se ivin fɔ shɔt tɛm we pɔsin de advatayz tin dɛn we nɔ fayn fɔ it we dɛn de tɔk bɔt pikin dɛn fɔ it, dat kin mek dɛn it bɔku tin dɛn, insay da tɛm de ɛn afta dat.

Ɔda sik dɛn ɛn mɛrɛsin dɛn

Pan ɔl we i nɔ kin apin so ɔltɛm, sɔm mɛrɛsin dɛn kin mek pikin dɛn fat.

Di ɔmon dɛn we nɔ balans, fɔ ɛgzampul:

• di tayroyd gland de dכn dכn (Hypothyroidism).
• Hypothalamic tumor.
• Grɔwth Ɔmon Dɛfisiɛns.
• Di sik we dɛn kɔl Cushing in syndrome.

Di tin dɛn we kin apin we pɔsin kin gɛt jɛnɛtiks we nɔ kin apin so ɔltɛm:

• Prader-Willi Sindrom we gɛt di sik.
• Bardet-Biedl Sindrom we gɛt di sik.
• Alstrom Sindrom we gɛt di sik.
• Lɛptin ɔ PCSK1 Dɛfisiɛns dɛn we dɛn bɔn wit.

Sɔm mɛrɛsin dɛn lɛk sɛkɔn jɛnɛreshɔn antisaykotik ɛn kɔtikosterɔyd kin mek pikin gɛt mɔ wet ɛn fat bak.

Us ɔda wɛlbɔdi prɔblɛm dɛn we pɔsin kin gɛt we i fat?

Pikin dɛn we fat kin gɛt difrɛn sik dɛn.

Prɔblɛm dɛn na di bɔdi

Di prɔblɛm dɛn we kin apin mɔ na:

• Di ay blɔd prɛshɔn.
• di kכlestכl lεvεl dεm we de inkrεs na di bכdi (High Cholesterol - `Dyslipidemia`).
• Insulin Resistance, Prediabetes, ɛn Tayp 2 Dayabitis.
• Nɔn-alkohol fat liva sik (NAFLD).

Ɔda prɔblɛm dɛn we kin apin:

• Asma we gɛt asma.
• Obstructive Sleep Apnea (We yu nɔ de blo ɔltɛm we yu de slip) .
• Polisistik Ovarian Sindrom (PCOS).
• Pwɛl at.
• Pen na di jɔyn dɛn.
• Blount in Sik (leg de twitch).
• At sik.

Prɔblɛm dɛn we de na pɔsin in maynd ɛn we i de wit ɔda pipul dɛn

Apat frɔm dat, pikin dɛn we fat kin gɛt:

• Bullying frɔm ɔda pikin dɛn.
• Soshal ayzolayshɔn.
• Nɔ gɛt bɛtɛ ɔnɔ fɔ yusɛf.

Di tin we impɔtant pas ɔl na dat, pikin dɛn we fat we dɛn smɔl, kin kɔntinyu fɔ fat we dɛn dɔn big.

Yu pikin in pikin dɔktɔ go tɛl yu fɔ du tɛst fɔ chɛk fɔ dɛn prɔblɛm ya ɛn if nid de, plan fɔ tek tritmɛnt.

Aw dɔktɔ go no if na so i bi?

Di dɔktɔ dɛn we de mɛn pikin dɛn kin no se pɔsin gɛt bɔku bɔku bɔdi ɛn i fat we dɛn de chɛk pikin dɛn fayn fayn wan ɔltɛm. Dɛn kin yuz spɛshal growth chɛt (BMI-for-age growth charts) fɔ si if di pikin in BMI fit in ej.

If yu gɛt ay BMI, dat kin bi sayn fɔ se yu bɔdi fat pasmak. BMI nɔ de mɛzhɔ di bɔdi fat dairekt wan. Bɔt i kin mek yu dɔktɔ no if yu pikin nid fɔ du mɔ tɛst fɔ no if i gɛt bɔku bɔku fat na in bɔdi.

Yu pikin in dɔktɔ go du in bɔdi ɛgzam ɛn aks yu kwɛstyɔn bɔt aw yu pikin in wɛlbɔdi istri, aw i de biev, ɛn aw i de na os. Dɛn kin ɔda bak fɔ mek dɛn tek blɔd tɛst ɛn skan fɔ no wetin mek pɔsin fat ɔ fɔ chɛk fɔ ɔda mɛrɛsin dɛn we kin mek pɔsin fat.

Wetin na di tritmɛnt fɔ pikin we fat?

Yu dɔktɔ go no if yu pikin in wet de mek i gɛt prɔblɛm wit in wɛlbɔdi. If na so i bi, yu go nid fɔ tink bɔt fɔ du fɔmal tritmɛnt program.

Di wok we di mɛdikal tim de du

Wan gud program fɔ trit pipul dɛn we fat fɔ gɛt difrɛn difrɛn wɛlbɔdi biznɛs pipul dɛn. Di bɛst program dɛn kin bi:

• Di dɔktɔ dɛn we de mɛn pikin dɛn.
• Di wan dɛn we de stɔdi bɔt it we dɛn dɔn rɛjista.
• Ɛksesaiz Fisiɔlɔjis ɔ Fizik Tɛrapist.
• Famili dɔktɔ dɛn.
• Di wan dɛn we sabi bɔt nɔs.
• Di wan dɛn we de stɔdi bɔt pikin dɛn maynd.
• Di wan dɛn we de mɛn pipul dɛn we gɛt sayɛns.

Tin dɛm wae yu fɔ pe atɛnshɔn to wae yu de trit yu

Kɔmprɛhɛnsif tritmɛnt fɔ fat pasmak kin inklud:

• Fɔ gi tranga wan tritmɛnt we go tek lɔng tɛm .
• Evaluet ɛn monitar di pikin ɔltɛm fɔ di mɛdikal ɛn saykolojik kɔmplikeshɔn dɛn we kin apin bikɔs i fat.
• Fɔ no ɛn adrɛs sɔshal tin dɛm wae de afɛkt wɛl bɔdi (e.g., fɔ gɛt klin, wɛl bɔdi it).
• Yuz tritmɛnt we nɔ de put di pikin ɛn in famili dɔŋ, ɛn tek tɛm tink bɔt di spɛshal tin dɛn we de apin to dɛn .
• Yuz Motivational Interviewing methods bɔt aw fɔ it, aw fɔ du bɔdi wok, ɛn aw fɔ chenj aw yu de biev wit yu wɛlbɔdi.
• Fɔ gɛt ɔltin we yu want fɔ du, lɛk fɔ mek yu gɛt bɛtɛ wɛlbɔdi ɔ fɔ sɔlv prɔblɛm dɛn we yu gɛt wit yu wɛlbɔdi biznɛs, fɔ mek yu liv bɛtɛ layf, ɛn fɔ mek yu gɛt bɛtɛ ɔnɔ fɔ yusɛf.
• If nid de, fɔ kɔba intensiv wɛlbɔdi bihayvya ɛn layf stayl tritmɛnt (IHBLT) wit mɛrɛsin fɔ lɔs yu wet ɛn/ɔ mɛtabolik ɛn bariatric ɔpreshɔn .
• Tayl di tritmɛnt fɔ di chenj we di pikin ɛn in famili nid.

Wan spɛshal tritmɛnt we dɛn kɔl `(IHBLT)`

Di wan dɛn we sabi bɔt pikin dɛn we fat pasmak kin rili kɔmɛnt bɔt Intensive Health Behavioral and Lifestyle Therapy (IHBLT) . Dis tritmɛnt de gi famili dɛn ɛdyukeshɔn ɛn sɔpɔt fɔ mek chenj dɛn pan it ɛn fɔ du bɔdi wok we go mek dɛn gɛt wɛlbɔdi fɔ lɔng tɛm.

`(IHBLT)` tritmɛnt kin wok fayn if dɛn du am dis we:

• We wi mit fes to fes.
• We di wan ol famili de insay.
• Inklud di minimum 26 awa lɛsin bɔt nyutrishɔn, fyzikal aktiviti, ɛn fɔ chenj di we aw pɔsin de biev fɔ tri to twɛlv mɔnt.

Yu tink se dɛn go ebul fɔ mek dɛn nɔ fat we pikin dɛn fat?

No wan simpul we nɔ de fɔ mek pikin dɛn nɔ fat. I impɔtant bak fɔ mɛmba se fɔ avɔyd am nɔto jɔs yu ɛn yu famili in wok. Gɔvmɛnt dɛn, lokal ɔtoriti dɛn, skul dɛn, kɔmyuniti dɛn, ɛn big kɔmni dɛnsɛf gɛt wok fɔ du togɛda. Apat frɔm dat, sɔm tin dɛn we gɛt fɔ du wit in jɛnɛtiks ɛn tin dɛn we gɛt fɔ du wit drɔgs kin mek pɔsin fat. Dis na tin dɛn we yu nɔ ebul fɔ kɔntrol.

Wan tin we yu kin du na fɔ mek yu gɛt di abit fɔ it fayn ɛn fɔ du bɔku tin dɛn we yu yɔŋ. Di we aw pikin kin it we i yɔŋ, dat go ɛp am fɔ kɔntinyu fɔ liv fayn layf as i de ol. If yu nɔ shɔ aw fɔ pik ɛn pripia difrɛn it dɛn fɔ yu famili, aks yu pikin in dɔktɔ. I kin rifer yu to wan rɛjista dayatist fɔ mek dɛn gi yu advays bɔt it . I kin tɛl yu bak bɔt ples dɛn na yu kɔmyuniti we de gi yu it dɛn we gɛt wɛlbɔdi.

Sɔm ɔda tin dɛn we yu fɔ du fɔ mek yu nɔ fat we pikin dɛn nɔ fat:

• Gi yu pikin in mama in bɛlɛ nɔmɔ te i ol lɛk 6 mɔnt.
• Ɛnjɔy fɔ du sɔntin we go mek yu ɛnjɔy yusɛf ɛvride.
• Ridyus di tɛm we yu kin spɛn na di skrin fɔ nɔ pas wan to tu awa insay di de.
• Nɔ drink tin dɛn we gɛt shuga ɛn stɔp fɔ it 100% frut jus.

Aks yu dɔktɔ we de mɛn pikin dɛn fɔ no mɔ bɔt ɔda tin dɛn we dɛn kin tɔk bɔt fɔ mek pipul dɛn gɛt wɛlbɔdi lɛk dɛn wan ya.

Aw a go ɛp mi pikin we fat?

Di tin we impɔtant pas ɔl we yu go du fɔ ɛp yu pikin na fɔ pe atɛnshɔn pan in wɛlbɔdi, nɔto fɔ pe atɛnshɔn pan in wet. I impɔtant fɔ sɔpɔt yu pikin pan in joyn fɔ gɛt bɛtɛ wɛlbɔdi. Bɔku tɛm, di we aw yu pikin de fil bɔt insɛf, na di we aw yu de fil bɔt am. If yu aksept yu pikin pan ɛni wet, dɛn go fil fayn bɔt dɛnsɛf. Nɔ blem yu pikin, yusɛf, ɔ ɛni ɔda pɔsin.

I impɔtant bak fɔ tɔk to yu pikin bɔt in wet we yu nɔ jɔj. Yu fɔ mek yu pikin tɛl yu bɔt wetin de na in maynd. Yu kin ɛp yu pikin bay we yu de chenj di we aw yu famili de du tin ɛn di we aw dɛn de it smɔl smɔl. Dɔn yu wan ol famili kin bɛnifit frɔm nyu abit dɛn we gɛt wɛlbɔdi.

Di tin we impɔtant pas ɔl: wɛlbɔdi pas yu wet!

Mɛmba se wi gol nɔ fɔ bi fɔ mek di pikin tan, bɔt fɔ mek di pikin bi pikin we gɛt wɛlbɔdi ɛn we gladi.

Mek wi get aktif as famili!

Bɔku tin dɛn de we una kin du as famili, bɔt i impɔtant mɔ fɔ du mɔ ɛn mɔ. Sɛt gol fɔ mek yu pikin de du in bɔdi fɔ at le wan awa ɔltɛm ɛvride. Na sɔm we dɛn fɔ du dis:

• Bi pɔsin we de falamakata yusɛf: If yu si yusɛf de du tin ɛn ɛnjɔy yusɛf, i go izi fɔ mek yu pikin de du tin ɛn kɔntinyu fɔ du tin ɔlsay na in layf.
• Plan fɔ du tin dɛn we yu go du na yu famili: Plan fɔ du tin dɛn we go mek ɔlman na di famili du ɛksɛsayz. Tin dɛn lɛk fɔ go waka, fɔ rayd baysikul, ɔ fɔ swim.
• Yu fɔ no wetin yu pikin nid: I impɔtant fɔ ɛp yu pikin fɔ fɛn bɔdi tin dɛn we i lɛk ɛn we nɔ tu at fɔ am.
• Go fa frɔm di skrin fɔ sɔm tɛm: Tray fɔ ridyus di tɛm we yu famili de spɛn na wan ples (lɛk fɔ wach TV, fɔ ple vidio gem). Nɔ mek yu pikin spɛn pas tu awa ɛvride na di skrin.
• Fɔ mek yu pikin gɛt gud abit fɔ slip: If yu go slip di tɛm we yu dɔn pik ɛn nɔ put ilɛktronik tin dɛn na yu pikin in bedrum, dat go ɛp am fɔ slip fayn.

Lɛ wi tek kia ɔf it ɛn drink bak!

Ɔda we dɛn we yu go ɛp yu pikin:

• Gayd di famili fɔ pik instead fɔ disayd fɔ it: Tray fɔ kip difrɛn it dɛn we gɛt wɛlbɔdi na yu os. Dis abit go ɛp yu pikin fɔ lan fɔ pik tin fɔ it we go mek i gɛt wɛlbɔdi fɔ insɛf.
• Mek yu pikin put an pan shop ɛn pripia it: Dɛn tin ya kin tich yu pikin bɔt aw fɔ it ɛn mek i fil se i dɔn du sɔntin. Apat frɔm dat, yu pikin kin it mɔ it we dɛn ɛp fɔ mek ɔ tray nyu it.
• Tich yu pikin fɔ it ɔltɛm: We pikin de it ɔltɛm, i kin fil fayn fɔ angri ɛn ful-ɔp.
• Una it togɛda as famili ɛnitɛm we i pɔsibul: Tray fɔ mek di tɛm fɔ it bi tɛm fɔ tɔk to dɛnsɛf ɛn fɔ sheb, nɔto tɛm fɔ agyu ɔ fɛt. If di tɛm fɔ it nɔ fayn, yu pikin go tray fɔ it ɛn kɔmɔt na di tebul kwik kwik wan. Dɔn i kin jɔyn fɔ it wit strɛs.
• Tray fɔ it na say dɛn nɔmɔ we dɛn dɔn pik na di os (lɛk di ples fɔ it ɔ di kichin).
• Nɔ gi yu pikin it as gift: We yu gi yu pikin sɔntin we swit as gift, yu pikin kin tink se i bɛtɛ pas ɔda it dɛn. Fɔ ɛgzampul, fɔ se, "If yu it ɔl di vɛjitebul, a go gi yu dɛzat" de sɛn di rɔng mɛsej bɔt vɛjitebul.
• Tink bɔt wetin yu pikin de it ausayd yu os: Fɔ no if yu pikin in skul it program de gi yu pikin fɔ it fayn fayn wan. If i pɔsibul, pak difrɛn it dɛn na yu pikin in lanch bɔks. We yu de it na do, pik tin dɛn we go mek yu gɛt wɛlbɔdi ɛn mɛmba di sayz dɛn we yu fɔ it.

Ustɛm a fɔ go to dɔktɔ?

I impɔtant fɔ kip yu pikin in ɔltɛm apɔntinmɛnt fɔ wɛl pikin ɛn atɛnd ɔl di apɔntinmɛnt dɛn we gɛt fɔ du wit tritmɛnt fɔ fat. Yu pikin in dɔktɔ kin sɔpɔt yu ɛn yu pikin pan dɛn joyn fɔ gɛt wɛlbɔdi tumara bambay.

Wit ɔl di mistek dɛm ɛn sɔshal stigma wae de arawnd dis kɔmpleks kɔndishɔn, e izi fɔ fil gilti ɔr ripɔtabl fɔ yu pikin in fat. Bɔt mɛmba se, di fat we pikin dɛn kin fat kin gɛt bɔku bɔku tin dɛn – bɔku pan dɛn kin bi pas yu kɔntrol. Di gud nyus na dat, tin dɛn de we yu ɛn yu famili kin du fɔ sɔpɔt yu pikin in wɛlbɔdi. If yu de wɔri se yu pikin fat pasmak, tɔk to dɛn dɔktɔ. Dɛn kin ɛp yu fɔ kam wit wan plan fɔ stɔp ɔ rivɛns di prɔblɛm dɛn we fat kin kam wit.

Di tin we impɔtant pas ɔl we yu gɛt fɔ tɔk

Fɔ fat we pikin dɛn fat na siriɔs tin, bɔt i nɔ min se yu nɔ ebul fɔ du sɔntin ɔ yu pikin nɔ gɛt tumara bambay. Di impɔtant tin na fɔ adrɛs am kwik ɛn du di rayt advays.

• Tɔk to yu pikin wit lɔv ɛn ɔndastandin. Nɔ blem ɔ provok di pikin in wet.
• Una fɔ liv fayn layf as famili. Start wit smɔl chenj dɛn.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If nid de, go to pɔsin we sabi bɔt it ɔ pɔsin we de stɔdi bɔt pɔsin in maynd fɔ ɛp yu.
• Nɔ ɛva giv ɔp op. Di tray we yu de tray ɛn di lɔv we yu de du go mek yu pikin gɛt trɛnk.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn, mek shɔ se yu tɔk to dɔktɔ.

` Pikin dɛn we fat, pikin dɛn we fat, pikin dɛn wɛlbɔdi, BMI, it fayn fayn wan, ɛksesaiz, pikin dɛn wet