Yu yay kin at ɔltɛm? Lɛ wi lan bɔt Rikɔrɛnt Kɔnia Ɛrɔshɔn!

Yu kin fil pen bak we yu nɔ go ebul fɔ bia we yu opin yu yay na mɔnin? Yu tink se sɔntin de insay yu yay, lɛk se sɔntin de chuk yu? I at fɔ luk di layt, ɛn kray wata jɔs de kɔmɔt? dis kin bi damej pan di tכp layt na yu yay, dat na di kכnia, we na wan kכndyushכn we dεn kin pul di tכp pat pan di kכnia . Wi kɔl dis Rikɔrɛnt Kɔnia Ɛrɔshɔn (RCE) . Pan ɔl we di nem kɔmplikt smɔl, dis na kɔmɔn kɔndishɔn. Nɔ wɔri, lɛ wi tɔk bɔt dis ditayli, rili simpul.

Wetin rili na Rikɔrɛnt Kɔnia Ɛrɔshɔn (RCE)?

Fɔ tɔk am simpul wan, di transparent mɛmbran we de bifo yu yay, lɛk di winda na motoka, na in wi kɔl di kɔnia . Dis na wetin de protεkt di sεnsitiv pat dεm insay di yay frכm di כda wכld. I tan lɛk sef glas we dɛn put oba wi yay. Dis kɔnia gɛt fayv layers, ɔ layers. insay di kes fכ Rikכrεnt Kכnia Eroshכn (RCE), di tu layεr dεm we de tכp de afekt.

Dɛn tu flɔ dɛn de na:

• Epithelium: Dis na di layt we de na do pas ɔl na di kɔnia. I gɛt bɔku nerv ɛnd dɛn, we de mek i fil bad bɔku bɔku tɛm pas wi skin. Ivin smɔl dɔst wi kin fil.
• Bowman’s membrane: Dis layεr na wan protin we dεn kכl kolagen . Tink bɔt am lɛk jeli we de sɛt ɛn ol togɛda, ɛn na so i de wok. di bowman in mεmbran de ol di εpitεlial layεr we de oba εn di layεr we de dכn tכgeda, we de εp dεm fכ de tכgeda.

naw, we yu gεt RCE, di εpitεlium insεf εn di Bowman in mεmbran nכ de atak εn kכnekt fayn fayn wan. Da kɔnekshɔn de dɔn wik. Dɔn di layt we de ɔp, we na di ɛpitel insɛf, kin izi fɔ pul am, lɛk we pɔsin kin pul am. We dat apin, di layers we de ɔnda de we nɔ gɛt bɛtɛ tin fɔ du kin kɔmɔt. dis na tin we de mek yu fil pen bad bad wan biכs di εpitεlium fulכp wit di nεv εnd dεm.

Aw kɔmɔn dis RCE sityueshɔn?

RCE na wan sik wae kin pasmak, bɔt e nɔr kin izi fɔ tɔk ɔmɔs pipul dɛn kin gɛt am. Wan stɔdi we dɛn bin du na Lɔndɔn, Ingland, sho se dis sik kin afɛkt lɛk 1% pan di pipul dɛn na da siti de ɛvri ia. Bɔt dat nɔmba kin smɔl pas di rial nɔmba. Dis na bikɔs ivin smɔl skrach nɔ go nid fɔ go to dɔktɔ. Dɛn mek wi kɔnia fɔ mɛn dɛnsɛf kwik kwik wan. So, smɔl smɔl skrat dɛn kin wɛl insay sɔm minit ɔ awa.

Wetin na di sayn dɛm fɔ RCE?

If yu gɛt RCE, bɔku tɛm yu kin sho yu sayn dɛn we yu fɔs opin yu yay na mɔnin . Fɔ ɛgzampul, na nɛt, di kɔnekshɔn bitwin yu yaylid ɛn di ɔpa layt na yu kɔnia kin wik. We yu opin yu yay na mɔnin, di say we wik kin mek di ɔpa layt na yu kɔnia pul kɔmɔt na di aylid. If dis kin apin, yu kin gɛt sɔm kayn sik lɛk:

• I kin fil bad bad wan:Di pen kin fil lɛk se sɔntin dɔn stɔp insay di yay, lɛk se dɛn de chuk am wit nɛf.
• Di yay dɛn we de rɛd.
• Fɔtofɔbia: Ivin smɔl layt kin mek pɔsin nɔ ebul fɔ bia.
• Fɔ kray pasmak frɔm di yay (Epiphora).
• I kin tan lɛk se wan smɔl dɔst ɔ sɔntin dɔn stɔp insay di yay, bɔt sɔntɛm yu nɔ go rili si ɛnitin insay di yay.

Wetin mek dis RCE sityueshɔn kin apin?

Dis tan lɛk we yu put nyu pent pan wɔl we dɔn de flɛk we yu nɔ klin am fayn. Bikɔs di pent layt we de ɔnda am nɔ klin, ɛn bikɔs ɔf di bad tin dɛn we de insay, di nyu pent nɔ go adhere fayn. Ivin if yu jɔs tɔch am, di nyu layt kin kɔmɔt, nɔto so? Na so i bi. if eni wik כ damej de na di כndalayn layεr dεm na di kכnia, di tכp layεr nכ go adhere fayn.

Bɔku tɛm di men tin we kin mek pɔsin gɛt RCE na we i bin dɔn wund di yay bifo tɛm . I kin bi we yu pinch ɔ wund frɔm sɔntin lɛk yu yon finga nel, kɔna na pepa, ɔ lif frɔm tik, smɔl branch. Imajin se yu de wok na di gadin ɛn wan smɔl branch nak yu yay. Ivin if i nɔr tan lɛk big tin da tɛm de, afta sɔm dez, ɔr ivin sɔm ia, yu kin wek wit bad bad pen we yu opin yu yay na mɔnin. Dis injuri nɔ nid fɔ bi dis biɛn tɛm. Sɔm pipul dɛn kin gɛt RCE frɔm wan ay injury we bin apin sɔm ia bifo. RCE we dɛn kayn injury ya kin gɛt kin afɛkt wan yay nɔmɔ.

RCE kin kam bak bikɔs ɔf sɔm kɔnia sik dɛn ɛn krɛse sik dɛn we kin afɛkt di yay. Pan ɔl we bɔku tɛm dɛn tin ya kin afɛkt wan yay nɔmɔ, sɔm pipul dɛn kin gɛt sɔm sayn dɛn na dɛn tu yay ya.

Sɔm ɛgzampul dɛn bɔt dis na:

• Epithelial Basement Membrane Dystrophy (EBMD): Dɛn kin kɔl am bak map-dot-fingerprint dystrophy, dis na wikɛd tin we de na di lכw layεr dεm na di kכnia.
• Dray ay sindrom: Dis kכndyushכn kin apin we di wata we de kכmכt na di yay dכn dכn.
• Tayp 2 dayabitis.
• di aylid dεm de swεla εn inflameshn (Blepharitis).
• Ocular rosacea: Dis na ay prɔblɛm we kin apin wit wan sik na di skin.

Wetin na di prɔblɛm dɛn we kin apin we RCE kin gɛt?

Bɔku tɛm, di prɔblɛm dɛn we RCE kin kam wit nɔ kin mek pɔsin in layf de pan denja, bɔt dɛn kin rili nɔ kin fil fayn ɛn i kin rili siriɔs.

Dɛn na:

• Di risk fɔ mek RCE kam bak tumara bambay: Wans RCE dɔn apin, di chans fɔ mek di kɔnia pwɛl bak kin bɔku.
• di kכnia hεz: We di kכnia de pwεl bכku tεm wit RCE, in transparency kin dכn. Dis kin mek di layt we de go insay di yay nɔ bɔku, ɛn dis kin mek i nɔ izi fɔ yu fɔ si.
• Di risk fɔ gɛt di sik kin bɔku:Yu kɔnia na sɔntin we de protɛkt yu. We i dɔn pwɛl, di layt dɛn we de ɔnda am kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl Dis kin izi fɔ mek yu gɛt infɛkshɔn na yu yay . Sɔntɛnde, dɛn tin ya kin rili siriɔs.

Aw fɔ no di RCE stetɔs?

Bɔku tɛm, i kin izi fɔ no bɔt RCE. Ɔftalmolɔg ɔ optometrist kin sɔprayz am bay we i aks yu bɔt yu sayn dɛm, yu mɛdikal histri, ɛn ɛni ay injuri we yu bin dɔn gɛt bifo.

Dɔn dɛn kin du sɔm tɛst dɛn fɔ kɔnfirm dis. Bifo yu du dɛn tɛst dɛn de, dɛn kin gi yu wan mɛrɛsin we de mek yu nɔ fil fayn fɔ mek yu nɔ fil pen.

Di tɛst dɛn we dɛn kin du na:

• Slit lamp ɛgzam: Insay dis ɛgzam, yu dɔktɔ de chɛk yu yay wit spɛshal maykroskɔp (slit lamp). We dɛn de du dis tɛst, dɛn kin put wan blu day we dɛn kɔl fluorescein pan yu yay (we na lɛk ay drɔp ɔ wit spɛshal strip). Dis kin mek yu si ɛni skrach na di kɔnia.
• Adhesion test: Dis na fɔ tɔch di say we di kɔnia de jisnɔ wit spɔnj we dɛn kin yuz fɔ ɔpreshɔn. If yu gɛt RCE, di ɔp layt na di kɔnia go muv wit di spɔnj, i nɔ go stik togɛda fayn fayn wan. Dis kin fayn we ɔda tɛst dɛn nɔ sho klia wan se yu gɛt skrach.

Aw dɛn kin trit RCE?

Dɔktɔ dɛn kin trit RCE stɛp bay stɛp. Dɛn kin bigin wit simpul mɛrɛsin tritmɛnt ɛn dɛn kin jɔs go to mɔ kɔmpleks ɔspitul tritmɛnt if dɛn nɔ ɛp. Bɔt if di RCE rili bad, dɛn kin go stret to mɔ kɔmpleks tritmɛnt dɛn.

Medikal manejmɛnt

Di men gol na fɔ mek say we fayn fɔ mek yu yay wɛl fɔ insɛf. Bɔku tritmɛnt dɛn na pɔsin we insɛf kin gi. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt wetin fɔ du.

Sɔm tritmɛnt dɛn kin las fɔ sɔm dez ɔr wik. Dipen pan aw di RCE tranga, sɔm kin las fɔ sɔm mɔnt.

Mɛdikal manejmɛnt kin inklud wan ɔ mɔ pan dɛn tin ya:

• Pen management: RCE na wan sik wae de mek yu fil pen. Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk di mɛrɛsin dɛn we nɔ de mek pɔsin fil pen (NSAID) kin ɛp fɔ ridyus di pen. Dɔn bak, spɛshal ɔntmɛnt ɛn bɛnd kɔntakt lens kin ɛp fɔ ridyus pen.
• Lɔbrik na di yay: Dɛn kin gi di yay atifishal kray wata, salin drɔp, jel, ɔ ɔntmɛnt to di yay. Dɔktɔ dɛn se yu fɔ put dɛn tin ya na nɛt bifo yu go slip. Dɛn kin du dis fɔ mek RCE nɔ bigin ɔ wɔs we yu opin yu yay na mɔnin.
• Salin we gɛt haypatɔnik: .dis likwid de mek di wata we de kכmכt frכm di yay in sεf. dis de εp di εpitεlium fכ adhe bεtεh to di layεr dεm we de כndalayn. Dɔktɔ dɛn kin se yu fɔ yuz dis na de, wit di ɔntmɛnt we yu kin put na nɛt.
• Antibayɔtik drɔp ɔ ɔntmɛnt: Dɛn kin gi dɛn tin ya fɔ ɛp fɔ trit ɛni ay infekshɔn we de mek RCE, ɔ fɔ mek infɛkshɔn nɔ apin te di yay wɛl.
• Pat ɔ bandej kɔntakt lens: Dɛn tu tin ya de gi ɛkstra layt fɔ protɛkt di yay te di yay wɛl. Bandej lens na bandej we dɛn kin put pan di yay, jɔs lɛk kɔntakt lens. I de ɛp di yay fɔ wɛl insɛf.
• Sayklɔplejia: Di mɔsul dɛm we de kɔntrol yu yay kin chenj di shep fɔ yu yay smɔl. Dis na wetin de mek yu ebul fɔ si tin dɛn na difrɛn difrɛn say dɛn klia wan. Sayklɔplejia kin mek di mɔsul dɛn na di yay we di sik afɛkt nɔ wok fɔ sɔm tɛm. Dis kin mek di yay kɔntinyu fɔ gɛt di sem shep, we kin mek i izi fɔ mek i wɛl.
• Sɛrum drɔp: Dɛn spɛshal drɔp ya gɛt imyun prɔtin ɛn ɔda tin dɛn we de ɛp di yay fɔ wɛl. Dɛn kin bi autologous , we min se dɛn mek dɛn wit yu yon blɔd, ɔ dɛn kin mek dɛn wit blɔd we yu gi.
• Spɛshal mɛrɛsin dɛn: Dɛn mɛrɛsin ya kin bi mɛrɛsin dɛn we de blok di prɔtin dɛn we de ambɔg di kɔnia fɔ wɛl, lɛk kɔtikosterɔyd ɔ dɔksisayklin , ɔ mɛrɛsin dɛn we gɛt tin dɛn we de mek pɔsin gro we de mek i wɛl.

Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn

Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn na fɔ pul di pat dɛn we dɔn pwɛl na di ɛpitel ɛn alaw am fɔ gro bak di sem we we nɔ gɛt ska. Dɛn kin du dɛn ɔpreshɔn ya ɔnda topical anestesia, so i nɔ kin fil pen.

Ivin afta dɛn tritmɛnt ya, yu dɔktɔ kin gi yu mɛrɛsin lɛk aw wi bin dɔn tɔk. di εpitεlium kin gro bak insay fכ de dεm. Bɔt i kin tek sɔm wik ɔ mɔnt fɔ kɔntinyu fɔ gɛt mɛrɛsin fɔ mek di epithelium atɛnd fayn fayn wan to di layers we de ɔnda am.

Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn kin gɛt wan ɔ mɔ pan dɛn tin ya:

• Debridement: Dis involv fכ pul di damej epithelial tissue wit spεshal instrכmεnt dεm.
• Daymɔnd burr polishing: Dɔktɔ kin yuz spɛshal tin fɔ skrap di epithelial tissue frɔm di say we di kɔnia afɛkt, ɛn dis kin mek di wan ol eria gro bak ivin.
• Stromal panctures: Dɔktɔ kin yuz wan rili smɔl nidul ɔ laser fɔ mek smɔl ol dɛn na di stroma , we na di layt we de na di yay we de ɔnda di Bowman in mɛmbran. We dɛn put dɛn ol ya na di rayt ples, di yay kin wɛl frɔm dɛn ol dɛn de. Dis kin mek di bond bitwin di layt dɛn we de ɔp strɔng.
• di amniotic membrane placement: dis de wok lεk bεndεj lεns, bכt i de yuz tisu we dεn tek frכm di plasεnta. di plasεnta dεn kin pul di plasεnta bay sizarian sεkshכn εn afta dat dεn kin du wan strכng stεrilayzεshכn prכsεs. Di dɔktɔ kin put am dairekt oba di say we di yay afɛkt. di plasεnta tisu de protεkt di yay εn de εp di כta layεr dεm na di kכnia fכ gro bak.

Kɔmplikɛshɔn/sayd ifɛkt dɛm fɔ tritmɛnt

Di kɔmplikeshɔn ɛn sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt kin difrɛn bad bad wan dipen pan di tritmɛnt we yu kin gɛt. Yu dɔktɔ go ebul fɔ tɛl yu us sayd ɛfɛkt yu kin gɛt ɛn wetin yu kin du fɔ ridyus ɔr nɔr de.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Di tɛm we pɔsin kin wɛl afta di tritmɛnt kin dipen pan sɔm tin dɛn. di εpitel layt na yu kכnia kin gro bak εn hεl fayn fayn wan. Bɔt i kin tek sɔm wik ɔ mɔnt fɔ mek di layers we de ɔnda de wɛl ful wan ɛn fɔ tay togɛda fayn fayn wan. Yu dɔktɔ kin tɛl yu aw lɔng i go tek fɔ mek yu wɛl ɛn ustɛm yu kin ɛkspɛkt fɔ si chenj na yu sik, yu yay, ɔr di we aw yu yay de fil.

Wetin a fɔ ɛkspɛkt if a gɛt RCE?

If yu gɛt RCE, di men sayn na pen . Ɔda sayn dɛm kin kɔmɔn, nɔr kin fil fayn, ɛn kin ambɔg di tin dɛm wae dɛn kin du ɛvride. Bɔt smɔl smɔl skrach dɛn kin wɛl kwik kwik wan. Bɔrku pipul dɛn kin go to dɔktɔ wae dɛn skrach nɔr de skrach.

Di men prɔblɛm we yu go gɛt na dat dɛn tin ya kin kam bak . If dis apin, chans de fɔ mek yu gɛt prɔblɛm dɛn we go afɛkt yu yay.

So, i go fayn fɔ go to dɔktɔ we de mɛn yu yay if yu notis sɔm sayn dɛn we de sho se yu gɛt RCE, mɔ we yu fɔs opin yu yay na mɔnin . If dɛn trit am kwik kwik wan, dat kin mek di RCE nɔ pwɛl ɛn i kin mek i nɔ gɛt am bak tumara bambay.

Aw lɔng RCE kin las?

Yu kɔnia gɛt wɔndaful pawa fɔ mɛn insɛf. Smɔl smɔl damej kin wɛl insay sɔm awa, ɛn mɔ bad bad damej kin tek sɔm dez.

Bɔt mɛmba se, RCE kin apin nɔmɔ we yu yay nɔ wɛl. If dat apin, yu go nid fɔ kɔntinyu fɔ yuz yu yay mɛrɛsin ɔ ɔda tritmɛnt dɛn lɛk aw yu dɔktɔ tɛl yu fɔ sɔm wik ɔ mɔnt. I kin tan lɛk se na wok we de mek yu taya ɛn we de mek yu taya, bɔt na di bɛst we fɔ mek shɔ se yu yay wɛl fayn ɛn mek RCE nɔ apin tumara bambay.

Wetin na di lukin-grɔn fɔ RCE stetɔs?

RCE kin mek pɔsin fil pen, i nɔ kin fil fayn, ɛn sɔntɛnde i kin rili bad, bɔt i nɔ kin put pɔsin in layf pan denja. Sɔntɛnde, i kin kam bak, bɔt dɛn kin trit di wan dɛn we kin kam bak. Laki, prɔblɛm dɛn we kin afɛkt yu yay fɔ lɔng tɛm ɔ fɔ ɔltɛm nɔ kin bɔku.

Dɛn kin ebul fɔ stɔp RCE ɔ dɛn kin ridyus di prɔblɛm?

RCE kin apin we yu nɔ bin de ɛkspɛkt. Dɛn nɔ kin ebul fɔ stɔp dɛn ɔl, bɔt tin dɛn de we yu kin du fɔ ridyus di chans fɔ mek dɛn apin.

Wetin dɛn kin du fɔ mek dɛn nɔ gɛt RCE?Di tin we impɔtant pas ɔl na fɔ mek yu nɔ wund yu yay. Wear gɔgl, fes shild, ɔ sef glas ɛnitɛm we yu yay de pan denja fɔ wund. Dis impɔtant mɔ we yu de wok wit tul ɔ na say we denja fɔ gɛt tin dɛn na yu yay.

If yu put atifishal kray wata, jel, ɔ ɔntmɛnt na yu yay bifo yu go slip, dat kin rili ɛp yu, mɔ if yu wek wit yay we de at na mɔnin. we yu kip di say we di kכnia εn di aylid wet, i de εp fכ mek di tin dεm we de adheshon we de kכntribyut fכ te.

Aw a kin kia fɔ misɛf?

If yu tink se yu gɛt RCE, i go fayn fɔ mek yu go fɔ tritmɛnt kwik kwik wan . Dis go ɛp yu fɔ kɔntrol yu sayn dɛm ɛn ridyus di risk fɔ gɛt prɔblɛm dɛn tumara bambay.

If yu gɛt RCE, yu dɔktɔ go gayd yu fɔ no aw fɔ mɛn am. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn di rayt we. If yu fala di instrɔkshɔn dɛn di rayt we ɛn tek di mɛrɛsin ɔ di tritmɛnt lɛk aw dɛn tɛl yu fɔ du am, i go mɔs bi se yu go wɛl ɛn nɔ gɛt ɛni prɔblɛm.

Ustɛm a fɔ go to mi dɔktɔ ɔ go to dɔktɔ?

If yu gɛt RCE, yu fɔ go fɔ fala di visit dɛn lɛk aw yu dɔktɔ tɛl yu fɔ du. Dis go mek dɛn ebul fɔ wach aw yu kɔnia de wɛl ɛn ajɔst yu tritmɛnt if nid de. If yu notis ɛni chenj na yu sayn dɛm, yu yay, ɔr aw yu tritmɛnt de woke fayn, yu fɔ tɔk to dɛm ɔr go to dɛm.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

RCE nɔ kin bi imejensi, bɔt i kin mek pɔsin fil pen ɛn i kin rili ambɔg di tin dɛn we pɔsin kin du ɛvride. If yu gɛt sɔm sayn dɛm fɔ RCE, i go fayn fɔ kɔl yu famili dɔktɔ in ɔfis fɔ gayd yu. Yu kin go bak na klinik we de kia fɔ pipul dɛn kwik kwik wan.

Pan ɔl we RCE nɔ kin bi imejensi, i gɛt tin dɛn we fiba wit mɔ siriɔs ay injuri lɛk di kɔnia lacerations , we na kɔt ɛn kray na di kɔnia.

If yu gɛt dawt, go to tritmɛnt kwik kwik wan ɛn nɔ de te. If yu du dat, dat kin mek big difrɛns pan tritmɛnt, fɔ wɛl, ɛn fɔ mek yu nɔ si fayn.

If yu gɛt ɛni wan pan dɛn sayn ya wit yu yay pen, yu fɔ go to dɔktɔ:

• Injury na yu yay, lɛk fɔ kɔt, brus, laceration, ɔ pankchɔ wund.
• Yu nɔ de si tin wantɛm wantɛm (ivin if na fɔ shɔt tɛm ɔ i jɔs afɛkt wan pat pan di vishɔn).
• Yu yay de bɔn ɔ rɛd di we we yu nɔ go ebul fɔ ɛksplen.
• Nɔs ɛn vɔmit.
• Ed de at .
• Fiva.
• Filin lɛk sɔmtin dɔn stɔp na yu yay (ilɛksɛf yu kin si ɛnitin we kin mek yu fil ɔ yu nɔ kin si am).

Fɔ dɔn smɔl...

We wi yay de wok fayn, wi nɔ kin ivin tink bɔt aw wi de yuz am, nɔto so? Bɔt we wi yay at, ɛn wi nɔ no wetin mek, i kin rili mek wi fred. RCE na siriɔs sik we de mek pɔsin fil pen, bɔt gud tritmɛnt dɛn de fɔ am.

If yu gɛt sɔm sayn dɛn fɔ RCE, mɔ if na nyu wan, tɔk to dɔktɔ ɔ dɔktɔ we de mɛn yu yay. Di kwik we yu gɛt diagnosis ɛn stat tritmɛnt, na di mɔ yu chans fɔ mek yu wɛl kwik ɛn fɔ mek di sik nɔ kam bak tumara bambay.

` Ay injuri, Kɔnia injuri, Ay pen, Ay rɛdnɛs, Rikɔrɛnt Kɔnia Irɔshɔn, Kɔnia, Ay pen