Yu vagina dray? Yu tink se i de mek pɔsin fil pen? Lɛ wi tɔk bɔt (Vaginal Atrophy / Jɛnɛral Sindrom fɔ Mɛnopause - GSM)

Yu dɔn ɛva fil bad, pen, ɔ dray na yu vagina? Yu kin fil pen we yu de du mami ɛn dadi biznɛs? Yu kin shem smɔl fɔ tɔk bɔt dɛn tin ya. Bɔt, dɛn tin ya na rili kɔmɔn tin dɛn we kin afɛkt bɔku uman dɛn, bɔt wi nɔ kin tɔk bɔt dɛn bɔku, bɔt na tɔpik we wi nid fɔ tɔk bɔt. Tide, wi go tɔk bɔt dis ditayli .

Wetin dɛn kɔl dis kɔndishɔn? Wetin rili na am?

Fɔ tɔk am simpul wan, dis na kɔndishɔn we di tisu dɛn we de rawnd di vagina kin tan ɛn dray. Dɛn bin de kɔl am `(Vaginal Atrophy)`. Bɔt naw dɛn dɔn yuz nyu mɛrɛsin nem, we na `(Genitourinary Syndrome of Menopause)` ɔ `(GSM)` fɔ shɔt. di rizin fכ yuz dis nyu nem na biכs dis kכndyushכn nכ de afekt nכto di vagina nכmכ, bכt di urinary sistεm bak. wetin de apin insay dis na we di dilik mεmbran dεm we de layn insay yu vagina de dray εn tin aut. Tink bɔt am lɛk se grɔn de krak we i dray. Dis na wae mek sayn dɛm lɛk fɔ it, bɔn, ɛn pen we yu de du mami ɛn dadi biznɛs kin apin. Nɔto dat nɔmɔ, bɔt urinary tract infection (UTIs)` ɛn urinary incontinence kin kam wit am bak. Dis sik kin apin bɔrku tɛm as yu de kam nia ɔ afta yu dɔn menɔpauz. di rizin fכ dis na biכs di lεvεl fכ di כmon εstrojen we yu ovaria de mek de dכn. We dɛn de trit kansa ɔ we dɛn de ɔpreshɔn yu ovaria, dis lɛvɛl we di ɛstrojen de kin go dɔŋ bak. We dis ɔmon lɛvɛl go dɔŋ, i kin mek sɔm sayn dɛn we nɔ kin rili fayn. Dɛn tin ya kin afɛkt yu nɔmal layf bak.

Aw kɔmɔn tin dis? (Aw kɔmɔn dis?)

infakt, at le af pan כl di uman dεm we de go tru mεnopos kin gεt sכm kayn sik we dεn kכl Jεnitourinary Syndrome of Menopause (GSM). Bɔku tɛm di fɔs sayn na we di vagina dray . Yu kin notis dis fɔs we yu de du mami ɛn dadi biznɛs.

Wetin na di sayn dɛm fɔ dis? (Wetin na di sayn dɛm fɔ dis?)

we yu gεt wan kכndyushכn we dεn kכl ``Vaginal Atrophy'' כ ``GSM'', di tisu we de layn di wכl dεm na di vagina de tכn, dray, εn i kin izi fכ infεkshכn. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.

Di simptom dɛm we de sho se pɔsin kin gɛt di vagina:

• Fɔ fil se yu vagina de bɔn ɛn/ɔ yu de it .
• Pen we pɔsin de fil we i de du mami ɛn dadi biznɛs. dis na mεdikal kכl am ``Dyspareunia''.
• abnכmal vagina dischaj (bכku tεm in kכla na yכlכ).
• Blɔd we de kɔmɔt na di vagina ɔ we gɛt spat, mɔ we yu de du mami ɛn dadi biznɛs.
• di it we yu de it rawnd di labia (eksternal jεnital εria).

Di simptom dɛm we gɛt fɔ du wit di urinary system:

Dis sik kin afɛkt yu urinary system bak, we kin mek yu gɛt sɔm kayn sik lɛk:

• Urinary tract infection (UTI) we kin kam bɔku tɛm.
• Inkontinɛns na we pɔsin nɔ ebul fɔ kɔntrol aw i de pis.
• Nid fɔ pis bɔku tɛm pas aw i fɔ pis.
• We yu de pis we yu de pis. Dɛn kɔl dis `(Dysuria)`.
• Blɔd we de na di urine. Na dat dɛn kɔl `(Hematuria)`.
• Wan tin we kin mek pɔsin bɔn we i de pis.

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

We yu de menɔpauz, yu bɔdi de mek bɔku smɔl pan di ɔmon we dɛn kɔl ɛstrojen. if dis εstrojen nכ de, di wכl dεm na yu vagina kin tכn εn lכs εlastik. Yu vagina kin smɔl ɛn shɔt. we di εstrojen lεvεl dכn dכn, di nכmal vagina fכluid de dכn, εn di asid bεlε na yu vagina de chenj. כl dis de mek yu vagina tisu mכr dilik εn i kin izi fכ infεkshכn. Apat frɔm we yu de menɔpauz, ɔda tɛm dɛn de we yu bɔdi kin lɔs ɛstrojen. Fɔ ɛgzampul:

• We yu de gi pikin in bɛlɛ.
• We yu de du tritmɛnt fɔ kansa (e.g. `(Kɛmotɛrapi)`, `(Rɛdieshɔn tɛrapi)`).
• If yu dɔn gɛt ɔpreshɔn fɔ pul yu ovaries (`( Oophorectomy )`).

insay kes dεm lεk dis, we di εstrojen dכn dכn kin mek yu gεt wan kכndyushכn we dεn kכl "Vaginal Atrophy".

Udat de pan denja pas ɔl fɔ gɛt dis sik?

uman dεm we de go tru mεnopos kin gεt dis kכndyushכn, biכs dεn bכdi nכmal fכ mek sכm εstrojen. Bɔt ɔda rizin dɛn de we mek di ɛstrojen lɛvɛl kin go dɔŋ, we kin mek pɔsin gɛt dis sik:

• di ovarian fכnshכn dכn dכn biכs fכ di anti-kansa tritmεnt (Kεmothεrapi כ Rεdyushכn tεrapi).
• Yuz sɔm mɛrɛsin dɛn we de ridyus di ɛstrojen lɛvɛl. Sɔm ɛgzampul dɛn na mɛrɛsin dɛn lɛk Tamoxifen, Medroxyprogesterone, ɛn Nafarelin.
• כpεrayshכn fכ pul di ovaria dεm (`(Oophorectomy)`).
• Sɔm kayn pils dɛn we dɛn kin yuz fɔ mek dɛn nɔ bɔn pikin.
• Sɔm sik dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik.
• Di tɛm we dɛn de gi pikin in mama in bɛlɛ .
• Fɔ smok tabak .

di impɔtant tin na dat, di mɔ yu nɔ de du mami ɛn dadi biznɛs (wit ɔ atɔl patna), na di mɔ yu go gɛt mɔdaret to siriɔs vagina atrofi. Risach dɔn sho se pipul dɛn we kin du mami ɛn dadi biznɛs bɔku tɛm nɔ kin gɛt bɛtɛ vagina atrofi pas di wan dɛn we dɔn stɔp fɔ du mami ɛn dadi biznɛs. dis na biכs di sεks stimulashכn de mek di bכdi fכ fכlכ to di vagina, we de mek di vagina tisu elastik bכku.

Wetin na di kɔmplikɛshɔn dɛm wae kin apun bikɔs ɔf dis?

Vaginal Atrophy (GSM) kin afɛkt yu kwaliti layf ɛn yu rilayshɔn wit yu patna. I gɛt bad bad tin dɛn we kin apin to pɔsin in bɔdi ɛn in maynd. Di sayn dɛm na yu bɔdi lɛk pen, bɔn, it, ɛn wata we de kɔmɔt na yu bɔdi kin ambɔg ɔltin na yu layf. I kin gɛt saykilɔjik impak bak. We yu gɛt dɛn kayn sik ya, yu nɔ go lɛk fɔ du mami ɛn dadi biznɛs, yu nɔ go want fɔ gɛt tayt padi biznɛs wit ɔda pɔsin, ɔ yu nɔ go gɛt kɔnfidɛns pan yusɛf. Duya mɛmba se ɔl dɛn filin ya na nɔmal tin ɛn yu dɔktɔ de fɔ ɛp yu.

Aw dɛn kin no dis?

Dɔktɔ kin no if yu gɛt vagina atrofi bay di sayn dɛm we yu gɛt ɛn wan ɛgzam na yu bɛlɛ, we de chɛk yu vagina ɛn yu sɛviks. Di kɔmɔn sayn dɛm fɔ dis kɔndishɔn we dɛn de du ɛgzam na di bɛlɛ na:

• di vagina de sכt כ sכt.
• Dray, rɛd, ɛn swel.
• Di wan we dɔn lɔs in ɛlastik.
• Wan wayt wata we de kɔmɔt na di vagina.
• di kכndishכn dεm na di skin, lεk di sכl dεm εn/כ rεd spat dεm, arawnd di labia.
• sכm sכm kכt dεm (lacerations) nia di vagina opin.
• di sayz we di labia de dכn.

Us tɛst dɛn kin du fɔ kɔnfirm dis?

Bɔku tɛm, dɔktɔ dɛn kin no if pɔsin gɛt atrofik chenj ɔ GSM bay we dɛn de si di sik ɛn ɛgzamin. Bɔt dɛn kin du tɛst bak fɔ no ɔda tin dɛn lɛk:

• Pap tɛst we dɛn kin du.
• Test fɔ wan urine sampul.
• Ultrasound egzamin.
• tεst di pH (asiditi) fכ di vagina (`(Vaginal pH)`).
• Test fɔ si if pɔsin gɛt infɛkshɔn na di vagina.

Kwɛstyɔn dɛn we yu dɔktɔ go aks:

• Yu de go tru menopause?
• Us mɛrɛsin dɛn yu kin yuz?
• Yu dɔn bɔn pikin i nɔ tu te yet?
• Yu tink se we yu de du mami ɛn dadi biznɛs wit yu vagina, i kin at?
• Yu dɔn tray fɔ yuz lɔbrik ɔ mɔstizayza we yu kin bay na di famasi?
• yu notis se eni dischaj de komot na yu vagina?
• Yu notis ɛni blɔd we de kɔmɔt ɔ yu gɛt spat?
• Aw lɔng dɛn sik ya dɔn de?

Na nɔmal tin fɔ fil shem we yu de tɔk bɔt di sayn dɛm fɔ `(Vaginal Atrophy)`. Bɔt if yu tink se yu gɛt dɛn sik ya, nɔ shem fɔ tɛl yu dɔktɔ bɔt dɛn. Bɔku fayn tritmɛnt dɛn de fɔ dis.

Lɛ wi luk pan tritmɛnt dɛm: Ɔmon tritmɛnt dɛm

εstrojen tεrapi εn dihaydroεpiandrostεron (DHEA) na di כmon tritmεnt fכ vagina atrofi.

Ɛstrojen we dɛn kin put pan pɔsin in bɔdi

dis de wok bay we yu de trit di simptom dεm nכmכ na di vagina we nכ de inkrεs di lεvεl כf εstrojen na yu bכdi. Yu kin tek am as krim, vagina tablɛt, ɔ ring. Yu dɔktɔ kin ɛksplen ɛni wan pan dɛn we ya to yu ɛn ɛp yu fɔ pik di wan we go fayn fɔ yu.

• Vagina estrogen cream: Dɛn kin put dis krim insay di vagina bay we dɛn de yuz apliketa. Bɔku pipul dɛn nid fɔ put am ɛvride fɔ sɔm wiks, dɔn na tu ɔ tri tɛm nɔmɔ insay di wik.
• Vagina ring: Dis na tin we tan lɛk tin we tan lɛk tin we kin chenj. Yu dɔktɔ kin put am insay yu vagina. I de rilis smɔl doz ɔf ɛstrojen fɔ tri mɔnt. Dɔn yu dɔktɔ kin pul am ɛn put nyu wan insay.
• Vagina tablɛt: Dis na smɔl tablɛt bak we dɛn kin put insay di vagina yuz apliketa. Lɛk ɔda tritmɛnt dɛn we gɛt ɛstrojen, dɛn kin yuz am ɛvride fɔs, dɔn dɛn kin ridyus am to tu to tri tɛm insay di wik.

Ɔmon Riplesmɛnt Tɛrapi (HRT) .

dis dεn kכl am bak `(Systemic estrogen therapy)`. If yu gɛt ɔda sayn dɛn we de sho se yu nɔ gɛt bɛlɛ lɛk fɔ wam yu bɔdi ɛn yu de swet, dis tritmɛnt go ɛp yu. dis na di hכmon dεm we pasmak, εn i nכ de go na di vagina nכmכ, bכt i de go to כda sεl dεm na di bכdi. If yu dɔn pas 10 ia afta yu dɔn pas 10 ia, ɔ if yu jɔs gɛt vagina dray, dɛn kin yuz `(Lɔkal tɛrapi)` bɔku tɛm. Bɔt if yu nid `(Systemic hormone therapy)`, i kin gɛt bɛnifit bak lɛk fɔ mek yu vagina wɛl, fɔ mek yu slip fayn, fɔ ridyus `(Hot flashes)`, ɛn fɔ mek yu fil fayn. Yu ɛn yu dɔktɔ kin disayd if dis tritmɛnt fayn fɔ yu.

Wetin na di tritmɛnt dɛn we nɔ gɛt ɔmon?

Yu ɛn yu dɔktɔ fɔ wok togɛda fɔ mek wan tritmɛnt plan fɔ yu vagina atrophy kɔndishɔn. Yu dɔktɔ go ɛp yu fɔ disayd us tritmɛnt go wok fayn pasmak bay di sayn dɛm wae yu gɛt ɛn aw dɛn kin tranga. Dɛn kin tek di tritmɛnt dɛn we gɛt ɛstrojen ɛn DHEA as di wan dɛn we go wok pas ɔl. Bɔt dɛn tritmɛnt ya nɔ fayn fɔ ɔlman. Bɔku tritmɛnt dɛn de bak we nɔ gɛt ɔmon we dɛn kin yuz.

Lubrik ɛn Mɔstizayza dɛn

Lubrik ɛn mɔstizayza kin trit di vagina dray. Dis kin mek yu nɔ fil fayn we yu de du mami ɛn dadi biznɛs. Yu kin bay dɛn tin ya na famasi ɔ supamakit we de nia yu. Dɛn kin kam insay difrɛn difrɛn brand dɛn.

• Dɛn kin yuz vagina lɔbrik fɔ ridyus frikshɔn ɛn pen we dɛn de du mami ɛn dadi biznɛs. Dɛn kin mek dɛn wit wata, silikon, ɔ ɔyl. Dɛn kin jɔs wok fɔ shɔt tɛm.
• di vagina mכstizayza dεm de stik to di vagina tisu dεm εn de εp fכ kip mכsichכ na di sεl dεm. Dɛn kin yuz dɛn tin ya wan to tri tɛm insay di de, bikɔs dɛn kin wok fɔ lɔng tɛm.
• Sɔm natura ɔyl dɛn lɛk ɔliv ɔyl ɛn kokonat ɔyl, dɛn kin yuz bak as lɔbrik ɛn mɔstizayza.

Laser Tritmɛnt dɛn

dεn se tritmεnt dεm we nכ de invayv, we nכ de du sכjεkshכn we dεn kכl CO2 lεzεr de εp fכ jεnεret di vagina tisu, we de mek in trεnk εn elastik bכku. Bɔt di U.S. Food and Drug Administration (FDA) nɔ dɔn gri fɔ yuz dɛn divays ya yet fɔ trit di vagina atrophy, bikɔs dɛn stil nɔ gɛt bɛtɛ risach fɔ lɔng tɛm bɔt aw fɔ yuz dɛn.

Dilata dɛn we de mek di tin dɛn we de apin

Dilator na tin dɛn we dɛn kin yuz fɔ mek di vagina big fɔ mek i nɔ fil fayn we dɛn de du mami ɛn dadi biznɛs. Bɔku pipul dɛn kin bigin wit smɔl dilatɔ ɛn smɔl smɔl dɛn kin go to big wan dɛn.

Ospemifen (Ospemifen - Osphena®) we de mek pɔsin gɛt di sik.

Osphena® na wan pil we dɛn kin tek ɛvride. I gɛt di sem bɛnifit dɛn we istrojen gɛt, bɔt i nɔ gɛt ɛstrojen. Bɔt wan siriɔs sayd ɛfɛkt we nɔ kin apin so ɔltɛm na we i kin mek blɔd klɔt mɔ ɛn mɔ. Sɔm pipul kin gɛt bɔrku swet ɛn hot flash (hot flash), bɔt bɔrku pipul nɔr kin gɛt ɛni sayn.

Ɛni sayd ɛfɛkt/kɔmplikɛshɔn de fɔ tritmɛnt?

Yu fɔ no bɔt ɛni nyu sayn wae de kam afta yu dɔn bigin fɔ trit yu. Dɛn tin ya kin bi we yu skin kin irita, we yu kin fil pen mɔ ɛn mɔ, ɛn/ɔ wata we de kɔmɔt na yu vagina. Tɔk to yu dɔktɔ bɔt ɛni sayd ɛfɛkt. If yu nɔr de fil fayn wit yu tritmɛnt plan, nɔr shem fɔ aks yu dɔktɔ bɔt am.

Aw lɔng e kin tek fɔ trit dis sik?

De lɔng tɛm wae e kin tek fɔ trit yu simptom dɛm fɔ (GSM) kin difrɛn difrɛn wan wae yu kin yuse ɛn aw yu sik kin tranga. Yu dɔktɔ go tɔk to yu ɔl di tin dɛn we yu go ebul fɔ du, bay aw yu gɛt wɛlbɔdi ɛn aw yu sik. I go ɛp yu fɔ no di tritmɛnt plan we go wok fayn pas ɔl. Yu fɔ mɛmba se bɔku pipul dɛn kin gɛt sakrifays we dɛn de yuz wan kɔmbayn tritmɛnt.

Yu tink se dɛn go ebul fɔ stɔp dis?

di εstrojen we yu de lכs na pat pan di nכmal we aw yu bכdi de ol. Dɛn nɔ go ebul fɔ stɔp am ɔltogɛda. Bɔt we dɛn de fɔ mek di vagina atrofi nɔ wɔs. Nɔ yuz tin dɛn we go ambɔg di vagina (perfum, day, shampoo, ditargent, ɛn douching). Mɛmba se fɔ du mami ɛn dadi biznɛs fayn fɔ mek di vagina atrofi, bikɔs i de mek di blɔd flɔ to di vagina tisu dɛn mɔ.

Wetin a go ɛkspɛkt if dɛn dɔn no se a gɛt di sik?

Yu nɔ nid fɔ "jɔs liv" wit vagina atrofi. Ivin if yu de na menopause ɔ postmenopause, i nɔ min se yu fɔ sɔfa wit urinary tract infection (UTIs) bɔku tɛm, vagina it, ɔ pen we yu de du mami ɛn dadi biznɛs. Tritmɛnt fɔ vagina atrofi kin rili wok. Nɔr frayd fɔ tray difrɛn tritmɛnt dɛm, ɛn woke wit yu dɔktɔ fɔ fɛn di wan wae go woke fayn fɔ yu.

Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata? (Dɛn kin mɛn dis kpatakpata?)

Vaginal Atrophy nɔ go ebul fɔ wɛl ɔl, bɔt yu nɔ nid fɔ liv wit di diskɔmfɔt. If dɛn no di sik fayn fayn wan ɛn trit am fayn, dɛn kin ebul fɔ kɔntrol di sik dɛn.

Dis sik kin wɔs if dɛn nɔ trit am?

Yɛs, dis sik kin wɔs. Na dat mek i impɔtant fɔ gɛt tritmɛnt kwik kwik wan. Di kwik we yu gɛt tritmɛnt, na di mɔ yu vagina atrofi nɔ go wɔs. Fɔ ɛgzampul, di mɔ we yu nɔ gɛt ɛstrojen, na di mɔ yu vagina kin dray. If yu nɔ trit yu, yu vagina atrophy kin wɔs. sכmtεm, dis kכndyushכn kin so bad dat di opin fכ di vagina kin sכmtεm sכmtεm sכmtεm. If na so i bi, if yu delay fɔ bigin tritmɛnt, i kin at fɔ trit.

Aw i tan lɛk fɔ liv wit dis? (Aw i tan lɛk fɔ liv wit dis?)

Vagina atrophy kin rili afɛkt nɔto jɔs yu sɛks layf, bɔt i kin afɛkt yu ɔl kwaliti layf bak. Di sayn dɛm lɛk pen, dray, bɔn/it, spɔt, blɔd, prɔblɛm wit yu urinary, urinary tract infection (UTIs) ɔltɛm, ɛn yu vagina dischaj kin rili nɔ fayn ɛn i kin ambɔg yu aktiviti dɛm ɛvride. Na lɛk wan pan ɛvri 4 uman dɛn ripɔt se di vagina atrophy dɔn afɛkt ɔda tin dɛn na dɛn layf bad bad wan, lɛk dɛn slip, wɛl bɔdi we dɛn de du mami ɛn dadi biznɛs, ɛn aw dɛn de fil fayn.

Aw a kin kia fɔ misɛf? (Aw a kin tek kia ɔf misɛf?)

Lɛk ɔl ɔda tin dɛn we gɛt fɔ du wit yu wɛlbɔdi biznɛs, mek yu gɛt fɔ du wit mami ɛn dadi biznɛs. Aks ɛp frɔm yu dɔktɔ fɔ fɛn ansa to ɛni kwɛstyɔn ɔ tin we de mɔna yu.

Ustɛm a fɔ go to dɔktɔ?

Ivin if yu nɔ de menopause, tɛl yu dɔktɔ bɔt ɛni sayn lɛk fɔ dray, pen, bɔn/it, prɔblɛm wit yu urinary, spat ɔ blɔd we nɔ kɔmɔn, ɔ wata we de kɔmɔt na yu vagina. If yu dɔn de yuz ɔva-di-kɔnta mɔstizayza fɔ yu dray fɔ sɔm wiks ɛn no impɔtant tin nɔ de, yu fɔ go to dɔktɔ. Dɔn bak, if yu gɛt ɛni sayn we de ambɔg yu ɛvride, mek shɔ se yu go to dɔktɔ.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn tin yu rekomend se a kin bai na di famasi?
• Us tritmɛnt dɛn yu kin se a fɔ gɛt we a nɔ gɛt prɛskrishɔn?
• Dis tin we de apin to mi na fɔ shɔt tɛm nɔmɔ?
• Ɔda we dɛn de fɔ trit mi sik?
• Ɛni risk de pan di tritmɛnt?
• Aw lɔng i kin tek fɔ mek yu wɛl afta yu dɔn gɛt tritmɛnt?
• A gɛt ɛni ɔda mɛrɛsin apat frɔm Vaginal Atrophy?
• Wetin bak a kin du fɔ stɔp mi vagina atrophy fɔ mek i nɔ wɔs?
• Aw a go ɛp mi patna?

wetin difrεns bitwin vagina atrophy εn yist infεkshכn?

Ɔl tu di vagina atrophy ɛn yist infɛkshɔn kin mek yu gɛt sɔm sayn dɛm lɛk dray, it, rɛd, ɛn pen. כltu, di vagina atrofi de kכz fכ we i nכ gεt εstrojen, we yist infεkshכn de kכz fכ fכngal infεkshכn. So tɔk to yu dɔktɔ bɔt yu sik ɛn us sik yu gɛt, ɛn una ɔl tu go disayd.

So, wetin na di tin we impɔtant pas ɔl frɔm wetin wi tɔk bɔt?

Vagina atrophy na siriɔs sik. I kin afɛkt yu kwaliti layf, mek yu nɔ fil fayn, yu kin go na di bafa bɔku tɛm, yu kin gɛt infekshɔn na yu urinary tract (UTIs), yu kin gɛt inflamɛns, yu kin fil pen we yu de du mami ɛn dadi biznɛs, ɛn ɔda tin dɛn.

Bɔt gud tin na dat, bɔku tritmɛnt dɛn de fɔ dis, ɛn yu dɔktɔ kin ɛp yu fɔ fɛn di bɛst we fɔ yu sik dɛn.

Fɛn tritmɛnt. Nɔr frayd fɔ tɔk to yu dɔktɔ ɛn yu patna bɔt dis. Ɔltɛm fala yu dɔktɔ in advays ɛn du wetin yu ebul fɔ kɔntrol yu sik. Mɛmba se nɔto yu wangren de, ɛn ɛp de.