WaLacham (And bread) Ayan (NO ONE) BaKal (in every) HaAratz (the land); Kay-Kabad (surely very grievous) HaRaib (the famine) Maad (very severe), WaThaLahah (and fainted) Aratz (Earth/land) Matzarayam (Egypt) WaAratz (and land) Kanain (Canaan) MaPanayam (from reason) HaRaib (the famine).