So wo nso woahyia saa yare yi? Momma yɛnka (Metabolic Syndrome) ho asɛm!

Ebia asɛmfua "Metabolic Syndrome" no bɛyɛ te sɛ nea ɛyɛ hu kakra ama wo. Ebia ɛbɛyɛ te sɛ asɛmfua kɛse, nanso sɛ yɛbɛka no tiawa a, ɛyɛ akwahosan ho haw ahorow pii a ɛfa ho a wɔaka abom a ɛka bom yɛ tebea bi wɔ wo nipadua mu. Ɛte sɛ package deal. Ɛho hia sɛ wuhu eyi efisɛ ebetumi de wo akɔ asiane kɛse mu sɛ wubenya tebea horow a emu yɛ den te sɛ komayare, asikreyare a ɛto so abien, ne ɔyare a ɛma obi hwe ase.

Dɛn ankasa ne `(Metabolic Syndrome)`?

Sɛ yɛbɛka no tiawa a, `(Metabolic Syndrome)` nyɛ yareɛ baako pɛ. Ɛyɛ akwahosan ho haw ahorow pii a ɛka bom wɔ wo nipadua mu. Saa ɔhaw ahorow yi betumi asɛe wo `( Cardiovascular system)`, ama asiane a ɛwɔ hɔ sɛ wubenya asikreyare no ayɛ kɛse, na mpo abue kwan ama tebea horow te sɛ ɔyare a ɛma obi hwe ase . Bio nso, ɛma asiane a ɛwɔ hɔ sɛ `(Atherosclerosis)`, srade a ɛbɛboaboa ano wɔ wo ntini afasu mu, ayɛ teateaa, na asɛe akwaa ahorow a ɛwɔ wo nipadua mu no yɛ kɛse.

Wɔfrɛ eyi biribi foforo, ebia woate ho asɛm:

• `Ayaresa X`
• `Insulin a ɛko tia nyarewa`
• Dysmetabolic syndrome a ɛma nipadua no yɛ adwuma yiye

Nanso saa din ahorow yi nyinaa kyerɛ tebea koro.

Mɛyɛ dɛn ahu sɛ mewɔ `(Metabolic Syndrome)`? (Nhwehwɛmu a wɔde hu yare no) .

Nneɛma atitiriw anum na nnuruyɛfo hwehwɛ de hu sɛ wowɔ `(Metabolic Syndrome)` anaa. Sɛ anyɛ yiye koraa no, wowɔ saa anum yi mu abiɛsa a, wubetumi aka sɛ wowɔ saa tebea yi. Ma yɛnhwɛ nea wɔyɛ?

1. Yafunu mu duru a ɛboro so:

• Sɛ yɛbɛka no tiawa a, ɛyɛ wo yafunu no ntwemu a ɛkɔ soro. Sɛ ɔbarima bi asen boro nsateakwaa 40 (bɛyɛ sɛntimita 102) na sɛ ɔbea asen boro nsateakwaa 35 (bɛyɛ sɛntimita 88) a, eyi yɛ sɛnkyerɛnne biako. Eyi te sɛ nea wowɔ "srade a ɛwɔ wo yafunu ho."

2. Triglyceride dodow a ɛkɔ soro wɔ mogya mu (Hypertriglyceridemia):

• Triglycerides yɛ srade bi a ɛwɔ wo mogya mu. Sɛ wo dodow yɛ 150 mg/dL (milligrams per deciliter) anaa nea ɛboro saa a, ɛno nso yɛ asiane.

3. Srade pa (HDL) a ɛba fam:

• HDL srade yɛ nea yɛfrɛ no "srade pa." Ɛyɛ papa ma nipadua no. Sɛ saa HDL dodow yi nnu 40 mg/dL wɔ ɔbarima mu, na ɛba fam sen 50 mg/dL wɔ ɔbea mu a, ɛno nso yɛ asɛm a ɛhaw adwene.

4. Asikre dodow a ɛkɔ soro wɔ mogya mu:

• Sɛ asikre dodow a ɛwɔ wo mogya mu yɛ 100 mg/dL anaa nea ɛboro saa bere a worehwɛ asikre a ɛwɔ wo mogya mu ansa na woadi (adi mmuada) anɔpa a, eyi yɛ asiane.
• Sɛ ɛyɛ 100 kosi 125 mg/dL a, ɛnde na wowɔ asikreyare a edi kan . Ɛno kyerɛ sɛ woreyɛ anya asikreyare.
• Sɛ ɛboro 125 mg/dL a, ɛda adi kɛse sɛ wowɔ Asikreyare a Ɛto so 2.

5. Mogya mmoroso:

• Eyi nso fa wo mogya mmoroso 130 mmHg anaa nea ɛboro saa (systolic) ne/anaasɛ 85 mmHg anaa nea ɛboro saa (diastolic) a.

Kae sɛ, sɛ tebea horow yi mu biara wɔ hɔ ankasa mpo a, ɛma asiane a ɛwɔ hɔ sɛ wubenya nyarewa te sɛ komayare, asikreyare, ne akisikuru yɛ kɛse. Nanso sɛ tebea horow yi mu abiɛsa anaa nea ɛboro saa bom ba a, asiane a ɛwɔ hɔ no kɔ soro kɛse . Enti sɛ wohu sɛ wowɔ Metabolic Syndrome a, bu no sɛ ɛyɛ kɔkɔbɔ sɛnkyerɛnne a ɛbɛma woasesa w’akwahosan na woatew asiane a ɛwɔ hɔ no so.

Saa tebea yi na wɔfrɛ no `(Metabolic Syndrome)` abu so dɛn?

Eyi abu so kɛse ankasa sen sɛnea ebia wubesusuw. Sɛ nhwɛso no, wɔka sɛ mpanyimfo a wɔwɔ United States no mu bɛyɛ nkyem abiɛsa mu biako na wɔwɔ saa yare yi. Ɛte sɛ nea tebea yi renya nkɔanim wɔ Sri Lanka nso.

Dɛn ne `(Metabolic Syndrome)` ho sɛnkyerɛnne?

Ade titiriw a ɛwɔ eyi ho ne sɛ ɛnyɛ tebea horow a ɛfa `(Metabolic Syndrome)` ho nyinaa na ɛda sɛnkyerɛnne ahorow adi. Enti sɛnkyerɛnne ahorow a wowɔ no gyina nneɛma anum a yɛaka ho asɛm wɔ atifi hɔ no mu nea ɛka wo so. Sɛ nhwɛso no, nneɛma te sɛ mogya mmoroso, triglycerides a ɛkɔ soro, ne HDL srade a ɛba fam no ntaa mfa sɛnkyerɛnne titiriw biara mma.

Nanso, sɛ asikre dodow kɔ soro wɔ mogya mu (Hyperglycemia) a, nnipa binom betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Wora a ɛyɛ tuntum wɔ mmeae te sɛ abasa, kɔn akyi, ne nkyɛnkyɛn, te sɛ nea efĩ akata so (Acanthosis nigricans).
• Anisoadehu a ɛyɛ kusuu.
• Sukɔm a ɛboro so (Polydipsia).
• Ɛho hia sɛ wɔtaa tow nsu, titiriw anadwo.
• Ɔbrɛ a wɔte nka bere nyinaa.

Sɛ wowɔ saa nsɛnkyerɛnne yi a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Adɛn nti na yenya saa `(Metabolic Syndrome)` yi? (Nea ɛde ba) .

Nneɛma pii wɔ hɔ a ɛboa ma ``Metabolic Syndrome'' ba, nokwarem no ɛyɛ nkitahodi a ɛyɛ den kakra. Nanso nhwehwɛmufo gye di sɛ nea ɛde ba titiriw ne `` Insulin Resistance .''

Susuw ho hwɛ, insulin yɛ hormone bi a yɛn dwensɔtwaa yɛ a ɛho hia ma nkwa na ɛhwɛ asikre dodow a ɛwɔ mogya mu so. Insulin a ɛko tia ne bere a wo ntini, srade, ne mmerɛbo mu nkwammoaa ntumi nyɛ insulin yi ho adwuma yiye.

Esiane nneɛma ahorow nti, ebia saa nkwammoaa yi rentumi nyɛ insulin ho adwuma yiye. Eyi kyerɛ sɛ nkwammoaa no ntumi nnye glucose (asikre) mfi mogya no mu yiye na wɔkora so. Wɔfrɛ eyi sɛ insulin a ɛko tia. Ne saa nti, wo dwensɔtwaa no fi ase yɛ insulin pii na ama asikre dodow a ɛkɔ wo mogya mu no so. Wɔfrɛ eyi hyperinsulinemia .

Sɛ wo nipadua ntumi nyɛ insulin a ɛdɔɔso mfa nhwɛ asikre dodow a ɛwɔ wo mogya mu so yiye a, asikre dodow a ɛwɔ wo mogya mu no bɛkɔ soro (hyperglycemia), na ebetumi ama woanya asikreyare a edi kan anaa asikreyare a ɛto so abien. Insulin a wɔko tia ne hyperinsulinemia nso betumi aboa ma:

• Obolo.
• Koma ne ntini mu yare.
• Mmerɛbo mu yare a srade wom.
• Polycystic Ovary Syndrome (PCOS) a ɛma obi nya awotwaa mu ntini pii.

Nneɛma atitiriw a ɛka insulin a ɛko tia no bi ni:

• Yafunu mu srade anaa kɛseyɛ mmoroso: Srade nkwammoaa a ɛwɔ nipadua no mu no yi nnuru (a wɔfrɛ no proinflammatory cytokines) a esiw insulin dwumadi kwan. Dodow a srade dɔɔso wɔ wo nipadua so no, dodow no ara na ebetumi aka ɔkwan a insulin fa so yɛ adwuma no wɔ ɔkwan a enye so. Nhwehwɛmu ahorow ada no adi sɛ yafunu mu srade titiriw ma insulin a ɛko tia no yɛ kɛse. Srade a atwa akwaa a ɛwɔ nipadua no mu ho ahyia (srade a ɛwɔ nipadua no mu) taa ma insulin a ɛko tia no yɛ kɛse sen srade a ɛwɔ honam ani (srade a ɛwɔ honam ani ase). Nanso abien no nyinaa boa ma nipadua no mu nneɛma a ɛsakra no ba.
• Apɔw-mu-teɛteɛ a wonnya: Wo ntini hia glucose ne glucose a wɔakora so (glycogen) pii na ama ayɛ adwuma. Sɛ woteɛteɛ w’apɔw mu a, wo nipadua no te nka kɛse wɔ insulin ho, na wo ntini ahorow no tumi twe asikre fi mogya no mu. Sɛ wɔanteɛteɛ w’apɔw mu sɛnea ɛsɛ a, ebetumi ama insulin ayɛ den.
• Nnuru bi: Corticosteroids, mogya mmoroso nnuru bi, HIV ayaresa bi, ne adwenemyare nnuru bi betumi ama insulin atumi ako atia.
• Awosu: Awosu mu nkwaadɔm a wunya fi w’awofo hɔ nso betumi aka insulin a ɛko tia no. Afei nso, awosu betumi anya kɛseyɛ mmoroso, mogya mmoroso, ne srade a ɛdɔɔso so nkɛntɛnso.

Ɔkwan bɛn so na nnuruyɛfo hu `(Metabolic Syndrome)`? (Nyare a Wɔahu) .

Sɛ wususuw sɛ ebia wowɔ metabolic syndrome a, wo duruyɛfo bedi kan ahwɛ wo na afei ahyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mpɛn pii. Ebia wɔbɛhwɛ wo mogya mmoroso na wɔasusuw w’asen ntwemu.

Eyinom ne mogya mu nhwehwɛmu a wɔtaa yɛ:

• Lipid panel: Eyi kyerɛ srade ahorow anan ne triglyceride dodow.
• Basic Metabolic Panel (BMP): Eyi susuw nneɛma bɛyɛ awotwe a ɛwɔ wo mogya mu na ɛma wunya w’akwahosan nyinaa ho adwene.
• Mmuadadi mu glucose nhwehwɛmu: Ɛwom sɛ BMP no susuw asikre dodow a ɛwɔ mogya mu de, nanso sɛ wunniidi saa bere no a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ di mmuada nnɔnhwerew 8-12 ansa na woayɛ asikre a ɛwɔ wo mogya mu nhwehwɛmu.

Sɛ wogyina nea efii nhwehwɛmu yi mu bae ne nea wohui wɔ nipadua mu nhwehwɛmu no mu so a, sɛ anyɛ yiye koraa no wowɔ gyinapɛn anum a yɛaka ho asɛm wɔ atifi hɔ no mu abiɛsa a, wohu sɛ wowɔ ``Metabolic Syndrome''.

Mpɛn pii no, mogya mu nhwehwɛmu ahorow yi yɛ nhwehwɛmu a wɔyɛ daa, enti ebia wo duruyɛfo betumi anya tebea yi ho nsɛm bi sɛ woreyɛ nhwehwɛmu wɔ biribi foforo ho mpo a.

Ɔkwan bɛn so na wɔsa Metabolic Syndrome?

Botae titiriw a ɛwɔ ``Metabolic Syndrome`` ayaresa mu ne sɛ ɛbɛtew asiane a ɛwɔ hɔ sɛ wubenya komayare ne asikreyare a ɛto so abien no so, sɛ wunni bi dedaw a. Ebia eyi bɛhwehwɛ sɛ wɔnom nnuru ne/anaasɛ asetra mu nsakrae.

Asetena mu nsakrae - wei ne ade a ehia paa!

Ɛho hia yiye sɛ yɛyɛ asetra mu nsakrae de di tebea horow a ɛboa ma ``Metabolic Syndrome ba no so.`` Nsakrae yi ne:

• Kura mu duru a ɛfata mu anaasɛ bɔ mmɔden sɛ wubenya: Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wo mu duru so tew. Nhwehwɛmu bi daa no adi sɛ sɛ wo mu duru a ɛboro so no so tew 7% pɛ a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya asikreyare a ɛto so abien no so 58%.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa: Mfaso a ɛwɔ apɔw-mu-teɛteɛ so no nni ano. Ɛboa ma woko tia insulin a ɛko tia, ɛma wo koma ne ntini ahorow no yɛ yiye, na ɛboa ma wo mu duru so tew. Apɔw-mu-teɛteɛ kakra mpo so wɔ mfaso. Nanso ansa na wubefi apɔw-mu-teɛteɛ nhyehyɛe ase no, bisa wo duruyɛfo apɔw-mu-teɛteɛ dodow a ɛfata ma wo.
• Di aduan a ahoɔden wom: Ebia wo duruyɛfo anaa aduan ho ɔbenfo bɛka akyerɛ wo sɛ kwati sɛ wubedi carbohydrates pii (a ɛkanyan insulin pii a wɔyɛ). Wɔbɛka akyerɛ wo nso sɛ tew srade a ɛnyɛ papa, asikre, nam kɔkɔɔ, ne starch a wɔayam no yiye so. Mmom no, wɔbɛka akyerɛ wo sɛ di nnuan a ɛyɛ dɛ a nhabannuru, nnuaba, aburow a wɔayam, mpataa, ne nam a ɛnyɛ den pii wom. Mediterranea nnuan yɛ aduan a ɛma koma nya ahoɔden ho nhwɛso pa.
• Da pa: Da pa ho hia ma akwahosan nyinaa. Nna a wonnya ne tebea horow a ɛfa nna ho (te sɛ nna mu ahomegye) betumi ama nipadua mu nneɛma a ɛsakra no asɛe anaasɛ afi ase foforo. Sɛ wowɔ nna ho haw a, wo ne wo duruyɛfo nkasa.
• Kwati anaa gyae sigaretnom: Sigaretnom betumi ama wo HDL (pa) srade so atew na ama wo mogya mmoroso akɔ soro. Ebetumi asɛe wo mogya ntini nso na ama woanya komayare. Sɛ wonom sigaret a, bɔ mmɔden sɛ wubegyae.
• Adwennwen a wobedi ho dwuma:Sɛ wo "adwennwen hormone" cortisol dodow kɔ soro bere tenten a, wo triglycerides, asikre a ɛwɔ wo mogya mu, ne mogya mmoroso betumi akɔ soro. Hwehwɛ akwan a wobɛfa so adi w’adwennwen ho dwuma, te sɛ apɔw-mu-teɛteɛ, yoga, adwene a wode bedi dwuma, anaa ahomegye apɔw-mu-teɛteɛ.

Nnuru ne ayaresa afoforo

Nnuru ne ayaresa ahorow betumi aboa ma wɔadi tebea horow a ɛde nipadua mu nneɛma a ɛsakra no ba no so. Eyinom bi ne:

• Nnuru a ɛtew srade so: Statin yɛ nnuru bi a ɛboa ma srade dodow kɔ soro a ɛfata.
• Nnuru a ekum mogya mmoroso: Nnuru yi ma wo mogya so tew wɔ akwan horow so. Nhwɛso ahorow bi ne thiazides, nnuru a esiw ACE ano, ne nnuru a esiw calcium kwan ano.
• Nnuru a wɔnom ma asikreyare: Nnuru yi ma asikre dodow a ɛwɔ wo mogya mu no so tew wɔ akwan horow so. Nnuru a wɔtaa de di dwuma no mu biako ne metformin.
• Bariatric oprehyɛn: Eyinom yɛ oprehyɛn ahorow a wɔyɛ de boa nnipa a wɔayɛ kɛse mmoroso ma wɔn mu duru so tew. Ebia wo duruyɛfo bɛkamfo oprehyɛn a ɛte sɛɛ akyerɛ sɛ akwan foforo a wɔfa so tew wo mu duru so no anyɛ adwuma na sɛ wo kɛseyɛ mmoroso no de akwahosan ho asiane kɛse ba sen oprehyɛn a.
• Ayaresa a wɔde sa nna mu haw: Sɛ wowɔ nna mu haw bi, sɛ nhwɛso no, CPAP afiri a wɔde sa nna mu ahomegye anaa nna mu nnuru a wɔde sa nna a wontumi nna a, nneɛma a ɛtete saa betumi aboa.
• Adwene mu ayaresa: Eyi yɛ "kasa ayaresa." Ayaresa ahorow bi wɔ hɔ a ɛboa wo ma wuhu nkate, nsusuwii, ne nneyɛe a ɛmfata na wosakra. Sɛ nhwɛso no, ebetumi aboa wo ma woadi adwennwen so anaasɛ woate adidi a ɛmfata ase na woasesa.

So wobetumi asan Metabolic Syndrome no?

Yiw, wubetumi! Wobetumi asan Metabolic Syndrome no. Asetra mu nsakrae betumi ama w’akwahosan atu mpɔn kɛse. Nnuru nso betumi aboa. Wo duruyɛfo ne wo bɛyɛ adwuma de ahwehwɛ nhyehyɛe a eye sen biara ama wo.

So wobetumi asiw Metabolic Syndrome ano?

Worentumi nsakra nneɛma bi a ɛde Metabolic Syndrome ba, te sɛ w’awosu ne wo mfe a woadi. Nanso, asetra mu nsakrae koro no ara a ɛboa ma wɔsa Metabolic Syndrome no nso betumi aboa ma wɔasiw ano.

Sɛ obi a ɔwɔ w’abusua mu anya asikreyare, mogya mmoroso, anaa srade a ɛdɔɔso a, mma wo werɛ mmfi sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.

Ɛho hia nso sɛ wobɛkɔ akɔhwɛ wo daa. Wo duruyɛfo betumi ahwɛ sɛnea wo mogya mu srade, triglycerides, mogya mmoroso, ne asikre dodow a ɛwɔ wo mogya mu no. Dodow a wubetumi ahu ɔhaw biara ntɛm no, dodow no ara na wubetumi ayɛ nsakrae wɔ w’asetra mu ntɛm na woakamfo ayaresa ahorow a ɛbɛma asiane a ɛwɔ hɔ no so atew.

Dɛn ne nsɛnnennen a ebetumi aba esiane `(Metabolic Syndrome)` nti?

Metabolic Syndrome betumi de nsɛnnennen ahorow pii aba, na ebi ne:

• Koma mu yare.
• Aortic stenosis (aortic valve a ɛyɛ teateaa wɔ koma no mu, a esiw mogya kwan).
• Atrial fibrillation (Atiridiinini a ɛyɛ den anaa Afib).
• Thromboembolic yare, s.e. venous thromboembolism a ɛma mogya tu.
• Nnwodwoɔ.
• Akwaa a ɛsɛe, titiriw dwensɔtwaa, mmerɛbo, akisikuru, ne asaabo.
• Kokoram ahorow bi te sɛ akyi berɛmo mu kokoram, nufu mu kokoram, ne prostate kokoram.
• Asikreyare a Ɛto so 2.
• Ɔfe a enni sabea ne nipadua mu ahoɔden a ɛko tia nyarewa ho haw ahorow.
• Ɔbarima a ɔbarima ne ɔbea nna a ɛnyɛ adwuma yiye.
• Nsɛnnennen a ɛba wɔ nyinsɛn mu, te sɛ preeclampsia, eclampsia, ne nyinsɛn mu asikreyare.
• Ɔhaw ahorow a ɛwɔ nsusuwii ne nkae mu.

Asɛmpa no ne sɛ wobetumi asakra nipadua mu nneɛma a ɛsakra no denam asetra mu nsakrae ne nnuru a wɔde di dwuma so. Dodow a wubetumi ayɛ nsakrae pii de abɔ w’akwahosan ho ban no, dodow no ara na wo ho ye.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wowɔ Metabolic Syndrome a, ɛho hia yiye sɛ wobɛkɔ so hwehwɛ aduruyɛ mu afotu ne ayaresa. Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn kɔhwehwɛ nneɛma te sɛ:

• Sɛnea ɛbɛyɛ a wobɛhwɛ wo tebea no: Ebia ebehia sɛ wohwɛ wo mogya mmoroso daa anaasɛ woyɛ wo mogya mu nhwehwɛmu de hwɛ sɛnea wo triglyceride ne cholesterol dodow te. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn da biara.
• Sɛ wowɔ nsɛmmisa bi fa w’ayaresa nhyehyɛe ho a: Sɛ wowɔ nnuru no mu nsunsuanso bɔne anaasɛ wote nka sɛ ɛsɛ sɛ wugyae nom a, ka kyerɛ wo duruyɛfo. Afei nso, bisa sɛ wowɔ nsɛmmisa bi fa w’aduan anaa w’apɔw-mu-teɛteɛ nhyehyɛe ho anaa.

Sɛ wuhu sɛ wowɔ Metabolic Syndrome a, ebetumi ayɛ wo den. Nanso kae sɛ akwan pii wɔ hɔ a wobɛfa so adi ho dwuma anaasɛ wobɛdan no. Wo duruyɛfo no bɛka wo ho wɔ anammɔn biara a wobɛtu. Nya wɔn mmoa ne afotu. Wɔwɔ ha sɛ wɔrebɛboa.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Okay, enti seesei woanya adwene pa wɔ nea yɛaka ho asɛm (Metabolic Syndrome) no ho. Don’t worry , eyi yɛ tebea a wotumi di ho dwuma.

Ade a ɛho hia sen biara ne sɛ, .Sɛ wubehu no ntɛm na woayɛ asetra mu nsakrae a ɛho hia. Nsakrae nketenkete betumi de nneɛma akɛse aba.

• Hwɛ yiye wɔ wo mu duru ho, titiriw yafunu mu srade.
• Yɛ apɔw-mu-teɛteɛ bi da biara da.
• Bɔ mmɔden sɛ wubedi aduan a ahoɔden wom.
• Gyae sigaretnom.
• Tew adwennwen so.
• Kɔ aduruyɛ mu nhwehwɛmu wɔ bere ano.

Sɛ woyɛ saa nneɛma yi a, ɛnyɛ `(Metabolic Syndrome)` nko na wobɛtumi abɔ wo ho ban, na mmom wobɛtumi abɔ wo ho ban afiri nyarewa foforɔ pii nso ho. W’akwahosan wɔ wo nsam!

` Metabolic Syndrome, insulin a wɔko tia, asikreyare, komayare, mogya mmoroso, srade a ɛwɔ nipadua mu, mu duru a wɔde siw ano