So wo mmadwoa ho asɛm haw wo? Momma yɛnka Testicular Cancer ho asɛm a yensuro!

Ɛnnɛ yɛrebɛka asɛmti bi a ɛyɛ nkate kakra, nanso ɛho hia paa ho asɛm. Ɛno ne awotwaa mu kokoram. Sɛ wote saa din yi a, ebia wosuro kakra na wohaw wo ho mpo. Nanso, nea ɛho hia sen biara ne sɛ ɛnsɛ sɛ wobɔ hu, efisɛ sɛ wobɔ eyi ho amanneɛ yiye a, ebetumi ama nsakrae kɛse aba.

Dɛn ne awotwaa mu kokoram?

Sɛ yɛbɛka no tiawa a, awotwaa mu kokoram yɛ nkwammoaa a ɛyɛ hu a enyin wɔ wo mmadwoa biako anaa, ɛntaa mma, abien no nyinaa mu. Sɛnea wunim no, awotwaa no yɛ ntini nketenkete abien a ne kɛse te sɛ walnut wɔ mmarima mu. Wɔma mmadwoa ne hormone testosterone . Wɔwɔ honam ani kotoku bi a ɛwɔ ɔbarima no akyi pɛɛ, a wɔfrɛ no awotwaa mu. Te sɛ kokoram foforo biara no, awotwaa mu kokoram yɛ tebea a emu yɛ den. Nanso anigyesɛm ne sɛ, ɛyɛ yare a wotumi sa no kɛse. Enti mma ɛnhaw wo, momma yɛnka ho asɛm nkɔ akyiri.

So kokoram yi ahorow bi wɔ hɔ?

Yiw, awotwaa mu kokoram ahorow atitiriw pii wɔ hɔ. Mpɛn pii no, bɛyɛ 90% wɔ nsɛm no mu no, saa kokoram ahorow yi fi mmoawa nkwammoaa a ɛwɔ awotwaa no mu. Saa mmoawa nkwammoaa yi yɛ nkwammoaa bi a akyiri yi ɛbɛdan mmadwoa. Saa nkwammoaa yi bom yɛ akisikuru. Nneɛma atitiriw abien na ɛwɔ hɔ:

• Seminoma: Eyi yɛ kokoram a ɛkɔ so brɛoo . Ɛtaa ba mmarima a wɔadi fi mfe 40 kosi 50 so kɛse.
• Non-seminoma: Saa ɔkwan yi nyin ntɛmntɛm sen seminoma. Ɛka mmerante ne mmabaa kɛse, a wɔadi fi mfe 15 kosi 30. Nneɛma nketenkete afoforo anan wɔ hɔ a ɛnyɛ seminoma. Wɔde mmoawa nkwammoaa ko a ɛka bom yɛ kokoram no din ato emu biara din . Nhwɛso ahorow bi ne awotwaa mu kokoram , awotwaa mu kokoram , choriocarcinoma , ne teratoma .

Ɛtɔ da bi a nkwammoaa ahodoɔ mmienu no nyinaa (Seminoma ne Non-seminoma nkwammoaa) tumi wɔ kokoram korɔ no ara mu.

Nkwammoaa mu kokoram abu so dɛn?

Nokwarem no, awotwaa mu kokoram ntaa mma saa . Ɛka mmarima bɛyɛ 250 biara a wɔwɔ mmadwoa mu biako pɛ. Nanso, ɛyɛ kokoram a ɛtaa ba mmarima a wɔadi fi mfe 15 kosi 35. Enti ɛho hia titiriw sɛ wɔn a wɔwɔ saa mfe no mu no hu.

Dɛn ne sɛnkyerɛnne ahorow no? Sɛ wuhu eyinom a, dɛn na ɛsɛ sɛ woyɛ?

Okay, afei momma yɛnhwɛ nea ɛyɛ testicular cancer ho sɛnkyerɛnne. Sɛ wowɔ eyinom mu biako anaa nea ɛboro saa a, mma wo ho nnpopo na kɔ oduruyɛfo nkyɛn.

• Nsɛnkyerɛnne a ɛtaa ba ne akisikuru a ɛyaw anaasɛ ɛho ahonhon wɔ awotwaa mu .
• Nsu a ɛho ahonhon anaasɛ ɛboaboa ano mpofirim wɔ awotwaa no mu .
• Kurukuruwa anaa ɔfe a ɛwɔ awotwaa biako anaa abien no nyinaa mu.
• Te a wɔte nka sɛ emu yɛ duru wɔ awotwaa no mu.
• Ɛyaw a ɛyɛ mmerɛw wɔ asen anaa yafunu ase.
• Ɛyaw anaasɛ ɛnyɛ dɛ wɔ awotwaa anaa awotwaa mu.
• Testicular Atrophy a Ɛyɛ Fɛ.

Kae sɛ, saa sɛnkyerɛnne ahorow yi betumi aba wɔ ayaresa tebea afoforo mu nso. Enti nsusuw ntɛm ara sɛ ɛyɛ kokoram. Nanso, nyansa wom bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo. Dodow a wohu akyiri yi no, dodow no ara na hokwan a ɛwɔ hɔ sɛ kokoram nkwammoaa no bɛtrɛw, na dodow no ara na ayaresa no betumi ayɛ den.

Dɛn nti na saa awotwaa mu kokoram yi ba?

Nhwehwɛmufo da so ara nnim nea ɛde awotwaa mu kokoram ba ankasa . Nea ɛba ne sɛ: Nkwammoaa a wɔtaa kyekyɛ na enyin no fi ase kyekyɛ mpofirim wɔ ɔkwan a wontumi nni so. Awiei koraa no, saa nkwammoaa yi bom yɛ akisikuru. Mpɛn pii no , mmoawa nkwammoaa a yɛadi kan aka ho asɛm no dan kokoram.

Dɛn ne nneɛma a ɛde asiane ba? Hena na ɛda adi kɛse sɛ obenya bi?

Okay, afei momma yɛnhwɛ nea asiane kɛse wom sɛ obenya awotwaa mu kokoram. Yɛfrɛ saa asiane ahorow yi ``(Asiane Nneɛma)`` . Sɛ wowɔ saa asiane ahorow yi a, ɛnkyerɛ sɛ wubenya kokoram, nanso hokwan a ɛwɔ hɔ sɛ wubenya bi no dɔɔso kakra.

• Mfe a wɔadi: Ɛtaa ba nnipa a wɔadi fi mfe 15 kosi 35 so.
• Nkwaboaa a Ɛnsiane: Mpɛn pii no, awotwaa no nyin wɔ yafunu no mu bere a akokoaa wɔ awotwaa mu no. Ansa na wɔrewo no, wɔsiane kɔ awotwaa no mu. Eyi ne din a wɔde frɛ mmadwoa a ensii fam. Ebia eyi behia oprehyɛn. Mmarima a wɔwo wɔn a wɔwɔ saa tebea yi no wɔ asiane kɛse mu sɛ wobenya awotwaa mu kokoram akyiri yi wɔ wɔn nkwa nna mu, wɔ oprehyɛn akyi mpo.
• Abusuakuw ne abusuakuw: Eyi abu so kakra wɔ aborɔfo a wɔnyɛ Hispanicfo mu wɔ United States ne Europa.
• Abusua abakɔsɛm : Sɛ obi a ɔwɔ w’abusua mu (agya, onua) anya kokoram yi a, wo nso wowɔ hokwan ketewaa bi sɛ wubenya bi. Afei nso, awosu mu nyarewa bi te sɛ Klinefelter SyndromeTebea horow nso betumi ama asiane no ayɛ kɛse. Sɛ kokoram ba awotwaa biako mu a, hokwan a ɛwɔ hɔ sɛ ebenya wɔ foforo no mu no yɛ kɛse.
• Awo a wontumi nwo : Wosusuw sɛ nneɛma bi a ɛma mmarima ntumi nwo no ne awotwaa mu kokoram a ɛba no wɔ abusuabɔ, nanso nhwehwɛmu pii ho hia wɔ eyi ho.

Ɔkwan bɛn so na wohu yare yi?

Wiɛ, sɛ wowɔ sɛnkyerɛnne bi, anaasɛ wuhu biribi soronko bere a woreyɛ wo ho nhwehwɛmu (yɛbɛka ho asɛm akyiri yi) a, ɛbɛyɛ dɛn na nnuruyɛfo ahu sɛ ɛyɛ awotwaa mu kokoram? Ɛtɔ mmere bi a, wotumi hu bere a wɔreyɛ aduruyɛ mu nhwehwɛmu a wɔyɛ no daa no. Sɔhwɛ atitiriw a wɔyɛ ne:

• Nipadua mu nhwehwɛmu ne aduruyɛ ho abakɔsɛm: Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo yiye. Ɔde ne nsa bɛka awotwaa no mu titiriw de ahwɛ sɛ akisikuru ne ntini a ɛho ahonhon (ahwɛ sɛ kokoram no atrɛw anaa).
• Ultrasound: Sɛ wo duruyɛfo hu biribi a ɛyɛ soronko a, ɛda adi sɛ wɔbɛkra sɛ wɔnyɛ ultrasound. Eyi yɛ sɔhwɛ a ɛyaw nnim a wɔde nnyigyei asorɔkye a ahoɔden kɛse wom di dwuma de twa ntini a ɛwɔ wo nipadua mu no mfonini.
• Inguinal Orchiectomy ne Biopsy: Sɛ ultrasound no kyerɛ sɛ kokoram wɔ hɔ a, oduruyɛfo no bɛtwa ketewaa bi wɔ asen no mu na ayi awotwaa a ayɛ no yaw no afi hɔ. Afei oduruyɛfo bi begye ntini afi awotwaa a wɔayi afi mu no mu na wahwɛ mu wɔ afiri a wɔde hwɛ nneɛma nketenkete mu ahwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa. Wɔfrɛ eyi biopsy.

Sɔhwɛ afoforo

Nea ɛka eyi ho no, wobetumi ayɛ sɔhwɛ afoforo:

• Serum Tumor Marker Test: Eyi hwehwɛ sɛ wogye mogya na wosusuw nneɛma bi a ebia ɛkɔ soro wɔ mogya no mu a ɛne kokoram ahorow bi wɔ abusuabɔ no dodow. Wɔfrɛ saa nneɛma yi tumor markers . Akisikuru agyiraehyɛde ahorow a ɛtaa kɔ soro wɔ awotwaa mu kokoram mu ne alpha-fetoprotein (AFP) , human chorionic gonadotropin (HCG anaa beta-HCG) , ne lactate dehydrogenase (LDH) . Ebia wɔbɛma saa agyiraehyɛde ahorow yi akɔ soro wɔ akwan horow so wɔ kokoram ahorow mu. Sɛ nhwɛso no, wɔ seminoma mu no, ebia HCG bɛkɔ soro nanso ebia AFP renkɔ soro. Wɔ nea ɛnyɛ seminoma mu no, ebia AFP bɛkɔ soro, nanso ɛnyɛ HCG. LDH dodow a ɛkɔ soro nso betumi akyerɛ sɛ ebia kokoram no atrɛw anaa.
• CT scan/CAT scan, X-ray ne MRI:CT scan de X-ray twa wo nipadua no mu mfonini. Wobetumi ayɛ wo yafunu ne wo hwene mu CT scan de ahwɛ sɛ kokoram no atrɛw akɔ akwaa a ɛbɛn hɔ mu anaa. Wobetumi ayɛ CT scan anaa X-ray daa de ahwɛ sɛ kokoram no atrɛw akɔ w’ahurututu mu anaa. Sɛ wo duruyɛfo susuw sɛ kokoram no atrɛw akɔ wo ntini a ɛwɔ wo mfinimfini (amemene ne akyi berɛmo) mu a, wobetumi ayɛ MRI. MRI de magnetic field ne radio asorɔkye twa wo nipadua no mu mfonini.

Dɛn ne kokoram no fã ahorow?

Yare no a wobehu no fã bi ne sɛ wobehu baabi a kokoram no wɔ (Cancer Staging) . Saa fã yi ma wonya nsɛm a ɛho hia, te sɛ akisikuru no kɛse ne sɛ ebia kokoram no atrɛw anaa. Ɛsan nso kyerɛ ayaresa ko a wɔbɛyɛ.

• Ɔfã 0: Nkwammoaa a ɛnteɛ no anyin, nanso ɛda so ara wɔ awotwaa mu baabi a mmadwoa nkwammoaa afi ase reyɛ no. Wɔsan frɛ eyi sɛ Germ Cell Neoplasia In Situ (GCNIS) .
• Ɔfã I: Kokoram no wɔ awotwaa no mu nkutoo. Ebia ɛtrɛw kɔɔ mogya anaa ntini a ɛbɛn hɔ a ɛma mogya tu mu. Ebia akisikuru agyiraehyɛde ahorow bɛkɔ soro anaasɛ ɛrenkɔ soro.
• Ɔfã II: Kokoram no atrɛw akɔ ntini a ɛwɔ yafunu no akyi (a wɔsan frɛ no ``Retroperitoneum''), nanso ɛntrɛw nkɔ baabi foforo biara. Nanso, sɛ kokoram no wɔ ntini a ɛma mogya tu no mu na akisikuru no agyiraehyɛde no dɔɔso wɔ ɔkwan a ɛfata so anaasɛ ɛkɔ soro yiye a, wɔkyekyɛ mu sɛ ɔfã III mmom sen sɛ wɔbɛkyekyɛ mu sɛ ɔfã II.
• Ɔfã III: Kokoram no atrɛw akɔ ntini a ɛwɔ yafunu no akyi anaa akwaa afoforo mu.

Dɛn ne ayaresa ahorow no?

Okay, afei momma yɛnhwɛ ayaresa a wɔde sa testicular cancer. Ayaresa no gyina nneɛma pii so, a w’akwahosan, nea wopɛ, baabi a kokoram no wɔ, ne kokoram ko. Esiane sɛ seminoma nyin nkakrankakra na ɛyɛ n’ade yiye wɔ mframa a wɔde sa yare ho nti, wobetumi ayɛ no ɔkwan soronko so sen nea ɛnyɛ seminoma. Nanso, nnuru abien no nyinaa yɛ wɔn ade yiye wɔ nnuru a wɔde sa yare ho. Sɛ kokoram no wɔ nkwammoaa a efi seminoma ne non-seminoma nyinaa mu a, nnuruyɛfo frɛ no non-seminoma. Ayaresa atitiriw no ne:

Sɛɛgyiri

Oprehyɛn a wɔde yi awotwaa a kokoram wom no ne ayaresa a wɔtaa yɛ . Wɔyɛ eyi ɛmfa ho sɛnea kokoram no te anaa kokoram ko. Wɔ tebea horow bi mu no, ebia wo duruyɛfo no beyi wo ntini a ɛma mogya tu no nso afi hɔ.

• Radical Inguinal Orchiectomy a Wɔde Yɛ Apɔw-mu-teɛteɛ:Nea ɛka eyi ho ne sɛ wobeyi awotwaa a kokoram no wom no afi hɔ. Wɔde di dwuma ma seminoma ne nea ɛnyɛ seminoma nyinaa. Oduruyɛfo no twa asen no mu na oyi awotwaa a akisikuru no wom no. Bere koro no ara mu no, wosiw mogya ntini ne ntini a ɛma mogya tu no na ama kokoram no antrɛw akɔ nipadua no afã afoforo.
• Retroperitoneal Lymph Node Dissection (RPLND): Ebia wo duruyɛfo bɛyɛ oprehyɛn yi a egyina kokoram no fã ne ne su so. Wɔtaa yɛ no ma kokoram a ɛnyɛ seminoma. Wɔ saa adeyɛ yi mu no, wo duruyɛfo no twa wo yafunu mu na oyi ntini a ɛwɔ wo yafunu mu akwaa akyi no. Wobetumi de RPLND adi dwuma de asa kokoram na wɔahu baabi a kokoram no wɔ.

Sɛ kokoram no atrɛw akɔ ahurututu anaa mmerɛbo mu a, wobetumi ayɛ oprehyɛn de ayi saa akisikuru no afi hɔ.

Mframa a Wɔde Yɛ Ayaresa

Nea ɛka eyi ho ne sɛ wɔde X-ray a ano yɛ den bedi dwuma de asɛe kokoram nkwammoaa. Wobetumi de saa ayaresa yi ama wɔ oprehyɛn akyi na ama kokoram no ansan amma bio. Wɔtaa de ma kɛse ma seminoma.

Nnuru a wɔde sa yare

Eyi de nnuru te sɛ Cisplatin, Bleomycin, ne Etoposide di dwuma de kum kokoram nkwammoaa. Nnuru a wɔde sa yare ama ayarefo a wɔwɔ seminoma ne wɔn a wɔnyɛ seminoma nyinaa nkwa nna atu mpɔn kɛse. Ɛdenam kokoram ko a obi wɔ so no, wobetumi de nnuru a wɔde sa yare ama no mmom sen sɛ wɔbɛyɛ no oprehyɛn. Wobetumi de ama ansa na wɔayɛ no radical inguinal orchiectomy (RPLND) anaasɛ bere a wɔayɛ no radical inguinal orchiectomy (Radical Inguinal Orchiectomy) akyi. Sɛ kokoram no asan aba bio wɔ ayaresa akyi a, wɔde nnuru a wɔde sa yare nso di dwuma.

So wobetumi asiw awotwaa mu kokoram ano? (Testicular Ho Nhwehwɛmu - TSE) .

Ɔkwan biara nni hɔ a wobetumi afa so asiw awotwaa mu kokoram ano koraa . Nanso, wubetumi ayɛ testicular self-exam (TSE) de ahwɛ sɛ nsakrae biara aba wo testicles mu anaa. Sɛ wuhu nsakrae bi a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ wuhu sɛ wo mmadwoa mu akuru, akuru, anaa ayɛ den, anaasɛ wuhu nsakrae bi wɔ wo mmadwoa mu a, ka kyerɛ wo duruyɛfo. Nnuruyɛfo dodow no ara kamfo kyerɛ sɛ anyɛ yiye koraa no, wɔnyɛ wɔn ho nhwehwɛmu yi pɛnkoro ɔsram biara .

Ɔkwan bɛn so na woyɛ testicular self-examination (TSE)?

Okay, enti wobɛyɛ dɛn ayɛ testicular self-examination (TSE) yiye? Egye bɛyɛ simma abien pɛ. Di anammɔn yi akyi:

• Yɛ sɔhwɛ yi bere a woaguare anaa woaguare a ɛyɛ hyew awie no. Ɔhyew no bɛma awotwaa no honam ani ayɛ mmerɛw, na ama ayɛ mmerɛw sɛ wobɛte biribiara a ɛyɛ soronko nka.
• Fa nsa abien no nyinaa hwehwɛ awotwaa biako mu. Fa wo nsateaa a wode kyerɛ ade ne nea ɛwɔ mfinimfini no to awotwaa no ase na fa wo nsateaa kɛse no si soro.
• Te awotwaa biara nka denam wo nsateaa kɛse ne wo nsateaa afoforo abien ntam a wobɛbobɔw no so.
• Hu nea wotaa te nka no yiye. Sɛ woka awotwaa biara a, wobɛte biribi te sɛ hama bi nka wɔ soro ne n’akyi. Wɔfrɛ eyi sɛ epididymis . Ɛha na wɔkora mmadwoa so na wɔde kɔ. Mfa eyi nfrafra akuturuku. Ɛyɛ ade a ɛfata nso sɛ mmadwoa abien no kɛse bɛyɛ soronko kakra. Ɛwom sɛ ebia ɛsono benkum ne nifa awotwaa no kɛse de, nanso mpɛn pii no ɛsɛ sɛ awotwaa biara kɛse yɛ pɛ.
• Hwehwɛ akuru biara a ɛwɔ hɔ. Akuru betumi ayɛ nea ne kɛse te sɛ pea kosi nea ɛsõ so, na mpɛn pii no, ɛnyɛ yaw. Sɛ wuhu akisikuru a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ wuhu sɛ wo mmadwoa kɛse sesa, anaasɛ wote nka sɛ wo ho ayɛ wo hyew a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ɛyɛ papa nso sɛ anyɛ yiye koraa no, wobɛyɛ wo nipadua mu nhwehwɛmu pɛnkoro afe biara.

Dɛn ne nkɔmhyɛ no?

Dɛn ne nkɔmhyɛ a ɛfa awotwaa mu kokoram ho? Nokwarem no, eye yiye . Wobetumi asa kokoram a ɛte sɛɛ yiye wɔ bɛboro 95% mu. Wɔn a wɔwɔ asiane a ɛnyɛ papa mpo fam no, mpɛn pii no, hokwan 50% wɔ hɔ sɛ wɔn ho bɛtɔ wɔn. Enti, eyi yɛ asɛmpa ankasa .

So wobetumi asa awotwaa mu kokoram?

Yiw, awotwaa mu kokoram yɛ yare a wotumi sa . Bere a sɛ wohu sɛ wowɔ kokoram a, ɛyɛ ade a ɛyɛ hu bere nyinaa no, asɛmpa a ɛfa awotwaa mu kokoram ho ne sɛ wobetumi asa no yiye wɔ nsɛm 95% mu. Sɛ wohu ntɛm na wɔsa a, ayaresa dodow kɔ soro kodu 98%.

So eyi betumi akum obi?

Awotwaa mu kokoram betumi akum obi, nanso ɛntaa nsi koraa . Nanso, yare no a wubehu ntɛm no nya hokwan a wowɔ sɛ wo ho bɛtɔ wo no so nkɛntɛnso kɛse . Dodow a wokɔ oduruyɛfo nkyɛn ntɛm na wohu sɛ wowɔ yare no, dodow no ara na hokwan a wowɔ sɛ wobɛtra ase a kokoram nni wo mu no yɛ kɛse.

Dɛn na ɛba wɔ ayaresa akyi? (Ɔbarima ne ɔbea nna mu asetra, awo) .

Nnipa pii susuw nea ɛto wɔn nna ho akɔnnɔ ne wɔn awo bere a wɔayi wɔn mmadwoa akyi no ho. Mpɛn pii no, sɛ wowɔ awotwaa biako a, ɛdɔɔso sɛ ɛbɛma wo hormone dodow akɔ so ayɛ yiye na ama wo nna ho akɔnnɔ akɔ so atra hɔ. Ɛsɛ sɛ wutumi ne obi da (rection) na woto wo ho. Wɔ tebea horow bi mu no, ebia mmarima a wɔayi wɔn akyi berɛmo no da so ara bɛsɔre, nanso ebia ɛda so ara yɛ den ma wɔn sɛ wɔbɛtow wɔn ho. Wo ne wo duruyɛfo nkasa mfa asiane biara a ebetumi aba wɔ ayaresa mu ho. Sɛ wo awo ho asɛm haw wo a, ebia sperm banking , a ɛrekora wo mmadwoa so de adi dwuma akyiri yi no bɛyɛ ɔkwan pa.

Ade a ɛho hia sen biara ne sɛ, sɛ wuhu nsakrae biara wɔ wo mmadwoa biako anaa abien no nyinaa mu a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn. Nnipa pii bɔ mmɔden sɛ wɔbɛkwati wɔn awotwaa mu nhwehwɛmu anaasɛ wɔbɛtwentwɛn wɔn nan ase. Nanso sɛ ɛba kokoram so a, bere yɛ ade titiriw. Ɛdenam kokoram ko a wowɔ so no, sɛ wofi ase sa yare a, wobetumi asa awotwaa mu kokoram koraa.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Okay, sɛnea yɛaka ho asɛm seesei ara no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae ne eyinom:

• Testicular cancer yɛ yare a sɛ wohu ntɛm a, wobetumi asa no kɛse.
• Ɛho hia yiye sɛ wɔyɛ ɔsram biara testicular self-examination (TSE). Sɛ wuhu sɛ akisikuru, ɛho wosow, ɛyaw, anaa ne kɛse sesa a, nsuro anaa w’ani nnwu a, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ sɛnkyerɛnne ahorow bi wɔ hɔ mpo a, ɛnyɛ ne nyinaa na ɛbɛyɛ kokoram. Nanso ɛho hia sɛ wosi so dua.
• Ayaresa ahorow wɔ hɔ a wobetumi de adi dwuma, na dodow a wɔsa no dɔɔso.
• Ɛnyɛ wo nko ara. Wo ne wo nnuruyɛfo nka eyi ho nkɔmmɔ pefee. Wɔbɛma wo mmoa ne nsɛm a wuhia.

Enti, mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Wo nipadua a wobɛhwɛ so yiye ne ade a eye sen biara a wubetumi ayɛ na ama woanya apɔwmuden!