So ɛtɔ mmere bi a wote nka sɛ wo koko mu yɛ den kakra, te sɛ nea woafefe? Anaasɛ ɛyɛ den ma wo sɛ wobɛhome bere a worebɔ mmɔden kakra no? Ɛtɔ mmere bi a, eyinom betumi afi ɔhaw ahorow a ɛwɔ yɛn koma mu ntini a ɛyɛ adwuma te sɛ apon no ho. Ɛnnɛ yɛrebɛka yareɛ bi a ɛfa Aortic Valve, "apon" a ɛho hia paa wɔ koma no mu no ho asɛm. Eyi ne nea yɛfrɛ no `(Aortic Valve Disease)`.
Dɛn ankasa ne saa `(Aortic Valve Disease)` yi?
Sɛ yɛbɛka no tiawa a, aortic valve no ma mogya fi wo koma no dan titiriw a wɔde pɔmpɔ gu mu (benkum so ahurututu) no mu kɔ mogya ntini kɛse a ɛsen biara (aorta) a ɛde mogya kɔ wo nipadua no fã a aka no mu. Ɛyɛ adwuma te sɛ ofie pon kɛse. Susuw ho hwɛ, ɛsɛ sɛ wobue ɔpon yi na wɔto mu wɔ bere a ɛfata mu.
- Sɛ ebue: Bere biara a koma no bɛbɔ no, ɛsɛ sɛ saa valve yi bue koraa, na ɛma mogya no nyinaa sen fi koma no mu, kɔ aorta no mu. Ɛno ansa na saa mogya no bɛma nipadua no nyinaa anya mframa pa ne aduannuru.
- Sɛ wɔretoto mu a: Sɛ mogya bi fi mu a, ɛsɛ sɛ saa valve yi to mu denneennen, na ɛmma mogya ntumi nsan nkɔ koma no mu.
Sɛ saa nneɛma yi mu baako anaa abien no nyinaa ntumi nyɛ adwuma yiye a, ɛnde na yɛreka tebea bi a wɔfrɛ no `(Aortic Valve Disease)` ho asɛm.
Eyi ahorow atitiriw abien na ɛwɔ hɔ, ɛnte saa?
Yiw, `(Aortic Valve Disease)` ahorow atitiriw abien na ɛwɔ hɔ. 1.
`(Aortic Stenosis)` - Narrowing of the valve: Eyi ne bere a koma no pon, kyerɛ sɛ, aortic valve no, yɛ teateaa na entumi mmue yiye. Fa no sɛ ɔpon no abue kakra. Afei baabi nnɔɔso a mogya bɛsen afi koma no mu. Ɛsɛ sɛ koma no yɛ adwumaden de pia mogya no fa ɔpon teateaa yi mu. 2.
`(Aortic Regurgitation)` - Leaking of the valve: Eyi ne bere a ɔpon no nnto mu yiye. Sɛ ɔpon no anto mu yiye a, mogya a apue no bi san tu kɔ koma no mu. Te sɛ bere a wontumi nto faucet mu yiye no, nsu tu.
Nea ɛho hia ne sɛ, sɛ wowɔ saa tebea horow yi mu biako anaa abien no nyinaa mpo a, ebia worenhu mpo bere tiaa bi. Nea enti a ɛte saa ne sɛ mpɛn pii no yare no ho sɛnkyerɛnne no da adi bere a yare no anya nkɔso kakra akyi nkutoo. Enti ɛho hia sɛ wohu eyi.
Hena na ɛda adi sɛ obenya saa yare yi?
Ɛwom sɛ obiara betumi anya saa tebea yi a wɔfrɛ no ``Aortic Valve Disease'' de, nanso nnipa binom wɔ asiane kɛse mu. Wɔne:
- Nnipa a wɔadi boro mfe 60: Bere a worenyin no, nsakrae betumi aba valve ahorow no mu.
- Nnipa a wɔwo wɔn a nsonsonoeɛ kakra wɔ wɔn koma ntini mu: Sɛ nhwɛsoɔ no, tebea bi wɔ hɔ a wɔfrɛ no `` Bicuspid Aortic Valve ''. Mpɛn pii no, aortic valve no wɔ nkrataa abiɛsa. Nanso saa nkurɔfo yi wɔ nkratawa abien.
- Wɔde awosuNnipa a wɔwɔ komayare (`(Congenital Heart Disease)`).
- Nnipa a wɔayɛ wɔn mframa a wɔde sa yare wɔ wɔn moma so: Wɔde mframa a wɔde sa kokoram no ma wɔ kokoram ahorow bi ho (e.g., Hodgkin Lymphoma). Eyi betumi aka valve ahorow no bere a bere kɔ so no.
- Nnipa a wɔwɔ komayare a ɛma obi nya atiridiinini: Atiridiinini a efi ase sɛ menewa mu yare no betumi asɛe koma no mu ntini ahorow.
Wɔ aman te sɛ Amerika ne Europa mu no, wobu eyi sɛ ɛyɛ komayare a ɛtaa ba na ɛyɛ hu sen biara. Wɔkyerɛ sɛ nnipa 10 biara mu 6 a wowuwu esiane komayare nti no fi eyi. Ɛno kyerɛ sɛ sɛ woka valve nyarewa afoforo (mitral, pulmonary, tricuspid) nyinaa bom a, nnipa dodow a wowuwu no dɔɔso.
Dɛn ne eyi ho sɛnkyerɛnne?
Sɛnea yɛadi kan aka no,
ebia yare no ho sɛnkyerɛnne biara nni hɔ koraa wɔ mfiase no. Nanso, bere a yare no kɔ so no, ebia wubefi ase ahu nneɛma te sɛ:
- Koko mu yaw anaasɛ ɛyɛ den: Ebia ɛbɛyɛ te sɛ nea obi repiapia wo moma so.
- Syncope: Nhumu a ɛyera mpofirim.
- Koma a ɛbɔ: Ebia wobɛte nka sɛ wo koma rebɔ ntɛmntɛm mpofirim, anaasɛ wobɛte nnyigyei bi a "ɛbɔ" wɔ wo moma so.
- Dyspnea: Ɔhome a ɛyɛ den , titiriw bere a woreyɛ biribi, apɔw-mu-teɛteɛ, da, anaa ɔda anadwo no.
- Edema (nan ne nansoaa a ɛho ahonhon): Nan ase a ɛho ahonhon.
Dɛn nti na eyi ba? Dɛn ne nea enti a ɛte saa?
Nneɛma pii betumi ama saa `(Aortic Valve Disease)` yi ba.
- Valve no sɛe bere a obi nyin no: Eyi ne ade titiriw nti a ɛte saa. Te sɛ nea afiri afã horow no sɛe bere a wɔde di dwuma no ara pɛ.
- Koma Yare a Ɛma Ntini Mu: Sɛnea yɛadi kan aka no, atiridiinini ma ntini a ɛwɔ ntini no mu no sɛe.
- Komayare a wɔde awo obi: Sɛ nhwɛso no, sɛ obi wɔ bicuspid aortic valve.
- Mogya Nhyɛso : Sɛ obi nya mogya mmoroso bere tenten a, ebetumi aka ntini ahorow no nso.
- Koma mu ntini mu yare (endocarditis): Nkwammoaa a ɛma ntini no sɛe esiane ɔyare mmoawa nti.
- Koko mu opira ne akwanhyia ahorow.
- Thoracic Aortic Aneurysm: Aorta no a ɛho ahonhon.
- Aortic Dissection: Tete a ɛba aorta no fasu mu.
- Mframa a wɔde sa koko (ma nneɛma te sɛ kokoram).
Dɛn ne nneɛma a ɛde asiane ba?
Asiane kɛse wɔ hɔ sɛ obi benya saa yare yi bere a nneɛma te sɛ:
- Sɛ woadi boro mfe 60 a.
- Sɛ ɛyɛ den na calcium a ɛwɔ valve no mu (Aortic Valve Sclerosis) (wɔ eyi mu no, valve no nnya nyɛɛ teateaa, nanso ebetumi ayɛ yare no ho sɛnkyerɛnne a edi kan).
- Sɛ wowɔ awosu mu valve sintɔ, titiriw `(Bicuspid Aortic Valve)`.
- Sɛ woanya atiridiinini a ɛma obi ho kyere no bere bi a atwam a.
- Sɛ woadi kan anya koma mu ntini mu yare (endocarditis).
- Sɛ wowɔ ayaresa tebea horow bi a ɛhyɛ wo ase (sɛ nhwɛso no, Marfan Syndrome, Ehlers-Danlos Syndrome, Lupus).
So yare yi fã bi wɔ hɔ?
Yiw, saa yare yi kɔ so nkakrankakra. Nnuruyɛfo de akwan anan di dwuma de kyerɛkyerɛ sɛnea emu yɛ den mu:
- Stage A (At Risk / Stage A): Wo aortic valve reyɛ adwuma yiye saa bere yi, nanso anyɛ yiye koraa no, wowɔ asiane biako a ɛbɛma woanya yare no.
- Ɔfã B (Nkɔso): Eyi yɛ Aortic Valve Yare a emu nyɛ den kosi nea ɛkɔ fam. Nsakrae kakra wɔ sɛnea valve no yɛ adwuma mu, nanso wunnya nnyaa sɛnkyerɛnne biara.
- Stage C (Asymptomatic Severe / Stage C): Eyi yɛ Aortic Valve Yare a emu yɛ den. Ebia worennya yare no ho sɛnkyerɛnne bere a woreyɛ wo dwumadi ahorow a wotaa yɛ no. Nanso, ebia wubehu sɛnkyerɛnne ahorow bere a woreyɛ apɔw-mu-teɛteɛ ho adwennwen ho sɔhwɛ no.
- C1: Koma no da so ara tumi de mogya a ɛdɔɔso kɔ nipadua no mu.
- C2: Koma no ntumi nkɔm mogya pii saa (Left Ventricular Ejection Fraction - `(Left Ventricular Ejection Fraction)` nnu 50%).
- Stage D (Symptomatic Severe): Wowɔ aortic valve yare a emu yɛ den a ɛde sɛnkyerɛnne ahorow ba wo da biara da asetra mu. Mfiase no, yare no ho sɛnkyerɛnne betumi aba bere a woreteɛteɛ w’apɔw mu nkutoo, nanso akyiri yi, yare no ho sɛnkyerɛnne betumi aba bere a wonyɛ apɔw-mu-teɛteɛ mpo.
Nsɛnnennen bɛn na eyi betumi de aba?
Eyi yɛ yare a emu yɛ den, na sɛ wɔansa no yiye a, ebetumi de ɔhaw ahorow a emu yɛ den aba.
Ɔhaw a ɛtaa ba na ɛyɛ hu sen biara ne koma a entumi nyɛ adwuma yiye . Eyi kyerɛ sɛ wo koma ntumi mfa mogya a ɛdɔɔso nkɔ wo nipadua mu. Eyi betumi ama wo nipadua nyinaa ayɛ adwuma yiye. Nsɛnnennen afoforo a ɛde ba no bi ne:
- Koma a ɛbɔ a ɛnteɛ (`(Arrhythmia)`).
- Koma mu yare.
- Koma a Ɛyare Mpofirim (`(Koma a Ɛyare Mpofirim)`).
- Akisikuru (`(Akisikuru)`).
Wobɛyɛ dɛn ahu eyi? Nhwehwɛmu bɛn na nnuruyɛfo de yɛ?
Nnuruyɛfo na wohu yare yi denam wo mu nhwehwɛmu ne nhwehwɛmu titiriw afoforo pii a wɔyɛ so. Bere a wɔreyɛ nhwehwɛmu no, oduruyɛfo bi bɛyɛ nea edidi so yi:
- Wobisa w’ayaresa tebea horow ho asɛm, te sɛ sɛ ebia obi wɔ w’abusua mu a ɔwɔ komayare anaa.
- Wɔrehwɛ wo nsɛnkyerɛnne a ɛho hia (mogya mmoroso, wo koma bɔ, ne nea ɛkeka ho).
- Wɔde afiri a wɔde tie asɛm (`(Auscultation)`) tie koma no. Sɛ wote koma nnyigyei a ɛnteɛ (a wɔfrɛ no `(Murmur)`) a, ebetumi ayɛ `(Aortic Valve Disease)` ho sɛnkyerɛnne.
- Wɔyɛ ECG (electrocardiogram) bi. Eyi hwɛ sɛnea anyinam ahoɔden a ɛwɔ koma no mu no yɛ adwuma.
Bio nso,
`(Echocardiogram)` (Echocardiogram) ne sɔhwɛ titiriw ne nea eye sen biara a wɔde hu `(Aortic Valve Disease)`. Eyi de nnyigyei asorɔkye a ɛkɔ soro (`(Ultrasound)`) di dwuma de twa koma no ne ntini ahorow no mfonini a ɛte ase. Eyi betumi akyerɛ biribiara fi sɛ ebia valve no rebue na ɛreto mu yiye so kosi sɛ ebia mogya resan akɔ akyi anaa. Sɔhwɛ afoforo a ebia wowɔ:
- Koma mu Catheterization (`(Koma mu Catheterization)`).
- CT scan a wɔde yɛ koma no.
- X-ray a wɔde yɛ koko.
- Atiridiinini a wɔde hwɛ nipadua no mu (`(Coronary Angiogram)`).
- Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ (`(Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ)`).
- MRI a wɔde yɛ koma no.
Dɛn ne ayaresa no?
Ayaresa no gyina nneɛma pii so, a nea ɛka ho ne Aortic Valve Disease ko a wowɔ (stenosis, regurgitation, anaa n’abien nyinaa),
sɛnea ɛkɔ anim (stage), ne sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den. Wo duruyɛfo bɛhwɛ wo tebea no mu na waka ayaresa nhyehyɛe a eye sen biara ama wo. Ebia ayaresa a wobetumi apaw bi ne:
- Nnuru: Nnuru ntumi nsa wo valve haw no koraa. Nanso wobetumi aboa ma woadi yare no ho sɛnkyerɛnne ahorow so, atew nhyɛso a ɛwɔ wo koma so no so, na atew asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no so. Oduruyɛfo bi betumi akyerɛw nnuru a ɛbɛma koma no ammɔ daa, ama mogya mmoroso so atew, asiw srade a ɛwɔ mogya mu ano, anaa asa koma a entumi nyɛ adwuma yiye.
- Valvuloplasty: Eyi yɛ adeyɛ ketewaa bi a enhia sɛ wotwa no kɛse. Wɔde afiri ketewaa bi fa wo nan anaa wo nsa mu, na wɔde afiri bi a ɛwɔ afiri no awiei di dwuma de trɛw wo aortic valve a ayɛ teateaa no mu. Sɛ wowɔ aortic stenosis a, eyi betumi ama mogya a ɛfa valve no mu no atu mpɔn. Nanso, eyi taa yɛ bere tiaa mu ano aduru.
- Koma mu Ntini Oprehyɛn: Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn besiesie wo aortic valve anaasɛ ɔde foforo besi ananmu. Valve foforo no betumi ayɛ tissue valve anaasɛ mfiri a wɔde yɛ koma valve a wɔde dade ayɛ. Ɛtɔ mmere bi a, nnuruyɛfo yɛ valve oprehyɛn de ka coronary artery bypass grafting (CABG) anaa koma oprehyɛn foforo ho.
- Transcatheter Aortic Valve Replacement (TAVR): TAVR yɛ ɔkwan foforo a ɛnyɛ den pii a wɔfa so si koma a wɔabue mu oprehyɛn a wɔde di dwuma wɔ amanne kwan so no ananmu. Sɛ́ anka wɔbɛtwa kɛse wɔ koko no mu no, wɔde afiri ketewaa bi fa mogya ntini bi a ɛwɔ nan no mu mu de hyɛ aortic valve foforo mu kɔ koma no mu, na wɔkyekye valve dedaw no mu denneennen.
- Ross Adeyɛ: Eyi yɛ adeyɛ a ɛhwehwɛ sɛ wɔyɛ aortic valve foforo, titiriw ma nnipa a wonnii mfe 60. Oduruyɛfo a ɔyɛ oprehyɛn de w’ankasa ahurututu mu valve (valve a ɛde mogya fi koma no mu kɔ ahurututu mu) si wo aortic valve ananmu, na afei ɔde donor pulmonary valve si ahurututu mu valve a wɔayi afi hɔ no ananmu. Eyi yɛ adeyɛ a ɛyɛ den kakra.
So akwan bi wɔ hɔ a yebetumi afa so akwati eyi?
Ɛnyɛ bere nyinaa na ɛyɛ mmerɛw sɛ wobesiw Aortic Valve Disease ano. Mpɛn pii no ebetumi afi onyin, komayare a wɔde awo obi, anaa aduruyɛ mu tebea horow a ɛkyɛ a ɛyɛ den sɛ wobedi so. Nanso, wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ no so na ama wo koma ntini ahorow no ayɛ yiye sɛnea wubetumi:
- Kwati tawa ne nnuru a wɔde gye w’ani koraa. Eyinom nye koraa ma koma no.
- Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 30 dapɛn no mu nna dodow no ara. Biribi a ɛnyɛ den te sɛ nantew anaa sakre so mpo ye.
- Sɛ woyare, titiriw sɛ wowɔ ɔyare mmoawa te sɛ strep throat a, kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wɔansa eyinom yare a, ebetumi adan atiridiinini na asɛe koma no ntini.
- Fa nnuru a wo duruyɛfo akyerɛw ama wo (e.g., nnuru a wɔde sa mogya mmoroso anaa srade) no yiye na fa bere ano.
- Sɛ wunya valve yare a, kɔ wo duruyɛfo nkyɛn daa ma ɔnkɔhwɛ wo sɛnea ɛbɛyɛ a wobetumi asa no ntɛm. Dodow a wohu no ntɛm no, dodow no ara na ayaresa no di yiye.
Dɛn na ɛsɛ sɛ wuhu bere a wo ne tebea yi te ase no?
Sɛ wohu sɛ wowɔ Aortic Valve Disease wie a, sɛnea ɛbɛka wo no gyina nneɛma pii so. Eyinom bi ne bere a wohui sɛ yare no,
sɛnea yare no akɔ anim, ne w’akwahosan nyinaa. Ɛho hia sɛ wo ne wo duruyɛfo bɔ wo daakye ho nkɔmmɔ pefee. Wobetumi ama woanya sɛnea wobɛyɛ w’ade wɔ ayaresa ho ne nea wobɛhwɛ kwan ho adwene a emu da hɔ. Wo duruyɛfo bɛma wo afotu wɔ asetra mu nsakrae ne sɛnea wubetumi ahwɛ wo ho da biara da ho. Di akwankyerɛ yi akyi yiye, na bisa nsɛm biara a ebia wowɔ. Ebia wo duruyɛfo bɛkamfo nneɛma te sɛ:
- Fa aduan a ɛma koma nya ahoɔden (te sɛ Mediterranea Aduan): Di nhabannuru, nnuaba, atoko, mpataa, ne nnuan a ahoɔdennuru wom pii. Tew nkyene, asikre, ne ngo so.
- Apɔw-mu-teɛteɛ: Nanso, egyina sɛnea wo Aortic Valve Yare no mu yɛ den so no, ebia wowɔ apɔw-mu-teɛteɛ anohyeto ahorow. Ɛho hia sɛ wubisa wo duruyɛfo no nea ɛsɛ sɛ woyɛ ne nea ɛnsɛ sɛ woyɛ no pɛpɛɛpɛ.
- Gyae sigaretnom anaa tawa nneɛma afoforo a wɔde di dwuma koraa.
- Sɛnea ɛbɛyɛ na woasiw koma mu ntini mu yare (endocarditis) ano no, ɛho hia sɛ wohwɛ wo sẽ ne wo sẽ yiye: Wo sẽ a wobɛhohoro da biara na woakɔ wo sẽ ho oduruyɛfo nkyɛn daa no ho hia.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn.
Ɛho hia sɛ wudi wo bere a woahyɛ no nyinaa so. Wo duruyɛfo bɛyɛ nhwehwɛmu daa te sɛ echocardiogram de ahwɛ sɛnea wo koma ne wo valve yɛ adwuma. Saa nhwehwɛmu ahorow yi betumi aboa
wo duruyɛfo no akamfo ayaresa a ɛfata akyerɛ na ama asiane a ɛwɔ hɔ sɛ daakye nsɛnnennen bɛba no so atew.
Frɛ wo duruyɛfo ntɛm ara sɛ wo:- Sɛ wo sɛnkyerɛnne ahorow (te sɛ wo koko mu yaw, ahome a ɛyɛ tiaa) mu yɛ den a.
- Sɛ wunya sɛnkyerɛnne foforo a.
- Sɛ wowɔ nsunsuanso bɔne a efi w’aduru no mu ba a.
Bere bɛn na ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?
Sɛ biribi a ɛte sɛɛ to wo a
, kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so ntɛm ara, anaa frɛ 1990:- Sɛ wo totɔ piti anaasɛ w’adwene mu yɛ wo naa a, ɛnyɛ hwee.
- Sɛ wohwe ase bere a worenom nnuru a ɛma mogya yɛ mmerɛw (e.g. Warfarin, Aspirin). Saa nnuru yi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo mu no yɛ kɛse sɛ wohwe ase anaa wupira a.
- Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɔyare mmoawa wɔ wo kuru no mu (ɛyɛ kɔkɔɔ, ɛho ahonhon, atiridiinini, akisikuru a ɛyɛ huam) wɔ oprehyɛn anaa oprehyɛn bi akyi a.
- Sɛ wowɔ komayare ho sɛnkyerɛnne (`(Symptoms of a Heart Attack)`): wo koko mu yaw kɛse, ɛyɛ den sɛ wobɛhome, ɛyaw a ɛhyerɛn kɔ wo nsa benkum, wo kɔn, wo anom, fifiri, akisikuru, ɔfe.
- Sɛ mpofirim ara ɛyɛ den ma wo kɛse sɛ wobɛhome a.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase no bi ne: nipadua no fã biako a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw, kasa a ɛyɛ mmerɛw, anim fã biako a ɛtɔ fam, n’ani a ɛsakra mpofirim, ne ti a ɛyɛ yaw kɛse.
Sɛ wuhu sɛ wowɔ Aortic Valve Disease a, ebetumi ayɛ hu na ayɛ den. Ɛno yɛ ade a ɛfata. Nanso asɛmpa no ne sɛ, ɛdenam nnɛyi ayaresa a ɛkɔ akyiri so no, wubetumi atew wo yare no ho sɛnkyerɛnne so kɛse, atew asiane a ɛwɔ hɔ sɛ wubehyia ɔhaw ahorow no so, na woatra ase a ahoɔden wom na ɛyɛ nnam. Sɛ wote nka sɛ wo ho yeraw wo anaasɛ woredwennwen daakye ho a, wo ne nnipa afoforo a wɔwɔ komayare a wobɛkasa na woakɔka akuw a wɔboa wo ho no betumi aboa. Bisa wo duruyɛfo no ho asɛm.
Enti, nneɛma bɛn na ɛho hia sen biara a ɛsɛ sɛ yɛde fi asɛm yi mu kɔ fie?
Aortic Valve Disease yɛ tebea a ɛka valve bi a ɛho hia yiye wɔ yɛn koma mu na ebetumi ayɛ aniberesɛm koraa. Nanso
mma wo werɛ mmfi sɛ sɛ wohu no ntɛm, na wɔde aduruyɛ mu afotu a ɛfata di akyi, na wɔsa no yiye a, wobetumi adi so yiye. Sɛ wowɔ sɛnkyerɛnne biara, titiriw wo koko mu yaw, wo home tiaa, ɔbrɛ, anaasɛ wo totɔ piti a, mmu w'ani ngu so nsusuw sɛ ɛyɛ "biribi foforo ara kwa."
Kɔ oduruyɛfo nkyɛn ntɛm ara na nya afotu. Kae sɛ wo koma a wobɛhwɛ so yiye no ne mmoa kɛse a wubetumi ayɛ ama wo ho! Koma a ɛte apɔw kyerɛ asetra a ahoɔden wom.
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