So wo mogya a ɛkɔ wo mu no te nka sɛ ayɛ mmerɛw? Momma yɛnka Arterial Insufficiency ho asɛm!

Ɛtɔ mmere bi a, wote yaw wɔ wo nan mu bere a wonam no? Anaasɛ wote nka sɛ wo ho yɛ wo yaw anaasɛ wo ho yɛ wo yaw wɔ mmeae bi? Mma nsusuw sɛ eyinom yɛ nneɛma a ɛba kwa ara kwa. Ebia eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya a ɛkɔ wo nipadua mu no ayɛ mmerɛw kakra. Ɛnnɛ yɛrebɛka asɛmti bi a ɛho hia saa ara ho asɛm. Ɛno ne mogya a ɛkɔ ntini mu no so tew, anaasɛ sɛnea nnuruyɛfo frɛ no no, `(Arterial Insufficiency)`.

Dɛn ne ntini a ɛnyɛ adwuma yiye?

Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya a ɛsen fa yɛn nipadua mu ntini biako anaa nea ɛboro saa mu no so tew. Ntini te sɛ nhama nhyehyɛe bi a ɛde mogya a oxygen pii wom kɔ yɛn nipadua nyinaa mu fi koma no mu kɔ akwaa ne ntini afoforo nyinaa mu. Enti, sɛ nsukorade yi siw anaasɛ ɛyɛ teateaa a, dɛn na ɛba? Ɛno ne bere a mogya a ɛkɔ nipadua no mu no so tew. Ade titiriw nti a eyi ba ne srade a ɛboaboa ano wɔ ntini no afasu mu, tebea a wɔfrɛ no ``Atherosclerosis''.

Yɛn nipadua no fã biara hia mogya a oxygen pii wom na ama ayɛ adwuma. Enti sɛ ntini ahorow no ntumi mfa mogya nkɔ yiye a, yɛn akwaa ne yɛn ntini ahorow no rentumi nyɛ adwuma yiye. Eyi betumi de nsɛnnennen a emu yɛ den aba .

Saa tebea yi (Arterial Insufficiency) betumi aka wo wɔ akwan titiriw abien so:

1. Acute arterial insufficiency: Eyi ne bere a mogya a ɛsen no so tew mpofirim anaasɛ egyae koraa esiane biribi nti (mpɛn pii no mogya a ɛtwetwe). Eyi yɛ tebea a egye ayaresa ntɛm ara.

2. Chronic arterial insufficiency: This is a condition where blood flow gradually decreases due to an underlying medical condition (often the aforementioned atherosclerosis). Bere kɔ so no, yare no ho sɛnkyerɛnne no mu yɛ den nkakrankakra, na asiane a ɛwɔ hɔ sɛ nsɛnnennen bɛba no yɛ kɛse.

Nea ɛho hia sen biara ne sɛ, sɛ wohu tebea yi ntɛm na wɔsa no yiye a, asiane a ɛwɔ hɔ sɛ ɔhaw ahorow a emu yɛ den bɛba no betumi atew kɛse.

Saa tebea yi ka yɛn nipadua dɛn?

Mogya a ɛkɔ ntini mu no so tew ma mogya a ɛkɔ yɛn nipadua no afã horow, titiriw akwaa atitiriw ne akwaa ahorow no so tew. Ɔkwan a eyi ka nipadua no gyina ntini a ɛyɛ teateaa anaasɛ esiw ano so .

Susuw ho saa kwan yi so:

• Sɛ ntini a ɛwɔ wo kɔn mu (carotid anaa vertebral arteries) no yɛ teateaa, sɛ nhwɛso no, wɔ tebea bi a wɔfrɛ no carotid artery disease mu a, ɛka w’amemene .
• Ɔhaw bi a ɛwɔ aorta , te sɛ yafunu mu aortic aneurysm, betumi aka wo moma so, w’akyi, ne wo yafunu .
• Sɛ ntini a ɛma mogya kɔ koma no mu no siw , tebea a wɔfrɛ no ahrawa mu yare a, ɛka wo koma tẽẽ .
• Sɛ ɔhaw bi wɔ ntini a ɛde mogya kɔ dwensɔtwaa ketewa no mu (``Superior mesenteric artery``) , tebea te sɛ ``Mesenteric artery stenosis`` a, ebetumi aka wo dwensɔtwaa ketewa no dwumadi .
• Sɛ ɔhaw bi wɔ ntini a ɛde mogya kɔ asaabo no mu (renal arteries) , tebea bi a wɔfrɛ no renal artery disease a, ɛbɛka w’asaabo .
• Ntini a ɛwɔ wo nan mu a asiw , te sɛ peripheral artery disease (PAD) no betumi aka wo nan ne wo nan .
• Tebea bi a wɔfrɛ no pulmonary embolism, a ɛyɛ mogya a ɛtɔ a esiw ntini a ɛwɔ w’ahurututu mu no betumi aka w’ahurututu .

Nanso ɛho hia nso sɛ yɛkae sɛ mogya a ɛkɔ ntini ahorow no mu a ɛso tew no ka nipadua no fã biara ankasa wɔ ɔkwan a ɛnteɛ so. Ebia wubehu sɛnkyerɛnne ahorow wɔ nipadua no fã a ɛbɛn ntini a asiw kɛse no kɛse no mu. Nanso, nneɛma koro no ara a ɛma ntini a ɛwɔ hɔ no yɛ teateaa (te sɛ atherosclerosis) no betumi asi wɔ ntini a ɛwɔ nipadua no mmeae afoforo nso mu. Sɛ nhwɛso no, sɛ mogya a ɛkɔ wo so no so atew bere tenten esiane ntini bi a ɛwɔ wo nan mu a ɛyɛ den nti a, wowɔ asiane mu sɛ ade koro no ara bɛba wo koma mu.

Yɛn nipadua no fã biara hia oxygen na ama atumi atra ase. Sɛ akwaa anaa ntini bi hwere oxygen mpofirim a, saa akwaa no betumi adi nkogu wɔ nnɔnhwerew kakraa bi mu, wɔ tebea a ɛyɛ `Acute arterial insufficiency` mu. Eyi betumi ama tebea horow a egye ntɛmpɛ a ɛde nkwa to asiane mu aba esiane mogya a ɛkɔ ntini ahorow no mu a ɛso tew nti:

• Critical limb ischemia: Mogya a ɛkɔ abasa , nan, anaa anan mu a esiw kwan .
• Koma mu yare: Mogya a ɛkɔ koma no mu a esiw kwan.
• Pulmonary embolism: Mogya a ɛkɔ ahurututu no mu a esiw kwan.
• Akisikuru: Mogya a ɛkɔ amemene no mu a esiw kwan.

Saa tebea yi betumi akum obi sɛ wɔansa no yiye a, ɛno nti na ɛho hia kɛse sɛ wuhu ne sɛnkyerɛnne ahorow na wo ne wo duruyɛfo kasa fa asiane ahorow a ɛwɔ mu no ho.

Nsonsonoe bɛn na ɛda mogya a ɛtɔ wɔ ntini mu ne mogya a ɛkɔ ntini mu no ntam?

Eyinom abien nyinaa yɛ nsɛm a ɛfa mogya a ɛkɔ nipadua no mu ho, nanso nsonsonoe kakra wɔ mu.

Ntini a entumi nyɛ adwuma yiye no yɛ ɔhaw a ɛma mogya kɔ ntini no mu . Ntini a ɛnnɔɔso yɛ ɔhaw a ɛma mogya kɔ ntini no mu (ntini a ɛde mogya a ɛho ntew san kɔ koma no mu).

Sɛ yɛbɛka no tiawa a:

• Ntini ne nea ɛde mogya a ɛho tew a oxygen pii wom fi koma no mu kɔ nipadua no nyinaa mu.
• Ntini ne nea ɛde mogya a mframa pa nnim na ɛho ntew no san ba koma no mu.

Ɛsono nea ɛde tebea abien no nyinaa ba. Ade titiriw a ɛma mogya a ɛkɔ ntini no mu no so tew ne srade a ɛboaboa ano wɔ ntini no afasu mu (atherosclerosis). Mogya a ɛkɔ ntini no mu a ɛso tew no fi ntini a ɛwɔ nan no mu a ɛsɛe no titiriw.

Ntini a ɛnyɛ adwuma yiye betumi aba wɔ ntini bi mu wɔ nipadua no mu baabiara, nanso tebea bi a wɔfrɛ no ntini a entumi nyɛ adwuma no ka nan no titiriw.

Saa tebea abien yi nyinaa betumi ama anan no ayɛ yaw na ayɛ basaa. Sɛ wo nan yɛ wo yaw bere nyinaa, wote nka sɛ wo mu yɛ duru, wohonhon, anaa wobrɛ a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔbɔ saa sɛnkyerɛnne ahorow yi ho nkɔmmɔ.

Dɛn ne eyi ho sɛnkyerɛnne?

Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara kosi sɛ tebea no mu bɛyɛ den anaasɛ ntɛmpɛ bi bɛba. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne te sɛ:

• (`Dizziness`): .
• Intermittent claudication: Nan mu yaw a ɛba bere a wonam na ɛbrɛ ase bere a woagye w’ahome no. Eyi ne bere a wote yaw wɔ wo nan mu bere a woreyɛ dwumadi bi, titiriw nantew, na ɛyaw no fi hɔ bere a woagye w’ahome bere tiaa bi akyi no.
• Ɛyaw a ɛba nan anaa nansoaa mu: Ɛyɛ hyew na ɛyɛ yaw wɔ nan anaa nansoaa mu, bere mpo a woregye n’ahome no.
• Nsakrae a ɛba honam ani kɔla ne sɛnea ɛte mu: Wora a ɛyɛ mmerɛw wɔ nan ne anan so, ɛyɛ wo yaw, na honam ani kɔla sesa.
• Yafunu mu yaw: Yafunu mu yaw a efi ase simma 15-20 wɔ adidi akyi, ɛtra hɔ nnɔnhwerew kakraa bi, na afei ɛkɔ.
• Akuru: Akuru a ɛnsa wɔ nan ne anan so (titiriw nansoaa). Eyinom yɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya no nkɔ yiye.
• Mu duru a ɛso tew: Mu duru a ɛso tew mpofirim a wɔanhyɛ da.

Ebia wo ntini mu ntini a ɛyɛ teateaa anaasɛ asiw wɔ mmeae bɛboro biako wɔ wo nipadua mu. Sɛ nhwɛso no, nnipa a wɔwɔ peripheral artery disease (PAD) wɔ wɔn nan mu no taa nya coronary artery disease (CAD). Enti, ebia wowɔ sɛnkyerɛnne ahorow a wɔaka abom a ɛfa ɔhaw biara ho. Ɛno nti na ɛho hia sɛ woka kyerɛ wo duruyɛfo bere a woahu sɛnkyerɛnne ketewaa bi mpo no.

Nsɛnkyerɛnne a ɛkyerɛ sɛ biribi a egye ntɛmpɛ - mmu w’ani ngu eyinom so!

Sɛ wowɔ sɛnkyerɛnne a edidi so yi mu biara a, frɛ 911 (1990 wɔ Sri Lanka) anaa kɔ ayaresabea a ɛbɛn wo ntɛm ara. Ebia eyinom bɛyɛ aduruyɛ mu tebea a egye ntɛmpɛ ho sɛnkyerɛnne:

• Koko mu yaw anaasɛ ɛyɛ den.
• Sɛ wote nka sɛ worehu wɔ abien mu anaasɛ worehwere w’anisoadehu.
• Nnipa a wɔtotɔ piti.
• Tissue death (`Gangrene`) (honam ani a ɛyɛ tuntum, hua bɔne).
• Wora a ɛyɛ mmerɛw, fifiri a ɛyɛ nwini, anaa honam ani bruu.
• Apɔw-mu-teɛteɛ a ɛkɔ soro mpofirim.
• Ɔkasa a ɛyɛ mmerɛw.
• Ɛyaw a emu yɛ den mpofirim wɔ koko, abasa, mmati, kɔn, anaa anom.
• Ɔhome a ɛyɛ den mpofirim a ntease biara nnim.
• Ɛyaw anaa ahotɔ a ɛba mpofirim wɔ mmati, kɔn, yafunu, ne/anaa akyi a ntease biara nnim.

Sɛ yare no ho sɛnkyerɛnne bi wɔ hɔ a, ebia worentumi frɛ mpo. Enti, sɛ ɛbɛyɛ yie a, fa `aduruyɛ mu kɔkɔbɔ afiri` (te sɛ kɔnmuade) ka wo ho bere nyinaa. Afei nso, ka saa sɛnkyerɛnne ahorow yi ho asɛm kyerɛ w’abusuafo ne wo nnamfo. Sɛnea ɛbɛyɛ a wobetumi afrɛ 1990 ama wo bere a wɔahu wɔn ara pɛ.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nneɛma atitiriw abien nti a mogya no so tew wɔ ntini ahorow no mu ne:

• Atherosclerosis: Srade a ɛwɔ ntini no afasu mu (atherosclerosis): Srade a ɛwɔ ntini no mu te sɛ srade boaboa ano wɔ ntini no mu, na ɛyɛ teateaa anaasɛ esiw ano koraa.
• Thrombosis: Mogya a ɛtɔ gu ntini bi mu, na esiw mogya no kwan.

Wobɛyɛ dɛn ahu eyi?

Nnuruyɛfo hu saa tebea yi denam wo yare no ho sɛnkyerɛnne a wobisa wo, w’aduruyɛ ho abakɔsɛm a wogye, ne nipadua mu nhwehwɛmu a wɔyɛ so. Wo duruyɛfo bebisa wo nsɛm pii na ama wasua wo tebea no ho ade pii sɛnea obetumi. Nhwɛsoɔ:

• Dɛn ne wo yare no ho sɛnkyerɛnne?
• Bere tenten ahe na saa sɛnkyerɛnne ahorow yi atra hɔ?
• Ɛhe na wote ɛyaw no nka?
• So sɛnkyerɛnne ahorow no ba na ɛkɔ? Sɛ saa a, bere bɛn na wɔba?
• Dɛn na wubetumi ayɛ de atew yare no ho sɛnkyerɛnne so?

Oduruyɛfo no ne wo nso bɛkasa afa:

• Wo kan aduruyɛ ho abakɔsɛm.
• Nyarewa a ɛkɔ so wɔ w’abusua mu (a ɛfa awosu ho).
• Ayaresa mu tebea afoforo a wowɔ mprempren.
• Nnuru a wode di dwuma no.

Bere a wɔreyɛ nipadua mu nhwehwɛmu no, oduruyɛfo no betumi ayɛ nea edidi so yi:

• Wɔka kyerɛ wo sɛ serew na hwɛ sɛ w’anim fã biako bɛhwe ase anaa.
• Wɔhwɛ apɔw-mu-teɛteɛ wɔ mmeae pii wɔ nipadua no so (te sɛ koko, nsateaa, ne nansoaa).
• Wɔfa mogya de hwɛ sɛ ebia ɛwɔ mogya mu yare ahorow a ebia ɛne ntini mu yare wɔ abusuabɔ anaa.
• Wɔbɛhwɛ w’ani ne w’ani so.
• Hwɛ sɛ nsakrae bi aba wo honam ani kɔla anaa wo honam ani hwɛbea mu anaa.
• Hwɛ sɛ honam ani akuru wɔ hɔ anaa.
• Wɔsusuw mogya mmoroso wɔ nsa abien no nyinaa mu.

Saa sɔhwɛ yi betumi akyerɛ wo duruyɛfo no pii. Nanso, ebia wɔbɛyɛ nhwehwɛmu titiriw bi nso de ahu wo ntini ahorow no ho nsɛm pii.

Sɔhwɛ afoforo

Nhwehwɛmu ahorow bi a ebetumi aboa ma wɔahu mogya a ɛkɔ ntini a ɛwɔ nipadua no afã horow mu a ɛso atew ni:

• Ankle-brachial index (ABI): Eyi de mogya mmoroso a ɛwɔ nan ase no toto mogya mmoroso a ɛwɔ abasa no mu ho. Eyi betumi akyerɛ sɛnea mogya no resen yiye wɔ ntini a ɛwɔ nan no mu no mu.
• CT Angiogram (`Computed tomography angiogram - CTA`): Ɛtwe 3D mfonini a ɛkyerɛ ntini a ɛde mogya kɔ koma (coronary arteries), nsa, nan, anaa dwensɔtwaa mu de boa ma wohu nneɛma a asiw.
• Echocardiogram (`Echocardiogram - echo`): Ɛde nnyigyei asorɔkye di dwuma de hwɛ sɛnea koma no yɛ adwuma.
• E.C.G. (`Electrocardiogram - ECG/EKG`): Ɛkyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Ebetumi ahu ɔhaw ahorow a ɛwɔ mogya a ɛsen ne koma a ɛbɔ a ɛnteɛ mu.
• Pulse volume recording: Ɛkyerɛ nsakrae a ɛba mogya dodow mu wɔ nan no mu. Ebetumi ahu nneɛma a asiw kwan.
• Vascular ultrasound: Ɛde nnyigyei asorɔkye twa wo ntini ahorow (a nea ɛwɔ wo kɔn mu ka ho) ho mfonini de hwehwɛ sɛ ebia asiw.

Dɛn ne ayaresa ahorow no?

Ayaresa no gyina nea ɛde tebea no ba ne sɛnea emu yɛ den so. Wo ne wo duruyɛfo nkasa mfa ayaresa a eye ma wo ho. Ayaresa a wobetumi apaw bi ne:

• Atherectomy (oprehyɛn a wɔyɛ de yi ntini a ɛyɛ mmerɛw fi ntini ahorow mu).
• Oprehyɛn a wɔyɛ de yi ntini a asiw wɔ kɔn no mu (`Carotid endarterectomy`).
• Coronary ntini a wɔde twa kwan a wɔde hyɛ nipadua mu (`Coronary angioplasty`).
• Coronary artery bypass a wɔde hyɛ nipadua mu (CABG).
• Asetra mu nsakrae: apɔw-mu-teɛteɛ, adidi a ahoɔden wom.
• Nnuru: Hwɛ mogya mmoroso, srade a ɛwɔ mogya mu, ne asikre dodow a ɛwɔ mogya mu no so.
• Nnuru a ɛtew asiane a ɛwɔ mogya a ɛbɛtɔ mu (Anticoagulants).
• Mesh tubes nketewa (`Stents`) a wɔde ma ntini ahorow no bue.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi? (Nneɛma a Ɛma Asiane) .

Obiara betumi anya `Aterial insufficiency`. Nanso nnipa binom wɔ asiane kɛse mu. Sɛ wowɔ tebea horow yi mu biara a, wo nso wowɔ asiane kɛse mu:

• Koma a ɛbɔ a ɛnteɛ (`Atrial fibrillation`).
• Asikreyare (`Asikreyare`).
• Cholesterol a ɛkɔ soro wɔ mogya mu (`Hyperlipidemia`).
• Mogya mmoroso (Hypertension).
• Protein C a enni nipadua mu.
• Protein S a enni nipadua no mu.
• Tebea horow a ɛma mogya tu ntɛmntɛm dodo (`Thrombophilia`).
• Mogya a ɛtwetwe a ɛfa kokoram ho (`Trousseau syndrome`).

Nneɛma afoforo a ɛde asiane ba:

• Wɔadi boro mfe 60.
• Nyinsɛn a wɔde di dwuma.
• Sigaretnom ne tawanom.
• Nnuru a wɔde siw awo ano a estrogen wom a wɔde di dwuma.

Ɔkwan bɛn so na wobɛbɔ wo ho ban afi eyi ho? (Ayaresa a wɔde siw ano) .

Nsakrae a wɔbɛyɛ wɔ asetra mu no betumi aboa kɛse ma asiane yi so atew. Nneɛma bi a wubetumi ayɛ ni:

• Apɔw-mu-teɛteɛ da biara da. Bɔ mmɔden sɛ anyɛ yiye koraa no wobɛnantew simma 30 da biara, nnanu dapɛn biara. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe foforo ase.
• Gyae sigaretnom ne tawanom koraa. Nea ɛka eyi ho ne tawa a wɔde vaping ne nea wɔwe.
• Di aduan a ɛma koma nya ahoɔden akyi.
• To nsa a wonom no ano hye. Wɔ mmarima fam no, ɛnsɛ sɛ wɔnom nsa boro abien da biara. Wɔ mmea fam no, ɛnsɛ sɛ obi nnom nsã da biara.
• Di wo mu duru so. Bisa wo duruyɛfo nea mu duru yɛ ma wo.
• Nom nnuru a wɔakyerɛw ama wo no wɔ bere ano.
• Anyɛ yiye koraa no, kɔ aduruyɛ mu pɛnkoro afe biara.

Ɔkwan bɛn so na wobɛtra ase ne tebea yi?

Sɛ wo ne ntini a ɛnyɛ adwuma yiye te ase a, ma nneɛma yi ntra w’adwenem:

• Yɛ apɔw-mu-teɛteɛ ho nhyehyɛe. Ɛnyɛ obiara na ɔyɛ pɛ. Paw apɔw-mu-teɛteɛ bi a w’ani gye ho. Ebetumi ayɛ biribiara fi asaw, nsukyenee so a wɔde tu mmirika, kosi nantew wɔ abɔnten so. Afei nso, hwehwɛ akwan a wobɛfa so de anammɔn kakraa bi aka wo da biara da dwumadi ho. Bisa wo duruyɛfo bere nyinaa sɛ apɔw-mu-teɛteɛ bɛn na asiane biara nni ho mma wo.
• Hwɛ akwan a wobɛfa so adidi a ahoɔden wom mu. Hwɛ nneɛma te sɛ Mediterranea aduan ne DASH aduan mu.
• Ma wo honam ani ntew. Eyi ho hia titiriw sɛ wowɔ PAD, asikreyare a ɛfa ntini mu yare, anaa ntini mu yare foforo a ɛwɔ akyi a. Hohoro wo nan ne wo nan da biara na fa moisturizer gu so. Hwɛ sɛ wo honam ani kɔla asesa, mpaapaemu, anaa akuru wɔ hɔ anaa.
• Gyae sigaretnom ne tawanom. Bisa wo duruyɛfo no sɛ ɔmmoa wo.
• Hyɛ mpaboa a ɛyɛ fɛ. Ɛsɛ sɛ mpaboa boa na ɛfata yiye.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Di wo duruyɛfo a wobɛkɔ akɔhwɛ wo ne nea wodi akyi nyinaa so. Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wosan ba.

Afei nso, sɛ wuhu sɛnkyerɛnne foforo anaa nsakrae bi wɔ wo sɛnkyerɛnne ahorow mu a, frɛ wo duruyɛfo ntɛm ara. Ebetumi aboa nso sɛ wobɛtintim wo sɛnkyerɛnne ahorow no din na wode asie. Ɛnyɛ den sɛ wobɛpa sɛnkyerɛnne bi wɔ da biara da asetra mu basabasayɛ ne basabasayɛ mu, anaasɛ wubesusuw ho sɛ "dɛn ne eyi?" Enti, hwɛ nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho. Fa saa nsɛm yi kyerɛ w’adɔfo.

Sɛ wuhu sɛ wowɔ `Arterial insufficiency` a, ebia wubesusuw sɛ, "Mɛyɛ dɛn asiesie eyi?" Ɛno ne ade a edi kan a yesusuw ho bere a yɛyare no. Ebia wobɛpɛ sɛ wobɛdan bere akɔ w’akyi na woayɛ nneɛma wɔ ɔkwan foforo so. Nanso eyi nyɛ bere a ɛsɛ sɛ yɛhwɛ yɛn akyi, na mmom ɛsɛ sɛ yɛhwɛ yɛn anim.

Fa w’adwene si nea wowɔ mprempren no so. Nsakrae bɛn na wubetumi ayɛ ntɛm ara? Dɛn ne nea ɛho hia paa? Nya akwankyerɛ fi wo duruyɛfo hɔ wɔ asetra mu nsakrae ne ayaresa ho. Nea ɛho hia sen biara no, ɛnsɛ sɛ wo nkutoo fa akwantu yi mu. Wo duruyɛfo ne w’akwahosan kuw no nyinaa wɔ ha sɛ wɔbɛboa wo ma wo ntini mu akwahosan atu mpɔn.

` Ntini a ɛsiw, mogya a ɛkɔ so tew, komayare, mogya ntini, akwahosan, ɔyare a ɛma obi hwe ase, srade a ɛwɔ nipadua no mu