So worehyia nsu a ɛretu a wompɛ? (Nsuo a Ɛntumi Nhyɛ Mu) - Nirogi Lanka

So wunya nsu a ɛtɔ wɔ akwanhyia mu pɛn bere a woserew, wofefe, anaa ɛtɔ mmere bi mpo a ntease biara nnim no? Ɛnyɛ wo nko ara. Eyi yɛ asɛm a abu so yiye, nanso ɛyɛ den ma nnipa pii sɛ wɔbɛka ho asɛm esiane aniwu nti. Nanso, eyi yɛ tebea a nnuruyɛfo gye tom. Wɔ Nirogi Lanka , yegye di sɛ nkɔmmɔbɔ a ɛda adi pefee, efisɛ sɛ eyi renya wo da biara da asetra so nkɛntɛnso a, ano aduru a etu mpɔn wɔ hɔ.

Dɛn ankasa ne Urinary Incontinence? Momma yɛnbubu mu!

Sɛ yɛbɛka no tiawa a, nsu a wontumi nhyɛ mu no kyerɛ sɛ obi ntumi nni akisikuru no so, na ɛma nsu no pue a ɔmpɛ. Sɛnea ɛbɛyɛ na woate nea enti a eyi ba no ase no, ɛboa sɛ wobɛhwɛ sɛnea wo nipadua mu nsu ho nhyehyɛe no yɛ adwuma.

W’asaabo yi nwura fi wo mogya mu ma ɛyɛ nsu, na afei ɛfa nsukorabea abien a wɔfrɛ no ureters mu kɔ akisikuru no mu . Fa w’akisikuru no sɛ afiri a ɛyɛ mmerɛw a ɛwɔ wo yafunu ase; ɛtrɛw bere a ɛhyɛ ma na ɛtew bere a woayɛ mu pɛnkoro pɛ no.

Sɛ ɛho hia sɛ woto nsu a, ntini a ɛwɔ akisikuru no fasu mu no twetwe, na ntini bi a ɛyɛ kurukuruwa a wɔfrɛ no sphincter no dwo ma nsu no fa nsu a ɛkɔ nsu mu no mu . Sɛ obi ntumi nhyɛ ne ho so bere a saa akisikuru ntini yi yɛ adwuma boro so anaasɛ sɛ akisikuru no ntumi nyɛ adwuma yiye wɔ bere a ɛfata mu a. Sɛ saa ntini ahorow yi twetwe denneennen dodo a, ebetumi adi sphincter no so nkonim, na ama nsu a ɛretu.

Nsuo a Ɛntumi Nhyɛ Nsuo Mu Ahodoɔ

Nsu a ɛtwetwe a ɛnyɛ ne pɛ betumi ada adi wɔ akwan horow so. Ahorow atitiriw no ni:

1. Adwennwen a Ɛnyɛ Den

Sɛ wunya nsu a ɛtwetwe bere a woserew, wofefe, wofefe, anaasɛ woma biribi a emu yɛ duru so a, ɛda adi sɛ ɛyɛ adwennwen a wuntumi nhyɛ wo ho so . Eyi ba efisɛ nipadua mu nhyɛso ma obi hwere ne ho so. Ɛtaa ba mmea so kɛse, titiriw bere a wɔagyae brayɛ anaa awo akyi.

2. Hyɛ obi a ontumi nhyɛ ne ho so

Nea ɛda adi wɔ saa ɔkwan yi so ne ɔpɛ a emu yɛ den a ɛba mpofirim sɛ wobɛtow nsu a ɛyɛ den sɛ wobɛkura mu, na mpɛn pii no ɛma nsu a ɛtwetwe ansa na woatumi adu aguaree. Ɛtaa de bata "akisikuru a ɛyɛ adwuma boro so" ho na ɛtaa ba nnipa a wɔwɔ ntini mu tebea horow te sɛ asikreyare , ɔyare a ɛma obi hwe ase , multiple sclerosis , Alzheimer yare , anaa Parkinson yare no mu .

3. Overflow Incontinence a Ɛyɛ Fɛ

Eyi ba bere a wo akisikuru ayɛ ma bere nyinaa nanso wuntumi nyiyi mu koraa no. Ne saa nti, akisikuru no hwie gu, na ɛma nsu nketenkete a ɛtaa fi mu ba a wonte nka mpo sɛ wobɛkɔ. Eyi betumi afi akwanside ahorow te sɛ prostate a ɛtrɛw wɔ mmarima mu anaasɛ akyi berɛmo mu opira mu aba.

4. Dwumadi mu Nhyɛso a Ɛnyɛ Den

Ɛnyɛ nea eyi yɛ ɔhaw a ɛfa nsu a wɔde fa nsu mu no ankasa ho, na mmom ɛyɛ honam fam anaa adwene mu akwanside ahorow a ɛmma wuntumi nkɔ aguaree bere ano. Nhwɛso ahorow bi ne ntini mu yare a ɛmma wontumi nkɔ baabiara, opira, adwenemhaw , anaa nnuru a ɛma obi dwo a ɛma ɛyɛ den sɛ wobedi ɔpɛ a ɔwɔ sɛ ɔbɛtow nsu no ho dwuma.

Henanom na wɔwɔ asiane kɛse mu sɛ obi ntumi nkɔ nsu mu?

Bere a obiara betumi ahyia saa nsɛm yi no, asiane a ɛwɔ hɔ no betumi ayɛ kɛse sɛ:

• Woyɛ ɔbea .
• Woadi boro mfe 50 .
• Worehu amane wɔ kɛseyɛ mmoroso ho .
• Wowɔ abusua abakɔsɛm a ɛfa nsɛm a ɛfa akisikuru a wɔde siw ano ho.

Saa tebea yi abu so mmɔho abien wɔ mmea mu, titiriw esiane sɛnea nyinsɛn, awo, ne bratwa nya awotwaa mu ntini ahorow so nkɛntɛnso nti . Nhyɛso a akokoaa a ɔrenyin nya wɔ akisikuru so bere a wanyinsɛn no yɛ ade a ɛtaa ma obi ntumi nhyɛ ne ho so bere tiaa bi.

Ɔkwan bɛn so na eyi ka w’adwene mu akwahosan?

Ɛwom mpo sɛ ɔpepem pii di apere wɔ eyi ho de, nanso nnipa pii ani wu anaasɛ wɔhaw. Eyi betumi ama obi asusuw ne ho na ɔde asetra kwan ho anohyeto ahorow a ɛho nhia aba.

Sɛ tebea yi de adwennwen, dadwen , anaa adwenemhaw kɛse rema wo a, yɛsrɛ sɛ hwehwɛ aduruyɛfo afotu ntɛm ara. Ɛho nhia sɛ wuhu amane wɔ kommyɛ mu.

Nsɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ akisikuru ho asɛm

Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn:

• Nsu a wɔtaa tow. Bere a akwantu dodow a wobɛkɔ aguaree no gyina nsu a wobɛnom ne abɔde mu nnuru a ɛma wo ho yɛ hyew te sɛ kɔfe anaa tii a wobɛnom so no, nsakrae mpofirim a ɛba wo mfiase no mu no yɛ sɛnkyerɛnne a ɛsɛ sɛ wohyɛ no nsow.
• Nsu a ɛtwetwe bere a woreyɛ apɔw-mu-teɛteɛ te sɛ serew, ɔfe, apɔw-mu-teɛteɛ, anaa abusuabɔ a emu yɛ den.
• Nsu a ɛretu a kɔkɔbɔ anaa ɔpɛ biara nni mu.
• Ɛyɛ den sɛ wobɛtwentwɛn wo nan ase bere a ɔpɛ no aba pɛnkoro no.
• Mpa so nsu (anadwo enuresis), a ebetumi aba wɔ mmofra ne mpanyimfo mu.
• Ntini mu sɛnkyerɛnne te sɛ nan a ɛyɛ mmerɛw, akisikuru a ɛyɛ mmerɛw wɔ akyi berɛmo no mu, anaasɛ nkate a ɛyera.
• Nhyɛso anaasɛ yafunu no ase a ɛyɛ den a wɔte nka .

Dɛn na ɛma obi ntumi nkɔ nsu mu?

Nsakrae a ɛba w’akwahosan mu, ayaresa tebea horow a ɛhyɛ wo ase, ne asetra kwan mu nsɛm a ɛma wotumi ntumi nkɔ nsu mu no betumi aba.

Akwahosan mu Nsakrae

• Mpanyinyɛ : Bere a worenyin no, ɛtaa ba sɛ wo ntini ahorow yɛ mmerɛw .
• Akisikuru : Akisikuru a emu yɛ den anaasɛ enni sabea betumi de nhyɛso a ɛboro so aba wo akisikuru so, na aka ne dwumadi.
• Asikreyare : Asikreyare betumi ama ntini ahorow asɛe, na ɛtaa siw wo akisikuru ano.
• Nsuo a Ɛsiw: Ebia eyi fi asaabo mu abo, ureteral abo, prostate a ɛtrɛw wɔ mmarima mu, anaa akuru ntini a ɛba wɔ oprehyɛn akyi.
• Mu duru a ɛboro so: Sɛ wosoa wo mu duru a ɛboro so a, ɛde nhyɛso kɛse ba wo akisikuru ne ntini a atwa wo ho ahyia no so.
• Urinary Tract Infection (UTI): UTI betumi ahyɛ wo akisikuru abufuw, na ama ɛho ahia sɛ wotaa tow wo ho ntɛm ara na ama ayɛ den sɛ wubedi so.

Aduruyɛ Tebea Ahorow a Ɛhyɛ Ase

Ayaresa mu tebea horow bi betumi asɛe akisikuru ntini anaa ntini a ɛyɛ asɛyɛde sɛ ɛkyerɛ bere a ɛsɛ sɛ ɛtwetwe anaa gye n’ahome no.

• Alzheimer yare a ɛma obi nya ɔyare.
• Multiple sclerosis a ɛma obi ho kyere no.
• Parkinson yare a ɛma obi nya yare.
• Nyinsɛn ne awo.
• Prostate oprehyɛn a wɔyɛ.
• Akyi berɛmo a asɛe.
• Nnwodwoɔ.

Asetra mu Nkɛntɛnso

Nnuan, anonne, ne nnuru bi nso betumi ayɛ nea ɛkanyan:

• Nsaden.
• Nneɛma a wɔde yɛ aduan dɛdɛ.
• Mogya mmoroso nnuru bi.
• Caffeine (kɔfe, tii, anonne a ɛma ahoɔden).
• Nnuru a ɛma obi dwo.
• Soda ne anonne a carbon wom.
• Nnuan a ɛyɛ nnuhwam.
• Vitamin C dodow a ɛdɔɔso.
• Sigaretnom ne asetra a wɔtra ase a wɔtra ase nso betumi aboa ma nsɛm yi aba.

Ɔkwan bɛn so na wo duruyɛfo hu saa tebea yi?

Sɛ wokɔ wo duruyɛfo nkyɛn a, wɔbɛka wo yare no ho sɛnkyerɛnne ho asɛm akɔ akyiri. Ebia wobebisa wo nsɛm te sɛ:

• Nsu dodow ahe na ɛtwetwe, na mpɛn ahe?
• So wutu kɔ wo ntade so, anaasɛ wudu aguaree?
• So eyi si wɔ mmere pɔtee bi mu wɔ da no mu?
• So ɛba bere a wɔreyɛ dwumadi pɔtee bi te sɛ ahurututu anaa apɔw-mu-teɛteɛ mu?
• So wote ɛyaw anaa wo ho nyɛ wo dɛ bere a woretow nsu no?
• So wote nka mpofirim a emu yɛ den sɛ wobɛtow nsu?
• Mpɛn ahe na wokɔ aguaree da biara?
• So ɛyɛ den ma wo sɛ wubefi ase atoto wo ho bere a woakɔ aguaree no?
• Wo nsu a ɛsen no ahoɔden te dɛn?
• So wote nka te sɛ nea wo akisikuru no mu ada mpan koraa bere a woawie no?

Wo duruyɛfo nso bebisa nneɛma afoforo a ebetumi de aba ne nnuru a wɔde di dwuma ho asɛm:

• So wowɔ ntini mu yare bi, asaabo anaa ureteral abo, anaa prostate nsɛm?
• So mprempren worenom nnuru bi? Sɛ saa a, emu nea ɛwɔ he?
• So wofa nhabannuru anaa vitamin bi a wɔde ma?
• So woanyinsɛn pɛn anaasɛ woawo wo wɔ ɔbea awotwaa mu pɛn?
• So wɔayɛ wo yafunu anaa wo akyi berɛmo oprehyɛn biara?
• So wɔayɛ wo prostate oprehyɛn pɛn?

Wo duruyɛfo nso bɛyɛ wo nipadua mu nhwehwɛmu. Ebia wɔbɛhwɛ sɛ ebia akyi berɛmo mu nsɛm ho sɛnkyerɛnne te sɛ nan a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw wɔ ɔbarima ne ɔbea nna mu. Ebia wɔbɛyɛ wɔn akyi berɛmo mu nhwehwɛmu de ahwɛ sɛ wɔn akisikuru anaa, wɔ mmarima fam no, wɔbɛhwɛ prostate no mu. Sɛ woyɛ ɔbea a, ebia wɔbɛyɛ akyi berɛmo mu nhwehwɛmu de ahwɛ sɛ ɔbea awotwaa no ayɛ mmerɛw anaa.

Nhwehwɛmu a Wɔde Hu Nyarewa

Sɛnea ɛbɛyɛ na wo duruyɛfo akyerɛ sɛ woahu sɛ wowɔ yare no, ebia wobɛkamfo nhwehwɛmu a edidi so yi akyerɛ wo:

• Nsu mu nhwehwɛmu: Eyi boa ma wohu mmerɛbo mu yare, asaabo mu yare, asikreyare, ne UTI ahorow.
• Asaabo dwumadi ho nhwehwɛmu: Mogya anaa nsu mu nhwehwɛmu de hwɛ sɛnea w’asaabo reyɛ adwuma yiye.
• Post-void residual (PVR) urine test: Ɛsusuw nsu dodow a aka wɔ wo akisikuru mu bere a woabɔ mmɔden sɛ wobɛma mu awie no.
• Nsuo mu amammerɛ: Ɛhwɛ sɛ mmoawa anaa mmoawa a wɔde ɔyareɛ bi ba anaa.
• Urodynamic testing: Ɛhwehwɛ ntini ne ntini ahorow dwumadi, sɛnea wo nsu no tu ntɛmntɛm, ne nhyɛso a ɛwɔ akisikuru no mu ne nea atwa ho ahyia no mu.
• Bladder diary: Nsu a wonom, mpɛn dodow a wotow, wo nne dodow, ne bere a wotow ho kyerɛwtohɔ.

So ayaresa ahorow bi wɔ hɔ a wɔde sa ɔhaw ahorow a ɛfa akisikuru a wɔde siw ano ho?

Yiw, koraa! Mpɛn pii no, nnuruyɛfo de ayaresa a ɛnyɛ oprehyɛn na efi ase.

• Mfiri a wɔde siw akisikuru ano: Te sɛ pessary, a ɛbɛboa urethra no na ɛtew nsu a ɛtwetwe no so.
• Akisikuru a wobɛsan atete wo ho: Wobɛyɛ nhyehyɛe akɔsra wo aguaree na wode nkakrankakra ama bere a ɛda wɔn ntam no akɔ soro.
• Biofeedback: Ɛboa wo ma wuhu wo pelvic floor ntini ahorow na wosan di so.
• Nsã ne caffeine a wɔnom so tew.
• Electrical stimulation: Wɔde kanyan ntini a ɛma akisikuru no yɛ adwuma.
• Kegel apɔw-mu-teɛteɛ (pelvic floor exercises): Eyinom tu mpɔn kɛse ma pelvic floor a wɔhyɛ mu den na ɛma wotumi di so yiye.
• Apɔw-mu-teɛteɛ ne apɔw-mu-teɛteɛ a wɔde wɔn ani asi so.
• Mu duru a ɛso tew: Sɛ wo mu duru boro so a, sɛ wo mu duru so tew a, ebetumi ama wo ho atɔ wo kɛse.

Sɛ ayaresa a ɛnyɛ oprehyɛn ntumi nyɛ yiye a, wo duruyɛfo betumi akamfo oprehyɛn akwan horow a wobɛfa so:

• Oprehyɛn a wɔde yɛ mesh.
• Sling akwan: "Sling" a ɛboa ma urethra.
• Nnuru a ɛma nsu mu nsu no yɛ kɛse: Nnuru a wɔde twitwiw nsu mu a wɔde ma nsu mu afasu no yɛ den.
• Botox® injections: Wɔde di dwuma ma akisikuru ntini no de sa urge incontinence.
• Mfiri a wɔde kanyan ntini a wɔde ahyɛ nipadua mu.
• Artificial urinary sphincter: Afiri a wɔtaa de di dwuma ma mmarima.

Nnuru bɛn na eye sen biara ma eyi?

Sɛ wuhia nnuru a, wo duruyɛfo bɛkyerɛw wo aduru a ɛfata ama wo akisikuru ho asɛm pɔtee no. Yɛsrɛ sɛ nhyɛ nnuru biara ase a wunni aduruyɛ ho animdefo anim nkɔmmɔ mfi Nirogi Lanka anaa w’akwahosan ho ɔyaresafo hɔ.

• Wɔ ‘Urge incontinence’ ho no: Wobetumi akyerɛw nnuru te sɛ `Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, ne `Trospium (Sanctura®)`. Eyinom yɛ adwuma denam akisikuru ntini a ɛma dwo no so, na ɛboa ma ɔpɛ a emu yɛ den a ɛba mpofirim sɛ ɔbɛtow nsu no so tew.
• Wɔ ‘Adwennwen a wontumi nhyɛ mu’ ho: Ɛtɔ mmere bi a wobetumi asusuw nnuru te sɛ `Imipramine (Tofranil®)` anaa `Pseudoephedrine (Sudafed®)` ho. Esiane sɛ eyinom betumi anya nsunsuanso bɔne nti, wo duruyɛfo no bɛhwɛ w’akwahosan ho abakɔsɛm mu yiye ansa na wakamfo akyerɛ.
• Wɔ ‘Overflow incontinence’ ho: Ɛgyina nea ɛde ba no so no, wo duruyɛfo betumi akyerɛ sɛ `Bethanechol (Duvoid®)` aboa ma akisikuru no ayɛ mmerɛw, anaa nnuru te sɛ `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)`, ne `Finasteride (Proscar®)` de adi sɛnkyerɛnne ahorow a ɛfa prostate ho dwuma.

Dɛn na wubetumi ahwɛ kwan wɔ tebea yi ho?

Wɔ nnipa pii fam no, wobetumi adi nsu a wontumi nhyɛ mu ho sɛnkyerɛnne ahorow ho dwuma yiye anaasɛ wobetumi de ayaresa asiesie mpo koraa. Ɛtɔ da bi a, asɛm no yɛ bere tiaa mu de, te sɛ bere a efi nsu mu yare anaa nyinsɛn mu; wɔ nsɛm yi mu no, mpɛn pii no, sɛnkyerɛnne ahorow no fi hɔ bere a wɔadi nea ɛde ba no ho dwuma pɛn no.

Nanso, sɛ wo ne tebea horow a enni sabea te sɛ asikreyare anaa `(Multiple Sclerosis)` te a, ebia worentumi nhyɛ wo ho so. Wɔ tebea horow a ɛtete saa mu no, wo ne wo duruyɛfo bɛyɛ adwuma abɛn de ayɛ nhyehyɛe a wɔde bedi dwuma no ho hia. Mesrɛ wo, mma ɛnhaw wo; akwan a etu mpɔn pii wɔ hɔ a wɔfa so di tebea yi ho dwuma.

Dɛn na wubetumi ayɛ na ama asiane a ɛwɔ hɔ no so atew?

Bere a ebia worentumi nsiw biribiara a ɛbɛma woatumi asiw wo ho ano no, anammɔn a wobɛyɛ ansa na woayɛ yi betumi aboa ma asiane a ɛwɔ hɔ no so atew:

• Fa Kegel apɔw-mu-teɛteɛ hyɛ wo pelvic floor ntini ahorow den. Bisa wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo bi ma ɔmma wo akwankyerɛ wɔ ɔkwan a ɛfata a wobɛfa so ayɛ no ho.
• Tow nneɛma a ɛhyɛ akisikuru te sɛ nsa, anonne a caffeine wom, nnuan a ɛyɛ nnuhwam, ne nneɛma a wɔde yɛ aduan a ɛyɛ dɛ ano hye.
• Kura wo mu duru a ɛfata mu na amma woanhyɛ wo akisikuru a ɛho nhia ano.
• Ma fiber nkɔ soro wɔ w’aduan mu na amma woantumi ansiw akisikuru ano, na ɛno betumi ama akisikuru ho nsɛm asɛe kɛse.
• Gyae sigaretnom anaasɛ tew so na ama asiane a ɛwɔ hɔ sɛ wobɛfefe a enni sabea a ɛde adwennwen ba wo hwene ntini so no so atew.
• Kɔ so yɛ apɔw-mu-teɛteɛ.

Wobɛyɛ dɛn atumi adi wo da biara da ahotɔ ho dwuma?

Ankorankoro pii de ntade ase a wontumi nhyɛ wɔn ho so, mpanyimfo mpaboa, anaa nneɛma a wɔde twetwe nsu di dwuma no nya ahotɔ. Nneɛma a wɔde gyina akisikuru so a ɛyɛ adwuma te sɛ tampon nso yɛ akwan a ahobammɔ wom na etu mpɔn. Saa nneɛma yi yɛ anifere na wɔayɛ sɛ wɔbɛhyɛ wɔ ntade ase. Bere a ebinom yɛ nea wotumi tow gu no, afoforo nso yɛ nea wotumi hohoro na wotumi de di dwuma bio. Nea ɛbɛyɛ na wo honam ani yare ne hua ankɔ so no, kae sɛ wobɛsesa wo mpaboa anaa wo mpaboa daa da mũ no nyinaa.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Bere tiaa mu akisikuru ho nsɛm betumi aba esiane nsu mu yare, akisikuru, aduan a wodi, anaa nnuru a efi nnuru mu ba nti. Nanso, sɛ saa sɛnkyerɛnne ahorow yi kɔ so bɛboro dapɛn biako anaasɛ ɛka w’asetra kɛse a, yɛsrɛ wo kɔ akwahosan ho ɔbenfo nkyɛn. Ɛho nhia sɛ wɔhyɛ obi aniwu—eyi yɛ aduruyɛ mu dadwen a abu so.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Ebia wubehu sɛ ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm a edidi so yi:

• Nsu a ɛnyɛ den bɛn na merehyia?
• Dɛn ne ade titiriw a ɛde asɛm yi ba?
• So ɛda adi sɛ ɛno ankasa besiesie?
• So asiane wɔ hɔ sɛ ɛbɛsan aba bio?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• So apɔw-mu-teɛteɛ pɔtee bi wɔ hɔ a metumi ayɛ wɔ fie?
• Asetra mu nsakrae bɛn na ɛsɛ sɛ mede di dwuma?

Dɛn nti na wuhu ntɛmpɛ wɔ baabi a ɛbɛn aguaree?

Sɛ wuhu hia a ɛho hia kɛse sɛ wobɛtow wo ho bere a wuhu aguaree anaa wote nsu a ɛreworo so ara pɛ a, eyi taa yɛ ‘Urge Incontinence’ ho sɛnkyerɛnne . Eyi abu so wɔ wɔn a wɔwɔ ntini mu nsɛm bi mu. Ɛba efisɛ w’amemene no de sɛnkyerɛnne bi kɔ wo akisikuru mu ntɛm ma ɛda mpan, sɛ ɛnyɛ ma mpo a. Asɛmpa no ne sɛ mpɛn pii no wobetumi de ayaresa a wɔde wɔn ani asi so adi eyi ho dwuma.

Nsusuwii a etwa to a efi Nirogi Lanka hɔ

Sɛ́ wobɛtra ase a obi ntumi nkɔ nsu mu a, ebetumi ayɛ den na ayɛ abasamtu. Ntease wom sɛ woato wo fekubɔ dwumadi ahorow ano esiane suro a wusuro sɛ nsu bɛtwetwe anaasɛ aguaree a wuntumi nkɔ hɔ nti a.

Kae sɛ, yɛsrɛ sɛ nsuro sɛ wo ne wo duruyɛfo besusuw eyi ho. Wobetumi adi nsɛm dodow no ara ho dwuma yiye, na wobetumi adi pii ho dwuma koraa.

Sɛ wo ne w’akwahosan kuw no yɛ adwuma a, wubetumi ahu nea ɛde wo sɛnkyerɛnne ahorow no ba na woanya ayaresa a etu mpɔn sen biara ma w’asetra kwan. Ɛnyɛ wo nkutoo na wowɔ hɔ, na mmoa wɔ hɔ a wobetumi anya.

Nsu a ɛtwetwe, nsu a wɔhyɛ so, nsu a wontumi nhyɛ mu, akisikuru, adwennwen a wontumi nhyɛ, urge a wontumi nhyɛ, nsu a wɔde fa nsu mu