So wo nsa abɔ mu kɛkɛ te sɛ nsateaa? Momma yɛnka ‘Claw Hand’ ho asɛm!

So woama wo nsateaa abɔ mu, te sɛ nsateaa pɛn? Anaasɛ woate ɛyaw anaa ɛyɛ den sɛ wobɛteɛteɛ wo nsateaa pɛn? Ebia wowɔ adwene bi wɔ tebea yi a wɔfrɛ no ‘claw hand’ ho . Mma ɛnhaw wo, yɛbɛka ho asɛm akɔ akyiri nnɛ. Efisɛ wɔ nnipa binom fam no, eyi betumi ayɛ biribi a wɔde awo wɔn, bere a wɔ afoforo fam no, ebetumi aba akyiri yi wɔ asetra mu esiane akwanhyia anaa yare foforo bi nti.

Dɛn ne Claw Hand yi?

Sɛ yɛbɛka no tiawa a, claw hand yɛ tebea a ɛma wo nsateaa, titiriw ring ne nsateaa nketewa no, kotow kɔ mu na wɔtwe wo nsateaa kɔ mu. Wɔfrɛ no nsateaa nsa efisɛ ɛte sɛ nea wo nsa akɔhyɛ nsateaa nsusuwii mu. Ɛtɔ mmere bi a nnuruyɛfo frɛ eyi sɛ Ulnar Nerve Palsy . Wɔ tebea yi mu no, ebia ɛbɛyɛ den ama wo sɛ wobɛteɛteɛ wo nsateaa nyinaa, sɛ ɛnyɛ nea entumi nyɛ yiye mpo a.

Susuw ho hwɛ, ntini nketenkete pii wɔ yɛn nsa mu a ɛboa ma yɛkotow na yɛtrɛw yɛn nsateaa mu. Saa ntini ahorow yi de anyinam ahoɔden nsɛnkyerɛnne anaa ntini mu nkrasɛm a efi yɛn amemene ne yɛn akyi berɛmo mu na ɛyɛ adwuma. Ulnar Nnerve yɛ ntini atitiriw a efi yɛn nsa mu, titiriw ntini a ɛbata nsateaa a ɛyɛ ring ne nsateaa ketewa no ho no mu biako, na ɛboa yɛn ma yɛkotow na yɛtrɛw yɛn nsateaa mu. Mpɛn pii no, saa nsateaa nsa yi ba bere a biribi asɛe wɔ Ulnar Nerve no mu no.

Eyi betumi ayɛ biribi a wɔde awo wo (sɛ́ nsa a wofi awo mu nsonsonoe ), anaasɛ ebetumi afi akwanhyia, yare, anaa ntini a asɛe akyiri yi wɔ asetra mu.

Nsonsonoe bɛn na ɛda Claw Hand, Dupuytren’s Contracture, ne Trigger Finger ntam?

Afei ebia woresusuw sɛ, "Tebea afoforo wɔ hɔ a ɛma nsateaa no kotow na ɛyɛ den sɛ wobɛteɛteɛ, enti ɔkwan bɛn so na eyi yɛ soronko?" Yiw, woaka no yiye. Te sɛ Claw Hand no, Dupuytren’s Contracture ne Trigger Finger nso ma ɛyɛ den sɛ wɔbɛteɛteɛ nsateaa no. Nanso ɛsono nea ɛde ba. Ma yɛnhwɛ nea wɔyɛ.

• Claw Hand: Sɛnea yɛadi kan aka no, mpɛn pii no, eyi fi wo ulnar ntini a ɛsɛe . Saa ntini yi na ɛhwɛ ntini a ɛwɔ wo nsateaa kɛse ne wo nsateaa a wode kyerɛ ade mu no so. Enti sɛ ulnar ntini no sɛe a, anyinam ahoɔden nsɛnkyerɛnne a ɛhwɛ so de teɛteɛ wo nsateaa no ntumi nkɔ mu yiye. Afei saa ntini no yɛ mmerɛw, na ɛboro ntini a ɛyɛ adwuma wɔ ɔfã foforo no so, na ɛma wo nsateaa twitwiw kɔ mu.

• Dupuytren Apam no:Eyi yɛ tebea a ɛtaa fi awosu mu. Ɛba bere a ntini a ɛwɔ nsateaa ne nsateaa honam ani (titiriw fascia , ade a ɛte sɛ rɔba a ɛboa nsa ne nsateaa na ɛboa ma wotu) yɛ den na ɛyɛ den no. Ntini nketenkete bi ba wɔ nsateaa no were ase, na ɛtɔ mmere bi a ɛyɛ nhama a ɛte sɛ hama. Bere kɔ so no, saa ntini ne nhama yi betumi ama nsateaa no akotow akɔ mu na akotow dodo sɛ ɛbɛteɛ. Mpɛn pii no, eyi nyɛ yaw, nanso ebetumi ama ayɛ den sɛ wode nsa no bedi dwuma.

• Trigger Finger and Trigger Thumb: Wo nsa mu ntini (ntini a ɛyɛ den a ɛka ntini ne nnompe bom) a ɛyɛ hyew na ɛde tebea horow yi ba. Sɛ wo ntini ahorow no yɛ basaa bere nyinaa anaasɛ woyɛ ade koro no ara mpɛn pii a, ebetumi apira na ɛho ahonhon. Saa ɔfe yi ma ntini no kɔhyɛ aduru a ɛfa mu no mu. Eyi betumi ama nnyigyei a ɛrepue anaasɛ ɛrepue bere a worebɔ mmɔden sɛ wobɛkotow anaa wobɛteɛteɛ wo nsateaa no. Ɛtɔ da bi a, nsateaa no betumi akɔhyɛ baabi a wɔabɔ anaa wɔatrɛw mu. Eyi betumi ayɛ yaw.

So wote nsonsonoe a ɛwɔ mu no ase? Nsonsonoe titiriw a ɛwɔ mu ne nea enti a ɛte saa.

Hena na ɛda adi kɛse sɛ obenya Claw Hand?

Claw Hand tumi nyin wɔ obiara mu. Nanso, nhwehwɛmu ahorow ada no adi sɛ mmarima betumi anya bi kakra sen mmea. Sɛ ɛno da nkyɛn a, mfe a obi adi mu nsonsonoe titiriw biara nni hɔ.

Ɔkwan bɛn so na Claw Hand ka me nipadua?

Wubetumi asusuw sɛnea ɛnyɛ dɛ sɛ worentumi mfa wo nsateaa nni dwuma yiye no ho. Titiriw sɛ wɔanwo wo a wowɔ saa tebea yi na ɛba akyiri yi a, ebegye bere kakra ansa na woayɛ wo su.

• Ɛyɛ den sɛ wobɛkura nneɛma na wode wo nsa aka: Eyi betumi aka nneɛma te sɛ ade ketewaa bi a wokura, biribi a wobɛkyerɛw, anaa kuruwa a wokura mu.
• Ɛyɛ den sɛ wobɛyɛ da biara da nnwuma: Sɛ w’adwuma hwehwɛ sɛ wode wo nsa abien nyinaa di dwuma, sɛ nhwɛso no, wobɛkyerɛw wɔ kɔmputa so anaa wokura biribi mu a, saa tebea yi betumi asiw saa nnwuma no kwan. Sɛ woyɛ abofra a worekɔ sukuu a, eyi nso betumi aka nnwuma te sɛ akyerɛw.

Dɛn ne nsateaa ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne titiriw a ɛda adi kɛse ne nsa a ɛte sɛ nsateaa , a ɛkyerɛ sɛ nsateaa no abɔ mu na wɔatwe nsateaa no akɔ mu.

• Ɛyɛ den sɛ wobɛtene nsateaa: Ɛyɛ den yiye sɛ wobɛtrɛw nsateaa no mu afi wo nsateaa no ho, na ɛtɔ mmere bi mpo a, ebia wuntumi ntutu wo nsateaa no.
• Ɛyɛ den sɛ "wobɛbue" wo nsa: Mpɛn pii no, yebue yɛn nsa fi nsateaa mfinimfini a yɛtrɛw yɛn nsateaa mu, a ebetumi ayɛ den sɛ yɛbɛyɛ.
• Ayɛ a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw:Sɛ nea ɛde nsateaa a ɛwɔ nsateaa mu yi ba ne sɛ ulnar ntini no sɛe a, ebia wobɛte nka sɛ wo ho ayɛ wo yaw na wo ho ayɛ wo yaw fi wo nsateaa so akosi wo nsateaa, wo nsateaa a ɛyɛ ring, ne wo nsateaa ketewa no so. Ɛtɔ da bi mpo a, ebia nkate a ɛyera wɔ saa beae no.

Dɛn ne nneɛma a ɛde nsa a wɔde nsateaa ba?

Nneɛma pii wɔ hɔ a ebetumi de nsa a wɔde nsateaa ayɛ ba. Momma yɛnhwɛ wɔn.

• Ulnar Nerve anaa ne nkorabata a ɛsɛe: Opira (te sɛ wo kɔn, wo moma so, wo nsateaa, anaa wo nsateaa mu baabi foforo biara a woapira (te sɛ wo a wɔatwitwa, woabubu, anaa woatwe) no betumi asɛe Ulnar Nerve a efi wo kɔn no nkyɛnkyɛn sian kɔ wo nsa so kosi wo nsateaa so no.
• Cubital Tunnel Syndrome: Wɔsan frɛ no Ulnar Nerve Entrapment, na saa tebea yi ba bere a ulnar nerve a ɛfa ɔkwan bi a ɛwɔ wo nsateaa mu no mu yɛ den no. Ɛte sɛ nea wɔresiw nsu paipu. Saa nhyɛso yi mma ulnar ntini no ntumi nyɛ adwuma yiye. Eyi betumi ama wo nsa mu ntini a ɛhwɛ so no ayɛ basaa, na ebia wo nsateaa, wo nsateaa, wo nsateaa a ɛyɛ ring, ne wo nsateaa ketewa no mu bɛyɛ wo yaw anaasɛ wo ho ayɛ wo yaw. Nnipa a wɔde nhyɛso ba wɔn nsateaa ne wɔn nsateaa so bere nyinaa, anaasɛ wɔyɛ nnwuma a ɛhwehwɛ sɛ wɔkotow na wɔtrɛw wɔn nsateaa ne wɔn nsateaa mu (sɛ nhwɛso no, nnipa a wɔyɛ adwuma wɔ kɔmputa so a wɔn nsateaa abɔ bere tenten, anaa wɔn a wodi agumadi ahorow bi) no taa nya saa tebea yi.
• Nsonsonoe a ɛwɔ nsa a wɔde awo mu: "Awo mu" kyerɛ sɛ "ɛwɔ hɔ fi awo mu." Wɔwo nkokoaa binom a wɔn nsa mu nsonsonoe wɔ hɔ. Claw Hand betumi ayɛ tebea a ɛte saa a wonya fi awo mu no mu biako.
• Cervical Spondylosis: Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a ɛba bere a obi nyin no esiane akyi berɛmo no (nnompe a ɛwɔ akyi berɛmo no kɔn mu) ne ntini a ɛwɔ wɔn ntam no a ɛho asɛe nti. Eyi betumi de sɛnkyerɛnne ahorow te sɛ kɔn mu yaw ne nea ɛyɛ den aba. Wɔ nnipa binom mu no, saa tebea yi nso betumi ama nsa dwumadi so atew ne tebea horow te sɛ nsateaa nsa. Eyi te saa efisɛ ntini a ɛkɔ nsa no fi ase wɔ kɔn mu.
• Nkwammoaa a Ɛwɔ Akuru: Ɛtɔ mmere bi a, akuru a ɛba bere a wo nsa anaa wo nsateaa honam ani yare akyi, te sɛ ɔhyew a emu yɛ den no betumi ayɛ den yiye. Saa akuru a ɛyɛ den yi betumi ama wo nsateaa atwe akɔ mu, na ama woanya nsa a ɛyɛ nsateaa.
• Nyarewa: Eyi ho yɛ na kakra, nanso nyarewa bi a ɛka ntini ahorow te sɛ kwata nso betumi ama nsateaa aba.

Ɔkwan bɛn so na wohu Claw Hand?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Oduruyɛfo no bɛhwɛ wo.

• Nipadua mu nhwehwɛmu:Oduruyɛfo no bɛhwɛ wo nsa na wahwɛ nneɛma te sɛ ebia wubetumi akotow na woateɛteɛ wo nsateaa, baabi a wubetumi akodu, sɛnea ɛte nka yiye, ne sɛ ebia wubetumi de wo nsa adi dwuma sɛnea wotaa yɛ no.
• Electromyography (EMG): Sɛ wo duruyɛfo susuw sɛ wowɔ nsa a ɛyɛ nsateaa anaa ntini mu haw foforo a, obetumi ahyɛ sɛ wɔnyɛ EMG (Electromyography) nhwehwɛmu. Eyi hwehwɛ sɛ wode nnade a ɛyɛ fɛ yiye fa wo honam ani bɛhyɛ wo ntini mu, na wode anyinam ahoɔden afiri a ɛwɔ nnade no so adi dwuma de asusuw anyinam ahoɔden a ɛwɔ wo ntini mu bere a wode retu no. Eyi betumi aboa ma woahu sɛ ebia wo ulnar ntini no asɛe, baabi a ɛwɔ, ne sɛnea emu yɛ den.

Sɛ wɔwo akokoaa bi a ɔwɔ saa tebea yi a, oduruyɛfo bɛhu sɛ ɔwɔ saa yare yi bere a wɔawo akokoaa no ara pɛ.

Ɔkwan bɛn so na wɔde sa nsateaa nsa?

Asɛmpa no ne sɛ akwan pii wɔ hɔ a wɔfa so sa nsateaa nsa. Ayaresa ko a wuhia no begyina nea ɛde ba ne sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den no so.

Wobetumi ayɛ nea edidi so yi sɛ ayaresa:

• Stretching exercises: Your doctor or physical therapist will teach you specific stretching exercises for your forearm, wrist, and hand. Wobetumi ayɛ eyinom wɔ fie.
• Ntama anaa abɔso a wɔde hyɛ: Wobetumi de ahama (ade a wɔde gyina nsateaa no nsusuwii so) anaa ahama a wɔde hyɛ nsateaa a ɛka nsateaa no ano. Eyi betumi aboa ma nsateaa no ankotow na ayɛ den wɔ ɔkwan a ɛnteɛ so, na ebetumi aboa ma ayɛ tẽẽ nkakrankakra.
• Apɔw-mu-teɛteɛ: Wubetumi ahwehwɛ ayaresa afi apɔw-mu-teɛteɛ ho ɔyaresafo hɔ na ama wo nsa ahoɔden ne sɛnea ɛyɛ mmerɛw no atu mpɔn. Wɔbɛkyerɛ wo apɔw-mu-teɛteɛ ne ayaresa a ɛfata.
• Oprehyɛn: Wɔ tebea horow bi mu, titiriw sɛ ntini no mu yɛ den anaasɛ ayaresa afoforo mmoa a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
• Nnuru: Sɛ nea ɛde nsateaa ba no yɛ ɔyare mmoawa a, wobetumi ama nnuru de asa ɔyare no.

Oprehyɛn a wɔyɛ ma Claw Hand

Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na ama wo nsateaa ade ne ho na wɔatew nsa a ɛyɛ nsateaa ho sɛnkyerɛnne so. Oprehyɛn ahorow pii wɔ hɔ:

• Ntini a Wosiesie: Ntini a apira a wosiesie.
• Tendon Release: Ntini a ɛyɛ den a wɔma ɛyɛ mmerɛw na wogyae.
• Skin Grafts: Sɛ akuru ntini ayɛ esiane ɔhyew nti a, woyi were a ayɛ den no na wɔde were fi baabi foforo.
• Tendon a Wɔde Kɔ baabi foforo:Wɔde ntini bi a ɛyɛ adwuma kɔ ntini bi a entumi nyɛ adwuma yiye no ntini mu na ɛbata ho. Eyi betumi ama nsa no ayɛ adwuma bi bio.

Wo duruyɛfo anaa oprehyɛn ho ɔbenfo bɛkyerɛkyerɛ oprehyɛn ko a ɛsɛ sɛ woyɛ ne nea wobɛhwɛ kwan wɔ ɛno akyi no mu akyerɛ wo.

Bere tenten ahe na egye na obi ho atɔ no wɔ ayaresa akyi?

Eyi bɛyɛ soronko a egyina ayaresa ko a wɔde ma wo so. Sɛ ɛsɛ sɛ wohyɛ abɔso a, ɛho behia sɛ wohyɛ asram pii. Apɔw-mu-teɛteɛ a wɔde trɛw nipadua mu ne apɔw-mu-teɛteɛ yɛ ayaresa a ɛtra hɔ kyɛ. Ɛtɔ mmere bi a, ebetumi agye afe biako anaa nea ɛboro saa ansa na asa koraa.

Sɛ wɔyɛ wo oprehyɛn de siesie wo nsateaa nsa a, wo oprehyɛn ho ɔbenfo no bɛka bere a wo ho bɛtɔ wo no ho asɛm akyerɛ wo. Nnipa dodow no ara behia asram pii ansa na wɔn ho atɔ wɔn wɔ oprehyɛn akyi. Afei wubehia nipadua mu ayaresa na ama woasan anya ahoɔden wɔ wo nsam. Nanso, sɛ nea ɛde ba ne ulnar ntini no sɛe kɛse a, ebia wubenya ntini mu sɛnkyerɛnne ahorow a ɛtra hɔ kyɛ (te sɛ wo ho a ɛyɛ wo yaw anaasɛ wo ho bɛtɔ wo).

So wobetumi asiw tebea yi ano?

Nneɛma pii a ɛde nsa a wɔde nsateaa ba, titiriw sɛ wɔde wo awo wo a, ɛyɛ den sɛ wubesiw ano.

Nanso, wubetumi ayɛ saa nneɛma yi na amma ulnar nerve no ansɛe ne tebea horow te sɛ cubital tunnel syndrome:

• Kwati sɛ wode wo ho bɛto wo nsateaa so: Nnipa pii de wɔn ho to wɔn nsateaa so bere a wɔreyɛ adwuma wɔ pon so anaa wɔrehwɛ TV no. Eyi betumi de nhyɛso aba ulnar ntini no so.
• Kwati sɛ wode nhyɛso bɛto wo nsa mu.
• Sɛ wotaa de kɔmputa so nkongua di dwuma a, mfa wo nsateaa nsi nsateaa so. Ma nkongua no nkɔ soro.
• Bɔ mmɔden sɛ wobɛda a wo nsateaa ayɛ tẽẽ. Nnipa binom da a wɔn nsateaa abɔ, na ɛno nso nyɛ papa.
• Kwati sɛ wode wo nsa ne wo nsateaa bedi dwuma dodo. Gye w’ahome bere tiaa bi bere a woreyɛ adwuma wɔ tebea koro mu bere tenten no.
• Ma wo nipadua no ahomegye bere a woayɛ apɔw-mu-teɛteɛ a emu yɛ den awie no.

Sɛ mewɔ nsa a ɛyɛ nsateaa a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Claw nsa yɛ tebea a ɛtɔ mmere bi a esiesie ne ho bere tiaa bi, nanso ebetumi ayɛ ɔhaw a ɛtra hɔ kyɛ nso. Bere tenten a ɛka wo no gyina nea ɛde ba ne sɛnea wo nsateaa ne wo nsa yɛ wɔn ade wɔ ayaresa ho no so.

Nnipa binom ho tɔ wɔn koraa denam brace ne nipadua mu ayaresa so. Ebia afoforo nso da so ara ntumi nyɛ adwuma kakra wɔ wɔn nsa mu bere a wɔayɛ wɔn oprehyɛn akyi. Bisa wo duruyɛfo anaa oprehyɛn ho ɔbenfo sɛnea wubetumi ahwɛ kwan sɛ wo ho bɛtɔ wo a egyina wo tebea no so.

So merentumi nkɔ adwuma anaa sukuu esiane nsa a wɔde nsateaa ayɛ nti?

Sɛ wowɔ adwuma bi a wode wo nsa di dwuma, anaasɛ wode wo nsateaa nyinaa yɛ sukuu adwuma a, ebia worentumi nkɔ adwuma anaa sukuu kosi sɛ wo ho bɛtɔ wo. Bisa wo duruyɛfo no dwumadi ahorow a wubetumi de wo nsateaa a ɛka wo no ayɛ ne dabere a wubetumi anya.

Mɛyɛ dɛn ahwɛ me ho?

• Sɛ wɔakyerɛw wo aduru a wɔde kyekyere wo ho anaasɛ wode bɛhyɛ wo ho a, hwɛ hu sɛ wobɛhyɛ sɛnea wo duruyɛfo kyerɛ wo ne bere tenten a wɔaka akyerɛ wo no.
• Afei nso, sɛ wo ne obi a ɔhwɛ apɔw-mu-teɛteɛ reyɛ adwuma a, yɛ apɔw-mu-teɛteɛ a ɔkyerɛkyerɛ wo no mpɛn pii sɛnea wubetumi, na yɛ no yiye.
• Sɛ wo sɛnkyerɛnne no mu yɛ den, anaasɛ wote ɛyaw a wuntumi nnyina ano a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu nsakrae biara wɔ wo nsa anaa wo nsateaa mu (te sɛ ɛyaw, wo ho ayɛ wo den, wo ho ayɛ wo yaw) a ɛnkɔ yiye wɔ nna kakraa bi mu a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na hokwan a wowɔ sɛ wo ho bɛtɔ wo no yɛ kɛse.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ asɛm bi a ɛyɛ hu , te sɛ asehwe anaa kar akwanhyia, anaasɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara:

• Sɛ wuntumi ntutu anaasɛ mfa wo nsa nni dwuma sɛnea ɛsɛ a.
• Sɛ wohwere nkate wɔ wo nsa anaa wo moma so a.
• Wosusu sɛ wo dompe abubu.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm te sɛ eyinom:

• So mewɔ nsa a wɔde nsateaa ayɛ, anaasɛ ɛyɛ tebea foforo?
• Ayaresa bɛn na mihia?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Bere tenten ahe na ebehia sɛ mehyɛ brace anaasɛ mekɔ apɔw-mu-teɛteɛ?
• Bere tenten ahe na ebegye na obi ho atɔ no koraa?
• So tebea yi betumi asi bio?

Biribiara a ɛmma wuntumi mfa wo nsa nni dwuma sɛnea ɛsɛ no betumi ayɛ hu na ɛhaw wo. Claw Hand betumi de nneɛma pii aba. Enti sɛ wuhu nsakrae biara wɔ wo nsateaa, wo nsa, anaa wo nsateaa mu pɛ a, kɔ oduruyɛfo nkyɛn.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Claw Hand gye bere ansa na ayɛ yiye. Enti nya abotare, di ayaresa no akyi yiye, na w’ani nnye nkɔso biara a wubenya ho. Ɛnyɛ wo nkutoo na wowɔ hɔ, na nnuruyɛfo ne ayaresa ho animdefo wɔ hɔ a wobetumi aboa wo. Ɛho hia paa sɛ yedi wɔn afotu akyi. Sɛ wuhu nsakrae bi wɔ wo nsam a, mmu w’ani ngu so. Sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara a, ɛbɛboa wo kɛse ma wo ho atɔ wo ntɛm.

` Claw nsa, ulnar nerve, nsateaa a ɛbɔ, nsa mu yaw, ntini mu yare, nsa a ɛyɛ mmerɛw