Wo honam ani yɛ kɔkɔɔ mpofirim na ɛyɛ wo yaw a wuntumi nnyina ano, ɛnte saa? Ebia na akisikuru wɔ hɔ. Ebia worentumi nhu nea ɛde eyi ba. Mpɛn pii no, eyi ba bere a yɛde yɛn nsa ka biribi, kyerɛ sɛ, bere a yɛne biribi di nkitaho no. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no ‘Contact Dermatitis’ ho asɛm. Biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho, eyi yɛ biribi a ɛto nnipa pii. Ma yɛnhwɛ nea ɛyɛ, sɛnea ɛba, ne sɛnea yebetumi abɔ yɛn ho ban.
Dɛn ne Contact Dermatitis?
Sɛ yɛbɛka no tiawa a, contact dermatitis yɛ bere a yɛn honam ani yɛ n’ade wɔ biribi a ɛwɔ nneɛma a atwa yɛn ho ahyia ho na ɛma ɛyɛ mmerɛw . "Dermatitis" yɛ aduruyɛ mu asɛmfua a wɔde gyina hɔ ma honam ani ɔfe anaa ɔfe. Wunya saa tebea yi bere a wo ne biribi a epira wo honam ani, kyerɛ sɛ, ɛhyɛ abufuw no di nkitaho no . Ebetumi ayɛ nnuru, afifide, dade, anaa biribi foforo biara.
So honam ani yare ahorow bi wɔ hɔ a ɛma obi nya honam ani yare a ɛne ne ho di nkitaho?
Yiw, ahorow abien titiriw na ɛwɔ hɔ.
1. Allergic Contact Dermatitis a ɛma obi ho yɛ hyew
Nea ɛba ne sɛ wo nipadua no yɛ n’ade wɔ biribi a n’ani nnye ho, kyerɛ sɛ, akisikuru . Susuw ho hwɛ, nnipa binom honam ani yɛ kɔkɔɔ na ɛyɛ wɔn yaw bere a wɔhyɛ agude a nikel wom no. Saa na ɛte. Nneɛma a ɛtaa ma obi ho yɛ no hyew ne:
- Dade ahorow a wohu wɔ agude bi mu (te sɛ nikel).
- Nneɛma bi a wɔde yɛ ahosiesie.
- Nnuhwam `(Nnuhwam)`.
- Nneɛma bi a wɔde siesie nneɛma.
Wɔ eyi mu no, yare no ho sɛnkyerɛnne betumi ada adi nna pii wɔ bere a wɔde aduru a ɛma obi ho yɛ no hyew no adi nkitaho akyi. Eyi kyerɛ sɛ ebia wɔrenpue ntɛm ara .
2. Irritant Contact Dermatitis a ɛma obi nya akisikuru
Eyi ne bere a honam ani no ne biribi a ɛsɛe no tẽẽ, kyerɛ sɛ, ade a ɛhyɛ abufuw, di nkitaho, na akisikuru a ɛyɛ yaw ba ntɛmntɛm. Eyi ba ntɛmntɛm sen nea ɛma obi ho yɛ no hyew no. Ɛtaa si saa:
- Samina powder, samina ahorow bi a ano yɛ den (Detergents, Soaps).
- Nneɛma a wɔde siesie nneɛma `(Cleaners)`.
- Acid ahorow a ɛwɔ `(Acid)`.
Mpɛn pii no, yehu saa honam ani yare a ɛhyɛ abufuw a ɛne ne ho di nkitaho yi, sen sɛ yebehu nea ɛma obi ho yɛ no yaw.
Henanom na wobetumi anya Contact Dermatitis?
Eyi betumi ato obiara a wadi mfe biara ankasa . Ebetumi ato akokoaa ketewa, aberante, anaa ɔpanyin. Ɛtɔ da bi a, ebetumi asi bere a obi de ne nsa aka biribi pɛnkoro akyi, na mmere foforo nso ebetumi asi nkakrankakra bere a bere kɔ so no bere a wɔkɔ so de biribi di dwuma no.
Nanso, nnipa a wɔwɔ nnwuma bi mu no wɔ asiane kɛse mu kakra sɛ wobenya saa tebea yi efisɛ wɔtaa nya nnuru anaa nneɛma a ɛma honam ani yɛ hyew a epira honam ani. Nhwɛsoɔ:
- Adansi adwumayɛfo (esiane nneɛma te sɛ semɛnte, paint nti).
- Nhwirentɔnfo (esiane afifide bi mu nsu nti).
- Aduan a wɔde yɛ aduan (esiane nhabannuru, nnuaba, nnuhuam binom nti).
- Wɔn a wɔyɛ ti nhwi (esiane nnuru a wɔde yɛ ti nhwi ne nnuru nti).
- Akwahosan ho adwumayɛfo (esiane nsa a wɔtaa hohoro nti, nnuru bi).
- Plumbers, adwumayɛfo a wosiesie nneɛma (esiane awuduru a wɔde tew nneɛma ho nti).
- Mfiridwuma (esiane srade ne ngo nti).
- Mfoniniyɛfo (esiane paint, solvents nti).
Saa tebea yi abu so dɛn?
Contact dermatitis abu so koraa ankasa . Nneɛma pii atwa yɛn ho ahyia a ebetumi apira yɛn honam ani, ɛnte saa? Sɛ wo honam ani yɛ mmerɛw, anaasɛ wowɔ honam ani yare afoforo a, saa tebea yi betumi aba mpɛn pii.
Ɔkwan bɛn so na Contact Dermatitis ka me nipadua?
Eyi ne bere a wo honam ani yɛ hyew, te sɛ akisikuru. Ebetumi ada adi wɔ wo nipadua no baabiara. Ɛtaa da adi sɛ baabi a ɛyɛ kɔkɔɔ, ɛyɛ yaw, na ɛtɔ mmere bi a ɛyɛ yaw . Etumi di nna kakraa bi kosi adapɛn abien kosi abiɛsa. Nanso, nea eye sen biara ne sɛ wubehu nea ɛde bae na woakwati sɛ wode wo nsa bɛka, na ɛbɛyɛ yiye ntɛm .
Contact dermatitis te dɛn? Dɛn ne sɛnkyerɛnne ahorow no?
Sɛ ɛba saa a, sɛnkyerɛnne ahorow a ebia wubehu wɔ wo honam ani ne:
- Ebia honam ani hwɛbea no bɛyɛ kɔkɔɔ, ebia ɛbɛyɛ kɔkɔɔ , anaasɛ ayɛ tuntum asen wo honam ani kɔla a efi awosu mu no.
- Ebia ɛho ahonhon, akɔ soro, na ebetumi ayɛ sɛ ntɛtea dan mpo .
- Ebia ɛbɛda adi sɛ akisikuru nketenkete a wɔaboaboa ano .
- Ɛtɔ mmere bi a saa akisikuru yi betumi ayɛ nsu anaa biribi te sɛ akisikuru .
- Ebia ɛbɛyɛ te sɛ nea ɛyɛ hyew anaasɛ ɛyɛ wo yaw a ɛyaw no ka ho .
- Ebia honam ani no bɛyɛ mmerɛw na ayɛ kusuu .
- Bere nyinaa a wɔtwetwe .
Nea ɛho hia: Sɛ wotaa twitwiw baabi a ɛyɛ wo yaw yi a, wo honam ani betumi asɛe. Sɛ ɛba saa a, mmoawa betumi akɔ mu na ɛde ɔyare mmoawa aba. Afei beae no betumi ayɛ kɔkɔɔ, ayɛ kurukuruwa, ayɛ yaw kɛse, na akisikuru betumi aboaboa ano.
Ɛhe na nipadua no so na saa sɛnkyerɛnne ahorow yi taa ba?
Saa sɛnkyerɛnne ahorow yi betumi ada adi wɔ baabiara a wo honam ani ne ade a ɛhyɛ abufuw no adi nkitaho, nanso mmeae a ɛtaa ba ne:
- Anim, kɔn ne ti nhwi.
- Anofafa, aniwa anim, anim.
- Nsa, nsateaa, nsa a ɛwɔ soro.
- Nkwaboaa mmeae (ɔbarima ne ɔbea).
- Abasa a ɛwɔ anom.
- Anan ne nan.
Dɛn ne nneɛma a ɛde Contact Dermatitis ba?
Sɛnea yɛadi kan aka no, nea ɛde eyi ba titiriw ne honam ani a ɛne biribi a ɛma obi ho yɛ no hyew anaa nea ɛhyɛ abufuw .
Susuw ho hwɛ, sɛ wode wo nsa ka biribi a w’ani nnye ho wɔ wo honam ani a, wo nipadua mu tumi a ɛko tia nyarewa no yɛ n’ade wɔ ho. Sɛ wuhu sɛ wo honam ani ahonhon na ɛreyɛ kɔkɔɔ a, ɛkyerɛ sɛ wo mogya mu nkwammoaa fitaa no reyɛ adwuma atia saa akisikuru anaa ade a ɛhyɛ abufuw no. Ɛno na ɛde saa akuru a ɛyɛ yaw no ba. Ade bi a ɛhyɛ abufuw betumi ama wanya yare no ho sɛnkyerɛnne wɔ simma kakraa bi mu. Ade a ɛma obi ho yɛ no hyew betumi agye nnɔnhwerew pii, anaa nna pii mpo ansa na wanya yare no ho sɛnkyerɛnne.
Nneɛma a ɛtaa de Allergic Contact Dermatitis ba:
- Afifide anaa afifide afã horow bi (e.g., Poison Ivy).
- Nneɛma a wɔde hwɛ honam ani a ɛwɔ huam .
- Dade , titiriw nikel.
- Nnuru bi (e.g. nnuru bi a ekum ɔyare mmoawa).
- Nneɛma a wɔde siesie nneɛma anaa nnuru .
Nneɛma a ɛtaa de Irritant Contact Dermatitis ba:
- Acid ahorow a ɛwɔ `(Acids)`.
- Nneɛma a wɔde tew nneɛma ho.
- Nipadua mu nsu , sɛ nhwɛso no, nsu (te sɛ mpaboa a ɛyɛ mmerɛw wɔ nkokoaa nkumaa mu) ne nnompe.
- Afifide bi (e.g. poinsettia, ɛmo a ɛyɛ hyew).
- Nwi a wɔde yɛ nneɛma .
- Nail polish remover anaa nneɛma afoforo a wɔde siw nnadewa ano.
- Paint ne varnish ahorow ahorow .
- Samina anaa nnuru a wɔde hohoro nneɛma ho .
- Resin, plastic ne epoxy ahorow .
So Contact Dermatitis yɛ ɔyare mmoawa?
Asɛmmisa bi a nnipa pii bisa ni. Fa no sɛ wode wo nsa kaa afifide bi te sɛ `(Poison Ivy)`. Sɛ afei woka obi foforo honam ani a wunhohoro wo nsa a, wobetumi de aduru a ɛma obi ho yɛ no hyew a efi saa afifide no mu no akɔ saa onipa no nkyɛn. Sɛ wɔn nso wɔn ho nyɛ wɔn den wɔ ho a, wobetumi nso ayare. Nanso, contact dermatitis ankasa nyɛ nea ɛde ɔyare no ba tẽẽ. Nea wode wo nsa kaa no nkutoo na wo nipadua yɛ n’ade, na ɛnyɛ obiara na ɔyɛ n’ade saa ara.
So Contact Dermatitis betumi atrɛw akɔ nipadua no afã afoforo?
Yiw, ɛtɔ mmere bi a ebetumi aba saa. Eyi te saa titiriw wɔ allergic contact dermatitis mu. Wobɛyɛ dɛn ahu? Sɛ wode wo nsa ka biribi a ɛma wo ho yɛ wo hyew wie a, ɛtrɛw kɔ wo nipadua no afã afoforo ansa na woahu sɛ wode wo nsa aka. Anaasɛ, wo nipadua no afã horow pii nya allergen no bere koro mu, na sɛnkyerɛnne ahorow fi ase da adi wɔ ne nyinaa mu. Sɛ wuhu sɛ akisikuru no retrɛw akɔ wo nipadua no afã afoforo a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woanya ayaresa.
Ɔkwan bɛn so na wobehu contact dermatitis?
Oduruyɛfo de aduruyɛ ho abakɔsɛm a edi mũ a ɔyɛ, nipadua mu nhwehwɛmu a ɔyɛ, na ɔhwɛ wo sɛnkyerɛnne ahorow no mu yiye so hu saa tebea yi.
Nhwehwɛmu pɔtee biara nni hɔ a wɔde behu nea ɛde honam ani yare a ɛma obi ho yɛ hyew a ɛkanyan obi no ba ankasa. Nanso wo duruyɛfo no bebisa wo nsɛm afa nneɛma a atwa wo ho ahyia, nneɛma a wode wo nsa aka nnansa yi, faako a akisikuru no wɔ, ne ne kɛse ho. Wobetumi abisa nsɛm te sɛ eyinom:
- Bere tenten ahe na ɔyaredɔm yi atra hɔ?
- So woayɛ nsakrae bi wɔ wo honam ani hwɛbea nhyehyɛe mu?
- So wode wo nsa aka afifide, nneɛma, anaa nnuru foforo bi?
- So wohyia nneɛma a ɛhyɛ abufuw anaa nnuru bere nyinaa?
Sɛ wosusuw sɛ allergic contact dermatitis a, wo duruyɛfo betumi ahyɛ nyansa sɛ wɔnyɛ patch test . Eyi hwehwɛ sɛ wode nsensanee nketenkete a ɛte sɛ sticker bɛto wo honam ani (mpɛn pii no w’akyi). Nneɛma a ɛtaa ma obi ho yɛ no hyew wɔ saa aduru yi mu. Bɛyɛ nna abien akyi no, woyi nsensanee no fi hɔ de hwɛ ade a wo honam ani yɛ n’ade.
Ɛntaa mma koraa sɛ oduruyɛfo betumi afa honam ani nhwɛsode (skin culture anaa biopsy) na ɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.
Ɔkwan bɛn so na wɔsa Contact Dermatitis?
Ayaresa a wɔde sa eyi no di nsɛ yiye ma ahorow abien no nyinaa (allergic ne irritant).
- Kwati: Eyi ne ade a ɛho hia sen biara. Sɛ wuhu nea ɛde ɔhaw no ba wie a, ɛsɛ sɛ wokwati sɛ wode wo nsa bɛka anaasɛ wobɛda no adi sɛnea wubetumi biara.
- Nnuru a wɔnom de tew ɔfe ne ɛyaw so: Wobetumi ayɛ eyi denam nnuru a wɔde ko tia akisikuru, nnuru a ekum akisikuru, corticosteroid aduru (steroid bi) anaa ɛtɔ mmere bi a steroid nnuru a wɔnom (e.g., prednisone) a wɔbɛkyerɛw ama obi no so. Wɔntaa nkyerɛw nnuru a ɛma nipadua no tumi ko tia nyarewa.
So Contact Dermatitis betumi de nsɛnnennen aba?
Sɛ sting a ɛtaa ba no da nkyɛn a, nsɛnnennen a emu yɛ den ntaa mma koraa, nanso sɛ wo ho yɛ wo hyew kɛse wɔ biribi ho a, ebetumi aba. Eyinom betumi ayɛ:
- Hives: Wora a ɛyɛ mmerɛw, ɛyɛ kɔkɔɔ/tum a ɛte sɛ nea ɛkɔ soro wɔ mmeae bi.
- Ɔhonhon (Angioedema): Wora no fã bi hohoro sen da a edi kan no. Eyi yɛ ɔfe a ɛba honam ani tɔnn.
- Anaphylaxis: Eyi ne ade a ɛma obi ho yɛ no hyew a emu yɛ den sen biara . Ɛma mframa kwan no hohoro, na ɛma ɛyɛ den sɛ wɔbɛhome, na ebetumi de nkwa ato asiane mu.
Anaphylaxis yɛ aduruyɛ mu tebea a egye ntɛmpɛ a ɛsɛ sɛ wɔsa no ntɛm ara! Sɛ ɛyɛ den sɛ wobɛhome, w’ano anaa w’ano ho ahonhon a, kɔ ayaresabea a ɛbɛn wo ntɛm ara anaa frɛ 1990.Wobetumi adi tebea yi so denam aduru bi a wɔfrɛ no `(Epinephrine)` a wɔde bɛma ntɛm ara so. Ɛho hia sɛ nnipa a wɔn ho yɛ wɔn hyew kɛse no de `(Epinephrine)` aduru a wɔde twitwiw wɔn, te sɛ `(EpiPen®),` kɔ bere nyinaa.
Sɛ minya contact dermatitis wɔ adwumam a, dɛn na ɛsɛ sɛ meyɛ?
Sɛ wowɔ nnuru anaa nneɛma a ɛma wo ho yɛ wo hyew a epira wo honam ani wɔ adwumam na wowɔ saa tebea yi a, bisa w’adwumawura ma ɔmma wo nnuru ahobammɔ ho nsɛm krataa a ɛfa nnuru no ho. Fa kɔ wo duruyɛfo nkyɛn. Ebetumi aboa ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba.
Bere tenten ahe na contact dermatitis di?
Sɛ wɔsa yare mpo a, ebetumi adi adapɛn pii ansa na saa akuru yi ayera koraa. Nanso, sɛnkyerɛnne te sɛ ɛyaw no betumi ano abrɛ ase wɔ nna kakraa bi akyi bere a wɔafi ayaresa ase no, ɛwom sɛ ebia honam ani akuru no da so ara wɔ hɔ de. Sɛ wɔkwati nea ɛde ba a, ebetumi afi hɔ wɔ nna kakraa bi mu a wɔmfa ayaresa foforo biara nka ho. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.
Sɛ mewɔ contact dermatitis a, dɛn na ɛsɛ sɛ mehwɛ kwan?
Aduru biara nni hɔ a ɛbɛtra hɔ daa a wɔde sa eyi. Ɛne sɛ, sɛ wo nipadua ayɛ n’ade wɔ biribi a ɛma wo ho yɛ wo hyew anaa biribi a ɛhyɛ abufuw ho pɛnkoro a, ɛda adi sɛ sɛ wo ne saa ade no di nkitaho bio a, ɛbɛyɛ n’ade saa ara. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati .
Nnipa pii a wonya saa tebea yi esiane adwumam a wɔde wɔn ho hyɛ mu nti no betumi anya akwan a wɔbɛfa so atew wɔn a wɔde wɔn ho hyɛ mu no so. Oduruyɛfo betumi ama wo afotu wɔ sɛnea wubedi tebea yi ho dwuma ho.
Ɔkwan bɛn so na wobetumi asiw contact dermatitis ano?
Wubetumi abɔ wo ho ban afi tebea yi ho denam saa nneɛma yi a wobɛyɛ so:
- Kwati sɛ wode wo nsa bɛka nneɛma a wunim sɛ wo ho yɛ wo hyew .
- Paw nnuru a ɛma nsu yɛ hyew a huam nnim .
- Fa samina ne nnuru a wɔde tew nneɛma ho a huam nnim anaasɛ wɔmfa aduru biara nka ho di dwuma .
- Sɛ wode wo nsa ka biribi a wunim sɛ epira a, hohoro wo nsa ne wo were yiye ntɛm ara .
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wo honam ani akisikuru no te sɛ eyi a, kɔ oduruyɛfo nkyɛn:
- Sɛ wowɔ akisikuru a .
- Sɛ ɛyɛ yiye bere tiaa bi na afei ɛsan ba bio a .
- Sɛ ɛte sɛ nea ɔyare mmoawa wɔ mu (kɔkɔɔ, ɛyɛ hyew, ɛho ahonhon).
- Sɛ ɛyaw wɔ hɔ a .
- Sɛ woretwetwe bere nyinaa a wuntumi nnyina ano a .
- Sɛ ayaresa no ankɔ yiye wɔ dapɛn biako mu a .
Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?
Sɛ ɛyɛ den ma wo sɛ wobɛhome a , anaasɛ w’ano anaa w’ano hohoro a , kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so ntɛm ara anaa frɛ 1990!Eyi betumi ayɛ tebea bi a wɔfrɛ no anaphylaxis.
Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?
Sɛ wowɔ honam ani yare a ɛka ho ho sɛnkyerɛnne a, ebia wobɛpɛ sɛ wubisa nsɛm te sɛ eyinom bere a wo ne oduruyɛfo rekasa no:
- Dɛn na ɛde saa nsensanee yi reba me honam ani?
- So ɛsɛ sɛ meyɛ aduruyɛ mu nhwehwɛmu?
- Dɛn na metumi ayɛ de asiw contact dermatitis ano?
- Dɛn ne ayaresa a eye sen biara ma eyi?
- Dɛn ne ayaresa a eye sen biara a wɔde sa ɛyaw ne ɛyaw yi?
- Nnuru a wɔde tew nneɛma ho ne nea ɛma nsu yɛ hyew bɛn na wokamfo kyerɛ sɛ wubetumi anya wɔ nnurutɔnbea hɔ?
- Dɛn ne nsɛnnennen ho sɛnkyerɛnne a ɛsɛ sɛ mehwɛ yiye?
Nsonsonoe bɛn na ɛda Contact Dermatitis ne Herpes ntam?
Ɛwom sɛ contact dermatitis ne herpes nyinaa betumi aba wɔ nipadua no mmeae a ɛte saa ara de, nanso ɛsono no koraa. Herpes yɛ ɔyare mmoawa a wonya fi nna mu na ɛnam nkitahodi so trɛw fi onipa so kɔ onipa foforo so. Contact dermatitis nyɛ ɔyare mmoawa, na ɛnyɛ ɔyare mmoawa.
Nsonsonoe bɛn na ɛda Contact Dermatitis ne Atopic Dermatitis anaa Eczema ntam?
Allergic Contact Dermatitis ne tebea bi a wɔfrɛ no atopic dermatitis, anaa eczema wɔ abusuabɔ. N’abien nyinaa betumi aba nnipa a wɔn ho yɛ wɔn hyew no so. Contact dermatitis ba bere a wo honam ani hwɛbea ne biribi a epira no di nkitaho no. Ɛne sɛ, biribi a efi abɔnten na ɛde ba. Atopic Dermatitis , anaa eczema, ba nnipa a wɔn ho yɛ wɔn hyew so, nanso mpɛn pii no ɛnyɛ ade pɔtee bi na ɛde ba; ebetumi afi biribi a efi yɛn mu na ɛde aba.
So tii dua mu ngo betumi asa honam ani yare a ɛka obi ho?
Tea dua ngo wɔ tumi bi a ɛko tia mmoawa, enti ebetumi aboa wɔ honam ani nneyɛe te sɛ contact dermatitis ho. Nanso, sɛ wowɔ honam ani yare a ɛka ho ho sɛnkyerɛnne ahorow a, mfa ngo a ɛho hia te sɛ tii dua ngo nni dwuma a wunkɔ oduruyɛfo nkyɛn. Sɛ wode biribi foforo gu wo honam ani saa bere yi a, ebetumi ama tebea no asɛe na ama asɛe kɛse.
Nsɛm a wɔaboaboa ano ne nneɛma a ɛsɛ sɛ wɔkae
Enti, contact dermatitis yɛ akisikuru a ɛyɛ yaw a ɛba bere a wo honam ani yɛ n’ade wɔ biribi a ɛwɔ wo mpɔtam hɔ ho no. Oduruyɛfo betumi aboa wo ma woahu nea ɛma wo honam ani yɛ n’ade, na ɔne wo akasa afa akwan a wobɛfa so akwati wɔ baabi a atwa wo ho ahyia no ho. Sɛ wo ne nnuru anaa ade foforo bi di dwuma wɔ w’adwumam a, wo duruyɛfo betumi ama wo afotu, na w’ahyehyɛde no betumi aboa wo ma woayɛ adwumayɛbea a ahobammɔ wom na ama asiane a ɛwɔ hɔ sɛ wubenya honam ani haw daakye no so atew.
Kae sɛ, sɛ wo honam ani yɛ wo yaw, ɛyaw, anaa ɛyaw bi a ɛyɛ soronko a, nyansa wom sɛ wobɛhwehwɛ aduruyɛfo afotu a wummu w’ani ngu so.
` contact dermatitis, honam ani nyarewa, allergies, dermatitis, honam ani yaw, honam ani akuru, honam ani yare

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