So ɛyɛ koko mu yare? Ɔfe ara kwa? Anaasɛ ɛyɛ ahurututu mu yare? Momma yɛnkasa!

So woanya atiridii pɛn a woate nka sɛ wo moma so ayɛ wo den na ɛyɛ den sɛ wobɛhome? Mpɛn pii no, yesusuw eyinom sɛ atiridii anaa atiridiinini a ɛtaa ba, nanso ɛtɔ mmere bi a ebetumi ayɛ biribi a ɛyɛ aniberesɛm kakra. Ɛno ne nea ahurututu mu yare yɛ. Ɛnnɛ, momma yɛnka yareɛ a wɔfrɛ no ahurututu mu yare yi ho asɛm nkɔ akyiri na ɛnyɛ tiawa, ɛyɛ yie?

Dɛn ankasa ne ahurututu mu yare?

Sɛ yɛbɛka no tiawa a, ahurututu mu yare yɛ ɔyare mmoawa a ɛba w’ahurututu mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ bere a mframa kotoku nketenkete a ɛwɔ w’ahurututu mu a wɔfrɛ no alveoli no ho hyew na nsu anaa akisikuru ahyɛ mu ma no. Fa w’ahurututu no sɛ bobe nketewa akuwakuw a ɛwɔ ahurututu mu ntini a ɛyɛ nkorabata te sɛ dua nkorabata no akyi. Saa mframa nkotoku yi ne baabi a mframa pa a yɛhome no kɔ mogya no mu. Enti, sɛ eyinom nya ɔyare no a, dɛn na ɛba? Worentumi nnye oxygen yiye, ɛyɛ den ma wo sɛ wobɛhome, wo koko yɛ wo yaw, na wofefe mu nsu. So wote ase? Eyi betumi asi wɔ ahurututu biako pɛ mu, anaasɛ ebetumi asi wɔ ahurututu abien no nyinaa mu.

Dɛn na ɛde ahurututu mu yare ba?

Afei ma yɛnhwɛ nea ɛde yare a wɔfrɛ no ahurututu mu yare yi ba titiriw. Mpɛn pii no, abɔde nketenkete a yɛn ani ntumi nhu na ɛde ba.

• Mmoawa: Ahurututu mu yare betumi aba bere a mmoawa ahorow bi hyɛn ahurututu mu no. Streptococcus pneumoniae yɛ ade a ɛtaa de ahurututu mu yare ba. Mpɛn pii no, mmoawa a ɛte sɛɛ mpira yɛn menewa ne yɛn hwene mu, nanso sɛ ɛkɔ ahurututu mu bere a yɛn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, ebetumi abɛyɛ ɔhaw.
• Mmoawa: Ɛtɔ mmere bi a, mmoawa a ɛde nyarewa te sɛ atiridii ne atiridiinini ba a yɛn nyinaa nya no tumi kɔ so yɛ ahurututu mu yare. Eyi abu so titiriw wɔ mmofra nkumaa ne wɔn a wɔn mfe akɔ anim mu. Nhwɛsoɔ a ɛfa mmoawa ho ne `(Influenza virus)` (yɛfrɛ no 'flu' virus), `(Respiratory Syncytial Virus - RSV)`. Yɛahu sɛ Covid-19 (`COVID-19`) mmoawa no nso tumi de ahurututu mu yareɛ a emu yɛ den ba.
• Fungi: Eyi ntaa mma kakra, nanso nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw, anaa wɔn a wɔwɔ nyarewa afoforo a emu yɛ den (e.g., HIV/AIDS) nso betumi anya ahurututu mu yare esiane fungal yare mmoawa nti.
• Aduan anaa nsu a wɔde kɔ mframa kwan mu (Aspiration Pneumonia): Ɛtɔ mmere bi a, titiriw wɔ nnipa a wonnim hwee (e.g., obi a wanya akisikuru) anaasɛ ɛyɛ den ma wɔn sɛ wɔbɛmene, aduan anaa anonne, anaa yafunu mu nneɛma (nsu a asikre wom) betumi akɔ ahurututu mu, na ɛde ahurututu mu yare aba. Wɔfrɛ eyi sɛ aspiration pneumonia.

Hwɛ, nneɛma ahorow na ɛde ba, ɛnte saa? Ɛno nti na ɛtɔ mmere bi a ɛsɛ sɛ oduruyɛfo hwehwɛ ɔyare mmoawa pɔtee a ɛde ba ansa na wasa.

So ahurututu mu yare ahorow bi wɔ hɔ?

Yiw, wɔakyekyɛ ahurututu mu yare mu a egyina sɛnea ɛba ne baabi a ɛba so. Ɛho nhia sɛ wusua eyinom te sɛ nea worekɔ sɔhwɛ kɛse bi mu, nanso eye sɛ wubehu kakra.

• Community-Acquired Pneumonia (CAP): Eyi ne ahurututu mu yare a yɛtaa hu, a wonya wɔ ayaresabea akyi, wɔ da biara da tebea horow mu.
• Ayaresa mu Ahurututu mu Yare (HAP): Ahurututu mu yare a ɛba bere a obi wɔ ayaresabea esiane yare foforo nti (mpɛn pii no wɔ nnɔnhwerew 48 akyi bere a wɔde no akɔ ayaresabea). Eyi betumi ayɛ aniberesɛm koraa, efisɛ ɛtɔ mmere bi a mmoawa a wohu wɔ ayaresabea ahorow no tumi ko tia nnuru.
• Ahurututu mu Yare a Wɔde Nantew: Eyi yɛ ahurututu mu yare a emu nyɛ den na ɛnyɛ den pii. Nnipa binom nnim mpo sɛ wɔwɔ bi, ɛte sɛ atiridiinini ara kwa. Wobetumi akɔ wɔn da biara da asetra mu, ɛno nti na wɔfrɛ no "nantew" ahurututu mu yare no. Nanso sɛ wɔansa no yiye a, ebetumi ayɛ aniberesɛm nso.

Ɛwom mpo sɛ ahorow te sɛ eyi wɔ hɔ de, nanso nea ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu bere a sɛnkyerɛnne ahorow no da adi ara pɛ.

Wobɛyɛ dɛn ahu sɛ wowɔ ahurututu mu yare? - Mpopoeɛ

Okay, afei ma yɛnhwɛ sɛnkyerɛnne ahorow a ebia wubenya bere a woanya ahurututu mu yare no. Eyinom mma ɔkwan koro so mma obiara. Ebia nnipa binom befi ase nkakrankakra, bere a afoforo nso betumi afi ase mpofirim.

• Ɔfe: Eyi ne sɛnkyerɛnne titiriw. Ɛtɔ mmere bi a, ɔfe no betumi ama nsu a ɛyɛ kɔkɔɔ, ahabammono, bruu, anaa mogya ayɛ no. Ɛtɔ da bi a, ebetumi afi ase sɛ ɔfe a ɛyɛ kusuu.
• Atiridiinini: Wubetumi anya atiridiinini, a ebetumi ayɛ digrii Celsius 38 (digrii Fahrenheit 100.4) anaa nea ɛboro saa.
• Ɔhome a ɛyɛ den: Ɛyɛ den sɛ wobɛhome bere a woabrɛ kakra, anaasɛ wote nka sɛ wo home yɛ wo yaw anaasɛ wohome ntɛmntɛm bere mpo a wugyina hɔ ara kwa no.
• Koko mu yaw: Ebia wobɛte ɛyaw a ano yɛ nnam a ɛyɛ sekan wɔ ɔfã biako anaa wo koko mfinimfini bere a worehome anaa wofefe no. Ɛyaw yi betumi ayɛ kɛse bere a wohome denneennen no.
• Ɔbrɛ: Ɔbrɛ a ɔte nka na ontumi nyɛ hwee.
• Akisikuru, ɔfe, anaa akisikuru: Nnipa binom nso betumi anya saa sɛnkyerɛnne ahorow yi, titiriw mmofra nkumaa.
• Adwene a ɛyɛ basaa anaa adwene a ɛsakra: Eyi yɛ sɛnkyerɛnne a ɛtaa ba nnipa a wɔn mfe akɔ anim (wɔadi bɛboro mfe 65) mu titiriw. Ebia wobenya adwene a ɛyɛ basaa bi, te sɛ beae ne bere a wɔhwere.
• Fifiri ne awɔw a wɔte nka.
• Aduan ho akɔnnɔ a ɛyera.
• Tiyɛ (nhyɛso) ne ntini mu yaw.

Nea ɛho hia: Wɔ atiridii ne ɔfe akyi no, akokoaa a ɔwɔ ahurututu mu yare nso betumi ada sɛnkyerɛnne ahorow te sɛ ne koko a ɛtwetwe, ɔhome ntɛmntɛm, pow sɛ ɔbɛma nufu, nna a ɔda, ɔfe, ne ne yafunu a ɛtrɛw nso adi. Enti, sɛ wuhu saa sɛnkyerɛnne ahorow yi bi wɔ akokoaa bi mu a , ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn sen sɛ wobɛpow sɛ ɛyɛ atiridii kɛkɛ.

Hena na asiane kɛse wom sɛ obenya ahurututu mu yare?

Ɛwom sɛ obiara betumi anya ahurututu mu yare de, nanso ɛda adi sɛ nnipa binom benya bi, kyerɛ sɛ, asiane kɛse wom .

• Nkokoaa a wonnii mfe 2: Efisɛ wɔn nipadua mu ahoɔden a ɛko tia nyarewa no nnya nnyinii koraa.
• Nnipa a wɔadi boro mfe 65: Efisɛ sɛ obi nyin a, nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw na nyarewa afoforo a enni sabea betumi aba.
• Wɔn a Wɔnom Sigaret: Sigaretnom sɛe tumi a ɛbɔ ahurututu no ho ban, na ɛma ɛyɛ mmerɛw sɛ mmoawa bɛka wɔn.
• Nnipa a wɔwɔ ahurututu mu nyarewa afoforo: Sɛ nhwɛso no, nnipa a wɔwɔ nyarewa te sɛ ayamtu, ahurututu mu yare a enni sabea (COPD), ne cystic fibrosis.
• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw: Nnipa a wɔwɔ HIV/AIDS, nnipa a wɔnom kokoram nnuru (sɛ nhwɛso no, nnuru a wɔde sa yare, radiotherapy), wɔn a wɔde akwaa foforo ma wɔn, ne nnipa a wɔnom nnuru a ɛtra hɔ kyɛ a esiw nipadua no mu tumi a ɛko tia nyarewa ano, te sɛ steroid no, tumi ko tia nyarewa so tew.
• Nnipa a wɔwɔ nyarewa a enni sabea te sɛ asikreyare, komayare, ne asaabo mu yare.
• Nnipa a wɔayɛ wɔn oprehyɛn kɛse nnansa yi anaasɛ wɔrenya ayaresabea ayaresa, titiriw wɔn a wɔde afiri a ɛma mframa bɔ mu no.
• Nnipa a ɛyɛ den sɛ wɔbɛmene (dysphagia), s.e. esiane ɔyare a ɛma obi hwe ase, Parkinson yare nti.

Sɛ wotɔ saa kuw yi mu a, ɛyɛ papa sɛ wubehu ahurututu mu yare ho sɛnkyerɛnne kakra, na woasusuw akwan a wobɛfa so asiw ahurututu mu yare ano nso ho.

Ɔkwan bɛn so na oduruyɛfo hu ahurututu mu yare?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ nhwehwɛmu mpɛn pii de ahu sɛ wowɔ ahurututu mu yare anaa.

• Wobebisa wo w’ayaresa ho abakɔsɛm: Dɛn ne wo sɛnkyerɛnne ahorow, bere tenten a woanya bi, so wowɔ nyarewa foforo bi, so wonom sigaret, so woatu kwan nnansa yi, na obi foforo bi a ɔwɔ wo fie yare?
• Nipadua mu Nhwehwɛmu: Oduruyɛfo no de afiri a wɔde tie asɛm bɛtie wo moma so, ahwehwɛ nnyigyei a ɛnteɛ (te sɛ krak ne rhonchi) wɔ w’ahurututu mu. Wɔbɛhwɛ nso sɛ atiridiinini, ɔhome a ɛbɔ, ne koma bɔ anaa.
• Chest X-ray: Eyi ne nhwehwɛmu a wɔtaa yɛ de kyerɛ sɛ ahurututu mu yare. X-ray no tumi kyerɛ mmeae a ɔyare mmoawa no wɔ (te sɛ nsensanee fitaa) wɔ ahurututu no mu pefee.
• Mogya mu nhwehwɛmu:Mogya dodow a wɔkan koraa (FBC) betumi akyerɛ sɛ ɔyare bi wɔ hɔ (mogya mu nkwammoaa fitaa dodow a ɛkɔ soro) ne sɛnea emu yɛ den no. Sɔhwɛ bi a wɔfrɛ no C-Reactive Protein (CRP) nso betumi ama wɔanya adwene wɔ sɛnea ɔyare no mu yɛ den ho. Ɛtɔ mmere bi a, wobetumi ayɛ mogya mu aduru nso, titiriw sɛ ɔyare mmoawa no mu yɛ den a.
• Sputum culture ne Gram stain: Sɛ wowɔ phlegm a, wobetumi ayɛ nhwehwɛmu yi de agye phlegm no nhwɛsode na wɔahu mmoawa a ɛwɔ mu. Eyi bɛma ayɛ mmerɛw sɛ wɔbɛma saa ɔyare mmoawa no aduru a ɛfata.
• Pulse Oximetry: Wɔde afiri ketewaa bi a ɛte sɛ clip abɔ wo nsateaa ho de asusuw oxygen dodow a ɛwɔ wo mogya mu. Eyi betumi ayɛ nea ɛba fam wɔ ahurututu mu yare mu (mpɛn pii no ɛsɛ sɛ ɛboro 95%).

Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu titiriw te sɛ CT scan (a ɛwɔ koko mu), ahurututu mu nsu a wɔde hyɛ nipadua mu, anaasɛ ahurututu mu nhwehwɛmu. Nanso mpɛn pii no, wobetumi de nhwehwɛmu a yɛaka ho asɛm wɔ atifi hɔ no ahu ahurututu mu yare.

Dɛn ne ayaresa ahorow a wɔde sa ahurututu mu yare?

Ahurututu mu yare a wɔde sa yare no gyina nneɛma te sɛ nea ɛde ba (yare mmoawa anaa ɔyare mmoawa), mfe a woadi, w’akwahosan nyinaa, ne sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so.

• Wɔ ahurututu mu yare a mmoawa de ba ho: Mpɛn pii no, wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa . Ɛho hia sɛ wonom saa nnuru yi sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, bere tenten a wode bɛsa wo yare no nyinaa. Mma nnyae sɛ wobɛnom esiane sɛ wo ho atɔ wo nti. Saa a wobɛyɛ no betumi ama wo yare no mu ayɛ den anaasɛ ɛbɛma woatumi ako atia nnuru a ekum ɔyare mmoawa.
• Wɔ ahurututu mu yare a ɔyare mmoawa de ba ho: Nnuru a ekum ɔyare mmoawa nyɛ adwuma ntia mmoawa. Wɔ ahurututu mu yare bi a ɔyare mmoawa de ba (te sɛ nea atiridii de ba) fam no, wobetumi de nnuru a ekum ɔyare mmoawa ama wɔ nnɔnhwerew 48 a edi kan wɔ yare no akyi. Nanso, ahurututu mu yare dodow no ara a ɔyare mmoawa de ba no ankasa gyae wɔ nna anaa adapɛn kakraa bi mu. Ɛho hia sɛ wunya ahomegye ne nsu pii (nsu, soup, nnuaba nsu) wɔ saa bere yi mu.
• Wɔ fungal pneumonia ho: Wɔde nnuru a ekum fungal di dwuma ma eyi.

Nea ɛka ho no, wɔma nnuru nso de siw yare no ho sɛnkyerɛnne ahorow ano:

• Tew atiridii so, tew ɛyaw so: biribi te sɛ paracetamol.
• Ɔfe aduru: Ɛtɔ mmere bi a nnuruyɛfo nkyerɛw nnuru a wɔde siw ɔfe ano efisɛ ɔfe yɛ adebɔ mu kwan a wɔfa so yi nsu fi ahurututu mu. Sɛ nsu a ɛyɛ nwini pii wɔ hɔ a, ebia wɔbɛkyerɛw nnuru a ɛma nsu fi nipadua no mu na ama ayɛ mmerɛw kakra.

Wɔ fie? Wɔ ayaresabea hɔ?

Nnipa dodow no ara betumi anya ahurututu mu yare wɔ fie bere a wɔsa wɔn yare no. Nanso, sɛ wo tebea no mu yɛ den, te sɛ ɛyɛ den sɛ wobɛhome, oxygen dodow a ɛba fam wɔ mogya mu (a ɛba fam sen 92% wɔ pulse oximeter so), obi a ne mfe akɔ anim (a wadi boro mfe 65), obi a ɔwɔ ayaresa mu tebea afoforo a emu yɛ den, anaa akokoaa kumaa (titiriw nea onnii asram 6) a, ebia wo duruyɛfo besi gyinae sɛ ɔde wo bɛto ayaresabea. Wɔ ayaresabea no, wobetumi ama wo nnuru a ekum ɔyare mmoawa a wɔde fa IV mu, oxygen ayaresa, nkyene aduru sɛ ɛho hia a, ne ayaresa afoforo a ɛho hia.

Nea ɛho hia paa ne sɛ wubetie nea oduruyɛfo no ka na woanya ayaresa a ɛfata. Sɛ wonom aduru a ɛfata na wogye w’ahome sɛnea ɛsɛ a, wo ho bɛtɔ wo wɔ nna kakraa bi mu. Nanso ebetumi agye adapɛn kakraa bi ansa na ne ho atɔ no koraa.

Akwan a wobɛfa so akwati ahurututu mu yare

Asɛm bi wɔ hɔ a ɛka sɛ, "Ɛyɛ papa sɛ wobɛnya ahobammɔ sen sɛ wobɛpa wo kyɛw bere a woayare akyi." Ma yɛnhwɛ nea yebetumi ayɛ na yɛakwati ahurututu mu yare.

• Nya Vaccines: Nnuru bi wɔ hɔ a wɔde ko tia mmoawa ne mmoawa a wɔde ahurututu mu yare ba no bi.
• Pneumococcal vaccine: Eyi bɔ obi ho ban fi ɔyare mmoawa Streptococcus pneumoniae ho. Wɔkamfo kyerɛ nnipa a wɔadi boro mfe 65, mmofra a wonnii mfe 2, ne nnipa a wɔwɔ nyarewa bi a enni sabea.
• Influenza vaccine (Flu shot): Sɛ obi nya saa vaccine yi afe biara a, ebetumi asiw atiridii no ano na ebetumi nso abɔ ne ho ban afi ahurututu mu yare a atiridii no de ba no ho.
• Nya mmofra nnuru afoforo (te sɛ Hib vaccine ne akisikuru vaccine) wɔ bere ano.

Ɛho hia paa sɛ wo ne wo duruyɛfoɔ bɛkasa afa saa nnuru a wɔde bɔ wo ho ban yi ho na woanya deɛ ɛfata wo.

• Di ahotew ho nneyɛe pa akyi:
• Fa samina ne nsu hohoro wo nsa mpɛn pii (anyɛ yiye koraa no sikani 20), titiriw ansa na woadidi, bere a wode aguaree adi dwuma awie, bere a woayare awie, ne bere a woafi abɔnten aba no. Fa samina anaa aduru a wɔde tew nsa a nsa wom di dwuma.
• Fa ntini anaa wo nsateaa kata w’ano ne wo hwene so bere a worefefe anaa worefefe no. Tow ntini a wɔde adi dwuma gu nwura mu ntɛm ara.
• Bɔ mmɔden sɛ wobɛtwe wo ho afi nnipa a wɔyare ho. Sɛ woyare a, tena fie na woantrɛw ankɔ afoforo mu.
• Kwati sigaretnom: Sɛ wonom sigaret a, bɔ mmɔden sɛ wubegyae. Kwati sɛ wobɛhome wusiw bere a wo ne nnipa afoforo a wɔnom sigaret (passive smoking) ho. Sigaretnom sɛe abɔde mu ahobammɔ a ɛwɔ ahurututu no mu no.
• Ma wo nipadua mu ahoɔden a ɛko tia nyarewa no mu nyɛ den: Di aduan pa (nhabannuru, nnuaba, ne aburow a wɔayam), da yiye ( nnɔnhwerew 7-8 da biara), na teɛteɛ w’apɔw mu daa. Saa nneɛma yi bɛma wo nipadua no tumi ko tia nyarewa no ayɛ kɛse.
• Di nyarewa a enni sabea ho dwuma: Sɛ wowɔ nyarewa te sɛ asikreyare, komayare, anaa ayamtu a, di wo duruyɛfo akwankyerɛ akyi na woadi ho dwuma yiye.

Saa nneɛma nketenkete yi betumi ama nsakrae kɛse aba, ɛnte saa?

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa, a ɛnyɛ atiridii anaa atiridiinini a ɛtaa ba a ɛnkɔ nna kakraa bi mu a, kɔ oduruyɛfo nkyɛn ntɛm ara.

• Sɛ ɛyɛ den ma wo kɛse sɛ wobɛhome a , anaasɛ wo koko yɛ wo yaw bere a worehome no.
• Sɛ wowɔ koko mu yaw a emu yɛ den a .
• Sɛ atiridii no ankɔ fam bɛboro nnafua 3 , anaasɛ sɛ atiridii no kɔ so boro digrii Celsius 39 (102 Fahrenheit).
• Sɛ wofefe mogya a .
• Sɛ w’ano anaa wo nsateaa nnadewa dan bruu (eyi yɛ tebea bi a wɔfrɛ no cyanosis, sɛnkyerɛnne a ɛkyerɛ sɛ wo mogya nnya mframa pa a ɛdɔɔso).
• Sɛ adwene mu naayɛ anaa nsakrae ba adwene mu (titiriw wɔ wɔn a wɔn mfe akɔ anim mu).
• Sɛ ɛte sɛ nea ɛreyɛ kɛse sen kan no a , anaasɛ sɛ ɛte sɛ nea asɛe kɛse sen atiridiinini a ɛtaa ba a.
• Sɛ wotaa fe na wuntumi mma biribiara nkɔ fam a.

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom, titiriw wɔ abofra kumaa (titiriw akokoaa a onnii asram 2), obi a ne mfe akɔ anim, anaa obi a ɔwɔ nyarewa afoforo a enni sabea mu a, ɛbɛyɛ papa sɛ wode bɛkɔ oduruyɛfo nkyɛn a worenkyɛ. Ɛtɔ mmere bi a, sɛ wofi ayaresa ase ntɛm a, ebetumi ama nsakrae kɛse aba.

Sɛ yɛde rewie a, kae eyi sɛ:

Okay, enti yɛaka ahurututu mu yare ho asɛm pii nnɛ, ɛnte saa? Kae sɛ ahurututu mu yare yɛ yare a ɛba ahurututu mu. Ebetumi afi mmoawa te sɛ mmoawa ne mmoawa a wɔde nyarewa ba mu. Nsɛnkyerɛnne titiriw ne ɔfe, atiridiinini, ne ahome a ɛyɛ den.

Ade a ɛho hia sen biara:

* Sɛ wususuw sɛ wowɔ ahurututu mu yare ho sɛnkyerɛnne bi a, kɔ oduruyɛfo nkyɛn ntɛm ara. Mma nnyɛ wo ho yare.

* Nom nnuru a wo duruyɛfo akyerɛw ama wo, titiriw nnuru a ekum ɔyare mmoawa, bere a wɔakyerɛw ama wo no pɛpɛɛpɛ ne dodow a wɔakyerɛw ama wo no. Mma nnyae sɛ wobɛnom esiane sɛ wo ho atɔ wo nti.

* Wobetumi asiw ahurututu mu yare ano kɛse denam nnuru a wɔde bɔ wɔn ho ban, ahotew pa a wɔde bedi dwuma (titiriw nsa hohoro), ne sigaretnom a wɔbɛkwati so.

* Gye w’ahome pii, di nnuan a ahoɔden wom, na kɔ so nya nsu pii.

Ahurututu mu yare nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu ani gu so nso. Sɛ wunya ayaresa a ɛfata a, wubetumi ho atɔ wo ntɛm. Mepɛ sɛ wo ne w’abusua nya akwahosan pa!

` Ahurututu mu yareɛ, ahurututu mu yareɛ, ɔfe, atiridiinini, ɔhome a ɛyɛ den, nnuru a ekum ɔyare mmoawa, ahurututu, X-ray, mmoawa, mmoawa