So wo nso worehyia nsensanee kɔkɔɔ a ɛyɛ nsensanee wɔ wo honam ani? Ebetumi ayɛ plaque psoriasis!

So ɛtɔ mmere bi a, wo honam ani yɛ kɔkɔɔ, ɛyɛ mmerɛw, na ɛyɛ mmerɛw kakra, titiriw wɔ wo nsateaa, wo nkotodwe, anaa wo ti nhwi so? Nnipa binom ho yɛ wɔn yaw pii, na ɛtɔ mmere bi a wɔyɛ wɔn yaw na wɔhyew. Saa tebea yi ne nea yɛfrɛ no ‘Plaque Psoriasis’ . Mma ɛnhaw wo, ɛnyɛ nea ɛde ɔyare mmoawa ba. Momma yɛnka ho asɛm nkɔ akyiri.

Dɛn ne ‘Plaque Psoriasis’?

Sɛ yɛbɛka no tiawa a, ‘Plaque Psoriasis’ yɛ honam ani yare a ɛtra hɔ kyɛ. Ɛnam nsakrae a ɛba yɛn nipadua mu nipadua no mu tumi a ɛko tia nyarewa mu, anaasɛ ‘ahoɔden a ɛko tia nyarewa’ tebea bi so na ɛba . Nea ɛkɔ so wɔ eyi mu ne sɛ yɛn honam ani nkwammoaa no mu paapae ntɛmntɛm sen sɛnea ɛte daa, na ɛma nkwammoaa foforo ba. Saa nkwammoaa foforo a ɛrenyin ntɛmntɛm yi ne nkwammoaa dedaw bom, na ɛde nsensanee a ɛyɛ den, ɛyɛ nsensanee, anaa nea yɛfrɛ no ‘plaques’, a madi kan aka ho asɛm no, wɔ honam ani. Wɔtaa hu eyinom:

• Wo nsateaa no ye.
• Wɔ akyi no
• Wɔ nkotodwe mu
• Wɔ ti nhwi so (baabi a nhwi no wɔ) .

Nanso, wɔ nnipa binom fam no, sɛ tebea no kɔ so kɛse a, saa ‘nkuruwankuruwa’ yi betumi ada adi wɔ nipadua no nyinaa so . Eyi kyerɛ sɛ:

• Wɔ anim
• Wɔ nsa abien no nyinaa mu
• Wɔ nan no mu
• Wotumi hu wɔn mpo wɔ ɔbarima ne ɔbea nna mu mmeae (sɛ nhwɛso no, mmea awotwaa ne awotwaa ho atwa ho ahyia, ne mmarima akyi awotwaa ho ahyia).

Hena na ɛda adi sɛ obenya plaque psoriasis?

Plaque psoriasis betumi aka obiara. Nanso, ɛda adi sɛ nnipa binom benya bi. Hwɛ sɛ nokwasɛm ahorow yi fa wo ho anaa:

• Wɔ aborɔfo fam (ebia eyi mfa Sri Lanka ho kɛse, nanso ɛyɛ asɛm a wɔtaa ka) .
• Wɔn a wɔnom nsa no fam
• Wɔn a wɔrehu amane wɔ adwennwen anaa adwenemhaw a emu yɛ den mu no fam
• Sɛ obi wɔ w’abusua mu anya psoriasis pɛn (a ɛkyerɛ sɛ ebetumi afi awosu mu) .
• Wɔn a wɔayɛ kɛse mmoroso no fam
• Wɔn a wɔnom sigaret anaa wɔde tawa nneɛma di dwuma no fam
• Wɔn a wɔnnom nnuru a wɔakyerɛw ama wɔn no bere ano (titiriw nnuru bi a wɔnom ma ayaresa tebea afoforo) .

Plaque psoriasis abu so dɛn?

Plaque psoriasis ne psoriasis a abu so sen biara ankasa . Mpanyimfo ɔpepem pii a wɔwɔ wiase nyinaa wɔ saa tebea yi. Nnipa a wɔwɔ psoriasis no mu 80% kosi 90% na wɔwɔ plaque psoriasis. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, hu sɛ ɛnyɛ wo nkutoo na wowɔ hɔ.

Ɔkwan bɛn so na plaque psoriasis ka me nipadua?

Plaque psoriasis ma wo honam ani yɛ den, ɛyɛ mmerɛw, ɛyɛ nsensanee, na ɛyɛ nsensanee anaa nsensanee a ne kɔla sesa . Ɛtɔ mmere bi a, saa nsensanee yi betumi ayɛ wo yaw kɛse anaasɛ ɛyɛ yaw. Nnipa binom te nka sɛ wɔn honam ani rehyew anaasɛ ɛrebɔ wɔn. Ɛtɔ mmere bi a eyi betumi ama ayɛ den sɛ wobɛyɛ da biara da nnwuma.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya plaque psoriasis?

Plaque psoriasis ho sɛnkyerɛnne atitiriw ne:

• Nsonsonoe a ɛkɔ soro, a ne kɔla asesa (a ebetumi ayɛ kɔkɔɔ, bruu, fitaa, anaa kɔkɔɔ) a ɛwɔ abon fitaa anaa dwetɛ wɔ wɔn ani.
• Ɛtɔ mmere bi a, saa nsensanee yi betumi adan mpaapaemu.
• Ebia mogya bɛtu (titiriw bere a wɔaka no).
• Ebia ɛyaw a emu yɛ den bɛba.
• Ebia wobɛte ɔhyew anaa ɛyaw nka wɔ wo honam ani .

Dɛn na ɛde plaque psoriasis ba?

Plaque psoriasis yɛ ɔhaw a ɛwɔ yɛn nipadua mu tumi a ɛko tia nyarewa no so. Sɛ yɛbɛka no tiawa a, yɛn nipadua no ahobammɔ nhyehyɛe no yɛ adwuma boro so, na ɛde ɔfe a ɛma honam ani nkwammoaa nyin ntɛmntɛm ba.

Susuw ho hwɛ, mpɛn pii no egye bɛyɛ nnafua 28 kosi 30 ansa na honam ani nkwammoaa foforo ayɛ na adu honam ani. Nanso wɔ obi a ɔwɔ plaque psoriasis mu no, saa nkwammoaa foforo yi hyehyɛ na ɛkɔ soro wɔ bere tiaa bi mu, bɛyɛ nnafua 3-4. Nea enti a ɛte saa ne sɛ nkwammoaa foforo boaboa ano ansa na wɔatumi ahwie nkwammoaa dedaw no agu, na ɛno nti na saa nsensanee no ba no.

Eyi yɛ biribi a ɛkɔ so wɔ mmusua mu, a ɛkyerɛ sɛ ebia awosu mu abusuabɔ bi wɔ hɔ. Ebetumi aba sɛ mmofra benya saa tebea yi afi wɔn awofo hɔ.

So nneɛma bi wɔ hɔ a ebetumi ama plaque psoriasis ayɛ kɛse?

Nnipa a wɔwɔ plaque psoriasis no nya flare-ups, na ebetumi ayɛ soronko wɔ onipa biara ho. Wonnya nhuu nea ɛde saa ɔhyew yi ba ankasa . Nanso, nneɛma kakraa bi wɔ hɔ a wosusuw sɛ ɛkanyan saa ɔhyew yi:

• Nnuan anaa anonne bi (yɛbɛka eyi ho asɛm akyiri yi).
• Nnuru bi (sɛ nhwɛso no, nnuru a wɔde sa adwenemyare te sɛ lithium, ne nnuru a wɔde sa mogya mmoroso te sɛ beta-blockers).
• Wora no ayɛ kusuu.
• Adwene mu nhyɛso a emu yɛ den.
• Honam ani apirakuru (ntwitwiridii, nsensanee, beae a wɔyɛ oprehyɛn).
• Owia a ɛhyew.

So woahyɛ no nsow pɛn sɛ saa nsensanee yi dɔɔso bere a wowɔ adwennwen pii mu, anaasɛ bere a woada kɛkɛ no? Nnipa binom yɛ saa. Enti ɛho hia sɛ yɛhwɛ yiye wɔ nneɛma a ɛte sɛɛ ho.

So plaque psoriasis yɛ nea wɔde yare mmoawa ba?

Eyi yɛ asɛm a nnipa pii bisa. Plaque Psoriasis nyɛ yare a ɛde ɔyare mmoawa ba koraa. Saa yare yi ntumi ntrɛw nkɔ obi foforo so denam obi a ɔde ne nsa bɛka anaa ɔne obi bɛda so. Enti, nsuro no.

Ɔkwan bɛn so na oduruyɛfo hu ‘plaque psoriasis’ pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛhwɛ wo honam ani mmeae a ayɛ wo yaw no na wahwehwɛ sɛnkyerɛnne biara a ɛtaa ba wɔ plaque psoriasis ho. Ɔbɛbisa wo nso sɛ:

• Wo sɛnkyerɛnne ahorow ho nsɛm a ɛkɔ akyiri.
• So obi wɔ w’abusua mu wɔ tebea a ɛte saa ara mu?
• Ansa na saa nsensanee yi repue no, so wufii ase de nneɛma foforo biara (te sɛ samina anaa aduru a wɔde yɛ aduru) dii dwuma anaasɛ wufii ase nom nnuru biara anaasɛ wugyaee?

Ɛtɔ mmere bi a, honam ani yare afoforo (sɛ nhwɛso no, honam ani yare anaa honam ani yare) betumi de saa sɛnkyerɛnne ahorow yi aba, enti ebia ebehia sɛ oduruyɛfo no yɛ nhwehwɛmu foforo bi . Yɛfrɛ eyi ‘nsonsonoe a wɔde hu yare.’ Ebia sɔhwɛ ahorow yi bi ne:

• Nhwehwɛmu a wɔyɛ wɔ allergy ho.
• Biopsy yɛ honam ani fã ketewaa bi a wɔfa de yɛ nhwehwɛmu.
• Mogya mu nhwehwɛmu de hwɛ sɛ ebia biribi foforo na ɛde saa nsensanee yi ba, a ɛne plaque psoriasis nni abusuabɔ anaa.

So wobetumi asa plaque psoriasis koraa?

Sɛ yɛbɛka nokware a, aduru biara nni hɔ a wɔde sa saa tebea yi a wɔfrɛ no ‘Plaque Psoriasis’. Ebetumi aba na akɔ wɔ nkwa nna nyinaa mu (flare-ups), na ɛtɔ mmere bi a ebetumi akɔ a enni sɛnkyerɛnne biara (remission) . Nanso, ayaresa pa wɔ hɔ. Sɛ wode saa ayaresa ahorow yi di dwuma a, wubetumi adi wo yare no ho sɛnkyerɛnne ahorow so na woanya ahotɔ.

Sɛ mewɔ plaque psoriasis a, so ɛsɛ sɛ mekwati nnuan ne anonne bi?

Eyi yɛ ɔhaw ma nnipa pii. Yiw, nnuan ne anonne ahorow bi betumi ama plaque psoriasis ayɛ hyew. Enti, sɛ wowɔ saa tebea yi a, ɛyɛ papa sɛ wobɛkyerɛw aduan ho kyerɛwtohɔ. Ɛdenam nea wudi ne nea wonom ho kyerɛwtohɔ so no, wo ne wo duruyɛfo betumi ahu nea ebia ɛde wo hyew no ba.

Sɛ wudi aduan a ɛko tia ɔyare mmoawa akyi a, ebetumi aboa ma wo plaque psoriasis a ɛyɛ hyew no so atew. Nnuan a ɛwɔ tumi a ɛko tia ɔyare mmoawa no bi ne:

• Mpataa a srade wom (sɛ nhwɛso no, salmon, mackerel, sardines) .
• Nnuadewa a ɛyɛ ahabammono (e.g. spinach, kale) .
• Ngodua ngo

Nnuan ne anonne nso wɔ hɔ a wosusuw sɛ ɛma ‘ɔhyew’ ba:

• Nsaden
• Nufusu ne nufusu (nantwi nufusu, nkesua) .
• Citrus nnuaba (limes, lemon, akutu) .
• Gluten ( protein a ɛwɔ nnuan pii mu, titiriw nea wɔde awi esiam ayɛ) .
• Nnuadewa a wɔde yɛ anadwo (sɛ nhwɛso no, ɛmo, ɛmo, tomato) .

Nanso kae sɛ, ɛnyɛ saa nnuan yi nyinaa na ɛyɛ adwuma ma obiara. Ɛsono nnipa biara. Ɛno nti na aduan ho nsɛmma nhoma ho hia no.

Dɛn ne ayaresa ahorow a wɔde sa plaque psoriasis?

Sɛ wo plaque psoriasis no mu nyɛ den dodo a, wo duruyɛfo betumi akyerɛw wo cream, lotion, anaa gel te sɛ eyi:

• Anthralin a wɔde di dwuma
• Fango a wɔde yɛ tar
• Corticosteroids (eyinom yɛ aduru bi a ɛtew ɔfe so) .
• Salicylic acid (eyi yi nkwammoaa a awuwu fi honam ani) .

Sɛ wowɔ wo ti nhwi ho nsensanee a, wubetumi de nnuru a wɔde hyɛ wo ti nhwi a salicylic acid wom adi dwuma .

Nanso, sɛ plaque psoriasis no mu yɛ den anaasɛ atrɛw akɔ nipadua no mmeae pii a, oduruyɛfo no betumi akyerɛw ayaresa ahorow te sɛ:

• Nnuru a wɔde twitwiw: Ebia wo duruyɛfo de ade a ɛyɛ tratraa bedi dwuma de aduru ahyɛ wo honam ani anaa ntini bi a ɛwɔ wo nsa mu. Nnuru yi ho nhwɛso bi ne adalimumab, etanercept, anaa ustekinumab . Eyinom yɛ nnuru a ɛsakra sɛnea wo nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma.
• Nnuru a wɔnom: Eyinom yɛ nnuru a wɔde ma sɛ tablets anaa capsules a wɔde ka nsu ho. Nhwɛso ahorow bi ne acitretin, cyclosporine, anaa methotrexate .
• Phototherapy: Eyi hwehwɛ sɛ wɔde hann a ano yɛ den a ɛtaa yɛ UVB a efi akanea soronko mu sa honam ani yare. Ultraviolet mframa a efi owia hann mu ba no nso betumi aboa wɔ honam ani tebea horow bi te sɛ plaque psoriasis ho.

So afie mu nnuru bi wɔ hɔ a wɔde sa plaque psoriasis sɛnkyerɛnne ahorow?

Yiw, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ wɔ fie de aboa ma woadi wo plaque psoriasis sɛnkyerɛnne ahorow no ho dwuma. Bere a eyinom yɛ nea asiane biara nni ho ma nnipa dodow no ara no, nyansa wom sɛ wo ne wo duruyɛfo bɛkasa ansa na woasɔ ahwɛ, efisɛ ebia wo ho nyɛ wo hyew wɔ nneɛma bi ho.

• Sɛ ɛyɛ wo yaw kɛse a, fa aduru a wɔde kum histamine a wɔtɔn (OTC) fi nnurutɔnbea.
• Sɛ woreguare anaa worehohoro a , mfa nsu a ɛyɛ hyew nni dwuma, fa nsu a ɛyɛ hyew di dwuma . To bere a wode bɛtra nsu no mu no ano hye ma ɛntra simma 15 .
• Fa samina a ɛyɛ brɛoo anaa nneɛma afoforo a hua, nnuru a wɔde yɛ nneɛma, anaa nsa nnim di dwuma . Hwehwɛ nneɛma a wɔakyerɛw so sɛ “ɛnyɛ huam” anaa “ma honam ani hwɛbea a ɛyɛ mmerɛw.”
• Fa aduru a ɛma wo honam ani yɛ hyew anaa ngo gu wo honam ani mpɛn pii da biara, titiriw bere a woaguare awie no . Akutu ngo nso betumi aboa ma wo honam ani ayɛ nwini na ama ɛyaw no so atew.
• Fa Po a Awu nkyene gu nsu a ɛyɛ hyew (bɛyɛ digrii Celsius 35 - Fahrenheit 95) mu na anyɛ yiye koraa no, fa mmeae a ayɛ no hyew no simma 10. Ebia ebehia sɛ woyɛ eyi mpɛn pii dapɛn biara.
• Hyɛ ntade a ɛho ayɛ hare sɛnea ɛbɛyɛ a mframa betumi abɔ mmeae a ɛho ayɛ den no.
• Nhwehwɛmu ahorow bi kyerɛ sɛ ebia nhabannuru te sɛ aloe vera bɛma ahotɔ kakra.

So ɔkwan bi wɔ hɔ a wɔfa so siw plaque psoriasis ano?

Ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw plaque psoriasis ano. Sɛ wowɔ tebea no a, ebetumi ahyew na ɛtɔ mmere bi a ano abrɛ ase wɔ w’asetra nyinaa mu. Nanso, ayaresa betumi aboa ma yare no ho sɛnkyerɛnne so atew. Eyi yɛ nokware wɔ nnipa a wɔwɔ plaque psoriasis a emu yɛ den mpo fam.

Sɛ mewɔ plaque psoriasis a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Plaque psoriasis betumi ayɛ kɛse na akɔ yare mu wɔ w’asetra nyinaa mu. Nanso, mpɛn pii no, wobetumi adi ho dwuma yiye denam ayaresa so. Enti mma ɛnhaw wo.

So metumi ne obi ada bere a mewɔ plaque psoriasis wɔ m’akyi berɛmo mu no?

Yiw, wubetumi ada sɛ mpo wowɔ ‘flare-up’ a ɛyɛ plaque psoriasis wɔ w’akyi berɛmo mmeae, i.e., wo akyi berɛmo no fã, intergluteal cleft , anaa honam ani a ɛwɔ w’akyi berɛmo atifi (pubis) .

Plaque psoriasis nyɛ ɔyare mmoawa a wonya fi nna mu (STI). Nanso, ɛtɔ mmere bi a ebetumi ayɛ te sɛ STI. Enti, sɛ wowɔ flare-up a, ɛyɛ papa sɛ wobɛka nokware a ɛfa ho akyerɛ wo hokafo. Sɛ biribi haw wɔn a, hyɛ wɔn nkuran ma wɔne oduruyɛfo nkasa ansa na wɔada.

Ebia wubenya ɔhaw anaa ɛyaw bi wɔ nna mu bere a wowɔ plaque psoriasis a ɛreyɛ kɛse wɔ wo honam ani fã a ɛwɔ wo honam ani no. Sɛ wode nna mu srade (lubes) ne kɔndɔm di dwuma a, ebetumi aboa ma saa ɔhaw, ɛyaw, anaa ɛyaw yi so atew.

Sɛ wo ne obi da wie a, fa ahwɛyiye tew w’akyi berɛmo ho na ma ɛnyow, na san fa aduru a wɔde sa plaque psoriasis no gu so.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ plaque psoriasis a, eyinom ne akwan a eye sen biara a wobɛfa so ahwɛ wo ho:

• Fa aduru no di dwuma sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ.
• Fa moisturizer gu so daa, titiriw bere a woaguare awie no.
• Kwati sɛ wode samina a ano yɛ den a epira wo honam ani bedi dwuma.

Afei nso, yɛ saa nneɛma yi na ama woanya apɔwmuden sɛnea wubetumi:

• Wo ne wo duruyɛfo nkasa mfa sɛnea wobɛtew asiane a ɛwɔ hɔ sɛ wubenya nyarewa afoforo (e.g., komayare, adwenemhaw, asikreyare ) a ebia ɛne tebea yi wɔ abusuabɔ no so.
• Tew w’adwennwen so denam adwennwen, apɔw-mu-teɛteɛ, anaa adwenemyare ho ɔbenfo a wobɛkɔ akɔhwɛ no so .

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Hwɛ wo duruyɛfo sɛ:

• Sɛ wunya sɛnkyerɛnne foforo a .
• Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye wɔ ayaresa akyi a.
• Sɛ ɛte sɛ nea wo plaques no anya ɔyare mmoawa (a ɛkyerɛ sɛ wo honam ani yɛ kɔkɔɔ, kɔkɔɔ, fitaa, anaa fitaa; ɔfe ne ɔfe wɔ hɔ).

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm yi:

• Wobɛyɛ dɛn ahu sɛ mewɔ ‘Plaque Psoriasis’?
• Sɛ minni plaque psoriasis a, honam ani yare foforo bɛn na metumi anya?
• Mɛyɛ dɛn asiw saa yare a ɛrehyew yi ano na madi me yare no ho sɛnkyerɛnne ahorow ho dwuma?
• Aduru bɛn na wokamfo kyerɛ?
• So nsunsuanso bɔne bi wɔ saa nnuru no so?
• Ofie ayaresa bɛn na wokamfo kyerɛ?
• So nsunsuanso bɔne bi wɔ saa ofie ayaresa ahorow no so?
• Dɛn bio na ɛsɛ sɛ meyɛ na ama me yare no ho sɛnkyerɛnne no afi hɔ?
• So cream anaa ngo bi wɔ hɔ a wubetumi akyerɛw ama obi?
• So ɛsɛ sɛ mekɔ honam ani yare ho oduruyɛfo anaa ɔbenfo foforo nkyɛn?

Nsonsonoe bɛn na ɛda ‘Guttate Psoriasis’ ne ‘Plaque Psoriasis’ ntam?

Guttate psoriasis ne plaque psoriasis yɛ soronko wɔ sɛnea ɛte.Guttate psoriasis yɛ tebea a ɛma honam ani nketenkete a ɛyɛ nsensanee a ɛte sɛ nsu a ɛtɔ gu fam no pue. Ɛtaa ba mmofra ne mpanyimfo nkumaa so kɛse . Ɛtaa ba bere a obi menewa mu yɛ no yaw esiane streptococcal yare mmoawa nti akyi. Etumi kɔ n’ankasa mu wɔ adapɛn kakraa bi mu a wɔansa no yare.

Nsonsonoe bɛn na ɛda ‘Eczema’ ne ‘Plaque Psoriasis’ ntam?

Ɛsono sɛnea eczema ne plaque psoriasis te na ɛte nka. Eczema yɛ nea ɛyɛ yaw kɛse . Plaque psoriasis nso betumi ayɛ nea ɛyɛ wo yaw, nanso ebetumi nso de ɔhyew anaasɛ ɛyɛ yaw aka ho .

Eczema betumi ama honam ani ayɛ hyew na ne kɔla asakra, na ebetumi ayɛ mmerɛw, akɔ soro, na ayɛ tuntum . Plaque psoriasis taa nya nsensanee fitaa anaa dwetɛ a ɛkɔ soro wɔ honam ani . Plaque psoriasis nso yɛ kɛse sen eczema.

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Plaque psoriasis yɛ tebea a ɛma honam ani ntini a ɛyɛ den na ɛyɛ nsensanee nyin esiane yɛn nipadua mu ahoɔden a ɛko tia nyarewa no a ɛnkari pɛ nti. Ebetumi ayɛ aniwu ne aniwu, titiriw bere a ɛyɛ yaw anaasɛ ɛyɛ yaw no. Nanso, kae sɛ ɛnyɛ nea ɛde ɔyare mmoawa ba. Ayaresa pa wɔ hɔ a wɔde sa no, na wobetumi adi yare no ho sɛnkyerɛnne ahorow no ho dwuma.

Ade a ɛho hia sen biara ne sɛ wobɛhwɛ wo honam ani. Sɛ wuhu saa nsensanee yi wɔ wo honam ani pɛ a, kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na ɛda adi sɛ wubenya ahotɔ. Mma ɛnhaw wo, ɛnyɛ wo nko ara, na wubetumi ne tebea yi atra ase yiye.

` Plaque psoriasis, honam ani nyarewa, nipadua mu ahoɔden a ɛko tia nyarewa, honam ani nsensanee, ɛyaw, honam ani ayaresa, ɔfe