So wo nso wo ho fifiri? (Sweat/Perspiration) - Momma yɛnhwehwɛ eyi ho asɛm pɛpɛɛpɛ!

Yɛn nyinaa ho fifiri, ɛnte saa? Ɛtɔ da a, yɛn ho fifiri fifiri bere a yɛreteɛteɛ yɛn apɔw mu, bere a yɛrebɔ owia, anaa bere a yɛn ho yeraw yɛn anaa yɛn ho yeraw yɛn kakra no. Dɛn ankasa ne fifiri? Dɛn nti na yɛfifiri? So ɛyɛ ade pa? So ɛyɛ ade bɔne? Ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm wɔ ɔkwan tiawa bi so a wubetumi ate ase.

Dɛn ne fifiri? Dɛn nti na ɛho hia?

Sɛ yɛbɛka no tiawa a, fifiri yɛ nsu a nkyene wom a ntini nketenkete a ɛwɔ yɛn honam ani no na ɛyɛ. Wɔsan frɛ eyi ``Fifiri'' wɔ aduruyɛ mu. Fifiri yɛ adeyɛ a ɛfata na ɛho hia yiye a ɛkɔ so wɔ yɛn nipadua mu.

Fa no sɛ, woreteɛteɛ w’apɔw mu denneennen, anaasɛ woreyɛ adwuma wɔ abɔnten da a owia bɔ kɛse. Afei wo nipadua mu yɛ hyew, ɛnte saa? Saa bere no, fifiri boa titiriw ma yɛn nipadua no nyɛ hyew dodo na ɛma ɛyɛ hyew pɔtee bi. Te sɛ `(radiator)` a ɛwɔ kar mu no, fifiri boa ma yɛdi yɛn nipadua `(temperature) so. Eyi ne nea yɛfrɛ no `(thermoregulation)`.

Nnipa binom susuw sɛ fifiri hua yɛ bɔne. Nanso, ebia ɛbɛyɛ den sɛ wubegye adi sɛ fifiri nni hua ankasa! Enti dɛn nti na ɛtɔ mmere bi a fifiri hua yɛ hu? Nea enti a ɛte saa ne sɛ mmoawa a wɔte yɛn honam ani fi awosu mu no ne fifiri bom na ɛpaapae, na ɛma yɛte hua no.

Enti, bere a ɛtɔ mmere bi a fifiri betumi ahaw yɛn kakra no, ɛho hia sɛ yɛn nipadua no yɛ adwuma. Nanso, sɛ wowɔ nneɛma bi a ɛhaw wo wɔ wo fifiri ho (sɛ́ ɛyɛ nea ɛboro so anaasɛ ɛnte saa koraa) a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na woaka ho asɛm.

Nnwuma foforo bɛn na fifiri de ma yɛn nipadua?

Wɔ nipadua mu hyew a ɛhwɛ so akyi no, fifiri ma yenya mfaso afoforo pii.

• Nsu a ɛma wo honam ani yɛ hyew: Nneɛma a ɛma wo honam ani yɛ hyew te sɛ amino acids wɔ fifiri mu a ɛboa ma honam ani hwɛbea twetwe nsu na ɛkora so. Eyi bɔ yɛn honam ani ho ban na ɛnyow.
• Wo honam ani a wobɛbɔ ho ban afi ɔyare mmoawa ho: Abɔde mu nnuru a wɔfrɛ no antimicrobial peptides wɔ fifiri mu. Eyinom te sɛ asraafo nkumaa a wɔwɔ yɛn nipadua mu tumi a ɛko tia nyarewa no mu. Sɛ mmoawa anaa fungi bi bɔ mmɔden sɛ wɔbɛhyɛn yɛn honam ani a, saa peptide ahorow yi boa ma wɔko tia.

Dɛn ne fifiri ntini ahorow yi?

Fifiri ntini yɛ nneɛma nketenkete a ɛwɔ yɛn honam ani ntoatoaso no mu a ɛma fifiri ba na ɛma fifiri fi mu. Wɔyɛ ``exocrine gland`` bi. Eyi kyerɛ sɛ nneɛma a saa ntini ahorow yi yɛ no nam ntini ahorow so fi nipadua no ani. Fifiri ntini biara wɔ afã atitiriw abien: ``secretory coil``, a ɛma fifiri ba, ne ``duct``, a ɛyɛ fã a ɛte sɛ nsukorade a ɛde fifiri no kɔ honam ani.

Fifiri ntini ahorow atitiriw abien na ɛwɔ yɛn nipadua mu:

1. Eccrine fifiri ntini:Yɛn nipadua na ɛwɔ `(Eccrine)` ntini a ɛsen biara. Eyinom atrɛw wɔ nipadua no nyinaa mu. Saa ntini ahorow yi na ɛyɛ adwuma titiriw a ɛma wɔhwɛ nipadua mu hyew so. Wɔma fifiri a yɛtaa hu, a ɛte sɛ nsu na ɛyow ntɛmntɛm no ba. Afei nso, saa ntini yi yɛ adwuma bere a yɛte anigye kɛse, awerɛhow, anaa ehu nka no. Fifiri a efi `(Eccrine)` ntini no mu no ba honam ani tẽẽ.

2. Apocrine fifiri ntini: Saa ntini yi ma fifiri a ɛyɛ den na ɛyɛ nnam. Wɔyɛ nnam titiriw bere a yɛayɛ basaa no. Saa ntini ahorow yi mmoa kɛse mma nipadua no nnwo. Apocrine ntini no dodow no ara wɔ abasa ne akyi berɛmo mmeae. Saa ntini ahorow yi ma fifiri kɔ nhwi no mu. Efi hɔ no, fifiri no kɔ soro wɔ ti nhwi no mu na ɛkɔ honam ani.

Dɛn na ɛwɔ fifiri mu?

Fifiri a efi yɛn eccrine glands mu ba no yɛ 99% nsu. 1% a aka no yɛ nkyene (sodium chloride) ne nneɛma afoforo. Ɛno nti na fifiri te sɛ nsu da a owia bɔ kɛse na ɛyɛ nwini ntɛmntɛm no. Yɛfrɛ fifiri sɛ nkyene esiane saa sodium ne chloride (nneɛma abien a ɛwɔ pon so nkyene mu) yi nti. Eyinom yɛ electrolytes a ɛho hia yiye ma yɛn nipadua. Nanso eyinom akyi no, nneɛma afoforo nketenkete nso wɔ fifiri mu:

• Potassium a wɔde yɛ nneɛma
• Vitamin ahorow a wɔde di dwuma
• Nneɛma nketenkete te sɛ calcium, magnesium, kɔbere, zinc, ne dade
• Protein ne amino acid ahorow a ɛwɔ nipadua no mu
• Nneɛma a awuduru wom te sɛ dade a emu yɛ duru ne Bisphenol A (BPA) (nanso eyinom wɔ hɔ kakraa bi pɛ) .

Fifiri a efi yɛn apocrine ntini mu no yɛ kɛse na ɛyɛ nnam sen eccrine fifiri. Nsu dodow no ara nso na ɛwom. Nanso nea ɛnte sɛ eccrine fifiri no, srade pii wom. Protein, asikre, ne ammonia nso wɔ mu.

So fifiri yɛ dɛ sɛ nkyene bere nyinaa?

Yiw, nkyene (sodium ne chloride) wɔ fifiri mu bere nyinaa. Nanso nkyene dodow betumi ayɛ soronko wɔ bere ne bere mu. Ne tiaatwa mu no, sɛ wo fifiri ntini no ma fifiri pii ba wɔ bere tiaa bi mu a, fifiri no mu nkyene kɔ soro. Fa no sɛ woreteɛteɛ w’apɔw mu denneennen anaasɛ wowɔ baabi a ɛhɔ yɛ hyew. Afei wo nipadua mu yɛ hyew ntɛmntɛm, enti ɛsɛ sɛ wo ho fifiri pii.

Sɛ wobɛte eyi ase a, ɛsɛ sɛ wuhu dwumadi foforo a fifiri ntini ahorow no yɛ ho asɛm. Ɛno ne nkyene a wɔsan twetwe. Sɛ yɛbɛka no tiawa a, saa ntini ahorow yi mma nipadua no ntumi nhwere nkyene pii, na ɛde nkyene no bi san kɔ nipadua no mu denam fifiri so. Ɛte sɛ nea aduannoafo bi rehwɛ nkyene dodow ansa na ɔde aduan rema.

"Fifiri titiriw" a edi kan ba wɔ ntini no mu no kura nneɛma koro no ara a fifiri a ɛba honam ani no, nanso sodium ne chloride dodow no dɔɔso. Bere a fifiri titiriw yi kɔ soro wɔ fifiri ntini no mu no, nkwammoaa a ɛwɔ ntini no afasu mu no san twetwe sodium ne chloride no bi. Ɛno ne bere a fifiri no mu nkyene so tew kakra bere a edu honam ani no.

Nanso, fa no sɛ woretu mmirika da a ɛhɔ yɛ hyew, na wo ho fifiri retu wo kɛse. Wo fifiri a ɛba wo so no dɔɔso yiye. Fifiri ntini no yɛ nea adagyew nnim koraa. Wonnya bere mfa nsiesie nkyene no. Ɛte sɛ aduannoafo bi a ɔwɔ adidibea Kwasida anadwo, ɛsɛ sɛ wɔyɛ adwuma no ntɛm. Wontumi nnye sodium ne chloride a wɔtaa yɛ no. Enti fifiri a ɛba wo honam ani no betumi ayɛ dɛ a ɛyɛ nkyene sen sɛnea ɛte daa.

Fifiri a nkyene wom ne nea wohu (Nkyene fifiri sɛ biomarker) .

`Biomarker` yɛ sɛnkyerɛnne a nnuruyɛfo de hwehwɛ yare bi. Nkyene dodow a ɛwɔ fifiri mu no yɛ `(biomarker)` a ɛboa ma wohu yare bi a wɔfrɛ no `(Cystic Fibrosis - CF)`.

Nnipa a wɔwɔ Cystic Fibrosis no nkyene pii wɔ wɔn fifiri mu. Eyi te saa efisɛ wɔwo wɔn a nsakrae aba wɔn CFTR awosu mu abɔde mu, a ɛkyerɛ sɛ wɔn fifiri ntini no ntumi nsan nnye nkyene a ɛdɔɔso. Fifiri mu nhwehwɛmu (sɔhwɛ a ɛkyerɛ chloride dodow a ɛwɔ fifiri mu) ne ɔkwan titiriw a wɔfa so si CF so dua.

Ɔkwan bɛn so na fifiri a ɛba yi ba?

Yɛn nipadua no ``sympathetic nervous system`` na ɛhwɛ fifiri a ɛkɔ so no so. Fifiri ba wɔ akwan titiriw abien so: esiane nipadua mu hyew a ɛkɔ soro (fifiri a efi ɔhyew mu) ne adwene mu nhyɛso ne nkate nti (nkate mu fifiri).

Fifiri a ɛba esiane nipadua mu hyew nti (Thermal sweating) .

Eyi fi ase bere a "sweat control center" a ɛwɔ yɛn amemene mu (hypothalamus fã titiriw bi) hu sɛ yɛn nipadua no yɛ hyew dodo no. Eyi betumi ayɛ yɛn nipadua mu hyew anaasɛ yɛn honam ani hyew. Ɔhyew a ɛwɔ nipadua no mu ne ade titiriw a ɛkanyan, nanso saa mfinimfini yi nso betumi ayɛ adwuma denam honam ani hyew a ɛkɔ soro mpofirim so. Yɛn mu hyew betumi akɔ soro wɔ mmere te sɛ bere a yɛreteɛteɛ yɛn apɔw mu, yɛda dan a ɛhɔ yɛ hyew mu, anaa yɛyɛ adwuma wɔ turo mu wɔ owia mu.

Sɛ amemene no yɛ adwuma a, ɛma nnuru abɔfo a wɔfrɛ no ``neurotransmitters.'' Eyinom ne nea ɛka kyerɛ fifiri ntini no sɛ "wɔnyɛ fifiri." ``Nneurotransmitter'' soronko bi a wɔfrɛ no ``Acetylcholine'' kyekyere ``eccrine'' ntini no nkwammoaa na ɛkanyan fifiri a ɛba. Wɔfrɛ eyi ``cholinergic stimulation''.

Mpɛn pii no, eccrine ntini a ɛwɔ nipadua no nyinaa mu no na ɛka eyi ho. Eyi kyerɛ sɛ nipadua no nyinaa fifiri, ɛnyɛ baabi biako anaa abien pɛ. Sɛ nipadua no san dwo bio a, nkrasɛm a efi amemene no mu kɔ fifiri no gyae, na fifiri san ba sɛnea na ɛte kan no.

Nkate mu fifiri a ɛba

Yɛn `(sympathetic nervous system)` nso di eyi so. Nanso saa bere yi de, ɛnyɛ nipadua mu hyew na ɛkanyan yɛn, na mmom yɛn nkate. Ɛwom sɛ nipadua no nyinaa tumi fifiri de, nanso mpɛn pii no, nipadua no mu baabi biako anaa abien pɛ na fifiri fi nkate nti. Mpɛn pii no, fifiri a ɛte sɛɛ ba wɔ mmeae te sɛ abasa, nsateaa, nan ase, ne moma so.

Ɛwom sɛ acetylcholine na ɛma yɛn fifiri dodow no ara yɛ adwuma de, nanso ntini afoforo te sɛ epinephrine ne norepinephrine (a wɔsan frɛ no adrenaline) nso ka ho. Eyinom kanyan yɛn apocrine ntini ahorow no. Wɔfrɛ saa adeyɛ yi adrenergic stimulation. Apocrine fifiri no yɛ nea ɛba kɛse esiane nkate horow nti. Sɛ nipadua no yɛ hyew a, ɛnyɛ pii mfa mma ne ho nnwo.

Dɛn ne aduruyɛ mu tebea horow a ɛbata fifiri ho?

Tebea horow pii wɔ hɔ a ɛfa fifiri ho a ebetumi aka wo anaa obi a ɔbɛn wo:

• Hyperhidrosis titiriw: Hyperhidrosis yɛ aduruyɛ mu asɛmfua a wɔde kyerɛ fifiri a ɛboro so. Primary hyperhidrosis yɛ honam ani yare a enni sabea a ɛma fifiri boro so wɔ mmeae pɔtee bi te sɛ anim, abasa, nsateaa, ne nan ase. Awosu mu nsakrae bi na ɛde ba. Mpɛn pii no, efi ase ansa na wadi mfe 25.
• Diaphoresis: Eyi yɛ fifiri a ɛboro so a aduruyɛ mu tebea anaa aduru bi a ɛda adi na ɛde ba. Wɔsan frɛ eyi sɛ ``secondary hyperhidrosis.'' Saa tebea yi taa ka nipadua no nyinaa, ɛnyɛ mmeae pɔtee bi kɛkɛ. Ebia sɛnkyerɛnne afoforo bɛba a ɛka fifiri ho. Saa sɛnkyerɛnne ahorow yi gu ahorow gyina nea ɛde ba no so.
• Anhidrosis: Eyi yɛ tebea a nipadua no fã biako anaa nea ɛboro saa ntumi mma fifiri mma sɛnea ɛsɛ. Ɛtɔ da bi a, wubetumi afi nipadua no mmeae afoforo fifiri pii na ama wo ho adwo wo. Nanso, wɔ ``anhidrosis`` a emu yɛ den mu no, wuntumi mma fifiri a ɛdɔɔso mfa nni wo nipadua mu hyew so. Eyi betumi de wo ato asiane mu ama tebea horow a emu yɛ den te sɛ ``ɔhyew a ɛbrɛ`` ne ``ɔhyew a ɛyɛ hu``.
• Bromhidrosis (nipadua hua): Nipadua hua fi mmoawa a wɔwɔ honam ani a wɔbubu fifiri. Eyi yɛ ade a ɛfata na ebetumi ayɛ bere tiaa mu de. Ebetumi asi bere a woayɛ apɔw-mu-teɛteɛ denneennen akyi anaasɛ ansa na wɔayɛ nhyiam kɛse bi. Nanso, sɛ nipadua hua kɔ so ɛmfa ho sɛ wotaa guare na wosakra ntade, anaasɛ wuhu sɛ hua no sesa a, ebetumi ayɛ tebea bi a ɛda adi te sɛ asikreyare, mmerɛbo mu yare, anaa asaabo mu yare ho sɛnkyerɛnne.
• Ɔhyew a ɛyɛ hyew/ɔhyew a ɛyɛ nsɔe: Akisikuru a ɛyɛ yaw a ɛba bere a fifiri akɔhyɛ honam ani ntini ne ntini ahorow mu no. Ɛtaa ba nkokoaa a wɔn fifiri ntini nnya nnyinii koraa, nnipa a wɔte mmeae a ɛhɔ yɛ nwini, ne nnipa a wɔda mpa so no mu kɛse.
• Ɔhyew a ɛyɛ hyew ne fifiri a ɛba anadwo: Eyinom yɛ sɛnkyerɛnne ahorow a ɛtaa ba bere a obi agyae brayɛ ne bere a wagyae brayɛ ho. Ɔhyew a ɛyɛ hyew yɛ ɔhyew ne fifiri a ɛba mpofirim a ɛnyɛ dɛ. Ebetumi ayɛ mmerɛw araa ma wunhu, anaasɛ ebetumi ayɛ den araa ma wugyae nea woreyɛ no. Anadwo fifiri yɛ bere a wosɔre anɔpa na fifiri ayɛ wo nipadua no. Ɔhyew a ɛyɛ hyew ne fifiri a ɛba anadwo betumi ayɛ tebea afoforo pii ho sɛnkyerɛnne a ɛka bratwa ho. Wobetumi nso ayɛ nnuru a wɔde di dwuma ho nsunsuanso bɔne. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, sɛ wunnim nea ɛde ba a, wo ne wo duruyɛfo nkasa.

So fifiri betumi ayɛ komayare ho sɛnkyerɛnne?

Yiw, ebetumi aba saa. Fifiri a ɛtra so mpofirim no yɛ komayare ho sɛnkyerɛnne a ɛtaa ba. Mpɛn pii no, sɛnkyerɛnne afoforo te sɛ koko mu yaw (anaasɛ ɛyɛ den, ɛyɛ mmerɛw), akisikuru, ɔfe, ne ahome a ɛyɛ tiaa ka ho. Nanso, fifiri ne akisikuru nkutoo nso betumi ayɛ komayare ho sɛnkyerɛnne, titiriw wɔ mmea mu.

Ɛtɔ da bi a, komayare ho sɛnkyerɛnne a emu yɛ den betumi adi sɛnkyerɛnne a emu nyɛ den te sɛ awɔw mu fifiri nnɔnhwerew anaa nna pii ansa na ada adi. Wubetumi nso ahu wo koko a ɛyɛ den, ɔbrɛ a ɛyɛ soronko, ne ɛyaw wɔ wo nsa, wo hwene, wo kɔn, anaa w’akyi.

Sɛ wote nka sɛ worenya komayare a, frɛ 1990 (ambulance) ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo. Dodow a wokɔ ayaresa ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wubegye wo nkwa na woresɛe wo koma no kɛse.

So fifiri ye ma nipadua no?

Fifiri ye ma nipadua no, efisɛ ɛboa ma yɛn nipadua mu hyew yɛ yiye. Nanso, ɛtɔ mmere bi a, mmɔden a wobɛbɔ sɛ wobɛhyɛ wo ho ma wo ho fifiri a wowɔ anidaso sɛ “wure fifiri bɛtɔ,” anaasɛ wobɛho fifiri dodo a wowɔ anidaso sɛ wobɛma w’akwahosan nyinaa atu mpɔn no betumi apira wo kɛse sen sɛ ɛbɛboa.

Nea enti a ɛte saa ne sɛ, sɛ nsu pii yera mpofirim fi yɛn nipadua mu (wɔ eyi mu no, sɛ fifiri) a, nsu a ɛho ayɛ fĩ ne ɔhaw ahorow a ɛfa ho te sɛ electrolyte a ɛnkari pɛ betumi aba. Sɛ wo ho tɔ wo bere a woafifiri pii awie a, hwɛ hu sɛ wode nsu a electrolytes wom bɛma wo nipadua no mu nsu.

Nanso, nhwɛ kwan sɛ fifiri bɛma awuduru pii afi wo nipadua mu. Wo fifiri 99% yɛ nsuo. 1% a aka no yɛ nneɛma a ahoɔden wom te sɛ electrolytes ne awuduru kakraa bi pɛ te sɛ dade a emu yɛ duru ne BPA.

Eyi kyerɛ sɛ sɛ wo ho fifiri pii mpo a, awuduru dodow a efi wo nipadua mu no sua koraa. Mprempren nyansahu mu adanse biara nni hɔ a ɛkyerɛ sɛ fifiri a ɛboro so (ɛnam apɔw-mu-teɛteɛ anaa sauna a wɔde di dwuma so) tew nipadua no ho anaasɛ ɛma akwahosan tu mpɔn.

Dwumadi titiriw a ɛne sɛ "ɛhotew" yɛn nipadua no, yɛn mmerɛbo ne yɛn asaabo na ɛyɛ. Saa akwaa yi yi awuduru ne nwura fi mogya no mu, na afei eyi fi nsu mu. Wɔ nsɛm a wɔka nyinaa akyi no, fifiri nni dwuma ketewaa bi pɛ wɔ nneɛma a epira a woyi fi nipadua no mu no mu.

Sɛ wopɛ sɛ wufi ase yɛ apɔw-mu-teɛteɛ a emu yɛ den te sɛ ``hot yoga'' anaasɛ wode ``sauna'' di dwuma a, di kan ne wo duruyɛfo nkasa. Obetumi agyina w’akwahosan tebea so akyerɛ wo sɛ saa nneɛma yi yɛ nea asiane biara nni ho ma wo anaa. Obetumi nso akyerɛkyerɛ mfaso ne asiane ahorow a ɛwɔ so no mu.

Adɛn nti na me ho fifiri nnyɛ me?

Ebia wubesusuw sɛ wo ho fifiri. Nanso, ɛwom mpo sɛ yennim de, nanso bere nyinaa yɛn nipadua no ma fifiri kakraa bi ba de hwɛ yɛn nipadua mu hyew so.

Sɛ wote nka sɛ wo ho ntɔ wo fifiri bere a ɛsɛ sɛ wo ho fifiri (te sɛ bere a woreteɛteɛ w’apɔw mu anaasɛ wowɔ abɔnten wɔ ɔhyew mu) a, ebia wubenya aduruyɛ mu tebea bi a wɔfrɛ no anhidrosis. Eyi kyerɛ sɛ wo nipadua no ntumi nyɛ fifiri a ɛdɔɔso na ama ayɛ adwuma yiye. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa nea worehu no ho na ama woahu nea enti a ɛte saa.

Sɛ mpofirim ara wote nka sɛ woagyae fifiri a, ebetumi ayɛ nsu a ɛho ayɛ fĩ kɛse anaasɛ ɔhyew a ɛnyɛ adwumaden ho sɛnkyerɛnne. Ɔhyew a ɛnyɛ mmɔdenbɔ betumi afi mfe a obi adi (nnipa a wɔadi boro mfe 65 wɔ asiane kɛse mu) anaa akwahosan tebea horow a ɛda adi mu. Ebetumi nso anya nkɔso nkakrankakra wɔ nna pii mu.

Sɛ wo ho fifiri nnyɛ wo na wowɔ sɛnkyerɛnne a edidi so yi mu biako anaa nea ɛboro saa a, frɛ 911 anaa kɔ ayaresabea ntɛm ara:

• Atiridiinini a ɛyɛ 103 Fahrenheit (39.4 Celsius) anaa nea ɛboro saa.
• Sɛ honam ani yɛ kɔkɔɔ, ɛyɛ hyew, na ɛyɛ nwunu a.
• Sɛ wote nka sɛ wo ntini retwe a, wɔfrɛ no ``ntini a ɛtwetwe''.
• Abofono.
• Apɔw-mu-teɛteɛ a ɛyɛ ntɛmntɛm.
• Adwene a ɛyɛ basaa anaasɛ obi a ɔtotɔ piti.
• Akisikuru a ɛma obi ho kyere no.
• Kesereneeyɛ.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Asɛm bi wɔ hɔ a ɛka sɛ, "Mma fifiri nnyɛ nneɛma nketenkete no," nanso ɛnyɛ mmerɛw sɛ wobɛka bere a fifiri ayɛ wo ntade na woresiesie wo ho sɛ wobɛkɔ `(nhyiam)` kɛse bi ase no. Nanso bere a fifiri betumi ayɛ te sɛ nea ɛhaw wo bere a woayɛ basaa no, mmere foforo – te sɛ bere a woreyɛ adwuma wɔ abɔnten da a ɛyɛ hyew, sɛ nhwɛso no – fifiri ho hia na ama woanya nkwa. Ɛmfa ho sɛnea yɛn nyinaa bɔ mmɔden sɛ yɛbɛkwati fifiri no, ɛnyɛ den sɛ yɛn werɛ befi sɛnea fifiri ho hia ma yɛn akwahosan.

Ɛwom sɛ fifiri boa ma yɛn nipadua mu hyew yɛ nea ɛfata de, nanso ɛtɔ mmere bi a nneɛma betumi asɛe. Ebia wo ho fifiri bɛboro anaa kakraa bi sen sɛnea ɛsɛ sɛ wo ho fifiri. Sɛ ɛba saa a, oduruyɛfo betumi aboa wo ma woanya ayaresa a eye sen biara. Sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ wo fifiri anaa sɛnea ɛka w’asetra ho a, ntwentwɛn wo nan ase sɛ wo ne oduruyɛfo bɛkasa bere biara.

`Fifiri, fifiri, nipadua mu hyew, fifiri ntini, hyperhidrosis, anhidrosis, honam ani akwahosan