Ðe kuxi sia tɔgbe le wò klo ŋua? Mina míasrɔ̃ nu tso (ACL Tear) ŋu pɛpɛpɛ!

Ðe nèse "click" gbeɖiɖi aɖe tso wò klo dzi esime nèle kamedefefe wɔm, le du dzi, le titim, alo le zɔzɔm le mɔ si sɔ nu ko, eye kasia nèse veve sesẽ aɖe eye mète ŋu bɔbɔ alo ɖɔ wò klo oa? Alo ɖe wò klo vuvu eye wòsẽa? Esiawo ate ŋu anye klo ƒe lãkusi si vuvu ƒe dzesiwo, vevietɔ esi ŋu míele nu ƒom tsoe (ACL Tear) . Eyata, mina míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe nu egbea.

Nukae nye esia (ACL Tear)? Mina míase egɔme pɛpɛpɛ!

Kpuie ko la, ACL ƒe vuvu nye aɖatsi si le ŋgɔgbe ƒe atitsoga ƒe lãkusi (ACL) me . ACL nye klo ƒe lãkusi vevi eneawo dometɔ ɖeka. Bu eŋu abe haƒoha sesẽ aɖe ene. Etsɔa wò ataƒu, si nye afɔkpodziƒu , doa ka kple wò afɔkpodziƒu, si nye afɔkpodziƒu .

Le wò klo me la, esia (ACL) kple lãkusi bubu si woyɔna be (PCL - Posterior Cruciate Ligament) le ɖoɖo nu le ŋɔŋlɔdzesi "X" ƒe nɔnɔme nu. (ACL) le klo ƒe ŋgɔgbe, eye (PCL) le klo ƒe megbe.

Dɔ vevitɔ si lãkusi sia (ACL) wɔnae nye be wòaxe mɔ na wò klo be wòagabɔbɔ akpa o, alo be wòagatrɔ akpa o. Eyae nye be ekpena ɖe ŋuwò be wò klo nali ke. Eyata ne ŋusẽ si gbɔ eme do wò klo le mɔ aɖe nu, eye wòbɔbɔ alo trɔ akpa la, ke (ACL) ƒe lãkusi sia ate ŋu agblẽ alo avuvu.

ACL ƒe abixɔxɔ bɔ ɖe kamedefefewɔlawo dome wu, gake ate ŋu adzɔ ɖe amesiame dzi. Ne klo le veve sem na wò, vevietɔ ne edze egɔme le afɔku aɖe megbe alo esime nèle kamedefefe wɔm la, ele be nàyi ɖɔkta gbɔ godoo.

Ðe (ACL) ƒe abixɔxɔ ƒe agbɔsɔsɔ vovovowo lia?

Ẽ, ɖɔktawo dea dzesi abi siawo (ACL) le woƒe sesẽme nu. Esia kpena ɖe mía ŋu míesea alesi abi la le gɔme. Dzeside vevi etɔ̃e li:

• Dzeside 1: Esia nye esime ACL la vuvu, si gblẽ nu le eŋu vie, gake mevuvu keŋkeŋ o. Esia fia be lãkusia gakpɔtɔ le akpa ɖeka, si lé klo ƒe ƒuwo ɖe wo nɔewo ŋu. Gake egbɔdzɔ vie wu.
• Dzeside 2: Le afisia la, ACL ƒe lãkusia keke vevie, eye eƒe akpa aɖe vuvu. Lãmetsiŋusẽa me mekɔna o, eye kloa ƒe liƒo dzi ɖena kpɔtɔna.
• Klass 3: Esiae nye dɔléle si nu sẽ wu. Le afisia la, ACL la vuvu keŋkeŋ, eye wòma ɖe akpa eve me.

Aleke wòsena le eɖokui me ne ACL vuvu?

Ame geɖe ɖoa ŋku ɣeyiɣi si me wovuvu woƒe ACL dzi nyuie, elabena zi geɖe la, edzɔna le wɔna si me kɔ nyuie me, abe kamedefefe ƒe afɔku ene.

Zi geɖe la, amesi ƒe ACL vuvu ate ŋu ato nusiwo gbɔna me:

• Èsea alo sea "click" alo "pop" gbeɖiɖi aɖe le wò klo me.
• Klo zi ɖekaSese le eɖokui me be "yemeli ke o" eye yemele ye ɖokui dzi ɖum o (mali ke, gbɔdzɔgbɔdzɔ).
• ACL ƒe aɖatsi ate ŋu ave ame ŋutɔ. Ame aɖewo ate ŋu ase veve vie ko. Gake ne abi aɖe le wò klo ŋu, vevietɔ ne èse alo se gbeɖiɖi aɖe si le ʋuʋum abe esi míeyɔ ɖe etame ene la, ele be nàkpɔ ɖɔkta godoo.

Aleke gbegbee ACL ƒe abixɔxɔ bɔe?

Le nyateƒe me la, ACL ƒe abixɔxɔ bɔ ŋutɔ. Le klo ƒe lãkusiwo katã dome la, ACL ye xɔa abi wu. Le kpɔɖeŋu me, le akɔntabubu aɖewo nu la, le United States ɖeɖe dzaa la, ame siwo ade 100,000 va ɖo 200,000 vuvua woƒe ACL ƒe sia ƒe. Eyata bu alesi esia bɔe ŋu kpɔ.

Nukae nye ACL Tear ƒe dzesiwo?

Abe alesi míeƒo nu tso eŋu vie va yi ene la, ACL Tear ƒe dzesi veviwoe nye:

• "click" alo "pop" gbeɖiɖi sese alo sese le klo me.
• Vuvu: Kloa dzea vuvu gɔme le abi la xɔxɔ vɔ megbe teti alo le gaƒoƒo ʋɛ aɖewo megbe.
• Vevesese: Vevesese sesẽ ate ŋu adzɔ, vevietɔ ne èle agbagba dzem be yeatsi tre alo azɔ kple kpekpeme le klo dzi.
• Gbɔdzɔgbɔdzɔ alo seselelãme abe kloa le "popping" ene: Klo ate ŋu ase le eɖokui me be yegbɔdzɔ eye kasia wòabɔbɔ ne ele tsitre.
• Ʋuʋu sesẽ: Mete ŋu bɔbɔ kloa alo ɖɔe ɖo bliboe o.

Nukawoe hea ACL Tear vɛ?

Kpuie ko la, ACL ƒe vuvu ate ŋu adzɔ ne wotsɔ ŋusẽ alo nyaƒoɖeamenu si gbɔ eme de wò klo dzi. Esia fia be wotua kloa wògbɔa eƒe dzɔdzɔmeŋusẽ ƒe ʋuʋu ŋu.

Nusiwo gbɔ ACL ƒe aɖatsiwo tsona wue nye:

• Kamedefefe me afɔkuwo: Vevietɔ le kamedefefe siwo me wotɔna kpata, woƒe mɔfiame trɔna kpata, kple titri (e.g., duƒuƒu le bɔlƒoƒo, netball, basketball, volleyball, cricket) me.
• Ʋufɔkuwo: Woƒoa klo vevie le ʋufɔkuwo me.
• Tsitretsitsi: Le nɔnɔmewo abe anyidzedze tso kɔkɔƒe alo glidzaglidza ene me.

Amekae le afɔku gã me be wòaxɔ (ACL Tear)?

Amesiame ate ŋu axɔ ACL ƒe aɖatsi. Gake ebɔ ɖe kamedefefewɔlawo dome wu. Abe alesi míegblɔe va yi ene la, amesiwo ƒoa kamedefefe siwo me wotɔna kpata, wotrɔa asi le wo ŋu, eye wotrɔa mɔ na wo la le afɔku gã aɖe me. Le kpɔɖeŋu me:

• Bɔl
• Bɔl
• Basketball ƒoƒo
• Lãmesẽfefewɔwɔ
• Netball ƒe bɔlƒoƒo
• Volleyball ƒoƒo

Nukawoe nye kuxi siwo dona tso ACL Tear me?

Le afɔku si nu sẽ ale gbegbe be wòate ŋu avuvu ACL la, kloa ƒe akpa bubuwo hã ate ŋu agblẽ, si tae wòle vevie be woayi atikewɔƒe enumake ɖo.

Tsɔ kpe ɖe ACL ƒe vuvu ŋu la, wò klo ƒe lãkusi bubuwo hã ate ŋu agblẽ, abe:

• (Medial Collateral Ligament - MCL) ƒe lãkusi.
• (Axadzi Kpekpeɖeŋunu - LCL) .
• (Amegbetɔ ƒe Atitsoga ƒe Lãmetsi - PCL) .

Azɔ hã, abi bubu siwo ate ŋu adzɔ ne ACL vuvu la dometɔ aɖewoe nye:

• Ƒu ƒe gbagbã
• Meniscus tears ( meniscus nye akpa si le abe ƒunukpeƒe ene le klo ƒe ƒuwo dome) .
• Lãmetsiwo ƒe teteɖeanyi

Aleke woawɔ ade dzesi ACL ƒe aɖatsi?

Ðɔkta dea dzesi ACL ƒe aɖatsi to wò dzesiwo biabia, ŋutilãmedodokpɔ, kple ɖewohĩ dodokpɔ aɖewo wɔwɔ me.

Gbã la, ɖɔktaa abia wò be aleke wòdzɔe, dzesi kawoe le ŋuwò, kple ɣeyiɣi didi si nèle veve sem hã. Ele be nàgblɔ nusi tututu wɔm nènɔ hafi nède abi wò klo kple ɣeyiɣi si nède dzesi dzesiawo zi gbãtɔ na ɖɔktaa.

Emegbe, ɖɔktaa aʋuʋu wò klo kple afɔ le mɔ aɖewo nu. Àte ŋu ase veve alo vevesese aɖe le ɣeyiɣi sia me. Ne nɔnɔme alo ʋuʋu siawo dometɔ aɖe le veve sem la, gblɔe na wò ɖɔkta.

Anɔ eme be ahiã be nàwɔ nɔnɔmetatawo dodokpɔ siawo dometɔ ɖeka alo esi wu nenema :

• X-ray: Esiawo ate ŋu akpɔe ɖa be dzesi aɖeke mele eŋu be eƒe lãme gbã hã o.
• CT scan (Computed Tomography scan): Esia ate ŋu ana míakpɔ ƒuwo kple lãkusi falɛfalɛwo hã.
• MRI (Magnetic Resonance Imaging): MRI nye mɔ nyuitɔ si dzi woato anya abi siwo woxɔ le lãkusiwo kple lãkusi falɛfalɛwo ŋu, abe ACL ƒe vuvu ene, pɛpɛpɛ.

Aleke wowɔa atike na ACL ƒe aɖatsi?

Wokpɔa atikewɔwɔ to wò (ACL) abi ƒe dzeside (i.e. alesi wòsẽe) kple nenye be nu bubu aɖe gblẽ le wò klo ŋu.

Nusiwo woawɔ enumake le abixɔxɔ vɔ megbe (RICE mɔnu):

Ne ènya de dzesi klo ƒe vevesese alo dzesi bubuwo ko la, dzudzɔ kamedefefe alo nuwɔna siwo ana wò klo nate ɖe dziwò la wɔwɔ. Emegbe wɔ ɖe RICE mɔnu sia dzi :

• R - Gbɔɖeme: Ƒo asa na dɔwɔna si na abi la. Mègatsɔ agba fũu akpa na wò klo o vaseɖe esime wòahaya.
• I - Tsikpe: Da tsikpe si woxatsa ɖe afɔkpa tsɛ aɖe me alo tsikpe ʋɛ aɖewo ɖe klo si xɔ abi la dzi abe miniti 15 ene zi geɖe gbesiagbe. Esia aɖe abi kple vevesese dzi akpɔtɔ.
• C - Compression: Tsɔ elastic blage bla wò klo. Esia akpe ɖe ame ŋu hã be woaɖe abi dzi akpɔtɔ. Gake ɖo ŋku edzi be mègaxatsae sesĩe akpa o , elabena esia ate ŋu atso ʋu ƒe sisi.
• E - Kɔkɔme: Na wò klowo kple afɔwo nanɔ dzi ƒe kɔkɔme dzi alesi nàte ŋui. Àte ŋu azã nane abe akɔtaɖonu ene atsɔ alé wo ɖe te.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò abe esiawo ene be wòakpe ɖe ŋuwò nàɖu wò vevesese kple dzesi bubuwo dzi:

• Zã atizɔtiwo (zɔ evɔ màtsɔ kpekpeme ade wò klowo dzi o).
• Do akɔtaɖonu be wò klo nali ke.
• Vevesesenutsitike siwo woateŋu aƒle tso atikedzraƒe ɖɔkta ƒe atikewɔmɔnu manɔmee, le kpɔɖeŋu me (NSAIDs - Nonsteroidal Anti-inflammatory Drugs) (e.g. Ibuprofen) alo (Acetaminophen) (e.g. Panadol).
• Lãmesẽfefewɔwɔ: Esia le vevie ŋutɔ. Lãmesẽdɔwɔla afia kamedede wò be wòakpe ɖe ŋuwò nàgakpɔ ŋusẽ, atrɔ ɖe nɔnɔmewo ŋu, eye wòaʋuʋu le wò klo me.

Ðe ACL ƒe aɖatsi aɖe ada le eɖokui sia?

ACL si vuvu la medaa gbe le eɖokui si o. Gake ne abi la mesẽ akpa o (e.g., abi si woxɔ le dzeside 1 me) la, ame aɖewo ate ŋu anɔ agbe kplii. Eyae nye be woate ŋu awɔ woƒe gbesiagbedɔwo sesẽ boo aɖeke manɔmee.

Gake ne kamedefefewɔla alo amesi lɔ̃a kamedede ƒe agbe nɔnɔe nènye la, zi geɖe la, ahiã be woawɔ dɔ na wò atsɔ aɖɔ ACL la ɖo. Ame geɖe tiae be yewoawɔ dɔ na yewo le ACL ƒe vuvu ta.

Mina míasrɔ̃ nu tso ACL Tear amekoko ŋu

Zi geɖe la, wowɔa amekoko be woatsɔ adzra klo ƒe abi siwo woxɔ abe esia ene ɖo abe dɔnɔdzikpɔƒe ƒe dɔwɔwɔ ene, si fia be mehiã be nànɔ kɔdzi o.

Zi geɖe la, amekolaa wɔa dɔ aɖe si woyɔna be klo ƒe ƒunukpeƒetetedɔ . Esia bia be woatso kloa ƒe akpa sue ʋɛ aɖewo, woade fotoɖemɔ̃ kple dɔwɔnu suewo eme, eye woadzra nusiwo gblẽ ɖo le ŋkuléleɖenuŋumɔ̃ ƒe mɔfiafia te. Esia nye dɔdamɔnu si me womewɔa nu boo aɖeke le o , si kpena ɖe ame ŋu wòhayana kabakaba eye wòɖea abi siwo le eŋu dzi kpɔtɔna. Àte ŋu abia wò amekola be wòana nyatakaka bubuwo tso esia ŋu.

Ðe woate ŋu axe mɔ ɖe ACL ƒe vuvu nua?

Ɣeaɖewoɣi la, esesẽna be nàxe mɔ ɖe ACL ƒe vuvu nu, vevietɔ ne kamedefefewɔlae nènye. Elabena míate ŋu awɔ ɖoɖo ɖe kamedefefe ƒe abixɔxɔ kple afɔkuwo ŋu o.

Ke hã, nanewo li míate ŋu awɔ atsɔ aɖe afɔkua dzi akpɔtɔ.

Ne èle kamedefefe alo kamedede bubuwo wɔm:

• Do dedienɔnɔ ƒe dɔwɔnu siwo sɔ.
• Ne èse klo ƒe vevesese esime nèle kamedefefe alo kame dem la, dzudzɔ "fefe to vevesesea me." Gbɔ ɖe eme enumake.
• Na ɣeyiɣi wò ŋutilã be wòagbɔ ɖe eme ahahaya le dɔ sesẽ wɔwɔ vɔ megbe.
• Do dzo eye nàkeke ɖokuiwò nyuie hafi aƒo kamedefefe alo ade kame.
• Fafa eye nàgakeke ɖokuiwò ake le dɔwɔnawo megbe.
• Ne èkpɔ gome le kamedede ƒe ɖoɖo siwo doa ŋusẽ klo kple ŋutilã ƒe akpa si le ete le ɣeyiɣi si me ɣeyiɣia mede o me la, àte ŋu adzra ƒunukpeƒeawo ɖo be woate ŋu anɔ te ɖe nuteɖeamedzi si wodona ɖe kloa dzi le ɣeyiɣia me nu.

Wɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo wozãna le mɔ gbadza nu dzi be nàɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Ƒo asa na wò afɔwo dodo ɖe teƒe ɖeka sesĩe eye nàtrɔ wò ŋutilã ɖe wò klowo dzi.Esiae nye nusi koŋ gbɔ kamedefefewɔlawo ƒe ACL kple meniscus gblẽna ɖo.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ, eye nu siwo mehiã o kple nusiwo ate ŋu axe mɔ na wò la naganɔ eme o.
• Zã dɔwɔnu siwo sɔ ɣesiaɣi nàtsɔ aɖo nusiwo le kɔkɔƒe le wò aƒeme gbɔ. Mègalia zikpuiwo, kplɔ̃wo, alo kplɔ̃wo dzi gbeɖe o.
• Ne azɔlizɔzɔ sesẽ na wò alo nèle afɔku gã aɖe me be nàdze anyi la, zã wò atizɔti alo afɔti.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana tso ACL ƒe aɖatsi me?

Zi geɖe la , exɔa ɣleti ade va ɖo enyi hafi wòhayana tso ACL ƒe aɖatsi me. Kamedefefewɔla siwo le ho ʋlim ate ŋu axɔ ɣeyiɣi didi vie hafi ahaya keŋkeŋ eye woaɖe mɔ na wo be woatrɔ ayi fefea me.

Wò ɖɔkta agblɔ ɣeyiɣi si nàte ŋu adze kamedede gɔme ake na wò. Mègawɔ kamedefefe alo ade kame o vaseɖe esime wò ɖɔkta nagblɔ be okay. Ne ègadze dɔwɔwɔ gɔme hafi wò ACL haya keŋkeŋ la, anɔ eme be àgade abi eŋu ake.

Ðe nàte ŋu azɔ kple ACL si vuvua?

Ame aɖewo ate ŋu azɔ kple ACL si vuvu. Gake ne veve le ame ŋu la, mègaʋuʋu wò klo sesĩe alo azãe o. Ne veve alo klo ƒe abi ƒe dzesi bubuwo le ŋuwò la, yi ɖɔkta gbɔ. Nyaƒoɖeamenu geɖe wu tsɔtsɔ de ACL si xɔ abi dzi ate ŋu ana abi sue aɖe gɔ̃ hã nagagblẽ ɖe edzi.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Kpɔ ɖɔkta kaba ne èxɔ abi le klo megbe. Gblɔe na wò ɖɔkta ne ède dzesi dzesi yeye aɖewo alo ne edze abe vevesesea le sesẽm ɖe edzi ene.

Ne èxɔ abi vevie (nuveviwɔame) , abe ʋufɔku alo anyidzedze vevie ene la, yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake. Le afɔku mawo me la, abi bubuwo ate ŋu anɔ ŋuwò le ememe si ɖewohĩ màkpɔe adze sii enumake o.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo tɔgbe:

• Ðe ACL vuvu alo abi bubu aɖe le ŋunyea?
• Dzeside kae nye abi sia?
• Ðe wòahiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòahiã be malala hafi magate kamedede alo kamedefefe gɔme ake?
• Afɔku kae le eme be woagavuvu ACL la ake le etsɔme?

Ðe ACL ƒe vuvu ate ŋu adzɔ akea?

Ne wowɔ dɔ na ACL la hã la, mɔnukpɔkpɔ sue aɖe ŋutɔ li be ACL la agavuvu le etsɔme. Ame siwo ƒe ACL vuvu la dometɔ siwo mede 10% o la agavuvu ACL ma ke ake. Bia wò ɖɔkta alo amekola be wòana nyatakaka bubuwo tso esia ŋu.

Ðe ACL ƒe vuvu fia "lãmesẽfefewɔla ƒe dɔwɔwɔ ƒe nuwuwu"?

Zi geɖe la, ACL ƒe vuvu menye kamedefefewɔla ƒe agbemedɔ ƒe nuwuwu o.Nu vevitɔ kekeakee nye be màgawɔ kaba ada gbe le ame ŋu o. Ame akpa gãtɔ siwo ƒe ACL vuvu ate ŋu atrɔ ayi woƒe kamedefefea me evɔ womagblẽ nu le wo ŋu ɣeyiɣi didi aɖeke o.

Gbugbɔgaɖɔɖo ƒe ɖoɖo si woawɔ le wò amekoko vɔ megbee nye mɔ nyuitɔ si dzi nàto agbugbɔ ŋusẽ aɖo wò klo ŋu eye wòate ŋu atrɔ ɖe nɔnɔmewo ŋu. Ahiã be nàɖɔ wò klo ɖo hena ɣeyiɣi aɖe hafi nàte ŋu atrɔ ayi kamedefefewo me.

Bia wò ɖɔkta alo amekola nenye be ele dedie na wò be nàgaƒo kamedefefe ma ke eye ɣekaɣie nàte ŋu adze hehexɔxɔ gɔme.

ACL ƒe vuvu nye klo ƒe abi siwo bɔ wu le kamedefefewɔlawo me la dometɔ ɖeka. Ate ŋu ate ɖe ame dzi be màgawɔ naneke o ɣleti geɖe. Ke hã, mègawɔ kaba gbeɖe le dɔyɔyɔa me o. Ne wowɔ dɔ na wò be woatsɔ adzra wò ACL ɖo la, àte ŋu atrɔ ayi bɔlƒoƒea alo kamedefefewɔƒea ne wò klo nya haya ko.

Ne abi aɖe le wò klo ŋu la, mègazi edzi fũu akpa o. Esia wɔwɔ ate ŋu ana ACL ƒe aɖatsi sue aɖe gɔ̃ hã nagagblẽ ɖe edzi. Yi ɖɔkta gbɔ ne ènya xɔ abi wò klo alo nèse veve ko.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata míeƒo nu geɖe tso ACL ƒe vuvu ŋu. Mlɔeba la, nya siawo nenɔ susu me na wò:

• ACL ƒe vuvu nye abi si bɔ eye ate ŋu anye abi gã aɖe na klo.
• Ne èkpɔ dzesiwo abe "clicking" gbeɖiɖi si tso wò klo me, vuvu, vevesese sesẽ, alo klo dzi ɖuɖu ƒe ŋutete ƒe anyimanɔmanɔ , di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Dodokpɔwo abe MRI ene ate ŋu ahiã hafi woate ŋu anya dɔlélea nyuie.
• Atikewɔwɔmɔnuawo toa vovo le abi si woxɔ la ƒe nɔnɔme nu. Gbɔɖeme, tsikpe, kple kamedede le vevie. Abi sesẽwo ate ŋu abia be woawɔ dɔ na wo .
• Gbugbɔgaɖɔɖo nye dɔyɔyɔ ƒe akpa vevi aɖe. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
• Dedienɔnɔ ƒe ɖoɖo aɖewo dzi wɔwɔ ate ŋu aɖe afɔku si le ACL ƒe vuvu me dzi akpɔtɔ.
• Mègaŋe aɖaba ƒu vevesese dzi gbeɖe o. Atikewɔwɔ kaba ate ŋu axe mɔ na nɔnɔmea be wòagagblẽ ɖe edzi o.

Ne kuxi aɖe le ŋuwò abe esia ene la, nu nyuitɔ si nàwɔe nye be màgatsi dzodzodzoe o, adi atikewɔla ƒe aɖaŋuɖoɖo nyuiwo, eye nàgbɔ dzi ɖi awɔ atike nɛ.

` ACL ƒe aɖatsi, klo ƒe abi, kamedefefe ƒe abi, lãkusi ƒe aɖatsi, klo ƒe dɔwɔwɔ, kamedede, klo ƒe vevesese