Ède dzesii kpɔ be ɣeaɖewoɣi la, kasia wò ŋutilã ƒe ƒoƒo biãna, eye wòvivina viea? Ɣeaɖewoɣi la, woƒe lãme ʋãna ŋutɔ, ɣeaɖewoɣi la, wovea wo vie. Ɣeaɖewoɣi la, wodzona le ŋkeke ɖeka alo eve megbe, gake le ame aɖewo gome la, ƒoƒoe siawo te ŋu nɔa anyi kwasiɖa alo ɣleti geɖe. Nɔnɔme ma ƒomevi si ŋu míaƒo nu tsoe egbea.
Eyata nukae nye atɔ alo atɔ siwo nɔa anyi didi siawo siwo womate ŋu ada o?
Kpuie ko la, aɖuɖɔtoe siwo nɔa anyi didi nyea ʋuʋudedi, biã, ʋuʋudedi alo ʋuʋudedi siwo kɔ ɖe dzi le wò ŋutigbalẽ ŋu siwo dzena zi eve ya teti le kwasiɖa me. Wobua welt siawo, siwo wogayɔna be `wheals`, be wonye `siwo nɔa anyi didi' alo `siwo nɔa anyi didi' ne wonɔ anyi wu kwasiɖa ade .
Ðewohĩ èse nɔnɔme sia si woyɔna be `Chronic Idiopathic Urticaria.` Mina míase esia gɔme vie, alo?
- Nusiwo nɔa anyi didi: Dzesi alo nɔnɔme si nɔa anyi ɖaa togbɔ be wowɔ atike nɛ hã. Eyae nye nane si meganyona le eɖokui si le ɣeyiɣi aɖe megbe o.
- Idiopathic: Dzesi alo nɔnɔme si dzɔna kpata, evɔ medze ƒã be nusi gbɔ wòtso o. Esesẽ be woanya nusi tututu gbɔ wòtso.
- Urticaria: Esiae nye ŋkɔ si wotsɔ yɔa aɖuɖɔtoewo le atikewɔwɔ me. Woyɔe abe ‘er-ti-care-ree-ya’ ene.
Nukae nye Urticaria kple Angioedema? Ƒomedodo kae le wo ame evea dome?
Hives, si wogayɔna be urticaria, kple angioedema ate ŋu adzɔ ɖekae. Aɖuɖɔtoe nye ƒuƒu dzĩ alo teƒe siwo dzena le wò ŋutigbalẽ ŋu. Angioedema ate ŋu adzɔ ɣeaɖewoɣi le wò ŋutigbalẽ ƒe akpa siwo goglo wu. Vuvu sia ate ŋu agblẽ nu le wò mo, nuyiwo, ŋɔti, asiwo, afɔwo, kple vidzinuwo ŋu. Le kpɔɖeŋu me, ɣeaɖewoɣi la, nuyi siwo vuvu ate ŋu akpe ɖe aɖuɖɔtoewo ŋu. Ne wò ŋɔti vuvu la, ate ŋu ana gbɔgbɔ nasesẽ hã, eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Vovototo kae le aɖuɖɔtoe siwo sɔ kple atɔ siwo nɔa anyi didi dome?
Aɖuɖɔtoe siwo nɔa anyi didi to vovo na ``atɔ sesẽ'' siwo bɔ wu.
- Acute Hives: Zi geɖe la, esiawo dzea bubu gɔme le gaƒoƒo 24 me (gake yeyewo ate ŋu ado). Gake zi geɖe la, wobuna keŋkeŋ le kwasiɖa ade megbe. Zi geɖe la, nane abe dɔlékui aɖe si woxɔ nyitsɔ laa alo nuɖuɖu ƒe nulɔdɔ ene gbɔe nusiawo tsona.
- Aɖuɖɔtoe si nɔa anyi didi: Esiawo nye atɔ siwo nɔa anyi wu kwasiɖa ade, zi eve ya teti le kwasiɖa me. Anyitsu aɖewo siwo nɔa anyi didi ate ŋu anɔ anyi ɣleti geɖe alo ƒe geɖe gɔ̃ hã. Nublanuinyae nye be, zi geɖe la, womenya nusi gbɔ wòtso o. Ema fia be menye esi nèɖu nu gbegblẽ aɖe tae o.
Aleke gbegbee woyɔa dɔléle sia be Aɖuɖɔtoe si Nɔa Anyi Didi?
Xexeametɔwo ƒe 5% lɔƒo ate ŋu axɔ aɖuɖɔtoe si nɔa anyi didi. Ema fia be atɔ̃ le alafa me nye nu gbogbo aɖe, alo? Nɔnɔme sia ate ŋu adze ame sia ame si xɔ ƒe ɖesiaɖe, metsɔ le ŋutsu alo nyɔnu nyenye me o. Gake , ebɔ vie le nyɔnu siwo xɔ tso ƒe 30 va ɖo ƒe 50. Nusi tututu gbɔ wòtso me mekɔ o, gake ate ŋu ado ƒome kple nusiwo abe lãmetsiŋusẽ ƒe tɔtrɔ ene.
Nukawoe hea aɖuɖɔtoe si nɔa anyi didi vɛ?
Le nyateƒe me la, nusi gbɔ wòtso si me kɔ ƒã aɖeke mele amesiwo ŋu aɖuɖɔtoe si nɔa anyi didi le dometɔ geɖe ŋu o. Emae nye nusi míeyɔ be 'idiopathic'. Ƒã hafi atike alo nuɖuɖu aɖewo ƒe nulɔdɔ gbɔe wotsona. Ne ele nenema la, zi geɖe la, nane si nèɖuna alo nona edziedzi gbɔe wòtsona. Le kpɔɖeŋu me, ate ŋu adzɔ be ame aɖewo ƒe ŋutilã melɔ̃a nusiwo wotsɔ dzraa nu ɖo alo amadede siwo wowɔ kple asi o.
Menye ema ɖeɖeko o, ame aɖewo ate ŋu axɔ atɔ ne woƒe ŋutilã ƒe dzoxɔxɔ trɔ kpata, abe ne woxɔ dzo ŋutɔ, ne vuvɔ le wɔwɔm ŋutɔ, alo ne wole kame dem ene. Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu atso nyaƒoɖeamenu si le ŋutigbalẽa dzi si awu siwo me kɔ nyuie dodo hena vɛ hã gbɔ. Le kpɔɖeŋu me, ame aɖewo xɔa atɔ ne wole tsi fafɛ (`cold urticaria`), gake ame bubuwo ya xɔa atɔ ne wole fifia eye dzoxɔxɔ le wo ŋu (`cholinergic urticaria`). Ame aɖewo hã ateŋu axɔ atɔ ne wodo go le ŋdɔ me (`solar urticaria`).
Ðe dɔléle siwo dɔlélenutsiŋutete wɔna hã hea aɖuɖɔtoe si nɔa anyi didi vɛa?
Ẽ, anya wɔ nenema. Wokpɔe be ‘ame ŋutɔ ƒe dɔlélenutsiŋutete ƒe dɔléle’ bubu le ame siwo ade ɖeka le atɔ̃ ɖesiaɖe me siwo ŋu aɖuɖɔtoe si nɔa anyi didi, alo abe 20% ene, ŋu. Eyae nye dɔléle si me dɔlélenutsiŋutete dzea ŋutilãa ŋutɔ ƒe lãmenugbagbeviwo dzi le. Le nɔnɔme mawo me la, ŋutilãa ate ŋu awɔ ‘dɔlékuiwutikewo’ ɖe eya ŋutɔ ƒe ŋutigbalẽmenugbagbeviwo ŋu, si ana abi siawo nadze.
Ne míagblɔ eƒe kpɔɖeŋu ʋɛ aɖewo la:
- Celiac dɔléle (si nye protein si nye gluten ƒe nulɔdɔ) .
- Dermatomyositis (dɔléle si gblẽa nu le ŋutigbalẽ kple lãmekawo ŋu) .
- Suklidɔ (vevietɔ suklidɔ ƒomevi 1) .
- `Lupus`
- Polymyositis (dɔléle si gblẽa nu le lãmekawo ŋu) .
- Rheumatoid arthritis (ema fia ƒunukpeƒeveame) .
- Lãmetsidɔ (vevietɔ Hashimoto ƒe lãkusidɔ) .
- Vitiligo (nu ɣi siwo le ŋutigbalẽ ŋu) .
Dɔléle bubu kawoe ate ŋu ahe aɖuɖɔtoe si nɔa anyi didi vɛ?
Atikewɔwɔ me nɔnɔme bubuwo hã ate ŋu ahe aɖuɖɔtoe si nɔa anyi didi vɛ. Togbɔ be nusiawo mebɔ boo o hã la, ɖɔkta abu nusiawo hã ŋu.
- `Asrãdɔ`
- Le kpɔɖeŋu me, dɔlékuiwo ƒe dɔlékuiwo abe H. pylori (si hã ate ŋu ana dɔgbo naxɔ abi) kple dɔlékui siwo nɔa anyi didi abe sinusitis ene.
- `Aklãdɔléle`
- Kansa ƒomevi siwo woyɔna be `Lymphomas`, si nye `Hodgkin lymphoma` kple `non-Hodgkin's lymphoma`
- Vasculitis (ʋukawo ƒe dɔléle) .
Nukae nye Aɖuɖɔtoe si nɔa anyi didi ƒe dzesiwo?
Abi siawo ate ŋu adze le ŋutilãa ƒe akpa sia akpa, eye alesi wodzenae ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Abi siawo ate ŋu anɔ nɔnɔme kple lolome vovovowo me. Wo dometɔ aɖewo ate ŋu anɔ sue abe pinhead ene, eye bubuwo ate ŋu alolo abe softball ene!
Dzesi vevi siwo dzena le aɖuɖɔtoe si nɔa anyi didi ŋue nye:
- Abi alo ʋuʋudedi siwo biã, siwo kɔ, eye ɖewohĩ wole veve sem alo esiwo le dzo dam le wò ŋutigbalẽ ŋu.
- Blanching: Esia fia be ʋuʋudedi la titina zua ɣie ne wozi edzi. Woate ŋu azã esia atsɔ ade vovototoe kple nudzodzoewo ƒe ɖuɖu si bɔ gbɔ.
- Ŋutilã ƒe ʋuʋu fũ akpa (si woyɔna hã be `pruritus`). Ʋuʋudedi siae nana wòsesẽna na ame geɖe be woado dzi, vevietɔ le zã me.
- Vuvu, emae nye nusi ŋu míeƒo nu tsoe va yi, si woyɔna be ‘angioedema.’ Esia ate ŋu adzɔ le ŋkuwo, nuyiwo, kple abɔwo kple afɔwo ŋu.
Ðɔkta ka ƒomevie wòle be makpɔ le aɖuɖɔtoe si nɔa anyi didi ta?
Ðɔkta geɖe li siwo ate ŋu anya aɖuɖɔtoedɔ sia si nɔa anyi didi ahadae:
- Nulɔdɔŋutinunyalawo: Elabena ɣeaɖewoɣi la, esia ate ŋu atso nulɔdɔ aɖe gbɔ.
- Lãmetsiŋutinunyalawo: Elabena sidzedze tɔxɛ le wo si ku ɖe ŋutigbalẽdɔlélewo ŋu.
- Wò ƒomea ƒe ɖɔkta (atikewɔla gbãtɔwo): Ate ŋu awɔ dodokpɔ vevi aɖe eye wòaɖo wò ɖe eŋutinunyala bibi aɖe gbɔ ne ehiã.
Aleke wowɔna dea dzesi Aɖuɖɔtoedɔléle si nɔa anyi didi ƒe nɔnɔme sia pɛpɛpɛ?
Wò ɖɔkta ate ŋu anya dɔléle sia ne edo wò ŋutigbalẽ kpɔ eye wòbia wò dzesiwo, nenye be dɔléle sia tɔgbe le wò ƒomea me tɔ aɖe ŋu, atike siwo nènona, kple wò nuɖuɖu ŋu.
Be nànya nusi tututu gbɔ wò aɖuɖɔtoe si nɔa anyi didi tsona (alo be nàgbe nusiwo gbɔ wòtsona dometɔ aɖewo) la, ahiã be nàwɔ dodokpɔ geɖe. Ðewohĩ ahiã be nàwɔ nu siwo gbɔna la dometɔ ɖeka alo esi wu nenema:
- Nulɔdɔ dodokpɔ: Be nàkpɔe ɖa be nuwɔna aɖe le ŋuwò ɖe `allergen`, si nye nane si hea nulɔdɔ vɛ ŋu hã. Esia ateŋu anye `ŋutilã ƒe ƒoƒo dodokpɔ` alo ʋudodokpɔ.
- Ʋudodokpɔ: Lé ŋku ɖe dɔlékuiwutikewo ƒe agbɔsɔsɔ le ŋutilãa me (vevietɔ IgE ƒe agbɔsɔsɔ), dzesi siwo fia be dɔdzẽ le lãme na ame, lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ, kple dɔlékuiwutike siwo do ƒome kple dɔléle siwo dɔlékuiwutikewo tsona ŋu.
- Aɖuɖɔtoe dodokpɔ: Kpɔe ɖa be dɔlékuiwo ƒe dɔlékuiwo le ŋuwò hã.
- Ŋutilã ƒe lãmenugbagbeviwo ɖeɖe:Woɖea ŋutigbalẽ ƒe lãmenugbagbeviwo tsɔ ɖoa kpe dɔlélea dzi eye be woaɖe nu bubu siwo mebɔ o, abe ʋukawo me dɔléle ene, ɖa. Zi geɖe la, wowɔa esia ne abiawo lolo le mɔ si mebɔ o nu alo womewɔa nu ɖe atikewɔwɔ ŋu o.
Nukawoe nye atike siwo wozãna na aɖuɖɔtoe si nɔa anyi didi?
Dzɔgbenyuietɔe la, atike aɖewo li na aɖuɖɔtoe siawo siwo nɔa anyi didi. Taɖodzinuae nye be nàɖu dzesiawo dzi eye nàna nànɔ agbe si sɔ.
- Atike siwo naa nulɔdɔ: Atikewo abe antihistamines, siwo woate ŋu ano gbesiagbe, siwo womexɔna le atikedzraƒe o (OTC) alo ɖɔkta aŋlɔ na ame ene, ate ŋu akpe ɖe ame ŋu be woaɖe ʋuʋudedi dzi akpɔtɔ eye wòaɖe nulɔdɔ dzi akpɔtɔ alo axe mɔ ɖe enu. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aŋlɔ atike si sɔ gbɔ wu esi nèzãna ɖaa na wò.
- Nulɔdɔ ƒe atikewo: Omalizumab (Xolair®) nye atike si wodona ɣleti sia ɣleti si xea mɔ na protein si woyɔna be Immunoglobulin E (IgE) wɔwɔ le ŋutilãa me. Ame siwo ŋu nulɔdɔ sesẽwo le ate ŋu awɔ IgE sia fũ akpa, si ate ŋu ahe kuxiwo abe aɖuɖɔtoe si nɔa anyi didi kple asrã ene vɛ. Togbɔ be esia nye atikewɔmɔnu si xɔ asi wu hã la, ewɔa dɔ ŋutɔ na amesiwo mewɔ nu ɖe atike bubuwo ŋu o.
- Steroids: Corticosteroids, abe Prednisone (Deltasone®, Rayos®) ene, ate ŋu aɖu dzesi siwo mewɔ dɔ ɖe atike bubuwo dzi o dzi kaba, vevietɔ ne dɔlélea nu sẽ ŋutɔ. Gake mele be woazã esiawo ɖaa o eye ɣeyiɣi kpui aɖe koe wòle be woazã, abe alesi ɖɔkta gblɔe ene. Ezazã ɣeyiɣi didi ate ŋu ahe nugbegblẽ le ame ŋu vɛ.
- Hydroxychloroquine: Numekuku aɖe ɖee fia be ame enyi le ewo ɖesiaɖe siwo ŋu aɖuɖɔtoe si nɔa anyi didi si dɔléle si dɔlélenutsiŋutete ƒe dɔléle aɖe tso gbɔ la ƒe dzesiwo dzi ɖe kpɔtɔ le asrãtike si nye hydroxychloroquine (Plaquenil®) nono ɣleti etɔ̃ alo esi wu nenema megbe.
- Cyclosporine: Esia nye dɔlélenutsiŋutete ƒe atike. Ewɔa dɔ ŋutɔ le aɖuɖɔtoe sesẽ siwo nɔa anyi didi dada me. Gake ate ŋu ahe nugbegblẽ sesẽwo vɛ ne wozãe ɣeyiɣi didi, eyata ele be woazãe le ɖɔkta ƒe dzikpɔkpɔ te.
Nu vevitɔe nye be nàƒo nu kple ɖɔkta tso nenye be atike sia sɔ na wò kple ɣeyiɣi didi si wòle be nànoe ŋu. Mègano atikewo le ɖokuiwò si ko o.
Nukae nàte ŋu awɔ le aƒeme be nàkpɔ gbɔdzɔe tso dzesi siawo me?
Ẽ, àte ŋu ate nu siawo kpɔ le aƒeme be nàɖe ʋuʋudedi kple dɔdzẽ dzi akpɔtɔ:
- De atike si nye OTC anti-itch cream si tso atikedzraƒe. Àte ŋu azã nuwo abe calamine lotion ene.
- De compress fafɛ siwo wotsɔ tsi fafɛ ƒo ɖe ʋuʋudedi la dzi zi geɖe gbesiagbe (gake ɖo ŋku edzi be, mègawɔ esia ne ʋuʋudedia le sesẽm ɖe edzi le vuvɔ ta o – si fia be ne `cold urticaria` le ŋuwò).
- Tsɔ tsi fafɛ alo le tsi. Tsi dzodzoe ate ŋu ana ʋuʋudedia nagasẽ ɖe edzi.
- Tsɔ atike siwo me nulɔdɔ mele o kple atike siwo naa ŋutigbalẽ ƒuƒu nade tsi. Tia tsilénu bɔbɔe aɖe si me ʋeʋẽ lilili mele o.
- Do awu siwo me mekɔ o siwo wotsɔ kotoklobo falɛfalɛ wɔ si mado dziku na wò ŋutigbalẽ o. Awu sesẽwo dodo ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi. Ƒo asa na awu siwo wotsɔ avɔ gbadzɛwo abe alẽfu ene wɔe dodo.
- Ƒo asa na ƒoƒo alesi nàte ŋui. Togbɔ be ʋuʋudedi ate ŋu ana gbɔdzɔe ame hena ɣeyiɣi aɖe hã la, ate ŋu agblẽ nu le ŋutigbalẽa ŋu ŋutɔŋutɔ eye wòagagblẽ nu geɖe wu.
Ðe atɔ siawo siwo nɔa anyi didi ate ŋu anɔ anyi ƒe geɖea?
Ame siwo ŋu aɖuɖɔtoe si nɔa anyi didi le ƒe afã, alo 50%, woƒe atɔ nu ayi le ƒe ɖeka me (zi geɖe la, womewɔa atike nɛ o). 20% bubuwo hã ana woƒe atɔawo nadzo le ƒe atɔ̃ me. Gake le ame aɖewo gome la, ate ŋu anɔ anyi eteƒe nadidi wu. Atikewɔwɔ na aɖuɖɔtoe si nɔa anyi didi ate ŋu akpe ɖe ame ŋu wòaɖe dzesiawo dzi akpɔtɔ. Eyata mègatsi dzi o, atikewɔmɔnu aɖewo li.
Ɣekaɣie wòle be makpɔ ɖɔkta godoo?
Ne nu siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ godoo:
- Ne abi alo vuvua xɔ wu kwasiɖa ɖeka.
- Ne abi la dze abe dɔlékui le eŋu ene (i.e. wòbiã, vuvu, ʋuʋudedi yɔe, alo asrã le eŋu).
- Ne vevesesea gadze egɔme ɣleti ʋɛ aɖewo ɖesiaɖe.
- Ne wò ŋutigbalẽ le ƒoƒom ale gbegbe be màte ŋu ado dzi atsɔe o la, ate ŋu ado kplamatse wò alɔ̃dɔdɔ kple gbesiagbedɔwo.
- Ne gbɔgbɔ sesẽ na wò, nèse le ɖokuiwò me be yeƒe ŋɔti xaxa, alo nèse le ɖokuiwò me be yeƒe ta le ƒoƒom la, ke nudzɔdzɔ kpatae wònye. Yi kɔdzi enumake.
Nukae wòle be mabia ɖɔktaa?
Anyo be nàbia nya siawo ne èle wò ɖɔkta gbɔ kpɔm:
- Nukae hea aɖuɖɔtoe siawo siwo nɔa anyi didi vɛ? Alo, nukae nèsusu be ate ŋu anɔ wo hem vɛ?
- Ɣekaɣie aɖuɖɔtoe siawo siwo nɔa anyi didi la ahaya?
- Ðe wòle be woado nye nulɔdɔwo kpɔa?
- Nukae nye atike nyuitɔ kekeake nam na aɖuɖɔtoe siawo siwo nɔa anyi didi?
- Nukae nye atike nyuitɔ kekeake si woatsɔ aɖe ʋuʋudedi dzi akpɔtɔ?
- Ðe atike sia ƒe nugbegblẽ le ame ŋu aɖewoa?
- Kuxi kawo ŋue wòle be matsi dzi ɖo?
- Ðe wòhiã be mawɔ tɔtrɔ le nye nuɖuɖu kple agbenɔnɔ ŋua?
Ðe nuteɖeamedzi alo dzimaɖitsitsi gbɔ ate ŋu atso aɖuɖɔtoe si nɔa anyi didia?
Le nyateƒe me la, nuteɖeamedzi kple dzimaɖitsitsi ate ŋu ana ŋutigbalẽ ƒe nɔnɔmewo nagagblẽ ɖe edzi. Eyae nye be nuteɖeamedzi ate ŋu ana ŋutigbalẽa nagblẽ ɖe edzi eye wòana ŋutigbalẽa nagblẽ ɖe edzi. Eyata ɣeaɖewoɣi la, atike siwo tsia dzimaɖitsitsi nu ate ŋu akpe ɖe ame ŋu. Nuwo abe ŋugbledede, susuŋudɔwɔwɔ, yoga, kple alɔ̃dɔdɔ nyuie be wò susu nadze akɔ anyi hã ate ŋu aɖe vi na wò. Ðo ŋku edzi be susu si le dzidzɔ kpɔm le vevie ŋutɔ na ŋutilã si le lãmesẽ me.
Eyata nu kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me? (Gbedasi si Wotsɔ Yi Aƒeme)
Aɖuɖɔtoe si nɔa anyi didi (Chronic Urticaria) ate ŋu anye ʋuʋudedi ŋutɔŋutɔ eye wòana ame ƒe dzi nadze eme o. Ɣeaɖewoɣi gɔ̃ hã la, wò dzedzeme ate ŋu ado dziku na wò. Togbɔ be zi geɖe la, ɖɔktawo mete ŋu dea dzesi nusi tututu gbɔ aɖuɖɔtoe si nɔa anyi didi tsona o hã la, atikewo abe antihistamines, steroids, kple ɣeaɖewoɣi dɔlélenutsiŋutete ƒe atikewo gɔ̃ hã ate ŋu akpe ɖe ame ŋu. Nu aɖewo hã li nàte ŋu awɔ le aƒeme be wòakpe ɖe ŋuwò nàɖe ʋuʋudedi kple vuvu dzi akpɔtɔ.
Nu vevitɔe nye be le ame geɖe gome la, atɔ siwo nɔa anyi didi la nu yina le wo ɖokui si le ɣeyiɣi aɖe megbe (ɖewohĩ le ƒe ɖeka alo esi wu nenema megbe gɔ̃ hã). Eyata sẽ ŋu eye nàwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi. Menye wò ɖeka koe o, eye ɖɔkta aɖewo li siwo ate ŋu akpe ɖe ŋuwò nàɖu nɔnɔme sia dzi. Dɔdamɔnu aɖewo li siwo ate ŋu ana wò agbenɔnɔ nanyo ɖe edzi.
` Aɖuɖɔtoe, aɖuɖɔtoe si nɔa anyi didi, urticaria, ŋutigbalẽdɔléle, ʋuʋudedi, nulɔdɔwo, angioedema











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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee