Ðe wò dɔgbo ƒe ɖusime hã le veve sema? Mina míasrɔ̃ nu tso ʋumenugbagbeviɣidɔ ŋu!

Ðe nèse ƒodo ƒe vevesese si dzi màte ŋu ado dzi atsɔ o, vevietɔ vevesese le wò ƒodo ƒe ɖusime ƒe akpa si le etame, tsɔ kpe ɖe ʋuʋudedi kple ʋuʋudedi ŋu kpɔa? Alo ɖe ame aɖe si nènya la to nusia mea? Nu siawo ate ŋu anye nɔnɔme aɖe si woyɔna be cholecystitis ƒe dzesiwo ɣeaɖewoɣi. Egbea, mina míaƒo nu tso nusi nye cholecystitis , nusita wòdzɔna, kple nusi woate ŋu awɔ tso eŋu ŋu.

Nukae nye ʋumenugbagbeviɣidɔ?

Kpuie ko la, ʋumenugbagbeviɣidɔ nye wò aɖuɖɔtoe ƒe dɔdzẽ alo vuvu . Bu eŋu abe kotoku sue aɖe si le abe pear ene le wò aklã te . Aɖuɖɔtoea dzraa ʋumenugbagbeviɣi , si nye tsi si aklã wɔna ɖo hena ɣeyiɣi aɖe. Ne míeɖu nu vɔ, vevietɔ nuɖuɖu siwo me ami le la, woɖoa ʋumenugbagbeviɣi sia ɖe dɔgbo suea me be wòakpe ɖe mía ŋu míaɖu nuɖuɖu. Ʋumenugbagbeviɣi sia toa mɔ sue siwo le abe mɔ̃ ene siwo woyɔna be ʋumenugbagbeviɣimɔ̃wo me . Eyata ne dɔlékui aɖe le tsinyegoe me alo ʋuka siwo do ƒome kplii me alo xe la, abi, vevesese, kple vuvu la adzɔ.

Ðe ʋumenugbagbeviɣidɔ ƒomevi vovovowo lia?

Ẽ, woate ŋu ama esia ɖe hatsotso vevi geɖe me:

• Dɔdzẽ sesẽ : Esia nye dɔléle si nu sẽ kpata.
• Dɔdzẽ si nɔa anyi didi: Esia nye dɔléle si doa mo ɖa vivivi le ɣeyiɣi aɖe megbe eye mesẽna nenema gbegbe o gake enɔa anyi.
• Akɔntabubu ƒe dɔdzẽ: Esiae nye dɔdzẽ ƒomevi si bɔ wu. Enye dɔdzẽ si tso aɖuɖɔtoe me kpewo gbɔ.
• Acalculous inflammation: Esia nye dɔdzẽ si tsoa nu bubuwo gbɔ tsɔ wu aɖuɖɔtoemekpewo.

Bu eŋu kpɔ, ne aɖuɖɔtoea vuvu kpata le kuxi gã aɖe ta la, ke enye dɔdzẽ sesẽ . Ne menye nenema o la, ne aɖuɖɔtoea vuvu vivivi le kuxi suesuesuewo ta le ɣeyiɣi didi aɖe me la, ke enye dɔdzẽ si nɔa anyi didi . Zi geɖe la, nusi gbɔ nusiawo evea siaa tsonae nye aɖuɖɔtoemekpewo. Esia tae ɖɔktawo dea vovototo ne kpewo gbɔe wòtso alo menyee o.

Aleke gbegbee nɔnɔme sia bɔe?

Wogblɔ be aɖuɖɔtoewo le xexeamenɔlawo ƒe 15% lɔƒo ŋu. Wo dometɔ siwo ade 20% xɔa kuxiwo le aɖuɖɔtoemekpewo abe ʋumenugbagbeviɣidɔ ene ta. Megawɔ nuku o, ʋumenugbagbeviɣidɔ ƒe 95% tsoa aɖuɖɔtoe me kpewo gbɔ!

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesiwo?

Dzesi siawo ate ŋu ato vovo vie le dɔdzẽ ƒe ƒomevi nu.

Dzesi siwo dzena le dɔdzẽ sesẽ ŋu:

• Vevesese sesẽ le ƒodo ƒe akpa si le etame, vevietɔ le ɖusime:Vevesese sia ate ŋu adzi ɖe edzi zi ɖeka eye womate ŋu ado dzi atsɔe o. Ɣeaɖewoɣi la, vevesese sia ate ŋu akaka ɖe ɖusime abɔta alo akɔta. Vevesesea ate ŋu ase le eɖokui me abe aŋe ƒoƒo, vevesese si nu mesẽ o, alo ƒodo ƒe lãmekawo ƒe ʋuʋu ene. Vevesesea ate ŋu adzi ɖe edzi hã ne ègbɔ ya sesĩe. Ame aɖewo bua esia vodadatɔe be akɔtave alo dzidɔ . Wogayɔa vevesese kpata sia be " Gallbladder Attack."
• Aɖuɖɔtoe kple ʋuʋudedi : Esia hã nye dzesi si bɔ si kpena ɖe "gallbladder attack" ŋu zi geɖe.
• Asrã: Dzoxɔxɔ si ƒe dzoxɔxɔ wu Celsius 37.8 ate ŋu afia be dɔlékui aɖe le ame ŋu alo dɔdzẽ sesẽ aɖe le eŋu.

Vevietɔ: Dzesi siawo ate ŋu ato vovo vie na ame tsitsi. Ðewohĩ ɖeko nuɖuɖu megadzroa wo o eye ɖeɖi tea wo ŋu vie. Asrã mebɔ ɖe ame tsitsiwo hã dome o.

Nu bubu siwo le eme:

• Ʋuʋudedi kple vevesese .
• Lãmetsiwo ƒe sesẽ le ƒodoa ƒe ɖusime.
• Gbɔdzɔgbɔdzɔ kple ɖeɖiteameŋu , vevietɔ le ame tsitsiwo gome.

Dzesi siwo dzena le dɔdzẽ si nɔa anyi didi ŋu:

Zi geɖe la, dzesiawo mesẽna boo o wu esiwo le nɔnɔme sesẽwo me eye wova nɔa dzodzom. Àte ŋu ase ƒodo me vevesese kple ʋuʋudedi si woyɔna be "biliary colic" le nuɖuɖu si me ami le eye wòlolo ɖuɖu vɔ megbe. Esia le alea elabena nuɖuɖu siwo me ami le hiã ʋumenugbagbeviɣi geɖe hafi woate ŋu aɖu. Emegbe wò nuɖuɖumeŋusẽ naa dzesi aɖuɖɔtoea be wòaɖe ʋumenugbagbeviɣi geɖe ɖe go. Esia wɔnɛ be aɖuɖɔtoea ƒoa ƒu sesĩe wu, si wɔnɛ be nyaƒoɖeamenu si le eme la dzina ɖe edzi. Vevesese sia ate ŋu anɔ anyi gaƒoƒo geɖe.

Nuka koŋ tae wòle alea ɖo?

Zi geɖe la, aɖuɖɔtoemekpe siwo xea ʋuka siwo me ʋu sina tona la gbɔe dɔdzẽ si nu sẽ kple esi nɔa anyi didi siaa tsona . Gallstones nye nusiwo sesẽ le ʋumenugbagbeviɣia me siwo ƒo ƒu le ɣeyiɣi aɖe megbe eye wova zua abe kpewo ene. Zi geɖe la, wodzɔna le aɖuɖɔtoea gɔme, gake wote ŋu ʋãna ɣeaɖewoɣi. Ne wole ʋuʋum la, wotsia ʋuka aɖe me alo tsinyegoea ƒe nu me. Esia nana be ʋumenugbagbeviɣia trɔna yia aɖuɖɔtoea me, si ate ŋu ana ame naxɔ dɔlékuiwo.

• Dzoxɔxɔ sesẽ:Esia dzɔna ne kpe aɖe xe mɔ na ʋumenugbagbeviɣi ƒe sisi tso aɖuɖɔtoea me keŋkeŋ. Aɖuɖɔtoea va vuvuna ɖe edzi eye nɔnɔmea gagblẽna ɖe edzi.
• Dzoxɔxɔ si nɔa anyi didi: Ɣeaɖewoɣi la, kpe aɖe mate ŋu axe mɔa keŋkeŋ o, gake ate ŋu atɔ vie eye emegbe wòagatsi dzodzodzoe ake. Le kpɔɖeŋu me, ɖewohĩ ne aɖuɖɔtoea vuvu le nuɖuɖu sesẽ aɖe ɖuɖu vɔ megbe ko hafi nàse veve. Esiae hea abi si nɔa anyi didi vɛ .

Nukawoe nye nu bubu siwo gbɔ wòtsona tsɔ kpe ɖe aɖuɖɔtoemekpewo ŋu?

Togbɔ be nusi gbɔ wòtsona wue nye ʋumenugbagbeviɣiwo ƒe xexe hã la, nu bubuwo hã ate ŋu ana aɖuɖɔtoea navuvu eye wòaxe mɔ na ʋumenugbagbeviɣi ƒe sisi. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Biliary Stricture : Ʋumenugbagbeviɣidɔ ƒe ʋuʋu atraɖii ate ŋu ana abi ƒe lãkusiwo nadzɔ eye ʋukaawo natsi, si axe mɔ na ʋumenugbagbeviɣi ƒe sisi.
• Biliary Dyskinesia: Esia nye dɔléle si gblẽa nu le lãmeka siwo le aɖuɖɔtoe me ƒe dɔwɔwɔ ŋu . Etɔxɛe la, aɖuɖɔtoea meʋuʋuna nyuie abe alesi wòle be wòaƒoe ene o, eyata ʋumenugbagbeviɣi metsona doa goe o.
• Bile Stasis: Aɖuɖɔtoe ƒe sisi ate ŋu agblẽ le aklãdɔléle si nɔa anyi didi alo nunyiame si wozãna le dɔgboa me ɣeyiɣi didi (IV) ta. Ðo ŋku edzi be ne mèle nuɖuɖu nom to nu me o gake wole ʋu nam wò la, mèhiã ʋumenugbagbeviɣi o.
• Kansa: Togbɔ be ƒã hã la, kansa ƒe dɔdzẽ si le aɖuɖɔtoe alo ʋukawo me ate ŋu axe mɔ na ʋumenugbagbeviɣi ƒe sisi.

Zi geɖe la, nɔnɔme siawo doa mo ɖa vivivi, si wɔnɛ be woxɔa acalculous cholecystitis si nɔa anyi didi . Gake woate ŋu ayi ŋgɔ ava zu acute acalculous cholecystitis hã . Nu bubu siwo ate ŋu ahe esia vɛ dometɔ aɖewoe nye:

• Ischemia: Ne ʋu si yia aɖuɖɔtoea me dzi ɖe kpɔtɔ la, ate ŋu ana ame naxɔ abi vevie alo axɔ abi , le alesi wòsẽe nu. Zi geɖe la, esia ate ŋu adzɔ le dɔléle sesẽ alo afɔku aɖe ta. Ate ŋu atso ʋukawo ƒe xexe (ʋukawo ƒe ʋuʋu) alo ʋukawo ƒe dɔléle hã gbɔ .
• Dɔlékui: Dɔlékui ƒe dɔléle ate ŋu adzɔ le ʋumenugbagbeviɣi alo ʋumenugbagbeviɣiwo me, ne womexe mɔ aɖeke o gɔ̃ hã. Esia mebɔ o. Esia ate ŋu adzɔ le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la gome wu. Dɔlékuiwo ate ŋu agblẽ nu le aɖuɖɔtoe ƒe lãkusi hã ŋu.

Amekawoe le afɔku gã me be woaxɔ esia?

Ne ʋumenugbagbeviɣidɔ le ŋuwò la, anɔ eme be ʋumenugbagbeviɣidɔ adze dziwò. Ame siwo ate ŋu axɔ aɖuɖɔtoemekpewo dometɔ aɖewoe nye:

• Le nyɔnuwo gome
• Le funɔwo gome
• Le amesiwo lolo akpa gome
• Le amesiwo ŋu suklidɔ le gome
• Le amesiwo ŋu ʋumemi sɔ gbɔ ɖo gome
• Le amesiwo ƒe lolo dzi ɖe kpɔtɔ kpata kple kabakaba gome (Rapid Weight Loss) .
• Le amesiwo xɔ wu ƒe 40 gome
• (Domenyiŋusẽfianu aɖewo ƒe ŋusẽkpɔɖeamedzi kple agbenɔnɔ hã ate ŋu awɔ akpa aɖe)

Aleke gbegbee ʋumenugbagbeviɣidɔ sia nu sẽe?

Zi geɖe la, ʋumenugbagbeviɣidɔ sesẽ tsoa ʋumenugbagbeviɣi ƒe sisi ƒe mɔxexe gbɔ. Menye ɖeko wògblẽa nu le aɖuɖɔtoea ŋu o. Ate ŋu akpɔ ŋusẽ ɖe wò ʋumenugbagbeviɣidɔ bliboa dzi - ŋutinu siwo tsɔa ʋumenugbagbeviɣidɔ to ʋumenugbagbeviɣimɔ̃wo me ƒe ɖoɖo - eye wòana dɔdzẽ kple dɔlékuiwo nadze ame dzi. Ʋumenugbagbeviɣidɔ si ƒo ƒu ate ŋu ayɔ ʋukawo me eye wòana nàdze dɔ. Enaa wò nuɖuɖumeŋusẽ hã mexɔa ʋumenugbagbeviɣi si wòhiã o. Dzoxɔxɔ kple vuvu sesẽ ate ŋu ana lãmenugbagbeviwo naku (gangrene) . Ne edzɔ alea la, ŋutinua ate ŋu agbã alo ado. Woyɔa esia be gangrenous cholecystitis . Zi geɖe la, dɔdzẽ si nɔa anyi didi mesẽna boo o, gake dɔdzẽ si nɔa anyi didi hã ate ŋu agblẽ nu le ame ŋu vevie. Abi ate ŋu adzɔ le wò ʋuka me eye wòaxe mɔ nɛ be wòagaƒo nyuie o. Esia ate ŋu axe mɔ na ʋumenugbagbeviɣidɔ hã.

Kuxi siwo dona tso Cholecystitis me:

• Nusiwo gblẽ le wò aklã, ʋumenugbagbeviɣiwo, alo dɔgbo ŋu (e.g., dɔgbo ƒe dɔléle ).
• Nuɖuɖumeŋusẽ ƒe dɔmawɔmawɔ nyuie kple nunyiame siwo le dɔgbo suea me ƒe xɔxlɔ̃.
• Dzoxɔxɔ ɣeyiɣi didi nana abi nɔa aɖuɖɔtoea ŋu (Gallbladder Fibrosis) eye wògblẽa dɔ.
• Lãmetsiwo ƒe ku le vuvu (necrosis) kple gangrenous cholecystitis ta .
• Gallbladder perforation , si wɔnɛ be dɔlékui aɖe dzea ƒodoa me (peritonitis).
• Peritonitis ateŋu ahe abi alo ʋu ƒe aɖi (`Septicemia`) vɛ.

Esia menye nusi woatsɔ aƒu gbe ko o, elabena nusiwo ate ŋu agblẽ le eŋu la lolo akpa.

Aleke wokpɔa dɔléle sia dzea sii?

Ðɔkta abia wò dɔlélea ƒe dzesiwo gbã. Ne wosusu be cholecystitis , la, woabia tso asiwò be nàgbɔ ya sesĩe eye nàzi wò ƒodo ƒe ɖusime le etame. Ne èse veve la, esia nye dɔlélea ƒe dzesi nyanyɛ aɖe ( Murphy ƒe Dzesi ). Emegbe woawɔ dodokpɔwo, abe nɔnɔmetatawo dodokpɔ be woalé ŋku ɖe wò aɖuɖɔtoe kple ʋukawo ŋu, kple ʋudodokpɔ be woanya nyatakaka bubuwo ene. Dodokpɔ siwo wowɔna na esia dometɔ aɖewoe nye:

• Ʋu Xexlẽme Blibo (CBC) .
• Aklã ƒe Dɔwɔwɔ Dodokpɔwo
• Ƒodo ƒe Ultrasound
• Endoscopic Ultrasound ƒe dɔwɔwɔ
• CT Scan (CT Scan - Kɔmpiutadziɖoɖo Ŋuti Numekuku) .
• HIDA Scan (HIDA Scan - Aklã me Ʋuʋudedi ƒe Iminodiacetic Acid Scan) .

Ðe ʋumenugbagbeviɣidɔ sia anyo le eɖokui sia?

Ao, nusiwo katã hea ƒunukpeƒetetedɔ vɛ la hiã atikewɔwɔ. Ɣeaɖewoɣi la, kpe si xea ʋuka alo ʋumenugbagbeviɣidɔ ate ŋu ato le eɖokui si eye wò dzesiwo nu ayi. Gake lala be ema nadzɔ menye susu nyui aɖeke o - enye vevesese kple afɔku siaa. Ɣemaɣi gɔ̃ hã la, makpɔ wò kuxiwo gbɔ o. Kpe ma ke alo kpe bubu ate ŋu agatsi ake.

Nukae nye esia ƒe atikewɔwɔ?

Wodaa ʋumenugbagbeviɣidɔ enumake le kɔdzi. Dɔdamɔnua dzea egɔme kple nya siawo:

• Lãmetsi siwo wodona le ʋuka me nana esime nèle wò nuɖuɖumeŋusẽ nam wò nuɖuɖumeŋusẽ nagbɔ ɖe eme.
• Dɔlékuiwutike siwo wodona ɖe ʋuka me (IV antibiotics) nana be woatsɔ axe mɔ ɖe dɔlékuiwo nu alo ada wo.
• Vevesesenutsitike si ame geɖe hiã le ʋuka me nana.

Esia ƒe atike si nɔa anyi ɖaa wue nye amekoko be woaɖe aɖuɖɔtoea ɖa (cholecystectomy) . Nu geɖe siwo hea ʋumenugbagbeviɣidɔ vɛ, abe aɖuɖɔtoemekpewo ene, dzea egɔme tso aɖuɖɔtoe me. Ƒã hafi ne nusi gbɔ wò ʋumenugbagbeviɣidɔ tsoe nye nane si woate ŋu ada ɖe vovo tso aɖuɖɔtoemekpewo gbɔ (abe dɔlékui ene) la, ɖewohĩ mahiã be woawɔ dɔ na wò o. Azɔ hã, le wò lãmesẽkuxi bubuwo nu la, àdi be yeahe amekokoa ɖe megbe alo yemawɔ dɔ na ye o. Ne èle amekoko hem ɖe megbe alo mèle dɔ wɔm na wò o la, àte ŋu awɔ nu siwo gbɔna:

• Tsi ɖeɖe tso aɖuɖɔtoe me kple nyaƒoɖeamenu dzi ɖeɖe kpɔtɔ: Ðɔkta ate ŋu atso wò ƒodo sue aɖe eye wòade tsidzɔƒe aɖe wò aɖuɖɔtoe me. Alo, woate ŋu azã endoscopic ultrasound atsɔ afia mɔ mɔ̃ aɖe to wò nu me be wòaɖe tsi tso wò aɖuɖɔtoe me ayi wò nuɖuɖumeŋusẽ me.
• Endoscopic Gallstone Removal: ERCP (Endoscopic Retrograde Cholangiopancreatography) nye dɔdamɔnu si zãa endoscope to wò nu me tsɔ léa ŋku ɖe wò ʋumenugbagbeviɣidɔ ŋu to X-ray mɔ̃ɖaŋununya zazã me. Esia wɔnɛ be woate ŋu ade dɔwɔnu suewo to dɔlékuiwutikea me be woaɖe kpe siwo tsi ʋukawo me ɖa. Esia ate ŋu aɖe wò dzesi siwo dzena enumake dzi akpɔtɔ.

Amekoko (Cholecystectomy) .

Ne wò ʋumenugbagbeviɣidɔ si li fifia la nu tso hã - si fia be kpe si tsi la megaku o, eye dzesi siwo na nèva kɔdzi yiyi la megale afima o - esiwo nɔa anyi didi kple esiwo nu sẽnaAɖuɖɔtoedɔléle ƒomevi evea siaa ate ŋu agadzɔ ake. Gallstones siwo na dzobibi zi ɖeka la ate ŋu agawɔe ake. Dzoxɔxɔ enuenu ate ŋu ana ame naxɔ abi atraɖii, eye wo ame evea siaa ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi. Be woaxe mɔ ɖe ʋumenugbagbeviɣidɔ si gbugbɔna ƒe ŋusẽkpɔɖeamedzi nu la, ɖɔktawo kafui be woawɔ dɔ na ame aɖe atsɔ aɖe aɖuɖɔtoea ɖa (cholecystectomy) . Esia nye dɔdamɔnu si bɔ, si le sue eye eƒe nugbegblẽ le ame ŋu ʋɛ aɖewo koe. Le ame geɖe gome la, woateŋu awɔ esia to dɔgbo me - to lãɖeɖe sue ʋee aɖewo me, si woyɔna hã be "keyhole surgery." Le nɔnɔme siwo sesẽ wu me la, ate ŋu ahiã be woawɔ dɔ na ame le gaglãgbe.

Nukae dzɔna le amekokoa megbe?

Wò ʋumenugbagbeviɣidɔ kple nuɖuɖumeŋusẽ ate ŋu awɔ dɔ nyuie wò ʋumenugbagbeviɣidɔ manɔmee. Koŋ la, aɖuɖɔtoe nye afisi wodzraa ʋumenugbagbeviɣidɔ ɖo, si aklãa wɔ. Ne amekola ɖe wò aɖuɖɔtoea ɖa la, etrɔa mɔ na ʋuka siwo me ʋu sina tona ale be ʋuka sina tso wò aklã me yia wò dɔgbo suea me tẽ. Ate ŋu axɔ kwasiɖa alo ɣleti ʋɛ aɖewo hafi wò ŋutilã natrɔ ɖe tɔtrɔ sia ŋu. Le ɣeyiɣi sia me la, àte ŋu akpɔ dzesi aɖewo abe:

• Nyaƒoɖeamenu alo vevesese le ʋuka me le ʋumenugbagbeviɣi ƒe sisi blewu ta.
• Nuɖuɖu siwo me ami le ɖuɖu sesẽna, si wɔnɛ be aɖuɖɔtoetetedɔ nɔa ame aɖewo ŋu.

Nukae nye mɔkpɔkpɔ na amesi ŋu ʋumenugbagbeviɣidɔ le?

Aleke kee wòɖanye alo nusi gbɔ wòtso o, ʋumenugbagbeviɣidɔ bia be woawɔ atike nɛ le kɔdzi. Kɔdzia ana nàɖe vevesese dzi akpɔtɔ enumake eye wòadi nusi gbɔ wòtso. Zi geɖe la, enyea aɖuɖɔtoe, togbɔ be menye ɣesiaɣie o hã. Zi geɖe la, ɖɔktawo ɖoa aɖaŋu be woadae tegbee to amekoko me. Nu nyuiwo ŋutɔ dona tso ame geɖe me. Ne womedae o la, kuxi siwo me afɔku le ate ŋu ado mo ɖa.

Dɔgbo ƒe vevesese sesẽ nyea atikewɔwɔ kpata ɣesiaɣi. Ne eɖe aɖuɖɔtoemeve ƒe dzesiwo fia — si fia be, ne eva kpata eye wòva le ƒodoa ƒe ɖusime ƒe akpa si le etame, eye ʋuʋudedi kpe ɖe eŋu — la, nunya le eme be nàyi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ le kpata me tẽ.

Ne wò aɖuɖɔtoe le sue hã la, wò ʋumenugbagbeviɣidɔ bliboa ate ŋu aɖo afɔku me ne wozi edzi. Aɖuɖɔtoedɔléle ƒe dzesiwo ate ŋu nu ayi, gake nusi gbɔ wòtsona gakpɔtɔ li. Dzesiawo ate ŋu atrɔ ava, eye ʋumenugbagbeviɣidɔ ayi edzi agblẽ nu le wò ʋuka me vaseɖe esime nàxɔ atike si hiã.

Nu vevitɔ kekeake siwo wòle be wòanɔ susu me na wò (Take-Home Message) .

Eyata le nyataƒoƒo me la, menye nusi woatsɔ awɔ nu tsɛe o.

• Ne dzesiwo abe vevesese sesẽ le wò ƒodo ƒe ɖusime ƒe akpa si le etame, ʋuʋudedi, ʋuʋudedi, kple dzoxɔxɔ ene le ŋuwò la, ele be nàkpɔ ɖɔkta godoo. Mègahe ɖe megbe o.
• Zi geɖe la, aɖuɖɔtoemekpewo gbɔe esia tsona, gake nu bubuwo hã ate ŋu ahe esia vɛ.
• Ne woda dɔ sia nyuie la, woate ŋu ada dɔléle sia keŋkeŋ. Zi geɖe la, amekoko be woaɖe aɖuɖɔtoea ɖae nyea egbɔkpɔnu nyuitɔ kekeake.
• Ne womedae o la , kuxi sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã ate ŋu ado mo ɖa.

Eyata ne dzesi siawo le wò alo ame aɖe si nènya ŋu la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o. Lãmesẽ me nɔnɔe nye nu vevitɔ kekeake!