# looked up to heaven

This means that he looked up toward the sky, which is associated with the place where God lives.

# Ephphatha

Here the author refers to something by an Aramaic word. This word should be copied as is into your language using your alphabet. (See: [[rc://en/ta/man/translate/translate-transliterate]])

# he sighed

This means that he groaned or that he let out a long deep breath that could be heard. It probably shows Jesus' sympathy for the man.

# said to him

"said to the man"