RobH_en_tn/psa/088/008.md

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my acquaintances

"those who know me"

You have made me a shocking sight to them

"You have made me a disgusting sight to them" or "Because of you, they are shocked when they see me"

I am hemmed in

The writer's physical condition that makes him repulsive to his friends is spoken of as if he were in closed into a confining space. AT: "It is as though I were in a prison" or "I am trapped" (See: rc://en/ta/man/translate/figs-metaphor)