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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"