This journal article discusses the structure, syntax, and semantics of noun/object-verb constructions in which the verb has the same phonetic shape as the second syllable (aka cognate object constructions) in Akha. The author illustrates this phenomenon with words whose origin is in monosyllabic and disyllabic nouns, as well as syllables with the prefix a- in various tones. Insertion of classifiers, negation, and auxiliary verbs are discussed in the syntax. Associations with the body, heavenly and earthly phenomena, and productions of things are discussed in the semantics of such constructions. This article is a revised version of the paper presented at the 25th International Conference on Sino-Tibetan Languages and Linguistics (ICSTLL) in 1994. Published in Linguistics of the Tibeto-Burman Area (LTBA) in 1996, vol. 19.1. pp. 77-95.