how?
ekh introduces questions about manner, possibility, or response, and can frame an exclamation over a reversal or loss.
As an interrogative particle, אֵיךְ introduces questions concerning how an action, outcome, or response is possible or to be carried out; in lament and taunt clauses it also heads an exclamatory statement of downfall, loss, or change.
Senses in use
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Interrogative and exclamatory clause opener · dominant
The supplied morphology identifies the form as an interrogative particle. In 1 Samuel 16:2 the APB renders Samuel's question about going before Saul as "How shall I go?"; in Genesis 39:9 it introduces the objection to committing evil; and in 2 Samuel 1:19 it heads the lament, "How the mighty men have fallen!"
In the Anselm Project Bible: The APB commonly represents the particle with "How," including questions such as "How can" and exclamations such as "How the mighty men have fallen!" Its varying English phrasing reflects whole clauses rather than a fixed one-word equivalent.