Igwe mkpuchi karama bụ igwe mkpuchi akpaka iji pịa na ịghasa mkpuchi na karama.Emebere ya pụrụ iche maka ahịrị nkwakọ ngwaahịa akpaka.Dị iche na omenala intermittent ụdị capping ụdị, igwe a na-aga n'ihu capping ụdị.E jiri ya tụnyere capping na-adịte aka, igwe a na-arụ ọrụ nke ọma, na-agbanyekwu ike, ma na-eme ihe na-adịghị mma na mkpuchi.Ugbu a, a na-etinye ya n'ọtụtụ ebe na nri, ọgwụ, ọrụ ugbo, kemịkalụ,ụlọ ọrụ ịchọ mma.