Momma yensua gel (Ingenol Mebutate) a wɔde yɛ nsensanee a ɛyɛ mmerɛw wɔ honam ani no ho ade? (Actinic Keratosis ne Ingenol Mebutate Gel) .

So wowɔ wo honam ani nsensanee a ɛyɛ mmerɛw, ɛyɛ nsensanee, na ɛtɔ mmere bi a ɛyɛ abon, titiriw wɔ mmeae a owia taa bɔ no? Sɛ woka wɔn a, ɛte sɛ sandpaper? Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi `(Actinic Keratosis)`. Sɛ yɛbɛka no tiawa a, ɛyɛ nsakrae ketewaa bi a ɛba bere a owia hann a ano yɛ den a ɛyɛ ultraviolet (`(UV rays)`) sɛe yɛn honam ani nkwammoaa no. Esiane sɛ ɛtɔ mmere bi a eyinom betumi adan honam ani kokoram (`(honam ani kokoram)`) nti, ɛho hia yiye sɛ wɔsa wɔn yare ntɛm. Enti, ebia wo duruyɛfo akyerɛw gel bi a wɔfrɛ no `(Ingenol Mebutate)` sɛ aduru a wɔde sa saa `(Actinic Keratosis)` tebea yi. Ebia wobɛnya yei wɔ brand din `(Picato)` ase. Ɛnnɛ, yɛbɛka aduru yi ho asɛm akɔ akyiri, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho.

Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mede saa aduru yi adi dwuma?

Okay, ma yɛnka sɛ wo duruyɛfoɔ akyerɛw wo saa `(Ingenol Mebutate)` gel yi. Ansa na wubefi ase de adi dwuma no, nneɛma kakraa bi a ɛho hia wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa nnuruyɛfo. Ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ wɔn a womfa saa nneɛma yi nsie. Efisɛ, oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia aduru yi fata wo anaa ahwɛyiye a ɛsɛ sɛ wudi akyi.

• Sɛ wowɔ kokoram anaasɛ woanya kokoram a: Eyi ho hia titiriw ma honam ani kokoram, efisɛ nnuru bi betumi ne kokoram adi nkitaho wɔ ɔkwan a enye so.
• Wo honam ani yare afoforo anaa honam ani a ɛyɛ mmerɛw: Sɛ wowɔ honam ani yare bi a ɛtaa yɛ kɔkɔɔ, akisikuru, anaa honam ani yare afoforo (e.g., eczema, psoriasis) a, yɛsrɛ wo ma yɛnhu. Saa gel yi betumi ama tebea horow a ɛtete saa no ayɛ kɛse.
• Sɛ wowɔ honam ani yareɛ a: Sɛ wowɔ ɔyare mmoawa, fungal, anaa kuru mu yareɛ bi wɔ baabi a ɛsɛ sɛ wode aduru no gu wo so anaa ɛbɛn hɔ a, ɛsɛ sɛ woka kyerɛ wɔn nso. Sɛ wode saa gel yi gu baabi a ɔyare mmoawa bi wɔ a, ebetumi ama ayɛ kɛse.
• Sɛ wo ho yɛ wo hyew wɔ aduru yi (Ingenol Mebutate), nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano ho a: Sɛ wo ho yɛ wo hyew wɔ aduru biara ho pɛn (e.g., honam ani akisikuru, ɛyɛ wo yaw, ɛyɛ den sɛ wobɛhome) a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
• Sɛ woanyinsɛn anaa worebɔ mmɔden sɛ wubenyinsɛn a: Eyi ho hia paa. Nnuru bi betumi apira akokoaa no wɔ nyinsɛn mu. Enti, ntwɛn sɛ wobɛka eyi ho asɛm akyerɛ wo duruyɛfo.
• Sɛ woyɛ ɛna a ɔma nufu a: Nnuru bi betumi afa nufusu so akɔ wo ba no nkyɛn. Ebetumi apira akokoaa no. Enti ka eyi nso ho asɛm kyerɛ wo duruyɛfo.

Sɛ wunya saa nneɛma yi wie a, wo duruyɛfo betumi asi gyinae sɛ ebia aduru yi fata wo, asesa ɔkwan a wofa so de di dwuma, anaasɛ ɔkyerɛ ɔkwan foforo a ahobammɔ wom. Kae sɛ w’ahobammɔ ne ade a ɛho hia sen biara.

Ɔkwan bɛn so ankasa na wode saa gel yi di dwuma?

Ɛho hia paa sɛ wubehu sɛnea wɔde saa aduru yi di dwuma pɛpɛɛpɛ. Eyi nkutoo ne ɔkwan a wobɛfa so anya aduru no so mfaso kɛse na woatew nea efi mu ba no so. Ɛsɛ sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.

• Topical: Eyi nyɛ aduru a ɛsɛ sɛ wɔnom wɔ ano . Ɛyɛ aduru a ɛsɛ sɛ wɔde gu honam ani fã a ayɛ no tratraa nkutoo, kyerɛ sɛ, baabi a ``Actinic Keratosis`` nsensanee no wɔ. Mma ɛnka honam ani a ɛte apɔw a atwa ho ahyia no.
• Gyae aduru no simma 15 bere a wode ahyɛ wo ho akyi: Fa aduru no gu wo honam ani na twɛn bɛyɛ simma 15 kosi sɛ ɛbɛyow yiye. Saa bere yi mu no, bɔ mmɔden sɛ wobɛma beae no atwe ne ho afi ntade ho, wobɛtwe wo ho afi biribiara ho, na woatwe wo ho afi mframa ho.
• Mfa wo ho nhohoro, nka wo ho, anaa nnho fifiri nnɔnhwerew 6: Mfa nsu nhohoro beae no, mfa wo nsa nka wo ho mpɛn pii, ntwitwiw wo ho denneennen, anaa fa wo ho hyɛ dwumadi ahorow a ɛma wo ho fifiri boro so nnɔnhwerew 6 bere a wode aduru no ahyɛ wo ho akyi. Saa a wɔbɛyɛ no betumi atew aduru no a etu mpɔn no so anaasɛ ebetumi anya honam ani nkɛntɛnso a wɔmpɛ.
• Wubetumi ahohoro wɔ nnɔnhwerew 6 akyi: Nnɔnhwerew 6 akyi no, wubetumi de samina a ɛnyɛ den ne nsu a ɛyɛ hyew ahohoro beae no yiye. Mfa ahoɔden ntwitwiw wo ho.
• Fa di dwuma bere a ɛfata ne ɔkwan a ɛfata so: Di oduruyɛfo no akwankyerɛ a ɛfa nna dodow ne mpɛn dodow a ɛsɛ sɛ wode gu so da biara ho no akyi. Mpɛn pii no, ɛsɛ sɛ wɔde saa aduru yi di dwuma bere tiaa bi, te sɛ nnafua 2 anaa 3. Mfa nhyɛ pii anaa kakraa bi sɛnea wote nka.
• Wie adesua no: Ebia wobɛte nka sɛ nkekae biara nni wo ho wɔ da koro anaa nnanu akyi. Nanso, fa aduru no di dwuma nna dodow a wo duruyɛfo akyerɛw ama wo no nyinaa. Sɛ ɛnte saa a, nnyae fã. Sɛ wo duruyɛfo ka kyerɛ wo nkutoo a, gyae.

Nea ɛho hia: Ɛyɛ papa sɛ wobɛhyɛ nsateaa bere a wode aduru yi regu so, titiriw sɛ wo nsa honam ani yɛ mmerɛw a. Sɛ ɛnte saa a, ɛsɛ sɛ wode samina ne nsu hohoro wo nsa yiye bere a wode aduru no ahyɛ wo ho awie no ara pɛ. Eyi bɛboa ma aduru no ankɔ wo nsateaa so na antrɛw akɔ mmeae afoforo.

So ɛsɛ sɛ wɔde aduru yi ma mmofra?

Wɔntaa nkamfo saa aduru yi mma mmofra nkumaa anaa nkokoaa. Nanso, sɛ wo duruyɛfo kyerɛw ma wo wɔ asɛm titiriw bi mu a, wo ne wo duruyɛfo nka ho asɛm. Ebia ɛho behia sɛ wohwɛ yiye kɛse bere a wode saa aduru yi redi dwuma wɔ mmofra nkumaa mu no. Enti, ɛbɛyɛ papa sɛ wobɛhwehwɛ mmofra oduruyɛfo afotu.

Na sɛ mede nnuru pii gu so wɔ akwanhyia mu nso ɛ?

Sɛ wususuw sɛ wode aduru yi adi dwuma dodo anaasɛ woanom wɔ akwanhyia mu a, kɔ ayaresabea dan a ɛhwɛ ntɛmpɛ a ɛbɛn wo no mu ntɛm ara, anaa frɛ baabi a wɔhwɛ awuduru so. Sɛ wɔnom boro so a, ebetumi asɛe honam ani kɛse.

Saa aduru yi yɛ wo nkutoo dea!

Eyi ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae. Oduruyɛfo no kyerɛw saa aduru yi maa wo. Wo yare no nti. Enti, mfa eyi mma obi foforo da. Sɛ wo fipamfo wɔ mole te sɛ wo de mpo a, mma ɔmfa eyi nni dwuma. Ebetumi apira no, efisɛ ɛnyɛ obiara honam ani yɛ pɛ, na ɛnyɛ moles nyinaa na ɛyɛ `(Actinic Keratosis)`.

Sɛ wo werɛ fi sɛ wobɛnom w’aduru a, dɛn na woyɛ?

Ɛtɔ da bi a yɛn werɛ fi sɛ yɛbɛnom yɛn nnuru. Eyi yɛ ade a ɛfata bere a yɛkɔ yɛn da biara da dwumadi ahorow mu no. Sɛ wo werɛ fi sɛ wode saa gel yi bɛhyɛ wo ho a, fa gu so bere a wokae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, wɔ nnɔnhwerew kakraa bi mu) a, twa dodow a woayera no so na fa dodow a edi hɔ no gu so wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie nea wo werɛ afi no. Saa a wɔyɛ no ma asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no yɛ kɛse. Sɛ w’adwene mu yɛ wo naa a, bisa wo duruyɛfo anaa nnuruyɛfo.

So biribi foforo bi betumi ne aduru yi adi nkitaho?

Wɔtaa ka sɛ Ingenol Mebutate Gel ne nnuru afoforo nni nkitaho pii. Nanso, mfa cream, lotion, ngo, owia aduru, anaa honam ani aduru foforo biara nhyɛ baabi a wode saa gel yi regu no a wunni kan nkɔ wo duruyɛfo nkyɛn. Saa a wɔbɛyɛ no betumi asiw gel yi a etu mpɔn no kwan anaasɛ ɛbɛma honam ani ayɛ nea wɔmpɛ.

Ka nnuru a worenom (a wo duruyɛfo akyerɛw ama wo, a wɔmfa nnuru nhyɛ mu), nhabannuru (nhabannuru), vitamin, ne aduannuru a wɔde ka aduan ho nyinaa kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo duruyɛfo. Ɛyɛ papa sɛ wobɛka biribiara akyerɛ wɔn, efisɛ nneɛma bi betumi ne aduru yi adi nkitaho.

Dɛn bio na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a mede saa aduru yi redi dwuma no?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye kakra wɔ ho bere a wode saa aduru yi redi dwuma no. Sɛ wudi akwankyerɛ ahorow yi akyi yiye a, wubetumi anya nnuru no so mfaso kɛse na asiane a ɛwɔ mu no so atew.

• Mma nnkɔ aniwa, ano, anaa hwene mu: Eyi ho hia paa. Mma saa gel yi nkɔ w’ani, w’ano, anaa w’anom hwene mu wɔ tebea biara mu. Sɛ ɛba w’ani so wɔ akwanhyia mu a, ntɛm ara fa nsu pa (tap nsu) pii hohoro w’ani bɛyɛ simma 15. Afei kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Sɛ ɛkɔ w’anom anaa wo hwene mu a, fa nsu hohoro mu yiye na ka kyerɛ oduruyɛfo.
• Wora tebea betumi asɛe: Ɛsɛ sɛ wode saa aduru yi di dwuma ma tebea ``Actinic Keratosis`` a wo duruyɛfo akyerɛw ama wo no nkutoo. Sɛ ɛnte saa a, sɛ wode gu akisikuru anaa nsensanee bi a wususuw sɛ wowɔ so a, ebetumi ama wo honam ani tebea a ɛwɔ hɔ dedaw no asɛe kɛse.
• Afoforo nso betumi anom aduru no:Eyi nso yɛ biribi a ɛsɛ sɛ wohwɛ yiye wɔ ho. Sɛ baabi a wode aduru no guu so no, bere a ayow mpo akyi no, kɔ obi foforo (titiriw abofra ketewa) anaa afieboa bi honam ani a, wobetumi anya ɔhaw ahorow nso.

Fa no sɛ sɛ wode aduru to wo nsa so na wode fa akokoaa ketewaa bi a, aduru no betumi akɔ wɔn honam ani. Enti, sɛ wuntumi nkwati sɛ wo ne obi foforo bɛkɔ wo honam ani (titiriw baabi a wɔde aduru no guu no) a, fa ntade kata baabi a ɛwɔ no so. Sɛ wunya aduru no wɔ obi foforo honam ani wɔ akwanhyia mu a, ntɛm ara fa samina ne nsu hohoro baabi a ɛwɔ saa onipa anaa aboa no so.

• Hu asiane a ɛwɔ honam ani kokoram mu: Actinic Keratosis yɛ tebea a ebetumi ama woanya honam ani kokoram daakye. Ɛwom sɛ saa aduru yi betumi aboa ma saa asiane no so atew de, nanso wo ne wo duruyɛfo nka asiane a ɛwɔ hɔ sɛ wubenya honam ani kokoram ho asɛm. Ebia asiane no bɛkɔ soro kakra. Enti, hwɛ yiye bere a worefi adi akɔ owia mu, te sɛ nea wode aduru a ɛbɔ wo ho ban fi owia ho, kyɛw a wobɛhyɛ, ne ntade a ɛkata wo nipadua so a wobɛhyɛ no.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, saa `(Ingenol Mebutate)` gel yi betumi de nsunsuanso bɔne aba nnipa binom so. Nanso, ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm na ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ ntɛm ara. Wɔn mu binom yɛ nea ɛfata na ebefi hɔ nna kakraa bi akyi. Nea ɛsɛ sɛ wɔhwɛ kwan kɛse.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den: Honam ani akisikuru a emu yɛ den mpofirim, ɛyaw a emu yɛ den, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon, na ɛyɛ den sɛ ɔbɛhome. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛyɛ ntɛmpɛ na ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
• Ɔhyew a emu yɛ den, ɛyaw, ɛyaw, ɛho ayɛ kurukuruwa, ɛho ayɛ kurukuruwa, akisikuru wɔ baabi a wɔde ahyɛ no: Mpɛn pii no, ɛsɛ sɛ wɔhwɛ kwan sɛ honam ani bɛhyew kakra, ɛbɛyɛ kɔkɔɔ, ayɛ no yaw, na ayɛ mmerɛw. Nanso, sɛ eyinom mu yɛ den, wontumi nnyina ano, anaasɛ ɛtrɛw a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo .
• Aniwa mu yaw, ɛyɛ kɔkɔɔ, aniwa a ɛyɛ kusuu: Sɛ aduru no ankɔ w’ani so mpo a, ebetumi aka w’ani so. Sɛ ɛba saa a, ka kyerɛ wo duruyɛfo.
• Honam ani a ɛyɛ kɔkɔɔ, akisikuru, ɛho tew, anaa ɛho tew (ebetumi nso aba ano mu): Eyinom nso betumi ayɛ sɛnkyerɛnne a emu yɛ den.

Nneɛma bɔne a ɛho nhia sɛ woka ho asɛm kyerɛ oduruyɛfo (nanso ɛsɛ sɛ wɔbɔ ho amanneɛ sɛ ɛkɔ so anaasɛ ɛhaw adwene a):

• Tipaeɛ
• Honam ani a ɛyɛ mmerɛw, ɛyɛ kɔkɔɔ, ɛyɛ nwunu, ɛho ahon, ne honam ani a ɛyɛ mmerɛw wɔ baabi a wɔde aduru no guu no (mpɛn pii no eyinom brɛ ase wɔ nna kakraa bi mu) .
• Hwene a ɛretu , menewa a ɛyɛ yaw

Saa nsɛm a wɔahyehyɛ yi nyɛ nea ebetumi afi mu aba nyinaa. Sɛ wuhu biribi a ɛyɛ soronko a, bisa wo duruyɛfo no ho asɛm. Wubetumi nso abɔ FDA (Food and Drug Administration) a ɛwɔ ɔkwan a wɔfa so yɛ saa no ho amanneɛ. (Wɔ Sri Lanka no, wubetumi abɔ wo duruyɛfo anaa Ɔman Nnuru Ho Mmarahyɛ Bagua no amanneɛ).

Ɔkwan bɛn so na wode aduru yi sie?

Nnuru a wɔde besie yiye no ho hia yiye na ama wɔakura ne su mu. Sɛ ɛnte saa a, aduru no betumi ahwere ne tumi anaasɛ asɛe.

• Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ: Eyi ho hia yiye. Sɛ mmofra nkumaa de wɔn nsa ka eyinom anaa wɔde hyɛ wɔn anom a, ebetumi ayɛ ɔhaw kɛse. Saa ara na ɛte wɔ afieboa fam.
• Fa sie frigye mu: Ɛsɛ sɛ wɔde saa gel yi sie wɔ ɔhyew a ɛwɔ digrii Celsius 2 kosi 8 (digrii Fahrenheit 36 ​​kosi 46), a ɛkyerɛ sɛ ɛsɛ sɛ wɔde sie frigye no fã a yɛtaa de nhabannuru sie (ɛnyɛ frigye mu).
• Mfa nhyɛ nwini mu: Mfa sie frigye mu. Sɛ woyɛ saa a, ebetumi ama aduru no anyɛ adwuma yiye.
• Mfa nni dwuma sɛ ne bere atwam a: Hwɛ da a ne bere atwam (`(da a ne bere atwam)`) wɔ aduru no packet anaa tube no so. Sɛ da no atwam a, mfa aduru no nni dwuma. Tow aduru biara a wɔmfa nni dwuma gu.

Wobɛyɛ dɛn atow nnuru a wɔmfa nni dwuma a ne bere atwam agu?

Eyi nso ho hia. Ɛnyɛ bere nyinaa na ɛfata sɛ wobɛtow nnuru agu nwura mu kɛkɛ anaasɛ wobɛhohoro akɔ tiafi mu. Saa a wobɛyɛ no betumi apira nneɛma a atwa yɛn ho ahyia.

• Nnuru a wɔsan de ma ho nhyehyɛe: Nnurutɔnbea ne akwahosan asoɛe ahorow bi wɔ nhyehyɛe ahorow a wɔde bɛsan agye nnuru a wɔmfa nni dwuma. Hwɛ wo nnurutɔnbea anaa mpɔtam hɔ akwahosan ho adwumayɛfo na hwɛ sɛ wɔwɔ bi anaa.
• Hwɛ nea wɔakyerɛw so: Sɛ ɔkwan biara nni hɔ a wobɛfa so atow agu saa kwan no so a, hwɛ aduru no din anaa krataa a ɛka ho no mu hwɛ sɛ ɛwɔ akwankyerɛ a ɛkyerɛ sɛ ebia wobɛtow agu nwura mu anaasɛ wobɛhohoro agu tiafi mu anaa.
• Bisa oduruyɛfo no: Sɛ wuntumi nhu a, bisa oduruyɛfo anaa nnuruyɛfo.
• Sɛ woretow agu nwura mu (sɛ ɛfata nkutoo): Sɛ wohwɛ hu sɛ ɛyɛ nea asiane biara nni ho sɛ wobɛtow agu nwura mu a, yi aduru no fi ade no mu, fa biribi te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam a wɔde adi dwuma fra mu, na fa gu kotoku anaa ade a wɔatoto mu denneennen mu na tow gu nwura mu. Eyi yɛ nea wɔde besiw obi foforo anaa aboa bi kwan sɛ ɔbɛnom aduru no na ɔde adi dwuma.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Okay, yɛaka saa `(Ingenol Mebutate)` gel yi ho asɛm pii, ɛnte saa? Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde sa honam ani a ɛyɛ mmerɛw a wɔfrɛ no `(Actinic Keratosis)`, a ɛyɛ honam ani yare a owia de ba. Ɛho hia sɛ wonya saa ayaresa yi efisɛ saa nsensanee yi betumi adan honam ani kokoram daakye.

Nea ɛho hia sen biara ne sɛ ɛsɛ sɛ wode saa aduru yi di dwuma sɛnea wo duruyɛfo kyerɛ wo nkutoo, sɛnea ɔka kyerɛ wo no pɛpɛɛpɛ. Mfa nni dwuma sɛnea wopɛ.

• Ka nyarewa foforo biara a wowɔ, nnuru foforo biara a wonom, ne akisikuru biara a wowɔ ho asɛm kyerɛ oduruyɛfo no .
• Di akwankyerɛ a wɔde ma wɔ aduru no a wɔde bɛhyɛ mu, bere a wɔde bɛyow, ne bere a wɔde hohoro ho no akyi.
• Mma ɛnkɔ w’ani, w’ano, anaa wo hwene mu.
• Hu nneɛma bɔne a efi mu ba, na sɛ wuhu biribi a anibere wom a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Fa aduru no sie yiye, fa sie frigye mu, na fa to baabi a mmofra ntumi nkɔ.
• Saa aduru yi yɛ wo nkutoo dea, mfa mma nnipa afoforo, sɛ mpo wɔn nso wɔ nsensanee a ɛte saa ara a.

Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho, anaasɛ wowɔ nsɛm bi a ɛhaw wo anaa w’adwene mu yɛ wo naa a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho adwumayɛfo. Wɔbɛboa wo. Nya apɔwmuden na hwɛ yiye!

` Ingenol Mebutate, Actinic Keratosis, Honam ani Gel, Wora Yare, Wora Kokoram, Nnuru a Ɛma Nnuru Bɔ, Wora Ho Nnuru, Picato