He aha ka Melanoma Maka? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

He ʻano maʻi kanesa maʻamau ʻole ka melanoma maka e ulu ana i loko o nā cell e hana ana i ka pigment o kou maka. ʻOiai he mea weliweli ke kani, hiki i ka hoʻomaopopo ʻana i kēia maʻi ke kōkua iā ʻoe e ʻike i nā hōʻailona nui a ʻimi i ka mālama kūpono i ka wā e pono ai.

ʻO kēia maʻi kanesa ka mea maʻamau loa e pili ana i ka uvea, ʻo ia ka papa waena o kou maka e komo pū ana i ka iris, ka kino ciliary, a me ka choroid. E noʻonoʻo i kēia mau ʻāpana e like me ka ʻōnaehana kākoʻo o ka maka e kōkua ana i ka kaohi ʻana i ka mālamalama a hānai i ka retina.

He aha ka Melanoma Maka?

E ulu ana ka melanoma maka i ka wā e hoʻomaka ai nā melanocytes, nā cell e hāʻawi ana i kou maka i kona kala, e ulu kūpono ʻole a me ka manaʻo ʻole. ʻO kēia ke ʻano like o nā cell e hiki ke hoʻokumu i ka melanoma ʻili, akā ʻokoʻa loa ka hana o ka melanoma maka.

ʻO ka maʻi ke pili nui aku i nā mākua, me ka nui o nā hihia e loaʻa ana i nā kānaka ma luna o 50. ʻAʻole like me ka melanoma ʻili, ʻaʻole i hoʻokumu ʻia ka melanoma maka e ka mālamalama o ka lā, kahi mea kupanaha pinepine i nā kānaka i ka wā e aʻo mua ai lākou e pili ana i kā lākou ʻike.

Aia ʻelua mau wahi nui kahi e hiki ai ke ulu ka melanoma maka. Hoʻopili ka uveal melanoma i nā ʻāpana o loko o kou maka, ʻoiai ke ulu nei ka conjunctival melanoma ma ka membrane maopopo e uhi ana i ka ʻāpana keʻokeʻo o kou maka.

He aha nā Hōʻailona o ka Melanoma Maka?

ʻO ka pilikia o ka melanoma maka, ʻo ia ka mea maʻamau loa e ulu ana me ka ʻole o ka hōʻailona ʻike ʻia i kāna mau kahua mua. Nui nā kānaka e ʻike ana iā lākou i nā nānā maka maʻamau, ʻo ia ke kumu nui o nā nānā maʻamau.

Ke ʻike ʻia nā hōʻailona, ​​hiki iā ʻoe ke ʻike i nā loli i kou ʻike e ulu mālie ana:

• ʻIke ʻole a i ʻole ka ʻike maopopo ʻole i hoʻokahi maka
• Nā wahi ʻeleʻele a i ʻole nā ​​​​malu i kou kahua ʻike
• Nā kukui ʻālohilohi a i ʻole nā ​​​​wahi lana e like me ka mea maʻamau ʻole
• Kahi wahi ʻeleʻele e ulu ana ma kou iris
• Nā loli i ke ʻano o kou haumāna
• Nā nalowale o ka ʻike peripheral ma kekahi ʻaoʻao

Ke ʻike nei kekahi poʻe i kahi manaʻo e ʻokoʻa ana ko lākou maka, ʻoiai ʻaʻole hiki iā lākou ke kuhikuhi pono i ka mea i loli. Ke ʻike nei nā poʻe ʻē aʻe e kūlou a i ʻole ke kūlou nā laina pololei i ka nānā ʻana me ka maka i pilikia.

I nā hihia maʻamau ʻole, hiki iā ʻoe ke loaʻa ka ʻeha a i ʻole ka kaomi i kou maka, ʻoiai ke loaʻa wale kēia i ka wā e ulu nui ai ka tumor. E hoʻomanaʻo, hiki i kēia mau hōʻailona ke hōʻike pū i nā kūlana maka maʻamau ʻē aʻe, no laila ʻaʻole ʻo ka ʻike ʻana iā lākou he manaʻo ia he melanoma kāu.

He aha nā ʻAno o ka Melanoma Maka?

Hoʻokaʻawale ʻia nā melanoma maka ma muli o kahi e ulu ai lākou i loko o kou maka. ʻO ka ʻano maʻamau loa ka uveal melanoma, kahi e pili ana i ka 85% o nā melanoma maka a pau.

Hiki i ka uveal melanoma ke loaʻa i ʻekolu mau wahi kikoʻī. Hoʻomohala ʻia ka choroidal melanoma i ka papa ma lalo o kou retina a hōʻike i ka hapa nui o nā hihia. Hoʻopili ka ciliary body melanoma i ka ʻiʻo e kaohi ana i ke ʻano o kou lens, ʻoiai ke ʻike ʻia ka iris melanoma i ka ʻāpana kala o kou maka.

ʻOi aku ka maʻamau ʻole o ka conjunctival melanoma a ulu ma ka membrane lahilahi, maopopo e uhi ana i ka ʻāpana keʻokeʻo o kou maka. ʻOi aku ka like o kēia ʻano me ka melanoma ʻili a pili paha i ka mālamalama o ka lā.

Aia kekahi ʻano maʻamau ʻole loa i kapa ʻia ʻo orbital melanoma, kahi e pili ana i nā pūnaewele e hoʻopuni ana i kou puka maka. Pono kēia ʻano i ka mālama kūikawā a pili pinepine i kahi hui o nā loea like ʻole.

He aha ka Mea e Hoʻokumu ai i ka Melanoma Maka?

ʻAʻole ʻike nui ʻia ke kumu pololei o ka melanoma maka, kahi mea hiki ke manaʻo ʻole i ka wā e ho'āʻo ai ʻoe e hoʻomaopopo i ke kumu o kēia mea. ʻAʻole like me ka melanoma ʻili, ʻaʻole pili pinepine ka melanoma maka i ka mālamalama o ka lā a i ʻole ka radiation UV.

Manaʻo nā mea noiʻi e hoʻomaka nā loli genetic i nā melanocytes i ka maʻi kanesa, akā ʻaʻole maopopo loa ke kumu o kēia mau loli. Ke hōʻike nei kekahi mau noiʻi e hiki i kekahi mau mutations genetic ke hoʻolilo i kekahi poʻe i mea maʻalahi i ka loaʻa ʻana o kēia maʻi.

Hiki i nā kumu kūlohelohe ke pāʻani i kahi kuleana, ʻoiai ua kaupalena ʻia ka hōʻike. Ua noiʻi kekahi mau noiʻi i nā pilina i ka hana hoʻoheheʻe, ka hōʻike kemika, a i ʻole kekahi mau hana, akā ʻaʻohe pilina i hoʻokumu ʻia.

ʻO ka loaʻa ʻana o nā maka māmā, ʻoi aku hoʻi ka uliuli a i ʻole ka ʻōmaʻomaʻo, e hoʻonui iki i kou pilikia. Hiki i ka ʻili mālie a me ka pilikia o ka tanning ke hoʻonui i ka pilikia, ʻoiai ʻaʻole i ikaika ka pilina e like me ka melanoma ʻili.

I ka Wā e ʻIke ai i ke Kauka no ka Melanoma Maka?

Pono ʻoe e hoʻonohonoho i kahi nānā maka inā ʻike ʻoe i kekahi mau loli mau i kou ʻike, ʻoi aku hoʻi inā pili wale lākou i hoʻokahi maka. Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona ma o lākou iho, ʻoiai ka ʻike mua ʻana e hoʻomaikaʻi nui ana i nā hopena o ka mālama ʻana.

E hoʻokaʻaʻike koke i kāu kauka maka inā loaʻa iā ʻoe nā wahi ʻeleʻele hou i kou ʻike, ʻike i nā loli wikiwiki o ka ʻike, a i ʻole ʻike i kahi wahi ʻeleʻele e ulu ana ma kou iris. Pono kēia mau loli i ka loiloi ʻoihana, ʻoiai ʻoi aku ka nui o ka hoʻokumu ʻia ʻana e nā kūlana ʻē aʻe.

Inā loaʻa iā ʻoe nā kumu pilikia no ka melanoma maka, e like me nā maka māmā a i ʻole ka mōʻaukala ʻohana o ka melanoma, e kūkākūkā i nā papahana nānā kūpono me kāu mea mālama ʻike maka. Hiki i nā nānā maka dilated maʻamau ke ʻike i nā loli ma mua o ka ulu ʻana o nā hōʻailona.

ʻAʻole pono ka mālama pilikia maʻamau ke ʻike ʻoe i ka nalowale o ka ʻike wikiwiki a i ʻole ka ʻeha nui o ka maka. Eia naʻe, mai kānalua e ʻimi i ka mālama wikiwiki inā pilikia ʻoe i nā loli wikiwiki i kou ʻike.

He aha nā Kumu Pilikia no ka Melanoma Maka?

Hiki i ka hoʻomaopopo ʻana i kāu mau kumu pilikia ke kōkua iā ʻoe e hana i nā hoʻoholo ʻike e pili ana i ka nānā ʻana a me ka nānā ʻana. ʻO ka makahiki ka mea nui loa, me ka nui o nā hihia e loaʻa ana i nā kānaka ma luna o 50.

Hiki i kekahi mau hiʻohiʻona kino ke hoʻonui i kou pilikia:

• Nā maka māmā, ʻoi aku hoʻi ka uliuli a i ʻole ka ʻōmaʻomaʻo
• ʻIli mālie e puhi maʻalahi
• Laau a i ʻole lauoho ʻulaʻula
• Ka pilikia o ka hoʻomohala ʻana i kahi tan
• Loaʻa nā moles a i ʻole nā freckles

Hoʻonui pū kekahi mau kūlana genetic i ka pilikia. ʻO ka ocular melanocytosis, kahi e hoʻonui ai i ka pigmentation i kou maka, a me ka dysplastic nevus syndrome, e komo pū ana i nā moles maʻamau ʻole, ʻelua e pono ai ka nānā pono.

ʻO ka loaʻa ʻana o ka mōʻaukala ʻohana o ka melanoma, ʻo ka maka a i ʻole ka ʻili paha, hiki ke hoʻonui iki i kou pilikia. Hoʻonui nui kekahi mau syndromes genetic maʻamau ʻole, e like me ka BAP1 tumor predisposition syndrome, i ka hiki ke loaʻa i ka melanoma maka.

ʻAʻole like me ka melanoma ʻili, ʻaʻole ʻike ʻia ka hōʻike o ka lā hana a me ka hoʻohana ʻana i ka moena tanning e hoʻonui nui i ka pilikia o ka melanoma maka. Ke kupanaha pinepine nei kēia ʻokoʻa i nā kānaka a hōʻike i ka ʻokoʻa o kēia maʻi kanesa mai kāna hoa ʻili.

He aha nā Pilikia Hiki o ka Melanoma Maka?

ʻO ka pilikia nui loa ka metastasis, kahi e pālahalaha ai nā cell kanesa i nā ʻāpana ʻē aʻe o kou kino. Loaʻa i ka melanoma maka kahi ʻano kūikawā e pālahalaha ai i ke akepaʻa, ʻo ia ke kumu nui o ka nānā mau ʻana a hiki ma hope o ka mālama holomua.

Ke hilinaʻi nei nā pilikia pili i ka ʻike i ka nui a me ka wahi o ka tumor. Ke ʻike nei kekahi poʻe i ka nalowale o ka ʻike hapa a i ʻole piha i ka maka i pilikia, ʻoiai ke mālama nei nā poʻe ʻē aʻe i ka ʻike hana i ka wā o ka mālama ʻana.

Hiki i ka mālama ʻana ke hoʻokumu i nā pilikia. Hiki i ka radiation therapy ke alakaʻi i ka maloʻo o ka maka, nā cataracts, a i ʻole ka pōʻino retinal ma hope o ka manawa. Pono ka wehe ʻana i ka maka, ʻoiai he mea pono i kekahi manawa, i ka hoʻoponopono ʻana i ka ʻike monocular.

Hiki ke ulu ka glaucoma lua i ka wā e hoʻopilikia ai ka tumor i ka hoʻokahe wai maʻamau i kou maka. Hiki i kēia kaomi hoʻonui ke hoʻokumu i nā pilikia ʻike hou aʻe a pono paha i ka mālama kaʻawale.

I nā hihia maʻamau ʻole, hiki i nā tumors nui loa ke hoʻolilo i ka maka i mea ʻeha a i ʻole ka hopohopo cosmetic. Ke loaʻa nei i kekahi poʻe ka mumū a i ʻole ke kahe koko i loko o ka maka, kahi e hiki ai ke hoʻopilikia i ka ʻike a me ka hōʻoluʻolu.

Pehea ka Hōʻike ʻana o ka Melanoma Maka?

Hoʻomaka pinepine ka hōʻike ʻana me kahi nānā maka piha kahi e hoʻonui ai kāu kauka i kou mau haumāna e nānā pono i loko o kou maka. ʻAe kēia iā lākou e ʻike i nā wahi e hiki ke loaʻa ka melanoma.

E hoʻohana kāu kauka maka i nā mea hana kūikawā e nānā i kou retina a me nā ʻano o loko o ka maka ʻē aʻe. Hiki iā lākou ke kiʻi i nā kiʻi a i ʻole ke hoʻohana i ka ultrasound e ana i nā wahi kānalua a hoʻoholo i kā lākou mau hiʻohiʻona.

Hoʻopili ka fluorescein angiography i ka hoʻokomo ʻana i kahi kala kūikawā i kou lima e hele ana i nā kīʻaha koko o kou maka. Ke kōkua nei kēia ho'āʻo i nā kauka e ʻike i ke ʻano o ke kahe koko a puni nā wahi kānalua a hiki ke hōʻike i nā hiʻohiʻona tumor.

Hoʻohana ʻia kekahi manawa ka fine needle aspiration biopsy e kiʻi i nā laʻana pūnaewele, ʻoiai ʻaʻole pono mau ia no ka hōʻike ʻana. Hiki i kāu kauka ke paipai i ka ho'āʻo genetic o nā cell tumor e kōkua i ka wānana ʻana i ka hana a me ka alakaʻi ʻana i nā hoʻoholo mālama.

Ke kōkua nei nā noiʻi kiʻi hou aku, e like me ka MRI a i ʻole nā ​​​​scan CT, e hoʻoholo inā ua pālahalaha ka maʻi kanesa ma mua o kou maka. He mea nui kēia mau ho'āʻo no ka hoʻonohonoho ʻana i ka maʻi kanesa a me ka hoʻolālā ʻana i ka mālama kūpono.

He aha ka Mālama no ka Melanoma Maka?

Ke hilinaʻi nei nā koho mālama i ka nui, kahi, a me nā hiʻohiʻona genetic o kāu tumor, a me kou olakino holoʻokoʻa a me nā pahuhopu ʻike. ʻO ka pahuhopu mau loa ka hoʻopau ʻana i ka maʻi kanesa ʻoiai ke mālama nei i ka nui o ka ʻike a me ka hana o ka maka.

ʻO ka radiation therapy ka mālama maʻamau loa no nā tumors nui waena. Hoʻopili ka plaque brachytherapy i ka waiho ʻana i kahi diski radioactive liʻiliʻi ma kou maka, e hāʻawi ana i ka radiation pololei i ka tumor ma luna o kekahi mau lā.

Ke hoʻohana nei ka radiation beam external i ka radiation pololei mai waho o kou kino. Hiki i ka proton beam therapy, loaʻa ma nā kikowaena kūikawā, ke hāʻawi i ka radiation me ka pololei maikaʻi loa, hiki ke ho'emi i ka pōʻino i nā pūnaewele olakino e hoʻopuni ana.

ʻO nā koho ʻoki kino e komo pū ana i ka local resection, kahi e wehe ai nā kauka i ka tumor ʻoiai ke mālama nei i kou maka. E pono ka enucleation, a i ʻole ka wehe ʻana i ka maka, i ka wā e nui loa ai nā tumors a i ʻole ke hiki ʻole ke mālama ʻia ka ʻike.

No nā tumors liʻiliʻi, hiki i kāu kauka ke paipai i ka nānā pono me nā nānā maʻamau. Ke ulu mālie nei kekahi mau melanomas liʻiliʻi a pono ʻole paha i ka mālama koke.

ʻO nā mālama hou e komo pū ana i nā lāʻau lapaʻau i hoʻokumu ʻia e hoʻouka i nā mutations genetic kūikawā i nā cell melanoma. Ke hōʻike nei ka immunotherapy, kahi e kōkua ai i kou ʻōnaehana pale e hakakā i ka maʻi kanesa, i ka manaʻo no nā hihia holomua.

Pehea e Lawe ai i ka Mālama Home i ka wā o ka Melanoma Maka?

ʻO ka hoʻokele ʻana i nā hopena mai ka mālama ʻana e pono pinepine i nā hoʻolālā mālama kūikawā āu e hiki ke hoʻokō ma ka home. Inā loaʻa iā ʻoe ka radiation therapy, hiki iā ʻoe ke ʻike i ka huhū o ka maka e pane maikaʻi ana i nā kulu lubricating i kuhikuhi ʻia.

Ke lilo nei ka pale ʻana i kou mau maka mai ka mālamalama ʻālohilohi i mea nui i ka wā a ma hope o ka mālama ʻana. Hiki i ka hoʻohana ʻana i nā aniani lā a me ka pale ʻana i ka manawa nui o ka pale ke kōkua i ka hoʻemi ʻana i ka ʻoluʻolu ʻole a me ka hoʻoikaika.

Ke kākoʻo nei ka mālama ʻana i ka olakino maikaʻi holoʻokoʻa i ka hiki o kou kino ke ho'ōla a hoʻokele i ka mālama ʻana. Ke kōkua nei ka ʻai ʻana i nā meaʻai momona, ka wai inu, a me ka loaʻa ʻana o ka hoʻomaha lawa i kou ho'ōla.

He mea maʻamau nā loli ʻike i ka wā o ka mālama ʻana a he mea manawa pōkole pinepine. Hiki i ka hoʻonohonoho ʻana i kou wahi home e hoʻokō i nā palena ʻike ke kōkua iā ʻoe e mālama i kou kūʻokoʻa a me kou palekana.

ʻO ka hahai ʻana i nā ʻōlelo a kāu kauka e pili ana i nā palena hana he mea nui, ʻoi aku hoʻi inā loaʻa iā ʻoe ka ʻoki kino a i ʻole ke loaʻa nei ka radiation. Ke koi nei kekahi mau mālama i nā palena manawa ma ka kulou, ka hāpai kaumaha, a i ʻole nā ​​​​hana ikaika.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hālāwai Kauka?

Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa. Ke kōkua nei kēia ʻike i kāu kauka e hoʻomaopopo i ka holomua a me ka nui o kou maʻi.

E hōʻuluʻulu i kahi papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā kulu maka āu e hoʻohana nei i kēia manawa. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i kou mau maka a i ʻole ke launa pū me nā mālama, no laila he mea nui kēia ʻike no ka mālama palekana.

E hoʻomākaukau i nā nīnau e pili ana i kāu ʻike, nā koho mālama, a me ka mea e manaʻo ai i ka wā hoʻōla. Mai kānalua e nīnau e pili ana i nā helu holomua, nā hopena hiki, a pehea ka hoʻopili ʻana o ka mālama ʻana i kāu mau hana i kēlā me kēia lā.

E lawe mai i kahi lālā ʻohana a hoaaloha paha i kāu hālāwai inā hiki. Ke kōkua nei ka loaʻa ʻana o ke kākoʻo manaʻo, a hiki i kahi kanaka ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui i kūkākūkā ʻia i ka wā kipa.

E hōʻiliʻili i nā moʻolelo nānā maka mua a i ʻole nā ​​​​noiʻi kiʻi āu e loaʻa ai. Ke kōkua nei kēia i kāu kauka e hahai i nā loli ma ka manawa a hiki ke hoʻopilikia i nā hoʻoholo mālama.

He aha ka Mea Nui e pili ana i ka Melanoma Maka?

He maʻi koʻikoʻi akā hiki ke mālama ʻia ka melanoma maka, ʻoi aku hoʻi i ka wā e hopu koke ʻia ai ma o nā nānā maka maʻamau. ʻOiai hiki ke manaʻo nui ka ʻike, nui nā kānaka e mālama i ka ʻike maikaʻi a me ke ola maikaʻi me ka mālama kūpono.

ʻO ka hana nui loa āu e hiki ke hana, ʻo ia ka hoʻonohonoho ʻana i nā nānā maka piha maʻamau, ʻoi aku hoʻi inā loaʻa iā ʻoe nā kumu pilikia a i ʻole ke ʻike i nā loli ʻike. Ke hoʻomaikaʻi nui nei ka ʻike mua ʻana i nā hopena o ka mālama ʻana a me ka mālama ʻana i ka ʻike.

Ua holomua nui ka mālama ʻana i nā makahiki i hala iho nei, e hāʻawi ana i nā koho hou aʻe no ka mālama ʻana i ka ʻike ʻoiai ke mālama pono nei i ka maʻi kanesa. E hana pū kāu hui lapaʻau me ʻoe e hoʻomohala i kahi hoʻolālā mālama e hoʻopili i kou maʻi kanesa a me kāu mau pahuhopu pilikino.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā kumu pilikia he manaʻo ia e loaʻa iā ʻoe ka melanoma maka, a ʻaʻole ka ʻike ʻana i nā hōʻailona he hōʻike pololei ia i ka maʻi kanesa. Eia naʻe, ke mālama nei i kou olakino maka a me ka mālama mau ʻana e hāʻawi i ka palekana maikaʻi loa.

Nā Nīnau Pinepine e pili ana i ka Melanoma Maka

Hiki ke pale ʻia ka melanoma maka?

ʻAʻole maopopo, ʻaʻohe ala i hōʻoia ʻia e pale aku i ka melanoma maka ʻoiai ʻaʻole maopopo loa kāna mau kumu. ʻAʻole like me ka melanoma ʻili, ʻaʻole pili pinepine ka melanoma maka i ka mālamalama o ka lā, no laila ʻaʻole hoʻemi nui ka pale lā i ka pilikia. ʻO ke ala maikaʻi loa, ʻo ia nā nānā maka maʻamau, ʻoi aku hoʻi inā loaʻa iā ʻoe nā kumu pilikia e like me nā maka māmā a i ʻole ka mōʻaukala ʻohana o ka melanoma.

Pehea ka maʻamau o ka melanoma maka?

He mea maʻamau ʻole loa ka melanoma maka, e pili ana i ka 5-7 mau kānaka i kēlā me kēia miliona i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa. ʻO kēia maʻamau ʻole ke ʻano he mau mea mālama ʻike maka wale nō e ʻike i kekahi mau hihia i ko lākou mau ʻoihana. ʻOiai he liʻiliʻi nā helu, pono ka maʻi i ka mālama kūikawā a me ka akamai no nā hopena maikaʻi loa.

E nalowale anei koʻu ʻike inā loaʻa iaʻu ka melanoma maka?

Ke ʻokoʻa nui nei nā hopena ʻike ma muli o ka nui, kahi, a me ke ala mālama i hoʻohana ʻia. Ke mālama nei nā kānaka he nui i ka ʻike hana i ko lākou maka i pilikia, ʻoi aku hoʻi i ka wā e ʻike koke ʻia ai ka melanoma. E kūkākūkā kāu kauka i nā manaʻo kūpono ma muli o kou kūlana kūikawā a e hana e mālama i ka nui o ka ʻike.

He mea hoʻoilina anei ka melanoma maka?

ʻAʻole hoʻoilina ka hapa nui o nā melanoma maka, ʻo ia hoʻi ʻaʻole lākou e holo i nā ʻohana. Eia naʻe, hiki i kekahi mau syndromes genetic maʻamau ʻole, e like me ka BAP1 tumor predisposition syndrome, ke hoʻonui nui i ka pilikia. Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka melanoma a i ʻole nā ​​​​ʻano maʻi kanesa maʻamau ʻole, e kūkākūkā i ka ʻōlelo aʻo genetic me kāu mea mālama olakino.

Pehea pinepine wau e loaʻa ai nā hālāwai hahai ma hope o ka mālama ʻana?

Ke ʻokoʻa nei nā papahana hahai ma muli o kāu ʻano mālama a me nā kumu pilikia pilikino, akā maʻamau e komo pū ana i nā nānā i kēlā me kēia 3-6 mau mahina i ka hoʻomaka, a laila i kēlā me kēia makahiki no nā makahiki he nui. He mea nui ka nānā mau ʻana no ka mea hiki i ka melanoma maka ke pālahalaha i nā ʻāpana o ke kino, ʻoi aku hoʻi ke akepaʻa, a hiki i nā makahiki ma hope o ka mālama holomua o ka maka. E hana kāu kauka i kahi hoʻolālā nānā pilikino no kou kūlana.