He aha te mate pūngāwerewere kiri kore-melanoma? Ngā tohu, ngā take, me te rongoā

Ko te mate pūngāwerewere kiri kore-melanoma te ingoa mō ngā mate pūngāwerewere kiri e puta mai ana i ngā pūtau e kore e rite ki ngā melanocytes (ngā pūtau e hanga ana i te tae). He maha atu te nui o ēnei mate pūngāwerewere i te melanoma, ā, he iti te tere o te tipu, no reira ka taea te whakaora pai ina kitea wawe.

Ko ngā momo e rua matua ko te basal cell carcinoma me te squamous cell carcinoma, ā, ko ēnei e rua nei te nuinga o ngā mate pūngāwerewere kiri katoa, neke atu i te 95%. Ahakoa ka āta whakaarohia, kahore e nui te hora o ngā mate pūngāwerewere kiri kore-melanoma ki ētahi atu wāhanga o tō tinana, ā, he pai te rongoā ki te tika te whakaora.

He aha te mate pūngāwerewere kiri kore-melanoma?

Ka puta te mate pūngāwerewere kiri kore-melanoma ina tīmata te tipu o ngā pūtau kiri i te āhua koretake, ā, kāhore he mana. Kāore i rite ki te melanoma, e tīmata ana i ngā pūtau tae, ka hanga ēnei mate pūngāwerewere i ngā paparanga o waho o tō kiri mai i ngā momo pūtau rerekē.

Whakaarohia tō kiri he maha ngā paparanga, pēnei i te keke paparanga. Ko te nuinga o ngā mate pūngāwerewere kore-melanoma ka tīmata i ngā paparanga o runga, i te wā e tūtaki ana tō kiri ki te rā i ngā rā katoa. Koinei te take i te nuinga o te wā ka puta mai i ngā wāhi e pā ana ki te rā, pēnei i tō mata, tō kaki, tō ringa, me tō ringa.

Ko te rongo pai, ko ēnei mate pūngāwerewere ka noho tonu ki te wāhi kiri i tīmata ai. He iti te tere o te tipu i te whakataurite ki ētahi atu mate pūngāwerewere, no reira he wā mōu me tō tākuta ki te whakaoti pai.

He aha ngā momo mate pūngāwerewere kiri kore-melanoma?

E rua ngā momo matua o te mate pūngāwerewere kiri kore-melanoma, he rerekē ngā āhuatanga me ngā mahi. Ka taea e te mārama ki ēnei rerekētanga te awhina i a koe ki te kite wawe i ngā take pea.

Ko te basal cell carcinoma te momo tino noa, ā, koinei te 80% o ngā mate pūngāwerewere kiri katoa. Ka puta mai i te paparanga hohonu o tō kiri o waho, ā, ko te nuinga o te wā ka puta mai hei pūngāwerewere iti, kanapa, hei paparanga papatahi, kākā. Kahore rānei ēnei mate pūngāwerewere e hora atu ki ētahi atu wāhanga o tō tinana, engari ka taea e rātou te whakarahi i te kino o te rohe mena kāhore i te whakaora.

Ko te squamous cell carcinoma te 15% o ngā mate pūngāwerewere kiri, ā, ka puta mai i ngā paparanga waenganui o tō kiri. Ko te nuinga o te wā ka rite ki te paparanga kākā, kākā, ki te whara tuwhera e kore e ora. Ahakoa he iti te hora, he nui ake te tupono o te squamous cell carcinoma ki te hora atu i te basal cell carcinoma.

Ko ngā momo iti ake ko te Merkel cell carcinoma, te sebaceous carcinoma, me te dermatofibrosarcoma protuberans. Me whakamahi ngā tikanga whakaora motuhake me te tirotiro tata atu mō ēnei momo onge na te āhua kaha ake.

He aha ngā tohu o te mate pūngāwerewere kiri kore-melanoma?

Ka rerekē ngā tohu o te mate pūngāwerewere kiri kore-melanoma i runga i te momo, engari he maha ngā tohu whakatūpato matua hei titiro atu. Ka pai ake te whakaora i te kitenga wawe.

Ko ngā tohu noa e tika ana te aro atu:

• He tipu hou e rite ana ki te peara, te ngawha, te mārama
• He wāhi papatahi, pakari, rite ki te toka, pea he kowhai, he ma, he ngawha
• He paparanga whero kua piki ake pea he ngau, he mamae
• He tipu iti, whero, he iti te piki ake, he taha porowhita
• He whara tuwhera e toto, e hipoki ana i te kiri, ka ora, ka tuwhera ano
• He tipu rite ki te mate huaketo pea e toto ana, e hipoki ana te kiri
• He paparanga kākā, whero tonu, he taha koretake

Tārua atu ki ngā huringa kiri e mau tonu ana mo te torutoru wiki. I etahi wa ka taea e ēnei mate pūngāwerewere te ngāwari, ka puta mai hei whakaheke iti o te kiri e kore e ngaro me te tiaki kiri noa.

Kia mahara ko ngā mate pūngāwerewere kiri kore-melanoma ka tipu haere i roto i ngā marama, i ngā tau rānei. Kāore te nuinga o te wā e mamae, koinei te take i te pai o ngā huringa tirohanga hei pūnaha whakatūpato wawe.

He aha ngā take o te mate pūngāwerewere kiri kore-melanoma?

Ko te take matua o te mate pūngāwerewere kiri kore-melanoma ko te kino o te pānga o te ultraviolet (UV) radiation i te roa o te wā. Ka puta tēnei kino mai i te rā tūturu me ngā puna mahi pēnei i ngā moenga whakawhāiti.

He DNA kei roto i ngā pūtau kiri e whakahaere ana i te tipu me te wehewehe. Ina pā te UV radiation ki tō kiri, ka taea e ia te whakarahi i tēnei rauemi ira. I te tīmatanga, ka taea e tō tinana te whakatika i te nuinga o tēnei kino, engari ka taea e ngā tau o te pānga te whakakore i ngā tikanga whakatikatika o tō kiri.

He maha ngā take motuhake e āwhina ana ki te whanaketanga o tēnei mate pūngāwerewere:

• Te pānga o te rā tonu, ina koa i ngā hāora piki (10 AM ki te 4 PM)
• Te hītori o ngā tahuna rā nui, ina koa i te tamarikitanga
• Te whakamahinga tonu o ngā moenga whakawhāiti, i ngā rama rā rānei
• Te noho i ngā āhuarangi teitei, i ngā āhuarangi rā nui rānei
• Te pānga o te rā mahi (hanganga, mahi pāmu, tiaki ora)
• Te pānga ki ētahi matū pēnei i te arsenic, i te tarare rānei
• Ngā maimoatanga rongoā radiation o mua
• Te mumura kiri, te mate rānei

He iti te wā, ka taea e ētahi āhuatanga ira onge te whakarite i te iwi ki te whanaketanga o ēnei mate pūngāwerewere. I tua atu, ka taea e ētahi rongoā e whakakore ana i tō pūnaha ārai te whakarahi i tō tūponotanga mā te whakaiti i te kaha o tō tinana ki te whawhai i te tipu o ngā pūtau koretake.

He aha ngā take tūponotanga mō te mate pūngāwerewere kiri kore-melanoma?

Ahakoa ka taea e te tangata te whanake i te mate pūngāwerewere kiri kore-melanoma, ka taea e ētahi take te whakarahi nui i tō tūponotanga. Ka āwhina te mārama ki tō tūponotanga whaiaro ki a koe ki te tango i ngā mahi aukati e tika ana.

Ko ngā take tūponotanga tino nui:

• Kiri mā e tahuna ngāwari ana, kāhore e wera pai
• Ngā kanohi mārō (parauri, matomato, parauri rānei)
• Hū whero, whero rānei
• Neke atu i te 50 tau te pakeke (ka piki te tūponotanga me te kino o te rā)
• Wahine (ka nui ake te whanaketanga o ēnei mate pūngāwerewere i ngā tāne)
• Te hītori whaiaro o te mate pūngāwerewere kiri
• Te hītori whānau o te mate pūngāwerewere kiri
• Pūnaha ārai ngoikore mai i te rongoā, i te mate rānei
• Ētahi āhuatanga ira e whakaū ana pēnei i te xeroderma pigmentosum

He mea nui hoki ngā take āhuarangi me te noho. Ko te noho tata atu ki te equator, ki ngā teitei teitei rānei, ki ngā wāhi e nui ana te rā, ka piki ake te tūponotanga. Ko te hunga e mahi ana i waho, e whakauru ana rānei ki ngā mahi whakangahau i waho, ka nui ake te pānga.

Ko te maha o ngā take tūponotanga kāhore e whakamana ka whanake koe i te mate pūngāwerewere kiri, engari ko te tikanga kia tupato koe ki te tiaki me ngā tirotiro kiri auau. Ahakoa ngā iwi kiri pouri, ka taea e rātou te whanake i ēnei mate pūngāwerewere, ahakoa he iti rawa te tūponotanga.

Nōhea te haere ki te tākuta mō te mate pūngāwerewere kiri kore-melanoma?

Me haere koe ki te tākuta mena ka kite koe i ētahi āhuatanga kiri hou, e huri haere ana, e mau tonu ana rānei. Ka āwhina te aromatawai wawe ki te whakaora ngāwari ake me ngā hua pai ake i roto i ngā take katoa.

Whakatau he wā tere mena ka kite koe i ēnei tohu whakatūpato:

• He tipu e huri ana i te rahi, te āhua, te tae, te āhua rānei
• He whara e kore e ora i roto i ngā wiki 3-4
• He wahi e toto ana, e hipoki ana te kiri, e rere ana rānei
• He wāhi e ngau ana, e mamae ana rānei
• He tipu e rerekē ana te ahua mai i ō atu toka, i ō atu wahi rānei

Kaua e tatari mena he hītori whānau kaha tōu mō te mate pūngāwerewere kiri, mena kua pā atu koe i te mate pūngāwerewere kiri i mua. Ka nui ake te hiranga o ngā tirotiro kiri auau i ēnei wā.

Whakaarohia te haere ki te dermatologist ia tau mena he maha ngā take tūponotanga tōu, ahakoa kāhore he tohu marama. Ka taea e ngā whakamātautau kiri ngaio te kite i ngā huringa iti e kore pea e kitea e koe i ngā whakamātautau whaiaro.

He aha ngā raruraru pea o te mate pūngāwerewere kiri kore-melanoma?

Ahakoa he iti te mate o ngā mate pūngāwerewere kiri kore-melanoma, ka taea e rātou te whakarahi i ngā raruraru mena kāhore i te whakaora. Ka āwhina te mārama ki ēnei take pea ki te whakamārama i te hiranga o te kitenga wawe me te whakaora.

Ko ngā raruraru tino noa:

• Te whakangaro o ngā kiko o te rohe me te whakaheke i te āhua, ina koa i te mata
• Te hokinga mai i te wāhi taketake mena kāhore i tangohia katoatia
• Te kino o te io mena ka tipu te mate pūngāwerewere ki ngā kiko o te taha
• Te ngoikore o te mahi mena kei te tata ki ngā kanohi, ihu, waha rānei
• Ngā mate tuarua i roto i ngā whara tuwhera, i ngā whara pupuhi rānei
• Te pānga hinengaro mai i te toka kitea, i te whakaheke i te āhua rānei

Ka taea e ngā raruraru nui ake, engari he onge te puta mai i ētahi momo. Ka hora atu te squamous cell carcinoma ki ngā pūtau lymph tata, ki ētahi atu wāhanga o te tinana rānei, ina koa ka puta mai i ngā wāhi tūponotanga teitei pēnei i ngā ngutu, ngā taringa, i ngā ira rānei.

Ka hiahia pea ngā pūngāwerewere nui, hohonu rānei ki te pokanga whānui, pea ka uru atu ngā whakakapi kiri, i ngā mahi whakaora rānei. Koinei te take i te nuinga o te wā ka pai ake ngā whakaora wawe ki ngā mahi ngāwari ake me ngā hua ataahua pai ake.

Me pēhea te whakatau o te mate pūngāwerewere kiri kore-melanoma?

Ko te whakatau i te mate pūngāwerewere kiri kore-melanoma ka tīmata i te tirotiro tirohanga e tō tākuta, e tō dermatologist rānei. Ka titiro rātou ki te wāhi whakapae, ka whakamahi pea i te taputapu whakanui motuhake e kiia nei he dermatoscope.

Mena ka whakapae tō tākuta he mate pūngāwerewere, ka mahi rātou i te biopsy hei whakau i te whakatau. Ka uru atu tēnei ki te tango i te tauira iti o te kiko whakapae mō te tātaritanga taiwhanga. Ka taea te mahi i te biopsy i roto i te tari mā te whakamahi i te rongoā rohe.

He maha ngā momo biopsy pea ka whakamahia:

• Shave biopsy - te tango i ngā paparanga o runga o te kiri mā te whakamahi i te rakau iti
• Punch biopsy - te whakamahi i te taputapu porowhita hei tango i te tauira hohonu ake
• Excisional biopsy - te tango i te wāhi whakapae katoa
• Incisional biopsy - te tango i tetahi wāhanga o te whara nui ake

Ka haere te tauira kiko ki te pathologist e tirotiro ana i raro i te microscope hei whakatau mena kei reira ngā pūtau mate pūngāwerewere. Ko te nuinga o ngā hua ka hoki mai i roto i te wiki, i ngā wiki rua rānei.

Mena kua whakau te mate pūngāwerewere, ka tono pea tō tākuta i ētahi atu whakamātautau hei whakatau i te nui o te mate, ahakoa he iti te hiahia mō te nuinga o ngā mate pūngāwerewere kiri kore-melanoma, na te mea kahore e hora atu.

He aha te whakaora mō te mate pūngāwerewere kiri kore-melanoma?

Ko te whakaora mō te mate pūngāwerewere kiri kore-melanoma e whakawhirinaki ana ki te momo, te rahi, te wāhi, me te hohonu o te mate pūngāwerewere. Ko te rongo pai, he tino teitei ngā reiti whakaora ina kitea wawe ēnei mate pūngāwerewere.

Ko ngā tikanga whakaora tino noa:

• Surgical excision - te tapahi i te mate pūngāwerewere me te taha o te kiko ora
• Mohs surgery - te tango i ngā paparanga angiangi o te kiko me te tirotiro i ia paparanga i raro i te microscope
• Electrodesiccation me te curettage - te kakā atu i ngā pūtau mate pūngāwerewere me te whakamahi i te hiko hei whakangaro i ngā pūtau toenga
• Cryotherapy - te whakamatao i ngā pūtau mate pūngāwerewere mā te wai nitrogen
• Ngā rongoā o waho - te whakamahi i ngā kirikiri rongoā hei awhina i te whakangaro i ngā pūtau mate pūngāwerewere
• Radiation therapy - te whakamahi i ngā hihi kaha teitei hei whakangaro i ngā pūtau mate pūngāwerewere
• Photodynamic therapy - te whakamahi i ngā rongoā whakahohe-rama hei āwhina i ngā pūtau mate pūngāwerewere

Ka tūtohu tō tākuta i te huarahi pai rawa atu i runga i tō āhuatanga motuhake. Ko ngā take pēnei i te wāhi o te mate pūngāwerewere, tō pakeketanga, te hauora whānui, me ngā take ataahua katoa e pā ana ki te whiriwhiri whakaora.

Ka taea te mahi i te nuinga o ngā whakaora i roto i te tari hauora mā te whakamahi i te rongoā rohe. Ka rerekē ngā wā ora, engari ko te nuinga o te wā ka inehia i roto i ngā rā ki ngā wiki, kāore i roto i ngā marama.

Me pēhea te whakaora i te kāinga i te wā o te mate pūngāwerewere kiri kore-melanoma?

Ahakoa he mea nui te whakaora hauora ngaio, ka taea e te tiaki kāinga tika te tautoko i tō ora me te āwhina i te aukati i ngā raruraru. Ka hoatu e tō tākuta ngā tohutohu motuhake i runga i tō momo whakaora.

Ko ngā aratohu tiaki kāinga whānui:

• Kia ma, kia maroke te wāhi i whakaorahia
• Whakamahia ngā rongoā o waho i whakaritea kia rite ki ngā tohutohu
• Tīaki i te wāhi ora mai i te pānga o te rā
• Kaua e toia ngā kiri kākā e hangaia ana
• Tangohia ngā kaiwhakaora mamae i runga i te kaute mena e hiahiatia ana
• Tirohia ngā tohu o te mate pēnei i te whero nui ake, te wera, i te pus rānei
• Haere ki ngā hui whakarite katoa i whakaritea

Mena kei te whakamahi koe i ngā rongoā o waho pēnei i te imiquimod, i te 5-fluorouracil rānei, kia tītiro koe ki te mumura o te kiri, te whero, me te wehewehe. He mea noa tēnei, ā, e whakaatu ana te rongoā kei te mahi. Engari, whakapā atu ki tō tākuta mena ka kaha te āhuatanga.

Kia mau tonu tō mahi tiaki kiri noa i ngā wāhi kāhore i pā, engari kia ngawari te taha o te wāhi whakaora. Whakamahia ngā hua ngawari, kāhore he kakara hei whakaiti i te mumura i te wā e ora ana.

Me pēhea te aukati i te mate pūngāwerewere kiri kore-melanoma?

Ko te aukati tō taputapu kaha rawa atu ki te mate pūngāwerewere kiri kore-melanoma. Na te mea ko te UV radiation te take o te nuinga o ēnei mate pūngāwerewere, ko te tiaki i tō kiri mai i te kino o te rā ka whakaiti nui i tō tūponotanga.

Ko ngā rautaki aukati whai hua:

• Whakamahia te sunscreen whānui-spectrum me te SPF 30 neke atu rānei i ngā rā katoa
• Rapua te atarangi i ngā hāora piki o te rā (10 AM ki te 4 PM)
• Kakahu kakahu tiaki, tae atu ki ngā ringa roa me ngā potae whāiti-taha
• Whakamahia ngā karāhe e ārai ana i ngā hihi UV
• Kaua e whakamahi i ngā moenga whakawhāiti, i ngā rama rā rānei
• Whakamahia anō te sunscreen ia rua hāora, i muri i te kaukau, i te werawera rānei
• Kia tupato atu ki ngā papa e whakaata ana pēnei i te wai, te onepu, te hukarere rānei

He mea nui hoki ngā whakamātautau whaiaro auau mō te kitenga wawe. Tirohia tō kiri ia marama, kia titiro ki ngā tipu hou, ki ngā huringa rānei i ngā toka, i ngā wahi rānei e noho ana. Whakamahia te whakaata roa, ā, tonoa tetahi hei awhina i te tirotiro i ngā wāhi uaua ki te kite.

Whakaarohia ngā whakamātautau kiri ngaio ia tau, ina koa mena he maha ngā take tūponotanga tōu. Ka pai ake te kitenga wawe i ngā hua whakaora, ka whakaiti i te hiahia mō ngā mahi whānui.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka āwhina ki te whakarite ka whiwhi koe i te tiaki whānui rawa atu, ka whakautuhia ngā pātai katoa. Ka taea e te whakarite iti te mahi pai ake, te whakarongo pai ake hoki i te haerenga.

I mua i tō hui, kohikohia ngā korero nui:

• Rārangihia ngā rongoā, ngā taapiri, me ngā hua hua katoa e tangohia ana e koe
• Tuhia te wā i kite tuatahi ai koe i te huringa kiri
• Tāruahia ngā tohu pēnei i te ngau, te toto, i te mamae rānei
• Whakaritea ngā pātai mō ngā whiringa whakaora me te tiaki whakarite
• Kawe mai he hītori whānau mō te mate pūngāwerewere kiri mena e mohiotia ana
• Whakaarohia te kawe mai i tetahi hoa, i te mema whānau rānei hei tautoko

I te wā o te hui, kaua e whakaroa ki te ui pātai mō tetahi mea kahore koe e mārama. Ko ngā take nui pea ko ngā whiringa whakaora, te wā ora e tumanakohia ana, ngā pānga taha pea, me ngā mahere tirotiro roa.

Tāruahia ngā tuhinga, uiui rānei mena ka taea e koe te tuhi i te kōrero (me te whakaaetanga) hei awhina i te mahara ki ngā korero nui i muri mai. Ko te mārama ki tō whakatau me tō mahere whakaora ka āwhina i a koe ki te whakapono me te whakauru ki tō tiaki.

He aha te mea nui mō te mate pūngāwerewere kiri kore-melanoma?

Ko te mea nui rawa atu hei mahara ko te mate pūngāwerewere kiri kore-melanoma he tino taea te whakaora, ina koa ina kitea wawe. Kāore ēnei mate pūngāwerewere e mate pea, ā, neke atu i te 95% ngā reiti whakaora me te whakaora tika.

Ko te aukati mā te tiaki rā te tiaki pai rawa atu mōu, engari kaua e mataku mena ka whanake koe i ngā huringa kiri whakapae. Ko te kitenga wawe me te whakaora ka āwhina ki ngā hua pai me te iti o te pānga ki tō oranga o ia rā.

Kia tupato tonu ki ngā huringa kiri, tiakina koe mai i te UV radiation, kia mau tonu ngā tirotiro ki ngā kaiwhakarato hauora. Me te matauranga me te tiaki tika, ka taea e koe te whakahaere pai i tō hauora kiri me te hopu i ngā raruraru pea i te wawe.

Kia mahara ko te mate pūngāwerewere kiri kore-melanoma kāhore e whakatau i a koe, kāhore hoki e whakarerekē nui i ō tūmanakohanga ora. He miriona ngā tāngata e whakaorahia ana ia tau, ā, kei te ora tonu rātou i ngā oranga ora, hauora.

Ngā pātai uiui noa mō te mate pūngāwerewere kiri kore-melanoma

Q.1: Ka hoki mai te mate pūngāwerewere kiri kore-melanoma i muri i te whakaora?

Ae, ka taea te hokinga mai o te mate pūngāwerewere kiri kore-melanoma, ahakoa he iti te reiti o te hokinga mai me te whakaora tika. Ka rerekē te tūponotanga i runga i te momo mate pūngāwerewere, te tikanga whakaora i whakamahia, me te wāhi o te pūngāwerewere taketake. Ko te Mohs surgery te iti rawa o ngā reiti hokinga mai, he iti iho i te 5%. Ka āwhina ngā hui whakarite auau me ngā whakamātautau kiri whaiaro ki te kite wawe i tetahi hokinga mai ina tino taea te whakaora.

Q.2: E hia te roa te whanaketanga o te mate pūngāwerewere kiri kore-melanoma?

Ko te nuinga o ngā mate pūngāwerewere kiri kore-melanoma ka tipu haere i roto i ngā marama ki ngā tau. Kāore i rite ki ētahi mate pūngāwerewere kaha, kāhore ēnei e puta i te pō. Ko te nuinga o ngā basal cell carcinomas ka tipu haere, ka roa pea ngā tau kia kitea. Ka taea e ngā squamous cell carcinomas te whanake tere ake, engari ka haere tonu te tipu. He pai tēnei tipu iti na te mea he wā nui mō te kitenga me te whakaora.

Q.3: He ira te mate pūngāwerewere kiri kore-melanoma?

Ahakoa ko te nuinga o ngā mate pūngāwerewere kiri kore-melanoma ka puta mai i te pānga o te rā, kāhore i te ira, ka taea e te hītori whānau te whakarahi i tō tūponotanga. Ko te whai whānau e pā ana ki te mate pūngāwerewere kiri pea ka whakaatu i ngā āhuatanga ira rite pēnei i te kiri mā, i te uaua ki te wera rānei, e whakarahi ana i te ngoikore. Ko ngā āhuatanga ira onge pēnei i te xeroderma pigmentosum ka whakarahi nui i te tūponotanga o te mate pūngāwerewere kiri. Engari, ko ngā take noho pēnei i ngā tikanga tiaki rā te mea nui atu i te ira mō te nuinga o te iwi.

Q.4: Ka taea e ngā iwi kiri pouri te whiwhi i te mate pūngāwerewere kiri kore-melanoma?

Ae, ka taea e ngā iwi kiri pouri te whanake i te mate pūngāwerewere kiri kore-melanoma, ahakoa he iti rawa te tūponotanga i te hunga kiri mā. Ina puta ēnei mate pūngāwerewere i roto i ngā iwi kiri pouri, ko te nuinga o te wā ka puta mai i ngā wāhi he iti te tae, pēnei i ngā ringaringa, ngā waewae, i raro i ngā māku rānei. Ko te melanin tiaki i roto i te kiri pouri ka hoatu ētahi tiaki rā noa, engari he mea nui tonu te tupato me te tiaki rā mō te katoa.

Q.5: He aha te rerekētanga i waenganui i te mate pūngāwerewere kiri kore-melanoma me te melanoma?

Ko ngā rerekētanga matua kei roto i te momo pūtau kiri e uru ana me ō rātou mahi. Ko ngā mate pūngāwerewere kiri kore-melanoma ka puta mai i ngā pūtau kiri e kore e rite ki ngā melanocytes, ā, ko te nuinga o te wā ka noho tonu, ka tipu haere me te iti o te tūponotanga ki te hora. Ko te melanoma ka puta mai i ngā pūtau e hanga ana i te tae, ā, he nui ake te tūponotanga ki te hora atu ki ētahi atu wāhanga o te tinana mena kāhore i te kitea wawe. He maha atu te nui o ngā mate pūngāwerewere kiri kore-melanoma, engari he iti ake te kaha i te melanoma.