Eseme ry’Uburwayi bwa Kanseri y’uruhu itari Melanoma? Ibimenyetso, Intandaro, n’Ubuvuzi

Kanseri y’uruhu itari Melanoma ni kanseri y’uruhu iterwa n’uturemangingo tudahuje n’uturemangingo twa melanocytes (uturemangingo dukora ibara). Iyi kanseri ikunze kugaragara cyane kurusha melanoma kandi isanzwe ikura buhoro buhoro, bituma ivurwa neza iyo imenyekanye hakiri kare.

Ubwoko bubiri nyamukuru ni basal cell carcinoma na squamous cell carcinoma, hamwe bigize hejuru ya 95% bya kanseri zose z’uruhu. Nubwo bishobora kugaragara nk’ibiteye impungenge, kanseri nyinshi z’uruhu zitari melanoma ntabwo zikwirakwira mu bindi bice by’umubiri wawe kandi zifite amahirwe meza yo gukira iyo zivuwe neza.

Ese ni iki kanseri y’uruhu itari Melanoma?

Kanseri y’uruhu itari Melanoma itera iyo uturemangingo tw’uruhu dutangiye gukura nabi kandi bidakozwe. Bitandukanye na melanoma, itangira mu turemangingo dukora ibara, iyi kanseri itera mu bisate by’uruhu rwawe bivuye mu bwoko butandukanye bw’uturemangingo.

Tekereza ku ruhu rwawe nk’urufite ibisate byinshi, nk’igitoki gifite ibisate byinshi. Kanseri zitari Melanoma zisanzwe zitangira mu bisate byo hejuru aho uruhu rwawe rugaragara buri munsi. Niyo mpamvu zikunze kugaragara mu bice byagaragaye izuba nk’isura, ijosi, amaboko, n’amaguru.

Inkuru nziza ni uko iyi kanseri isanzwe iba mu gice cy’uruhu aho yatangiye. Ikura buhoro buhoro ugereranije n’izindi kanseri, biguha wowe na muganga wawe umwanya wo kuyikemura neza.

Ni ibihe bwoko bya kanseri y’uruhu itari Melanoma?

Hari ubwoko bubiri nyamukuru bwa kanseri y’uruhu itari Melanoma, buri bwoko bufite imico n’imyitwarire bitandukanye. Gusobanukirwa aya matandukaniro bishobora kugufasha kumenya ibibazo bishoboka hakiri kare.

Basal cell carcinoma ni bwoko bugaragara cyane, bugize hafi 80% bya kanseri zose z’uruhu. Iterwa mu gice cyo hasi cyane cy’uruhu rwawe rwo hanze kandi isanzwe igaragara nk’igiturika gito, cy’icyatsi, cyangwa agace gatuje, gafite ibara ry’umweru. Iyi kanseri ntabwo ikwirakwira mu bindi bice by’umubiri wawe, ariko ishobora gutera ibibazo bikomeye mu gice iyo itavuwe.

Squamous cell carcinoma igize hafi 15% bya kanseri z’uruhu kandi itera mu bisate byo hagati by’uruhu rwawe. Ikunze kugaragara nk’agace gatuje, gafite ibara ry’umweru, cyangwa ikibyimba kidakira. Nubwo bikiri bike cyane, squamous cell carcinoma ifite amahirwe make yo gukwirakwira kurusha basal cell carcinoma.

Ubwoko buke cyane harimo Merkel cell carcinoma, sebaceous carcinoma, na dermatofibrosarcoma protuberans. Iyi mibare mike isaba uburyo bwihariye bwo kuvura no kugenzura hafi kubera ko ari mbi cyane.

Ni ibihe bimenyetso bya kanseri y’uruhu itari Melanoma?

Ibimenyetso bya kanseri y’uruhu itari Melanoma bishobora gutandukana bitewe n’ubwoko, ariko hari ibimenyetso by’ibanze byo kwirinda. Kumenya hakiri kare bituma kuvura byoroshye kandi bikagira akamaro.

Ibimenyetso bisanzwe bikwiye kwitabwaho birimo:

• Ubukura bushya bugaragara nk’ibuye ry’agaciro, gifite ibara ry’icyatsi, cyangwa gifite ibara ry’umweru
• Agatsiko gatuje, gakomeye, gafite ibara ry’umweru, ry’umuhondo, cyangwa ry’icyatsi
• Agatsiko gakomeye gafite ibara ritukura kandi gashobora guhumeka cyangwa kubabara
• Ubukura buto, bufite ibara ritukura, bufite umupaka ugaragara
• Ikibyimba kidakira, kivuza amaraso, kigapfuka, kikakira, hanyuma kikongera gukura
• Ubukura bumera nk’igisebe gishobora kuva amaraso cyangwa gupfuka
• Agatsiko gafite ibara ritukura, gafite umweru, kandi gafite umupaka utari mwiza

Witondere impinduka z’uruhu zikomeza ibyumweru birenga bike. Rimwe na rimwe iyi kanseri ishobora kuba idasobanutse, igaragara nk’ububabare buto bw’uruhu budakira n’uburyo bwa skincare busanzwe.

Kumbuka ko kanseri z’uruhu zitari Melanoma zikunze gukura buhoro buhoro mu mezi cyangwa imyaka. Ntabwo zikunze kubabaza mu ntangiriro, niyo mpamvu impinduka ziboneka arizo zishobora kuguha amakuru hakiri kare.

Ese ni iki giterwa na kanseri y’uruhu itari Melanoma?

Intandaro nyamukuru ya kanseri y’uruhu itari Melanoma ni ubushuhe bw’izuba (UV) mu gihe kirekire. Ubwo bushuhe buva mu izuba ry’umwanya n’ibindi bikoresho by’ubushuhe nk’ibikoresho byo kwishima izuba.

Uturemangingo tw’uruhu rwawe tugira ADN igenga uko twakura kandi tugakwirakwira. Iyo ubushuhe bw’izuba bwinjira mu ruhu rwawe, bushobora kwangiza iyi ADN. Mu ntangiriro, umubiri wawe ushobora gukosora ubwo bwangirizwa bwinshi, ariko imyaka myinshi yo kwibasirwa n’izuba ishobora kurenza ubushobozi bw’uruhu rwawe bwo gukosora.

Hari ibintu byihariye bigira uruhare mu iterambere ry’iyi kanseri:

• Kwibasirwa n’izuba igihe kirekire, cyane cyane mu masaha y’izuba ryinshi (saa 10 za mugitondo kugeza saa 16)
• Amateka yo kwibasirwa n’izuba cyane, cyane cyane mu bwana
• Gukoresha buri gihe ibikoresho byo kwishima izuba
• Kuba mu turere dufite izuba ryinshi
• Kwibasirwa n’izuba mu kazi (ubwubatsi, ubuhinzi, kurinda abantu)
• Kwibasirwa na chimique zimwe na zimwe nk’arsenic cyangwa coal tar
• Ubuvuzi bwakozwe hakoreshejwe radiation
• Urubuza rw’uruhu cyangwa indwara igihe kirekire

Bike cyane, zimwe mu ndwara z’umuzimu zishobora gutera abantu iyi kanseri. Byongeye kandi, imiti imwe na imwe igabanya ubudahangarwa bw’umubiri wawe ishobora kongera ibyago byawe binyuze mu kugabanya ubushobozi bw’umubiri wawe bwo kurwanya ukwaguka kw’uturemangingo.

Ni ibihe bintu byongera ibyago bya kanseri y’uruhu itari Melanoma?

Nubwo umuntu wese ashobora kurwara kanseri y’uruhu itari Melanoma, hari ibintu bimwe na bimwe bishobora kongera ibyago byawe. Gusobanukirwa ibyago byawe bigufasha gufata ingamba z’ubwirinzi.

Ibintu byongera ibyago byinshi birimo:

• Uruhu rw’umweru rwaka vuba kandi rudahinduka ibara
• Amaso y’ibara ry’umweru (ubururu, icyatsi, cyangwa umweru)
• Umusatsi w’umweru cyangwa utukura
• Kurenza imyaka 50 (ibyago byiyongera uko ubushuhe bw’izuba bwiyongera)
• Abagabo (abagabo barwara iyi kanseri cyane)
• Amateka y’ubundi burwayi bwa kanseri y’uruhu
• Amateka y’umuryango wa kanseri y’uruhu
• Ubudahangarwa bw’umubiri buke buterwa n’imiti cyangwa indwara
• Indwara zimwe na zimwe z’umuzimu nk’xeroderma pigmentosum

Ibintu by’aho uba n’imibereho bigira uruhare runini. Kuba hafi y’umutaru, mu turere dufite izuba ryinshi, cyangwa mu turere dufite izuba ryinshi byongera ibyago. Abantu bakora hanze cyangwa bakora imikino hanze bakunda kwibasirwa cyane.

Kugira ibintu byinshi byongera ibyago ntibikwizeza ko uzahura na kanseri y’uruhu, ariko bisobanura ko ugomba kwitondera cyane kurinda no gusuzuma uruhu rwawe buri gihe. Nubwo abantu bafite uruhu rw’umukara bashobora kurwara iyi kanseri, ariko ibyago ni bike cyane.

Ni ryari ukwiye kubona muganga kubera kanseri y’uruhu itari Melanoma?

Ukwiye kubona muganga iyo ubona impinduka z’uruhu rwawe. Kumenya hakiri kare bituma kuvura byoroshye kandi bigatanga umusaruro mwiza.

Tegura gahunda yo kubona muganga vuba iyo ubona ibimenyetso byo kwirinda:

• Ubukura buhinduka mu bunini, ishusho, ibara, cyangwa imiterere
• Ikibyimba kidakira mu byumweru 3-4
• Agatsiko kavuza amaraso, kagapfuka, cyangwa kakavuza amazi kenshi
• Agatsiko kababaza, kababara, cyangwa kababaza
• Ubukura bumeze neza kurusha ibindi bimenyetso byawe

Ntugatege amatwi niba ufite amateka y’umuryango wa kanseri y’uruhu cyangwa niba warigeze urwara kanseri y’uruhu. Gusuzuma uruhu buri gihe bihinduka ikintu gikomeye muri ibi bihe.

Tegereza kubona umuganga w’inzobere mu kuvura uruhu buri mwaka niba ufite ibintu byinshi byongera ibyago, nubwo udafite ibimenyetso bigaragara. Gusuzuma uruhu n’inzobere bishobora kumenya impinduka nto ushobora kutamenya ubwawe.

Ni ibihe bibazo bishobora guterwa na kanseri y’uruhu itari Melanoma?

Nubwo kanseri z’uruhu zitari Melanoma zikunze kuba zidahitana, zishobora gutera ibibazo byinshi iyo zitaravuwe. Gusobanukirwa ibi bibazo bishobora kubaho byerekana akamaro ko kumenya hakiri kare no kuvura.

Ibibazo bisanzwe birimo:

• Kwangirizwa kw’imiterere y’umubiri n’uburanga, cyane cyane mu maso
• Kugaruka mu gice cy’ibanze iyo kitakuweho rwose
• Kwangirizwa kw’imitsi iyo kanseri ikura mu bisate by’imbere
• Kudakora neza iyo iherereye hafi y’amaso, izuru, cyangwa akanwa
• Indwara ziterwa n’ibibyimba bifunguye cyangwa bibabaza
• Ingaruka zo mu mutwe ziterwa n’ibikomere bigaragara cyangwa uburanga

Ibibazo bike ariko bikomeye bishobora kubaho mu bwoko bumwe na bumwe. Squamous cell carcinoma rimwe na rimwe ikwirakwira mu mitsi ya lymph cyangwa mu bindi bice by’umubiri, cyane cyane iyo itera mu bice bifite ibyago byinshi nk’iminwa, amatwi, cyangwa ibice by’ibitsina.

Ibibyimba binini cyangwa byinjira mu bisate byinshi bishobora gusaba kubagwa cyane, bishobora kuba harimo gusimbuza uruhu cyangwa kuvugurura imiterere. Niyo mpamvu kuvura hakiri kare bisanzwe bigira ingaruka nziza kandi byoroshye.

Ese kanseri y’uruhu itari Melanoma imenyekanwa gute?

Kumenya kanseri y’uruhu itari Melanoma bisanzwe bitangira harebwa amaso n’umuganga wawe cyangwa umuganga w’inzobere mu kuvura uruhu. Bazareba neza agace gakekwaho, bakoresheje ikintu cyo kubona neza cyitwa dermatoscope.

Niba muganga wawe akekwaho kanseri, azakora biopsy kugira ngo yemeze uburwayi. Ibi bisobanura gukuramo agace gato k’umubiri ukekwaho kugira ngo ugenzurwe mu labo. Biopsy isanzwe ishobora gukorwa mu biro hakoreshejwe anesthésie locale.

Hari ubwoko butandukanye bwa biopsy bushobora gukoreshwa:

• Shave biopsy - gukuraho ibisate byo hejuru by’uruhu hakoreshejwe icyuma gito
• Punch biopsy - gukoresha igikoresho cy’umuringa kugira ngo ukureho agace kirekire
• Excisional biopsy - gukuraho agace kose kakekwaho
• Incisional biopsy - gukuraho igice cy’ikibyimba kinini

Agatsiko k’umubiri kajya kwa pathologist ukajya kubareba hakoreshejwe microscope kugira ngo amenye niba hari uturemangingo twa kanseri. Ibyavuye mu isuzuma bisanzwe bigaragara mu cyumweru kimwe cyangwa bibiri.

Niba kanseri yemewe, muganga wawe ashobora gutegeka ibizamini byongeyeho kugira ngo amenye uko uburwayi bwagutse, nubwo ibi bidafite akamaro kuri kanseri nyinshi z’uruhu zitari Melanoma kuko ntabwo zikwirakwira.

Ese kuvura kanseri y’uruhu itari Melanoma bikorwa gute?

Kuvura kanseri y’uruhu itari Melanoma biterwa n’ubwoko, ubunini, aho iherereye, n’ubujyakuzimu bw’iyi kanseri. Inkuru nziza ni uko amahirwe yo gukira ari menshi cyane iyo iyi kanseri imenyekanye hakiri kare.

Uburyo bwo kuvura busanzwe burimo:

• Kubaga - gukuraho kanseri hamwe n’agace k’umubiri muzima
• Ubuvuzi bwa Mohs - gukuraho ibisate byinshi by’umubiri no kubigenzura buri kimwe hakoreshejwe microscope
• Electrodesiccation na curettage - gukuraho uturemangingo twa kanseri no gukoresha amashanyarazi kugira ngo uhangane n’uturemangingo dusagaye
• Cryotherapy - gukonjesha uturemangingo twa kanseri hakoreshejwe azote liquide
• Imiti yo kwisiga - kwisiga imiti yanditswe na muganga ifasha mu gukuraho uturemangingo twa kanseri
• Ubuvuzi bwa radiation - gukoresha amashanyarazi akomeye kugira ngo uhangane n’uturemangingo twa kanseri
• Photodynamic therapy - gukoresha imiti ikora hakoreshejwe umucyo kugira ngo uhangane n’uturemangingo twa kanseri

Muganga wawe azagutegurira uburyo bwiza bushingiye ku mimerere yawe. Ibintu nk’aho kanseri iherereye, imyaka yawe, ubuzima bwawe rusange, n’ibibazo by’uburanga bigira uruhare mu guhitamo uburyo bwo kuvura.

Ubuvuzi bwinshi bushobora gukorwa hanze y’ibitaro hakoreshejwe anesthésie locale. Igihe cyo gukira gitandukana ariko gisanzwe gipimwa mu minsi kugeza ku ndwi aho kuba amezi.

Ese ubuvuzi bw’i mu rugo bukorwa gute mu gihe ufite kanseri y’uruhu itari Melanoma?

Nubwo kuvurwa na muganga ari ingenzi, kwita ku buzima bw’i mu rugo bishobora kugufasha gukira no kwirinda ibibazo. Muganga wawe azakugira inama yihariye ishingiye ku buryo bwo kuvura.

Amabwiriza rusange yo kwita ku buzima bw’i mu rugo asanzwe arimo:

• Komeza agace kavuwe cyiza kandi kabyumye nk’uko byategetswe
• Kwambara imiti yo kwisiga nk’uko byategetswe
• Kurinda agace gakira izuba
• Kwirinda gukuraho ibibyimba cyangwa ibibyimba byapfuka
• Fata imiti igabanya ububabare nk’uko bikenewe
• Kwitondera ibimenyetso by’indwara nk’umutuku wiyongereye, ubushyuhe, cyangwa ibyuya
• Kwitabira gahunda zose zo gukurikirana nk’uko byategetswe

Niba ukoresha imiti yo kwisiga nk’imiquimod cyangwa 5-fluorouracil, tegereza uburibwe bw’uruhu, umutuku, no gupfuka. Ibi ni ibisanzwe kandi bigaragaza ko imiti ikora. Ariko, hamagara muganga wawe niba uburibwe bukabije.

Komeza gahunda yawe isanzwe yo kwita ku ruhu mu bice bitavuwe, ariko ujye witonda hafi y’aho wavuwe. Koresha ibintu bidahumura, byoroshye kugira ngo ugabanye uburibwe mu gihe cyo gukira.

Ese kanseri y’uruhu itari Melanoma ishobora kwirindwa gute?

Kwiringira ni ikintu gikomeye cyane mu kurwanya kanseri y’uruhu itari Melanoma. Kubera ko ubushuhe bw’izuba butera iyi kanseri nyinshi, kurinda uruhu rwawe kwangirika n’izuba bigabanya cyane ibyago byawe.

Uburyo bwo kwirinda burimo:

• Kwambara amavuta yo kwisiga ku mubiri afite SPF 30 cyangwa hejuru buri munsi
• Kwirinda izuba mu masaha y’izuba ryinshi (saa 10 za mugitondo kugeza saa 16)
• Kwambara imyenda yo kwirinda, harimo imyenda miremire n’ingofero zifite umwenda munini
• Koresha ibicupa byirinda izuba
• Kwirinda ibikoresho byo kwishima izuba
• Kwambara amavuta yo kwisiga buri masaha abiri cyangwa nyuma yo koga/kwishima
• Kuba maso hafi y’ibintu byongera izuba nk’amazi, umusenyi, n’igishitsi

Kwiyanzura uruhu buri gihe ni ingenzi mu kumenya hakiri kare. Suzuma uruhu rwawe buri kwezi, urebe ubukura bushya cyangwa impinduka mu bimenyetso bisanzwe. Koresha urukiramende rurerure kandi usabe umuntu kugufasha kugenzura ibice bitagaragara.

Tegereza gusuzuma uruhu n’inzobere buri mwaka, cyane cyane niba ufite ibintu byinshi byongera ibyago. Kumenya hakiri kare byongera cyane amahirwe yo gukira kandi bigabanya ibyo gukora.

Ese ukwiye gutegura gute kugira ngo ujye kubona muganga?

Gutegura uruzinduko rwawe ku muganga bigufasha kubona ubufasha buhagije kandi ibibazo byawe byose bisubizwa. Gutegura gato bishobora gutuma uruzinduko rugenda neza kandi rugatanga amakuru.

Mbere y’uruzinduko rwawe, kora ibi bikurikira:

• Andika imiti yose, ibinyobwa, na vitamine ufashe
• Andika igihe wabonye impinduka y’uruhu
• Andika ibimenyetso nk’ubuhumeke, amaraso, cyangwa ububabare
• Tegura ibibazo ku bijyanye n’uburyo bwo kuvura no gukurikirana
• Zana amateka y’umuryango wa kanseri y’uruhu niba uyazi
• Tegereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe

Mu gihe cy’uruzinduko, ntutinye kubabaza ibibazo ku byo utamenyekanye. Ibintu by’ingenzi bishobora kuba harimo uburyo bwo kuvura, igihe cyo gukira, ingaruka zishobora kubaho, n’imigambi yo gukurikirana igihe kirekire.

Andika cyangwa ubaze niba ushobora kwandika ikiganiro (wemererwa) kugira ngo wibuke amakuru y’ingenzi nyuma. Gusobanukirwa uburwayi bwawe n’imigambi yo kuvura bigufasha kumva ufite icyizere kandi ukitabira ubuvuzi bwawe.

Ni iki gikuru ukwiye kumenya kuri kanseri y’uruhu itari Melanoma?

Ikintu cy’ingenzi cyo kwibuka ni uko kanseri y’uruhu itari Melanoma ivurwa neza, cyane cyane iyo imenyekanye hakiri kare. Iyi kanseri ntabwo ikunze kuba ihitana, kandi amahirwe yo gukira arenga 95% hakoreshejwe ubuvuzi bukwiye.

Kwiringira binyuze mu kurinda izuba biguma ari intwaro yawe ikomeye, ariko ntutinye niba ufite impinduka z’uruhu ziteye impungenge. Kumenya hakiri kare no kuvura bigatanga umusaruro mwiza nta ngaruka ku buzima bwawe bwa buri munsi.

Komeza kwitondera impinduka z’uruhu, wirinda ubushuhe bw’izuba, kandi ukomeze gusuzuma uruhu rwawe buri gihe. Ufite ubumenyi n’ubwitabire bukwiye, ushobora gucunga ubuzima bw’uruhu rwawe neza kandi ukamenya ibibazo byose hakiri kare.

Kumbuka ko kugira kanseri y’uruhu itari Melanoma ntibikugaragaza cyangwa biguhindura ubuzima bwawe. Abantu benshi bavurwa buri mwaka kandi bakomeza kubaho neza.

Ibibazo byakunze kubaho kuri kanseri y’uruhu itari Melanoma

Q.1: Ese kanseri y’uruhu itari Melanoma ishobora kugaruka nyuma yo kuvurwa?

Yego, kanseri y’uruhu itari Melanoma ishobora kugaruka, nubwo ibyago byo kugaruka ari bike iyo ivuwe neza. Ibyago bitandukana bitewe n’ubwoko bwa kanseri, uburyo bwo kuvura bwakoreshejwe, n’aho ikibyimba cy’ibanze kiri. Ubuvuzi bwa Mohs bufite ibyago bike byo kugaruka, bisanzwe biri munsi ya 5%. Gukurikirana buri gihe no kwiyanzura uruhu bigufasha kumenya kugaruka hakiri kare iyo kuvura byoroshye.

Q.2: Ese kanseri y’uruhu itari Melanoma imara igihe kingana iki kugira ngo itere?

Kanseri z’uruhu zitari Melanoma zisanzwe zikura buhoro buhoro mu mezi kugeza ku myaka. Bitandukanye n’izindi kanseri zikura vuba, izi ntabwo zigaragara mu kanya gato. Basal cell carcinomas isanzwe ikura buhoro buhoro, rimwe na rimwe imara imyaka kugira ngo igaragare. Squamous cell carcinomas ishobora gukura vuba ariko ikomeza gukura buhoro buhoro. Uku gukura buhoro buhoro ni ingirakamaro kuko bitanga umwanya uhagije wo kumenya no kuvura.

Q.3: Ese kanseri y’uruhu itari Melanoma irwaragwa mu muryango?

Nubwo kanseri nyinshi z’uruhu zitari Melanoma ziterwa no kwibasirwa n’izuba aho kuba ibintu by’umuzimu, amateka y’umuryango ashobora kongera ibyago byawe. Kugira abavandimwe bafite kanseri y’uruhu bishobora kugaragaza ibintu by’umuzimu nk’uruhu rw’umweru cyangwa kugorana guhinduka ibara, byongera ibyago. Indwara zimwe na zimwe z’umuzimu nk’xeroderma pigmentosum zongera cyane ibyago bya kanseri y’uruhu. Ariko, ibintu by’imibereho nk’imyitwarire yo kwirinda izuba bikunze kuba byiza kurusha ibintu by’umuzimu ku bantu benshi.

Q.4: Ese abantu bafite uruhu rw’umukara bashobora kurwara kanseri y’uruhu itari Melanoma?

Yego, abantu bafite uruhu rw’umukara bashobora kurwara kanseri y’uruhu itari Melanoma, nubwo ibyago ari bike cyane kurusha abantu bafite uruhu rw’umweru. Iyo iyi kanseri ibayeho mu bantu bafite uruhu rw’umukara, ikunze kugaragara mu bice bitagira ibara, nk’amaboko, ibirenge, cyangwa munsi y’imisumari. Melanin irinda mu ruhu rw’umukara itanga uburinzi bw’izuba, ariko kwitondera no kwirinda izuba biguma ari ingenzi kuri buri wese.

Q.5: Ni iki gitandukanya kanseri y’uruhu itari Melanoma na melanoma?

Itandukaniro nyamukuru ni ubwoko bw’uturemangingo tw’uruhu dufatwamo n’imyitwarire yabyo. Kanseri z’uruhu zitari Melanoma ziterwa n’uturemangingo tw’uruhu tudahuje na melanocytes kandi zisanzwe ziba mu gice kimwe, zikura buhoro buhoro zifite ibyago bike byo gukwirakwira. Melanoma iterwa n’uturemangingo dukora ibara kandi ifite amahirwe menshi yo gukwirakwira mu bindi bice by’umubiri iyo itamenyekanye hakiri kare. Kanseri z’uruhu zitari Melanoma zikunze kugaragara ariko ntabwo zikabije kurusha melanoma.