Chii Chinonzi Kenza Yenyama Inenge Isiri Melanoma? Zviratidzo, Zvinokonzera, Nekurapa

Kenza yenyama inenge isiri melanoma inoreva kenza yenyama inokura kubva kumasero asingasiri melanocytes (masero anogadzira pigment). Kenza idzi dzakawanda kupfuura melanoma uye kazhinji dzinoita zvishoma nezvishoma, zvichiita kuti zvive nyore kurapa kana dzikaonekwa pakutanga.

Marudzi maviri makuru ndi basal cell carcinoma ne squamous cell carcinoma, izvo zvinoumba anopfuura 95% yezvose kenza yenyama. Kunyange zvazvo zvingaonekwa zvine njodzi, kazhinji kenza yenyama inenge isiri melanoma haina kupararira kune dzimwe nzvimbo dzemuviri wako uye ine mukana wakakura wekurapa ne kurapwa kwakakodzera.

Chii chinonzi kenza yenyama inenge isiri melanoma?

Kenza yenyama inenge isiri melanoma inokura kana masero emuviri atanga kukura zvisina kujairika uye zvisingadzoreki. Kusiyana nemelanoma, iyo inotanga mu pigment cells, kenza idzi dzinoumbwa muzvikamu zvekunze zve ganda rako kubva kune marudzi akasiyana emasero.

Funga nezveganda rako sekuti rine zvikamu zvakawanda, sekeake yakayerwa. Kenza yenyama inenge isiri melanoma kazhinji inotanga muzvikamu zvepamusoro kwaunenge uchitarisana nezuva zuva nezuva. Ndosaka kazhinji inoonekwa munzvimbo dzakatarisana nezuva senge chiso chako, mutsipa, maoko, nemaoko.

Mashoko akanaka ndeawo kuti kenza idzi kazhinji dzinoramba dziri munzvimbo yeganda kwadzakabva. Dzinokura zvishoma nezvishoma kana tichienzanisa nedzimwe kenza, zvichikupa iwe nachiremba wako nguva yekuzvigadzirisa zvakakodzera.

Ndeapi marudzi ekenza yenyama inenge isiri melanoma?

Kune marudzi maviri makuru ekenza yenyama inenge isiri melanoma, imwe neimwe ine hunhu hwayo uye maitiro. Kunzwisisa musiyano uyu kunogona kukubatsira kuziva zvinogona kuitika pakutanga.

Basal cell carcinoma ndiro rudzi runowanzoitika, ruchiita anenge 80% yezvose kenza yenyama. Inokura muchikamu chepasi peganda rako rekunze uye kazhinji inoonekwa sechikamu chidiki, chinopenya kana chidimbu chakatsetseka, chakaoma. Kenza idzi dzisingamboparari kune dzimwe nzvimbo dzemuviri, asi dzinogona kukonzera kukuvara kukuru kana dzisina kurapwa.

Squamous cell carcinoma inoumba anenge 15% ye kenza yenyama uye inoumbwa muzvikamu zvepakati peganda rako. Kazhinji inoita sechigamba chakaoma, chakaoma kana ronda rinongozaruka risingapone. Kunyange zvazvo zvisingawanzo pararira, squamous cell carcinoma ine mukana wakakura wekupararira kupfuura basal cell carcinoma.

Marudzi asingawanzoitika anosanganisira Merkel cell carcinoma, sebaceous carcinoma, uye dermatofibrosarcoma protuberans. Aya marudzi asingawanzoitika anoda nzira dzekurapa dzakasarudzika uye kutarisa kwakanyanya nekuda kwehunhu hwavo hwakasimba.

Ndeapi zviratidzo zvekenza yenyama inenge isiri melanoma?

Zviratidzo zvekenza yenyama inenge isiri melanoma zvinogona kusiyana zvichienderana nerudzi, asi kune zviratidzo zvakakosha zvekuchengetedza. Kuonekwa pakutanga kunoita kuti kurapwa kuve nyore uye kunobatsira.

Zviratidzo zvinowanzoitika zvinoda kutarisirwa zvinosanganisira:

• Kukura kwatsva kunoonekwa se pearl-like, waxy, kana translucent
• Chidimbu chakatsetseka, chakasimba, chinofanana nechisimba chingave yero, chena, kana waxy
• Chidimbu chakaumbwa chine tsvuku chingave chichinyanya kukwenya kana kurwadza
• Kukura kwakakomba, kwepinki ine mwero wakakwirira, wakapoteredzwa
• Ronda rinongozaruka rinobuda ropa, rinopfeka, rinopona, wobva razara zvakare
• Kukura kwakafanana newart kunogona kubuda ropa kana kupfeka
• Chidimbu chakaoma, chine tsvuku chine migwagwa isina kujairika

Tarisai zvikuru chero shanduko yeganda inoramba iripo kwemavhiki anopfuura mashoma. Dzimwe nguva kenza idzi dzinogona kuva dzakavanzika, dzichionekwa sekunetseka kwakakomba kweskin kunongopfuura nekuchengetedza kwakajairika.

Yeuka kuti kenza yenyama inenge isiri melanoma kazhinji inokura zvishoma nezvishoma kwemwedzi kana makore. Kazhinji hadzina kurwadza pakutanga, ndosaka shanduko dzekuonekwa dziri sisitimu yako yekuchengetedza yekutanga.

Chii chinokonzera kenza yenyama inenge isiri melanoma?

Chinokonzera kenza yenyama inenge isiri melanoma ndekukuvara kwakawanda kubva ku ultraviolet (UV) radiation nekufamba kwenguva. Kukuvara uku kunoitika kubva kuzuva rakajairwa uye zvinhu zvakagadzirwa senge tanning beds.

Masero eganda rako ane DNA inodzora kuti anokura sei uye anoparadzaniswa sei. Kana UV radiation ikapinda muganda rako, inogona kukuvadza zvinhu izvi zvegnetic. Pakutanga, muviri wako unogona kugadzirisa kukuvara uku kwakawanda, asi makore ekuratidzwa anogona kukunda nzira dzekuzvigadzirisa dzeganda rako.

Zvinhu zvakati wandei zvinokonzera kukura kwekenza iyi:

• Kuratidzwa kwezuva kwenguva refu, kunyanya panguva dzezuva (10 AM kusvika 4 PM)
• Nhoroondo yekutsva kwakasimba kwezuva, kunyanya muhudiki
• Kushandisa tanning beds kana sun lamps nguva dzose
• Kurarama munzvimbo dzakakwirira kana dzine zuva
• Kuratidzwa kwezuva pabasa (kuvakwa, kurima, kuchengeta hupenyu)
• Kuratidzwa kune zvimwe zvinhu senge arsenic kana coal tar
• Kurapwa kwakapfuura kwemwaranzi
• Kunetseka kwenguva refu kweskin kana kuvhunduka

Zvisingawanzoitika, mamiriro ezvinhu akawanda anogona kuita kuti vanhu vakure kenza iyi. Uyezve, mishonga inodzora sisitimu yako yekudzivirira inogona kuwedzera njodzi yako nekuderedza simba remuviri wako rekuramba kukura kwemasero asingajairiki.

Ndeapi njodzi dzekenza yenyama inenge isiri melanoma?

Kunyangwe chero munhu anogona kukura kenza yenyama inenge isiri melanoma, zvinhu zvakati wandei zvinogona kuwedzera mukana wako. Kunzwisisa njodzi yako pachako kunokubatsira kutora matanho ekudzivirira akakodzera.

Zvinhu zvinokonzera njodzi zvinonyanya kukosha zvinosanganisira:

• Ganda rakajeka rinotsva nyore uye rinopfavira zvishoma
• Meso ane ruvara rwakajeka (bhuruu, girini, kana grey)
• Vhudzi jena kana tsvuku
• Makore anopfuura 50 (njodzi inowedzera nekukuvara kwezuva kwakawanda)
• Murume (varume vanokura kenza iyi kazhinji)
• Nhoroondo yemunhu wekenza yenyama
• Nhoroondo yemhuri ye kenza yenyama
• Sisitimu yekudzivirira yakasimba kubva kumishonga kana chirwere
• Mamiriro ezvinhu akati wandei anowanikwa senge xeroderma pigmentosum

Nzvimbo dzekurima nezviito zveupenyu zvinoramba zvichiita basa rakakosha. Kurarama pedyo ne equator, munzvimbo dzakakwirira, kana munzvimbo dzine zuva rakawanda kunowedzera njodzi. Vanhu vanoshanda kunze kana vanobatanidzwa muzviitiko zvekunze kazhinji vanotarisana nenjodzi yakawanda.

Kuve nezvinhu zvakawanda zvinokonzera njodzi hazvirevi kuti uchakura kenza yenyama, asi zvinoreva kuti unofanira kungwarira zvakanyanya nezvekuchengetedza uye kuongororwa kwe ganda nguva dzose. Kunyange vanhu vane ganda rakaoma vanogona kukura kenza iyi, kunyange njodzi yakaderera zvakanyanya.

Rini unofanira kuona chiremba nekuda kwekenza yenyama inenge isiri melanoma?

Unofanira kuona chiremba kana ukaona chero kusagadzikana kwepasi, kuchinja, kana kusagadzikana kwenguva refu. Kuongororwa pakutanga kunotungamira pakurapwa kwakanyanya uye mhedzisiro iri nani mune zviitiko zvose.

Rongedza musangano nekukurumidza kana ukaona chero chezviratidzo izvi zvekuchengetedza:

• Kukura kunochinja kukura, chimiro, ruvara, kana hunhu
• Ronda risingapone mukati memavhiki 3-4
• Chidimbu chinobuda ropa, chinopfeka, kana kubuda mvura zvakare
• Nzvimbo inonyanya kukwenya, kurwadza, kana kurwadza
• Kukura kunoonekwa zvakasiyana nemamwe ma moles kana mabhuru

Usamirira kana uine nhoroondo yakasimba yemhuri ye kenza yenyama kana kana wakambova nekenza yenyama kare. Kuongororwa kwe dermatological nguva dzose kunonyanya kukosha mumamiriro ezvinhu akadaro.

Funga kuona dermatologist gore rega rega kana uine njodzi dzakawanda, kunyangwe pasina zviratidzo zvakajeka. Kuongororwa kweprofessional kweskin kunogona kuona shanduko dzakavanzika dzisingakwanisi kuonekwa pakuongororwa kwako pachako.

Ndeapi matambudziko anogona kuitika ekenza yenyama inenge isiri melanoma?

Kunyangwe kenza yenyama inenge isiri melanoma isingawanzova ngozi yehupenyu, inogona kukonzera matambudziko akawanda kana isina kurapwa. Kunzwisisa matambudziko aya kunosimbisa kukosha kwekuonekwa pakutanga nekurapwa.

Matambudziko anowanzoitika anosanganisira:

• Kukuvara kwetishu uye kusagadzikana, kunyanya pachiso
• Kudzokazve munzvimbo yekutanga kana isina kubviswa zvachose
• Kukuvara kwematumbu kana kenza ikakura mukati metishu dziri pedyo
• Kusagadzikana kwemabasa kana iri pedyo nemaziso, mhuno, kana muromo
• Kunetseka kwechipiri mumavara akavhurika kana akakuvadzwa
• Mhedzisiro yepfungwa kubva pakakuvadzwa kunoonekwa kana kusagadzikana

Matambudziko asingawanzoitika asi ane ngozi anogona kuitika nemarudzi akati wandei. Squamous cell carcinoma kazhinji inopararira kune lymph nodes iri pedyo kana nhengo dzakareba, kunyanya kana ikakura munzvimbo dzine njodzi senge miromo, nzeve, kana nhengo dzepabonde.

Zvipembenene zvikuru kana zvakadzika zvinoda kuvhiya kwakakura, zvinogona kusanganisira kuiswa kweskin kana nzira dzekugadzirisa. Ndosaka kurapwa pakutanga kazhinji kunotungamira mune zvishoma zvinhu uye mhedzisiro yakanaka yezvinhu.

Kenza yenyama inenge isiri melanoma inoongororwa sei?

Kuongorora kenza yenyama inenge isiri melanoma kazhinji kunotanga nekuongororwa kwekuona nachiremba wako kana dermatologist. Vachatarisa nzvimbo inokonzera njodzi, kazhinji vachishandisa chishandiso chakakura chinonzi dermatoscope.

Kana chiremba wako akakurudzira kenza, vachaita biopsy kusimbisa kuongororwa. Izvi zvinosanganisira kubvisa sampuli diki yetishu inokonzera njodzi yekuongororwa kwe laboratori. Biopsy inogona kuitwa muhofisi uchishandisa local anesthesia.

Marudzi akawanda e biopsies anogona kushandiswa:

• Shave biopsy - kubvisa zvikamu zvepamusoro zve ganda nebanga diki
• Punch biopsy - kushandisa chishandiso che circular kubvisa sampuli yakadzika
• Excisional biopsy - kubvisa nzvimbo yese inokonzera njodzi
• Incisional biopsy - kubvisa chikamu che lesion yakakura

Sampuli yetishu inoenda kune pathologist anoiongorora pasi pemikroskopu kuti aone kana masero ekenza aripo. Mhedzisiro kazhinji inodzoka mukati mevhiki kana maviri.

Kana kenza ikasimbiswa, chiremba wako anogona kuraira bvunzo dzakawanda kuti aone huwandu hwechirwere, kunyange izvi zvisingawanzodiwe kune kenza yakawanda yenyama inenge isiri melanoma sezvo isingawanzo pararira.

Kurapwa kwekenza yenyama inenge isiri melanoma ndekupi?

Kurapwa kwekenza yenyama inenge isiri melanoma kunoenderana nerudzi, saizi, nzvimbo, uye hupamhi hwekenza. Mashoko akanaka ndeawo kuti mukana wekurapa wakakura kwazvo kana kenza idzi dzikaonekwa pakutanga.

Nzira dzekurapa dzakajairika dzinosanganisira:

• Surgical excision - kukamura kenza nechikamu chetishu ine hutano
• Mohs surgery - kubvisa zvikamu zvakakora zvetishu uye kuongorora imwe neimwe layer pasi pemikroskopu
• Electrodesiccation ne curettage - kukwenya masero ekenza uye kushandisa magetsi kuparadza masero asara
• Cryotherapy - kufungisa masero ekenza ne liquid nitrogen
• Mishonga inoshandiswa paganda - kushandisa cream dzinorayirwa nadokotera dzinoshanda kubvisa masero ekenza
• Radiation therapy - kushandisa magetsi ane simba kuparadza masero ekenza
• Photodynamic therapy - kushandisa mishonga inoshanda ne chiedza kurwisa masero ekenza

Chiremba wako achakurudzira nzira yakanakisa zvichienderana nemamiriro ako chaiwo. Zvinhu senge nzvimbo yekenza, zera rako, hutano hwese, uye zvinhu zvekutaridzika zvinokanganisa kusarudzwa kwe kurapwa.

Kurapwa kunowanzoitwa kunze kwechirwere ne local anesthesia. Nguva yekupora inosiyana asi kazhinji inoyerwa mumazuva kusvika kumavhiki panzvimbo pemwedzi.

Maitiro ekurapa kumba panguva yekenza yenyama inenge isiri melanoma?

Kunyangwe kurapwa kwemishonga kunokosha, kuchengetedza kumba kunogona kutsigira kupora kwako uye kubatsira kudzivirira matambudziko. Chiremba wako achapa mirairo chaiyo zvichienderana nerudzi rwako rwepamuviri.

Mirayiridzo yekuchengetedza kumba kazhinji inosanganisira:

• Chengeta nzvimbo yakarapwa yakachena uye yakaoma sezvakarayirwa
• Shingairira mishonga inoshandiswa paganda sezvakarayirwa
• Dzivirira nzvimbo yekupora kubva pakuratidzwa kwezuva
• Dzivisa kusarudza mashizha kana zvinhu zvinopfeka zvinoumbwa
• Tora mishonga inorwisa marwadzo sezvinodiwa nekuda kwekusagadzikana
• Tarisa zviratidzo zvekuvhunduka senge kuwedzera kutsvuku, kupisa, kana pus
• Pinda misangano yekutevera sezvakarongwa

Kana uri kushandisa kurapwa kwepamusoro senge imiquimod kana 5-fluorouracil, tarisira kutsamwa kwepasi, kutsvuku, uye kupfeka. Izvi zvakajairika uye zvinoratidza kuti mushonga uri kushanda. Zvisinei, taura nachiremba wako kana kuita kwacho kukura.

Chengeta tsika yako yakajairwa yekuchengetedza ganda munzvimbo dzisingakanganiswi, asi iva nyoro munzvimbo yekurapa. Shandisa zvigadzirwa zvisina kunhuhwirira, zvinyoro kuti udzivise kutsamwa panguva yekupora.

Kenza yenyama inenge isiri melanoma inogona kudzivirirwa sei?

Kudzivirira ndiyo chombo chako chakakosha pakurwisa kenza yenyama inenge isiri melanoma. Sezvo UV radiation ichikonzera kenza yakawanda iyi, kuchengetedza ganda rako kubva pakukuvara kwezuva kunoderedza njodzi yako zvakanyanya.

Nzira dzinoshanda dzekudzivirira dzinosanganisira:

• Shingairira sunscreen yakafara-spectrum ine SPF 30 kana yakakwirira zuva nezuva
• Tsvaga mumvuri panguva dzezuva (10 AM kusvika 4 PM)
• Pfeka nguo dzinodzivirira, kusanganisira hembe refu uye ngowani dzakakura
• Shandisa magirazi anochengetedza kubva ku UV rays
• Dzivisa tanning beds ne sun lamps zvachose
• Shingairira sunscreen maawa maviri ese kana mushure mekushambira / kuita zvemitambo
• Iva nechokwadi munzvimbo dzine zvinhu zvinopenya senge mvura, jecha, uye chando

Kuongororwa kwako pachako nguva dzose kunokoshawo pakutsvaga pakutanga. Tarisa ganda rako pamwedzi, uchitarisa kukura kwatsva kana shanduko mu moles kana mabhuru aripo. Shandisa girazi refu uye kumbira mumwe munhu kuti akubatsire kuongorora nzvimbo dzakaoma kuona.

Funga nezvekuongororwa kweprofessional kweskin gore rega rega, kunyanya kana uine njodzi dzakawanda. Kuonekwa pakutanga kunowedzera mhedzisiro yekurapwa uye kunoderedza kudiwa kwenzira dzakakura.

Unofanira kugadzirira sei musangano wako nachiremba?

Kugadzirira musangano wako kunobatsira kuve nechokwadi chekuti unowana kurapwa kwakakwana uye mibvunzo yako yose inopindurwa. Kugadzirira kwakakwana kunogona kuita kuti kushanya kuve kwakakurumidza uye kunobatsira.

Usati wasangana nachiremba wako,unganidza ruzivo rwakakosha:

• Rondedzera mishonga yese, zvinowedzerwa, uye mavhitamini auri kutora
• Nyora nguva yawakaona shanduko yeganda kekutanga
• Cherechedza chero zviratidzo senge kukwenya, kubuda ropa, kana kurwadza
• Gadzirira mibvunzo nezve nzira dzekurapa nekutarisirwa kwenguva refu
• Uyai nenhoroondo yemhuri ye kenza yenyama kana zvichizivikanwa
• Funga kuuya neshamwari yakavimbika kana nhengo yemhuri kuti ikutsigire

Panguva yemusangano, usambotya kubvunza mibvunzo nezve chero chinhu chisinganzwisisiki. Nyaya dzakakosha dzinogona kusanganisira nzira dzekurapa, nguva yekupora inotarisirwa, zvinogona kuitika, uye marongero ekutarisa kwenguva refu.

Tora manotsi kana kubvunza kana unogona kurekodha hurukuro (ne mvumo) kuti ukubatsire kuyeuka zvakakosha gare gare. Kunzwisisa kuongororwa kwako uye marongero ekurapa kunokubatsira kunzwa uine chivimbo uye kubatanidzwa mukutarisirwa kwako.

Chii chinonyanya kukosha nezve kenza yenyama inenge isiri melanoma?

Chinhu chakakosha chokuyeuka ndechekuti kenza yenyama inenge isiri melanoma inorapika zvikuru, kunyanya kana ikaonekwa pakutanga. Kenza idzi dzisingawanzova ngozi yehupenyu, uye mukana wekurapa unopfuura 95% nekurapwa kwakakodzera.

Kudzivirira kuburikidza nekuchengetedza kwezuva kunoramba kuri dziviriro yako yakanakisa, asi usatya kana ukaona shanduko dzeganda dzinoshamisa. Kuonekwa pakutanga nekurapwa kunotungamira mumhedzisiro yakanaka ine mhedzisiro shoma pane hupenyu hwako hwezuva nezuva.

Rambai muchitarisa shanduko dzeganda, dzivirai kubva ku UV radiation, uye chengetai kuongororwa nguva dzose nevanachiremba. Nekuzivisa kwakakodzera nekutarisirwa, unogona kutarisira hutano hwako hwepasi uye kuwana chero matambudziko anogona kuitika pakutanga.

Yeuka kuti kuva nekenza yenyama inenge isiri melanoma hakusi kukutsanangurira kana kuchinja zvakanyanya mikana yako yehupenyu. Mamiriyoni evanhu vanorapwa gore rega rega uye vanoramba vachirarama hupenyu hwakazara, hune hutano.

Mibvunzo inowanzo bvunzwa nezve kenza yenyama inenge isiri melanoma

Mubvunzo 1: Kenza yenyama inenge isiri melanoma inogona kudzoka here mushure mekurapwa?

Hungu, kenza yenyama inenge isiri melanoma inogona kudzoka, kunyange zvazvo mukana wekudzoka wakaderera nekurapwa kwakakodzera. Njodzi inosiyana zvichienderana nerudzi rwekenza, nzira yekurapa yakashandiswa, uye nzvimbo yekenza yekutanga. Mohs surgery ine mukana wakaderera wekudzoka, kazhinji pasi pe 5%. Kuongororwa kwenguva dzose nekutarisa ganda pachako kunobatsira kuona chero kudzoka pakutanga kana kuri nyore kurapa.

Mubvunzo 2: Zvinotora nguva yakareba sei kuti kenza yenyama inenge isiri melanoma ikure?

Kenza yenyama inenge isiri melanoma kazhinji inokura zvishoma nezvishoma kwemwedzi kusvika kumakore. Kusiyana nedzimwe kenza dzakasimba, idzi dzisingaoneki usiku. Basal cell carcinomas kazhinji inokura zvishoma nezvishoma, dzimwe nguva ichitora makore kuti ioneke. Squamous cell carcinomas inogona kukura nekukurumidza asi inoramba ichikura zvishoma nezvishoma. Kukura uku kunobatsira nekuti kunoita kuti pave nenguva yakakwana yekuona nekurapa.

Mubvunzo 3: Kenza yenyama inenge isiri melanoma inogona kuwanikwa mumhuri here?

Kunyangwe kenza yakawanda yenyama inenge isiri melanoma inokonzerwa nekuratidzwa kwezuva panzvimbo pezvinhu zvemajini, nhoroondo yemhuri inogona kuwedzera njodzi yako. Kuva nehama dzine kenza yenyama kunogona kuratidza hunhu hwakafanana hwemajini senge ganda rakajeka kana kuoma kupfavira, izvo zvinoita kuti uve munhu anokurumidza kurwara. Mamiriro ezvinhu asingawanzoitika senge xeroderma pigmentosum anowedzera njodzi ye kenza yenyama zvakanyanya. Zvisinei, zvinhu zveupenyu senge tsika dzekuchengetedza zuva kazhinji zvinonyanya kukosha kupfuura majini kune vanhu vakawanda.

Mubvunzo 4: Vanhu vane ganda rakaoma vanogona kuwana kenza yenyama inenge isiri melanoma here?

Hungu, vanhu vane ganda rakaoma vanogona kukura kenza yenyama inenge isiri melanoma, kunyange njodzi yakaderera zvakanyanya kupfuura kune vanhu vane ganda rakajeka. Kana kenza iyi ikaitika kune vanhu vane ganda rakaoma, kazhinji inoonekwa munzvimbo dzisina pigment yakawanda, senge maoko, zvitsoka, kana pasi pe misumari. Melanin inodzivirira muganda rakaoma inopa kuchengetedzwa kwezuva, asi kungwarira nekuchengetedza kwezuva kunoramba kuchikosha kune munhu wese.

Mubvunzo 5: Chii chiri musiyano uripo pakati pekensa yenyama inenge isiri melanoma ne melanoma?

Musiyano mukuru uri mumhando yemasero eganda anosanganisirwa nemaitiro avo. Kenza yenyama inenge isiri melanoma inokura kubva kumasero eganda asingasiri melanocytes uye kazhinji inoramba iri munzvimbo imwe chete, ichikura zvishoma nezvishoma ine mukana wakaderera wekupararira. Melanoma inokura kubva kumasero anogadzira pigment uye ine mukana wakakura wekupararira kune dzimwe nzvimbo dzemuviri kana isina kuonekwa pakutanga. Kenza yenyama inenge isiri melanoma yakawanda asi kazhinji isingasimba kupfuura melanoma.