He aha ka Kanesa Iwi? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

He maʻi maʻamau ʻole ka kanesa iwi kahi e ulu wikiwiki ai nā cell maʻi i loko o kou mau iwi, e hana ana i nā tumors e hiki ke hoʻonāwaliwali i ke ʻano o ka iwi. ʻOiai he mea weliweli paha ke huaʻōlelo, hiki i ka hoʻomaopopo ʻana i ka mea maoli o ka kanesa iwi ke kōkua i ka hoʻoemi ʻana i kou hopohopo a alakaʻi iā ʻoe i ka mālama kūpono.

Hiki i kēia ʻano kanesa ke hoʻomaka pololei i loko o ka iwi (i kapa ʻia ʻo ka kanesa iwi mua) a i ʻole e pālahalaha i nā iwi mai kahi kanesa ʻē aʻe ma kou kino (i kapa ʻia ʻo ka kanesa iwi lua a i ʻole metastatic). ʻO ka ʻoiaʻiʻo maikaʻi, me ka ʻike mua ʻana a me ka mālama kūpono, nui nā kānaka me ka kanesa iwi e ola ana i nā ola piha a olakino.

He aha nā hōʻailona o ka kanesa iwi?

ʻO ka hōʻailona mua maʻamau o ka kanesa iwi ka ʻeha mau loa i ka iwi i pilikia ʻole e hele me ka hoʻomaha. Hoʻomaka pinepine kēia ʻeha ma ke ʻano he ʻeha palupalu e hiki mai ana a hele aku paha, akā e lilo mālie ana i mea mau a ikaika hoʻi ma mua o ka manawa.

Eia nā hōʻailona nui āu e ʻike ai, a e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau mea ʻo ia hoʻi he kanesa iwi kāu:

• ʻEha iwi e ʻoi aku ka ʻino i ka pō a i ʻole i ka wā hana
• ʻEhu a i ʻole palupalu kokoke i ka wahi i pilikia
• He puʻu a i ʻole nui āu e hiki ke ʻike ai ma o ka ʻili
• Nā iwi e haki maʻalahi mai nā hōʻeha iki a i ʻole nā hana maʻamau
• Luhi weliweli ʻole a i ʻole ka manaʻo maʻamau ʻole
• Kaumaha kino i manaʻo ʻole ʻia
• Fever, ʻoi aku inā hoʻomau ia e hoʻi mai

I kekahi mau hihia, hiki iā ʻoe ke ʻike i ka numbness a i ʻole tingling inā e kaomi ka tumor i nā aʻalolo kokoke. Hiki i kēia mau hōʻailona ke ulu mālie i nā hebedoma a i ʻole nā mahina, ʻo ia ke kumu e pono ai ke nānā pono i nā loli i kou kino a kūkākūkā me kāu mea mālama ola.

He aha nā ʻano o ka kanesa iwi?

Nui nā ʻano like ʻole o ka kanesa iwi, kēlā me kēia me kona mau ʻano a me nā ala lapaʻau. ʻO ka hoʻomaopopo ʻana i ke ʻano āu e hana nei e kōkua i kāu hui lapaʻau e hana i ka papahana lapaʻau maikaʻi loa no kou kūlana kikoʻī.

ʻO nā ʻano nui o ka kanesa iwi mua e komo pū ana:

• Osteosarcoma: ʻO ke ʻano maʻamau loa i nā keiki a me nā ʻōpio, e pili pinepine ana i nā iwi lōʻihi o nā lima a me nā wāwae
• Chondrosarcoma: ʻOi aku ka maʻamau i nā mākua ma mua o 40, e ulu pinepine ana i ka cartilage o ka pelvis, nā iwi ʻaoʻao, a i ʻole nā poʻohiwi
• Ewing sarcoma: Hoʻomaka pinepine i nā keiki a me nā ʻōpio, e pili pinepine ana i nā iwi o ka pelvis, ka pā umauma, a i ʻole nā iwi lōʻihi
• Fibrosarcoma: He ʻano maʻamau ʻole e ulu pinepine ana i nā ʻiʻo palupalu a puni nā iwi akā hiki ke loaʻa i nā iwi ponoʻī
• Giant cell tumor: Maʻamau benign akā hiki ke lilo i kanesa i kekahi manawa, e pili pinepine ana i nā hopena o nā iwi lōʻihi

ʻO ka kanesa iwi lua, kahi e pālahalaha mai nā ʻāpana ʻē aʻe o ke kino, ʻoi aku ka maʻamau ma mua o ka kanesa iwi mua. Hoʻomaka pinepine kēia ʻano mai nā kanesa umauma, māmā, prostate, puʻupaʻa, a i ʻole thyroid i pālahalaha i nā iwi.

He aha ka mea e hoʻokumu ai i ka kanesa iwi?

ʻAʻole maopopo ka kumu pololei o ka hapa nui o nā kanesa iwi, akā ua ʻike nā mea noiʻi i kekahi mau mea e hiki ke hoʻonui i ka hiki ke loaʻa i kēia maʻi. He mea nui e hoʻomaopopo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia ʻo ia hoʻi e loaʻa nō ʻoe i ka kanesa iwi.

Eia nā mea nui a nā kānaka ʻepekema e manaʻo ai e hiki ke hoʻokomo i ka hoʻomohala ʻana o ka kanesa iwi:

• Ka lāʻau radiation mua, ʻoi aku hoʻi nā lāʻau kiʻekiʻe no nā kanesa ʻē aʻe
• Kekahi mau kūlana genetic e like me ka Li-Fraumeni syndrome a i ʻole ka hereditary retinoblastoma
• Ka maʻi Paget, kahi kūlana e hoʻokumu ai i ka hana iwi maʻamau ʻole
• Nā hōʻeha iwi a i ʻole nā mea hoʻokomo mua, ʻoiai ke aʻo ʻia nei kēia pilina
• Kekahi mau maʻi hoʻoilina e pili ana i ka hoʻomohala ʻana o ka iwi a me ka cartilage

I nā hihia maʻamau ʻole, hiki i ka hōʻike ʻana i kekahi mau kemika a i ʻole ka loaʻa ʻana o ka mōʻaukala ʻohana o ka kanesa iwi ke pāʻani i kahi kuleana. Eia naʻe, ʻaʻohe kumu pilikia maopopo i ka hapa nui o nā kānaka e loaʻa ai ka kanesa iwi, ʻo ia hoʻi hiki i ka maʻi ke hoʻopilikia i kekahi.

I ka wā e ʻike ai i ke kauka no nā hōʻailona kanesa iwi?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka ʻeha iwi mau loa e lōʻihi ma mua o kekahi mau hebedoma, ʻoi aku inā e ʻino ana a i ʻole e hoʻopilikia ana i kāu mau hana i kēlā me kēia lā. Mai kali inā koʻikoʻi ka ʻeha a i ʻole me nā hōʻailona hopohopo ʻē aʻe.

E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe i kekahi o kēia mau hōʻailona hōʻailona:

• ʻEha iwi ʻaʻole e hoʻomaikaʻi me ka hoʻomaha a i ʻole nā lāʻau ʻeha ma luna o ka counter
• ʻEhu a i ʻole puʻu āu e hiki ke ʻike ai, ʻoi aku inā e ulu ana
• He iwi e haki mai ka hāʻule iki a i ʻole ka hana maʻamau
• Kaumaha kino i manaʻo ʻole ʻia me ka ʻeha iwi
• Fever mau loa me nā hōʻailona iwi
• Numbness a i ʻole nāwaliwali i ka lima a i ʻole ka wāwae

E hoʻomanaʻo, nui nā kūlana e hiki ke hoʻokumu i ka ʻeha iwi, a ʻo ka hapa nui o ka manawa ʻaʻole ia he kanesa. Eia naʻe, ʻo ka loiloi mua ʻana e hāʻawi iā ʻoe i ka manawa maikaʻi loa no ka mālama maikaʻi inā loaʻa kekahi mea koʻikoʻi. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana inā pono e noiʻi hou i kou mau hōʻailona.

He aha nā mea pilikia no ka kanesa iwi?

ʻO ka hoʻomaopopo ʻana i nā mea pilikia e hiki ke kōkua iā ʻoe e hana i nā hoʻoholo ʻike e pili ana i kou olakino, ʻoiai he mea nui e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia ʻo ia hoʻi e loaʻa iā ʻoe ka kanesa iwi. Nui nā kānaka me nā mea pilikia ʻaʻole loaʻa i ka maʻi, ʻoiai kekahi me nā mea pilikia ʻike ʻole ʻia.

ʻO nā mea pilikia nui e komo pū ana:

• Makahiki: Hoʻopili pinepine ʻia ka Osteosarcoma i nā keiki a me nā ʻōpio i nā manawa o ka ulu wikiwiki o ka iwi
• Ka mālama kanesa mua: Hiki i ka lāʻau radiation a i ʻole kekahi mau lāʻau chemotherapy ke hoʻonui i ka pilikia ma hope o nā makahiki
• Nā kūlana genetic: Nā syndromes hoʻoilina maʻamau ʻole e like me ka Li-Fraumeni syndrome a i ʻole retinoblastoma
• Ka maʻi Paget: Hoʻonui kēia maʻi iwi i ka pilikia o ka hoʻomohala ʻana o ka osteosarcoma
• Nā mea hoʻokomo metala: I nā hihia maʻamau ʻole, hiki i ka kanesa iwi ke ulu a puni nā mea hoʻokomo metala, ʻoiai he mea maʻamau ʻole kēia

ʻO kekahi mau mea pilikia maʻamau ʻole e komo pū ana ka hōʻike ʻana i nā kiʻekiʻe kiʻekiʻe o ka radiation mai nā ulia nuklea a i ʻole ka loaʻa ʻana o kekahi mau maʻi iwi mai ka hānau ʻana. He mea kūpono ke hoʻomaopopo ʻaʻole loaʻa ka hapa nui o nā kānaka me kēia mau kūlana i ka kanesa iwi, no laila e ho'āʻo mai e hopohopo pono ʻole inā pili kekahi o kēia mau mea iā ʻoe.

He aha nā pilikia hiki ke loaʻa i ka kanesa iwi?

ʻOiai ke kūkākūkā ʻana i nā pilikia hiki ke manaʻo ʻia he mea kaumaha, ʻo ka hoʻomaopopo ʻana i ka mea hiki ke kōkua iā ʻoe a me kāu hui lapaʻau e hoʻomākaukau a pane koke inā kū nā pilikia. E hoʻomanaʻo he nui nā kānaka me ka kanesa iwi e ʻike iki a ʻaʻohe pilikia, ʻoi aku hoʻi me ka ʻike mua ʻana a me ka mālama kūpono.

Eia nā pilikia nui e hiki ke loaʻa:

• Nā haki iwi: Hiki i nā iwi nāwaliwali ke haki maʻalahi, i kekahi manawa e pono ai ka hoʻoponopono ʻana i ka ʻoki
• Pālahalaha i nā ʻāpana ʻē aʻe o ke kino: Hiki i ka kanesa ke neʻe i nā māmā, nā ate, a i ʻole nā iwi ʻē aʻe
• Hōʻino aʻalolo: Hiki i nā tumors ke kaomi i nā aʻalolo kokoke, e hoʻokumu ana i ka ʻeha, ka numbness, a i ʻole ka nāwaliwali
• Infection: Hiki i ka mālama ke hoʻonāwaliwali i kou ʻōnaehana pale i ka manawa pōkole
• Nā pilikia cell koko: Hiki i kekahi mau lāʻau ke hoʻopilikia i ka hiki o kou kino ke hana i nā cell koko olakino

I nā hihia maʻamau ʻole, hiki i ka kanesa iwi ke hoʻokumu i nā pae calcium koʻikoʻi i ke koko a i ʻole e hoʻopilikia i ka hana o ka puʻupaʻa. E nānā pono kāu hui mālama ola iā ʻoe i ka wā mālama e hopu a hoʻoponopono koke i nā pilikia. ʻO ke kī ka mālama ʻana i ka kamaʻilio ākea me kāu hui lapaʻau e pili ana i nā hōʻailona hou a i ʻole ka ʻino.

Pehea e ʻike ʻia ai ka kanesa iwi?

ʻO ka ʻike ʻana i ka kanesa iwi e komo pū ana i kekahi mau ʻanuʻu, a e alakaʻi aku kāu kauka iā ʻoe ma o kēlā me kēia mea e kiʻi i kahi kiʻi maopopo o ka mea e hana nei. Hoʻomaka pinepine ke kaʻina hana me ke kūkākūkā ʻana i kou mau hōʻailona a me ka mōʻaukala lapaʻau, a laila he hoʻokolokolo kino o ka wahi i pilikia.

E manaʻo paha kāu mea mālama ola i kēia mau hoʻokolohua diagnostic:

• X-rays: ʻO ka hoʻokolohua mua pinepine e ʻimi i nā wahi maʻamau ʻole i kou mau iwi
• MRI a i ʻole CT scans: Hāʻawi i nā kiʻi kikoʻī e ʻike i ka nui a me ka wahi o ka tumor
• Bone scan: Hōʻike inā ua pālahalaha ka kanesa i nā iwi ʻē aʻe ma kou kino
• Nā hoʻokolohua koko: E nānā i nā mea hōʻailona e hiki ke hōʻike i ka kanesa iwi
• Biopsy: Lawe ʻia kahi laʻana ʻiʻo liʻiliʻi e hōʻoia i ka maʻi a hoʻoholo i ke ʻano o ka kanesa

ʻO ka biopsy wale nō ke ala e hōʻoia ai i ka kanesa iwi. Hiki i kāu kauka ke hana i kēia kaʻina hana me kahi nila a i ʻole ma o kahi ʻoki liʻiliʻi, ma muli o ka wahi o ka tumor. ʻOiai ke kali nei no nā hopena hiki ke manaʻo ʻia he mea kaumaha, e hoʻomanaʻo ʻo kēia ala kikoʻī e hōʻoiaʻiʻo iā ʻoe e loaʻa iā ʻoe ka ʻike maopopo loa a me ka papahana mālama kūpono.

He aha ka mālama no ka kanesa iwi?

Ua hoʻomaikaʻi nui ka mālama ʻana i ka kanesa iwi ma mua o nā makahiki, a e hana kāu hui lapaʻau i kahi papahana pilikino ma muli o ke ʻano o ka kanesa, kona kahua, kou makahiki, a me kou olakino holoʻokoʻa. ʻAʻole wale ke kumu e mālama pono ai i ka kanesa, akā e kōkua pū iā ʻoe e mālama i ka maikaʻi o ke ola.

ʻO nā ala mālama nui e komo pū ana:

• ʻOki: Ke wehe ʻana i ka tumor ʻoiai e mālama ana i ka nui o ka iwi olakino a me ka hana
• Chemotherapy: Nā lāʻau e hoʻopili i nā cell kanesa ma kou kino holoʻokoʻa
• Radiation therapy: Nā kukuna ikehu kiʻekiʻe i hoʻokau ʻia ma ka wahi tumor
• Targeted therapy: Nā lāʻau hou e hoʻouka i nā hiʻohiʻona kikoʻī o nā cell kanesa
• Immunotherapy: Nā lāʻau e kōkua i kou ʻōnaehana pale e hakakā i ka kanesa

Nui nā kānaka e loaʻa i ka hui o kēia mau lāʻau. No ka laʻana, hiki iā ʻoe ke loaʻa i ka chemotherapy ma mua o ka ʻoki e hoʻemi i ka tumor, a laila e hoʻomau i ka chemotherapy ma hope e kāpae i nā cell kanesa i koe. E wehewehe kāu hui mālama i kēlā me kēia ʻanuʻu a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai ma ke ala.

Pehea e mālama ai i nā hōʻailona ma ka home i ka wā mālama kanesa iwi?

ʻO ka mālama ʻana iā ʻoe iho ma ka home he ʻāpana nui ia o kāu papahana mālama holoʻokoʻa. ʻOiai e mālama ana kāu hui lapaʻau i ka mālama nui, nui nā mea āu e hiki ke hana e ʻoluʻolu a kākoʻo i ke kaʻina ho'ōla o kou kino.

Eia nā hana kōkua no ka mālama ʻana i nā hōʻailona a me nā hopena ʻaoʻao:

• Mālama ʻeha: E lawe i nā lāʻau ʻeha i kuhikuhi ʻia e like me ke kuhikuhi ʻia a hoʻohana i ka hau a i ʻole ka wela e like me ka ʻōlelo a kāu kauka
• Hoʻomaʻamaʻa mālie: E noho ikaika e like me ka palekana e mālama i ka ikaika a me ke olakino iwi
• Hoʻopono: E ʻai i ka ʻai kaulike waiwai i ka calcium a me ka vitamin D e kākoʻo i ke olakino iwi
• Hoʻomaha: E ʻae iā ʻoe i ka nui o ka hiamoe a me nā manawa hoʻomaha i ka lā
• Pale ʻana i ka maʻi: E holoi pinepine i kou mau lima a pale i nā wahi piha i ka wā mālama
• Kākoʻo manaʻo: E hoʻopili me nā ʻohana, nā hoaaloha, a i ʻole nā hui kākoʻo e kōkua i ka mālama ʻana i ke kaumaha

Mai kānalua e hoʻokaʻaʻike i kāu hui mālama ola inā ʻike ʻoe i nā hōʻailona hou a i ʻole inā ʻino nā mea i loaʻa. Hiki iā lākou ke hoʻoponopono i kāu mau lāʻau a i ʻole e manaʻo i nā ana ʻoluʻolu hou aku. E hoʻomanaʻo, ʻo ka noi ʻana i ke kōkua he hōʻailona ia o ka ikaika, ʻaʻole ka nāwaliwali.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau maikaʻi ʻana no kāu mau kipa kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea maikaʻi loa mai kāu manawa pū ʻana a ua pane ʻia kāu mau hopohopo āpau. ʻO ka hoʻolilo ʻana i kekahi mau minuke e hoʻonohonoho i kou mau manaʻo ma mua e hiki ke hana i kahi ʻokoʻa maoli i ka maikaʻi o kāu mālama.

Eia pehea e hoʻomākaukau pono ai:

• E kākau i kou mau hōʻailona āpau, me ka wā i hoʻomaka ai a me ka mea e hoʻomaikaʻi ai a i ʻole e ʻino ai
• E papa inoa i nā lāʻau āpau, nā mea hoʻohui, a me nā huaora āu e lawe nei i kēia manawa
• E lawe mai i kahi lālā ʻohana a i ʻole hoaaloha no ke kākoʻo a e kōkua i ka hoʻomanaʻo ʻana i ka ʻike nui
• E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau
• E hōʻiliʻili i nā moʻolelo lapaʻau mua a i ʻole nā hopena hoʻokolohua e pili ana i kou mau hōʻailona
• E hoʻomaopopo i kekahi mōʻaukala ʻohana o ka kanesa a i ʻole nā maʻi iwi

E noʻonoʻo e lawe mai i kahi puke a i ʻole e hoʻohana i kāu kelepona e hoʻopaʻa i ka ʻike nui i ka wā hālāwai. Mai hopohopo e nīnau i nā nīnau “nui loa” a i ʻole e lawe i ka manawa “nui loa”. Makemake kāu mea mālama ola e kōkua iā ʻoe e hoʻomaopopo i kou kūlana a manaʻo hilinaʻi e pili ana i kāu papahana mālama.

He aha ka mea nui e pili ana i ka kanesa iwi?

ʻO ka mea nui loa e hoʻomanaʻo ai ʻo ia ka kanesa iwi, ʻoiai he mea koʻikoʻi, hiki ke mālama ʻia, ʻoi aku hoʻi i ka wā i hopu mua ʻia. Ua hoʻomaikaʻi nui nā holomua lapaʻau i nā hopena no nā kānaka me kēia kūlana, a nui nā mea maʻi e ola ana i nā ola piha a ikaika ma hope o ka mālama ʻana.

Inā ʻike ʻoe i ka ʻeha iwi mau loa a i ʻole nā hōʻailona hopohopo ʻē aʻe, mai hoʻokaʻulua i ka ʻimi ʻana i ka mālama lapaʻau. ʻO ka ʻike mua ʻana a me ka mālama ʻana e hāʻawi i ka manawa maikaʻi loa no nā hopena holomua. E hoʻomanaʻo ʻaʻole i hoʻokumu ʻia ka hapa nui o ka ʻeha iwi e ka kanesa, akā he mea kūpono mau ke loiloi ʻia nā hōʻailona mau loa e kahi loea mālama ola.

I kou huakaʻi holoʻokoʻa, inā ʻoe e ʻimi ana i ka ʻike a i ʻole ke komo nei i ka mālama ʻana, e hoʻomanaʻo ʻaʻole ʻoe wale nō. Aia kāu hui mālama ola, ʻohana, hoaaloha, a me nā hui kākoʻo e kōkua iā ʻoe e hoʻokele i kēia manawa paʻakikī me ka manaʻolana a me ka ikaika.

Nā nīnau pinepine e pili ana i ka kanesa iwi

Q1: He mea make mau anei ka kanesa iwi?

ʻAʻole, ʻaʻole make mau ka kanesa iwi. Ua hoʻomaikaʻi nui nā helu ola me nā holomua i ka mālama ʻana. ʻO ka prognosis e hilinaʻi ana i nā mea e like me ke ʻano o ka kanesa iwi, kona kahua i ka wā i ʻike ʻia, kou makahiki, a me ke olakino holoʻokoʻa. Hiki ke mālama holomua ʻia nā kānaka he nui me ka kanesa iwi, ʻoi aku hoʻi i ka wā i hopu mua ʻia, a ola i nā ola maʻamau.

Q2: Hiki i ka kanesa iwi ke pālahalaha i nā ʻāpana ʻē aʻe o ke kino?

ʻAe, hiki i ka kanesa iwi ke pālahalaha (metastasize) i nā ʻāpana ʻē aʻe o ke kino, ʻoi aku ka maʻamau i nā māmā. Eia naʻe, ʻaʻole kēia e hana i nā hihia āpau, a i ka wā e hana ai, aia nō nā koho mālama e loaʻa ana. E nānā pono kāu hui lapaʻau iā ʻoe a hoʻohana i nā hoʻokolohua kiʻi e nānā i nā hōʻailona o ka pālahalaha.

Q3: Pono mau anei ka amputation no ka mālama kanesa iwi?

ʻAʻole, ʻaʻole pono mau ka amputation no ka mālama kanesa iwi. I kēia lā, hiki ke hana ʻia ka ʻoki limb-sparing ma kahi o 90% o nā hihia, mahalo i nā holomua i nā ʻenehana ʻoki a me nā mea prosthetic. E ho'āʻo mau kāu kauka e mālama i ka nui o ka hana i ka wā e wehe loa ai i ka kanesa.

Q4: Hiki i nā keiki ke loaʻa i ka kanesa iwi?

ʻAe, ʻoi aku ka maʻamau o kekahi mau ʻano o ka kanesa iwi, ʻoi aku hoʻi ka osteosarcoma a me ka Ewing sarcoma, i nā keiki a me nā ʻōpio. Eia naʻe, pinepine ka pane maikaʻi ʻana o ka kanesa iwi i nā keiki i ka mālama ʻana, a nui nā ʻōpio e ola ana i nā ola olakino a ikaika. ʻO nā oncologists pediatric ka poʻe loea i ka mālama ʻana i ka kanesa i nā keiki a hana e hoʻemi i nā hopena lōʻihi.

Q5: Aia kekahi mau loli nohona e hiki ke kōkua i ka pale ʻana i ka kanesa iwi?

ʻOiai ʻaʻole maopopo nā kumu pololei o ka hapa nui o nā kanesa iwi, ʻaʻohe mau ala palekana. Eia naʻe, ʻo ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa ma o ka hoʻomaʻamaʻa maʻamau, ka ʻai kaulike waiwai i ka calcium a me ka vitamin D, a me ka pale ʻana i ka hōʻike radiation pono ʻole e hiki ke kākoʻo i ke olakino iwi. ʻO ka mea nui loa, e ʻimi i ka mālama lapaʻau koke no ka ʻeha iwi mau loa a i ʻole nā hōʻailona hopohopo.