He aha ka Stenosis o ka Renal Artery? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka stenosis o ka renal artery kahi kūlana kahi e lilo ai nā arteries e hoʻolako ana i ke koko i kou mau puʻupaʻa i hoʻohaiki ʻia a i ʻole paʻa. Hoʻemi kēia hoʻohaiki ʻana i ke kahe koko i hoʻokahi a i ʻole nā ​​puʻupaʻa ʻelua, kahi e alakaʻi ai i ke koko kiʻekiʻe a me nā pilikia o ka puʻupaʻa ma hope aku.

E noʻonoʻo e like me ka hose māla e kīkī ʻia a i ʻole paʻa ʻia. E like me ka emi ʻana o ka wai e kahe ana ma o ka hose i hoʻopili ʻia, emi ka koko e hiki aku i kou mau puʻupaʻa i ka wā e hoʻohaiki ʻia ai kēia mau arteries nui. Pono kāu mau puʻupaʻa i ka lako koko mau e kānana i ka ʻōpala a kōkua i ka kaohi ʻana i kou koko kiʻekiʻe, no laila hiki i kēia hoʻemi ʻana ke hana i kahi cascade o nā pilikia olakino.

He aha nā hōʻailona o ka stenosis o ka renal artery?

ʻAʻole ʻike ka poʻe he nui me ka stenosis o ka renal artery i nā hōʻailona maopopo i nā wā mua. Hoʻomohala pinepine ʻia ke kūlana me ka mālie, a hiki i kou kino ke hoʻololi i nā loli i ka wā mua me ka ʻole o ka hoʻouna ʻana i nā hōʻailona hoʻomaopopo maopopo.

Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i ke koko kiʻekiʻe a me nā loli o ka hana o ka puʻupaʻa. Eia nā hōʻailona āu e ʻike ai:

• Ke koko kiʻekiʻe e paʻakikī ke kaohi me nā lāʻau lapaʻau
• Ka hoʻomaka koke ʻana o ke koko kiʻekiʻe loa, ʻoiai inā ʻoe ma lalo o 30 a i ʻole ma luna o 50
• ʻO ka pehu ʻana i kou mau wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae
• Hoʻemi ʻia ka hana o ka puʻupaʻa i hōʻike ʻia i nā hoʻokolohua koko
• Ka leo wiliwili (bruit) i lohe ʻia e kāu kauka i ka hoʻolohe ʻana i kou ʻōpū
• Nā poʻo ʻeha e pili ana i ke koko kiʻekiʻe
• Luhi a nāwaliwali paha
• Nā loli i nā ʻano urination

Hiki i kēia mau hōʻailona ke mālie a hoʻomohala paha i nā mahina a i ʻole nā ​​makahiki. Inā ʻike ʻoe i ke koko kiʻekiʻe mau a i ʻole kekahi hui o kēia mau hōʻailona, pono ke kūkākūkā me kāu mea mālama ola.

He aha nā ʻano o ka stenosis o ka renal artery?

ʻElua mau ʻano nui o ka stenosis o ka artery renal, kēlā me kēia me nā kumu a me nā ʻano like ʻole. Ke hoʻomaopopo nei i ke ʻano āu e loaʻa ai e kōkua i ke alakaʻi ʻana i ke ala lapaʻau maikaʻi loa.

ʻO ka atherosclerotic renal artery stenosis ka ʻano maʻamau loa, e pili ana i ka 90% o nā hihia. Hana kēia i ka wā e kūkulu ai nā wai momona a me nā papa i loko o nā arteries renal, e like me ka mea e hana ai i ka maʻi naʻau. Hoʻopili pinepine ia i nā poʻe ʻelemakule a hana pinepine pū me nā kūlana cardiovascular ʻē aʻe.

ʻO ka fibromuscular dysplasia (FMD) he mea liʻiliʻi loa akā e pili ana i nā poʻe ʻōpio, ʻoi aku hoʻi nā wāhine ma waena o 15 a me 50 mau makahiki. I kēia ʻano, ulu kūpono ʻole ka ʻiʻo a me ka ʻiʻo fibrous i loko o ka paia artery, e hana ana i ka hiʻohiʻona “lei o nā pōhaku” ma nā hoʻokolohua kiʻi. ʻAʻole maopopo loa ke kumu o ka FMD, akā ʻaʻole pili ia i ka atherosclerosis.

He aha ka mea e hana ai i ka stenosis o ka artery renal?

ʻO nā kumu o ka stenosis o ka artery renal e hilinaʻi ana i ke ʻano āu e loaʻa ai. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu ke kōkua iā ʻoe a me kāu kauka e hoʻomohala i ka hoʻolālā palekana a me ka lapaʻau maikaʻi loa.

No ka atherosclerotic renal artery stenosis, ʻo nā mea like e hoʻokomo ai i ka maʻi naʻau e pāʻani nei:

• Nā kiʻekiʻe cholesterol e alakaʻi ai i ka kūkulu ʻana o ka papa
• Ka maʻi diabetes, ka mea e hōʻino ai i nā kīʻaha koko i ka manawa
• Ka puhipaka, ka mea e wikiwiki ai ka hōʻino ʻana o nā kīʻaha
• Ke koko kiʻekiʻe e kaumaha ai i nā paia artery
• Nā loli pili i ka makahiki i nā kīʻaha koko
• Mōʻaukala ʻohana o ka maʻi cardiovascular

ʻO ka fibromuscular dysplasia he mau kumu ʻē aʻe, ʻaʻole maopopo loa. Manaʻo nā mea noiʻi he pili paha ia:

• Nā kumu genetic e hoʻopilikia ai i ka hoʻomohala ʻana o nā kīʻaha koko
• Nā mana hormonal, ʻoi aku hoʻi i nā wāhine
• Ka ulu ʻana o nā cell kūpono ʻole i nā paia artery

I loko o nā hihia maʻamau ʻole, hiki i nā kūlana ʻē aʻe ke hoʻoulu i ka stenosis o ka artery renal, me nā maʻi inflammatory e like me ka Takayasu arteritis a i ʻole neurofibromatosis. Hoʻopili kēia mau kūlana i nā kīʻaha koko ma ke kino holoʻokoʻa a hiki ke komo i nā arteries renal ma ke ʻano he ʻāpana o kahi ʻano ākea.

I ka wā e ʻike ai i ke kauka no ka stenosis o ka artery renal?

Pono ʻoe e noʻonoʻo e ʻike i kāu kauka inā loaʻa iā ʻoe ke koko kiʻekiʻe e paʻakikī ke kaohi a i ʻole inā hoʻomohala koke ʻia. He mea nui loa kēia inā ʻoi aku ʻoe ma lalo o 30 a i ʻole ma luna o 50, ʻoiai ʻoi aku ka nui o ka pilikia o kēia mau makahiki no ka stenosis o ka artery renal.

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

• Ke kiʻekiʻe mau nei kou koko ma ke ʻano he kiʻekiʻe ma ka lawe ʻana i nā lāʻau lapaʻau he nui
• Hoʻomohala koke ʻoe i ke koko kiʻekiʻe loa
• Hōʻike nā hoʻokolohua koko i ka emi ʻana o ka hana o ka puʻupaʻa
• Loaʻa iā ʻoe ka pehu i kou mau wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae
• ʻIke ʻoe i nā poʻo ʻeha mau loa me ke koko kiʻekiʻe
• Loaʻa iā ʻoe ka mōʻaukala ʻohana o nā pilikia puʻupaʻa a i ʻole ka maʻi naʻau mua

Mai kali inā loaʻa iā ʻoe nā hōʻailona pilikia. Hiki i ka ʻike mua a me ka mālama ʻana ke pale aku i nā pilikia a kōkua i ka mālama ʻana i kāu hana puʻupaʻa. Hiki i kāu kauka ke hana i nā hoʻokolohua maʻalahi e loiloi i kāu mau ʻano koko kiʻekiʻe a me ka hana o ka puʻupaʻa.

He aha nā mea pilikia no ka stenosis o ka artery renal?

Hiki i kekahi mau mea ke hoʻonui i kou kūpono e hoʻomohala i ka stenosis o ka artery renal. Hiki iā ʻoe ke kaohi i kekahi mau mea ma o nā loli ʻano ola, ʻoiai ʻo nā mea ʻē aʻe e pili ana i kāu genetics a i ʻole ka mōʻaukala lapaʻau.

ʻO nā mea pilikia no ka stenosis o ka artery renal atherosclerotic e komo pū me:

• ʻOi aku ka makahiki ma mua o 50 mau makahiki
• Pāpā ʻana a i ʻole ka hoʻohana ʻana i ka paka
• Nā kiʻekiʻe cholesterol kiʻekiʻe
• Diabetes
• Ke koko kiʻekiʻe
• Mōʻaukala ʻohana o ka maʻi naʻau a i ʻole ka hahau
• Ke kāne (pilikia iki aku)
• Momona
• ʻAno ola noho

No ka dysplasia fibromuscular, ʻokoʻa nā mea pilikia:

• ʻO ka wahine, ʻoi aku ma waena o nā makahiki 15-50
• Mōʻaukala ʻohana o ka FMD
• Loaʻa nā kūlana vascular ʻē aʻe

Ke hoʻomaopopo ʻoe i kāu mau mea pilikia, kōkua ia iā ʻoe e hana pū me kāu hui olakino e nānā pono i kou olakino a hana i nā loli nohona e hiki ke hoʻemi i kou pilikia o nā pilikia.

He aha nā pilikia hiki ke loaʻa mai ka stenosis o ka artery renal?

Ke ʻole ka mālama ʻana i ka stenosis o ka artery renal, hiki ke alakaʻi i nā pilikia koʻikoʻi e pili ana i kou mau puʻupaʻa a me kou ʻōnaehana cardiovascular. Hoʻomohala mālie kēia mau pilikia i ka wā e ʻino ai ke kūlana i ka manawa.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Ka maʻi puʻupaʻa maʻi a i ʻole ka hāʻule ʻana o ka puʻupaʻa
• Ke koko kiʻekiʻe paʻakikī e kaohi
• Nā pilikia naʻau, me ka hoʻouka ʻana o ka naʻau a me ka hāʻule ʻana o ka naʻau
• Ka hahau ma muli o ke koko kiʻekiʻe i kaohi ʻole ʻia
• Ka wai e hoʻopaʻa a me ka pehu
• Nā ʻano electrolyte i kaulike ʻole

I nā hihia koʻikoʻi, hiki iā ʻoe ke loaʻa ka mea i kapa ʻia ʻo “flash pulmonary edema,” kahi e hōʻiliʻili koke ai ka wai i loko o kou māmā. He pilikia lapaʻau koke kēia e pono ai ka mālama koke. ʻO ka ʻoiaʻiʻo maikaʻi, me ka nānā pono a me ka mālama ʻana, hiki ke pale ʻia a mālama ʻia paha ka hapa nui o kēia mau pilikia.

Pehea ka hōʻoia ʻana o ka stenosis o ka artery renal?

ʻO ka hōʻoia ʻana i ka stenosis o ka artery renal e hoʻomaka pinepine me kāu kauka e nānā ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau. E hoʻolohe nui lākou i kāu mau ʻano koko kiʻekiʻe a me nā loli o ka hana puʻupaʻa i hōʻike ʻia i nā hoʻokolohua koko maʻamau.

E hoʻomaka paha kāu kauka me kahi nānā kino, e hoʻolohe ana i nā leo kūikawā i kapa ʻia ʻo bruits ma luna o kou ʻōpū. Hiki i kēia mau leo ​​​​whooshing ke hōʻike i ka kahe koko turbulent ma o nā arteries i hoʻonui ʻia.

Hiki i kekahi mau hoʻokolohua kiʻi ke hōʻoia i ka hōʻoia:

• Ke anakuhi Doppler e ana i ke kahe koko ma o kāu mau arteries renal.
• Hāʻawi ka CT angiography i nā kiʻi kikoʻī o kāu mau kīʻaha koko.
• Hoʻohana ka MR angiography i nā kahua magnetic e ʻike i kāu mau arteries.
• ʻO ka renal angiography ka hōʻoia pololei loa akā pili i ka hoʻokomo ʻana i kahi catheter.

E nānā nā hōʻoia koko i kāu hana kidney a e ʻimi i nā hōʻailona o ka emi ʻana o ka kānana. Hiki paha i kāu kauka ke kauoha i nā hōʻoia hou aʻe e kāpae i nā kumu ʻē aʻe o ke koko kiʻekiʻe a i ʻole nā ​​pilikia kidney.

He aha ka lāʻau lapaʻau no ka renal artery stenosis?

Hoʻomaʻamaʻa ka lāʻau lapaʻau no ka renal artery stenosis i ka kaohi ʻana i ke koko kiʻekiʻe, ka mālama ʻana i ka hana kidney, a me ka pale ʻana i nā pilikia. Hoʻoholo ka ala ma ke koʻikoʻi o kou kūlana a me kou olakino holoʻokoʻa.

ʻO ka lāʻau lapaʻau lapaʻau maʻamau ka mea mua a komo pū me:

• ACE inhibitors a i ʻole ARBs e hoʻohaʻahaʻa i ke koko kiʻekiʻe a pale i nā kidneys
• Diuretics e kōkua i ka wehe ʻana i ka wai nui
• Calcium channel blockers no ke kaohi koko kiʻekiʻe
• Statins e hoʻokele i nā pae cholesterol
• Antiplatelet therapy e pale aku i nā clots koko

No nā hihia koʻikoʻi aʻe, hiki i kāu kauka ke ʻōlelo aku i nā kaʻina hana e wehe i nā arteries i pani ʻia:

• Angioplasty a me ka stenting e hoʻonui i ka artery i hoʻohaʻahaʻa ʻia
• Surgical bypass e hana i kahi ala hou no ke kahe koko

ʻO ke koho ma waena o ka lāʻau lapaʻau a me ka lāʻau lapaʻau kaʻina hana e hilinaʻi ana i nā mea e like me ka nui o ka hoʻohaʻahaʻa ʻana, kāu mau hōʻailona, ​​a me kāu hana kidney. E hana pū kāu hui olakino me ʻoe e hoʻoholo i ke ala maikaʻi loa no kāu kūlana kūikawā.

Pehea e lawe ai i ka lāʻau lapaʻau home i ka wā o ka renal artery stenosis?

ʻO ka hoʻokele ʻana i ka renal artery stenosis ma ka home e pili ana i nā loli nohona a me ka nānā pono e kākoʻo i kāu lāʻau lapaʻau. Hiki i kēia mau ʻanuʻu ke kōkua i ka kaohi ʻana i kou koko kiʻekiʻe a pale i kāu hana kidney.

E nānā i kēia mau wahi nui:

• E lawe pono i kāu mau lāʻau lapaʻau e like me ke kauoha ʻia, ʻoiai inā maikaʻi kou manaʻo
• E nānā mau i kou koko kiʻekiʻe ma ka home
• E hahai i ka ʻai haʻahaʻa paʻakai e kōkua i ka kaohi ʻana i ke koko kiʻekiʻe
• E ola kino ikaika me ka ʻae ʻana o kāu kauka
• E haʻalele i ka puhipaka inā ʻoe e puhi ana i kēia manawa
• E kaupalena i ka inu waiʻona
• E mālama i ka kaumaha olakino
• E hoʻokele i ke kaumaha ma o nā ʻano hoʻomaha

E mālama pono i kāu mau hōʻailona a me nā heluhelu koko kiʻekiʻe e kaʻana like me kāu hui olakino. Kōkua kēia ʻike iā lākou e hoʻoponopono i kāu papa hana lapaʻau e like me ka pono.

Pehea e pale aku ai i ka stenosis o ka artery renal?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā hihia a pau o ka stenosis o ka artery renal, hiki iā ʻoe ke hoʻemi nui i kou pilikia ma ka hoʻokele ʻana i nā mea e hoʻokomo ai i ka maʻi atherosclerotic. Nui nā hana like e pale aku ai i kou naʻau e pale aku ai i kou mau puʻupaʻa.

ʻO nā hana palekana e komo pū ana:

• Mai puhi paka a haʻalele paha inā ʻoe e puhi ana i kēia manawa
• E kaohi i kou koko kiʻekiʻe ma o ka ʻai a me ka hoʻoikaika kino
• E hoʻokele pono i ka maʻi diabetes inā loaʻa iā ʻoe
• E mālama i nā pae cholesterol olakino
• E hoʻoikaika kino mau me ke alakaʻi ʻana o kāu kauka
• E ʻai i ka ʻai olakino naʻau waiwai i nā hua a me nā huaʻai
• E kaupalena i ka lawe ʻana i ka sodium i emi iho ma mua o 2,300 mg i kēlā me kēia lā
• E mālama i ka kaumaha olakino

He mea nui nā nānā maʻamau me kāu mea lawelawe olakino no ka ʻike mua. Inā loaʻa iā ʻoe nā mea pilikia no ka stenosis o ka artery renal, hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine ʻana i kou koko kiʻekiʻe a me ka hana o ka puʻupaʻa.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

ʻO ka hoʻomākaukau ʻana no kāu kūkā ʻana e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka pono loa mai kāu kipa ʻana a hāʻawi i kāu kauka i ka ʻike e pono ai e kōkua pono iā ʻoe. Hiki i ka hoʻomākaukau maikaʻi ke hoʻolilo i ka ʻokoʻa i ka loaʻa ʻana o kahi ʻike pololei a me ka mālama kūpono.

Ma mua o kāu kūkā ʻana, e hōʻiliʻili i kēia ʻike:

• E papa inoa i kāu mau lāʻau lapaʻau āpau i kēia manawa, me nā nui
• E kākau i kāu mau hōʻailona a me ka manawa i hoʻomaka ai lākou
• E lawe mai i nā heluhelu koko kiʻekiʻe hou inā ʻoe e nānā ma ka home
• E hoʻomaopopo i ka mōʻaukala o kou ʻohana o nā pilikia o ka puʻupaʻa a i ʻole ka naʻau
• E hoʻomākaukau i nā nīnau e pili ana i kou kūlana a me nā koho mālama

E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e hiki ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia i ka wā o ka kipa. E kākau i kāu mau nīnau ma mua i ʻole ʻoe e poina e nīnau iā lākou. Makemake kāu kauka e kōkua iā ʻoe e hoʻomaopopo i kou kūlana a me ka manaʻo hilinaʻi e pili ana i kāu hoʻolālā mālama.

He aha ka mea nui e lawe mai e pili ana i ka stenosis o ka artery renal?

ʻO ka stenosis o ka artery renal kahi kūlana hiki ke mālama ʻia ke hopu ʻia i ka wā mua a mālama ʻia me ke kūpono. ʻOiai hiki iā ia ke alakaʻi i nā pilikia nui inā waiho ʻia me ka mālama ʻole, hiki i ka hapa nui o nā kānaka me kēia kūlana ke ola i nā ola maʻamau, olakino me ka mālama lapaʻau kūpono a me ka hoʻokele ola.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua a me ka mālama ʻana e hoʻolilo i kahi ʻokoʻa nui i kāu mau hopena olakino lōʻihi. ʻO ka hana pili kokoke me kāu hui olakino a me ka hahai ʻana i kāu hoʻolālā mālama e hiki ke kōkua i ka pale ʻana i nā pilikia a mālama i kāu hana puʻupaʻa.

Mai kānalua e nīnau i nā nīnau a i ʻole e ʻimi i kahi manaʻo ʻē aʻe inā pilikia ʻoe e pili ana i kou kūlana. He hoa hana nui ʻoe i kou olakino, a ʻo ka hoʻomaopopo ʻana i kou kūlana e hāʻawi iā ʻoe i ka mana e hana i nā hoʻoholo naʻauao e pili ana i kāu mālama a me nā koho ola.

Nā nīnau pinepine e pili ana i ka stenosis o ka artery renal

Q.1: Hiki ke ho'ōla loa ʻia ka stenosis o ka artery renal?

Hiki pinepine ke hoʻokele pono ʻia ka stenosis o ka artery renal, a ma kekahi mau hihia, hiki i nā kaʻina hana e like me ka angioplasty ke hoʻihoʻi i ke kahe koko maʻamau i nā puʻupaʻa. Eia naʻe, pono e hoʻokele mau ʻia nā kūlana kumu i hana ai, e like me ka atherosclerosis. Me ka mālama pono, nui ka poʻe e ʻike i ka hoʻomaikaʻi nui ʻana i ka kaohi koko a me ka hana o ka puʻupaʻa. ʻO ke kī, ʻo ia ka hana pū me kāu hui olakino e ʻimi i ka hui kūpono o nā lāʻau lapaʻau no kou kūlana kūikawā.

Q.2: Pehea ka wikiwiki o ka holomua o ka stenosis o ka artery renal?

Hoʻololi nui ka holomua o ka stenosis o ka artery renal mai ke kanaka a i ke kanaka. Hoʻomohala mālie ka stenosis o ka artery renal atherosclerotic ma nā makahiki, ʻoiai hiki i ka fibromuscular dysplasia ke holomua wikiwiki i kekahi mau hihia. Kūleʻa ka nānā mau ʻana i kāu kauka e hahai i nā loli a hoʻoponopono i ka mālama ʻana e like me ia. Nui nā kānaka me ka stenosis māmā e noho paʻa no nā makahiki me ka mālama lapaʻau kūpono, ʻoiai pono kekahi poʻe i ka hana ʻoi aku ka ikaika.

Q.3: Aia kekahi mau palena ʻai me ka stenosis o ka artery renal?

Loaʻa ka pōmaikaʻi o ka hapa nui o nā kānaka me ka stenosis o ka artery renal mai ka ʻai olakino naʻau haʻahaʻa i ka sodium a me nā momona saturated. Makemake ʻoe e kaupalena i ka sodium ma lalo o 2,300 mg i kēlā me kēia lā e kōkua i ka kaohi koko. Inā pilikia kāu hana puʻupaʻa, hiki i kāu kauka ke ʻōlelo e kaupalena i ka protein a i ʻole ka phosphorus. Eia naʻe, hoʻololi nā pono ʻai ma muli o kou kūlana kūikawā a me ka hana o ka puʻupaʻa, no laila ʻoi aku ka maikaʻi ke hana pū me kahi dietitian i hoʻopaʻa inoa ʻia e hiki ke hana i kahi hoʻolālā pilikino no ʻoe.

Q.4: Hiki i ka hoʻoikaika kino ke kōkua me ka stenosis o ka artery renal?

ʻAe, he mea pono loa ka hoʻoikaika kino maʻamau no nā kānaka me ka stenosis o ka artery renal, no ka mea, kōkua ia i ka kaohi ʻana i ke koko a hoʻomaikaʻi i ke olakino cardiovascular holoʻokoʻa. Eia naʻe, pono ʻoe e loaʻa ka ʻāpono mai kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papahana hoʻoikaika kino. Hiki iā lākou ke ʻōlelo aku i nā hana kūpono ma muli o kou kūlana olakino i kēia manawa a me nā kaʻina hana āu i loaʻa paha. Hiki i ka hapa nui o nā kānaka ke komo maluhia i nā hana waena e like me ka hele wāwae, ka ʻauʻau, a i ʻole ka holo paikikala ke kūpaʻa kā lākou kūlana.

Nīnau 5: Pono anei iaʻu ka dialysis inā loaʻa iaʻu ka stenosis o ka artery renal?

ʻAʻole pono ka hapa nui o nā kānaka me ka stenosis o ka artery renal i ka dialysis, ʻoiai ke hopu ʻia ka maʻi i ka wā mua a mālama ʻia me ka kūpono. Pono wale ka dialysis inā lilo ka hana o ka puʻupaʻa i mea hōʻino loa, kahi e hiki ke pale ʻia maʻamau me ka mālama kūpono. ʻO ka pahuhopu o ka mālama ʻana i ka stenosis o ka artery renal, ʻo ia ka mālama ʻana i ka hana o ka puʻupaʻa a pale aku i ka holomua ʻana i ka hāʻule ʻana o ka puʻupaʻa. Me ka mālama lapaʻau maikaʻi a me nā loli o ke ola, mālama ka nui o nā kānaka i ka hana puʻupaʻa lawa i ko lākou ola holoʻokoʻa.