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The adjective renal, meaning related to the kidney, is from the Latin rēnēs, meaning kidneys; the prefix nephro-is from the Ancient Greek word for kidney, nephros (νεφρός). [37] For example, surgical removal of the kidney is a nephrectomy, while a reduction in kidney function is called renal dysfunction.
A simple means of estimating renal function is to measure pH, blood urea nitrogen, creatinine, and basic electrolytes (including sodium, potassium, chloride, and bicarbonate). As the kidney is the most important organ in controlling these values, any derangement in these values could suggest renal impairment.
The functions of the kidney include maintenance of acid-base balance; regulation of fluid balance; regulation of sodium, potassium, and other electrolytes; clearance of toxins; absorption of glucose, amino acids, and other small molecules; regulation of blood pressure; production of various hormones, such as erythropoietin; and activation of vitamin D.
The basic structural and functional unit of the kidney is the nephron. Its chief function is to regulate the concentration of water and soluble substances like sodium by filtering the blood , reabsorbing what is needed and excreting the rest as urine .
All vertebrates have kidneys. The kidneys are the main organ that allows species to adapt to different environments, including fresh and salt water, terrestrial life and desert climate. [7] Depending on the environment in which animals have evolved, the functions and structure of the kidneys may differ. [8]
The function of the kidneys is regulated by the autonomic nervous system and hormones. [36] The potential for regeneration in mature kidneys is limited [37] [38] because new nephrons cannot be formed. [39] But in cases of limited injury, renal function can be restored through compensatory mechanisms. [40]
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