The
Human kidney: Anatomy and Physiology
The kidneys are one of the most important organs in the human body. The kidneys are a
pair of
bean-shaped organs, the average adult kidney is about 3 inches thick, 6 inches
wide, and 12
inches long. The average weight of an adult male kidney is approximately 129 g
for the right
kidney and 137 g for the left kidney. The average weight of a woman's right
kidney
is 108 grams
and her left kidney is 116 grams. The kidneys are located on either side of the
vertebral
column in the abdomen, behind the peritoneum. However, due to the presence of
the
liver, the
right kidney is often slightly lower.
A
kidney is usually deposited in complex layers of fascia and fat. Accordingly, a
kidney
consists of
the following parts. These include the rigid fibrous capsule the renal capsule,
the
perirenal fat
that collects excess fat, the renal fascia, which covers the kidneys and
adrenal
glands, and
the pararenal fat, which is located in the posterior part of the kidney. The
kidneys
also have a
complex structure internally. Accordingly, the renal parenchyma is divided into
two
main areas,
namely the outer cortex and the inner medulla. The cortex extends into the
medulla,
which is
triangular and is called the renal pyramid. The apex of a kidney pyramid is
called the
kidney
papilla. Further study reveals that each kidney papilla is a small structure
that collects
urine called
the calyx. The small calyxes combine to form the main calyx. Through the
funnel-
shaped structure, urine passes through the main
callus into the kidney pelvis and flows from the
kidney pelvis
to the urinary tract, where it is transported to the bladder for storage. The
central
border of the
kidney is called the renal hilum. It acts as the main gateway to the kidneys,
allowing the
renal vessels and urinary tract to enter/exit the kidney through this
structure.
Blood
is supplied to the kidneys through the renal arteries, which arise directly
from the
abdominal
aorta. The renal artery enters the kidney through the renal hilum, where it
divides the
anterior and
posterior arteries and carries 75% and 25% of the blood supply to the kidneys,
respectively.
Venous blood flows through the left and right renal veins of the kidneys.
The kidneys are said to be an essential organ of the
human body because of the
miraculous
functions that take place through them. Meanwhile, the primary function of the
kidneys is to
remove waste products from the body along with the urine. These wastes are
excreted in
the urine. This process consists of three very complex steps: production,
excretion,
and
reabsorption. It maintains a stable balance of chemicals in the body. In addition,
other
important
functions take place in the kidneys controlling acid-base balance, controlling
water
balance,
maintaining electrolyte balance, removing toxins and waste products from the
body,
controlling
blood pressure, producing the hormone erythropoietin, and activating vitamin D.
Considering all these functions performed by
the kidneys, it is clear that the kidneys are
one of the
most important organs in the human body. Undoubtedly, we need to preserve such
a
precious
organ of the human body. How to have a healthy pair of kidneys, what are the
abnormalities
in the kidneys and how to identify them will be presented in a few more
important
articles.
E.A.C.D. Thisara.
BSc Nursing.

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