腎髄質
- 関
- renal medulla、renomedullary
WordNet
- either of two bean-shaped excretory organs that filter wastes (especially urea) from the blood and excrete them and water in urine; "urine passes out of the kidney through ureters to the bladder"
- the inner part of an organ or structure in plant or animal
PrepTutorEJDIC
- 腎臓;(食品としての)羊(豚など)の腎臓 / 《文》気質,性質,たち(nature)
- 〈U〉骨髄 / =medulla oblongata
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/04/21 12:58:36」(JST)
[Wiki en表示]
Renal medulla |
1: Parenchyma
2: Cortex
3: Medulla
4: Perirenal fat
5: Capsule
6: Ureter |
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7: Pelvis of kidney
8: Renal artery and Renal vein
9: Hilus
10: Calyx |
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Vertical section of kidney. (Label "medullary sub." visible near top.)
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Details |
Latin |
Medulla renalis |
System |
Urinary system |
Identifiers |
Gray's |
p.1221 |
MeSH |
A05.810.453.466 |
TA |
A08.1.01.020 |
FMA |
74268 |
Anatomical terminology |
The renal medulla is the innermost part of the kidney. The renal medulla is split up into a number of sections, known as the renal pyramids. Blood enters into the kidney via the renal artery, which then splits up to form the interlobular arteries. The interlobular arteries each in turn branch into arcuate arteries, which finally reach the glomeruli. At the glomerulus the blood reaches a highly disfavourable pressure gradient and a large exchange surface area, which forces the serum portion of the blood out of the vessel and into the renal tubules. Flow continues through the renal tubules, including the proximal tubule, the Loop of Henle, through the distal tubule and finally leaves the kidney by means of the collecting duct, leading to the renal ureter.
The renal medulla (Latin renes medulla = kidney middle) contains the structures of the nephrons responsible for maintaining the salt and water balance of the blood. These structures include the vasa rectae (both spuria and vera), the venulae rectae, the medullary capillary plexus, the loop of Henle, and the collecting tubule.[1] The renal medulla is hypertonic to the filtrate in the nephron and aids in the reabsorption of water.
Blood is filtered in the glomerulus by solute size. Ions such as sodium, chloride, potassium, and calcium are easily filtered, as is glucose. Proteins are not passed through the glomerular filter because of their large size, and do not appear in the filtrate or urine unless a disease process has affected the glomerular capsule or the proximal and distule tubules of the nephron.
Additional Images
See also
- Medullipin
- Kokko and Rector Model, a theory to explain how a gradient is generated in the inner medulla
References
Anatomy of the urinary system
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Abdomen |
Kidneys
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Layers
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- Fascia
- Capsule
- Cortex
- Medulla
- sinus
- pyramids
- medullary interstitium
- Lobe
- Cortical lobule
- Medullary ray
- Nephron
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Intrarenal arteries
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- Renal artery
- Segmental arteries
- Interlobar arteries
- Arcuate arteries
- Interlobular arteries
- Afferent arterioles
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Renal tubule
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- Renal corpuscle
- Glomerulus
- Bowman's capsule
- Proximal convoluted tubule
- Loop of Henle
- Descending
- Thin ascending
- Thick ascending
- Distal convoluted tubule
- Connecting tubule
- Collecting ducts
- Renal papilla
- Minor calyx
- Major calyx
- Renal pelvis
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Intrarenal veins
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- Efferent arterioles
- Peritubular capillaries/Vasa recta
- Arcuate vein
- Interlobar veins
- Renal vein
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JGA
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- Macula densa
- Juxtaglomerular cells
- Mesangium
- Extraglomerular mesangial cell
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Filtration
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- Glomerular basement membrane
- Podocyte
- Filtration slits
- Mesangium
- Intraglomerular mesangial cell
- Tubular fluid
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Ureters
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- Orifice of ureter
- Adventitia
- Muscular layer
- Mucosa
- Ureteropelvic junction
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Pelvis |
Bladder
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- Apex
- Uvula
- Neck
- Median umbilical ligament
- Muscular layer
- Mucosa
- Submucosa
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Urethra
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- Urethral sphincters
- External sphincter muscle of male urethra
- External sphincter muscle of female urethra
- Internal sphincter muscle of urethra
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Index of the urinary system
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Description |
- Anatomy
- Physiology
- Development
- Cells
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Disease |
- Electrolyte and acid-base
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
- Urine tests
- Blood tests
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Treatment |
- Procedures
- Drugs
- Intravenous fluids
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UpToDate Contents
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English Journal
- New Insights into the Renal Progenitor Cells and Kidney Diseases by Studying CD133.
- Bussolati B, Camussi G.SourceDepartment of Medical Sciences, University of Torino, Cso Dogliotti 14, 10126, Torino, Italy.
- Advances in experimental medicine and biology.Adv Exp Med Biol.2013;777:113-23. doi: 10.1007/978-1-4614-5894-4_8.
- CD133(+) progenitor cells have been found in different segments of the human nephron. In particular, CD133-expressing cells are present in the cortex, in Bowman's capsule of the glomerulus, and in proximal convoluted tubules and in medulla, in the Henle's loop, and its thin limb segments. The collec
- PMID 23161079
- Hypoxia in the diabetic kidney is independent of advanced glycation end-products.
- Nordquist L, Liss P, Fasching A, Hansell P, Palm F.SourceDepartment of Medical Cell Biology, Uppsala University, Biomedical Center, Uppsala, Sweden. Lina.Nordquist@mcb.uu.se
- Advances in experimental medicine and biology.Adv Exp Med Biol.2013;765:185-93. doi: 10.1007/978-1-4614-4989-8_26.
- Sustained hyperglycemia is closely associated with increased risk to develop nephropathy. We have previously reported alterations in the intrarenal oxygen metabolism already after the early onset of diabetes. Furthermore, formation of advanced glycation end-products (AGE) is postulated as a major co
- PMID 22879032
Japanese Journal
- 梅村 隆志
- マイコトキシン 62(2), 143-148, 2012-07-31
- カビ毒オクラトキシンA(OTA)は長期投与によりげっ歯類腎臓に腫瘍を誘発する.しかし,変異原性については明確な結果が得られていないことから,その発がん機序は不明のままである.我々は,OTAが腎臓に発現する各種トランスポーターを介した腎内動態を経て,近位直部尿細管(S3)に蓄積することに着目し,2つのレポーター遺伝子,gptならびにred/gam(Sp-)を導入したgpt deltaラットに発がん …
- NAID 10031026679
- Phase-Contrast X-ray CT Imaging of the Kidney: Differences between Ethanol Fixation and Formalin Fixation
- 白井 亮多,國井 琢矢,米山 明男,丸山 弘子,ティティ ルイン,武田 徹
- Medical Imaging Technology 30(5), 2012
- … Fine anatomical structures in the kidney such as the glomeruli, tubules, and vessels were observed. … The pixel value ratio between the cortex and medulla was about 43% in ethanol-fixed kidneys and 21% in formalin-fixed kidneys. …
- NAID 130002573592
- A Case of Nephrocalcinosis Associated with Primary Aldosteronism
- Yasuda Keiko,Sasaki Koichi,Yamato Masaya,Rakugi Hiromi,Isaka Yoshitaka,Hayashi Terumasa
- Internal Medicine 51(6), 2012
- … The patient had renal dysfunction and calcification in the renal medulla on both kidneys. … A kidney biopsy was performed. …
- NAID 130002061927
Related Links
- medulla [mĕ-dul´ah] (L.) 1. the inmost part of a structure or organ. 2. medulla oblongata. 3. marrow. adj., adj med´ullary. adrenal medulla the inner portion of the adrenal gland, where epinephrine and norepinephrine are produced. ...
- medulla of the kidney Etymology: L, medulla, marrow; ME, kidenei a part of the parenchyma of the kidney, beneath the cortex, including the renal pyramids and columns. It contains few, if any, glomeruli. An inner layer contains the ...
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- kidney medulla、renal medulla
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