Kidney Failure Glossary: NIDDK
Article title: Kidney Failure Glossary: NIDDK
Conditions: Kidney Failure, artery, bladder, hematocrit, immune, immunosuppressant, ureters, urethra, urinary, vein, amyloidosis, anemia, anuria, autoimmune disease, biopsy, chronic renal failure, creatinine, edema, electrolytes, end-stage renal disease, glomerulonephritis, hematuria, intravenous pyelogram, kidney, nephrologist, nephrotic syndrome, proteinuria, renal osteodystrophy, transplant, uremia, urinalysis, urinary tract
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IntroductionThis glossary defines words that are often used when people talk or write about kidney failure and its treatments. It is designed for people whose kidneys have failed and for their families and friends.
The words are listed in alphabetical order. Some words have many meanings; only those meanings that relate to kidney diseases are included. Words that appear in bold italic are defined elsewhere in the glossary. A term will refer the reader to another definition only when the second definition gives additional information about the topic that is directly related to the first term.
Aaccess: In dialysis, the point on the body where a needle or catheter is inserted. (See also arteriovenous fistula, graft, and vascular access.)
allograft (AL-oh-graft): An organ or tissue transplant from one human to another.
amyloidosis (AM-ih-loy-DOH-sis): A condition in which a protein-like material builds up in one or more organs. This material cannot be broken down and interferes with the normal function of that organ. People who have been on dialysis for several years often develop amyloidosis because the artificial membranes used in dialysis fail to filter the protein-like material out of the blood.
anemia (uh-NEE-mee-uh): The condition of having too few red blood cells. Healthy red blood cells carry oxygen throughout the body. If the blood is low on red blood cells, the body does not get enough oxygen. People with anemia may be tired and pale and may feel their heartbeat change. Anemia is common in people with chronic renal failure or those on dialysis. (See also erythropoietin.)
anuria (uh-NYOOR-ee-uh): A condition in which a person stops making urine.
artery (AR-ter-ee): A blood vessel that carries blood away from the heart to the body. (See also vein.)
artificial kidney: Another name for a dialyzer.
autoimmune (aw-toh-ih-MYOON) disease: A disease that occurs when the body's immune system mistakenly attacks the body itself.
Bbiopsy (BY-op-see): A procedure in which a tiny piece of a body part, such as the kidney or bladder, is removed for examination under a microscope.
bladder: The balloon-shaped organ inside the pelvis that holds urine.
blood urea (yoo-REE-uh) nitrogen (NY-truh-jen) (BUN): A waste product in the blood that comes from the breakdown of food protein. The kidneys filter blood to remove urea. As kidney function decreases, the BUN level increases.
Ccatheter (KATH-eh-ter): A tube inserted through the skin into a blood vessel or cavity to draw out body fluid or infuse fluid. In peritoneal dialysis (see dialysis), a catheter is used to infuse dialysis solution into the abdominal cavity and drain it out again.
chronic renal (REE-nul) failure: Slow and progressive loss of kidney function over several years, often resulting in permanent kidney failure. People with permanent kidney failure need dialysis or transplantation (see transplant) to replace the work of the kidneys.
creatinine (kree-AT-ih-nin): A waste product from meat protein in the diet and from the muscles of the body. Creatinine is removed from blood by the kidneys; as kidney disease progresses, the level of creatinine in the blood increases.
Ddiabetes (dy-uh-BEE-teez) mellitus (MELL-ih-tus): A condition characterized by high blood sugar resulting from the body's inability to use sugar (glucose) efficiently. Insulin normally helps the body's cells use glucose. In type 1 diabetes, the pancreas makes little or no insulin; in type 2 diabetes, the body is resistant to the effects of available insulin.
dialysis (dy-AL-ih-sis): The process of cleaning wastes from the blood artificially. This job is normally done by the kidneys. If the kidneys fail, the blood must be cleaned artificially with special equipment. The two major forms of dialysis are hemodialysis and peritoneal dialysis.
dialysis solution: A cleansing liquid used in the two major forms of dialysis--hemodialysis and peritoneal dialysis. Dialysis solution contains dextrose (a sugar) and other chemicals similar to those in the body. Dextrose draws wastes and extra fluid from the body into the dialysis solution.
donor: A person who offers blood, tissue, or an organ for transplantation. (See transplant.) In kidney transplantation, the donor may be someone who has just died or someone who is still alive, usually a relative.
dry weight: The ideal weight for a person after a hemodialysis (see dialysis) treatment. The weight at which a person's blood pressure is normal and no swelling exists because all excess fluid has been removed.
Eedema (eh-DEE-muh): Swelling caused by too much fluid in the body.
electrolytes (ee-LEK-troh-lites): Chemicals in the body fluids that result from the breakdown of salts, including sodium, potassium, magnesium, and chloride. The kidneys control the amount of electrolytes in the body. When the kidneys fail, electrolytes get out of balance, causing potentially serious health problems. Dialysis can correct this problem.
end-stage renal (REE-nul) disease (ESRD): Total and permanent kidney failure. When the kidneys fail, the body retains fluid and harmful wastes build up. A person with ESRD needs treatment to replace the work of the failed kidneys.
ESRD: end-stage renal disease.
Ffistula (FIST-yoo-lah): See arteriovenous fistula.
Gglomeruli (gloh-MEHR-yoo-lie): Plural of glomerulus.
glomerulosclerosis (gloh-MEHR-yoo-loh-skleh-ROH-sis): Scarring of the glomeruli. It may result from diabetes mellitus (diabetic glomerulosclerosis) or from deposits in parts of the glomeruli (focal segmental glomerulosclerosis). The most common signs of glomerulosclerosis are proteinuria and kidney failure.
graft: In hemodialysis (see dialysis), a vascular access surgically created using a synthetic tube to connect an artery to a vein. In transplantation (see transplant), a graft is the transplanted organ or tissue.
Hhematocrit (hee-MAT-uh-krit): A measure that tells what portion of a blood sample consists of red blood cells. Low hematocrit suggests anemia or massive blood loss.
hematuria (HEE-muh-TOO-ree-uh): A condition in which urine contains blood or red blood cells.
hemodialysis: See dialysis.
hormone: A natural chemical produced in one part of the body and released into the blood to trigger or regulate particular functions of the body. The kidney releases three hormones: erythropoietin, renin, and an active form of vitamin D that helps regulate calcium for bones.
Iimmune (ih-MYOON) system: The body's system for protecting itself from viruses and bacteria or any "foreign" substances.
immunosuppressant (ih-MYOON-oh-suh-PRESS-unt): A drug given to suppress the natural responses of the body's immune system. Immunosuppressants are given to transplant patients to prevent organ rejection and to patients with autoimmune diseases like lupus.
interstitial (IN-ter-STISH-ul) nephritis (nef-RY-tis): Inflammation of the kidney cells that are not part of the fluid-collecting units, a condition that can lead to acute renal failure or chronic renal failure.
intravenous (IN-truh-VEE-nus) pyelogram (PY-loh-gram): An x ray of the urinary tract. A dye is injected to make the kidneys, ureters, and bladder visible on the x ray and show any blockage in the urinary tract.
Kkidney: One of two bean-shaped organs that filter wastes from the blood. The kidneys are located near the middle of the back. They create urine, which is delivered to the bladder through tubes called ureters.
Kt/V (kay-tee over vee): A measurement of dialysis dose. The measurement takes into account the efficiency of the dialyzer, the treatment time, and the total volume of urea in the body. (See also URR.)
Mmembrane: A thin sheet or layer of tissue that lines a cavity or separates two parts of the body. A membrane can act as a filter, allowing some particles to pass from one part of the body to another while keeping others where they are. The artificial membrane in a dialyzer filters waste products from the blood.
membranoproliferative (MEM-bray-no-pro-LIF-er-uh-tiv) glomerulonephritis (gloh-MEHR-yoo-loh-nef-RY-tis): A disease that occurs primarily in children and young adults. Over time, inflammation leads to scarring in the glomeruli, causing proteinuria, hematuria, and sometimes chronic renal failure or end-stage renal disease.
Nnephrectomy (nef-REK-tuh-mee): Surgical removal of a kidney.
nephron (NEF-rahn): A tiny part of the kidneys. Each kidney is made up of about 1 million nephrons, which are the working units of the kidneys, removing wastes and extra fluids from the blood.
nuclear (NEW-klee-ur) scan: A test of the structure, blood flow, and function of the kidneys. The doctor injects a mildly radioactive solution into an arm vein and uses x rays to monitor its progress through the kidneys.
Pperitoneal (PEH-rih-tuh-NEE-ul) cavity: The space inside the lower abdomen but outside the internal organs.
peritoneal dialysis: See dialysis.
Rrenal (REE-nul): Of the kidneys. A renal disease is a disease of the kidneys. Renal failure means the kidneys have stopped working properly.
renal osteodystrophy (AH-stee-oh-DIS-truh-fee): Weak bones caused by poorly working kidneys. Renal osteodystrophy is a common problem for people on dialysis who have high phosphate levels or insufficient vitamin D supplementation.
Ssodium (SOH-dee-um): A mineral found in the body and in many foods.
Tthrill: A vibration or buzz that can be felt in an arteriovenous fistula, an indication that the fistula is healthy.
Uurea (yoo-REE-uh): A waste product found in the blood and caused by the normal breakdown of protein in the liver. Urea is normally removed from the blood by the kidneys and then excreted in the urine. Urea accumulates in the body of people with renal failure.
uremia (yoo-REE-mee-uh): The illness associated with the buildup of urea in the blood because the kidneys are not working effectively. Symptoms include nausea, vomiting, loss of appetite, weakness, and mental confusion.
urinalysis (yoor-in-AL-ih-sis): A test of a urine sample that can reveal many problems of the urinary system and other body systems. The sample may be observed for color, cloudiness, and concentration; signs of drug use; chemical composition, including sugar; the presence of protein, blood cells, or germs; or other signs of disease.
urinary (YOOR-ih-NEHR-ee) tract: The system that takes wastes from the blood and carries them out of the body in the form of urine. The urinary tract includes the kidneys, renal pelvises, ureters, bladder, and urethra.
urine (YOOR-in): Liquid waste product filtered from the blood by the kidneys, stored in the bladder, and expelled from the body through the urethra by the act of voiding or urinating. (See also urinate.)
Vvascular (VASS-kyoo-lur) access: A general term to describe the area on the body where blood is drawn for circulation through a hemodialysis (see dialysis) circuit. A vascular access may be an arteriovenous fistula, a graft, or a catheter.
NIDDK will develop additional materials for this series as needed. Please address any comments about this series and requests for copies to the National Kidney and Urologic Diseases Information Clearinghouse. Descriptions of the publications in this series are available at www.niddk.nih.gov/health/kidney/pubs/kidney-failure/index.htm on the Internet.
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3 Information WayThe National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health under the U.S. Department of Health and Human Services. Established in 1987, the clearinghouse provides information about diseases of the kidneys and urologic system to people with kidney and urologic disorders and to their families, health care professionals, and the public. NKUDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about kidney and urologic diseases.
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NIH Publication No. 01-4894
Posted: May 2001
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