jurnal pemeriksaan fungsi hati 2
TRANSCRIPT
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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JURNAL
KESEHATAN
KELAINAN FUNGSI HATI DAN GINJAL TIKUS PUTIH (Rattus norvegicus,L.)AKIBAT SUPLEMENTASI TAWAS DALAM PAKAN
Ratih HaribiSri Darmawati
Tri Hartiti
ABSTRACT
Alum is used to improve the quality oood containing to!ic heavy metal ions "hich can interere "ithaluminum en#ymatic system, and tissue damage. Liver and $idney are the most used net"or$ is aected,%ecause it is a deto!iication organ. Liver and $idney damage can %e detected %y an e n#yme concentration oS&'T, S&T, Billiru%in,rotein, reum and Creatinin in the %lood
This study aims to ind out the eects o alum in aeed supplementor liver and $idney damage in a
clinic conducted rom *ay to 'cto%er +-, at the La%oratory o the niversity Clinic atology
*uhammadiyah Semarang. Sample studies o "hite rats (Rattus norvegicus,L.), aged + months "ith "eight
average o + grams. dose treatment ("ithout supplementation), ./, .0, ,.+, ./, 0 and
("ithout supplementation), and su%sequent treatment "ith a dose o +, 1, 2, / and 3 alum, "ho
every day put into the stomach o rats 0 ml. Clinical la%oratory tests perormed at the time %eore treatment
(control), 2 "ee$s, 3 "ee$s and 4 "ee$s o e!posure time. 5!amination AST and ALT "ith ltra 6iolet Test
methods, Total Billiru%in "ith modiications &ro 7endrasi$ method, total protein Colorimetri method,
Berthelot method, Creatinin 7ae method
Clinical chemistry tests sho"ed that supplementation inluence o alum on the concentration oen#ymes and other actors in the %lood o mice associated "ith damage to liver and $idney tissue.Level oorgan damage signiicans "ith alum in a eed supplement. The higher the concentration o alumdisuplementasi$an and the longer e!posure time resulted in damage to the liver and $idneys getting "orse.
ABSTRA8Tawas yan !i"na#an "nt"# $%nin#atan m"t" ma#anan m%nan!"n i&n '&am b%rat tsi# yait"
a'"mini"m yan !a$at m%nan" syst%m %n(imati#) !an m%r"sa# *arinan+ Hati !an in*a' a!a'ah *arinanyan $a'in !"'" t%r#%na !am$a# t%rs%b"t) #ar%na m%r"$a#an &ran !%tsi,i#asi+ K%r"sa#an hati !an in*a'!a$at !i!%t%#si !%nan $%m%ri#saan #&ns%ntrasi %n(im S--T) SGPT) Bi''ir"bin) Pr&t%in) Ur%"m !an
.r%atinin !a'am !arah+P%n%'itian ini b%rt"*"an m%n%tah"i %,%# s"$'%m%ntasi tawas !a'am $a#an t%rha!a$ #%r"sa#an hati
!an in*a' s%/ara #'ini# yan !i'a#"#an m"'ai M%i sam$ai !%nan -#t&b%r 0112) !i Lab&rat&ri"m Pat&'&yK'ini# Uni3%rsitas M"hamma!iyah S%maran+ Sam$'% $%n%'itian b%r"$a ti#"s $"tih (Rattus norvegicus, L.),"m"r 0 b"'an !%nan b%rat ba!an rata4rata 011 ram + D&sis $%r'a#"an 15 6tan$a s"$'%m%ntasi7) 1)185)1)95) 1)05) 1)85) 95 !an 15 6tan$a s"$'%m%ntasi7) !an $%r'a#"an s%'an*"tnya !%nan !&sis 05) :5) ;5)
/ !an
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J"rna' K%s%hatan
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus) L+) A#ib a9S"$9%m%ntasiA
Tawas Da'am Pa#an
PEN GANT AR
Tawas banya# !i"na#an "nt"#
m%m$%r bai#i m"t" ma#anan) s%$%rti $a!a
$%n&'ahan 'i!ah b"aya s%b%'"m !i&'ah
m%n*a!i ma#anan) #"'itnya !i#"$as)
!ir%mas !%nan aram !an !ir%n!am !a'am
air yan !i/am$"r tawas aar ba" !an
'%n!irnya hi'an
I#an s%b%'"m !iasa$ !ir%n!am
!a'am 'ar"tan tawas 915 s%'ama '*am)
t%#st"rnya #%nya') $"tih) rasa $ahit !anamisnya b%r #"ran 6N"rrahman !an
Isw&r& JT) 01107+ Dain i#an yan
!ir%n!am $a!a 'ar"tan tawas ;5 4 905
s%'ama :1 m%nit sam$ai 0 *am) s%tia$ 91
ram !ain i#an m%ny%ra$ a'"mini "m
1)0
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J"rna' K%s%hatan
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus,L.) A#ibat S"$'%m%ntasi
Tawas Da'am Pa#an
a#'imatisasi !iana$ s%'%sai !an ti!a# a!a
h%wan "*i yan sa#it I mati) ma#a
$%mb%rian $a#an 6$%'%t7 !im"'ai !%nan
$%n/am$"ran tawas yan t%'ah !it%nt"#an
sam$ai batas wa#t" yan t%'ah !it%nt"#an
$"'a 6H"tahaian) S+) 9CC=7+
Pa!a awa' $%n%'itian) s"$'%m%ntasi
ta was !i'a#"#an !%nan !&sis 15 1)185
1) 9 5 1)05 1)85 !an 9 5) !%nan wa#t"
$a$aran - min" 6s%b%'"m ti#"s !ib%ri
$%r'a#"an7) ; min") < min" !an = min"+ S"$'%m%ntasi tawas !i'a#"#an !%nan
m%n/%# 6m%mas"##an 'ar"tan tawas
!%nan s&n!%7 'ar"tan tawas s%tia$ hari)
masin4masin 91 m'+ Hasi' $%m%ri#saan
'ab&rat&ri"m yan m%'i$"ti $%m%ri#saan
#%'ainan ,"nsi hati) #%'ainan ,"nsi in*a'
!an syst%m h%ma$&%ti# !ari ti#"s
$%r/&baan ti!a# m%n"n*"##an hasi' yan
b%rma#na+
Pa!a t"b"h) sanat m"n#in t%r*a!i
$%n"m$"#an i&n a'"min"m !ari tawas
a#ibat !ari s"$'ay '%wat ma#anan yan
ti!a# t%r#%n!a'i) ma#a !a'am $%r/&baan ini
!&sis $%r'a#"an 6s"$'%m%ntasi tawas $a!a
$a#an7 !inai##an m%n*a!i sat" '%3%' !i atas
!&sis $%r'a#"an t%rtini) yait" m"'ai !ari
05 :5 ;5 85 !an
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J "rna' K%s%hatan
>&'+0) N&+ 0 D%s%mb%r011C 9;
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus,L.) A#+ibatS"$'%m%ntasi
Tawas Da'am Pa#+an
A+0+ PEMERIKSAAN SGPT
M%t&!a $%m%ri#saan SGPT yan !i
"na#an a!a'ah U'tra >i&'%t T%st) yan$rinsi$nya a!a'ah ?
GPT
-#sa'&'"tarat + L 4 A'anin 4444L 4 G'"tamat + Pir"3at
M-H
Pir"3at +NADH + H 444444 L4 Ma'at +NAD
Pr&s%!"r $%m%ri#saan a!a'ah
s%baai b%ri#"t isi#an tab"n r%a#si!%nan sam$%' 6s%r"m !arah ti#"s7
s%banya# 01 ' !an !itambah r%a%n SGPT
s%banya# 9111 '+ .am$"r !an in#"basi#an
$a!a s"h" :2 . s%'ama 9 m%nit+ Ba/a
abs&rb%n s%t%'ah t%$at 9 m%nit) 0 m%nit) !an
: m%nit $a!a Pan*an G%'&mban :;1)
Fa#t&r 92;8!an $a!a Pr&ram K 01+
A+:+ PEMERIKSAAN T-TAL
BILLIRU BIN
P%m%ri#saan T&ta' Bi'ir"bin
m%n"na #an m%t&!a Gr&,, yan
m%r"$a#an m&!i,i#asi !ari m%t&!a
J%n!rasi#) yan $rinsi$nya a!a'ah bahwa
Bi'ir"bin b%r%a#si !%nan Dia(&h(%!
S"'$hanani'i/ A/i! m%mb%nt"# (at warna
A(& M%rah+
.aranya s%baai b%ri#"t ? !isia$#an 0
tab"n r%a#si) sat" tab"n "nt"# 'ar"tan
b'an#&) yait" 9111 ' R%a%n 9 !an 911 '
sam$%' 6s%r"m !arah ti#"s7+ S%!an tab"n
yan 'ain "nt"# sam$%') yait" !iisi 9111 '
!iin#"basi s%'ama 91 4 :1 m%nit $a!a
s"h" 08 .+ Ba/a $a!a Ph&t&m%t%r
!%nan Pan*an G%'&mban 8;
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J"rna' K%s%hatan
K%'ainanF"nsiHatiDanGin*a'Ti#"sP"tih(Rattus norvegicus, L.) A#ibat S"$'%m%ntasi
Tawas Da'am Pa#an
/&'&rim%tri#+ Prinsi$ !asar !ari m%t&!a
t%rs%b"t a!a'ah bahwa "r%"m !ihi!r&'isis
!%nan a!anya air !an "r%as% m%mb%nt"#
am&nia !an .12 Pr&s%!"r $%m%ri#saan
#a!ar "r%"m !a'am !arah a!a'ah s%baai
b%ri#"t ? sia$#an : b"ah tab"n r%a#si+
Tab"n $%rtama !iisi !%nan 9111 '
r%a%n s%baai b'an#&+ Tab"n #% !"a
s%baai stan!ar!) !iisi 91 ' 'ar"tan
stan!ar! !an 9111 ' r%a%n 9+ tab"n #%
tia s%baai sam$%' !iisi 91 ' sam$%' !an9111 ' !an r%a%n 9) !i/am$"r !an
!iin#"basi $a!a s"h" :2. s%'ama : m%nit+
Masin4masin tab"n !itambah
!%nan 9111 ' r%a%n 0) !i/am$"r !an
!iin#"basi $a!a s"h" :2. sam$ai &'+0) N&+ 0 D%s%mb%r 011C 98
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J"rna' K%s%hatan
>&'+0) N&+ 0 D%s%mb%r ;:1=
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus, L.) A#ibat S"$'%m%ntasi
Tawas Da'am Pa#+an
Tab%' 9 ? Hasi' U*i P%nar"h S"$'%m%ntasi Tawas 15) 1)185) 1)95) 1)05) 1)85 !an 95A !a'am Pa#+an) t%rha!a$ 3ariab'% yan !i"*i
P%r'a#"an- !i ; m%
-'%h #ar%na s%m"a hasi' $%m%ri#saan m%nantisi$asi a!anya $%n"m$"#an tawas3ariab'% yan m%n"n*"##an ti!a# a!anya !a'am t"b"h) ma#a #&ns%ntrasi $%r'a#"an
$%nar"h s"$'%m%ntasi tawas $a!a $a#an !inai##an 9 '%3%' !i atasnya) yait"
#&ns%ntrasi 15) 1)185) 1)9 5) 1)05) 1)85 #&ns%ntrasi tawas yan !is"$'%m%ntasi#an!an 9 5 s%'ama $a$aran ; min") < #% !a'am $a#an m%n*a!i 15) 05) :5) ;5)min" !an = min") "nt"# 85 !an 1)18N&n sini
,i/ans
1)219
> 1)18N&n
sini,i/ans
;+ T&ta'
Pr&t%in
1)C=8
> 1)18N&n sini
,i/ans
1)89C
> 1)18N&n sini
,i/ans
1)C 1)18N&n
si(ni,i/ans
5. Ur%"m 1)::;
> 1)18N&n sini
,i/ans
1)8C=
> 1)18N&n sini
,i% ans1)2CC
> 1)18N&n
sini,i/ans
1)18N&n sini
,i/ans
1)= 1)18N&n sini
,i/ans
1)2C8
> 1)18N&n
sini,i/ans
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
7/10
J"rna' K%s%hatan
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus, L.) A#ibat S"$'%m%ntasi
Tawas Da'am Pa#an
B+ PEMBAHASAN
Dari hasi' $%m%ri#saan 'ab&rat&ri"m
!an ana'isis statisti/) $%r'a#"ans"$'%m%ntasi tawas $a!a $a#an ti#"s
(Rattus norvegicus, L.) !%nan !&sis 9 5
1)85 1)05 1) I5 1)185) !an 15 6tan$a
s"$'%m%ntasi7 s%'ama wa#t" $a$aran ;
min") < min" !an = min") ti!a#
m%n"n*"##an hasi' yan b%rma#na 6n&n
sini,i/ans7+ Pa!a !&sis s"$'%m%ntasi tawas
$a!a $a#an &'+0)N&+ 0 D%s%mb%r 011C 92
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J"rna' K%s%hatan
>&'+0)N&+0 D%s%mb%r ;:91
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus,L.) A#ibat S"$'%m%ntasi
Tawas Da'am Pa#an
$arahnya #%r"sa#an yan t%r*a!i $a!a
*arinan hati !an in*a' ti#"s+
P%n"naan tawas "nt"#m%nin#at#an m"t" ma#anan) b%r!asar#an
KESIMPULAN DAN SARAN
A+ KESIMPULAN
Dari hasi' $%n%'itian !iatas) !a$at
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J"rna' K%s%hatan
>&'+0)N&+0 D%s%mb%r ;:99
"*i &ran&'%$ti#) ti!a# m"n#in !a'am !isim$"'#an s%baai b%ri#"t) bahwa
#&ns%n trasi s%b%sar yan A'"mini "m !a'am tawas yan
!is"$'%m%ntasi#an $a!a ti#"s 6!a'am !is"$'%m%ntasi#an $a!a $a#an ti#"s)
$%r/&baan ini7) #ar%na *i#a #&ns%ntrasi
tawas yan !i/am$"r#an !a'am ma#anan
t%r'a'" banya# a#an m%nimb"'#an rasa
$ahit+
Ji#a ma#anan har"s !ir%n!am $a!a
'ar"tan tawas m"'ai !ari #&ns%ntrasi 9 5
sam$ai !%nan 905) s%$%rti yan !i'a#"#an
Haribi) R !an "srin 601187) #&ns%ntrasi
a'"mini"m yan t%ra#"m"'asi !a'am s%tia$
91 ram !ain i#an hanya 1) 0 4 1); $$m+
S%!an#an $a!a s"$'%m%ntasi tawas ini
s%na*a !imas"##an 'ar"tan tawas !%nan
s&n!% 'ans"n #% 'amb"n ti#"s !%nan
#&ns%ntrasi yan ti!a# biasa !i/am$"r#an
!a'am ma#anan+ Wa'a"$"n #&ns%ntrasi
'ar"tan tawas s%baai $%r%n!am ma#anan
6i#an7 m%n/a$ai 915) ma#a ti!a#
s%m"anya !ia#"m"'asi &'%h ma#anan
t%rs%b"t) #ar%na s%baian b%sar tawasb%ri#atan !%nan #&'&i! $a!a 'ar"tan
$%r%n!am+
A'"mini"m !a'arn 'in#"nan yan
asam b%rsi,at i&n) s%!an !a'am #&n!isi
$H n%tra' 6< 4 27 b%rsi,at s%baai '&am)
bah#an /%n!%r"n b%ri#atan !%nan bahan
&rani/ m%mb%nt"# #&'&i! 6 .h%"n) R.K)
et all, 01197+ Da'am t"b"h *asa! hi!"$
t%r*a!i #%s%imbanan asam !an basa)
s%hina $H t"b"h a!a'ah n%tra'+
!%nan #&ns%ntrasi !i atas 9 5 !%nan
wa#t" $a$aran ; min" s"!ahm%n"n*"##an a!anya $%r"sa#an *arinan
hati !an in*a'
K%r"sa#an *arinan hati !an in*a'
a#ibat s"$'%m%ntasi tawas $a!a $a#an m%n
*a!i '%bih $arah s%t%'ah wa#t" $a$aran
'%bih !ari = min"+ S%ma#in 'ama wa#t"
$a$aran !an s%ma#in tini !&sis
s"$'%m%ntasi tawas !a'am $a#an) a#an
s%ma#in $arah #%r"sa#an hati !an in*a'
ti#"s+
K&ns%ntrasi tawas yan !is"$'%m%n
tasi#an $a!a $a#an) s%ma#in tini m%m
S%/ara '&i#a) *i#a !i !a'am t"b"h
t%r!a$at a'"mi"m) a#an t%r*a!i i#atan
a'"mini"m !%nan bahan &rani/ t"b"h
m%mb%nt"# #&'&i!) s%'an*"tnya #&'&i!
!i#%'"ar#an !ari t"b"h '%wat ,a%s%s+D%nan
!%mi#ian ti!a# a#an t%r*a!i
a#"m"'asi a'" mini"m yan tini $a!a
&ran !a'am t"b"h yan m%mb%ri#an %,%#
tin#at #%r"sa#an *arinan hati !an in*a'
yan s%ma#in b%rat *"a+
B+SARAN
P%r'" !i'a#"#an ana'isis 6AAS I
Ray7 t%rha!a$ a'"mini"m $a!a &ran !an
$a!a ,a%s%s !an "rin%) "nt"# m%'a/a#
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7/26/2019 Jurnal Pemeriksaan Fungsi Hati 2
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J "rna' K%s%hatan
K%'ainan F"nsi Hati Dan Gin*a' Ti#"s P"tih (Rattus norvegicus, L.) A#ibat S"$'%m%ntasi
Tawas Da'am Pa#an
t%r*a!inya a#"m"'asi a'"mini"m) ata"
'&am b%rat tsi# yan 'ain $a!a &ran)
,a%s%s !an "rin%+
DAFTARPUSTAKA
.h%"n) R+ .+K+ .han) M+ H+ M+ H&) .+S+ Lam)
.) W+ K+ an! La") E+ L+ K+) 0119+
H%a3y m%ta' $&is&nin /'ini/a'
sini,i/an/% an! 'ab&rat&ry
in3%stiati&n+ Asia $asi,i/ Ana'yt%
N&t%s+ B- In!is$%nsab'% t& H"man
H%a't+ >&' 2) N&+ I th 0119+ H&n
K&n+
Darmawati) S+ !an R+ Haribi) 0118+ Ana'isis $r&t%in
$i''i !ari Salmonella typhi is&'at RS
Karya!i S%maran !%nan
%'%#tr&,&r%sis S-S 4 PAGE J"ma'
Litban UNIMUS ISSN 9=0C4 ==1
>&'+ 0 N&+ : S%$t%mb%r 0118+
S%maran+
Haribi) R+ !an "srin) 0118+ K&ns%ntrasi
A'"mini"m $a!a '#an Asa$ yanDir%n!am !a'am Lar"tan Tawas+
P%n%'itian Dasar+ Dir*%n Di# Ti
D%$art%m%n P%n!i!i#an Nasi&na'+
Ja#arta+
H&,,bran!) A+>+) P%ttit) J+E+ an! M&ss P+A+H+
601187+ Ess%nsia' Ha%mat&'&y ; E! )
B'a/#w%'' S/i%n/%) Lt!+ -,&r!+
H"taha%an) S+)9CC=) P%nar"h F%nit&in t%rha!a$
Ka'si,i#asi S#%'%t&n) P%na$"ran
Art%ri !an K%/a/atan F%t"s M%n/it(*us musculus, L). T%sis Pr&ram
S"!i Bi&'&i+ Pr&ram Pas/a Sar*ana
Uni3%rsitas Ga!*ah Ma!a
B&ya#arta+
H"man G%s%''s/ha,t ,"r Bi&/h%mi/a "n!
Dian&sti/a mbH) 9CCC+ Ma 4 P'an/#
4 Rin 09 4 D 4 &'+0) N&+ 0 D%s%mb%r 011C 9C