GATRA
TSRQPONMLKJIHGFEDCBA
o
Senin
o
Selasa
•
Rabu
0
Kamis
0
Jumat
o
Sabtu
0
Minggu
2d)
17
18
19
4
5
20
OSep
OOkt
ONov
ODes
OJan
OPeb
o
Mar
~
K E H A M IL A N
D A N
G IG I
6
7
8
9
10
11
21
22
23
24
25
26
OApr
OMei
OJun
OJul
•
Ags
12
13
14
15
27
28
29
30
31
SehatGigi
Sehat Reproduksi
Kesebatan gigi berpengaruh
pada kesuburan kaum ibu.
Masa kehami/an pada ibu
yang menga/ami gangguan
gigi don gusi bisa tertunda
duo bu/an dari yang normal.
Mengapa?
u l a n g d a r i S t o c k h o l m ,
S w e d i a , b e b e r a p a
wa k t u l a l u , D o k t e r
T o n o D j u w a n t o n o m e m b a w a o l e h - o l e h
I
u l 1 1 a y a n m e n g e j u t k a n . A h l i k e b i d a n a n d a nk a n d u n g a n p a d a F a k u l t a s K e d o k t e r a n U n i v e r s i t a s P a d j a d j a r a n , B a n d u n g , i n i
b e r o l e h p e n g e t a h u a n b e r h a r g a s o a l k a i t a n k e s e h a t a n k a n d u n g a n d e n g a n
k e s e h a t a n g i g i . " K e s e h a t a n g i g i d a n g u s i
b i s a m e m p e n g a r u h i k e s u b u r a n , " k a t a n y a k e p a d a G A T R A .
K e s i m p u l a n i t u r n e r u p a k a n h a s i l
p e n e l i t i a n y a n g d i l a k u k a n p a r a p e n e l i t i d a r i A u s t r a l i a . P a r a p e n e l i t i m e n e m u k a n ,
p e r e m p u a n y a n g m e n g a l a m i p e n y a k i t
g i g i d a n g u s i m e m e r l u k a n w a k r u s a r n p a i r u j u h b u l a n u n r u k b i s a h a m i J . P a d a h a l ,
p e r e m p l l a n n o r m a l h a n y a m e m e r l u k a n
w a k t u s e k i t a r l i m a b u l a n t e r h i r u n g s e j a k m a s a p e r n b u a h a n t e r j a d i .
H a s i l p e n e l i t i a n i t u d i r i J i s d a l a m
p e r r e m u a n E u r o p e S o c i e t y H u m a n R e p r o d u c t i v e a n d E m b r i o l o g i s d i S t o c k h o l m p a d a 3 - 6 J u l i l a l u , D o k t e r T o n o
a d a l a h s a l a h s a t u a h l i y a n g d i u n d a n g u n t u k b a d i r d a l a r n a c a r a t e r s e b u t , P e n e l i t i a n
i t u , k a t a D o k t e r T o n o , b e r a n g k a t d a r i
k e y a k i n a n y a n g s e l a m a i n i d i p e g a n g p a r a d o k t e r k a n d u n g a n . " D a r i d u l u , k e s e h a t a n
g ~ g i a d a p e n g a r u h n y a p a d a k e b a m i l a n , " u J 3 r n y a .
P a r a a h l i k a n d u n g a n p e r c a y a ,
k e s e h a t a n g i g i d a n g u s i b e r p e n g a r u h a t a s t e r j a d i n y a k e l a h i r a n p r e m a t u r .
P e n y e b a b n y a , m e n u r u t D o k t e r T o n o , a d a l a h b a k t e r i y a n g b e r a s a l d a r i r a d a n g
g i g i y a n g m a s u k k e c a i r a n k e t u b a n .
" J i b c a i r a n k e t u b a n d i p e r i k s a s e c a r a
b i o r n o l e k u l e r , a d a v i r u s d » r i g i g i y a n g r u s a k b i s a t e r d e t e k s i , " t u t u r n y a .
C e l a k a n y a , g a n g g u a n k e s e h a t a n g i g i
d e n g a n k e h a m i l a n m e r n i l i k i h u b u n g a n s a n g a t d e k a t . I b u h a m i J c e n d e r u n g
m e n g a l a m i g a n g g u a n g i g i d a n g u s i . S e b a b , p a d a m a s a k e h a m i l a n , k e b u t u h a n k a l s i u m s e o r a n g i b u s a n g a t t i n g g i .
K a r e n a i t u , i b u h a r n i l d i s a r a n k a n
b a n y a k m e n g o n s u m s i S l l S Ud a n m a k a n a n
p e n u n j a n g y a n g b i s a r n e n j a d i s u m b e r
k a l s i u m . " S e b a b , j i b t i d a k , k e b u t u h a n
k a l s i u m i n i d i a m b i l d a r i t u b u h , y a i r u t u l a n g d a n g i g i , " k a t a T o n e . I n i l a h
y a n g m e n y e b a b k a n s e j u m l a h i b u h a m i l m e m i l i k i m a s a l a h ! ( i g i , m i s a l n y a
p e n g e r o p o s a n g I g ! .
K o l e g a D o k t e r T o n o d a r i D e p a r t e r n e n I l r n u K e s e h a t a n G i g i
GATRA 3 AGUSTUS 2011
42
M a s y a r a k a t d a n K e d o k t e r a n G i g i
P e n c e g a h a n U n i v e r s i t a s I n d o n e s i a , D r g .
A r m a s a s t r a B a h a r , P h D , m e n g a m i n i h a l
i t u . l a m e n g a t a k a n , w a n i t a h a m i l r e n t a n
m e n g a l a m i g a n g g u a n k e s e h a t a n g i g i d a n
g u s i . P e n y e b a b n y a , s e l a i n b e r h u b u n g a n
d e n g a n a s u p a n k a l s i u m , j u g a t e r k a i t
d e n g a n m a s a l a h h o r m o n a l p a d a m a s a
a w a l k e h a m i l a n . " A k i b a t p e r u b a h a n
h o r m o n , g u s i m e n j a d i h i p e r t r o p i a t a u
a g a k m e m b e s a r a t a u m e m b e n g k a k , " k a t a
A r m a s a s t r a k e p a d a A g e n g W u r i R . A . d a r i
XWVUTSRQPONMLKJIHGFEDCBA
G A T R A .
S e b a b , d i a n t a r a g i g i c l a n
g u s i , t e r c l a p a t s e b u a h c e l a h c l a n j i k a
m e m b e n g k a k a k a n t e r b e n t u k s e b u a h
k a n t o n g . D i s i t u l a h s i s a m a k a n a n m u c l a h
t e r s e l i p , l a m a - k e l a m a a n m e r n b u s u k ,
c l a n m e n j a c l i s u m b e r b a k t e r i d i m u l u t .
" S e h i n g g a a k a n t e r j a c l i p e n u m p u k a n
b a k t e r i d a n m e n y e b a b k a n r a c l a n g c l a n
i n f e k s i , " t u t u r A r m a s a s t r a .
l a m e n y a r a n k a n a g a r p a r a i b u
m e r e n c a n a k a n k e h a m i l a n m e r e k a c l e n g a n
m e r n e r i k s a k a n k e s e h a t a n g i g i c l a n m u l u t .
A p a l a g i , g i g i y a n g t e l a n j u r s a k i t t a k b i s a
s e m b a r a n g a n c l i c a b u t k a r e n a o b a t a n e s t e s i
y a n g c l i g u n a k a n b i s a m e n g a k i b a t k a n
k o n t r a k s i . " I t u b i s a m e n y e b a b k a n
b a y i l a h i r p r e m a t u r c l a n k e g u g u r a n , "
A r m a s a s t r a m e n a m b a h k a n .
M e n u r u t D o k t e r T o n o , p e n e l i t i a n
y a n g c l i l a k u k a n p a r a p e n e l i t i A u s t r a l i a
i t u m e m a n g b e r a n g k a t c l a r i t e s i s
i n i . J i k a k e r u s a k a n g i g i c l a n g u s i b i s a
m e n g a k i b a t k a n g a n g g u a n p a c l a j a n i n ,
m e r e k a b e r p e n c l a p a t b a h w a h a l y a n g s a m a
b e r p e n g a r u h p a d a k e s u b u r a n . " P e n e l i t i a n
i n i m e m a n g b e l u m b a n y a k , c l a n t e m u a n
i n i r e l a t i f b a r u , " k a t a n y a .
P a r a p e n e l i t i i t u y a k i n , p e n y e b a b
g a n g g u a n k e s u b u r a n i t u a c l a l a h p e r a c l a n g
-a n y -a n g t i m b u l a k i b a t k e r u s a k a n g i g i c l a n
Dari Gigi Turun ke
[ a n t u n g
A
d a p e r ib a h a s a " d a r i m a t a t u r u n k e h a t i" A r t in y a , o r a n g b is a ja t u h h a t i p a d a s e s e o r a n g h a n y a d e n g a n m e m a n d a n g n y a . P e r ib a h a s a in i ju g a b e r la k u p a d a u r u s a n k e s e h a t a n g ig i. D a r i g ig i, b e r b a g a i b e n c a n a k e s e h a t a n b is a d a t a n g m e n g in t a i.
S a la h s a t u n y a , m e n u r u t D r g . A r r n a s a s t r a B a h a r , P h D , a d a la h p e n y a k it ja n t u n g . A d a t e m u a n b a r u d i F K G - U I b a h w a o r g a n h a t i m e n g h a s ilk a n C-reactive protein ( ( R P ) . P r o t e in in i a k t if p a d a o r a n g y a n g m e m ilik i k e la in a n g ig i a lia s p e r io d e n t it is . " ( R P y a n g d ip r o d u k s i h a t i in ila h y a n g m e n y e b a b k a n p e r e d a r a n k u m a n k e ja n t u n g ; 'k a t a n y a .
S e la in it u , k a t a A r m a s a s t r a , k e s e h a t a n
A r m a s a s t r a B a h a r
g u s i . P e r a c l a n g a n i n i p a c l a g i l i r a n n y a a k a n
m e r u s a k k e r j a n o r m a l r u b u h , t e r m a s u k
o r g a n r e p r o c l u k s i .
P e n e l i t i a n i t u m e l i b a t k a n l e b i h d a r i
3 . 5 0 0 w a n i t a h a r n i l y a n g m e m i l i k i m a s a l a h
k e s e h a t a n g i g i d a n g u s i . D i t e m u k a n ,
t e k a n a n c l a r a h p a c l a s e b a g i a n b e s a r
w a n i t a i t u m e n i n g g i a k i b a t p e r a c l a n g a n
c l a n m e n y e b a b k a n o r g a n . t u b u h m e r e k a
t e r g a n g g u .
S e l a i n i t u , m a s i h m e n u r u t D o k t e r
T o n o , k e r u s a k a n g i g i c l a n g u s i b i s a
m e n g a k i b a t k a n t u m b u h n y a b a k t e r i
s i t o k i n a n t i - i m p a n t a s i d i d a l a m r a h i m .
g ig i d a n g u s i b e r p e n g a r u h p u la p a d a k e s e h a t a n o r g a n - o r g a n la in n y a . ln f e k s i y a n g t e r ja d i a k a n m e n y e b a r m e la lu i p e m b u lu h d a r a h k e s e lu r u h o r g a n t u b u h , s e p e r t i g in ja l, h a t i, b a h k a n a la t r e p r o d u k s i.
P a d a p r ia d ik e t a h u i b a h w a k e r u s a k a n g ig i b is a b e r p e n g a r u h p a d a k e s e h a t a n s p e r m a . " t a k l- la k l y a n g m e m ilik i p e n y a k it g u s i, s p e r m a n y a b e r k u r a n o . k a t a A r m a s a s t r a k e p a d a A g e n g W u r i R A d a r i G A T R A .M e n u r u t d ia , k e t ik a g ig i s a k it , m e m a n g t id a k s e la lu s e m u a o r g a n m e n ja d i s a k it .'T a p i h a r u s d iw a s p a d a i b a h w a it u b is a m e n y e b a r k e o r g a n - o r g a n y a n g s e d a n g le r n a h 't u t u m y a a
• M .A G U N G R I Y A O I
Tips Merawat Gigi
JlKA
g ig i in g in s e h a t , p e r a w a t a n r u t in a d a la h k u n c in y a . B e r ik u t t ip s p e r a w a t a n g ig i y a n g b a ik :e B e r s ih k a n s e lu r u h b a g ia n m u lu t . J a n g a n h a n y a g ig i, b a g ia n la in s e p e r t i lld a h d a n g u s i ju g a h a r u s d ib e r s ih k a n .
e J a n g a n g u n a k a n s ik a t g ig i y a n g t e r la lu k a k u d a n k e r a s a g a r t id a k m e r u s a k g ig i d a n g u s i.
e M e m ija t b a g ia n g u s i. H a l in i m e m b a n t u m e m p e r la n c a r a lir a n d a r a h d i g u s i. G u s i b is a d ip ija t d e n g a n b a n t u a n s ik a t g ig i s e c a r a p e r la h a n .
e H a t i- h a t i m e n g g u n a k a n b e n a n g g ig i
(dental floss).J ik a p e m b e r s ih a n d e n g a n b e n a n g g ig i d ila k u k a n s e m b a r a n g a n , g u s i b is a r u s a k .
S u m b e r : D r g . A r m a s a s t r a B a h a r , P h D
" I n i s a l a h s a t u z a t y a n g m e m p e n g a r u h i
p e n e r n p e l a n e m b r i o p a d a h a r i k e t u j u h
s e h i n g g a b i s a m e n g g a g a l k a n k e h a r n i l a n , "
u j a r n y a . P a r a p e n e l i t i j u g a m e n y e b u t k a n ,
k e b e r a c l a a n b a k t e r i i n i m e n j a d i s a l a h s a t u
y a n g m e n g g a n g g u p r o s e s k e s u b u r a n ,
s e h i n g g a s e o r a n g p e r e m p u a n s u l i t h a m i l .
D o k t e r T o n o m e n g u k u i k e r a p
m e n e m u k a n p a s i e n y a n g g i g i n y a
k e r o p o s d a n m e n g a l a r n i g a n g g u a n
k e h a m i l a n . " K a r n i b a r u t . i h u s e t e l a h
c l i S w e c l i a i t u . T a c l i n y a ( k e s e h a t a n g i g i
--Red.) nggak
d i p e r h a t i k a n . T e r n y a t a k i t a m e r e m e h k a n n y a , p a d a h a l p e n g a r u h n y as i g n i f i k a n , " k a t a n y a . A p a l a g i , d i k a l a n g a n
i b u h a m i l a c l a k e p e r c a y a a n u n t u k
m e n g h i n d a r i p e r g i k e d o k t e r g i g i k e t i k a
s e d a n g h a r n i l . " P a d a h a l , i t u s a l a h , " D o k t e r
T o n o m e n e g a s k a n .
S e l a i n m e n g g a n g g u k e s u b u r a n ,
A r m a s a s t r a j u g a m e n y e b u t k e m u n g k i n a n
l a i n y a n g d i a k i b a t k a n k e r u s a k a n g i g i c l a n
g u s i k e t i k a h a m i l , y a i t u k e l a h i r a n b a y i
d e n g a n b e r a t b a d a n r e n c l a h . l a m e r u j u k
p a c l a h a s i l p e n e l i t i a n m a h a s i s w a p r o g r a m
S - 2 F a k u l t a s K e d o k t e r a n G i f ', i U n i v e r s i t a s
( F K G - U I ) I n c l o n e s i a y : m g s e d a n g
c l i b i m b i n g n y a . P e n e l i t i a n in i c l i l a k u k a n p a c l a i b u h a m i l d i b e b e r a p a p o s y a n d u c l i
J a k a r t a , T a n g e r a n g , c l a n S e r p o n g y a n g
p u n y a p e n y a k i t g u s i d a n m e l a h i r k a n
c l e n g a n b e r a t b a d a n b a y i r e n d a h ,
S a y a n g n y a , h a s i l p e n e l i t i a n i t u
b e l u m b i s a s e g e r a d i p u b l i k a s i k a n k a r e n a
t e s i s t e r s e b u t b e l u m d i s i d a n g k a n . " S a y a
j u g a t i c l a k b e r a n i m e n g a t a k a n b a h w a i t u
p a s t i b e g i t u . T a p i i t u a d a k a i t a n n y a d a n
l i t e r a t u r n y a a d a , " u j a r n y a . 1 I I
M .A G U N G R I Y A O I , O A N W I S N U W A G E P A M U N G K A S ( B A N O U N G )
