Beberapa Faktor Yang Berhubungan Dengan Fungsi Tiroid Pada Pasangan Usia Subur (PUS) di Kecamatan Kersana Kabupaten Brebes
Abstract: Pesticide exposure
on women who live in agricultural areas can cause health problems such as
disruption of thyroid function. Pesticides can inhibit the binding of iodine by
the body. Hypothyroidism can cause disturbances in female reproductive system,
including disorders of puberty and menstruation, pre menstrual syndrome, sexual
disfunction, birth defects and low birth weight infant. Goiter are usually be
found in mountainous or highland areas but now mostly found in the lowlands.
This is probably due to the exposure to heavy metals such as Pb, the use of
hormonal contraceptives, and consumption of thiocyanate. The purpose of this study was to identify
some factors associated with thyroid function on child bearing age woman in Kersana Subdistrict, district of Brebes
Method: It was an observational research using cross-sectional design.
Research was conducted in 4 villages namely Kemukten, Limbangan, Sutamaja and
Kubangpari Kersana Brebes District. The subjects were 87 women. Data obtained
from TSH, FT4 serum, Pb in blood, kholinesterase in blood, urinary iodine
excretion, thiocyanate, measurement of nutritional status, the interview to
find out the type of contraception used by couples. Data were analyzed using
chi square test.
Result: The results showed that there was no correlation between levels
of kholinesterase, Pb in blood, urinary iodine excretion, urinary thiocyanate,
the type of contraception, age and BMI with thyroid function on child bearing
age woman in Sub district of Kersana. There was no association between exposure
of pesticides and Hypothyroid cases occured in Kersana Sub district. It was
recomended that women of childbearing need to reduce the adverse impacts of
pesticides by using personal protective equipment in agricultural activities
and improve health and clean living, and
health department should monitor and regular inspection for
kholinesterase levels in women of childbearing age who live in agricultural
areas.
Penulis: Ratnasari Kusumawati,
Suhartono, Sulistiyani
Kode Jurnal: jpkesmasdd120259
