Efektivitas Gel Ekstrak Daun Pare (Momordica Charantia) terhadap Penyembuhan Luka Perineum pada Tikus (Rattus Norvegicus)

Afika Uswatun Hasanah, Runjati Runjati, Lanny Sunarjo

Sari


ABSTRACT

 

Perineal lesions often occur during labor. Perineal lesions cause discomfort and complications if not treated immediately. Bitter melon leaf (Momordica charantia) is known to contain flavonoids, alkaloids, tannins, saponins, alkaloids, and triterpenoids that have activity as a fibrinolysis booster and can reduce wound inflammation. The aim of this research was to determine the the effectiveness of bitter melon leaf extract gel (Momordica charantia) compared to a control group on perineal wound healing in rats (Rattus norvegicus).This research used True Experiment with Randomized Post Test Only Control Group Design. The samples used were 18 female Wistar rats gave wounds as long as ±1.5 cm and a wound depth of 4 mm in the perineal area of rats. The samples were divided into 2 groups, namely the intervention group was given 7% bitter melon leaf extract gel as much as 1 gram in each administration with a frequency of 2x1 for 7 days, while the control group was given dry clean treatment with a frequency of 2x1 for 7 days. The sampling technique uses simple random sampling. Data analysis using Friedman test and Mann Whitney test. The measuring instrument uses REEDA scale on days 1 to 7. Bitter melon leaf extract gel was faster and improved perineal wounds on day 5 (0.00±0.00) p=0.00 and control group on day 7 (0.89±0.60) p=0.00. Giving 7% bitter melon leaf extract gel for 7 days is effective for healing perineal wounds.

 

Keywords: Bitter Melon Leaf Extract, Gel, Perineal Wounds, Wound Healing

 

 

ABSTRAK

 

Luka perineum sering terjadi selama proses persalinan. Luka perineum menimbulkan ketidaknyamanan dan komplikasi jika tidak segera ditangani. Daun pare (Momordica charantia) diketahui mengandung flavonoid, alkaloid, tanin, saponin, alkaloid dan triterpenoid yang memiliki aktivitas sebagai pemacu fibrinolisis dan dapat mengurangi peradangan luka. Tujuan penelitian ini adalah untuk mengetahui efektivitas gel ekstrak daun pare (Momordica charantia) dibandingkan kelompok kontrol terhadap penyembuhan luka perineum pada tikus (Rattus norvegicus). Penelitian ini menggunakan True Experiment dengan metode rancangan randomized posttest-only control. Sampel menggunakan 18 ekor tikus betina galur wistar yang berikan luka sepanjang ±1,5 cm dan kedalaman luka 4 mm pada daerah perineum tikus. Sampel dibagi menjadi 2 kelompok yaitu kelompok intervensi diberikan gel ekstrak daun pare 7% sebanyak 1 gram dalam setiap pemberian dengan frekuensi 2x1 selama 7 hari, sedangkan kelompok kontrol diberikan perawatan bersih kering dengan frekuensi 2x1 selama 7 hari. Teknik sampling menggunakan simple random sampling. Analisis data menggunakan Friedman test dan Mann Whitney test. Alat ukur menggunakan skala  REEDA pada hari ke-1 sampai ke-7. Gel ekstrak daun pare lebih cepat dalam proses penyembuhan luka perineum pada hari ke-5 (0,00±0,00) p=0,00 dibandingkan kelompok kontrol pada hari ke-7 (0,89±0,60) p=0,00. Pemberian gel ekstrak daun pare 7% selama 7 hari efektif untuk menyembuhkan luka perineum.

 

Kata Kunci: Ekstrak Daun Pare, Gel, Luka Perineum, Penyembuhan Luka


Teks Lengkap:

Download Artikel

Referensi


Adeliana, Usman, A. N., Ahmad, M., Arifuddin, S., Yulianty, R., & Prihantono. (2021). Effectiveness of turmeric (curcuma longa linn) gel extract (ge) on wound healing: pre-clinical test. Gaceta Sanitaria, 35, S196–S198. https://doi.org/10.1016/j.gaceta.2021.07.014

Ahyanti, M., & Yushananta, P. (2023). Analisis kadar flavonoid dan saponin. Jurnal Kesehatan Lingungan Ruwa Jurai, 17(6), 31–43. https://doi.org/http://dx.doi.org/10.26630/rj.v17i1.3763

Bhambhani, S., Kondhare, K. R., & Giri, A. P. (2021). Diversity in chemical structures and biological properties of plant alkaloids. Molecules, 26(11). https://doi.org/10.3390/molecules26113374

Bick, D., & Beake, S. (2013). Obesity a ticking time bomb for reproductive health. Elsevier.

Bränn, E., Edvinsson, Å., Rostedt Punga, A., Sundström-Poromaa, I., & Skalkidou, A. (2019). Inflammatory and anti-inflammatory markers in plasma: from late pregnancy to early postpartum. Scientific Reports, 9(1), 1–10. https://doi.org/10.1038/s41598-018-38304-w

Carvalho, M. T. B., Araújo-Filho, H. G., Barreto, A. S., Quintans-Júnior, L. J., Quintans, J. S. S., & Barreto, R. S. S. (2021). Wound healing properties of flavonoids: A systematic review highlighting the mechanisms of action. Phytomedicine, 90(June). https://doi.org/10.1016/j.phymed.2021.153636

Chou, M. C., Lee, Y. J., Wang, Y. T., Cheng, S. Y., & Cheng, H. L. (2022). Cytotoxic and Anti-Inflammatory Triterpenoids in the Vines and Leaves of Momordica charantia. International Journal of Molecular Sciences, 23(3). https://doi.org/10.3390/ijms23031071

Faraji, A., Aghdaki, M., Hessami, K., Hosseinkhani, A., Roozmeh, S., Asadi, N., Vafaei, H., Kasraeian, M., Bagheri, R., Bazrafshan, K., & Foroughinia, L. (2021). Episiotomy wound healing by commiphora myrrha (Nees) engl. and boswellia carteri Birdw. in primiparous women: a randomized controlled trial. Journal of Ethnopharmacology,264(February2020),113396.https://doi.org/10.1016/j.jep.2020.113396

Gürlek Kisacik, Ö., Güneş, Ü., Yaprakçi, M. V., & Altunbaş, K. (2018). Effectiveness of bitter melon extract in the treatment of ischemic wounds in rat. Turkish Journal of Biology, 42(6), 506–516. https://doi.org/10.3906/biy-1804-36

Hartinah, A., Usman, A. N., Sartini, Jafar, N., Arsyad, M. A., Yulianty, R., Sirenden, H., & Nurung, J. (2021). Care for perineal tears in vaginal delivery an update for midwife. Gaceta Sanitaria, 35, S216S220.https://doi.org/10.1016/j.gaceta.2021.10.024

Helen Varney, M.Kriebs, J., & L.Gegor, C. (2010). Buku ajar asuhan kebidanan. EGC.

Hilmi, & Bascom. (2010). Obstetri williams volume no. I (1st ed.). EGC.

Kurniawan, K., Pertiwi, A. T., & Lestari, I. T. (2021). Analisa Absorbansi Kadar Flavonoid Total Ekstrak Maserasi Daun Sirih Hijau (Piper betle L.). Pharmaceutical Journal of Islamic Pharmacy, 5(1), 80. https://doi.org/10.21111/pharmasipha.v5i1.5707

Lallo, S., Hardianti, B., Umar, H., Trisurani, W., Wahyuni, A., & Latifah, M. (2020). Aktivitas Anti Inflamasi dan Penyembuhan Luka dari Ekstrak Kulit Batang Murbei (Morus alba L.). Jurnal Farmasi Galenika (Galenika Journal of Pharmacy) (e-Journal), 6(1), 2636.https://doi.org/10.22487/j24428744.2020.v6.i1.14661

Liniawati, S. R., Saleh, C., & Erwin, E. (2019). Isolasi Dan Identifikasi Senyawa Triterpenoid Dari Ekstrak N-Heksan Fraksi 8 Noda Ke- 2 Dari Daun Merah Pucuk Merah (Syzygium Myrtifolium Walp.). Jurnal Kimia Mulawarman, 16(2), 73–77. https://doi.org/https://doi.org/10.30872/jkm.v16i2.874

Munthe, N. B. G., Sembiring, I. M., Gandi, P. I., Sitepu, K., Hutabarat, V., & Sitepu, S. A. (2020). Hubungan Mobilisasi Dini Dengan Kesembuhan Luka Perineum Derajat Dua Pada Ibu Postpartum. Jurnal Penelitian Kebidanan & Kespro, 2(2), 59–66.https://doi.org/10.36656/jpk2r.v2i2.250

Pazry, M., Busman, H., Nurcahyani, N., & Sutyarso, S. (2017). Potensi ekstrak etanol daun pare (momordica charantia l.) sebagai alternatif obat penyembuh luka pada punggung mencit jantan (mus musculus l.). Jurnal Penelitian Pertanian Terapan, 17(2), 109–116.https://doi.org/10.25181/jppt.v17i2.289

Prawirohardjo, S. (2016). Ilmu kebidanan. PT. Bina Pustaka.

Ramadani, A. (2021). Pengaruh krim ekstrak etanol daun pare hijau (momordica charantia l.) terhadap penyembuhan luka bakar pada punggung kelinci (oryctolagus cuniculus). Jurnal Kesehatan Yamasi Makasar, 5(2), 121–127.

Ryan, Goh, D., & Ellepola, H. (2019). Perineal tears. Australian Journal of General Practice, 47(1),3538.https://doi.org/10.31128/AFP-09-17-4333

Sagástegui-Guarniz, W. A., Silva-Correa, C. R., Villarreal-La Torre, V. E., González-Blas, M. V., Sagástegui-Guarniz, W. O., Calderón-Peña, A. A., Aspajo-Villalaz, C. L., Cruzado-Razco, J. L., & Hilario-Vargas, J. (2021). Wound healing by topical application of Momordica charantia L. formulationsonmice.VeterinaryWorld,14(10),26992704.https://doi.org/10.14202/vetworld.2021.2699-2704

Turnip, M., Nurianti, I., & Sirait, R. A. (2022). The effect of egg white on perineum wound healing in pospartum mothers at the pratama nining pelawati clinic. Jurnal Kebidanan Kestra (Jkk), 5(1), 117–122. https://doi.org/10.35451/jkk.v5i1.1362

Utami, P. P., & Santoso, B. (2019). Ointment Extract banana stem (Musa balbisiana) As An Alternative Healing Wounds perineum (laboratory test on rat). International Journal of Allied Medical Sciences and Clinical Research, 7(1), 123–126.https://doi.org/ISSN:2347-6567

Vasileva, P., Strashilov, S., & Yordanov, A. (2019). Postoperative management of postpartum perineal tears. Wound Medicine, 27(1), 100172.https://doi.org/10.1016/j.wndm.2019.100172

Villarreal-La Torre, V. E., Guarniz, W. S., Silva-Correa, C., Cruzado-Razco, L., & Siche, R. (2020). Antimicrobial activity and chemical composition of MomordicaCharantia:A review. Pharmacognosy Journal, 12(1), 213222.https://doi.org/10.5530/pj.2020.12.32

WHO. (2014). Maternal mortality rate 2014. WHO.

WHO.(2023).Traditional,complementary and integrative Medicine. WHO.https://www.who.int/healthtopics/traditionalcomplementary-and-integrative-medicine#tab=tab_3

Wibowo, S. S., Anwar, C., & Djamil, M. (2021). The Effectiveness of f Garlic Extract Ointment on the he Healing of Perineal Wounds in Mice. International Journal of Allied Medical and Clinical Research, 9(3), 514–519.https://doi.org/ISSN:2347-6567

Wiliiam, T. A., & Robert, L. J. I. (2022). Prevalence, associated risk factors and maternal outcomes of lower genital tract injuries in the bamenda regional hospital. Open Journal of Obstetrics and Gynecology, 12(05), 417–433. https://doi.org/10.4236/ojog.2022.125038

Zebua, P. D., & Diana, V. E. (2017). Formulasi sediaan salep dari ekstrak daun pare (momordica charantia l.) sebagai obat luka gores. Jurnal Dunia Farmasi, 1(3),108113.https://doi.org/10.33085/jdf.v1i3.4374




DOI: https://doi.org/10.33024/mahesa.v4i11.15924

Refbacks

  • Saat ini tidak ada refbacks.


Publisher: Universitas Malahayati Lampung


Creative Commons License
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License


kostenlose besucherzähler
slot gacor slot gacor hari ini slot gacor 2025 demo slot pg slot gacor slot gacor