Chăm sóc sức khỏe cho bà mẹ và trẻ em người dân tộc thiểu số ở tỉnh Yên Bái

Y HQC Vl£T NAM THAHG 4 • SO 1/2014

(31,8%). T5ng ty te plasmocyte trong tuy xu'dng,

tSng Ig ddn dong va ton thudng xffdng da vj tri

la cac tieu chuan chinh de chan doan benh da u

tiry xffdng.

T A I LI| U THAM KHAO

1. A. Dispenzieri and R. A. Kyle, "Multiple

myeloma: clinical features and indications for

therapy," Best Practice and Research,vo\. 18, no.

4, pp. 553-568, 2005. Advances in Hematology 5

2. Baraldi-Junkins CA, Beck AC, Rothstein G.

Hematopoiesis and cytokines: relevance to cancer

and aging. Hematol Oncol Clin North Am.

2000;14:45-61.

3. Diebkiie Assata Tolo, Duni Sawadogo (2013).

Characteristics and Results of the Treatment of

MuiepleMyeloma-in the Subject under the Age of

65 at the University Hospital of Yopougon in

Abidjan, Cote dlvoire. Hindawi Publishing

Corporaton Advances in Hematology Artide ID

583051,5 pages

Iowa Surveillance, Epidemiology, and End￾Results SEER Registry. 1973-1998.

Kusumoto S, Jinnai I, Itoh K, et al. Magnetic

resonance imaging patterns in patients with

multiple myeloma. Br J Haematol 1997;99:649-

655.

National Center for Health Statisti'cs. Vital

Stadsb'cs of the United States, 1988. Vol 2.

Mortality, Part A. Washington, DC: Public Health

Service; 1991.

R. A Kyle, M. A. Gertz, T. E. WJtzig et al.,

"Review of 1027 pabents with newly diagnosed

multiple myeloma," Ma^ Qinic Proceedings, vol.

78, no. 1, pp. 21-33, 2003.

CHAM S6C sfrc KH6E CHO BA ME VA TR^ EM

NGUai DAN TOC THIEU SO 6* TiNH YEN BAI

T6M TAT

C^c tdc gid sff dgng phffdng phdp md ta ccit

ngang ket hdp dinh lffi;fng vd djnh tinh, nghien cffu

400 bd m? ngffdi Tdy 6 Lyc Yen, ngudi Thdi d Nghia

L$, ngff6l Mong d Mu Kang Chal vd ngffdi Dao d Vdn

Yen tinh Ygn Bdi vd thu dff(?c ket qud sau: Ty I? tre de

t^l nhd: 53,5%, trong dd cao nhat Id ngu^i Mong - Mu

Kang Chdl (98,9%). Ty 1$ tr6 de tai nhd dffdc CBYT

dd: 23%, cdc bd dd dd: 32,8%, ngffdi khac dd:

44,3%. Ty 1§ bd m? dUflc kham thai day diJ: 31,1%,

Oem ph6ng uon vdn: 79%; Ty I? tre sd sinh dUdc bii

sdm: 80,4%, dn sam dung: 67,9%, cai su^ dung:

67,9%. Ty t# tre dffdc tiem chung dSy dii: 96,9%. Ty

1$ suy dinh dudng d tre<5 tuoi Id 30,2%), cao nhat Id

nguiSfl Mong (35,3%); Tj-1$ cac c^p vd chong dp dung

BPTT: 68,5%, cao nhSt Id ngffdi Dao, msng do ddt

v6ng: 58,1%, thuoc trdnh thai: 20,9%, bao cao su:

4,6%; TuSl Idy ch&ng bxing binh Id 19,5; Tuoi co con

d3u Id 20,7. Ty t| de sdm: 60,4%), cao nhat la ngu'di

Dao (82,1%); Ty 1$ dd nhieu: 42,2%, cao nhat Id

ngudi Mong (64,5%).

MOt s6 phong b ^ dnh hudng den CSSKBM&TE

nhff: 06 t^i nhd do bd dd vd ngudi nha dd. Khi de thi

n ^ d£ d^, d6 d canh effa b§p (Ngudi Mong). Sau de

kiSng dn d , ft dn rau vd dinh dudng (ngffdi Tdy, ngu'di

Thdi)... lOil mang thai, vSn phai lao dpng ndng (ngudi

' IMngCaihgc YDupC ThaiNguyen

"B^Ytf

PMM Mfn khoa hpc GS.TS Nguyin Cdng KhSn

t)am Khai Hoan*, Tran Quy Tir6Tig**

Mong, Dao). Ve hon nhan, cd phong tuc khdc hp Id

dffpc lay nhau nen van de ket hon can huyet thong rdt

pho bien nhu con anh trai lay con em cd cQng khd pho

blen (ngUdi Mdng). Sau khi de xong ca m? vd tr6 sd

sInh dffpc tdm ngay bSng nudc cay thuoc nam, tSm Id

cay thuoc trong vong mot thdng (NgUdi Dao)...

Cac tdc gid khuyen nghj: TSng cudng truySn

thong vd to chffe tot hOn cdc chUOng trinh CSSK ba m?

va tre em nhat ia chUOng trinh phdng chong suy dinh

dudng dong thdi gliip ngudi DTTS tff bd cdc phong tuc

tap quan iac hau khong tot cho CSSK bd m^ vd tre em.

Tu' khda: ChSm soc sffc khde ba me va tre em;

Dan tpc thieu so

SUMMARY

HEALTH CARE FOR MOTHERS AND

CHILDREN OF ETHNIC MINORITY

I N YEN BAI PROVINCE

The authors used cross-sectional method

combines quandtaOve and qualitative research. 400

Tay mothers in Luc Yen, lha\ people In Nghia Lo,

Hmong and Dao in Mu Kang Chai in Van Yen, Yen Bai

province and obtained the folkwwng results: The rate

of home births: 53.5%, the highest of which is the

Mong people - Mu Khang Chai (98.9%). Percentage of

home births with health worker: 23%; the midwives:

32.8%, others support: 44.3%. Pregnant examinabon

was full: 31.1%, tetanus vacdnaOon: 79% newborns

are breastfed: 80.4% have right feeding. 67.9%

weaning right 67.9% chikJren fully vacanated. 96.9%

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