Thực trạng sử dụng vitamin và khoáng chất trên phụ nữ nhiễm HIV tại thành phố Hà Nội 2008

hipu Tetanie gap 4 trudng hap chiem ti le 11,8%. Khdng

cd benh nhan nao cd bilu hien co co thanh quan, viem

khdp, dut gan, gay xuong, hpi chirng dd mit.

K^T LUAN

Qua nghien eCru tren 34 bpnh nhan suy than man

tinh giai dogn cudi cd so sanh vdi nhdm chung chung tdi

rut ra duae mpt so kit lugn sau:

1. v l ti le rdi logn chuyin hda calei-phosphor va mdi

tuong quan vdi suy than mgn tinh giai dogn cudi : 97%

bpnh nhan suy than giai doan cudi ed rdi logn chuyin

hda calei-phosphor. Ndng dp calci huylt thanh giam

dudi 1,9 mmol/l chiem 93%. Nong dp calci ion hda giam

dudi 0,9 mmol/l ehilm 70%. Ndng dp phosphor nipu

giam dudi 40 mmol/24h ehilm 97%. Su thay ddi ndng

dp calei-phosphor trong he thdng va nudc tilu lien quan

vdi ndng dp creatinine trong huylt thanh va muc lpc elu

thgn. Khi mCre lpc cau than giam dudi lOml/phut, ndng

do creatinin trong huylt thanh tang tren 900 nmol/l, 97%

cac truang hap cd bien logn calei-phosphor.

2. Ve bilu hien cac trieu chCrng lam sang: dj cam la

dau hieu thudng gap ehilm ti Ip 85,3%. Ngua xuat hipn

vdi ti Ip 70,6%. Diu hieu chupt rut gap trong 58,9% cac

trudng hpp. Rung gigt ngdn tay gap trong 55,9% cae

trudng hp-p. Dau xuong gap trong 52,9% cac trudng

hpp. Bau ca ggp trong 52,9% cac trudng hap. Diu hieu

Chvostek gap trong 14,7% cac trudng hpp. Dau hipu

Trouseau gap trong 14,7% cac trudng hop. Con tetanie

xult hipn trong 11,8% bpnh nhan. Khdng ed bpnh nhan

nao cd bieu hipn co ca thanh quan, khi quan, viem

khdp, dut gan, gay xuong, hpi chung dd mat. Bieu hipn

tdn thuang xuong tren phim Xquang xuang sp gap

trong 38,2% cac benh nhan, xuong ban tay gap 11,4%

bpnh nhan.

TAI LIEU THAM KHAO

1. Balsan S. (1996). Physiopathologie de

hyperparathyroid et I' insuffisance renal. Alphacaleldol,

Leo, pp. 13-30.

2. Beriand Y. (1994). Hyperthyroide seeondaire.

Viatique de nephrologie, Fournier, pp. 346-350.

3. Amiel C, Brigitte E., Silve C, Friendlander G. (1998).

Hyperphosphatemia. Oxford textbook of clinical nephrologie,

2 edition, Oxford universyti press, pp. 251-271.

4. Amiel C, Escoubet., Silve C, Friedlaner G.

(1998). Hypo-hyper phosphatemia. Oxford textbook of

Clinieal nephrologie, 2'^ edition, vol 1, Oxford universyti

press, pp. 226-47.

5. Cameron J.S. (1998), Chronic renal failure.

Oxford textbook of Clinieal nephrologie, 2'" edition,

Oxford universyti press, pp. 249-461. ,; .

6. Convulsion. Int orthop, 23, pp. 308-309. '

7. Gyton A.C. (1981). PTH, Calcitonin, calcium,

phosphat metabolism, Vitamin D, bone and teeth.

Medical physiologie, 6'^ edition, WB sauders company,

pp. 973-991.

8. Holiek M.F., Potts J. (1995), Vitamin D.

Harrison's principle of intemal medicin, Mc Granhillbook

company, pp. 1843-1849.

9. Kanis J.A., Neveen A.T.H. (1998).

Hypocalcemia. Oxford textbook of Clinical nephrologie,

2' edition, Oxford universyti press, pp. 226-247.

dir

THOC TRANG SUT DUNG VITAMIN VA KHOANG CHAT TREN PHU NO NHIEM HIV

TAI THANH PHO HA NOI 2008

TRAN TH! BfCH TRA, NGUYI N THANH LONG, DANG PHLfONG MAI

Cue phong chdng HIV/AIDS, Bg y te

PHAM THI THUY HOA, HO THU MAI, NGUYI N XUA N NINH va CS

Vien Dinh du&ng

TOM TAT

Nghien ciru duvc thuc hien tren 140 phg nir tCr 15-49

tuoi bi nhiim HIV tgi Ha Ngi nam 2008. Kit qua eho thay

phan Idn dot tirgng chua cd kiin thirc diy du vi dinh

duong. Luvng vitamin A khiu phan dat 208,6

meg/ngudi/ngay mdi chi dap irng duvc 65,53% nhu eau

khuyin nghj eho ngudi Viet Nam cua Vign Dinh duang.

31,4%, phu nii' nhiim HIV bj thiiu kem muc tmng binh

va ngng. Vitamin C tmng binh khau phan chi dap ung

duvc 73,3% nhu cau khuyen nghj.

Hau hit PNNHIV diu cd nhiem trung ea hdi. Tren

72%o PNNHIV cd tlnh trang CD4 thap <500 trong dd 1,8

% PNNHIV cd CD4<26o. Cd mdi lien quan giua thieu

hut vi chat va tinh trang suy giam yeu to mien djch ti

bao CD4.

Can giao dijc cham sdc dinh dudng, bo xung vien da

vi chat, tang cudng ho trg cgng ddng eho phg nir tuoi

sinh de nhiim HIV ndi rieng va cgng dong nguui song

chung vdi HIV ndi rieng.

Tu" khda: phu nie nhiim HIV, thiiu hgt vi chat, vien

da vi chit

SUMMARY

Research was done on over 140 HIV infected

women fonv 15 to 49 years old in Hanoi, 2008. The result

shows that almost these onbjeets haven't been given

enough nuitritlon information. The amount of vitamine A

just responnses 65.53%, of demand reeomended for

Vietnamese from National Institue of Nuitritlon.34.4%,

HIV infected women is lack of zinc, including the level of

severity of this on a two -point scale moderate or

severe. Vitamin 0 of average only responds 73.3%

compared with reeomendation ration.

- Most of the women have Infections opportunities.

Over 72%, HIV infected women have in low condition of

CD4<500. There is a relation between nutrition lack and

immune deficiency CD4 cell.

- There needs to nuitritlon attention education,

supplement multl vitamine, increase In supporting

community for women at age birth with infected HIV in

particular and community living together with HIV in

general.

Key word: HIV infected women, multl Vitamin

Y HOC THVC HANH (667) - SO 7/2009 49