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Hoi: Con trai toi 6 tuoi, suc khoe tot, an ngu binh thuong; moi toi hay di tieu. Trung binh 20-30 phut chau lai doi di tieu mot lan. Toi da cho chau uong nuoc rau ngo, bot san nhung 2 thang nay tinh trang cua chau khong bien chuyen. Vay chau bi benh gi? Co phai di vien?
Tra loi: Chau nha chi bi chung dai rat, dai son, hay con goi la roi loan nhip tieu. Bieu hien la tieu qua nhieu lan trong ngay: 10-15 phut mot lan, luong nuoc tieu it, co luc chi vai giot, tham chi khong tieu duoc.
Chung dai rat, dai son thuong gap o tre 5-9 tuoi, ty le tre trai chiem 70%. Tre em thanh pho bi mac chung nay nhieu hon tre nong thon. Nhung tre nay an ngu tot, khong giam can, phan lon hieu dong hoac duoc cung chieu. Ve giai phau he sinh duc, tiet nieu binh thuong. Cac thong so ve xet nghiem nuoc tieu, sieu am he tiet nieu cung binh thuong.
Ve tam ly, co the co tre ngung dai dam sau mot thoi gian bi bo me, ong ba mang, nhung lai di tieu lien tuc (5-10 lan) vao mot buoi toi (nhat la truoc luc di ngu). Hoac co tre thuong xuyen di tieu chi vi khong muon hoc bai. Nhieu truong hop khac do bo me it quan tam (ban cong viec, co con be), muon gay su chu y cua bo me ma sinh ra tieu rat.
Nhu vay, mot chau be khoe manh, co moi bieu hien binh thuong ma bi dai rat, dai son la do chan thuong tam ly. Chau can duoc gia dinh gan gui, huong su tap trung vao viec khac moi lan muon tieu gap. Cha me khong nen lo lang den muc ap dat va tao cho chau phuong phap ""hoc ma choi, choi ma hoc"".
Khi bien phap giao duc tam ly khong cai thien duoc tinh hinh moi can toi su tro giup cua bac si chuyen khoa. Tre dai rat, dai son co the dieu tri khoi bang thuoc chong roi loan nhip tieu ket hop (Driptane, Amitriptytin).
BS. Tran Hoa (Vien Nhi Quoc gia)
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