Rối loạn tiểu tiện ở người cao tuổi

Roi loan tieu tien

d ngu6i cao tuoi

Xet nghidm nudc tidu

-» BS. NGUYEN CUONG

Tuoi gia la dieu kien d§ phat sinh va phat trien benh

tat. He tiet nieu (bao gom than, nieu quan, bang

quang va nieu dao) cua ngUcii cao tuoi cung rat dk

bi tdn thu"dng nht/ viem than, soi tiet nieu, viem bang

quang, suy than man... Bieu hien thtrcJng gap la roi

loan tieu tien, day la dau hieu chi diem cua mot so

benh can dUcJc liTu y.

Nguydn nha n

Thil pham thfldng gap gay trieu chflng rd'i loan tiiu

tien la vidm bang quang, sdi tid't nidu, bdnh d tien

lidt tuye'n (vidm, phi dai, ung thu). Tien liet tuye'n tuy

khdng nam trong hd tid't nidu nhifng ed lidn quan gin

vi tien lidt tuye'n (thugc cd quan sinh due) ndm phia

sau cd bang quang, do dd khi co hidn tfldng u xd, phi

dai se gay chen ep co bang quang kich thich tieu tien,

Dd'i vdi phu nfl do nieu dao ngdn nen de hi nhiem

khuain gay vidm tid't nidu din din rd'i loan tieu tidn.

Nhflng phu nfl sinh de nhieu cd the gay sa bang quang

do dan day chdng eung gay rd'i loan tiiu tidn.

Vi khuin gay bdnh vidm tid't nidu thudng gap la

E. coli. cau khuan (Staphylococcus). It gap hdn ed the

do trfle khuan lao (Mycobacterium),.,

Bieu hi^n

Mdt di tiiu, tieu tidn nhieu lin ca ngay Idn dem

(30 - 45 phut lai buon tieu), nudc tieu it, tieu dat,

bud't rdt, sdn tidu, tieu khdng tfl chu, mud'n tiiu ngay,

tiiu khdng hit, tia khdng manh do bi chen ep, dau

tfle vimg bung dUdi (bang quang), tieu mau (can kilm

tra ngay), co thi kem theo met mdi, nhflc dau, sd't,

mat ngu (do di tieu ddm nhieu lin).

XiJ tri va dii phong

Khi cd bieu hidn rd'i loan tieu tien d ngudi cao tudi

can kilm tra d co sd y t l dl xet nghiem nUdc tieu;

sieu am, X quang de phat hidn sdi he tilt nieu, phi dai

tiln liet tuye'n; xet nghidm mau dl phdt hien ddi thdo

dfldng, suy giap trang deu co bilu hidn rd'i loan til'u

tidn nhifng khdng kem tieu rat, tidu budt. Nd'u nfldc

tiiu cd mau can theo doi mflc do trim trpng cua benh.

Cach dieu tri va tu van cu thi theo tifng trudng

hdp la rd't quan trpng vd cin thilt. Dd'i vdi rd'i loan

tiiu tien do viem nhiem thudng phai dimg khdng sinh

kem theo gifl gin ve sinh bp phan sinh due (nam, nfl).

Ne'u la ddi thao dfldng, suy giap trang cd cdeh dieu

28

tri vdi thude dae hidu rieng. Ne'u Id dai thdo dfldng

thi thfldng gap di tieu nhieu lan kem theo cdc tridu

ehflng khac (dn nhieu, ud'ng nhilu, giy sut nhanh,

nudc tieu cd dfldng vd dfldng huye't cao).

Tuy khdng phai la benh cap tinh trim trgng,

nhifng cung can xfl tri kip thdi, trflde hit Id de giai

quyet sfl khd chiu trong sinh hoat hang ngdy vi luon

ludn mud'n di tiiu. Nd'u dl keo ddi cd the biln ehflng

gay viem than rigfldc ddng, tie'n tdi suy thdn. Ddi vdi

u xd, phi dai tien liet tuydn ed thi gdy bi tieu phdi

giai quye't phiu thuat.

Vi khuan E.Coli Ik mgt trong nhdng tac nhkn

gay vidm nhiim dddng tieu ^

THUOC & SLfC KHOE so 503 f 1.7.2014)