TRANG 1

Mc lc
Li cm t Minh ha CHAT

M C L C

Trang 2 Trang 3 Trang 4-5 Trang 6-23

Bng kim tra CHAT Nhng triu chng hnh vi ca t k Trang 7-8 Cc vn x hi Trang 9 Cc vn giao tip Trang 10-13 Nhng hnh vi k l, lp i lp li Trang 14-15 Cc vn vn ng Trang 16 Nhy cm qu mc Trang 17-19 Cc vn cm gic Trang 20 Cc hnh vi t gy thng tch Trang 21-23 Cc vn an ton Nhng bnh khc km theo: ri lon tiu ho Nhng bnh khc km theo: ri lon gic ng, p ng au, co git Tc ng ca tr t k trong gia nh Vai tr can thip v gio dc sm Nhng chuyn gia c th gip tr t k

Trang 24 Trang 25 Trang 26 Trang 27 Trang 28

Trang 29-33 Gip tr t k thoi mi khi n khm bnh Trang 34-35 Nhng a ch hu ch cho cha m

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Li cm t
Ban Gim Hiu Trng Gio dc Chuyn bit Khai Tr xin chn thnh cm n t chc HANS (Hy Gip Tr T K Ngay By Gi) c nh cho php chng ti dch tc phm S Tay T K ca Bc S ny qua ting Vit. Cun sch ny l mt cm nang cho chng ti l nhng bc s, chuyn gia tr liu, v gio vin nhn bit r hn hi chng t k, chn on v can thip sm gip tr t k. Vit Nam trong nhng nm gn y nh c thng tin trn truyn hnh, truyn thanh, bo ch v trn mng, nhiu ph huynh a con n bnh vin khm v c t vn nn s tr mang chng t k c pht hin ngy cng nhiu. Tuy nhin s nhn bit cc du hiu ca t k trong ngnh y t cng nh gio dc vn cn hn ch, v t liu v t k bng ting Vit vn cn thiu. Chng ti xin gii thiu n qu v cun S Tay T K ca Bc S, c mong ti liu hu ch thit thc ny s c ph bin rng ri Vit Nam mi gii quan tm hiu bit thm v gp phn can thip, tr liu v gio dc tr t k hu hiu hn, gip tr sm ha nhp tt vo cng ng.
TS. BS. Hunh Tn Mm Sng Lp Trng Gio Dc Chuyn Bit Khai Tr TP. H Ch Minh, Vit Nam

Mc ch ca t chc HANS l gip cc gia nh c tr t k bng cch h tr cc bc s v chuyn gia nhn bit, chn on v tr liu sm chng t k.

Cun S Tay T K ca Bc S ny c hnh thnh gip cc nhn vin y t tuyn c s chm sc tr c chng t k V khng c xt nghim sinh ha, t k ch c th c chn on da trn quan st hnh vi ca tr, v hi cn thn cha m v cuc i ca tr. Cun s tay ny do iu dng Linda Lee, Gim c iu Hnh ca t chc HANS, hnh thnh vi s ng gp ca nhiu chuyn gia trong ngnh gio dc v y khoa.
2007 Tc gi gi bn quyn
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Lc 18 thng tui, con bn c...

1. Nhn bn v ch bng ngn tr cho bn xem vt g khng?

2. Nhn theo khi bn ch bng ngn tr mt vt g khng?

3. Dng tr tng tng chi gi b khng?

Nu tr li KHNG, th con bn c th c nguy c T K. Bn nn cho bc s ca b bit ngay.

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Da theo bng CHAT (bng kim t k tr chp chng bit i)

Bng Kim Tra CHAT

(CHAT l ch tt ca Bng Kim T K Tr Chp Chng Bit i) Bng CHAT cn c in khi b c kim tra sc kho lc 18 thng tui

Phn A: do ph huynh in
C C C C

1. B c thch c u a, lc l trn u gi ca bn khng? 2. B c quan tm n cc b khc khng? 3. B c thch leo tro khng? nh leo cu thang? 4. B c thch chi o hay trn tm khng? 5. B c bit chi gi b, v d nh pha mt tch nc tr, bng cch dng mt ci tch v bnh tr bng chi khng? 6. B c bao gi dng ngn tr ch vt g m b mun hi XIN hay khng? 7. B c bao gi dng ngn tay tr ch vt g m b quan tm khng? 8. B c bit chi ph hp vi cc chi nh (nh xe -t, cc khi), m khng b vo ming ngm, khng mn m hoc nm i khng? 9. B c bao gi mang mt vt g cho bn xem khng?

- KHNG - KHNG - KHNG - KHNG - KHNG - KHNG - KHNG

C C

- KHNG - KHNG

Phn B: do bc s hoc nhn vin y t in

C

1. Trong lc c bc s khm, b c tip xc mt vi bn khng?

2. Bn gy s ch ca b, ri th ch vo mt chi v ni

- KHNG

Coi ka, l (ni tn chi)! Nhn mt b. B c nhn theo vt m bn ang ch khng?

- KHNG

3. Bn gy s ch ca b, ri bn cho b mt ci tch v mt m tr chi v bo Con c th pha mt tch tr cho bc khng? B c bit gi b rt tr, gi b ung khng? 4. Bn hi b n u? Ch cho bc n i. B c bit ly ngn tr ch vo n khng? 5. B c bit xy thp vi cc khi khng? v nu c, bao nhiu khi?

- KHNG - KHNG - KHNG

B2. chm im C mc ny, bn cn m bo rng b khng ch nhn vo tay bn, m b cn nhn theo vt m bn ch. B3. Bn c th chn mt v d v tr chi gi b khc chm im C mc ny. B4. Nu b cha bit n l g, th bn c th hi b con gu bng u? hoc ch mt vt khc ngoi tm tay ca b. Cho im C mc ny, nu b nhn vo mt bn lc bn ch con gu.
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Bng Kim Tra CHAT

(CHAT l ch tt ca Bng Kim T K Tr Chp Chng Bit i) (tip theo)

Nhng mc chnh ca bng CHAT Phn A

A5: Chi gi b A7: Ch lin kt B2: Theo di mt vt c ch bng ngn tr B3: Gi b B4: Ch mt vt no

Phn B

Nhng mc ph ca bng CHAT Phn A

A1: Chi u a A2: Quan tm x hi A3: Pht trin vn ng A4: Chi x hi A6: Ch bng ngn tr yu cu A8: Chi chc nng A9: Cho xem mt vt g B1: Tip xc mt B5: Thp vi cc khi Tht bi (tr li KHNG) cc mc A5, A7, B2, B3, B4 Tht bi mc A7, B4, (nhng khng thuc nguy c cao) Nu khng thuc hai mc nguy c trn

Phn B

Thm nh nguy c
Nguy c cao Nguy c trung bnh Nguy c thp

Nhng khuyn co v x tr:

Nhm nguy c cao: Nhm nguy c trung bnh: Nhm nguy c thp: Gii thiu tr n mt phng khm pht trin v khoa gio dc c bit. Kh nghi cao - gii thiu nh trn Kh nghi thp - kim tra li mt thng sau. Nu c bt k mt cu tr li KHNG, kim tra li mt thng sau.

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Nhng triu chng hnh vi ca t k

X hi Giao tip Hnh vi k l, lp i lp li Vn ng Nhy cm qu mc Cm gic T gy thng tch An ton

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Nhng triu chng hnh vi ca t k

cc VN X hI

Khng quan tm n cc tr khc ang chi

C v hn hc vi anh ch em

Ngi go khc mt mnh thay v gi m

Khng lc cha m i hay lc cha m v nh

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Nhng triu chng hnh vi ca t k

cc VN X hI

Khng quan tm chi o hay nhng tr chi tng tc khc

Phn ng mnh khi c cha m bng, m hay hn

Khng gi tay i b ra khi ni khi c ngi n b

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Nhng triu chng hnh vi ca t k

cc VN GIaO TIP

Tr t k thng khng nhn bit mi trng xung quanh v kh tip xc mt. V th tr c v khng quan tm n giao tip. Khi tr cn g, thng cm tay dt chng ta n vt , hay ni cch khc, tr dng cha m hay ngi ln nh mt cng c ly cho tr vt tr thch. Khng nhn bit mi trng xung quanh

Trnh tip xc mt

Cm tay dt ngi khc

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Nhng triu chng hnh vi ca t k

NhNG hNh VI LP I LP LI

Vy tay Nhn lin tc vo qut trn ang quay

T quay vng vng

Xp cc chi thnh hng di

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Nhng triu chng hnh vi ca t k

NhNG hNh VI LP I LP LI

Khng quan tm n chi, m ch gn b vi mt s vt dng

Thch bt cc ht bi bay trong nh nng

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Khng bit chi cch ph hp vi chi, m ch thch mt phn ca chi thi, chng hn ch thch tp trung quay bnh xe ca mt t chi
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Nhng triu chng hnh vi ca t k

NhNG hNh VI K L bt thNG

Lc l, ong a

Tt v bt n lin tc

n nhng vt bt thng nh qun o, nm hay mn ca

Thch bng ngn tay trc mt

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12

Nhng triu chng hnh vi ca t k

NhNG hNh VI K L bt thNG

Thch chui xung nm di gm cc vt nng nh di gm ging

Bi trt phn

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Thch tm nhng tc ng mnh trn c th

13

Nhng triu chng hnh vi ca t k

cc VN VN NG

Tr t k c nhng vn ng bt thng. Mt s c th c nhng k nng vn ng c bit mt s lnh vc nhng b khim khuyt nhng k nng vn ng khc.

Khim khuyt vn ng tinh

Phi hp km

i nhn gt chn
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Khim khuyt cm nhn chiu su

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Nhng triu chng hnh vi ca t k

cc VN VN NG

Ngay mt s tr c nhng k nng vn ng bnh thng, cng c th gp kh khn vi nhng hot ng nh p xe p xe ba bnh, hay li mt xe hi chi.

Vng v

Gi thng bng l thng

Hay nhu nc bt

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Khng bit p xe p ba bnh hay li xe ti chi

15

Nhng triu chng hnh vi ca t k

NhY cM QU Mc

Tr t k rt kh chu ng m nhc, ting ng, cc loi mt vi, v nhng thay i mi trng hay sinh hot. Cng tip xc nhiu vi cm gic, tr cng c hnh vi phn ng

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Nhng triu chng hnh vi ca t k

cc VN cM GIc

Rt kh chu khi ct tc

Khng chu buc giy an ton

Khng chu c nhng iu mi l, nh nn sinh nht hay bong bng

Khng cho tm ra
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Nhng triu chng hnh vi ca t k

cc VN cM GIc

D nn i khi ngi nhng mi l trong nh

Khng chu c m nhc

Thch quay nhng vt trc mt

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Tr c v ic, khng git mnh khi nghe ting ng to, nhng c lc li c v nghe bnh thng
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Nhng triu chng hnh vi ca t k

cc VN cM GIc

Khng chu mc o m khi ra ngoi tri lnh

Khng cho thay qun o

C th x qun o ca mnh, nht l x cc nhn hiu v cc ng may

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C khi li i mc o m gia ma h
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Nhng triu chng hnh vi ca t k

cc hNh VI t GY thNG tch

p u T cn m khng bit au

T cu x v co xc da

T bt c nm tc

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20

Nhng triu chng hnh vi ca t k

cc VN aN tON

Khng bit nguy him

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21

Nhng triu chng hnh vi ca t k

cc VN aN tON

Khng nhn ra nhng tnh hung c th lm cho tr b tn thng

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22

Nhng triu chng hnh vi ca t k

cc VN aN tON

Khng s cao

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23

Nhng bnh km vi t k: xo trn tiu ho

Bc s Tim Buie, chuyn gia v bnh tiu ho ti i Hc Harvard v chng trnh Ladders ca Bnh Vin Massachusetts, Boston thc hin ni soi cho trn 1000 tr t k. Trong 400 tr u tin bc s thy tn sut ri lon tiu ho cao hn so vi tr bnh thng. 20% vim thc qun 12% vim d dy 10% vim t trng 12% vim i trng 55% thiu men lactase

Ph huynh nn cho con i khm chuyn khoa tiu ho nu thy c nhng triu chng sau y

Thc n cn nguyn trong phn Tiu chy

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Ch n hn ch hoc nhy cm vi thc n

24

To bn

Ri lon gic ng/p ng au/co git

Tr c th thc vi ngy lin m khng bun ng. Tr c v khng phn bit c ngy m. Tr kh vo gic ng v ng hoi. Tr c th ch ng mt hai gi. Hu qu l cha m cng mt ng theo.

Co git gia tng vi tui, cha r nguyn nhn

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Phn ng au gim; khng bit au, hoc phn ng au qu ng

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Tc ng ca t k trong gia nh

Vi mt tr t k, sinh hot quy nh hng ngy c th khng c thc hin. i sng ca cha m v ca nhng a con khc tr nn cng thng. Gia nh c th cn c t vn v tr gip.

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26

Vai tr ca can thip gio dc sm

Cc nghin cu chng minh l can thip gio dc sm dn n nhng kt qu tt cho tr v gia nh. Can thip sm c th bao gm vic dy tr nhn bit nhng g ang xy ra trong mi trng xung quanh, bit ch , bit bt chc hnh vi, dn dn ci thin nhng k nng giao tip ca tr. Gia nh tr cn c gii thiu ti cc trung tm can thip sm c lng gi nu nghi ng chm pht trin.

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Ty theo nhu cu ca tr, s can thip sm c th bao gm tr liu ngn ng, tr lu vt l v tr liu hng nghip
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Nhng chuyn gia c th gip tr t k

1. Chuyn gia pht trin 2. Chuyn gia thm nh v can thip sm* 3. Chuyn gia thm nh thnh gic 4. Chuyn gia tr liu m ng 5. Chuyn gia tr liu vt l 6. Chuyn gia tr liu hng nghip 7. Bc s nhi khoa chuyn v tiu ho v ng rut 8. Chuyn gia thn kinh 9. Bc s tm thn nhi, chuyn gia tm l nhi 10. Nhn vin x hi, tham vn vin gia nh 11. Gio vin khoa s phm chuyn bit 12. Cc trng gio dc chuyn bit* 13. Cc nhm tng tr ph huynh

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* Xin xem trang 34-35, nhng a ch hu ch cho cha m 28

Gip tr t k thoi mi khi n khm bnh

Bc s l nhng ngi c hun luyn chuyn mn chn on bnh. Tr t k thng khng c v au m, trng rt bnh thng v t cc mc pht trin nhi khoa.

Tuy nhin tr c th ng x nh th c cha m qu nung chiu.

Tr thng khng c rt mnh m trc mi trng i thay, trc nhng hon cnh mi, vi ngi l v nhng kinh nghim mi.

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29

Gip tr t k thoi mi khi n khm bnh

bc S NN IN thOI V thaM KhO VI cha M tRc

Nhng li ch bao gm kh nng: 1. C c lch s r rng t cha m m khng b s hin din ca tr chi phi. 2. Hi cha m c ngh g gip cho vic khm bnh c th d dng hn. 3. Ni vi cha m em theo mt vt quen thuc ca tr h tr tr trong lc khm bnh. 4. Nu tr cn c th mu, nn cho y lnh kem c thuc t cha m c th bi trc cho tr trc khi n khm bnh. 5. ngh cha m chun b tr bng cch c cho tr nhng truyn nh i thm bc s v i th mu c ng trn trang ca t chc HANS, www.helpautismnow.com.
NN LNG NGhE cha M

Cha m chnh l nhng chuyn gia bit r con mnh Khi c th, bc s iu tr triu chng th cht nh i vi tr bnh thng. Khng chng t k nh hng n s phn on ca mnh.
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Gip tr t k thoi mi khi n khm bnh

NN chUN b PhNG KhM

iu dng v y s c th kim tra trc vi cha m v vic b tr phng khm, bao gm: Phng yn tnh Phng khng c ca s Khng c nh sng chi ngi Khng m nhc Nu cn, nn ct nhng vt c th c dng nh v kh.

NN Rt NGN thI GIaN ch I

Hn khm tr u ngy, sm hn mi pht, tr khng lo lng bt an khi thy nhiu ngi l ngoi phng ch i. Nhng li ch: Gim thiu nhng nguy c Tr ln ra dy da lm n Lm cho cc gia nh khc trong phng ch i b chi phi Lm cho cha m bi ri Lm h hi phng ch Nu c th, nn in thoi hn trc ngy khm
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Gip tr t k thoi mi khi n khm bnh

NU KhNG c Nh D tNh

Ngi khc c th ngh l tr b bc i, b b, do chng ta cn ch Nhng hnh vi t gy thng tch nh co cu, cn, p u Tr khng bit au l g Tr khng bit vt g nguy him, vt g c th gy thng tch cho tr Tr qu nhy cm khng cho s vo mnh, khng cho ci qun o khm bnh
XIN NG NGc NhIN!

Xin cnh gic v s an ton ca bn. Nhiu tr t k khng bit c l bn hin din gip tr, m cm thy b e da. Tr c th bnh tnh mt lc, nhng ngay sau c th bng n: p u p mnh; co cn; phun nh nc bt; m ; bt tc; t kho cht ngi li
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Bn hy tn trng khng gian ring t ca tr v tr cn khng gian rng hn bnh thng nhng lc .
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Gip tr t k thoi mi khi n khm bnh

hIU bIt V NGN NG hN ch

Mt s tr c th k ton b truyn phim Disney nhng khng th ni tn hoc m t s au n. Tr c th kh x l thng tin c nghe .

LU tc NG ca t K tRN tON GIa Nh

Nu cn, nn gii thiu n nhng nhm hi tho dnh cho anh ch em, nhm tng tr gia nh, dch v gip gia nh c ngh ngi

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33

NhNG a ch hU ch chO cha M

Khi tr c du hiu chm ni hoc c mt s nt, biu hin ca chng t k, ph huynh c th tham kho danh sch cc a ch thm khm sau: ThNh Ph H NI Trung Tm Gio Dc c Bit AEIC 22A, ngch 629/25 Kim M Ngc Khnh, Qun Ba nh T: 094 382 1271 v 04 6273 1067 http://www.mamnonlamnhi.com Trung Tm An Phc Thnh 89, ng Tri C, ng Trng nh Qun Hai B Trng T: 0422 012 622 v 01 686 386 286 Trung Tm Can Thip Sm Trng Cao ng S Phm Trung ng 387, ng Hong Quc Vit Ngha Tn, Cu Giy T: 0437913116 http://canthiepsomtw.edu.vn Trng Mm Non Cu Vng Xanh S 30, ng 30 Ct Linh, Qun ng a T: 043 848 9566 0902 202 909 Trung Tm Gio Dc Chuyn Bit Hoa Anh o Ng 161/42, ph Hoa Lm Phng Vit Hng, Qun Long Bin T: 04 2240 5687 http://www.daytretuky.net Trung Tm Khnh Tm 65 - 67, ng Trn Hu Tc Phng Nam ng, Qun ng a T: 04 2242 7217 http://www.khanhtam.com.vn Trng Mm Non c Bit Myoko 3, ph Quang, ngch 26/1, ng Trn Duy Hng T: 04 3556 3880; 0987 449 223 http://www.myokoschool.com Trng Mm Non Newstar 32, ng 204, ng Trn Duy Hng T: 0437 86 83 86 0904 305 766 http://www.newstar.edu.vn Trung Tm Phc Hi Chc Nng Bnh Vin Nhi Trung ng 18/879, ng La Thnh Qun ng a T: 6273 8873; 6273 8532 http://www.nhp.org.vn ThNh Ph H Ch MINh Trng Gio Dc c Bit An Phc 204C, ng in Bin Ph, Phng 7, Qun 3 T: 083 9320 218 Trng Chuyn Bit Anh Vng 44, ng Cng L, Phng 15, Qun Tn Bnh T: 08.73 004 120 http://anhvuongspecschool.edu.vn Trung Tm Phc Tu 67, ph Ph c Chnh Thanh Xun - H Ni Lp T Vn Can Thip Sm Phng Thanh S 8, ngch 128/10, ng 128, ng Hong Vn Thi T: 046 660 3704; 0976 976 093 http://lopdaytretuky.com Trung Tm Sao Mai S 4, ng 116 Nhn Ho Phng Nhn Chnh, Qun Thanh Xun T: 84 4 3557 2569 http://www.morningstarcenter.net Trung Tm Phc Hi Chc Nng Tr Em VietHealth 39A, ng Xun Diu, Qun Ty H T: 84 4 3717 3118; 3718 6622 Email : phcnviethealth@gmail.com; Phng Khm Tm Thn - Tm L Tr Em S 2, ng 199, ng Trng Chinh Trung Tm V Tng Lai Tr T K S 2, ngch 10, ng 199, ng Thu Khu Trung Tm Nghin Cu Tm L NT Nguyn Khc Vin S 22, ng 6, ng Vn Phc T: 04 3726 4563 http://nt-foundation.com Trng Gio Dc Chuyn Bit Anh Minh 155, ng X Vit Ngh Tnh Phng 17, Qun Bnh Thnh T: 08 38 401 249
Trng Tr Khuyt Tt nh Dng

37/3, Khu Ph 3 Phng Tn Chnh Hip - Qun 12 T: 08 3891 0806

Trng Ban Mai

23/30, ng D2, (ng t Hng Xanh) Phng 25, Qun Bnh Thnh http://www.truongbanmai.com Trng Chuyn Bit Bim Bim 381/4/10, ng Phan Vn Tr Phng 11, Qun Bnh Thnh T: 08 222 97 393 ; 09 1979 5574 http://tuky-asperger.blogspot.com Email: bimbimautism@gmail.com Trng Cao ng S Phm Trung ng Khoa Gio Dc c Bit 625/9, ng X Vit Ngh Tnh, Phng 26, Qun Bnh Thnh T: 08 3511 9242 http://www1.mamnon.com
Trng Chuyn Bit Gia nh

280, ng Bi Hu Ngha Phng 2, Qun Bnh Thnh T : 803 0056 146bis, ng V Th Su Phng 8, Qun 3 T: 820 6662 - 09 1394 6086

Phng Khm a Khoa Tn nh ,

Bnh Vin Nhi ng I Khoa Tm L Khoa Vt L Tr Liu 532, ng L Thi T Phng 10, Qun 10 T: 84 8 3927 1119 http://www.nhidong.org.vn Email : bvnhidong@nhidong.org.vn Bnh Vin Nhi ng 2 Khoa Tm L 14, ng L T Trng, Phng Bn Ngh, Qun 1 T: 08 829 5723 http://www.benhviennhi.org.vn Email: benhviennhi@benhviennhi.org.vn Trng Gio Dc Tr T K v Chm Pht Trin Pooh Pi 22, l C ng Trng Sn Phng 15 , Qun 10 T : 970 3936

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NhNG a ch hU ch chO cha M

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