Hỏi (Đồng Miên) :
Thầy ơi, thầy cho con hỏi ạ
Bị khô âm đạo nguyên nhân là vì đâu ạ thầy, nó rất khó khăn trong quan hệ vợ chồng ạ. Vậy thì cách xử lý như thế nào ạ? Mong Sư phụ chỉ dạy cho con được học hỏi thêm ạ.
Con cảm ơn sư phụ ạ
Trả lời (Wambuakim)
1/. Cơ chế sinh học âm đạo :
– Âm đạo là cơ quan sinh lý – sinh dục của phụ nữ, cần được duy trì độ ẩm phù hợp với quá trình sinh lý – sinh dục. Khi độ ẩm này không được bảo đảm sẽ gây hiện tượng khô, rát, đau và có thể tạo thành các vết bỏng nhức buốt trên thành âm đạo.
– Tuyến Bartholin (gồm hai ống kích thước nhỏ nằm ở hai bên phía trong của lỗ âm đạo) đảm nhiệm việc tạo ra và tiết chất nhờn lên thành âm đạo. Trong điều kiện bình thường, tuyến Bartholin tiết trung bình 1 giọt / giờ để giữ ẩm độ âm đạo. Khi quan hệ tình dục thì tuyến Bartholin có thể tiết nhiều gấp hàng chục lần, thỏa mãn sự dịch chuyển trơn tru của quá trình sinh dục.
– Âm đạo bị khô là khi tuyến Bartholin không tiết đủ chất nhờn để có độ trơn ướt trong quan hệ tình dục, gây khô, rát, đau, tạo thành các vết bỏng nhức buốt trên thành âm đạo. Chứng khô âm đạo không gây nguy hiểm cho phụ nữ nhưng nó khó chịu, trở ngại sinh hoạt tình dục, thậm chí rất nhiều trường hợp đưa đến tan vỡ hạnh phúc gia đình do nó cản trở tình dục, làm giảm khoái cảm, gây đau khi giao hợp cho cả hai người, khó đạt đỉnh khi quan hệ tình dục…
2/. Phương thức điều tiết hoạt động của tuyến Bartholin.
Tuyến Bartholin tiết dịch do những chi phối của co giãn cơ vòng âm đạo + hệ thần kinh + nội tiết + các loại thuốc từng sử dụng + sai lầm trong lối sống.
– Khi quan hệ tình dục, sự hưng phấn thần kinh của “khúc dạo đầu” (còn gọi là “kích thích”) là tác nhân quan trọng để tiết 30% chất nhờn (nhưng không phải là tất cả).
– Sự co – giãn của cơ vòng âm đạo có tác động đặc thù lên thành tuyến Bartholin làm cho Bartholin tạo ra lượng chất nhờn đủ lớn để chuẩn bị bôi trơn âm đạo. Nếu âm đạo bị thiếu co giãn (do tiền mãn kinh, do viêm nhiễm vi khuẩn, virus hay nấm lâu dài v.v…) hay mỏng đi do lão hóa cơ vòng thì chất nhờn cũng sẽ bị thiếu hụt quan trọng.
– Sự háo hức của quá trình tình dục làm tăng nồng độ estrogen và progesterone máu, thúc đẩy tuyến Bartholin tăng tiết 70% chất nhờn bôi trơn âm đạo trong suốt quá trình sinh hoạt tình dục.
– Một số loại thuốc Tây Y làm giảm tiết chất nhờn Bartholin như thuốc trị hội chứng mãn kinh, sinh và cho con bú, điều trị ung thư, hút thuốc. Người bị bệnh ung thư tử cung cũng có khả năng bị bệnh vì đã phẫu thuật loại bỏ buồng trứng.
– Khô âm đạo còn có thể xảy ra do thụt rửa âm đạo sai cách (rửa bằng dung dịch vệ sinh âm đạo), tình trạng khô da ở bộ phận sinh dục, và kích thích âm đạo trong lúc quan hệ không đủ hoặc không đúng cách.
3/. Nguyên nhân gây khô âm đạo.
Qua phân tích nói trên, chúng ta rút ra phán đoán Y Học của chứng Khô Âm Đạo.
a/. Suy giảm chức năng của tuyến Bartholin : Việc suy giảm chức năng của tuyến Bartholin thường do viêm nhiễm tuyến này. Viêm tuyến Bartholin là tình trạng xảy ra khi một hoặc cả hai ống của tuyến Bartholin bị nhiễm trùng. Nguyên nhân có thể là do các loại vi khuẩn hoặc do các bệnh lý phụ khoa khác thường lây truyền qua đường tình dục.
Viêm tuyến Bartholin nếu không được điều trị sớm có thể gây sưng đỏ và đau đớn ở vùng âm đạo. Nó cũng khiến các ống thông thuộc tuyến Bartholin bị tắc nghẽn. Chất nhờn không tiết ra được sẽ ứ đọng và tạo thành các u nang. Vi khuẩn tiếp tục tấn công các u nang này khiến chúng bị nhiễm trùng và tạo thành áp xe tuyến Bartholin.
b/. Cơ vòng và tổ chức âm đạo kém co giãn : Do lão hóa, do hội chứng tiền mãn kinh, do viêm nhiễm kéo dài …
c/. Trở ngại từ hoạt động tâm lý – thần kinh : sự mất háo hức sau “khúc dạo đầu” do nguyên nhân stress, căng thẳng gia đình và xã hội, do phai nhạt tình cảm, và các nguyên nhân tâm lý – thần kinh phức tạp khác.
d/. Do giảm tiết + mất cân bằng nội tiết : Nội tiết tố ở người phụ nữ như estrogen, progesterone cần đầy đủ và cân bằng. Estrogen sẽ giúp duy trì mô âm đạo khỏe mạnh bằng cách duy trì tiết chất nhờn, đồng thời duy trì độ đàn hồi cũng như độ acid bình thường ở âm đạo. Progesterone làm nâng cao nhu cầu và khoái cảm tình dục.
e/. Tránh sử dụng thuốc tân dược bừa bãi, đặc biệt là thuốc chống viêm, chống trầm cảm, thuốc hút và kháng sinh. Nó tác động trực tiếp lên cơ chế tâm lý – thần kinh – nội tiết, giảm khát vọng sống, giảm ham muốn và hạnh phúc gia đình.
f/. Luyện tập thể thao vừa phải, bài bản và đủ mức độ để duy trì sức trẻ – khỏe của cơ thể để có cuộc sống tình dục viên mãn.
Sai lầm lớn nhất là đặt quá cao vị trí của sự kích thích của “khúc dạo đầu”, xem nó là “tất cả” với chứng khô âm đạo như bạn Nguyễn Quốc Chánh nói trên.
II/. Xử lý chứng khô ân đạo :
Đã xác định và phân lập được nguyên nhân thì xử lý chứng Khô Âm Đạo dĩ nhiên là chẳng có gì khó. Chu trình xử lý chứng Khô Âm Đạo theo các bước sau :
1/. Tăng cường vận động thể lực, ăn uống và nghỉ ngơi hợp lý, nâng cao khát vọng sống trên cơ sở thân thiện, chan hòa và sẵn sàng chia sẻ tâm thái với người trong gia đình, bạn bè thân thiết và các quan hệ xã hội (có chọn lọc), tăng thể trạng (nếu gầy ốm) hay giảm mỡ (nếu quá béo), trị dứt hôi nách và hôi miệng (nếu có). Đặc biệt Chạy bộ + Đi xe đạp + Bơi lội còn làm tăng tính co dãn của cơ vòng sinh dục.
Tổng hòa của những điều này sẽ giải phóng hầu hết mọi stress, muộn phiền hay áp lực trong công việc, trong quan hệ gia đình và xã hội …, giữ sự lạc quan và tin yêu cuộc sống.
2/. Trị dứt các viêm nhiễm do vi khuẩn, nấm, virus … ký sinh trùng (nếu có), đặc biệt viêm nhiễm ở tuyến Bartholin (thông tuyến nếu tuyến bị tắc). Tăng DHA – K+ hỗ trợ Bartholin tăng sản và tăng tiết chất nhầy âm đạo.
3/. Dừng tất cả các loại thuốc Tây Y tác hại đến quá trình sinh lý – sinh dục và cản trở sự tăng tiết chất nhầy Bartholin. Học hỏi và sử dụng cách vệ sinh sinh dục đúng, tránh thụt rửa bằng các dịch thụt rửa âm đạo gây khô âm đạo.
4/. Hỗ trợ cơ chế nội tiết bằng bài thuốc “Nội tiết nữ” nhằm điều chỉnh cả nội tiết tố Estrogen và Progesterone trên cơ sở hiểu rõ rằng cơ thể phụ nữ là đặc biệt phi thường, sản sinh được cả Estrogen và Progesterone, trong khi cơ thể nam giới chỉ tiết mỗi progesterone mà thôi. Y Học Cổ Đại vẫn cho rằng “Đàn ông là một nửa đàn bà” vì lý do đó.
5/. Cần học hỏi (và sử dụng) phương thức ái ân, âu yếm và quan tâm nhau trong suốt quá trình sinh dục. Đừng đành giá quá cao “khúc dạo đầu” như sai lầm của Nguyễn Quốc Chánh mà cần hiểu rõ rằng sự háo hức tình dục trong suốt quá trình quan hệ tình dục mới là quan trọng nhất, bảo đảm quá trình sinh dục hoàn hảo. Nếu chỉ quan tâm đến kích thích trong “khúc dạo đầu” thì sau vài phút trơn ướt, âm đạo bắt đầu khô, gây đau đớn, thậm chí có trường hợp khô đến nỗi dính chặt không tách ra được, phải dùng băng ca đưa cả đôi đến trạm Y tế, gây xấu hổ với cả xóm giềng, hậu quả sau đó là người phụ nữ có thể lãnh cảm cả đời.
6/. Trong quá trình tiến đến cuộc sống tình dục hoàn hảo đó, có thể hỗ trợ bằng Gel sinh dục (có bán ở các trung tâm Y tế cộng đồng) nhưng có thể bị hại vì mua phải hàng giả ngoài thị trường. Dịch bôi trơn sinh học hỗ trợ sinh dục an toàn nhất là DẦU MÈ hoặc một hỗn hợp Dầu mè + Dầu Ô liu với tỷ lệ 60% + 40%.
Chúc chị em phụ nữ giữ được cuộc sống tình dục hoàn hảo.
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