Debunking "Kodi muyenera kuda nkhawa ndi zolaula zomwe zimapangitsa kuti mukhale ndi vuto la erectile?" (yolembedwa ndi The Daily Dot's Claire Downs)

Tengani.JPG

Introduction

Apa tili ndi nkhani ina yofalitsa nkhani zabodza , iyi ikuyesera kukana kuti pali mavuto ambiri okhudzana ndi kugonana omwe amabwera chifukwa cha zolaula. Ndi ya Claire Downs wa The Daily Dot yemwe luso lake limafotokozedwa kuti ndi " Wogwira ntchito wa m'badwo wachitatu mumakampani azamtsogolo ku Chicago, amadziwika kwambiri ndi ndalama za digito ndi ma altcoins. " Chosangalatsa n'chakuti, palibe nkhani iliyonse yomwe yachitika posachedwapa yomwe ikuyesera kutsutsa ED yoyambitsidwa ndi zolaula yomwe yalembedwa ndi atolankhani asayansi, osatinso akatswiri azachipatala kapena akatswiri azaumoyo.

Monga nkhani zina zoterezi, Downs amatchula maphunziro awiri omwewo (omwe sanapeze zomwe Downs akunena kuti anachita) ponyalanyaza kuponderezedwa kwa umboni wamakono ndi zachipatala m'munda.

Ndisanalankhule magawo enaake a nkhani ya The Daily Dot , nayi maphunziro omwe Claire Downs anasankha kunyalanyaza. (Ndikunena kuti 'anasankha' chifukwa maphunziro ambiri otsatirawa adatchulidwa mu ndemanga iyi ya mabuku ya 2016 , yomwe Downs adatchula munkhani yake, koma sanayankhe chifukwa ankafuna kunyoza m'modzi mwa olemba ake 8):

Mu mawu ake oyamba, Downs anati “ tinalankhula ndi madokotala ndi akatswiri azaumoyo wogonana za kafukufukuyu ,” koma nkhaniyi imangotchula akatswiri awiri okha. Ngakhale katswiri wazaumoyo amene amaona amuna akuvutika ndi mavuto ogonana sali wotere:

  1. Dr. Nicole Prause, wosaphunzira yemwe ali ndi mbiri yayitali ya kugwira ntchito mwakhama zolaula zomwe zinapangitsa kuti ED ndi zolaula ziwonetsedwe bwino. Nicole Prause akuda nkhawa ndi debunking PIED, pokonzekera Nkhondo ya zaka 3 pa pepala ili la maphunziro, uku mukumazunza ndi kuwamasula anyamata omwe achira zomwe zapangitsa kuti achite zachiwerewere. Onani zolemba: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Mpingo wa Nowa, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9, Alexander Rhodes # 10, Alex Rhodes # 11, Gabe Deem & Alex Rhodes pamodzi # 12, Alexander Rhodes # 13, Alexander Rhodes #14, Gabe Deem # 4, Alexander Rhodes #15. Pemphero likuyesetsanso Khalani chete Gary Wilson kupyolera mwa kuphwanya malamulo kosamveka ndi kulakwitsa.
  2. Dr. Heather Berg, yemwe akuti ndi mphunzitsi wa maphunziro a jenda ku USC akugwira ntchito yolemba buku lonena za makampani achikulire opanga mafilimu. ” Bukulo? "Zogwira Ntchito Zoipa: Mafilimu Achikulire pa Point of Production, amafufuzira zolaula, kutengapo mbali, ndi kukonzekera antchito"

Nkhaniyi imadalira ma PhD awiri abwino ogonana, popanda katswiri wa zamankhwala, osati katswiri weniweni wa urologist. Mwina Claire Downs akanayenera kuwerenga tsamba lino lomwe lili ndi nkhani ndi makanema a akatswiri oposa 140 (mapulofesa a urology, akatswiri a urology, akatswiri amisala, akatswiri a zamaganizo, akatswiri a zachiwerewere, akatswiri a MD) omwe amavomereza ndipo apambana pochiza ED yoyambitsidwa ndi zolaula komanso kutaya chilakolako chogonana komwe kumabwera chifukwa cha zolaula.

Zonse za mayankhowa zidzakhala ndi zolemba zochokera ku Claire Downs zomwe zatsatiridwa ndi ndemanga za YBOP.

Akuyesera kuti awononge pulofesa Carro patsogolo, koma akuphatikiza maphunziro awiri osiyana

Poyesa "debunk" zomwe zapezedwa ku Foresta, a Downs amatchula kafukufuku wa 2015 Foresta, komabe zolemba zake zonse zimachokera mchisindikizo cha 2011 Foresta chomwe sichikugwirizana ndi kafukufuku wa 2015. Wopusa.

CLAIRE DOWNS: “Okhulupirira “mliri” wa PIED nthawi zambiri amatchula kafukufuku wina wa 2015 wochokera ku International Journal of Adolescent Medicine and Health. Idafufuza amuna 28,000 aku Italy okhudza zolaula ndi zizolowezi zodziseweretsa maliseche. Kafukufukuyu adatsimikiza kuti anyamata—omwe adayamba kuonera zolaula ali ndi zaka 14—adagwa m'chilakolako cha kugonana ndipo chidwi chawo pa ogonana nawo a IRL chinachepa mtsogolo.

Komabe, nayi nkhani: Sizinali choncho. Izi ndi zomwe mawebusayiti monga Blaze adanena pa kafukufukuyu. Kuchuluka kwa chilakolako cha kugonana kwa ophunzira sikunayesedwe kwenikweni—“kafukufukuyu” anali kungofufuza maganizo chabe.”

Pamene Downs anati “ Okhulupirira “mliri” wa PIED nthawi zambiri amatchula kafukufuku wa 2015 ,” iye analumikiza kafukufukuyu: Achinyamata ndi zolaula za pa intaneti: nthawi yatsopano yogonana (2015 ) . Kafukufuku wa Foresta uyu anafufuza zotsatira za zolaula za pa intaneti pa akuluakulu a sukulu ya sekondale (zaka 18). Mwachidule, Dr. Foresta ndi Purezidenti (kapena Purezidenti wakale) wa Italian Society of Reproductive Pathophysiology. Chosangalatsa kwambiri chomwe gulu lake lapeza ndi chakuti 16% ya omwe amaonera zolaula kangapo pa sabata amanena kuti chilakolako chogonana ndi chochepa kwambiri, poyerekeza ndi 0% mwa omwe sagula (ndi 6% kwa iwo omwe amadya zochepa kuposa kamodzi pa sabata).

Komabe, ulalo wachiwiri ( "mawebusayiti ngati Blaze adalemba za kafukufukuyu" ) ndi zigawo zake zonse zikunena za nkhani yofalitsidwa mu 2011 kuchokera ku Italian Society of Andrology and Sexual Medicine (SIAMS). Onani Zolaula Zambiri pa Intaneti Zingayambitse Kusabereka, pulofesa wa urology Carlo Foresta (2011) kuti mudziwe nkhani zina zambiri zokhudza nkhani yofalitsidwa ya SIAMS.

PDF iyi ya nkhani ya Foresta ya 2014 , ili ndi zomwe zawonedwa ndi ziwerengero zambiri, kuphatikizapo kukwera kwakukulu kwa chiwerengero cha achinyamata omwe akunena za mavuto okhudzana ndi kugonana komanso kutaya chilakolako cha kugonana. Foresta akutchulanso kafukufuku wake womwe ukubwera, “ Sexuality media and new forms of sexual pathology sample 125 young men, 19-25 years .” Dzina la Chiitaliya: “ Sessualità mediatica e nuove forme di patologia sessuale Campione 125 giovani masch i”

Chifukwa chakulakwitsa kwake, zonse zomwe a Downs akunena za "kafukufuku wa 2015" sizolondola. Ichi ndi chimodzi mwazinthu zina zolakwika zomwe Claire Downs adachita.

Downs amagwiritsa ntchito ad hominem ndi mawu abodza kuti awononge a pepala lowonetsedwa ndi anzawo okhudza madokotala a 7 US Navy

Mu ndime yotsatirayi Downs amagwiritsa ntchito mawu abodza ndi ad hominem :

CLAIRE DOWNS: “ Pepala lina , “Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Kusokonezeka kwa Kugonana?” linatchulidwa m’nkhani ya Herald iyi , chenjezo lokhudza mbadwo umene unakulira pa zolaula. Atafufuza mozama, m’modzi mwa olemba pepalalo anali Gary Wilson, yemwe anayambitsa YourBrainOnPorn.com, yomwe imatsogolera ma kampeni andale ndi achipembedzo olimbana ndi zolaula.”

Pachifukwa chachilendo, Downs anaiwala kutchula kuti olemba ena a pepalali ndi madokotala asanu ndi awiri a US Navy , kuphatikizapo madokotala awiri a urologist, madokotala awiri amisala, ndi MD wokhala ndi PhD mu neuroscience kuchokera kwa John Hopkins. Pepani.

Downs adasiyanso mfundo yoti kuwunikiraku kwathu kumapereka zidziwitso zaposachedwa zomwe zikuwonetsa kuwuka kwakukulu pamavuto achichepere ogonana. Ikuwunikiranso maphunziro amitsempha okhudzana ndi zolaula komanso zachiwerewere, zomwe zimawoneka ngati zowopsa kwa ena ogwiritsa ntchito zolaula pa intaneti masiku ano. Madotolo amapereka malipoti azachipatala a 3 azamuna omwe adayamba zolaula zomwe zimayambitsa zovuta zogonana. Awiri mwa amuna atatuwa adachiza zovuta zawo pakugonana pogwiritsa ntchito zolaula pa intaneti. Munthu wachitatu sanasinthe kwenikweni popeza sanathe kupewa zolaula.

Mwambi wakale ndi wakuti “Nthawi zonse yesani ad hominem pamene simungathe kuyankha funsoli.” Kapena pankhani ya Downs, “N’chifukwa chiyani muyenera kufufuza nkhani yolembedwa ndi mizimu?” Sinditsogolera kampeni zandale kapena zachipembedzo zotsutsana ndi zolaula. Ndine wosakhulupirira Mulungu, monga momwe makolo anga analili, ndipo ndale zanga ndi za kumanzere kwambiri. Mfundo yodziwika bwino iyi yafotokozedwa patsamba la About Us . Mfundo yosadziwika bwino ndi yakuti abambo anga oleredwa ku Seattle omwe anali aulere kwambiri ankaphunzitsa maphunziro a kugonana.

Ndafotokoza m'mafunso angapo mbiri yanga komanso momwe ndinapangira www.yourbrainonporn mu 2011. (Kuti mudziwe zambiri onani kuyankhulana kwanga kwa 2016 ndi Noah B. Church.) Sindinali ndi maganizo aliwonse pa zolaula. Kudzera mu kugawa kwa injini zosakira, pafupifupi 2007 (patangopita nthawi yochepa kuchokera pomwe zithunzi zolaula za pa intaneti zidayamba kuonekera), amuna omwe akudandaula za kusagwira ntchito bwino kwa maliseche komanso kusakhala ndi chilakolako chogonana kwa okwatirana enieni adayamba kuyika pa forum yosadziwika bwino ya mkazi wanga yomwe idapangidwa kuti ikambirane za maubwenzi ogonana. M'zaka zingapo zotsatira, amuna ambiri athanzi omwe anali pa forum imeneyo adachiritsa mavuto awo ogonana posiya zolaula. Pamapeto pake tidalemba za izi, chifukwa amuna ambiri adapeza kuti kuwerenga zomwe anzawo adakumana nazo kunali kothandiza. Posakhalitsa forum ya mkazi wanga inali yodzaza ndi anyamata achichepere omwe akufuna kuchiritsa zotsatira zosayembekezereka za kugwiritsa ntchito zolaula pa intaneti. Panthawiyi, sitingathe kuwerengera kangati komwe tidapempha akatswiri azachiwerewere kuti ayang'ane izi. Iwo anakana.

N'zomvetsa chisoni kuti ambiri mwa amuna omwe akugonjetsedwa ndi zolaula anadzipha okha, poopa kuti adasweka chifukwa cha moyo wawo. Poyang'anizana ndi kupitiliza kuponyedwa miyala ndi akatswiri omwe ayenera kuti anali kufufuza zochitika za odwalawo, tinamva kuti tikufunikira kupanga malo omwe alipo omwe amapereka sayansi yeniyeni ndi nkhani za amuna omwe adapezekanso ndi zovuta zogonana zokhudzana ndi kugonana ( kuchepetsa kuchepa, kutaya zokopa kwa anthu enieni, ndi zosokoneza zosakhalitsa kapena zosakhulupirika). Www.yourbrainonporn.com anabadwa. Ngati izo zikugwira ntchito pa chirichonse, izo zingakhale zogonana.

Claire Downs amatchula mapepala awiri otsutsidwa kwambiri ponyalanyaza maphunziro a 2 khumi otsutsana.

Monga tafotokozera pamwambapa, Downs sanafufuze maphunziro opitilira 35 omwe amalumikiza kugwiritsa ntchito zolaula/chizolowezi chogonana ndi mavuto okhudzana ndi kugonana komanso kuchepetsa chilakolako chogonana ndi zinthu zogonana. Chofunika kwambiri, Downs sanafufuze maphunziro 7 omwe akuwonetsa kugwiritsa ntchito zolaula zomwe zimayambitsa mavuto okhudzana ndi kugonana (maphunziro 7 oyamba pamndandanda). Mu maphunziro onse 6 odwala achichepere omwe ali ndi vuto logonana nthawi yayitali adachotsa kugwiritsa ntchito zolaula ndikuchiritsa mavuto awo okhudzana ndi kugonana.

Ponyalanyaza mapepala 6 omwe akunena kuti kusiya kugwiritsa ntchito zolaula pa intaneti kunasintha mavuto ogonana, ndi maphunziro ena 19 omwe amagwirizanitsa kugwiritsa ntchito zolaula pa intaneti ndi mavuto ogonana komanso kusakhala ndi chilakolako chogonana, Claire Downs m'malo mwake adatchula mapepala awiri ngati "magwero odalirika": Prause & Pfaus, 2015 ndi Landripet & Stulhofer, 2015. Choyamba, palibe pepala lililonse lomwe linali phunziro lenileni. Prause & Pfaus, 2015 adasonkhanitsa deta kuchokera m'mapepala akale omwe sanali okhudzana ndi vuto la kugonana. Monga momwe mudzaonera, palibe deta iliyonse kuchokera m'mapepala akale anayi yomwe idayandikira kufanana ndi chiwerengero cha anthu kapena zomwe zidanenedwa papepala lophatikizanalo. Landripet & Stulhofer, 2015 inali kulumikizana kwakanthawi komwe sikunatchulidwe maubwenzi angapo ofunikira omwe adanenedwa pamsonkhano. Mapepala onsewa adatsutsidwa m'mabuku owunikidwa ndi anzawo, komanso kwina kulikonse. Zolemba zofunikira kuchokera m'nkhani ya Downs:

CLAIRE DOWNS: “N’zosavuta kupeza magwero odalirika omwe amathandizira ndikulimbikitsa makhalidwe abwino a zolaula. Mwachitsanzo, kafukufuku wa 2015 , wochitidwa ndi ofufuza ku Sexual Psychophysiology and Affective Neuroscience Laboratory , sanapeze ubale uliwonse pakati pa ED ndi chiwerengero cha mafilimu ogonana omwe amuna amaonera. Pankhani ina, Dr. Nicole Prause adapeza chilakolako chogonana champhamvu mwa amuna omwe adanena kuti amaonera zolaula zambiri kunyumba.

Kafukufuku wina wa pa intaneti wa 2015 wokhudza amuna pafupifupi 4,000 aku Europe, wofalitsidwa mu Journal of Sexual Medicine , sanapeze vuto lalikulu lokhudzana ndi ED ndi zolaula ndipo adatchulanso "kuyankha kwakukulu pakugonana" mwa owonera zolaula."

Mapepala onsewa adakambidwa mozama mu ndemanga ya mabuku omwe adalembedwa ndi madokotala 7 a US Navy komanso ine, zomwe ndizitchula pansipa. Ndili ndi zambiri zoti ndinene za mapepala onse awiri, kotero ndapanga magawo osiyana pa chilichonse. Tiyeni tichotse chinthu chimodzi: palibe pepala lomwe linapeza kuti kugwiritsa ntchito zolaula kunali kogwirizana ndi "kuyankha kwakukulu pakugonana," ngakhale zomwe Downs wanena ndi magwero ake. Ndiyamba ndi pepala lachiwiri chifukwa tidakambirana kaye mu ndemanga yathu ya mabukuwa.

PAPER 1: Pembedzero & Pfaus, 2015.

Ndimapereka ndemanga za Richard Isenberg, MD komanso kutsutsa kwakukulu, ndikutsatira ndemanga zanga komanso zolemba zomwe zidalembedwa ndi madokotala a US Navy:

Chigamulo: Mosiyana ndi zomwe Downs ananena (ndi zomwe Prause & Pfaus ananena), amuna omwe anaonera zolaula zambiri analibe "mayankho amphamvu mu labu." Palibe kafukufuku aliyense mwa anayi omwe adayambitsa zomwe pepalalo linanenapo kuti adayesa momwe kugonana kapena kugonana kumayankhira mu labu. Zimene Prause & Pfaus adanena mu pepala lawo zinali zakuti amuna omwe anaonera zolaula zambiri adawonetsa chisangalalo chawo chachikulu pang'ono akamaonera zolaula . Mawu ofunikira ndi akuti " akuonera zolaula." Izi zikutanthauza kuti, osati pamene akugonana ndi munthu weniweni.

Kuwonetsa chilakolako cha kugonana pamene mukuonera zolaula sikutiuza chilichonse chokhudza chilakolako cha kugonana kapena chilakolako cha kugonana pamene simukuonera zolaula (ndipo nthawi yomwe anyamata ambiri omwe ali ndi vuto la kugonana chifukwa cha zolaula amasonyeza kusokonezeka kwa ntchito yogonana). Kuwonetsa koteroko sikutiuzanso chilichonse chokhudza ED yochokera ku zolaula, komwe ndi kulephera kudzuka mokwanira popanda kugwiritsa ntchito zolaula . Komabe, tsatanetsatane wochokera ku Prause & Pfaus, 2015 ukuwonetsa kuti sakanatha kuwunika molondola kuchuluka kwa chilakolako cha kugonana kwa anthu omwe akuwagwiritsa ntchito (zambiri pansipa).

Ponena za mkangano, tiyeni tiyerekeze kuti amuna omwe amaonera zolaula zambiri adawonetsa chilakolako chawo cha kugonana chapamwamba pang'ono kuposa amuna omwe amaonera zochepa. Njira ina, yovomerezeka, yotanthauzira kusiyana kwa chilakolako pakati pa magulu awiriwa ogwiritsa ntchito zolaula ndikuti amuna omwe amaonera zolaula kwambiri anali ndi chilakolako chachikulu chogwiritsa ntchito zolaula . Izi mwina ndi umboni wa chidwi , chomwe ndi kuyambitsa kwabwino kwa ubongo (ubongo) ndi chilakolako akamakumana ndi zizindikiro (zolaula). Kuzindikira (kuzindikira ndi kulakalaka) ndi kusintha kwakukulu kwa ubongo komwe kumakhudzana ndi chizolowezi.

Kafukufuku waposachedwa wa ubongo wa ku Cambridge University wasonyeza kuti anthu ogwiritsa ntchito zolaula mopitirira muyeso anali ndi chidwi ndi anthu omwe amawagwiritsa ntchito mopitirira muyeso. Ubongo wa anthu omwe anali nawo unayamba kukwiya kwambiri chifukwa cha mavidiyo a zolaula, ngakhale kuti “sanakonde” zina mwa zinthu zogonana kuposa kulamulira anthu omwe anali nawo. Mu chitsanzo chodabwitsa cha momwe kukhudzidwa kungakhudzire machitidwe ogonana, 60% ya anthu omwe anali nawo ku Cambridge adanena kuti anali ndi mavuto okhudzana ndi chilakolako cha kugonana ndi anzawo koma osati ndi zolaula . Kuchokera ku kafukufuku wa ku Cambridge :

[Osokoneza bongo] adatinso chifukwa chogwiritsa ntchito kwambiri zolaula ... .. adakumana ndi kuchepa kwa libido kapena ntchito ya erectile makamaka mu ubale weniweni ndi akazi (ngakhale sanali ogwirizana ndi zolaula).

Mwachidule, Wogwiritsa ntchito zolaula angathe kuganizira zofuna zowonjezera (zolakalaka) komanso amakumana ndi mavuto okhwima / okakamizidwa ndi mnzake. Zachidziwikire, kudzuka kwake poyankha zolaula si umboni wa "kuyankha kwake kogonana" kapena kugwira ntchito ndi mnzake. Onani maphunzirowa akufotokoza za kukakamiza / kulakalaka kapena kuyambiranso kugwiritsa ntchito zolaula / ogwiritsa ntchito zolaula: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23, 24.

Chowonadi cha Prause & Pfaus 2015: Uwu sunali kafukufuku wa amuna omwe ali ndi ED. Sunali kafukufuku konse. M'malo mwake, Prause adati adasonkhanitsa deta kuchokera ku maphunziro anayi ake akale, omwe palibe omwe adalankhula za vuto la erectile dysfunction. N'zosadabwitsa kuti pepala ili lolembedwa ndi Nicole Prause ndi Jim Pfaus lidapambana ndemanga ya anzawo popeza palibe deta iliyonse yomwe ili mu pepala lawo yomwe idagwirizana ndi deta yomwe ili mu maphunziro anayi omwe pepalalo lidati idachokera. Kusiyana kumeneku si mipata yaying'ono, koma mabowo otseguka omwe sangatsegulidwe. Kuphatikiza apo, pepalalo lidapereka zifukwa zingapo zomwe zinali zabodza kapena zomwe sizikugwirizana ndi deta yawo.

Timayamba ndi mabodza omwe Nicole Prause ndi Jim Pfaus adanena. Nkhani zambiri za atolankhani zokhudza kafukufukuyu zinati kugwiritsa ntchito zolaula kunapangitsa kuti munthu azitha kukhwima bwino , koma si zomwe pepalalo linapeza. Mu kuyankhulana komwe kunalembedwa, Nicole Prause ndi Jim Pfaus adanama kuti adayesa kukhwima bwino mu labu, ndipo amuna omwe amagwiritsa ntchito zolaula anali ndi kukhwima bwino. Mu kuyankhulana kwa pa TV kwa Jim Pfaus, Pfaus anati:

"Tidawona kulumikizana kwa kuthekera kwawo kuti akonzekeretsere labu."

"Tapeza kulumikizana kwapafupi ndi kuchuluka kwa zolaula zomwe amaziwona kunyumba, ndipo zotulukapo zomwe amalandira erection ndizothamanga."

Mu kuyankhulana kwa wailesiyi, Nicole Prause adati kukhwima kwa chiberekero kumayesedwa mu labu. Mawu enieni ochokera mu pulogalamuyo:

"Anthu ambiri akamayang'ana zochitika panyumba amakhala ndi mayankho olimba pakati pa labu, osachepetsedwa."

Komabe pepalali silinayang'ane ubwino wa kukhwima kwa kugonana mu labu kapena "liwiro la kukhwima kwa kugonana." Pepalali linangonena kuti linapempha anyamata kuti ayese "kukondana" kwawo atangoonera zolaula mwachidule (ndipo sizikudziwika bwino kuchokera m'mapepala omwe ali pansi pake kuti lipoti losavuta ili linafunsidwa kwa anthu onse). Mulimonsemo, chigawo china kuchokera mu pepalalo chinavomereza kuti:

"Palibe chidziwitso chokhudzana ndi maliseche chomwe chidaphatikizidwa kuti chithandizire zomwe amuna adanenapo."

Mwa kuyankhula kwina, palibe zowonongeka kwenikweni zomwe zinayesedwa kapena kuyesedwa mu labu!

Mu umboni wachiwiri wosatsimikiziridwa, wolemba wamkulu Nicole Prause adalemba pa Twitter kangapo za kafukufukuyu, kudziwitsa dziko lonse kuti anthu 280 anali nawo, ndipo "analibe mavuto kunyumba." Komabe, maphunziro anayi ofunikira anali ndi amuna 234 okha, kotero "280" ndi yosiyana kwambiri.

Mfundo yachitatu yosachirikizidwa: Kalata ya Dr. Isenberg kwa Mkonzi (yolumikizidwa pamwambapa), yomwe idadzutsa nkhawa zambiri zomwe zikuwonetsa zolakwika mu pepala la Prause & Pfaus, idadzifunsa momwe zingathekere kuti Prause & Pfaus 2015 iyerekezere kuchuluka kwa chidwi cha anthu osiyanasiyana pomwe mitundu itatu yosiyana ya zolimbikitsa kugonana idagwiritsidwa ntchito mu maphunziro anayi oyambira. Maphunziro awiri adagwiritsa ntchito filimu ya mphindi zitatu, kafukufuku wina adagwiritsa ntchito filimu ya masekondi 20, ndipo kafukufuku wina adagwiritsa ntchito zithunzi zosakhazikika. Zatsimikizika bwino kuti mafilimu ndi okopa kwambiri kuposa zithunzi , kotero palibe gulu lofufuza lovomerezeka lomwe lingagwirizanitse mitu iyi kuti inene za mayankho awo. Chodabwitsa ndichakuti mu pepala lawo Prause & Pfaus amanena mosakayikira kuti maphunziro onse anayi adagwiritsa ntchito mafilimu ogonana:

"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."

Mawu awa ndi abodza, monga akuwonekera bwino pamaphunziro a Prause omwe. Ichi ndi chifukwa choyamba chomwe Prause & Pfaus sanganene kuti pepala lawo lidayesedwa "lodzutsa." Muyenera kugwiritsa ntchito zolimbikitsira zomwezo pamutu uliwonse kufananizira maphunziro onse.

Chiganizo chachinayi chosachirikizidwa: Dr. Isenberg adafunsanso momwe Prause & Pfaus 2015 ingayerekezere kuchuluka kwa chidwi cha anthu osiyanasiyana pomwe 1 yokha mwa maphunziro anayi oyambira idagwiritsa ntchito sikelo ya 1 mpaka 9. Limodzi lidagwiritsa ntchito sikelo ya 0 mpaka 7, lina lidagwiritsa ntchito sikelo ya 1 mpaka 7, ndipo kafukufuku wina sananene kuti chilakolako chogonana chikukula. Apanso Prause & Pfaus amanena mosamveka kuti:

"Amuna adafunsidwa kuti asonyeze kuchuluka kwawo kwa" kugonana "kuchokera ku 1" osati konse "ku 9" kwambiri. "

Mawu awa, nawonso, ndi abodza, monga momwe zikuluzikulu zikusonyezera. Ichi ndi chifukwa chachiwiri chomwe Prause & Pfaus sanganene kuti pepala lawo limayesa kuwerengera "kodzutsa" mwa amuna. Kafukufuku ayenera kugwiritsa ntchito muyeso wofanana pamutu uliwonse kuyerekezera zomwe aphunzira. Mwachidule, mitu yonse yopangidwa ndi Pemphero yokhudzana ndi zolaula imathandizira kukonza kapena kudzutsa, kapena china chilichonse, sizoyenera.

Prause & Pfaus 2015 adatinso kuti sanapeze ubale uliwonse pakati pa ziwerengero zogwirira ntchito za erectile ndi kuchuluka kwa zolaula zomwe zawonedwa mwezi watha. Monga momwe Dr. Isenberg adanenera:

"Chododometsa kwambiri ndichakuti kusiyidwa kwathunthu kwa ziwerengero za zotsatira za ntchito ya erectile. Palibe zotsatira zowerengera zomwe zaperekedwa. M'malo mwake olemba amafunsa wowerenga kuti angokhulupirira zomwe sananene kuti panalibe mgwirizano pakati pa zolaula zomwe zimawonedwa ndi ntchito ya erectile. Popeza malingaliro otsutsana a olembawo akuti erectile imagwira ntchito ndi bwenzi litha kusinthidwa mwa kuwona zolaula pomwe kusowa kwa ziwerengero kuli kochititsa chidwi kwambiri. ”

Mu yankho la Prause & Pfaus ku ndemanga ya Dr. Isenberg, olembawo adalepheranso kupereka deta iliyonse yothandizira "mawu awo osatsimikizika." Monga momwe kusanthula uku kumanenera , yankho la Prause & Pfaus silimangopewa nkhawa zenizeni za Dr. Isenberg, lili ndi malingaliro atsopano olakwika ndi mawu angapo abodza. Pomaliza, ndemanga yathu ya mabuku idapereka ndemanga pa Prause & Pfaus 2015:

"Ndemanga yathu inaphatikizanso mapepala awiri a 2015 omwe amanena kuti kugwiritsa ntchito zolaula pa intaneti sikukugwirizana ndi mavuto ochulukirapo okhudzana ndi kugonana mwa anyamata. Komabe, zonena zotere zikuwoneka kuti sizinachitike msanga pofufuza mosamala mapepalawa ndi kutsutsa kovomerezeka. Pepala loyamba lili ndi chidziwitso chothandiza chokhudza udindo womwe ungakhalepo pakugonana kwa achinyamata [ 50 ]. Komabe, bukuli latsutsidwa chifukwa cha kusiyana kosiyanasiyana, zosiyidwa, ndi zolakwika za njira. Mwachitsanzo, silipereka zotsatira za ziwerengero za muyeso wa zotsatira za ntchito ya erectile poyerekeza ndi kugwiritsa ntchito zolaula pa intaneti. Kuphatikiza apo, monga momwe dokotala wofufuza adanenera mu ndemanga yovomerezeka ya pepalalo, olemba pepalalo, "sanapatse owerenga chidziwitso chokwanira chokhudza anthu omwe adaphunzira kapena kusanthula kwa ziwerengero kuti atsimikizire zomwe atsimikiza" [ 51 ]. Kuphatikiza apo, ofufuzawo adafufuza maola ochepa okha ogwiritsa ntchito zolaula pa intaneti mwezi watha. Komabe maphunziro okhudza chizolowezi cha zolaula pa intaneti apeza kuti kusinthasintha kwa maola ogwiritsa ntchito zolaula pa intaneti kokha sikukugwirizana kwambiri ndi "mavuto amoyo watsiku ndi tsiku", zigoli pa SAST-R (Sexual Addiction Screening Test), ndi zigoli pa IATsex (chida chomwe chimayesa chizolowezi chogonana pa intaneti) [ 52 , 53 , 54 , 55 , 56 ]. Chinthu chabwino kwambiri chodziwira kugonana ndi kuyerekezera kwa chilakolako cha kugonana pamene mukuonera zolaula pa intaneti (cue reactivity), chomwe chikugwirizana ndi khalidwe loledzera m'zoledzeretsa zonse [ 52 , 53 , 54 ]. Palinso umboni wowonjezereka wakuti nthawi yomwe imagwiritsidwa ntchito pa masewera a pa intaneti sikulosera khalidwe loledzera. "Kuledzera kungayesedwe bwino ngati zolinga, zotsatira zake, ndi makhalidwe a khalidweli ndi mbali ya kuwunikanso" [ 57 ]. Magulu ena atatu ofufuza, pogwiritsa ntchito njira zosiyanasiyana za "hypersexuality" (kupatula maola ogwiritsira ntchito), agwirizanitsa kwambiri ndi mavuto okhudzana ndi kugonana [ 15 , 30 , 31 ]. Ponseponse, kafukufukuyu akusonyeza kuti m'malo mongokhala "maola ogwiritsira ntchito", zinthu zingapo ndizofunikira kwambiri pakuwunika chizolowezi cha zolaula/hypersexuality, ndipo mwina ndizofunikira kwambiri pakuwunika zovuta zokhudzana ndi kugonana zokhudzana ndi zolaula."

Kuwunikiraku kunanenanso za kufooka pakulumikiza "maola omwe tikugwiritsa ntchito" okhawo kuneneratu zovuta zoyambitsa zolaula. Kuchuluka kwa zolaula zomwe zimawonedwa pano ndi chimodzi mwazinthu zambiri zomwe zimakhudzidwa ndikupanga zolaula za ED. Izi zingaphatikizepo:

  1. Kugonana kwa maliseche ndi zolaula popanda zolaula
  2. Kugonana kwa munthu ndi maliseche ku zolaula
  3. Ziphuphu m'magulu amtundu wina (pamene munthu amadalira zolaula)
  4. Namwali kapena ayi
  5. Maola ambiri ogwiritsiridwa ntchito
  6. Zaka za ntchito
  7. Age anayamba kugwiritsa ntchito zolaula mwadzidzidzi
  8. Kuchuluka kwa mitundu yatsopano
  9. Kukula kwa zolaula zopangidwa ndi zolaula (kuyambira pakufika ku zolaula zatsopano)
  10. Makhalidwe atsopano pa gawo (ie mavidiyo osonkhanitsa, ma tebulo ambiri)
  11. Ubongo wokhudzana ndi mowa umasintha kapena ayi
  12. Kukhalapo kwa chiwerewere / zolaula

Njira yabwino yofufuzira izi, ndikuchotsa kusintha kwa kugwiritsa ntchito zolaula pa intaneti ndikuwona zotsatira zake, zomwe zidachitika m'maphunziro omwe amuna adachotsa kugwiritsa ntchito zolaula pa intaneti ndikuchira. Kafukufuku woterewu akuwonetsa zomwe zimayambitsa m'malo mwa ubale wosamveka bwino womwe umatseguka kumasulira kotsutsana. Tsamba langa lalemba za amuna zikwi zingapo omwe adachotsa zolaula ndikuchira ku zovuta zogonana.

PAPER 2: Landripet & Štulhofer, 2015.

Landripet & Štulhofer, 2015 idasankhidwa kukhala "kulankhulana kwachidule" ndi magazini yomwe idasindikiza, ndipo olemba awiriwa adasankha deta ina kuti agawane, pomwe adasiya deta ina yofunikira (mtsogolo). Monga momwe zilili ndi Prause & Pfaus , magaziniyo pambuyo pake idasindikiza ndemanga ya Landripet & Štulhofer : Ndemanga pa: Kodi Kugwiritsa Ntchito Zithunzi Zolaula Kumagwirizana ndi Mavuto Ogonana ndi Mavuto Okhudzana ndi Amuna Achichepere Ogonana Ndi Amuna Kapena Akazi Okhaokha ? lolembedwa ndi Gert Martin Hald, PhD

Ponena za zomwe Landripet & Štulhofer , 2015 inanena kuti palibe ubale pakati pa kugwiritsa ntchito zolaula ndi mavuto okhudzana ndi kugonana. Izi sizowona, monga momwe zalembedwera mu ndemanga iyi ya YBOP komanso kuwunikanso mabuku okhudzana ndi madokotala 7 a US Navy . Kuphatikiza apo, pepala la Landripet & Štulhofer silinatchule maubwenzi atatu ofunikira omwe adapereka pamsonkhano waku Europe (zambiri pansipa). Tiyeni tiyambe ndi ndime yoyamba mwa zitatu kuchokera mu pepala lathu lomwe lidalankhula za Landripet & Štulhofer , 2015:

Pepala lachiwiri linanena za mgwirizano wochepa pakati pa kuchuluka kwa kugwiritsa ntchito zolaula pa intaneti chaka chatha ndi kuchuluka kwa ED mwa amuna ogonana ochokera ku Norway, Portugal ndi Croatia [ 6 ]. Olemba awa, mosiyana ndi omwe adalembedwa kale, akuvomereza kufalikira kwakukulu kwa ED mwa amuna azaka 40 ndi pansi, ndipo adapeza kuti ED ndi kuchuluka kwa chilakolako chogonana komwe kunachitika mu 2004 ndi m'modzi mwa olemba a pepalalo adanena kuti kuchuluka kwa ED ndi 5.8% yokha mwa amuna azaka 35-39 [58 ] . Komabe, kutengera kufananiza kwa ziwerengero, olembawo akuti kugwiritsa ntchito zolaula pa intaneti sikukuwoneka ngati chinthu chachikulu chomwe chimayambitsa ED mwa achinyamata. Izi zikuwoneka ngati zotsimikizika kwambiri, popeza amuna aku Portugal omwe adawafufuza adanenanso kuti anali ndi kuchuluka kochepa kwambiri kwa ED poyerekeza ndi aku Norway ndi aku Croatia, ndipo 40% yokha ya aku Portugal adanenanso kuti amagwiritsa ntchito zolaula pa intaneti "kuyambira kangapo pa sabata mpaka tsiku lililonse", poyerekeza ndi aku Norway, 57%, ndi aku Croatia, 59%. Pepala ili latsutsidwa mwalamulo chifukwa cholephera kugwiritsa ntchito zitsanzo zambiri zomwe zimatha kuphatikiza ubale wolunjika komanso wosalunjika pakati pa zinthu zomwe zimadziwika kapena zomwe zimaganiziridwa kuti zili kuntchito [ 59 ]. Mwanjira ina, mu pepala lofananalo lonena za chilakolako chochepa cha kugonana chomwe chimakhudza ambiri mwa omwe adachita nawo kafukufukuyu ochokera ku Portugal, Croatia ndi Norway, amunawa adafunsidwa kuti ndi zinthu ziti zomwe amakhulupirira kuti zidathandizira kuti asakhale ndi chidwi chogonana. Pakati pa zinthu zina, pafupifupi 11%–22% adasankha "Ndimagwiritsa ntchito zolaula zambiri" ndipo 16%–26% adasankha "Ndimadziseweretsa maliseche pafupipafupi" [ 60 ]

Monga momwe ine ndi olemba anzanga, madokotala a Navy, tinafotokozera, pepalali linapeza mgwirizano wofunika kwambiri: 40% yokha ya amuna aku Portugal ankagwiritsa ntchito zolaula "kawirikawiri," pomwe 60% ya aku Norway ankagwiritsa ntchito zolaula "kawirikawiri." Amuna aku Portugal anali ndi vuto lochepa kwambiri la kugonana kuposa aku Norway. Ponena za anthu aku Croatia, Landripet & Štulhofer , 2015 amavomereza mgwirizano wofunikira pakati pa kugwiritsa ntchito zolaula pafupipafupi ndi ED, koma amati kukula kwa zotsatira zake kunali kochepa. Komabe, izi zitha kukhala zosokeretsa malinga ndi MD yemwe ndi katswiri wa ziwerengero waluso ndipo walemba maphunziro ambiri:

Kusanthula njira ina (Chi squared),… kugwiritsa ntchito pang'ono (vs. kugwiritsa ntchito pafupipafupi) kudawonjezera zovuta (kuthekera) kokhala ndi ED pafupifupi 50% mwa anthu aku Croatia. Izi zikuwoneka zomveka kwa ine, ngakhale zili zochititsa chidwi kuti zomwe adapeza zimangopezeka pakati pa anthu aku Croatia.

Kuphatikiza apo, Landripet & Štulhofer 2015 sanatchule maubwenzi atatu ofunikira, omwe m'modzi mwa olembawo adapereka pamsonkhano wa ku Europe . Adanenanso za ubale wofunikira pakati pa kusokonekera kwa erectile ndi "kukonda mitundu ina ya zolaula":

" Kunena za zomwe amakonda pa mitundu ina ya zolaula [sic] kunagwirizana kwambiri ndi vuto la kugonana kwa amuna (koma osati lokhudzana ndi umuna kapena chilakolako) ."

N'zoonekeratu kuti Landripet ndi Štulhofer adasankha kuchotsa mgwirizano waukulu pakati pa kusokonekera kwa kugonana ndi zomwe amakonda pa mitundu ina ya zolaula m'manyuzipepala awo. Ndizofala kwambiri kuti ogwiritsa ntchito zolaula achuluke kukhala mitundu (kapena fetish) yomwe sikugwirizana ndi zomwe amakonda poyamba, ndikuvutika ndi ED pamene zomwe amakonda pa zolaula sizikugwirizana ndi zochitika zenizeni zogonana. Monga tafotokozera pamwambapa, ndikofunikira kwambiri kuwunika mitundu yosiyanasiyana yokhudzana ndi kugwiritsa ntchito zolaula - osati maola okha pamwezi watha kapena kuchuluka kwa chaka chatha.

Chinthu chachiwiri chofunika chomwe Landripet & Štulhofer 2015 sichinapezeke chinali chokhudza akazi omwe adachita nawo kafukufukuyu:

" Kuchuluka kwa kugwiritsa ntchito zolaula kunagwirizana pang'ono koma kwakukulu ndi kuchepa kwa chidwi chofuna kugonana ndi anthu okwatirana komanso vuto lalikulu la kugonana pakati pa akazi ."

Kugwirizana kwakukulu pakati pa kugwiritsa ntchito zolaula kwambiri ndi kuchepa kwa chilakolako cha kugonana komanso kusagwira bwino ntchito zogonana kumawoneka kofunikira kwambiri. Nchifukwa chiyani Landripet & Štulhofer 2015 sananene kuti adapeza mgwirizano wofunikira pakati pa kugwiritsa ntchito zolaula ndi kusagwira bwino ntchito zogonana mwa akazi, komanso amuna ochepa? Ndipo nchifukwa chiyani izi sizinanenedwe mu kafukufuku uliwonse wa Štulhofer wochokera ku deta yomweyi? Magulu ake akuwoneka kuti akufalitsa mwachangu deta yomwe amati imatsutsa ED yoyambitsidwa ndi zolaula, koma mochedwa kwambiri kudziwitsa akazi za zotsatira zoyipa zogonana zomwe zimagwiritsidwa ntchito pogwiritsa ntchito zolaula.

Pomaliza, ndemanga zotsutsa za Gert Martin Hald, wofufuza za zolaula ku Denmark , zinanenanso kufunika koyesa zinthu zambiri (oyimira pakati, oyang'anira) osati kuchuluka kwa zinthu zomwe zimachitika pa sabata m'miyezi 12 yapitayi:

"Kafukufukuyu sakulankhula za oyang'anira omwe angakhale otsogolera kapena oyimira pakati paubwenzi omwe aphunzira kapena kuthana ndi zovuta. Zowonjezerapo, pakufufuza zolaula, chidwi chimaperekedwa pazinthu zomwe zingakhudze kukula kapena kuwongolera maubwenzi omwe aphunziridwa (mwachitsanzo, oyang'anira) komanso njira zomwe zingakhudzire izi (mwachitsanzo, oyimira pakati). Kafukufuku wamtsogolo wokhudzana ndi zolaula komanso zovuta zakugonana atha kupindulanso ndikuphatikizira zina mwazoyang'ana izi.

Mfundo yofunika: Matenda onse ovuta amakhala ndi zinthu zingapo, zomwe ziyenera kuthetsedwa musanalankhule bwino. Mawu a Landripet & Štulhofer akuti, " Zithunzi zolaula sizikuwoneka ngati chinthu chachikulu chomwe chimayambitsa chilakolako cha amuna achichepere, mavuto okhudzana ndi kugonana, kapena kutopa " amapitirira muyeso, chifukwa amanyalanyaza zinthu zina zonse zokhudzana ndi kugwiritsa ntchito zolaula zomwe zingayambitse mavuto okhudzana ndi kugonana mwa ogwiritsa ntchito, kuphatikizapo kukwera kwa mitundu ina, zomwe adapeza, koma sizinatchulidwe mu "Kulankhulana Kwachidule." Ndime 2 & 3 mu zokambirana zathu za Landripet & Štulhofer , 2015 :

Apanso, maphunziro otsogolera angakhale othandiza kwambiri. Komabe, pokhudzana ndi maphunziro a mgwirizanowu, zikutheka kuti pali zovuta zosiyanasiyana zofufuzidwa kuti zithetsere zifukwa zomwe zimawopsyeza kuntchito m'masautso osagwirizana ndi achinyamata. Choyamba, mwina chilakolako chogonana, zovuta zolimbana ndi zibwenzi ndi erectile mavuto ndi zofanana ndi zolaula zokhudzana ndi zolaula, ndi kuti mavuto onsewa ayenera kuphatikizidwa pofufuzira zokhudzana zowunikira ndi zithunzi zolaula zimagwiritsidwa ntchito.

Chachiwiri, ngakhale kuti sizikudziwika bwinobwino kuti ndi zinthu ziti zomwe zingathe kuchititsa mavutowa, zowonjezera kuti ziwonetsedwe pamodzi ndi mafupipafupi owonetsa zithunzi zolaula zimagwiritsa ntchito (1) zaka zolaula-zothandizira kuonera zolaula; (2) chiŵerengero cha ejaculations ndi wokondedwa ku ejaculations ndi Internet zolaula; (3) kukhalapo kwa mafilimu owonetsa zolaula / chiwerewere; (4) chiwerengero cha zaka zolaula zolaula pa Intaneti zikugwiritsidwa ntchito; (5) pa nthawi yomwe zakale zogwiritsa ntchito zolaula za pa Intaneti zinayamba ndi ngati zinayambira usanafike msinkhu; (6) chizolowezi chowonetsa zolaula pa Intaneti chikugwiritsidwa ntchito; (7) kupita ku mitundu yoopsa kwambiri ya zolaula za pa Intaneti, ndi zina zotero.

A 500% kapena kuti kuwonjezeka kwa ED achinyamata kuyambira 2010 sangathe kufotokozedwa ndi zinthu zomwe zimakhalapo

Kafukufuku wofufuza kugonana kwa amuna achichepere kuyambira mu 2010 akuwonetsa kuchuluka kwa zovuta zogonana m'mbiri, komanso kuchuluka kodabwitsa kwa mliri watsopano: libido yochepa (yogonana ndi okwatirana). Zalembedwa munkhaniyi komanso mu ndemanga yathu Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala (2016).

Asanayambe kugwiritsa ntchito zolaula zaulere (2006), maphunziro osiyanasiyana komanso kusanthula kwa meta nthawi zonse kunanena kuti kuchuluka kwa anthu omwe ali ndi vuto la erectile dysfunction ndi 2-5% mwa amuna osakwana zaka 40. Kuchuluka kwa anthu omwe ali ndi vuto la erectile dysfunction m'maphunziro 10 omwe adasindikizidwa kuyambira 2010 kumayambira pa 14% mpaka 37%, pomwe kuchuluka kwa anthu omwe ali ndi vuto lochepa la libido (hypo-sexuality) kumayambira pa 16% mpaka 37%. Kafukufuku wina amakhudza achinyamata ndi amuna azaka 25 ndi pansi, pomwe maphunziro ena amakhudza amuna azaka 40 ndi pansi. Chimodzi mwa zitsanzo zodabwitsa kwambiri zaposachedwa (2018) ndi kafukufuku wa ED mwa ochita zolaula. Omwe ali ndi zaka zosakwana 30 anali ndi vuto la ED kawiri kuposa achikulire (omwe kugonana kwawo kunayamba popanda kupeza zolaula pa intaneti mwachangu panthawi ya unyamata). Onani Kulephera kwa Erectile Pakati pa Osangalatsa Amuna Achikulire: Kafukufuku.

Mwachidule pakhala kuwonjezereka kwa 500% -1000% m'mabuku a ED aunyamata m'zaka zapitazi za 10. Kodi ndi kusintha kotani komwe kwasintha m'zaka zapitazi za 15 zomwe zingathe kuwerengera kuwuka kwa nyenyezi? Zitsimikizo zimatanthauza kuti zofanana zakale zomwe zimagwirizana ndi ED ali achinyamata ndizo chifukwa cha izi zikudutsa mu zovuta zokhudzana ndi kugonana:

CLAIRE DOWNS: “Mwatsoka, ED ndi yofala, ndipo si chifukwa cha ukalamba wokha. Ngakhale kuti ukalamba umawonjezera mwayi wokhala ndi vuto la ED, mwamuna m'modzi mwa anayi aliwonse osakwana zaka 40 adzafuna chithandizo cha ED . Kaya ndi nthawi yayitali kapena yochepa, vuto la erectile limayamba chifukwa cha zinthu zambiri monga kugwiritsa ntchito mankhwala osokoneza bongo, zotsatirapo za mankhwala, mavuto amisala, ndi mavuto olankhulana ndi anthu, komanso matenda a mtima, matenda ogona, ndi kuvulala kwa mitsempha.”

Monga tafotokozera mu pepala lathu, kusuta fodya, matenda a shuga ndi matenda a mtima nthawi zambiri kumayambitsa matenda a ED mwa amuna osakwana zaka 40 (chithunzi 16). Zimatenga zaka zambiri kusuta fodya kapena matenda a shuga osalamulirika kuti awonetse kuwonongeka kwa mitsempha ndi mitsempha komwe kungayambitse matenda a ED osatha. Kuchokera mu pepala lathu:

Mwachikhalidwe, ED imaonedwa ngati vuto lodalira ukalamba [ 2 ], ndipo maphunziro ofufuza zinthu zomwe zimayambitsa ED mwa amuna osakwana zaka 40 nthawi zambiri amalephera kuzindikira zinthu zomwe zimagwirizanitsidwa ndi ED mwa amuna okalamba, monga kusuta fodya, uchidakwa, kunenepa kwambiri, moyo wongokhala, matenda a shuga, kuthamanga kwa magazi, matenda a mtima, ndi hyperlipidemia [ 16 ].

Ponena za " mankhwala, kusuta fodya, mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo ," palibe kuchuluka kwa zinthu izi komwe kwawonjezeka m'zaka 15 zapitazi (kusuta kwatsika kwenikweni). Kuchokera ku pepala la US Navy:

Komabe, palibe chimodzi mwa zinthu zodziwika bwino zomwe zikugwirizana ndi ED zomwe zimawoneka zokwanira kufotokoza kuwonjezeka kwachangu kwa mavuto okhudzana ndi kugonana kwa achinyamata. Mwachitsanzo, ofufuza ena amaganiza kuti mavuto okhudzana ndi kugonana kwa achinyamata omwe akuchulukirachulukira ayenera kukhala chifukwa cha moyo wosafunikira, monga kunenepa kwambiri, kugwiritsa ntchito mankhwala osokoneza bongo komanso kusuta fodya (zinthu zomwe zimagwirizanitsidwa ndi ED yachilengedwe). Komabe zoopsa za moyo sizinasinthe mofanana, kapena zachepa, m'zaka 20 zapitazi: Kuchuluka kwa kunenepa kwambiri mwa amuna aku US azaka zapakati pa 20-40 kunakwera ndi 4% yokha pakati pa 1999 ndi 2008 [ 19 ]; ​​kuchuluka kwa kugwiritsa ntchito mankhwala osokoneza bongo mwa nzika zaku US zazaka 12 kapena kuposerapo kwakhala kokhazikika pazaka 15 zapitazi [ 20 ]; ndipo kuchuluka kwa kusuta kwa akuluakulu aku US kunatsika kuchoka pa 25% mu 1993 kufika pa 19% mu 2011 [ 21 ].

Ponena za " mavuto amisala: kupsinjika maganizo, nkhawa, mantha," palibe chilichonse mwa izi chomwe chimayambitsa vuto la erectile, koma zimangogwirizana pang'ono ndi ED. Ndipotu, maphunziro ena amanena kuti odwala omwe ali ndi nkhawa komanso ovutika maganizo amakhala ndi chilakolako chachikulu chogonana. Maphunziro ena akusonyeza kuti: kupsinjika maganizo sikumayambitsa ED; kukhala ndi ED kumawonjezera zigoli pamayeso a kupsinjika maganizo. Kuchokera ku pepala la US Navy:

Olemba ena amanena zinthu zokhudzana ndi maganizo. Komabe, kodi n’zotheka bwanji kuti nkhawa ndi kuvutika maganizo zimayambitsa mavuto okhudzana ndi kugonana kwa achinyamata chifukwa cha ubale wovuta pakati pa chilakolako chogonana ndi kuvutika maganizo ndi nkhawa? Odwala ena ovutika maganizo ndi oda nkhawa amanena kuti chilakolako chochepa chogonana ndi chambiri pomwe ena amanena kuti chilakolako chogonana chikuwonjezeka [ 22 , 23 , 24 , 25 ]. Sikuti ubale pakati pa kuvutika maganizo ndi ED ndi wosiyana ndi wina, komanso ukhoza kukhala chifukwa cha kusagwira ntchito bwino pogonana, makamaka mwa anyamata [ 26 ].

Monga tidanenera kumapeto kwa pepala lathu:

Zinthu zachikhalidwe zomwe poyamba zinkalongosola zovuta zokhudzana ndi kugonana kwa amuna zikuwoneka zosakwanira kuti ziwerengere chifukwa cha kukwera kwakukulu kwa kugonana ndi chilakolako chogonana pakati pa amuna pansi pa 40.

Pomaliza, kafukufuku wa 2018 wokhudza odwala matenda a urology osakwana zaka 40 adapeza kuti odwala omwe ali ndi ED sanali osiyana ndi amuna omwe alibe ED, motero akutsutsa zomwe Claire Downs ananena ( Zinthu Zokhudza Kulephera Kugonana Pakati pa Amuna Achinyamata–Zomwe Zapezeka mu Kafukufuku Wokhudza Kugonana ):

Zonsezi, 229 (75%) ndi 78 (25%) odwala anali ndi Erectile Function (EF) yabwino komanso yovuta; pakati pa odwala omwe ali ndi ED, 90 (29%) anali ndi chiwerengero cha IIEF-EF chosonyeza kuti ED. Odwala omwe alibe ndi ED sanaleke mosiyana kwambiri ndi zaka zapakatikati, BMI, kuchulukitsidwa kwa matenda oopsa kwambiri, chikhalidwe chaumoyo, mbiri ya fodya), kugwiritsa ntchito mowa, ndi mapiritsi apakati a IPSS. Mofananamo, palibe kusiyana komwe kunanenedwa ponena za mahomoni ogonana a seramu ndi mbiri yamkati pakati pa magulu awiriwa.

Zomwe zapezekazi zasonyeza kuti anyamata achichepere omwe ali ndi ED sasiyana malinga ndi makhalidwe oyambira azachipatala kuchokera ku gulu lazaka zofanana ndi EF wamba , koma adawonetsa zilakolako zochepa zakugonana, zomwe zikusonyeza kuti ndi chifukwa cha ED chomwe chingayambitse matenda amisala.

Pazifukwa zina omwe ali ndi ED anali ndi chilakolako chogonana (ayenera kuti anafunsa za zolaula!) Kuti abwereze, Claire Downs, monga ena omwe amachititsa ED kukana zolaula, amati ED ya anyamata amayamba chifukwa cha zoopsa zomwezo zokhudzana ED mwa amuna opitilira 40. Izi sizikugwirizana ndi zolemba zowunikiridwa ndi anzawo.

Asananene molimba mtima kuti anthu ogwiritsa ntchito zolaula masiku ano alibe chodetsa nkhawa ndi kugwiritsa ntchito zolaula pa intaneti, ofufuza akufunikabe kufotokoza za kuwonjezeka kwaposachedwa kwa ED ya achinyamata komanso chilakolako chochepa chogonana , maphunziro ambiri omwe akugwirizanitsa kugwiritsa ntchito zolaula ndi vuto la kugonana , malipoti ambirimbiri omwe amadziona okha komanso malipoti azachipatala a amuna omwe amachiritsa ED pochotsa chosintha chimodzi: zolaula.

Downs angafune kusintha nkhani yake mu The Daily Dot moyenerera.