MAFUNSO: Kafukufuku wokhudza amuna (azaka zapakati pa 41.5) omwe ali ndi vuto lachiwerewere, monga paraphilias ndi maliseche osatha kapena chigololo. 27 adadziwika kuti ndi "oletsa kuseweretsa maliseche," kutanthauza kuti amadziseweretsa maliseche (makamaka ogwiritsa ntchito zolaula) ola limodzi kapena kupitilira apo patsiku kapena kupitilira maola 7 pasabata. 71% ya oledzera awa owonetsa mavuto okhudza kugonana, ndi 33% malipoti akuchedwa kuchepa (zolemba pansipa).
Ndi zovuta ziti zakugonana zomwe 38% ya amuna otsala ali nayo? Zosankha zina ziwiri zoyipa zakugonana amuna ndi ED ndi otsika libido. Phunziroli silinena, ndipo olembawo anyalanyaza zopempha zawo. Pophwanya malamulo oyenera, a James Cantor ananena pamndandanda wazophunzira (SexNet) kuti sangatulutse zomwe apezazi.
Lumikizani - J Kugonana Kwadongosolo.
2015 Nov-Dec;41(6):563-80. doi: 10.1080/0092623X.2014.935539.
Kudalirika
Kugonana kwa amuna okhaokha kumapitirizabe kudandaula kwambiri koma osamvetsetsa bwino. Ngakhale kuti zosiyana ndi zomwe odwala akuwonetsera zokhuza kugonana, mabukuwa akhala akugwiritsabe ntchito njira zochizira zomwe amaganiza kuti zimagwiritsidwa ntchito pa zochitika zonsezi. Njirayi yatsimikiziridwa kuti ikugwira ntchito, ngakhale kuti ikugwiritsidwa ntchito kwazaka zambiri. Kafukufukuyu akugwiritsa ntchito njira zowonongeka za chiwerengero cha anthu, thanzi labwino, komanso kugonana komwe kumagwiritsidwa ntchito pafupipafupi. Zomwe zimapezeka zimathandizira kukhalapo kwa subtypes, aliyense ali ndi magulu osiyana siyana. Anthu opatsirana pogonana a Paraphilic amawauza anthu ambiri ogonana nawo, kugwiritsira ntchito mowa mwauchidakwa, kuyambitsa kugonana pa msinkhu wawo, komanso zachilendo monga mphamvu yoyendetsa kugonana. Kupewa kutaya maliseche kumatulutsa mantha ambiri, kuchedwa kuthamangitsidwa, ndi kugwiritsira ntchito kugonana monga njira yopeŵera. Amuna achigololo amakamba kuti asanatuluke msanga ndipo kenako anayamba kutha msinkhu. Odwala omwe anapangidwawo sankatha kunena za mankhwala osokoneza bongo, ntchito, kapena mavuto a zachuma. Ngakhale zowonjezereka, nkhaniyi imapereka phunziro lofotokozera lomwe chiphunzitsochi chinachokera kuzinthu zomwe sizikuchitika nthawi zonse. Kafukufuku wamtsogolo angagwiritse ntchito njira zodziŵika bwino, monga kusanthula masango, kuti adziwe momwe zizindikiro zofanana zimayambira pamene akuyang'anitsitsa.
Chidule cha Phunziro:
M'ndandanda wa pansipa tawonetseratu kuti maulendo ambiri a erectile (ED) sakuyendera bwino, ngakhale kuti mmodzi mwa anthu atatu omwe amagwiritsa ntchito zolaula amaonetsa kuti akuchedwa kuchepetsa (DE), omwe amachititsa kuti ED ali ndi othandizana nawo. Zomwe zikusowa papepalali:
- 71% inayambitsa mavuto ogwira ntchito pogonana ndi 33% odziwika kuti akhala akuchedwa kuchepa. Kodi kugonana kotani kumene kumachititsa 38% ya amuna otsalira ali nawo? Kafukufuku sanena, ndipo a olemba ananyalanyaza pempho lachinsinsi. Zosankha zazikulu ziwiri zokhudzana ndi kugonana ndi amuna ndi ED ndi otsika libido.
- Amunawo sanafunsidwe za ntchito yawo erectile popanda zolaula. Ngati zochita zawo zonse zogonana zimakhudzana ndi maliseche, osati kugonana ndi mnzawo, iwo sangadziwe kuti anali ndi zolaula.
- Olembawo amatchula Ley et. al., 2014 monga kusocheretsa zolaula zomwe zinachititsa ED. Izo sizinatero, ndipo zakhala ziri mwatsatanetsatane pano.
Pewani Kuchita Maliseche
Pamene iwo omwe ali m'gulu lopewa maliseche (n = 27) amafanizidwa ndi milandu ina yonse (n = 88), panali chizolowezi chodzipereka kwa mamembala a gululi nthawi zambiri amadzipereka kuti agwiritse ntchito njira yopewa (100% vs. 41 (%) = 2 (1, n = 34) = 3.81, p = .051, = = 0.33. Ponena za thanzi lamisala komanso zosintha zokhudzana ndi kugonana, choletsa kuseweretsa maliseche chinali chodziwikiratu kuti chitha kufotokoza mbiri yazovuta (74% vs. 23%), χ (1, n = 101) = 20.27, p <.001, φ = 0.45, komanso zovuta zamagwiridwe antchito (71% vs. 31%), χ (1, n = 88) = 10.63, p = .001, φ = 0.35, ndikuchedwa kuthamangitsidwa kukhala vuto lofala kwambiri logonana ( 33% vs. 7%), χ 2 (1, n = 88) = 9.09, p = .003, φ = 0.32. Omwe ali pamtundu wopewera maliseche anali ndi chizolowezi chokhala ocheperako kuposa ena onse omwe sanakhalepo pachibwenzi (70% vs. 86%), χ 2
(1, n = 102) = 3.34, p = .068, φ = 0.18. Mwa iwo omwe anafotokoza maubwenzi okondana, panali chizoloŵezi chokwanira chiyanjanocho chitatha (28% vs. 9%) kapena kusokonezeka chifukwa cha mavuto awo okhudzana ndi kugonana (56% vs. 50%), χ 2 (3 , n = 82) = 5.91, p = .052, φ = 0.27.
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Monga tanena kale, omwe amapewa kuseweretsa maliseche adagwiritsidwa ntchito ngati 1 hr patsiku, pafupifupi, zolaula zimagwiritsa ntchito / maliseche. Monga kunanenedweratu, subtype iyi inali ndi chizoloŵezi chokhala ndi mwayi waukulu wofotokozera zakugonana kwawo ngati gawo la njira yopewa. Ngakhale kugwiritsa ntchito mankhwala osokoneza bongo kumakhalanso chizolowezi chopewa, kagulu kameneka sikanenedwe kuti kanali mankhwala osokoneza bongo, mwina chifukwa chopeza kale njira yopewa zolaula, ngakhale izi zikusiyana ndi kafukufuku yemwe amatchedwa zizolowezi zamakhalidwe (kuphatikiza chiwerewere), momwe kupezeka kwamatenda osokoneza bongo kwapezeka (monga tafotokozera mwachidule ku Grant, Potenza, Weinstein, & Gorelick, 2010). Kungakhale kothandiza pakufufuza kwamtsogolo kuti muwone ngati amuna omwe ali mgululi ali ndi mavuto ena amakhalidwe ena opewera, monga masewera (mwachitsanzo, masewera a vidiyo) kapena zovuta zina zogwiritsa ntchito intaneti. Ndikoyenera kulingalira ngati zomwe zimatchedwa zizolowezi zamakhalidwe ndizokhudzana ndi kuzengeleza kapena kupewa ndipo zitha kuyankha njira zomwezo. Ndi lingaliro lathu kuti kusuta kumakhudzana ndikupewa komanso kuzengereza.Mogwirizana ndi anthu omwe atha kupewa kapena kuzengeleza (mwachitsanzo, Beswick, Rothblum, & Mann, 1988; Flett, Stainton, Hewitt, Sherry, & Lay, 2012), omwe amapewa malisechewa anali othekera kwambiri kunena mavuto azovuta. Zomwe zingakhale zogwirizana ndi nkhawa yayikulu ndikupeza kuti anthuwa anali ndi chizolowezi chokhala ocheperapo pachibwenzi; mwina sangakhale omasuka kuchita zogonana ndi maso ndi maso komanso ubale. Zingakhale kuti nthawi yomwe akugwiritsa ntchito zolaula komanso kuseweretsa maliseche kumachepetsa nthawi yopezera zibwenzi. Omwe amapewa kuseweretsa maliseche omwe anali pachibwenzi anali ndi chizolowezi chofotokozera zovuta za ubale wawo. Izi zikhoza kukhala chifukwa cha vuto lawo kukhala lovuta kubisala kwa wokondedwa wawo (mwachitsanzo, ambiri omwe akuchita nawo ziwerewere zosagwirizana ndi ziwalo zogonana za paraphilic mwina sangadziwe zokonda kapena zochita za wodwalayo). Zitha kukhalanso kuti akuchita maliseche chifukwa cha zovuta muubwenzi wawo zomwe zidayamba mavuto asanachitike; komabe, izi zitha kunenedwa pama subtypes onse, popeza sitinayese zomwe zikuchitika phunziroli. Chomaliza, ndipo mwina chomwe chimakhudzanso mavuto amgwirizano, ndikuti omwe amapewa kuseweretsa maliseche amatha kunena zovuta zakugonana kuposa mitundu ina, makamaka, ikuchedwa kutulutsa umuna. Ndikofunikira kudziwa kuti sizikudziwika ngati mavutowa adayamba chifukwa cha zolaula kapena kuseweretsa maliseche motero, atha kukhala okhudzana ndi nkhawa komanso mavuto amgwirizano, kapena ngati ndi chifukwa chakuseweretsa maliseche kwakanthawi kambiri komwe kumapangitsa kukhumudwa pankhani yokhudza kugonana kugwira ntchito. Zotsatira zakuchedwa kuthamangitsidwa, m'malo molephera kutulutsa erectile monga chodandaula choyambirira ndichosangalatsanso potengera nkhani yodziwika bwino yoti kuwonera zolaula kumalumikizidwa ndi kuwonongeka kwa erectile. Ngakhale pali maakaunti azachipatala komanso atolankhani omwe ali ndi nkhawa komanso masamba azodzithandiza omwe amafalitsa izi (mwachitsanzo, Doctor Oz Show, Januware 31, 2013; James & O'Shea, Marichi 30, 2014; yourbrainonporn.com), palibe deta kuthandizira lingaliro loti kuwonera zolaula kumayambitsa kukanika kwa erectile (Ley, Prause, & Finn, 2014). Ngakhale zonena za atolankhanizi zitha kukhala zowona, vuto ndikuti amapereka malingaliro omwe amafunikira kuyesa kwa sayansi, zomwe sizinachitike. Zomwe taphunzira mu phunziroli ndi zomwe timadziwa, koyambirira kofufuza ubale womwe ulipo pakati pa maliseche / zolaula zokhudzana ndi chiwerewere komanso magwiridwe antchito.
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