Chigamulo cha "Kodi Zithunzi Zolaula Zimagwiritsidwa Ntchito ndi Erectile Functioning? Zotsatira Zomwe Zili Kuchokera Kumtundu Wosamveka Pakati pa Zapakati ndi Kukula Kwambiri "(2019)

Kuyamba: Kugwirizana kwake kunena chinthu chimodzi, koma Joshua Grubbs akunena china

Wofufuza amene anaika anthu pachiwopsezo cha " chizolowezi choonera zolaula " ndipo anati mwanjira ina " chimagwira ntchito mosiyana kwambiri ndi zizolowezi zina ," tsopano wasintha luso lake kukhala chiwerewere choyambitsidwa ndi zolaula. Pepala latsopano la Joshua Grubbs limati palibe mliri wa ED wachinyamata, molimba mtima akumaliza ndi izi:

Mogwirizana ndi mabuku apitayi, timatsimikizira kuti pali umboni wochepa kapena wosayanjanitsi wa mgwirizano pakati pa zolaula zomwe zimagwiritsidwa ntchito ndi ED.

Chigamulo cha magawo awiri ndi chosasokoneza:

  1. Zoonadi, Grubbs atsopano amaphunzira kwenikweni anapeza zimenezo both kugwiritsa ntchito zolaula (zolaula) ndi Magulu apamwamba a kugwiritsira ntchito zolaula ankagwirizana osauka erectile ntchito muzitsanzo zonse za 3.
  2. Za "mabuku akale," za maphunziro a 40 gwiritsani ntchito zolaula kapena zolaula ku mavuto a kugonana komanso kuchepetsa kugonana. Ndipotu, maphunziro oyambirira a 7 m'ndandanda umenewo onetsani zovuta, pamene ophunzira adasiya kugwiritsa ntchito zolaula ndikuchiza matenda opatsirana pogonana.

Chododometsa chimodzimodzi ndi chakuti pepala ili:

  1. makamaka osatulutsidwa ndi amuna omwe ali ndi vuto lalikulu la erectile
  2. osaloledwa kugonana mwachangu anthundipo
  3. osatulutsidwa anamwali.

Mwachidule, anyamata ambiri omwe amapanga "mliri wa ED" (zomwe olemba awa akukana) sanalowe mu kafukufukuyu. N'zosavuta kunena kuti mwatsimikiza kuti kugwiritsa ntchito zolaula sikugwirizana ndi mliri wa ED, ngati mukukana kuphunzira za omwe akuvutika kwambiri ndi ED yoyambitsidwa ndi zolaula kotero kuti sakuchita zogonana!

Monga momwe woyambitsa RebootNation , Gabe Deem, ananenera za kafukufuku wofanana : "Kugwiritsa ntchito amuna omwe ali ndi mphamvu zogonana kuti aphunzire za kulumikizana pakati pa zolaula ndi ED kuli ngati kugwiritsa ntchito anthu omwe alibe khansa kuti aphunzire za kulumikizana pakati pa kusuta fodya ndi khansa ya m'mapapo." (Gabe adachira ku PIED yoopsa, ndipo tsopano akuthandiza amuna ena mavuto okhudzana ndi kugonana omwe amabwera chifukwa cha zolaula .)

Ngakhale kuti kafukufuku wolembedwa ndi Grubbs adapeza mgwirizano pakati pa kusachita bwino pogonana komanso kugwiritsa ntchito zolaula molakwika komanso kugwiritsa ntchito zolaula (popanda amuna osachita zogonana komanso amuna ambiri omwe ali ndi ED), pepalalo limawerenga ngati latsutsa kwathunthu ED (PIED) yomwe imayambitsa zolaula. Njira imeneyi si yodabwitsa kwa iwo omwe atsatira zomwe Dr. Grubbs adanena kale pankhani ya kampeni yake ya " kuonera zolaula molakwika ".

Chidziwitso: Pomwe kafukufukuyu adalemba a Joshua Grubbs ndi a Mateusz Gola ngati olemba, a Grubbs anali ndiudindo wa "Kupeza Zambiri," "Kufufuza ndi Kutanthauzira Zambiri," komanso "Kukonza Nkhaniyi." Gola adalowanso pambuyo pa izi, kumangothandiza ndi "Kubwezeretsanso Zinthu Zazidziwitso." Uyu ndiye mwana wa Josh Grubbs.

Tiyeni tiwone zovuta mu njirayi ndikuwonetsa zomwe zapezedwa:

Buluu Lofiira: Magulu a 3 a amuna ogonana adanena kuti kugonana kumagwira bwino

Onani zaka zapakati pa gulu lirilonse. Chitsanzo 3 chili ndi zaka zomwe zakhudzidwa kwambiri ndi zolaula popeza ndizosowa kwa azaka za 19 (chitsanzo 1) kuti apange PIED, pomwe amuna omwe ali kumapeto kwa 40s mpaka ma 60s oyambirira (sampuli 2) sanakule pogwiritsa ntchito zolaula pa intaneti.

  1. Chitsanzo 1: Ophunzira a Psychology: ausinkhu wa zaka 19.8 (N = 147)
  2. Chitsanzo 2: Kafukufuku wa pa Intaneti: zaka zapakati 46.5 (N = 297)
  3. Chitsanzo 3: Kafukufuku wa pa Intaneti: zaka zapakati 33.5 (N = 433)

Monga momwe phunzirolo limanenera, magulu onse a 3 adagwira ntchito yabwino kwambiri pa erectile ntchito (pogwiritsa ntchito IIEF-5):

Mu zitsanzo zitatu za amuna ochita zachiwerewere omwe amaoneranso zolaula, tapeza kuti kugonana kumakhudza kwambiri chiwerewere . (kugogomezera kwaperekedwa)

Apanso, izi zikubweretsa chisokonezo chachikulu chifukwa kafukufukuyu sanatchule anamwali, amuna osachita zogonana, komanso aliyense amene ali ndi vuto lalikulu la ED: amuna omwe ali ndi mavuto ambiri okhudzana ndi zolaula. Amuna omwe sanatengedwe mu kafukufukuyu ndi omwe ali ndi gawo lalikulu la anthu, chifukwa pakhala kuwonjezeka kwakukulu kwa anyamata osachita zogonana ndi amuna omwe ali ndi zaka zosakwana 40 omwe ali ndi ED kapena omwe ali ndi vuto lochepa la libido.

Ndikofunika kudziwa kuti IIEF-5 (yomwe ili pachithunzi pamwambapa) cholinga chake ndi kuyesa amuna okhawo omwe akuchita zogonana (amuna ogonana). Ndipotu, dokotala wa zamankhwala ogonana anati IIEF imavomerezedwa kokha kwa amuna omwe adagonana m'masabata anayi apitawa.

Ngati zolaula zonse zomwe zidapangitsa ED kukhala komwe akugwiritsa ntchito zolaula, njira zambiri zodziwika nthawi zambiri zimakhalapo kale, nthawi zina ndi zaka. Mwakutero, mavuto ambiri okhudzana ndi zolaula (komanso amuna omwe ali nawo), sangakhale oyenerera kuyesedwa pogwiritsa ntchito IIEF-5. Nazi nkhani zodziwika bwino zomwe zanenedwa pamafamu obwezeretsa zolaula:

Zoona zake zomvetsa chisonizi zikuthandizidwa ndi maphunziro osachepera 7 omwe akuwonetsa kuti kugwiritsa ntchito zolaula kumabweretsa mavuto osiyanasiyana okhudzana ndi kugonana . Maphunziro atatu mwa asanu ndi limodziwa adakhudza amuna omwe adachira ku anorgasmia yoyambitsidwa ndi zolaula komanso kuchepa kwa chilakolako cha kugonana, m'malo mwa ED. Maphunziro ena awiriwa anali ndi odwala omwe adachiritsa kuchedwa kwa umuna komanso PIED yoyambitsidwa ndi zolaula. Kuphatikiza apo, kafukufuku wa amuna omwe amafuna chithandizo omwe adadziseweretsa maliseche mokakamiza adanena kuti 71% ya iwo anali ndi mavuto okhudzana ndi kugonana, ndipo 33% adati adachedwa kutulutsa umuna.

Mfundo yofunika: Kuwonjezera pa kusiya anyamata ambiri (kapena ambiri) omwe ndi " mliri wa ED ," kafukufukuyu sanapeze mavuto ena okhudzana ndi kugonana okhudzana ndi zolaula omwe adanenedwa m'mabuku ndi ogwiritsa ntchito zolaula nthawi zonse.

Mosiyana ndi kusanthula kwa Grubbs (ndi ma tweets ake), onse zolaula ndi Magulu apamwamba a kugwiritsira ntchito zolaula anali ogwirizana ndi ntchito yosavuta ya erectile

Malangizo omvetsetsa manambala omwe ali m'matebulo a kafukufukuyu :

Zero amatanthauza kuti palibe mgwirizano pakati pa zinthu ziwiri; 1.00 amatanthauza mgwirizano wathunthu pakati pa zinthu ziwiri. Chiwerengero chikakhala chachikulu, mgwirizano pakati pa zinthu ziwirizi umakhala wolimba. Ngati nambala ili ndi chizindikiro cha minus , zikutanthauza kuti pali mgwirizano woipa pakati pa zinthu ziwiri. (Mwachitsanzo, pali mgwirizano woipa pakati pa kuchita masewera olimbitsa thupi ndi matenda a mtima. Chifukwa chake, m'chilankhulo chabwinobwino, kuchita masewera olimbitsa thupi kumachepetsa mwayi wodwala matenda a mtima. Mosiyana ndi zimenezi, kunenepa kwambiri kumakhudzana ndi matenda a mtima.)

Gawo 1: Zolaula zolaula ndi ntchito erectile

Mafunso a 4 mafunso a Grubbs omwe amagwiritsidwa ntchito poyeza kuchuluka kwa zovuta zogwiritsira ntchito zolaula (zolaula) zinali:

  1. Ndikukhulupirira kuti ndimakonda kwambiri zolaula pa Intaneti
  2. Ndikumva kuti sindingalepheretse kugwiritsa ntchito zolaula pa Intaneti
  3. Ngakhale pamene sindikufuna kuona zithunzi zolaula pa intaneti, ndimamva kuti ndikuyandikira
  4. Ndasiya zinthu zimene ndinkafunika kuti ndizionera zolaula

Wowerenga gawo la Chiyambi kapena Kukambirana la pepalali mwina sangamvetse mfundoyi, koma magawo onse awiri a kugwiritsa ntchito zolaula ndi kuchuluka kwa kugwiritsa ntchito zolaula molakwika (chizolowezi cholaula) anali okhudzana ndi zigoli zochepa pa IIEF-5 ( International Index of Erectile Function ), zomwe zikusonyeza kuchepa kwa magwiridwe antchito a erectile . Komabe, ngakhale olembawo amavomereza kuti chizolowezi cholaula chinali chogwirizana ndi magwiridwe antchito osauka a erectile:

Mofananamo, panali ubale wosagwirizana pakati pa ntchito yogonana ndi kugwiritsa ntchito zolaula zovuta m'masampulu onse atatu, ngakhale kuti ubalewu unali waung'ono mpaka wapakati (r = –0.20 mpaka –0.33 ) ndipo sunasunge kufunika kwa ziwerengero mu chitsanzo 1 mutagwiritsa ntchito kukonza kwa Holm.

Kumbukirani, zizindikiro zoipa zimatanthauza kuti munthu sagwira bwino ntchito ya IIEF, zomwe zikutanthauza kuti munthu sagwira bwino ntchito ya kugonana. Zotsatira zake zikusonyeza kuti ngakhale anthu omwe ali ndi vuto la kugonana, chizolowezi chogonana ndi zolaula chinali chogwirizana kwambiri ndi vuto la kugonana.

Dikirani kaye mufunse, ndinganene bwanji kuti zikugwirizana kwambiri ? Kodi chigawo cha kafukufuku chomwe chili pamwambapa sichikunena motsimikiza kuti ubale ( -0.20 mpaka -0.33) unali "waung'ono mpaka wapakati," kutanthauza kuti si nkhani yaikulu?

Pamene tikufufuza mwatsatanetsatane pansipa, momwe Grubb amagwiritsira ntchito mafotokozedwe amasiyanasiyana modabwitsa, kutengera zomwe mumawerenga Grubbs. Ngati kafukufuku wa Grubbs ndi wokhudzana ndi zolaula zomwe zimayambitsa ED, ndiye kuti manambala omwe ali pamwambapa akuimira kulumikizana pang'ono, kuponyedwa pambali pakulemba kwake kodzaza.

Komabe, ngati ndi kafukufuku wotchuka kwambiri wa Grubbs (" Kupanduka monga Chizolowezi: Chipembedzo ndi Kukana Makhalidwe Monga Onenera za Chizolowezi Chodziwika ku Zithunzi Zolaula "), komwe adalengeza kuti kukhala wachipembedzo ndiye chifukwa chenicheni cha "chizolowezi cholaula," ndiye kuti manambala ochepa kuposa awa amapanga "ubale wolimba." Ndipotu, mgwirizano "wolimba" wa Grubbs pakati pa chipembedzo ndi "chizolowezi cholaula chodziwika" unali 0.30 yokha ! Komabe adagwiritsa ntchito molimbika kuti abweretse chitsanzo chatsopano, komanso chokayikitsa cha chizolowezi cholaula . Matebulo, maulumikizidwe ndi tsatanetsatane womwe watchulidwa pano akupezeka mu gawo lino la kusanthula kwakutali kwa YBOP.

Mu kafukufuku wa ED waposachedwa, ndikofunikira kuzindikira kuti mgwirizano wamphamvu kwambiri pakati pa chizolowezi chogonana ndi kugonana kosasangalatsa ( -0.33 ) unachitika mu chitsanzo chachikulu cha Grubbs. Ichi chinali chitsanzo chokha cha zaka zapakati chomwe chingathe kufotokoza za ED yoyambitsidwa ndi zolaula: chitsanzo 3, zaka zapakati : 33.5 ( maphunziro 433 ).

Gawo 2: Zithunzi zolaula zimagwiritsidwa ntchito ndi erectile

Ngakhale kuti pepalali nthawi zonse limatsutsa mgwirizano pakati pa kugwiritsa ntchito zolaula kwambiri ndi kugonana kosauka, mgwirizanowu unanenedwa m'magulu onse atatu - makamaka chitsanzo cha 3, chomwe chinali chitsanzo chofunikira kwambiri monga momwe tafotokozera. Chidule cha phunziro:

Komabe, kupatula chitsanzo 3 , panali umboni wochepa wosonyeza kugwirizana pakati pa kugwiritsa ntchito zolaula zokha ndi kugwira ntchito kwa maliseche. Mu zitsanzo 1 ndi 2 , kulumikizana pakati pa kugwiritsa ntchito zolaula ndi kugwira ntchito kwa maliseche kunali kofooka komanso kosafunikira nthawi zonse.

Pansi pali magulu a 3, ndi maola awo owerengeka a zolaula tsiku ndi tsiku ndi mgwirizano pakati pa ntchito yogwiritsira ntchito erectile (chizindikiro cholakwika chimatanthauza kusasamala kosavuta kugwiritsidwa ntchito ndi kugwiritsira ntchito zolaula):

  1. Chitsanzo cha 1 (amuna a 147): ausinkhu wa zaka 19.8 - Zosintha 22 Mphindi zolaula / tsiku. (-0.18)
  2. Chitsanzo cha 2 (amuna a 297): ausinkhu wa zaka 46.5 - Yomweyi 13 Mphindi zolaula / tsiku. (-0.05)
  3. Chitsanzo cha 3 (amuna a 433): ausinkhu wa zaka 33.5 - Yomweyi 45 Mphindi zolaula / tsiku. (-0.37)

Zotsatira zowongoka bwino: chitsanzo chomwe chimagwiritsa ntchito zolaula kwambiri (# 3) chinali cholumikizana mwamphamvu pakati pa ogwiritsa ntchito kwambiri zolaula komanso zomangika zosauka, pomwe gulu lomwe limagwiritsa ntchito zochepa (# 2) linali lolumikizana kwambiri pakati pamagwiritsidwe azolaula. Chifukwa chiyani a Grubbs sanatsindike motere polemba, mmalo mwakugwiritsa ntchito manambala kuyesera kuti iwoneke?

Kufotokozera mwachidule:

  • Chitsanzo #1: Avereji ya zaka 19.8 - Zindikirani kuti osuta zithunzi zolaula zakale za 19 sanabwerenge zolaula zomwe zimapangika (makamaka makamaka pogwiritsa ntchito 22 maminiti tsiku). Ambiri a zolaula-zinachititsa ED kupuma nkhani YBOP yasonkhanitsa ndi amuna akuluakulu a 20-40. Nthawi zambiri zimatengera nthawi kuti ipange PIED.
  • Chitsanzo # 2: Avereji ya zaka 46.5 - Anapatsa maminiti 13 okha patsiku! Ndi kupatulidwa koyenera kwa zaka 15.3, gawo lina la amuna awa linali makumi asanu ndi chinachake. Amuna awa sanayambe kugwiritsa ntchito zolaula pa intaneti pa nthawi ya unyamata (kuwapangitsa kukhala osatetezeka kuti athetse chilakolako chawo chogonana pokhapokha pa zolaula za pa intaneti). Inde, monga momwe Grubbs adapezera, kugonana kwa amuna okalamba nthawi zonse kwakhala bwino komanso kulimbitsa mtima kuposa onse omwe amagwiritsa ntchito zolaula pa nthawi ya unyamata (monga omwe ali ndi zaka za 33 mu chitsanzo 3).
  • Chitsanzo #3: Avereji ya zaka 33.5 - Monga tanenera kale, chitsanzo 3 chinali zitsanzo zazikulu kwambiri zolaula. Chofunika kwambiri, msinkhu uwu ndiomwe unganene PIED. N'zosadabwitsa kuti chitsanzo 3 chinali ndi mgwirizano wamphamvu kwambiri pakati pa kugwiritsira ntchito zolaula ndi ntchito yosauka ya erectile (-0.37).

Poganizira za kulumikizana komwe kwatchulidwa pamwambapa pakati pa kugonana kosauka komanso kugwiritsa ntchito zolaula kwambiri komanso chizolowezi chogonana ndi zolaula, ndizodabwitsa momwe pepala la Grubbs limawerengera ngati zolaula zambiri pa intaneti sizingagwirizane ndi kuwonjezeka kwa ED mwa amuna osakwana zaka 40. Komanso, nchifukwa chiyani Grubbs sananyalanyaze mgwirizano wamphamvu pakati pa gulu lazaka lomwe lakhudzidwa kwambiri ndi PIED komanso omwe adanenanso za kugwiritsa ntchito zolaula kwambiri? Kodi sankadziwa zaka zomwe zakhudzidwa kwambiri ndi zolaula zomwe zimayambitsa mavuto ogonana?

Mwachidule, ngati phunziroli likanangoyankhula za # 3 (zomwe mwachidziwikire ndi zitsanzo zoyambirira zomwe Grubbs adasonkhanitsa), Grubbs akadayenera (tikuyembekeza) kuvomereza ubale wolaula ndi vuto logonana. M'malo mwake, zitsanzo ziwiri kunja kwa msinkhu wazaka, zidawonjezedwa pambuyo pazoyambira za sampuli # 3 atasonkhanitsidwa. Izi zidatsitsa zomwe zidapezeka koyambirira komanso zofunikira kwambiri (zitsanzo # 3).

Grubbs: Ngati ndichipembedzo chomwe chimayambitsa zolaula, 0.30 ndi "yamphamvu." Ngati zolaula zimayambitsa ED, 0.37 ndi "umboni wochepa."

Monga tafotokozera pamwambapa, Grubbs m'mbuyomu mosazengereza wagwiritsa ntchito maubwenzi ofooka kuposa omwe adanenedwa mu kafukufuku wa ED wapano kuti anene zonena zolimba komanso zokayikitsa m'maphunziro ake odziwika bwino kwambiri. Kudzinenera kwa Grubbs kutchuka ndi mndandanda wake wa maphunziro a " kuzindikira chizolowezi cha zolaula ", komwe kudayambitsa meme yothandizidwa ndi sayansi kuti "chipembedzo chimayambitsa chizolowezi cha zolaula." Zovuta kwambiri kufotokoza apa, YBOP (ndi ofufuza enieni) athetsa zonena za Grubbs zomwe sizinathandizidwe kwina: nkhani 1 , nkhani 2 , nkhani 3.

Komabe, musanachoke pa mfundo iyi, onani deta kuchokera mu pepala lodziwika bwino la Grubbs: “ Kuchimwa Monga Chizolowezi: Chipembedzo ndi Kusavomerezeka kwa Makhalidwe Monga Zoneneratu za Chizolowezi Chodziwika cha Zolaula .” Gome 2 pansipa lili ndi deta kuchokera ku zitsanzo ziwiri zosiyana. Pansipa pali mgwirizano pakati pa mafunso okhudza kugwiritsa ntchito zolaula a Grubbs, CPUI-9 (#1), ndi Chipembedzo (#6).

Nayi mfundo yofunika kukumbukira mukamawerenga maphunziro onse a Grubbs okhudza chizolowezi chogonana: adatchanso chiwerengero chonse cha CPUI-9 kuti "chizolowezi chogonana ndi zolaula" - ngakhale kuti sichinali mayeso ozindikira chizolowezi. Izi ndizosokoneza, koma zanzeru kwambiri, chifukwa maphunziro ake ndi ndemanga zake pa malo ochezera a pa Intaneti zimawerengedwa ngati adayesa "kukhulupirira chizolowezi chogonana ndi zolaula," ngakhale kuti sanatero. Chifukwa chake pamene Grubbs akunena kuti chipembedzo chikugwirizana kwambiri ndi "chizolowezi chogonana ndi zolaula," amatanthauza kuti chipembedzo chikugwirizana ndi chiwerengero chonse pa CPUI-9 yake, mafunso osamveka bwino omwe sayesa chizolowezi chenicheni cha zolaula kapena kudzikhulupirira kuti ndiwe wokonda zolaula.

Kugwirizana pakati pa zigoli zonse za CPUI-9 ndi chipembedzo: Phunziro 1: 0.25 , Phunziro 2: 0.35

  • Avereji: 0.30

Kodi Dr. Grubbs anati chiyani za ubale wa 0.30 pakati pa "chizolowezi choonera zolaula" ndi chipembedzo? Iye anati chinali "cholimba!"

Zotsatira kuchokera ku maphunziro awiri mu zitsanzo za ophunzira a digiri yoyamba (Phunziro 1, N = 331; Phunziro 2, N = 97) zasonyeza kuti panali ubale wabwino pakati pa chipembedzo ndi chizolowezi choonera zolaula.

Grubbs amaona kuti 0.30 ndi "yolimba" akamachirikiza meme yake yopangidwa mwaluso kuti anthu achipembedzo "amangozindikira" kuti ali ndi chizolowezi choonera zolaula ndipo palibe wina amene ali ndi vuto nazo.

Mu kafukufuku wa ED waposachedwa, kodi Grubbs wafotokoza bwanji mgwirizano pakati pa kugwiritsa ntchito zolaula kwambiri ndi kusala kudya kosauka, kuphatikizapo chitsanzo cha 3 - chomwe chinali ndi mgwirizano waukulu ( 0.37 ), kuposa kafukufuku wake wa "chipembedzo = chizolowezi cholaula" womwe wangofotokozedwa kumene?

"Mu zitsanzo zitatu zonsezi , tapeza umboni wochepa kwambiri wosonyeza kuti zithunzi zolaula zokha zimagwiritsa ntchito mphamvu ya kugonana , zomwe sizikugwirizana ndi nkhani ina yotchuka yonena kuti kugwiritsa ntchito koteroko kungayambitse vuto la kugonana." (kugogomezera kwaperekedwa)

Mu 2019, Grubbs amaona kuti 0.37 ndi "chithandizo chochepa kwambiri" cha kulumikizana pakati pa kugwiritsa ntchito zolaula ndi kusagwira bwino ntchito kwa erectile. Kodi malingaliro a Grubbs pa ziwerengero asintha m'zaka zinayi zapitazi kapena kodi zingakhale china chake?

Tikukayikira tsankho, ndipo tsopano tibwereranso patebulo lomwe lili pamwambapa kuchokera ku kafukufuku wa Grubbs wa “ Kupanduka ngati Chizolowezi ” kuti tithandizire zomwe tikunena. Pamwambapa tawonetsa mgwirizano pakati pa zigoli za CPUI-9 (kuzindikira chizolowezi cha zolaula) ndi chipembedzo . Pansipa tawonetsa mgwirizano pakati pa zigoli za CPUI-9 (kuzindikira chizolowezi cha zolaula) ndi " maola ogwiritsa ntchito zolaula ":

Kugwirizana pakati pa ziwerengero zonse za CPUI-9 (kuonera zolaula) ndi "maola ogwiritsa ntchito zolaula": Phunziro 1: 0.30 , Phunziro 2: 0.32

  • Avereji ya 0.31

Onani kuti ziwerengero za CPUI-9 zili ndi ubale wolimba pang'ono ndi "maola ogwiritsa ntchito zolaula" (0.31) kuposa chipembedzo (0.30). Mwachidule, maola owonera zolaula ndi njira yabwino yodziwira "chizolowezi chowonera zolaula" kuposa chipembedzo . Ndi "kugwiritsa ntchito zolaula mopitirira muyeso = chizolowezi cholaula," osati "chipembedzo = chizolowezi cholaula." Ngakhale m'ntchito ya Grubbs.

Komabe Grubbs akutitsimikizira kuti chipembedzo " chikugwirizana kwambiri ndi chizolowezi choonera zolaula " (ziwerengero za CPUI-9). Ngati zili choncho, ndiye kuti "maola ogwiritsa ntchito zolaula" mwachionekere "amagwirizana kwambiri" ndi zigoli pa CPUI-9. Koma sizomwe mumapeza powerenga kusanthula kwa Grubbs, kapena kuchokera ku ndemanga zake m'manyuzipepala kapena pa Twitter.

Zoonadi, Grubbs akulongosola mwachidule kampeni yake mu nkhani yapadera iyi ya 2016 Psychology Today , komwe akunena zabodza kuti ziwerengero za CPUI-9 (zomwe zimawonedwa ngati zolaula) sizikugwirizana ndi kuchuluka kwa zolaula zomwe zimagwiritsidwa ntchito, koma zokhudzana ndi chipembedzo chokha :

Kutchedwa "wokonda zolaula" ndi mnzanu, kapena ngakhale wekha, sikukhudzana ndi kuchuluka kwa zolaula zomwe mwamuna amaonera , akutero Joshua Grubbs, pulofesa wothandizira wa zamaganizo ku Bowling Green University. M'malo mwake , zimagwirizana ndi kupembedza ...

... Grubbs amachitcha " chizolowezi choonera zolaula ." "Chimagwira ntchito mosiyana kwambiri ndi zizolowezi zina." (kugogomezera kwaperekedwa)

Izi ndi mawu odabwitsa omwe adanenedwa motsutsana ndi zomwe adapeza. Monga momwe matebulo akusonyezera, ziwerengero za CPUI-9 ("kuzindikira chizolowezi cha zolaula") kwenikweni zinali zokhudzana kwambiri ndi "maola ogwiritsira ntchito" kuposa chipembedzo! Malingaliro osachirikizidwa oterewa adapangitsa YBOP kufalitsa ndemanga zambiri za kafukufuku wodziwika bwino wa Dr. Grubbs pankhani ya chizolowezi cha zolaula.

Tsopano, tiyenera kuchitanso izi ndi pepala la ED lomwe lili pano, komwe adalemba nkhani yomwe imatsutsa ubale wofunikira (makamaka m'gulu lomwe lili pachiwopsezo chachikulu), imasiya maphunziro ambiri ogwirizanitsa zolaula ndi mavuto okhudzana ndi kugonana , ndipo imalemba molakwika mabuku okhudza mavuto okhudzana ndi kugonana mwa anyamata. Chithunzi chomwe pepalali lajambula sichikugwirizana ndi deta yake kapena momwe mabukuwa alili pano . Mwatsoka, Grubbs adagwiritsanso ntchito kufotokoza molakwika ubale wake pa twitter:

Mu malingaliro a dziko lonse a Dr. Grubbs bizzaro-stats , 0.37 siipezeka (kugwirizana pakati pa kugwiritsa ntchito zolaula ndi ntchito yofooka ya erectile), pomwe 0.30 ndi yolimba (kugwirizana pakati pa chipembedzo ndi chizolowezi choonera zolaula).

Masewera a chipolopolo?

Kuti tibwererenso pazitsanzo za Grubbs, ndizodziwika bwino pamabwalo obwezeretsa zolaula omwe gulu la amuna lomwe likunena pano zovuta zomwe zimayambitsa zolaula zimayandikira mochedwa 20s ndi 30s koyambirira. Mwa kuyankhula kwina, mwa zitsanzo zitatu za Grubbs, chitsanzo choyenera kwambiri pofufuza zomwe zingatheke zokhudzana ndi kugonana komwe kunayambitsa kugonana kunali chitsanzo 3.

Chitsanzo cha 3 (msinkhu wa zaka 33.5) sizitsanzo zokhazokha kwa gulu labwinobwino, komanso ndi zazikulu kwambiri, ndipo zowonjezeka kwambiri, za zitsanzo zake.

Chochititsa chidwi n'chakuti, chitsanzo chachitatu chinali choyambirira kwambiri mwa zitsanzo zomwe Grubbs adasonkhanitsa (masika a 2017). Mosakayikira, chitsanzo chachitatu chinawonetsa mgwirizano wamphamvu pakati pa thanzi lofooka la erectile ndi kugwiritsa ntchito zolaula ( 0.37 ) ndi chizolowezi cha zolaula (0.33 ) poyamba - ngakhale amuna ambiri osagonana anali atachotsedwa (mwanjira?) pogwiritsa ntchito IIEF.

Izi zikubweretsa mafunso ovuta. N’chifukwa chiyani Grubbs sanalembe zotsatira zake zokhudza chitsanzo chachitatu ichi, gulu lomwe lili pachiwopsezo chachikulu? Akanachita zimenezo, izi zikanakhala pepala losiyana kwambiri ... lopereka chithandizo cholimba cha kukhalapo kwa mavuto azaumoyo okhudzana ndi kugonana chifukwa cha zolaula (tikukhulupirira).

Kodi chinali chifukwa chakuti Grubbs sanakonde kugwirizana kwakukulu pakati pa thanzi losauka la kugonana ndi kugwiritsa ntchito zolaula komanso chizolowezi chogonana ndi zolaula, zomwe chitsanzo chake chofunikira komanso chodalirika chinavumbula? Nchifukwa chiyani anabisa zotsatira zake zofunika kwambiri powonjezera zitsanzo zina ziwiri za amuna ochokera m'magulu azaka omwe ali pachiwopsezo chochepa?

Gulu lakale lonse linasintha pang'ono mu erectile ntchito, koma ogwiritsa ntchito ovuta mwina atha

Kafukufukuyu akuti mukulumikizana kwa nthawi yayitali (# 3) pakati pa kugwiritsira ntchito zolaula / zolaula sizinakhudze magwiridwe antchito a erectile nthawi yayitali ya 1

Mwachidule, kugwiritsira ntchito zolaula mwadzidzidzi sikunagwirizane ndi kusintha kwa erectile pa nthawi ya 1, mwinamwake chifukwa cha kusowa kwa kusintha kwa erectile ntchito mu chitsanzo chonse.

Tiyeni tione izi. Choyamba, ndikofunikira kudziwa kuti mwa omwe ali nawo pagulu la 433 mgulu # 3 poyambira, omwe anali nawo pagulu la 117 anali ndi chidziwitso chathunthu chaka chonse (madeti 4 azidziwitso ndi magawo anayi). Ndiwo 4% ochepa mwa omwe adatenga nawo gawo poyambirira, pomwe Grubbs amatengera izi.

Chachiwiri, zikuwoneka kuti anthu omwe amagwiritsa ntchito zolaula kwambiri, ndipo anali ndi mavuto ambiri (osokoneza bongo), ndi omwe amakonda kusiya kuphunzira. Tebulo 3 likuwonetsa kutsika kwa "maola ambiri ogwiritsa ntchito zolaula" komanso kuchuluka kwa zolaula zomwe zimachitika ndikulowa bwino kulikonse. Amuna onse adasiya kugwiritsa ntchito zolaula ndikumverera kuti samakonda, kapena ogwiritsa ntchito olemera kwambiri omwe ali ndi mavuto akulu kwambiri adatuluka. Yotsirizira ikuwoneka kuti ndiyotheka kwambiri.

Pazifukwa zonsezi tiyenera kutenga chidziwitso cha kutalika kwa kafukufukuyu ndi mwala wamchere.

Grubbs amagwiritsa ntchito malingaliro abodza kuti "Kusakhazikika mwamakhalidwe" kumatha kufotokozera magwiridwe antchito a erectile

Grubbs imanena kuti "Khalidwe lachikhalidwe" lingathandize ED, koma akusewera:

Komanso, tikuwona kuti mu 1 sampuli (chitsanzo 3) zomwe zolaula zimagwiritsidwa ntchito zokhudzana ndi kuchepa kwa erectile kugwira ntchito, zonse zodzipangitsa kuzigwiritsa ntchito zovuta komanso makhalidwe abwino kusagwirizanazokhudzana ndi zolaula zikugwiritsidwa ntchito mofananamo zokhudzana ndi kuchepa kwa erectile, zonsezi kuphatikizapo mgwirizano pakati pa ntchito yogwiritsidwa ntchito ndi kuchepetsa kugwira ntchito kwa erectile. Pamene zotsatirazi zikufotokozedwa pamodzi ndi zotsatira kuchokera ku zitsanzo zina za 2 zosonyeza kuti palibe mgwirizano woonekera pakati pa zolaula ndi ntchito erectile, tikulimbikitsanso poika zikhulupiliro pa zolaula zimagwiritsidwa ntchito ngati njira yoyendetsera ndege ED. (kutsindika kumaperekedwa)

MI (kusalingana kwa makhalidwe) nthawi zonse kumagwirizana ndi chizolowezi cha zolaula (mafunso 4 a Grubbs omwe atchulidwa kale), chifukwa anthu omwe ali ndi chizolowezi cha zolaula nthawi zambiri amafuna kusiya chifukwa cha zotsatirapo zoyipa. Popeza MI nthawi zonse imakhala yogwirizana ndi chizolowezi cha zolaula, ndipo chizolowezi chogonana chocheperako nthawi zonse chimakhala chogwirizana ndi chizolowezi cha zolaula, zigoli za MI zimakhudzana ndi chizolowezi chogonana chocheperako. Chifukwa chake, mawu a Grubbs ndi chinthu chopangidwa, osati mgwirizano wofunikira.

Zindikirani: Grubbs wakhala akuyesetsa kutsimikizira asayansi kwa zaka 8 kuti chizolowezi choonera zolaula sichinthu china koma chomwe chimatchedwa "kusalingana kwa makhalidwe" (kapena chipembedzo). Izi zikutanthauza kuti, kukana kugwiritsa ntchito zolaula mokakamiza ndiye vuto lenileni - osati kugwiritsa ntchito zolaula zokha. Nkhondo yake imadalira mfundo yosachirikizidwa yakuti kukana kugwiritsa ntchito zolaula mokakamiza ndi kwa anthu omwe ali ndi zizolowezi zolaula. Komabe, ndemanga iyi ya mabuku ikuwonetsa zomwe zikuwoneka bwino. Anthu omwe ali ndi zizolowezi nthawi zambiri sakonda zizolowezi zawo. Apa anthu omwe ali ndi zizolowezi zolaula amatchula zifukwa za makhalidwe abwino ngati chifukwa chachikulu chosiyira :

Grubbs ayenera kudzifunsa kuti, "Chifukwa chiyani palibe 'njira yosavomerezeka' ya mankhwala osokoneza bongo, kapena kutchova juga, kapena kusuta ndudu?” 'Makhalidwe oyipa okonda zolaula' ndi hering'i yofiira yopangidwa ndi Grubbs mwini. Amapangidwa ndikuthandizidwa ndimaphunziro ake obwerezabwereza okhudzana ndi kusakhutira ndi zolaula (komanso za gulu lake la mafani), pomwe amanyalanyaza zinthu zina zingapo zofunika kwambiri zomwe zimafotokozera zovuta kugwiritsa ntchito zolaula (monga kulephera kusiya ngakhale zovuta zake).

Zoona zake n'zakuti maphunziro 51 okhudza ubongo akusonyeza kuti chizolowezi choonera zolaula chimagwira ntchito mofanana ndi zizolowezi zina . Ndipo ngakhale maphunziro a Grubbs mwiniwake nthawi zonse amavumbula kuti ziwerengero za "chizolowezi choonera zolaula" zimakhudzana kwambiri ndi kuchuluka kwa zolaula zomwe mwamuna amaonera.

Josh Grubbs amadziphatikiza ndi zolaula, anti-PIED ofalitsa nkhani Nicole Prause & David Ley (ndipo amakhala membala wa mangochin)

Zikuoneka kuti Dr. Grubbs akugwirizana kwambiri ndi anthu okonda zolaula omwe amatsutsa kwambiri Dr. Nicole Prause ndi Dr. David Ley. Onse atatu amakondana ndipo nthawi zambiri amalemba ndemanga zawo pa Twitter, zomwe zimawanyoza chifukwa chogwiritsa ntchito zolaula mopitirira muyeso. Ma kampeni onse atatuwa amatsutsa lingaliro la "chizolowezi chogonana." Ley ndi Grubbs alemba limodzi mapepala omwe anzawo adawunikanso , ndipo Ley ndi Prause alimbikitsa kwambiri maphunziro a Grubbs akuti "chizolowezi chogonana" kuyambira pomwe oyamba adawonekera.

KUSINTHA: 2019, Joshua Grubbs adatsimikiza zokonda zake poyambira onse awiri mwawonekedwe adalumikizana ndi othandizira Chithunzi cha Nicole ndi David Ley poyesera kuti chete YourBrainOnPorn.com. Ma grubbs ndi akatswiri ena a pro-porn ku www.realyourbrainonporn.com akuchita nawo kuphwanya malamulo kosamaloledwa ndi kuphwanya malamulo. Wowerenga ayenera kudziwa izi RealYBOP twitter (ndi kuvomerezedwa kowoneka ndi akatswiri ake) akutenga nawo gawo pakuyipitsa ndi kuvutitsa a Gary Wilson, Alexander Rhodes, Gabe Deem ndi NCOSE, Laila Mickelwait, Gail Dinesndipo aliyense amene amalankhula zolaula za porn. Prause (amene imayendetsa RealYBOP twitter) zikuwoneka kuti osangalatsa kwambiri ndi makampani oonera zolaula, ndipo imagwiritsa ntchito RealYBOP twitter kuti zolimbikitsa makanema azolaula, kuteteza PornHub (yomwe idasunga makanema ogulitsa ana zolaula komanso kugonana), ndi khalani nawo omwe akulimbikitsa pempholi kuti agwire PornHub imakhala ndi mlandu. Tikhulupirira kuti "akatswiri" a RealYBOP akuyenera kulembetsa umembala wawo wa RealYBOP kuti ndi "mkangano wosangalatsa" m'mabuku awo owunikiridwa ndi anzawo.

Kotero sizodabwitsa kuti Ley ndi Prause amakonda kafukufuku waposachedwa wa Grubbs (osachepera zomwe analemba, ngati si zogwirizana zenizeni ). Mu ulusi uwu wa Twitter, Prause akuwonetsa, popanda maziko omveka, kuti mgwirizano wa "kusavomereza makhalidwe abwino" ungatanthauze kuti mavuto okhudzana ndi kugonana amayamba chifukwa cha zolaula .... kudzera mu manyazi. Grubbs akuwoneka kuti akugwirizana ndi mnzake:

Ley ndi Prause si owonera enieni. Onse awiri achitapo kanthu pazochitika zambiri zolembedwa za nkhanza ndi kunyoza monga gawo la kampeni yopitilira ya "astroturf" yolimbikitsa anthu kuti aliyense amene sagwirizana ndi zomwe akuganiza ayenera kunyozedwa. Prause akuwoneka kuti ali bwino kwambiri ndi makampani opanga zolaula , monga momwe zikuonekera pachithunzichi cha iye (kumanja) pa kapeti wofiira wa mwambo wopereka mphoto wa X-Rated Critics Organisation (XRCO) . Malinga ndi Wikipedia " Mphoto za XRCO zimaperekedwa ndi American X-Rated Critics Organisation chaka chilichonse kwa anthu ogwira ntchito zosangalatsa za akuluakulu. Ndi chiwonetsero chokhacho cha mphoto za akuluakulu chomwe chimasungidwa kwa mamembala amakampani okha . " [1] "(kugogomezera kwaperekedwa)

David Ley sakukhudzidwa ndi zochitika zingapo zomwe zachitika kale, komanso wafalitsa nkhani zambiri zotsutsa ma forum obwezeretsa zolaula ndi lingaliro la zolaula lomwe limayambitsa ED, kunyoza amuna omwe amayendetsa ma forum obwezeretsa zolaula ndikugwiritsa ntchito malo ochezera a pa Intaneti kuzunza amuna omwe akuchira ku PIED . Pamkangano wowonekera bwino wazachuma, David Ley akulipidwa ndi kampani yayikulu yamalonda a zolaula X-hamster kuti akweze mawebusayiti awo ndikutsimikizira ogwiritsa ntchito kuti chizolowezi cha zolaula ndi chizolowezi chogonana ndi nthano! Makamaka, David Ley ndi Sexual Health Alliance (SHA) yomwe yangopangidwa kumene agwirizana ndi tsamba la X-Hamster (Strip-Chat). Onani "Stripchat ikugwirizana ndi Sexual Health Alliance kuti ikhudze ubongo wanu wodera nkhawa woganizira zolaula ". Kuphatikiza apo, Ley amapeza ndalama pogulitsa mabuku awiri omwe amakana kugonana ndi chizolowezi chogonana (" The Myth of Sex Addiction," 2012 ndi " Ethical Porn for Dicks," 2016). Kodi zimenezo ndi mkangano wa chidwi? Pornhub ndi imodzi mwamaumboni anayi akumbuyo a bukuli pa Amazon.com.

Ndipo tsopano tili ndi Josh Grubbs, yemwe adalemba nkhani za m'magazini limodzi ndi mnzake David Ley, akulowa nawo Ley poseka ED yoyambitsidwa ndi zolaula:

Grubbs iyi ikuchokera mu Meyi, 2017 - miyezi yopitilira 18 asanafalitse pepala lake lapa "debunking" lomwe lidayambitsa zolaula. Kukondera aliyense?

Nicole Prause akupitilizabe kukhala ndi vuto loipa la PIED, atakhala zaka zisanu zapitazi akuvutitsa ndikuwamasula anyamata omwe achoka pantchito zolaula ndipo akufuna kuchenjeza ena. Onani zolembedwa: 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.

Kuphatikiza apo, Prause (mothandizidwa ndi Ley) yachita nkhondo ya zaka 4 motsutsana ndi ndemanga iyi yokhudza madokotala 7 a US Navy ndi Gary Wilson (yofalitsidwa mu magazini ya Behavioral Sciences ): Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala ( Park et al ., 2016) . (Kuti mudziwe zambiri onani: Kuyesetsa kwa Prause kuti pepala lowunikira la Behavioral Sciences ( Park et al ., 2016) lichotsedwe .) Joshua Grubbs posachedwapa walowa nawo Prause ndi Ley mu kampeni yosachita bwino komanso yosagwirizana ndi malamulo yolimbana ndi Park et al. 2016 ndi MDPI, akuchita nawo ziwopsezo za ad hominem, mabodza, ndi kuzunzidwa pa intaneti.

Chitsanzo choyamba: pa February 16, 2019, katswiri wa mankhwala ogonana adapereka nkhani ku 21st Congress of the European Society for Sexual Medicine pa intaneti momwe zimakhudzira kugonana. Ma slide angapo ofotokoza mavuto okhudzana ndi kugonana omwe amabwera chifukwa cha zolaula, ponena za Park et al ., 2016, adatumizidwa pa Twitter. Ma tweetswa adapangitsa Nicole Prause, David Ley, Joshua Grubbs ndi anzawo kutsogolera mkwiyo wa pa Twitter ku Park et al ., 2016. Mu ulusi uwu Grubbs akugwirizana ndi Prause mu mabodza ake achizolowezi komanso ziwopsezo za ad hominem:

Zonsezi ndi zonyoza zopanda pake monga momwe zavumbulidwira pano . Dziwani kuti m'ma tweets onse a Prause, Ley, ndi Grubbs sapereka chitsanzo chimodzi cha "chinyengo" kapena "zonena zabodza" za pepalalo. Kungonena za ad hominen ndi mabodza. Popeza Prause anali m'modzi mwa olemba asanu ndi mmodzi a Park et al., mungaganize kuti akhoza kufotokoza gawo ndikufotokozera momwe limakhalira "chinyengo." Sizichitika….ndipo sizichitika chifukwa pepalalo lilibe chinyengo ndipo malamulo onse a Navy adatsatiridwa mu kapangidwe kake.

Grubbs sanangoukira Park ndi anzake ndi Prause, koma anaukiranso MDPI popanda chifukwa ( monga momwe Prause wachitira mobwerezabwereza ). Nkhani yolembedwa pa tweet iwiri yochokera mu Januwale, 2019 :

Ma tweets ena akuipitsa MDPI . Nthawi ino ngati "kafukufuku."

Apa akuyambanso, kuukira MDPI :

Kuukira kwa Grubbs pa MDPI ndi Park et al. kunayamba pafupifupi nthawi yomwe adafalitsa pepala lomwe lidatsutsidwa patsamba lino. Mwangozi? Zosayembekezereka kwambiri. Grubbs nthawi zonse wakhala akuvala zolinga zake - kutsutsa chizolowezi cholaula, chizolowezi cha pa intaneti , pomwe akunena kuti mavuto onse okhudzana ndi zolaula amachokera ku makhalidwe abwino achipembedzo (mosasamala akusiya owerenga ake ndi lingaliro labodza lakuti osakhulupirira Mulungu amatha kugwiritsa ntchito zolaula osakumana ndi zotsatirapo zoyipa). Tsopano akuwonjezera masewera ake ochezera pa intaneti kuti agwirizane ndi alangizi ake - Prause & Ley…. mwachitsanzo:

Ayeneranso kupanga ophunzitsa ake kunyada.

Zopanda kanthu zimati mliri wa PIED kulibe

Papepalali likunena kangapo kuti palibe mliri wa ED, ndipo kuti zolaula sizigwirizana ndi chidziwitso cha ED:

Ngakhale pali umboni wotsutsa, magulu ambiri othandizira ndi magulu othandizira okha akupitirizabe kunena kuti zolaula zimagwiritsa ntchito intaneti ndikuyambitsa mliri wa erectile dysfunction (ED).

Tiyamba ndi mawu oyamba a chigawo chomwe chili pamwambapa: palibe “ umboni wotsimikizira zosiyana.” Tiyeni tiwone umboni wotsutsana uwu.

1) Prause ndi Pfaus, 2015 : Prause ndi Pfaus sanachirikize zomwe akunena. Onani ndemanga yovomerezeka yolembedwa ndi wofufuza Richard Isenberg, MD ndi ndemanga yozama kwambiri ya anthu wamba:

Prause ndi Pfaus 2015 sinali kafukufuku wokhudza amuna omwe ali ndi ED. Sizinali kafukufuku konse. M'malo mwake, Prause adati adasonkhanitsa deta kuchokera ku maphunziro anayi omwe adaphunzira kale, omwe palibe omwe adakambirana za vuto la erectile. N'zosadabwitsa kuti pepala ili lolembedwa ndi Nicole Prause ndi Jim Pfaus lidapambana ndemanga ya anzawo chifukwa deta yomwe ili mu pepala lawo sinagwirizane 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. Kuphatikiza apo, Nicole Prause ndi Jim Pfaus onse adapereka mawu abodza kwa atolankhani okhudza njira zawo ndi zomwe adapeza.

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

Ponena za zomwe Landripet ndi Štulhofer , 2015 adanena, sizinapeze ubale pakati pa kugwiritsa ntchito zolaula ndi mavuto okhudzana ndi kugonana, izi sizowona, monga momwe zalembedwera mu ndemanga iyi ya YBOP komanso ndemanga iyi ya mabuku , yolembedwa ndi madokotala angapo a Navy. Kuphatikiza apo, pepala la Landripet ndi Štulhofer silinatchule mgwirizano wofunikira, womwe m'modzi mwa olembawo adapereka kale pamsonkhano waku Europe.

Chofunikanso, muzolemba zake, nchifukwa chiyani Grubbs ananyalanyaza kafukufuku 27 wowunikidwa ndi anzawo wogwirizanitsa kugwiritsa ntchito zolaula/chizolowezi cholaula ndi mavuto okhudzana ndi kugonana komanso kuchepetsa chilakolako chogonana - makamaka maphunziro 5 omwe amuna adachiritsa mavuto posiya zolaula?

Nayi gawo lofananira pomwe amayesa kukakamiza kuti afotokozere zolakwika zomwe zili munkhaniyo:

Kawirikawiri, pakati pa zolaula-kugwiritsa ntchito amuna, mavuto akuluakulu a erectile amawoneka osawoneka, akupeza kuti akutsutsana ndi nkhani yotchuka yomwe imasonyeza kuti zolaula zimayambitsa matenda a ED.

Ndipotu, monga taonera pamwambapa, zitsanzo zitatu apa zinali za amuna omwe amachita zachiwerewere ndipo omwe ma IIEF awo anali abwino kwambiri . Mwachidule, pepalali silinaphatikizepo amuna omwe ali ndi ED, silinaphatikizepo amuna osachita zachiwerewere, ndipo silinaphatikizepo anamwali . Chifukwa chake, amuna ambiri omwe amapanga "mliri wa ED" (womwe olemba awa amakana) sanaphatikizidwe mu kafukufukuyu. Komabe, ngakhale mu pepalali , chizolowezi chogonana komanso kugwiritsa ntchito zolaula kwambiri zinali zokhudzana ndi kusagwira bwino ntchito kwa erectile. Nchifukwa chiyani muyenera kukana chowonadi?

Udindo wa "gulu lazachipatala"?

Osatchula kanthu kuti athandizire chigamulo chawo, Grubbs ndi wolemba mnzakeyo molakwika amanena kuti "gulu lachipatala" silinapeze umboni weniweni wa mliri wa ED:

Kuwonjezera apo, atapatsidwa kuti achipatala sanapeze umboni weniweni wa kuchuluka kwa ED mwa anyamata m'zaka zaposachedwapa, ntchitoyi ikupereka umboni wina wotsutsana ndi lingaliro lakuti zolaula zimagwiritsa ntchito kuyendetsa mliri wa ED.

Zenizeni?

Chiwerengero cha ED m'mbiri: Kulephera kugwira ntchito bwino kwa erectile kunayesedwa koyamba mu 1940s pamene lipoti la Kinsey linatsimikiza kuti kufalikira kwa ED kunali kochepera 1% mwa amuna osakwana zaka 30, ochepera 3% mwa amuna azaka 30-45. Ngakhale kuti maphunziro a ED pa anyamata ndi ochepa, kusanthula kwa 2002 kwa maphunziro 6 apamwamba a ED kunanena kuti 5 mwa 6 adanena kuti kuchuluka kwa ED kwa amuna osakwana zaka 40 ndi pafupifupi 2%. Kafukufuku wachisanu ndi chimodzi adanenanso kuti ziwerengero za 7-9%, koma funso lomwe linagwiritsidwa ntchito silingafanane ndi maphunziro ena asanu, ndipo silinayese vuto la erectile monga momwe ena adachitira. M'malo mwake linafunsa kuti, " Kodi munali ndi vuto losunga kapena kukwaniritsa kukhazikika nthawi iliyonse chaka chatha ?"

Kumapeto kwa chaka cha 2006, mawebusayiti aulere owonera zolaula adapezeka pa intaneti ndipo adatchuka nthawi yomweyo. Izi zidasintha kwambiri momwe anthu amaonera zolaula . Kwa nthawi yoyamba m'mbiri, owonera amatha kukwera mosavuta panthawi yogonana popanda kudikira. Kodi chiwopsezo cha ED chinatani?

Maphunziro khumi kuyambira 2010: Maphunziro khumi omwe adasindikizidwa kuyambira 2010 akuwonetsa kukwera kwakukulu kwa vuto la erectile dysfunction. Izi zalembedwa m'nkhaniyi komanso mu pepala lowunikidwa ndi anzawo lomwe linalembedwa ndi madokotala 7 a US Navy - Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala (2016) . Mu maphunziro 10, kuchuluka kwa erectile dysfunction kwa amuna osakwana zaka 40 kunali kuyambira 14% mpaka 37%, pomwe kuchuluka kwa libido yochepa kunali kuyambira 16% mpaka 37%.

Kupatula kubwera kwa zolaula (2006) palibe kusintha kulikonse kokhudzana ndi ED ya achinyamata komwe kwasintha kwambiri m'zaka 10-20 zapitazi (chiwerengero cha kusuta chatsika, kugwiritsa ntchito mankhwala osokoneza bongo kuli kokhazikika, chiŵerengero cha kunenepa kwambiri mwa amuna azaka zapakati pa 20-40 chakwera ndi 4% yokha kuyambira 1999 - onani kafukufukuyu ).

Kuwonjezeka kwaposachedwa kwa mavuto okhudzana ndi kugonana kukugwirizana ndi kufalitsidwa kwa maphunziro opitilira 35 ogwirizanitsa kugwiritsa ntchito zolaula ndi "chizolowezi chogonana" ndi mavuto okhudzana ndi kugonana komanso kuchepetsa chilakolako chogonana . Kuphatikiza pa maphunziro omwe atchulidwa, tsamba lino lili ndi nkhani ndi zoyankhulana zokhudzana ndi akatswiri opitilira 150 (aphunzitsi a urology, akatswiri a urology, akatswiri amisala, akatswiri a zamaganizo, akatswiri a zachiwerewere, akatswiri a zachiwerewere, akatswiri a MD) omwe amavomereza, ndipo achita bwino kuchiza, kutayika kwa chilakolako chogonana chifukwa cha zolaula komanso kutayika kwa chilakolako chogonana chifukwa cha zolaula.

Maola omwe akugwiritsidwa ntchito masiku ano ndi chimodzi mwa zinthu zambiri zomwe zingaganizire zolaula zogonana ndi zolaula

Zosintha zina mwina ziyeneranso kufufuzidwa. Ndemanga iyi ya 2016 idawonetsa kufooka pakulumikiza "maola omwe akugwiritsidwa ntchito pano" kuti alosere zovuta zogonana zomwe zimayambitsa zolaula. Kuchuluka kwa zolaula zomwe zikuwonedwa pakadali pano mwina ndi chimodzi mwazosintha zambiri zokhudzana ndi chitukuko cha ED yoyambitsidwa ndi zolaula. Zina 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 zambiri zagwiritsidwa 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 (zomwe zinali zogwirizana kwambiri ndi chitsanzo #3)
  13. Zingakhale zowonjezera kuti mufunse za kukonzekera, khalidwe loipa la kuseweretsa maliseche panthawi yopewera pamene akupewa kutha.

Njira yabwino yofufuzira izi, ndikuchotsa kusintha kwa kugwiritsa ntchito zolaula pa intaneti ndikuwona zotsatira zake, zomwe zidachitika m'maphunziro angapo pomwe amuna adachotsa kugwiritsa ntchito zolaula pa intaneti ndikuchira. Kafukufuku wotere akuwonetsa chifukwa m'malo mwa ubale wozikidwa pa kukumbukira kolakwika - komanso kutseguka kumasulira koyendetsedwa ndi zolinga monga zomwe zili mu kafukufukuyu. YBOP yalemba malipoti a amuna zikwi zingapo omwe adachotsa zolaula ndikuchira ku zovuta zogonana.

Zowonjezera zina, zimapezekanso pamapepala oyambirira pa phunziroli

Zina mwa mfundo zotsatirazi zimachokera ku ndemanga yoyambirira ya Prause ndi Pfaus 2015. Pepala lamakono lili ndi zolakwika zambiri zomwezo.

  1. Sanayese anthu omwe akudandaula za kuwonongeka kwa erectile
  2. Sanapemphe anthu kuti ayese kuseweretsa maliseche popanda zolaula (njira yoyesa ED)
  3. Analibe amuna kuchotsa zolaula kuti aone ngati erectile ikugwira ntchito bwino (njira yokhayo yodziwira ngati ED inali yochititsa manyazi)
  4. Sanafunse za zaka kapena zolaula, anyamata akuyamba kugwiritsa ntchito zolaula, mtundu wa zolaula, kapena kuchuluka kwa ntchito.
  5. Simunafunse za kuchepetsa kuthamangitsidwa kapena kuthamangitsidwa kwina (zowonongeka kwa PIED)
  6. Kuphunzira kumaphatikizapo amuna omwe amachita chiwerewere (zomwe zikutanthauza kuti mwina sanakwaniritse ED), zomwe zingalepheretse anthu omwe ali ndi ED kwambiri kotero kuti akupewa kugonana
  7. Kuphunzira kunasiya anamwali (kuphatikizapo omwe amatchedwa "anamwali opusa" - omwe sangathe kugonana ndi abwenzi enieni) ndipo motero onse amene sanagonane chaka chatha.

Kutsiliza

Kufufuza koona za kugwiritsa ntchito zolaula ndi zovuta zogonana kuyenera kufunsa anthu kuti athetse kugwiritsa ntchito zolaula za digito ndikuwunika kusintha kulikonse m'miyezi yotsatira.

Pakadali pano, zikuwonekeratu kuti asayansi atha kugwira ntchito yosamala pofufuza zodabwitsazi za anyamata omwe ali pachiwopsezo chachikulu cholimbana ndi zovuta zogonana zomwe sizinachitikepo (zomwe nthawi zambiri zimachiritsa pongosiya zolaula zapa digito). Ochita kafukufuku amathanso kugwira ntchito yofunika kwambiri pofotokoza zomwe apeza ndi momwe zinthu ziliri m'malo mongosocheretsa owerenga.