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 yemwe wakhumudwitsa anthu ndi "anazindikira zolaula zolaula"Ndipo adanena mwanjira ina"amagwira ntchito mosiyana kwambiri ndi zovuta zina, ”Tsopano wasandutsa chidwi chake ku ED. Joshua Grubbs's pepala latsopano akuti palibe mliri wachinyamata wa ED, molimba mtima akumaliza tanthauzo lake ndi:

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, ambiri a anyamata omwe amapanga "ED ED" (zomwe olemba awa amakana) sanatuluke mu phunziro ili. Ndikosavuta kunena kuti mwakhazikitsa kuti zolaula sizikugwirizana ndi mliri wa ED, ngati mukukana kuphunzira omwe akuvutika kwambiri ndi zolaula zomwe zimapangitsa ED kuti sakugonana!

As Kubwezeretsanso woyambitsa Gabe Deem ananena za phunziro lomwelo: "Kugwiritsa ntchito amuna omwe ali ndi magawo athanzi kuti aphunzire kulumikizana pakati pa zolaula ndi ED ndikofanana ndi kugwiritsa ntchito maphunziro opanda khansa kuti muphunzire kulumikizana pakati pa kusuta ndi khansa yamapapo." (Gabe anachira kuchokera ku PIED, ndipo tsopano imathandiza anthu ena omwe amachititsa kuti azigonana.)

Ngakhale kuti phunziro la Grubbs lolembedwa linapeza mgwirizano pakati osauka kugonana ndi onse zolaula ndi Kugwiritsa ntchito zolaula (ngakhale kupatula amuna osachita zachiwerewere ndipo potero amuna ambiri omwe ali ndi ED), pepalali limawerenga ngati kuti lawononga zolaula za ED (PIED). Izi sizodabwitsa kwa iwo omwe atsata zodandaula zoyambirira za Dr. Grubbs poyerekeza ndi "anazindikira zolaula zolaula"Ntchito.

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 3 zitsanzo za amuna ogonana omwe amawonanso zolaula, tapeza Makhalidwe apamwamba kwambiri a erectile ntchito. (kutsindika kumaperekedwa)

Kachiwiri, izi zimapangitsa chisokonezo chachikulu pamene phunziroli silinamveke anamwali, amuna opatsirana pogonana, komanso aliyense amene ali ndi ED: amuna omwe ali ndi mavuto okhudzana ndi kugonana okhudzana ndi zolaula. Amuna omwe sanatenge nawo phunziro amaimira gawo lalikulu la chiwerengero cha anthu, popeza kuti pakhala kuwonjezeka kwakukulu anyamata osagwira ntchito ndi amuna Amuna omwe ali pansi pa 40 ali ndi ED kapena mavuto ochepa.

Ndikofunika kuzindikira kuti IIEF-5 (chithunzi pamwambapa) ikufuna kuwunika Amuna okha omwe akuchita chiwerewere (amuna ogonana). Ndipotu, dokotala wogwiritsa ntchito kugonana anati IIEF imatsimikiziridwa ndi amuna omwe agonana pa masabata omaliza a 4.

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:

Zovuta zowona izi zimathandizidwa ndi osachepera Maphunziro a 7 akuwonetsa ntchito zolaula mwachiwonekere kuchititsa zovuta za kugonana. Maphunziro atatu mwa asanu ndi amodzi omwe anali okhudzana ndi amuna omwe adachira ku bongo wa okonda zolaula komanso otsika kwambiri, m'malo mwa ED. Maphunziro enawo awiri anali ndi kuphatikiza kwa odwala omwe amachiritsa zolaula zomwe zimachedwetsa kuchepa kwa thupi ndi PIED. Kuphatikiza apo, kafukufuku pa amuna ofunafuna mankhwala omwe amadzikakamiza kuti azichita zolaula adanena kuti 71% mwa iwo anali ndi vuto la kugonana, ndipo 33% malipoti anachedwa kuchepa.

Zotsatira: Kuphatikizapo kuti amasiya ambiri (kapena ambiri) a anyamata omwe amapanga "Mliri wa ED, "Kafukufukuwo sanapezepo mavuto ena okhudzana ndi kugonana okhudza zolaula omwe analembedwa m'mabukuwa komanso anthu ambiri osagwiritsa ntchito zolaula.

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 patebulo la kafukufukuyu:

Zero zikutanthauza kuti palibe mgwirizano pakati pa mitundu iwiri; 1.00 imatanthauza mgwirizano wathunthu pakati pa mitundu iwiri. Chiwerengero chachikulu kwambiri chikugwirizana kwambiri ndi kusiyana kwa 2. Ngati nambala ali nayo opanda chizindikiro, zikutanthauza kuti pali kusiyana kolakwika pakati pa zinthu ziwiri. (Mwachitsanzo, pali kusiyana pakati pa zolimbitsa thupi ndi matenda a mtima.) Choncho, m'chinenero cholondola, kuchita masewera olimbitsa thupi kumachepetsa mwayi wa matenda a mtima. kulumikizana bwino 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

Owerenga magawo a Chiyambi kapena Zokambirana papepalalo atha kuphonya izi, koma onse Kugwiritsa ntchito zolaula komanso zovuta zogwiritsa ntchito zolaula (zolaula) zinali zofanana ndi IIEF-5 International Index of Erectile Function), zomwe zimasonyeza kuchepetsa erectile kugwira ntchito. Komabe, ngakhale olemba do kuvomereza kuti zolaula zimakhudzana ndi ntchito yosauka yosavuta:

Mofananamo, panali mgwirizano wosiyana pakati pa erectile ndi zovuta zolaula zimagwiritsidwa ntchito muzitsanzo zonse za 3, ngakhale kuti ubale uwu unali wa kukula kochepa kwambiri (r =.) -0.20 ku -0.33) ndipo sanagwiritse ntchito chiwerengero cha 1 potsatira chidziwitso cha Holm.

Kumbukirani, zizindikiro zosayenerera zimatanthawuza zochepa pa IIEF, zomwe zikutanthawuza kuti ntchito yosavuta imakhala yovuta. Zotsatira zimasonyeza kuti ngakhale mu nkhani zokhala ndi thanzi labwino la erectile, kugwiritsira ntchito zolaula kunali kwambiri zokhudzana nazo osauka zosankhidwa.

Dikirani miniti yomwe mumapempha, ndinganene bwanji kwambiri zokhudzana? Kodi phunziroli silinatchulidwe pamwambapa molimba mtima kuti ubalewo (-0.20 ku -0.33) anali "ochepa pang'ono pang'ono," kutanthauza kuti sichinthu chachikulu?

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 ndifukufuku wotchuka kwambiri wa Grubbs ("Kupepesa Monga Chizolowezi: Kukhulupirira Zipembedzo ndi Kusayendetsa Makhalidwe Monga Otsutsa a Kulimbana Ndi Zolaula"), Pomwe adalengeza kuti kukhala wachipembedzo ndiye komwe kumayambitsa" zolaula, "ndiye manambala zochepa kuposa awa amapanga "ubale wolimba." Pamenepo, Mgwirizano "wolimba" wa Grubbs pakati pa chipembedzo ndi "zolaula zolaula" zidangokhala 0.30! Komabe adagwiritsa ntchito molimbika kuti alowetse zatsopano, ndi zokayikitsa, zowononga zolaula. Magome, mgwirizano ndi ndondomeko zotchulidwa apa zikupezeka gawo ili la kafukufuku wa YBOP wautali.

Pakafukufuku waposachedwa wa ED, ndikofunikira kuzindikira kuti kulumikizana kwamphamvu kwambiri pakati pa zolaula ndi zovuta za anthu osauka (-0.33) zidachitika pachitsanzo chachikulu kwambiri cha Grubbs. Ichi chinali okha Chitsanzo cha msinkhu wa zaka zambiri chikhoza kufotokoza zolaula zomwe zinachititsa ED: Chitsanzo cha 3, msinkhu wa zaka: 33.5 (Nkhani za 433).

Gawo 2: Zithunzi zolaula zimagwiritsidwa ntchito ndi erectile

Ngakhale pepalali likuwonetseratu kuti kugwirizana pakati pa zolaula ndizomwe zimagwiritsidwa ntchito ndi zosavuta, zogwirizana anali Zinalembedwa m'magulu onse a 3 - makamaka chitsanzo cha 3, chomwe chinali chitsanzo chofunikira kwambiri monga momwe tafotokozera. Chidule cha kuphunzira:

Komabe, kupatulapo chitsanzo 3, panali umboni wawung'ono za kugwirizanitsa pakati pa zolaula zimagwiritsa ntchito zokha ndi erectile kugwira ntchito. Mu zitsanzo 1 ndi 2, zogwirizana pakati pa zolaula zimagwiritsidwa ntchito ndi erectile ntchito zinali zofooka komanso zopanda pake

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 zokhudzana ndi zochitika zosauka ndi onse kugwiritsa ntchito zolaula kwakukulu ndi zolaula, ndizodabwitsa momwe pepala ili la Grubbs limawerengera ngati zolaula zolaula pa intaneti Sangathe khalani okhudzana ndi zomwe zinalembedwa ku ED mwa amuna omwe ali pansi pa 40. Komanso, n'chifukwa chiyani Grubbs amanyalanyaza mgwirizano wamphamvu mu gulu lomwe lakhudzidwa kwambiri ndi PIED ndipo ndi ndani amene anawonetsa kugwiritsira ntchito zolaula kwambiri? Kodi sakudziwa za zaka zomwe zakhudzidwa ndi zolaula zomwe zimayambitsa mavuto a kugonana?

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 akhala akugwiritsanso ntchito mosaganizira molakwika kusiyana ndi zomwe zalembedwa mu phunziro la ED tsopano kuti zikhale zolimba kwambiri zifukwa zokayikitsa m'maphunziro ake odziwika kwambiri. Grubbs amadzinenera kutchuka ndi mndandanda wake wa "ankaona kuti zolaula ndizoopsa”Maphunziro, amene anachititsa kuti mfundo zosagwirizana ndi sayansi zakuti“ chipembedzo chimayambitsa chizolowezi choonera zolaula. ” Zovuta kwambiri kumasula apa, YBOP (ndi ofufuza enieni) achotsa zomwe Grubbs sanazigwiritse kwina kulikonse: Nkhani 1, Nkhani 2, Nkhani 3.

Komabe, musanachoke pamfundoyi, onani zomwe zalembedwa papepala lomwe limatchulidwa kwambiri ndi Grubbs: "Kupepesa Monga Chizolowezi: Kukhulupirira Zipembedzo ndi Kusayendetsa Makhalidwe Monga Otsutsa a Kulimbana Ndi Zolaula. " Gulu 2 pansipa lili ndi zidziwitso kuchokera kuzitsanzo ziwiri zosiyana. Zowonetsedwa pansipa ndizolumikizana pakati pa mafunso a Grubbs ogwiritsa ntchito zolaula, CPUI-2 (# 9), ndi Chipembedzo (# 1).

Nazi zina zomwe muyenera kukumbukira mukamawerenga maphunziro onse a Grubbs omwe amadziwika kuti ndi osokoneza bongo: adalemba dzina la okwana Mapulogalamu a CPUI-9 ngati "zolaula zolaula" - ngakhale kuti sikunali kuyesa-kwa-chizolowezi choledzera. Izi ndizosokoneza, komabe ndizofunikira kwambiri, popeza maphunziro ake ndi ndemanga zake pazanema zimawerengedwa ngati awunika "kukhulupirira zolaula," ngakhale sanatero. Kotero pamene Grubbs akunena kuti chipembedzo ndi mwamphamvu zokhudzana ndi "zolaula," amatanthauza kuti chipembedzo chimangokhala chokhudzana ndi kuchuluka kwake kwa CPUI-9, funso lofunsidwa lomwe limayesa ngakhale zowononga zolaula kapena kuganiza kuti ndizochita zachiwerewere.

Kugwirizana pakati pa maphunziro onse a CPUI-9 ndi chipembedzo: Phunzirani 1: 0.25, Phunzirani 2: 0.35

  • Avereji: 0.30

Kodi Dr. Grubbs adanena chiyani za 0.30 ubale pakati pa "zolaula zolaula" ndi chipembedzo? Bwanji, adanena kuti inali "yamphamvu!"

Zotsatira zochokera ku maphunziro awiri m'mabuku oyambirira a phunziro (Phunziro 1, N = 331; Phunzirani 2, N = 97) kuti panali Zamphamvu mgwirizano wabwino pakati pa zipembedzo ndi kudziletsa kuonera zolaula.

Zomera zimaganizira 0.30 "Wolimba" akagwira nawo ntchito zaluso kuti anthu achipembedzo "amazindikira" kuti amakonda zolaula ndipo palibe amene ali ndi vuto nazo.

Mu kafukufuku wapano wa ED, Grubbs wafotokoza bwanji kulumikizana pakati pa kugwiritsira ntchito zolaula kwambiri ndi zosavutikira, kuphatikizapo zitsanzo 3 - zomwe zinali ndi mgwirizano wokulirapo (0.37), kuposa kafukufuku wake "wachipembedzo = zolaula" zomwe tafotokozazi?

“Ponseponse Zithunzi za 3, tapeza kokha zochepa kwambiri kuthandizira lingaliro lakuti zolaula zimagwiritsidwa ntchito zokha zimagwirizana ndi kuchepetsa kugwira ntchito kwa erectile, zomwe n'zosemphana ndi nkhani ina yotchuka yonena kuti kugwiritsa ntchito njirayi mwina kuyambitsa vuto la kugonana. ” (kutsindika kwaperekedwa)

Mu 2019, Grubbs amalingalira 0.37 monga "chithandizo chochepa" cholumikizira pakati pa zolaula ndi magwiridwe antchito a erectile. Kodi malingaliro a Grubbs pazowerengera adasinthika mzaka 4 zapitazi kapena mwina ndi chinthu china?

Timakayikira, ndipo tsopano tibwererenso tebulo lapamwamba kuchokera ku Grubbs "Kupepuka ngati Addiction" Phunzirani kuti tiwathandize. Pamwamba ife tawonetsa mgwirizano pakati pa maphunziro a CPUI-9 (anazindikira zolaula) ndi chipembedzo. Pansipa tawonetsa mgwirizano pakati pa maphunziro a CPUI-9 (omwe amazindikira kuti mankhwala olaula) ndi "Maola owonetsera zolaula":

Zolumikizana pakati pa maphunziro onse a CPUI-9 (anazindikira zolaula) ndi "maola a zolaula": Phunzirani 1: 0.30, Phunzirani 2: 0.32

  • Avereji ya 0.31

Zindikirani kuti maphunziro a CPUI-9 ali nawo kulimbitsa pang'ono ubale ndi "maola olaula" (0.31) kuposa zachipembedzo (0.30). Mwachidule, zolaula zambiri zimaneneratu "zolaula" kusiyana ndi chipembedzo. Ndi "kugwiritsira ntchito zolaula", osati "Kupembedza = zolaula." Ngakhale mu ntchito za Grubbs.

Komabe Grubb amatitsimikizira kuti chipembedzo ndi "wokhudzana kwambiri ndi zolaula”(Zambiri za CPUI-9). Ngati ndi choncho, ndiye kuti "maola ogwiritsa ntchito zolaula" mwachiwonekere amakhalanso "olimba mtima" pazambiri pa CPUI-9. Koma sizomwe mumapeza chifukwa chowerenga Grubbs, kapena ndemanga zake munyuzipepala kapena pa Twitter feed.

Inde, Grubbs akuwerengera mwachidule ntchito yakeyi zodabwitsa kwambiri 2016 Psychology Today nkhani, komwe amanamizira kuti CPUI-9 maphunziro (omwe amadziwika kuti ndi zolaula) sagwirizana ndi kuchuluka kwa zolaula zomwe zimagwiritsidwa ntchito, koma okha zokhudzana ndi chipembedzo:

Kulembedwa kuti "zolaula" ndi mnzanu, kapena mwadzikonda, ali kanthu Kuchita ndi zolaula zomwe munthu amawona, akutero Joshua Grubbs, pulofesa wothandizira wa maganizo ku Bowling Green University. M'malo mwake, ilo liri chilichonseg kuchita nazo rechiwerewere...

... Mabala amachitcha "anazindikira zolaula zolaula"" Zimagwira ntchito mosiyana kwambiri ndi zizoloŵezi zina. "(Kutsindika kumaperekedwa)

Awa ndi mawu odabwitsa omwe akutsutsana ndi zomwe adapeza. Monga momwe magomewo akuwonetsera, ma CPUI-9 ("omwe amadziwika kuti amakonda zolaula") anali okhudzana kwambiri ndi "maola ogwiritsa ntchito" kuposa zachipembedzo! Izi sizinathandize YBOP kufalitsa zolemba zambiri a maphunziro a zolaula za Dr. Grubbs.

Tsopano, tiyeneranso kuchita izi ndi pepala ili la ED, kumene adalemba kulembera zomwe zimalekanitsa mgwirizano wofunikira (makamaka gulu la anthu omwe ali pangozi), amasiya maphunziro ochuluka okhudzana ndi zolaula ndi mavuto a kugonana, ndipo amanyengerera mabuku okhudzana ndi kugonana kwa anyamata. Chithunzichi chithunzichi chikugwirizana ndi chidziwitso chake zochitika zamakono. N'zomvetsa chisoni kuti Grubbs anagwiritsanso ntchito malingaliro ake pa twitter:

Mu Dr. Grubbs bizzaro-stats dziko lapansi kuona, 0.37 sichipezeka (kulumikizana pakati pa kugwiritsira ntchito zolaula & magwiridwe antchito a erectile), pomwe 0.30 imakhala yamphamvu (kulumikizana pakati pazipembedzo ndi 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.

Chodabwitsa, chitsanzo cha 3 chinali chowoneka oyambirira za zitsanzo Zomera zomwe zimapezeka (kasupe wa 2017). Chotsatira, chitsanzo cha 3 chinagwirizana kwambiri pakati pa thanzi la Erectile ndi zolaula (0.37) ndi zolaula (0.33) pachiyambi - ngakhale amuna ambiri osagwira ntchito za kugonana anali (mwachikhalidwe?) osagwiritsidwa ntchito ndi IIEF.

Izi zimabweretsa mafunso ovuta. Chifukwa chiyani Grubbs sanalembere zotsatira zake okha za chitsanzo ichi 3, gulu loopsya kwambiri? Akanati atero, izi zikanakhala zolemba zosiyana kwambiri ... kupereka chitsimikizo kuti pakhale zovuta za umoyo wa erectile (tingayembekezere).

Zinali chifukwa Grubbs sanatero ngati kugwirizana kwakukulu pakati pa umoyo wathanzi wa erectile ndi zolaula zonse ndi zolaula, zomwe zowoneka bwino kwambiri, zowoneka bwino zowonekera? Chifukwa chiyani anabisa zotsatira zake zowonjezereka mwa kuwonjezera 2 zitsanzo zambiri za amuna kuchokera m'magulu a zaka zochepa?

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 (makhalidwe incongruence) ndi nthawizonse yolumikizidwa ndi chizolowezi chazolaula (Mafunso a Grubbs a 4 omwe adatchulidwa koyambirira), chifukwa anthu omwe ali ndi zolaula nthawi zambiri amafuna kusiya chifukwa cha zovuta zina. Popeza MI nthawi zonse imakhudzana ndi zolaula, komanso magwiridwe antchito a erectile nthawi zonse amakhudzana ndi zolaula, zambiri za MI ndizokhudzana ndi ntchito yosauka ya erectile. Chifukwa chake, zonena za Grubbs ndizopanga, osati mgwirizano wopindulitsa.

Zindikirani: Grubbs wakhala akuyesetsa khulupirirani asayansi kwa zaka 8 kuledzera sikungokhala china chomwe chimatchedwa "kusadzisunga pamakhalidwe" (kapena kupembedza). Ndiye kuti, kusakhutira ndi zolaula zomwe ndimakonda ndiye vuto lenileni - osati zolaula zokha. Nkhondo yake yamtendere idalira pamalingaliro osatsimikiziridwa kuti kukana mwamakhalidwe kugwiritsa ntchito mokakamiza ndikosiyana ndi omwe amakonda kugwiritsa ntchito zolaula. Komabe, kuwunikaku kwa mabukuwa kukuwonekeratu. Oledzera nthawi zambiri sagwirizana ndi zizolowezi zawo. Pano osokoneza bongo amatchula zifukwa za makhalidwe monga cholinga chachikulu chosiya:

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 ndizo 51 maphunziro a ubongo onetsani kuti zolaula zimagwira ntchito mofanana ndi zovuta zina. Ndipo ngakhale zomwe Grubbs adachita nthawi zonse zimawulula kuti "amadziwika kuti amakonda zolaula" khalani ndi zambiri zokhudzana ndi kuchuluka kwa zolaula zomwe munthu amawona.

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

Dr. Grubbs akuwoneka kuti akugwirizana kwambiri ndi odzipereka kwambiri zolaula Dr. Nicole Prause ndi Dr. David Ley. Onse atatu amakonda kukondanso ndemanga zawo, ndikulowa nawo pa Twitter convos zoseketsa zomwe zimadza chifukwa chogwiritsa ntchito zolaula pa intaneti. Ntchito zitatu zonsezi zotsutsana ndi lingaliro la "zolaula." Ley ndi Grubbs ali nawo mapepala ogwiritsidwa ntchito ndi anzawo, ndi Ley ndi Prause ali ndi mawu adalimbikitsa maphunziro a Grubbs "omwe amadziwika kuti ndi osokoneza bongo" kuyambira woyamba anaonekera.

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.

Chifukwa chake sizosadabwitsa kuti Ley ndi Prause yambani maphunziro a Grubbs omwe alipo tsopano (mwina kulemba kwake, ngati si leni malumikizidwe). Mu ulusi uwu wa Twitter, a Prause akuwonetsa, popanda chifukwa chomveka, kuti "kutsutsa kwamakhalidwe" kungatanthauze kuti zovuta zakukonzekera ndizomwe zimayambitsa zolaula ... .via manyazi. Grubbs akuwoneka kuti akugwirizana ndi mnzake:

Ley ndi Prause sali owona mwachidwi. Onse awiri ali zochitika zambiri zolembedwa zozunzidwa ndi kulemekeza monga gawo la "astroturf" yopitiliza kuchititsa anthu kuti aliyense amene samatsutsana ndi ziganizo zawo ayenera kulemekezedwa. Pembedzero likuwonekera osangalatsa kwambiri ndi makampani oonera zolaula, monga momwe tingawonere pa izi Chithunzi cha iye (kumanja) pamphepete wofiira wa mwambo wa mpikisano wa Critics Organization (XRCO) X-Rated (XRCO). Malinga ndi Wikipedia "the XRCO Awards amaperekedwa ndi American X-Rated Critics Organisation pachaka kwa anthu omwe amagwira ntchito muzochita zosangalatsa zachikulire. Ndiwo mphotho yokha ya anthu akuluakulu bwanji yosungidwa okha kwa anthu ogulitsa ntchito.[1]"(Kutsindika kumaperekedwa)

David Ley sikuti amangokhala ndi zochitika zingapo zomwe zisanachitike, adafalanso nkhani zambiri kuwononga mafano owonetsera zolaula ndi Lingaliro la zolaula linapangitsa ED, kuwononga anthu amene amayendetsa masewera olimbitsa thupi ndi kugwiritsa ntchito chitukuko akuvutitsa amuna akuchira kuchokera ku PIED. Pakuwombana kopenyeka kwachuma, David Ley ndi kulipidwa ndi makampani opanga zolaula za chimphona cha X-hamster kutsatsa masamba awo ndikutsimikizira ogwiritsa ntchito kuti kuzolowera zolaula komanso chizolowezi chogonana ndizabodza! Makamaka, David Ley ndi omwe angopangidwa kumene Alliance Health Alliance (SHA) akhala ogwirizana ndi tsamba la X-Hamster (Strip-Chat). Mwaona "Stripchat imagwirizanitsa ndi Health Health Alliance kuti igwiritse ntchito bongo lanu lomwe limakhala ndi nkhawa". Kuphatikiza apo, Ley amapanga ndalama pogulitsa mabuku awiri omwe amakana kugonana ndi zolaula ("Nthano Yokhudza Kugonana, ” 2012 ndi "Zithunzi Zoyipa Zazinyalala, ” 2016). Kodi zimenezi ndizosagwirizana? Nthano ndi imodzi mwa mapulogalamu anayi obwereza kumbuyo kwa bukuli pa Amazon.com.

Ndipo tsopano tili ndi Josh Grubbs, amene ali zolemba zolemba zolemba ndi mnzanga David Ley, akutsatizana ndi Ley akunyansidwa ndi zolaula-zinachititsa ED:

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) wayambitsa a Nkhondo ya zaka 4 motsutsana ndi izi zokhudzana ndi madokotala a 7 US Navy ndi Gary Wilson (yofalitsidwa mu nyuzipepalayi Sciences makhalidwe): Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Kuwongolera ndi Zipatala zapakhomo (Park et al., 2016). (Zambiri zowona: Zopempherera kuti zikhale ndi mapepala owonetsera za Sayansi ya Chikhalidwe (Park et al., 2016) adabwezeretsedwa.) Joshua Grubbs posachedwapa adalumikizana ndi Prause ndi Ley mu ntchito yopanda phindu komanso yopanda chilungamo Park et al. 2016 ndi MDPI, akutsutsa ziwawa za ad hominem, zabodza, ndi kuzunzidwa kwa anthu.

Chitsanzo choyamba: pa February 16, 2019, katswiri wa mankhwala opatsirana pogonana anapereka nkhani ku 21st Congress ya European Society ya Mankhwala Ogonana pa intaneti zimakhudza kugonana. Zithunzi zochepa zofotokoza zolaula zogwiritsa ntchito zolaula, zolemba Park et al., 2016, adatumizidwa tweeted. Ma tweetswa adayambitsa Chingelezi cha Nicole, David Ley, Joshua Grubbs ndi ogwirizana kuti atsogolere mkwiyo wa Twitter Park et al., 2016. Mu ulusi uwu Zomera zimayanjana ndi Prause m'ndondomeko yake yachinyengo ndi zida za ad hominem:

Zonsezi ziri zachabechabe zopanda kanthu monga zowululidwa Pano. Zindikirani kuti mu Pemphero lonse, Ley, ndi Grubbs tweets iwo sapereka chitsanzo chimodzi cha pepala la "chinyengo" kapena "zonena zabodza." Kugonjetsa kwa hominen ndi mabodza okha. Popeza Pemphero linali limodzi mwa oyang'anitsitsa asanu ndi limodzi Park et al., mungaganize kuti akhoza kufotokoza gawo ndi kufotokoza momwe zimakhalira "chinyengo." Musati muchitike ... .ndipo palibe chifukwa chakuti pepala ilibe malamulo achinyengo komanso malamulo onse a Navy omwe amatsatira.

Zomera sizinangowonongeka chabe Park et al. ndi Pembedzero-ngati phokoso lopanda kanthu, nayenso anaukira buku la kholo la MDPI (monga momwe Pembedzero yachita mobwerezabwereza). Kapepala kakang'ono ka tweet kuyambira Januwale, 2019:

zowonjezera ma tweets akunyamula MDPI. Nthawi ino akuti "kafukufuku"

Apa iye akupitanso, kumenyana ndi MDPI:

Grubbs akuukira MDPI ndi Park et al. adayamba nthawi yomwe adasindikiza pepala lomwe lidatsutsidwa patsamba lino. Zinangochitika mwangozi? Chokayikitsa kwambiri. Grubbs nthawi zonse amakhala atavala malaya ake pamanja - kuthana ndi zolaula, malonda a intaneti, pamene kunena kuti pafupifupi zovuta zonse za zolaula zimachokera ku makhalidwe achipembedzo (mosasamala kusiya owerenga ake ndi malingaliro abodza akuti osakhulupirira kuti Mulungu amatha kugwiritsa ntchito zolaula osakumana ndi zovuta). Tsopano akukweza masewera ake ochezera kuti agwirizane ndi aphunzitsi 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).

Tidzayamba ndi mawu oyamba pamwambapa: pali ayi “umboni wotsutsa” wotsutsa. Tiyeni tiwone umboni wotsutsanawu.

1) Pemphero ndi Pfaus, 2015: Pemphero ndi Pfaus sanatsatire zomwe amanena. Onani kafukufuku wovomerezeka ndi wofufuza Richard Isenberg, MD komanso zofunikira kwambiri:

Pemphero ndi Pfaus 2015 sanali kuphunzira kwa amuna omwe ali ndi ED. Sipanali kuphunzira konse. Mmalo mwake, Prause adanena kuti asonkhanitsa deta kuchokera ku maphunziro ake anayi oyambirira, palibe imodzi yomwe inalembera zovuta za erectile. Zosokoneza kuti nyuzipepala ya Nicole Prause ndi Jim Pfaus idapitiliza kafukufuku wa anzanu ngati mapepala awo sanagwirizane ndi deta mu maphunziro anayi omwe mapepalawo adanena kuti akuchokera. Zosagwirizana sizeng'onoting'ono zochepa, koma mabowo omwe sangathe kuwombedwa. Kuphatikizanso apo, pepalayi inanena zowonjezera zomwe zinali zabodza kapena zosagwirizana ndi deta yawo. Kuonjezera apo, Nicole Prause ndi Jim Pfaus adanena zabodza kwa mauthenga pa njira zawo ndi zofufuza.

2) Landripet ndi Štulhofer, 2015 inasankhidwa kuti ndi "kulankhulana mwachidule" ndi nyuzipepala yomwe inafalitsa izo, ndipo olemba awiriwa anasankha deta yina chabe kuti azigawana, pamene akusiyiratu deta ina yofunikira. Monga ndi Pemphero ndi Pfaus, pamapeto pake magaziniyi inafotokozera ndemanga yofotokoza zofooka za Landripet ndi Štulhofer: Ndemanga pa: Kodi zithunzi zolaula zimagwirizanitsa ndi zovuta zokhudzana ndi kugonana ndi zovuta pakati pa Amuna Amuna Ogonana Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amuna Kapena Akazi Amodzi?? ndi Gert Martin Hald, PhD

Ponena za chigamulocho Landripet ndi Štulhofer, 2015 sinapeze mgwirizano pakati pa kugwiritsira ntchito zolaula ndi mavuto a kugonana, izi sizowona, monga zolembedwera zonsezi YBOP iyi ikutsutsani ndi ndondomekoyi ya mabukuwa, lolembedwa ndi madokotala ambiri a Navy. Kuwonjezera apo, pepala la Landripet ndi la Štulhofer linasiya zizindikiro zitatu zofunikira, zomwe adanena kale msonkhano wa ku Ulaya.

Chofunikira kwambiri, mu kulembera kwake, chifukwa chiyani Grubbs amanyalanyaza Zochitika zowonongeka ndi anzawo za 27Kugwirizanitsa zolaula / zolaula ku mavuto a kugonana ndi kuchepetsa chilakolako - makamaka maphunziro a 5 omwe amuna amachiza mavuto mwa kusiya 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 tafotokozera pamwambapa, 3 imasonyeza apa Amuna omwe amachita zachiwerewere ndi omwe IIEF (zokhudzana ndi kugonana) ndibwino kwambiri. Mwachidule, pepala ili Amuna ambiri omwe alibe ED, sanaphatikizepo amuna ogonana ndi amuna omwe sagwirizane nawo, ndipo sanaphatikize anamwali. Choncho, ambiri mwa amuna omwe amapanga "ED ED" (zomwe olemba awa amakana) sanatuluke mu phunziro ili. Ndipo komabe, ngakhale mkati izi pepala zonse zolaula ndi Magulu apamwamba a kugwiritsira ntchito zolaula anali ogwirizana ndi ntchito yosavuta ya erectile. Nchifukwa chiyani zimapweteka kwambiri kukana choonadi?

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?

Mbiri ya ED ED: Kulephera kwa Erectile kunayesedwa koyamba mu 1940s pamene Nkhani ya Kinsey inatha kuti kuchuluka kwa ED anali zosakwana 1% mu anyamata kuposa zaka 30, zosakwana 3% anthu 30-45. Pamene maphunziro a ED omwe ali anyamata ndi ochepa, awa 2002 Kusanthula meta ya 6 yopambana kwambiri ED maphunziro adanena kuti 5 ya 6 idawonetsa ED mitengo ya amuna pansi pa 40 pafupifupi 2%. The 6th Kufufuza kunabwereza ziwerengero za 7-9%, koma funso limene linagwiritsidwa ntchito silingathe kufanana ndi maphunziro ena a 5, ndipo sanayese osatha Erectile malingaliro monga enawo. Mmalo mwake iwo anafunsa, "Kodi muli ndi vuto lokhazikika kapena kukhala ndi erection? nthawi iliyonse chaka chatha? "

Kumapeto kwa 2006, malo osungira maulamuliro osungunuka, amatha kukhala ocheperako ndipo adayamba kutchuka. Izi anasintha mtundu wa zolaula mowa kwambiri. Kwa nthawi yoyamba m'mbiri, owona akhoza kuwonjezeka mosavuta patsiku la maliseche popanda kudikirira. Nchiyani chinachitikira ED rates?

Maphunziro khumi kuyambira 2010: Kafukufuku khumi wasindikizidwa kuyambira pamene 2010 imasonyeza kuwonjezeka kwakukulu kwa erectile kupweteka. Izi ndizo Zinalembedwa m'nkhaniyi ndi pepala ili lowonetsedwa ndi anzako lomwe linalembedwa ndi madokotala a 7 US Navy - Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Kubwereza ndi Malipoti a Clinic (2016). Mu maphunziro a 10, machitidwe osokonekera a erectile a amuna omwe ali pansi pa 40 adachokera ku 14% mpaka 37%, pamene mitengo ya low libido inachokera ku 16% mpaka 37%.

Zina kusiyana ndi kubwera kwa zolaula (2006) zosagwirizana zokhudzana ndi achinyamata a ED zasintha kwambiri m'zaka zapitazi za 10-20 (kusuta fodya kuli pansi, kugwiritsa ntchito mankhwala osokoneza bongo, kuchepa kwa amuna amuna 20-40 ndi 4% kuchokera 1999 - onani phunziro ili).

Kulumphira kwaposachedwa pamavuto akugonana kumayenderana ndi kufalitsa kokwanira Maphunziro a 35 akugwirizanitsa ntchito zolaula ndi "chizoloŵezi chogonana" ku zochitika zogonana ndikupangitsa kuti anthu azigonana. Kuphatikiza pa maphunziro omwe atchulidwa, Tsambali lili ndi zolemba komanso mafunso okhudzana ndi akatswiri oposa 150 (urology aphunzitsi, a urologists, a maganizo, a psychologists, a sexologists, a MDs) omwe amavomereza, ndipo achita bwino, kuwonetsa zolaula-kukopa ED ndi zolaula-zomwe zinachititsa kuti asayambe kugonana.

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

Zoonjezerapo zinafunikanso kufufuzidwa. Izi Kupenda kwa 2016 adawonetsa zofooka zogwirizana ndi "maola omwe akugwiritsiridwa ntchito" kuti awonetsere zolaula zogonana ndi zolaula. Kuchuluka kwa zolaula panopa zikuwoneka kuti ndi chimodzi mwa zinthu zambiri zokhudzana ndi chitukuko cha EDI. Ena angaphatikizepo:

  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 yabwinoko yofufuzira izi, ndikuchotsa zosinthika za kugwiritsidwa ntchito kwa zolaula pa intaneti ndikuwona zotsatira zake, zomwe zidachitika mu maphunziro angapo momwe amuna amachotsera kugwiritsa ntchito zolaula pa intaneti ndikuchira. Kafukufuku wotereyu akusonyeza zovuta m'malo mwazolumikizana kutengera kukumbukira kolakwika - ndikutsegulira kutanthauzira komwe kumayendetsedwa ndi zolinga monga zomwe zili mu kafukufukuyu. YBOP yatchulidwa kudzidzimva kwa amuna zikwi zingapo omwe anachotsa zolaula ndikuchira ku zovuta zogonana zogonana.

Zowonjezera zina, zimapezekanso pamapepala oyambirira pa phunziroli

Zina mwa mfundo zotsatirazi zimachokera izi zisanachitike of Pemphero ndi Pfaus 2015. Mapepala amakono ali ndi zolakwika zofanana.

  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

Kufufuzidwa kwenikweni kwa kugwiritsira ntchito zolaula ndi zovuta zogonana zimayenera kufunsa mafunso kuthetsa kugwiritsira ntchito zolaula zadijito ndi kuyesa kusintha kulikonse pa 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.