"Palibe Chimene Chimawonjezera Phunziro Loyipa: Omvera Omwe Achinyamata 'ED Sanasinthe" ndi Gabe Deem


YBOP COMMENTS (ndi zosintha):

Ngakhale malingaliro a Gabe Deem pansipa ndi ochulukirapo, YBOP imakakamizidwa kuyankhapo. Ndizosokoneza kuti pepalali, Kuwona Maganizo Ogonana Okhudzana ndi Kugonana Kwakukulu, Osati Erectile Dysfunction, mwa Chithunzi cha Nicole & Jim Pfaus adapereka kuwunikiranso kwa anzawo. Chonde dziwani kuti sikunali kuphunzira kwa amuna omwe ali ndi ED. M'malo mwake, sikunali kuphunzira kwenikweni. M'malo mwake wolemba wamkulu adati adasokoneza zomwe adalemba m'maphunziro anayi am'mbuyomu - palibe zomwe zinali za ED.

Pano pali vuto lalikulu loyamba: palibe zomwe zapezeka mu kafukufuku wapano zikufanana ndi zomwe zidafufuzidwa. Izi si mipata yaying'ono, koma mabowo otchinga omwe sangazimitsidwe. Mwachitsanzo, olembawo amati maphunziro a 280, koma ndi amuna a 47 okha omwe adawunika momwe erectile imagwirira ntchito pamaphunziro oyambira. Manambala m'ma grafu safanana ndi kuchuluka kwamaphunziro. Timauzidwa kuti onse amawonera makanema olaula kuti awone ngati ali ndi chidwi, koma sizowona.

Timauzidwa kuti zosankha za "zinali zabwino," koma kuchuluka kwa erectile kwa anyamata 47 kumawonetsa kuwonongeka kwa erectile. Ofufuzawo sanafunse chifukwa chake. Kuphatikiza apo, kafukufukuyu sanaphatikizepo ogwiritsa ntchito zolaula kapena ogwiritsa ntchito zolaula. Titha kupitiliza kulakwitsa, kusagwirizana komanso zonena, koma zonse zalembedwa pansipa ndi Gabe. Pulogalamu ya Journal of Medical Medicine (magazini ya kholo la omwe adafalitsa izi) ali ndi zovuta kwambiri kufotokoza kuchita!

Ndikofunika kudziwa kuti Jim Pfaus ali pamsonkhano wa nyuzipepala ya Journal of Sexual Medicine ndipo amatha khama lalikulu lomwe likuukira lingaliro la zolaula-linayambitsa zovuta zogonana. Wolemba-Co Chithunzi cha Nicole ali maubale oyandikana ndi zolaula ndipo wamangika chifukwa cha PIED yolemetsa, atapumira a Nkhondo ya zaka 3 pa pepala ili la maphunziro, pomwe nthawi yomweyo amazunza komanso kupusitsa anyamata omwe achira ku zolaula zomwe zimayambitsa zolaula. Onani zolemba: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Mpingo wa Nowa, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6Alexander 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.

Onaninso izi:

+++++++++++++++++++++++++++++++++++++++++ ndikuzama, + +++++++++++ ndi+

ZOCHITIKA 2:

Wolemba wachiwiri wa pepalali, Jim Pfaus, amavomereza zomwe zapezeka kuyankhulana kwa TV. Pfaus akunena kuti phunziroli linkafufuza zochitika mu labu. Osati zoona! Ndemanga kuchokera ku phunziro:

"Palibe chiwerengero cha machitidwe okhudzana ndi chiwerewere chophatikizapo chiwalo cha thupi chophatikizidwa kuti chichirikizire zochitika za amuna zomwe zachitikirapoe. ”

Pomwe anafunsa mafunso Jim Pfaus anapanga maumboni angapo, kuphatikizapo:

  • "Tinayang'ana pa mgwirizano wa luso lawo lokhazikitsa labu, ”Ndipo
  • "Tapeza mgwirizano wofanana ndi kuchuluka kwa zolaula zomwe amaziwona panyumba, ndi ma latencies amene mwachitsanzo amapeza kukonzedwa mofulumira. "

Komabe izi zinagwirana papepala sanawunikenso mtundu wa erection labu kapena "kuthamanga kwa zoyimitsidwa". Pepalalo limangopempha anyamata kuti adziwe "kukondweretsedwa" kwawo, atatha kuwonera zolaula mwachidule (osati ntchito yawo ya erectile). Pfaus ananenanso molakwika kuti kuchuluka kwa maphunziro ndi '280'. Komabe maphunziro a 47 okha ndi omwe adafunsidwa kuti adzaze mafunso pazokhudza erectile. Ndipo maphunziro okwana 234 okha ndi omwe angawerengedwe m'maphunziro anayi omwe pepalali akuti limakhazikitsidwa. Makina abodza akugwira ntchito mokwanira.

+++++++++++++++++++++++++++++++++++++++++ ndikuzama, + +++++++++++ ndi+

ZAMBIRI 3 (8-23-16):

In kuyankhulana kwa radiyo iyi Chithunzi cha Nicole nayenso amatsutsa zabodza kuti zowonongeka zinayesedwa mu labu. Ndemanga yeniyeni yochokera kuwonetsero:

“Anthu akamayang'ana kwambiri zochitika kunyumba amakhala khalani ndi mayankho amphamvu a erectile mu labuosachepetsedwa. ”

Izi si zoona. Pemphero liyenera kuwerenga pepala lake. Ilo linati:

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

Palibe kulikonse Pembedzero & Pfaus 2015 kapena 4 mapepala apansi anali mapulogalamu a ma laboratory orectile omwe amatchulidwa kapena atchulidwa. Choonadi chiwonongeke.

+++++++++++++++++++++++++++++++++++++++++ ndikuzama, + +++++++++++ ndi+

ZOCHITIKA 4 (2019):

Nkhani zimakamba penta Jim Pfaus kuti watha zaka zambiri akuchita zachiwerewere zosayenera ndi ophunzira achichepere achikazi. Zowonjezera:

"Mabukuwa akupereka chithunzi cha pulofesa yemwe amakhulupirira kuti mobwerezabwereza adadutsa malire oyenerera ndi ophunzira ake."

"Olemba angapo adauza CBC kuti mboni zinafunsidwa zomwe akudziwa zaubwenzi wapamtima wa Pfaus ndi ophunzira, kaya izi zimakhudza kaphunzitsidwe kake ndi kasamalidwe ka labu yake yofufuza za mitsempha, komanso momwe amachitira mu labu yake kapena pamisonkhano yamaphunziro."

“Gulu la ophunzira omwe amaliza maphunziro awo linapita kwa akatswiri angapo a akatswiri azamaganizidwe a Concordia omwe amayang'anira oyang'anira dipatimentiyi. Analemba madandaulo awo za zomwe Pfaus akuti amagonana ndi ophunzira omwe sanamalize maphunziro awo m'makalasi omwe amaphunzitsa "

Pfaus adakhala pa tchuthi choyendetsa, kenako adachoka ku yunivesite mosadziwika. Ah, chipongwe cha Pfaus chimadzudzula mosalekeza motsutsana ndi kukhalapo kwa zolaula komanso kugonana kwinaku akulephera kudziletsa.



KUSINTHA KWA GABE DEEM KWA LIMBIKITSANI & PFAUS, 2015

Idasindikizidwa 3 / 12 / 2015

Zolumikiza ku Chitukuko Chayambirira: "Palibe Chimene Chimawonjezera Phunziro Loyipa: Omvera Omwe Achinyamata 'ED Amasiyidwa Osadziwika"

Kafukufuku akuti adafufuza zolaula zomwe zidapangitsa kuti erectile iwonongeke! Izi zingakhale nkhani zosangalatsa, ngati, ofufuzawo adasonkhanitsa deta yomwe ili yofunikira kuti afufuze ED (PIED) yolaula. Ndiloleni ndiyambe ndikupanga china chomveka, chomwe ndifotokozere mwatsatanetsatane pansipa; Kafukufukuyu satero, ndipo chifukwa chakapangidwe kake kovuta, sangatiuze chilichonse chokhudza ngati zolaula za pa intaneti zothamanga kwambiri masiku ano zimabweretsa vuto losagwirizana ndi mnzake.

Nchifukwa chiyani phunziroli silingatiuze chilichonse chofunikira chokhudzana ndi kuthekera kwa PIED? Chifukwa cha zomwe sichichita, komanso zolakwika zambiri, pazomwe akuti zachita.

Chimene phunzirolo Sichoncho chitani:

1) Phunziroli silifufuza za amuna kudandaula za erectile malingaliro. Phunziroli silimayesa anyamata omwe ali ndi zaka zolaula komanso zaka zosafotokozedwa za ED (ndiye kuti, amuna omwe mavutowa, omwe ali pansi pa lamba atulutsidwa). Komanso kafukufukuyu sanafufuze za zolaula zomwe zimapangitsa ED mwa amuna otere powachotsa zolaula ndikuwunika momwe zingasinthire. M'malo mwake, ofufuzawo sanapereke tsatanetsatane kwa omvera awo omwe awulula kuti ali ndi zovuta zamagwiridwe antchito pa IIEF [erectile-function] mafunso (kenako). Komabe olemba amapeza mfundo zokhudzana ndi kupezeka kwa zolaula zomwe zinapangitsa ED.

2) Phunziroli siliphunzira amuna omwe ali ndi vuto lachiwerewere, kapena ogwiritsa ntchito zolaula "olemera". Osangogwiritsa ntchito mokakamiza. Kuchokera pamapeto pa phunziroli:

"Izi sizinaphatikizepo odwala omwe ali ndi vuto logonana amuna kapena akazi okhaokha. Zotsatira mwina zimamasuliridwa bwino kuti ndizochepa kwa amuna omwe amagwiritsa ntchito VSS mwachizolowezi. ”

Kutanthauzira: Kafukufukuyu sanaphatikizepo "achiwerewere", omwe ndi omwe olembawo amatanthauza "oledzera". Kupatula amuna ogonana amuna kapena akazi okhaokha ndi kufooka kwakukulu, poganizira kuti amuna ambiri omwe ali ndi zolaula zomwe zimapangitsa ED kudzizindikira kuti ndi osokoneza bongo. Amuna ochepa omwe ali ndi zolaula omwe amachititsa kuti ED asamawoneke, koma nthawi zambiri amakhala ndi zaka zolaula.

Kuwerenga uku sikungokhala kokha osati funsani amuna omwe ali ndi ED, osaphatikizapo ogwiritsa ntchito zithunzi zolaula komanso olaula. Palibe chofanana osati kuyang'ana china chake ngati simukufuna kupeza umboni wake!

3) Sukulu za m'zaka za koleji sizinafunsidwe za zaka zolaula! Nkhanizi, monga momwe ndikudziwira, zikhoza kuyamba kugwiritsira ntchito zolaula masabata angapo musanaphunzire, kapena zikanatha kusiya zolaula zawo kuyang'ana njira zisanayambe kuphunzira pambuyo poyang'ana zaka. Ena angayambe ali ndi zaka 10, kapena atayamba chaka chao cha koleji, kapena akadatha kusweka ndi chibwenzi chawo mwezi watha, ndipo tsopano akugwiritsa ntchito olemera.

4) Kafukufuku sawunika zochitika zenizeni mogwirizana ndi maola ogwiritsiridwa ntchito, zosiyana ndi zomwe mutu wake umatanthauza.

Kafukufuku amati (zowonjezera pansipa) kuti amuna adafunsidwa funso limodzi ponena za momwe adaukitsira iwo atatha kusonyezedwa zolaula. Monga momwe phunzirolo linanenera,

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

Kufotokozera mwachidule phunziro ili:

  1. Sanayese anthu omwe akudandaula za kuwonongeka kwa erectile
  2. Sanaphatikize ogwiritsa ntchito zolaula zovuta kapena zolaula
  3. Sanayese "kuyankha zogonana" (mosiyana ndi mutu wosocheretsa)
  4. Sanapemphe anthu kuti ayese kuseweretsa maliseche popanda zolaula (njira yoyesa ED)
  5. Analibe amuna omwe amachotsa zolaula kuti awone ngati magwiridwe antchito a erectile asintha (njira yokhayo yodziwira kuti ndi zolaula)
  6. Sanafunse za zaka kapena zolaula, anyamata akuyamba kugwiritsa ntchito zolaula, mtundu wa zolaula, kapena kuchuluka kwa ntchito.
  7. Simunafunse za kuchepetsa kuthamangitsidwa kapena kuthamangitsidwa kwina (zowonongeka kwa PIED)

Chimene phunzirolo amati kuti muchite:

Zomwe akunenazo n'zosafunika kwenikweni chifukwa izi zowonongeka-saladi sizinaphunzire moona ndi maphunziro omwe asankhidwa kuti afufuze. M'malo mwake, atsogolere wolemba Prause amati kuti akhale ndi zidutswa zazing'ono zamaphunziro anayi akale kuti apange "kafukufuku" uyu wa ED. Komabe, maphunziro anayiwo sanali okhudzana ndi kuwonongeka kwa erectile, komanso palibe amene amafotokoza kulumikizana pakati pa zolaula ndi ntchito ya erectile. Chodabwitsa kwambiri ndichakuti zonse zomwe zidapezedwa m'maphunziro anayi awa sizigwirizana ndendende ndi zomwe zanenedwa pa kafukufukuyu wa ED. Zomwe zikubwera zidzakufunsani kuti, "Kodi zodabwitsazi zidapitilira bwanji kuwunikiridwa ndi anzawo?"

Ndisanayambe kusanthula kusagwirizana, kusokoneza, ndi zolemba za manja omwe olembawo amagwiritsidwa ntchito, mudzafunikira zofunikira zochepa pa phunzirolo. Pogwiritsa ntchito ophunzira apamwamba a ku yunivesite (a zaka zapakati pa 23), phunziroli linati liyang'ane ubale pakati pa:

  1. Mitu ina yokhudza zolaula yama sabata sabata iliyonse komanso kudzidzidzimutsa atadzuka atawona zolaula labu (kutengera funso limodzi lomwe lidachita osati funsani za zosokoneza), ndi
  2. Mitu ina yamaola ogwiritsa ntchito zolaula sabata iliyonse komanso zina mwazinthu zina pa International Index of Ntchito Erectile (IIEF).

Zolemba za 1 & 2 pamwambapa ndi izi:

  1. Anthu omwe amagwiritsa ntchito maola olaula a 2 + pa sabata amapereka chiwerengero chokwanira chogonana (6 / 9) kuposa magawo awiri apansi a zolaula (5 / 9).
  2. Palibe mgwirizano wofunikira womwe unapezedwa pakati moyenera Kugwiritsa ntchito zolaula ndi erectile ntchito zambiri pa IIEF.

Ndikutsutsa zomwe zili pansi pa nambala 1 ndi nambala 2 pansipa. Ndizinena kuti ndimagwiritsanso ntchito kusagwirizana ndi zotsutsana zomwe ndikulemba tsopano.

Kuyang'anitsitsa phunziroli: Maphunziro osowa, zosiyidwa, zosagwirizana ndi zonena zosagwirizana

1) Poyambira:
Timauzidwa kuti nkhani ndi deta za phunziro la ED izi zinachokera ku maphunziro ena anayi, omwe atulutsidwa kale:

"Amuna mazana awiri mphambu makumi asanu ndi atatu adatenga nawo gawo pamaphunziro anayi osiyanasiyana omwe wolemba woyamba adachita. Izi zidasindikizidwa kapena zikuwunikiridwa [33-36]"

Monga taonera, palibe phunziro lililonse (phunzirani 1, phunzirani 2, phunzirani 3, phunzirani 4) adayesa mgwirizano pakati pa kugwiritsira ntchito zolaula ndi kuwonongeka kwa erectile. Phunziro limodzi lokha linalongosola zochitika zambiri za erectile, kwa amuna 47 okha.

2) Chiwerengero cha nkhani zonse: Mtsogoleri wotsogolera Pulezidenti tweeted nthawi zingapo za phunzirolo, kulola dziko kuti lidziwe izo Nkhani za 280 anali okhudzidwa, komanso kuti "analibe mavuto kunyumba". Komabe, maphunziro anayi omwe anali ndi izi anali okhaokha Nkhani za amuna a 234. Pomwe 280 imawoneka kamodzi mgome la 1 la kafukufukuyu ngati chiwerengero cha anthu omwe akuti "ogonana nawo chaka chatha", momwemonso manambala 262, 257, 212 ndi 127. Komabe, palibe manambala onsewa omwe amafanana ndi zomwe zafotokozedwazo mu 4, komanso kokha Amuna a 47 adatenga funso lokonzedwa. Mosiyana ndi tweet yake, ambiri mapikisheni (21.4) a erectile ntchito anaika awa anyamata 47, pafupifupi, kwambiri mu gulu wofatsa ED. Eya.

  • Kusiyanitsa 1: Nkhani za 46 amapezeka mosadziwika pazinthu za 280, pomwe nambala yeniyeni ya maphunziro (234) sapezeka paliponse mu phunziro la ED.
  • Kusiyanitsa 2Nambala zamitu mu Gulu 1: 280, 262, 257, 212 ndi 127 - sizikugwirizana chilichonse kuchokera pazoyambira 4.
  • Chigwirizano chosagwiriziridwa: Pempherani tweets zomwe phunziroli linaphatikizapo Nkhani za 280.
  • Akusowa: Kulongosola kulikonse kwamomwe Pembedzero linasinthira nambala ya "280" kwa omvera ake.
  • Simungathandizidwe Funsani2: Pembedzero tweeted kuti analibe mavuto, koma ma erection awo amasonyeza ED pafupipafupi.

3) Chiwerengero cha maphunziro omwe adatenga IIEF (erectile-function function test): Kuphunzira ED kumanena zimenezo Amuna a 127 anatenga IIEF (pg 11 imanenanso 133). Komabe, imodzi mwa maphunziro anayiwo inalembedwa ndi ma IIEF, ndipo chiwerengero cha anthu amene adalandira chinali 47. Kodi Prause adalandira kuti? Amuna oposa 80? Sakulongosola. Kafukufukuyu sanayese momwe erectile imagwirira ntchito maphunziro a 280, kapena 234, ndipo ngakhale 127. Apanso, maphunziro a 47 okha ndi omwe adatenga IIEF.

  • Kusiyana: Phunziro limanena kuti Nkhani za 127 anatenga IIEF, koma ndi zoona 47.
  • Zotsatira zosagwirizana: Masewero a kupemphera Nkhani za 280 anali nawo.
  • Akusowa: Deta iliyonse yaiwisi ya 127 yodabwitsa

4) Mapepala owerengeka a IIEF a maphunziro a 47 monga momwe akusowa 80: Monga tafotokozera pamwambapa, kokha phunziro limodzi, ndi Amuna a 47, Adanenanso ziwonetsero za IIEF. Kafukufukuyu adangonena za mphotho ya mafunso onse a 15-IIEF, osati funso la 6 "erection subscale" lomwe lalembedwa mu kafukufuku wapano. Kulikonse komwe idachokera, kuchuluka kwapakati pa mafunso a 6-erection subscale kunali 21.4, ndipo akuwonetsa "kufooka pang'ono kwa erectile". Kuphatikiza apo, kafukufuku wapano wa ED komanso amanenapo mapepala a IIEF ambiri 21.4 pakuti lonse 127. Nenani chani? Tikudziwa "owerengedwa" amuna 47 amakhala 21.4, ndipo 127 yambiri 21.4. Izi zikutanthauza kuti Amuna a 80 akusowa ankayeneranso kuwonjezera 21.4. Kodi ndizotani zomwe zikuchitika?

  • Chochitika chosadalirika: Ambiri a IIEF amaphunzira kwa Amuna a 47 ziyenera kukhala zofanana ndi zosawerengeka Amuna a 80.
  • Kusokoneza: Amaphunziro ambiri (21.4) imasonyeza "kuchepa kwa erectile", pomwe kafukufukuyu akuti amunawa anali ndi "ntchito yabwino kwambiri ya erectile" (mwina yolingana ndi bambo wazaka 70?).
  • Imasowa: IIEF amapanga ma erection pamaphunziro oyambirira.
  • Imasowa: The IIEF amaphunzira pa phunziro lililonse. Palibe deta yosalala, ndondomeko yobalalika, palibe graph.

5) Chiwerengero cha nkhani za maola / sabata zoonera zolaula: Kusanthula kwa ED kumakhala ndi zithunzi zoonera zolaula Amuna a 136. M'malo mwake, kokha Nkhani za 90, kuchokera ku maphunziro a 2, kuwonetsa maola owerengeka pa sabata. Kodi olembawo adagonjetsa kuti? Zotsatira zina za 46? Kuonjezera apo, phunziro ili likutanthauza kuti timagwirizanitsa maola owonetsa zolaula pa sabata ndi maphunziro a IIEF, koma Amuna a 90 (hrs / sabata) sakugwirizana Amuna a 47 (IIEF maphunziro).

  • Kusiyanitsa 1: Phunziro lowerenga nthawi / sabata kuyang'ana deta zolaula Nkhani za 136, koma kwenikweni 90.
  • Kusiyanitsa 2: Phunziro limaphatikizapo kulumikizana ndi mafilimu awiri / sabata ndi ma IIEF, koma 90 sichilingana 47
  • Zotsatira zosagwirizana Chitani tweets N = 280, koma zoona N = 47.
  • Imasowa: Maola oyang'ana pa nkhanizo. Palibe deta yosalala, ndondomeko yobalalitsira, palibe graph, sichikutanthauza kapena kupitirira malire.
  • Imasowa: Palibe deta yolondola pa mgwirizano pakati pa zolaula ndi maola owonetsedwa pa sabata.

6) Ziyeso zokhuza kugonana: Pa tsamba 8 olemba amanena kuti amuna adavotera chilakolako chawo chogonana atayang'ana zolaula pamlingo kuchokera 1 mpaka 9.

"Amuna amafunsidwa kuti afotokoze kuchuluka kwawo kwa" chilakolako chogonana "kuyambira 1" ayi konse "mpaka 9" kwambiri. "

Zoonadi, kokha 1 za 4 zomwe zimayambira maphunziro ogwiritsa ntchito 1 ku 9 msinkhu. Wina adagwiritsa ntchito sikelo ya 0 mpaka 7, wina adagwiritsa ntchito 1 mpaka 7, ndipo kafukufuku m'modzi sanafotokozere zakukonda. Mwa njira, kafukufukuyu amasocheretsa atolankhani, komanso owerenga, potanthauza pamutu wake kuti zoyeserera zimayesedwa mu labu ndipo zimapezeka kuti "zimayankha" molumikizana ndi kuwonera zolaula zambiri. Izi sizinachitike. Mwakutero, zambiri zimatanthawuza kukhumba kapena nyanga.

  • Kusiyana: Masikelo okweza m'mapepala a ED safanana ndi masikelo okweza m'maphunziro atatu oyambira.
  • Kusokoneza: Phunziro ili linatero osati kuwunika "kuyankha zogonana" kapena yankho la erectile.
  • Akusowa: Palibe deta yofiira kapena yobalalitsira chigawo cha nkhanizo.

7) Chikoka chogwiritsidwa ntchito poyesa kugonana: Olembawo amachita zambiri zokhudzana ndi kuchuluka kwa ziwonetsero zakugonana kukhala zocheperako kwa gulu la 2 kuphatikiza ola / sabata. Kodi kuphunzira bwino sikungagwiritse ntchito zolimbikitsanso zomwezo pamaphunziro onse? Kumene. Koma osati kafukufukuyu. Mitundu itatu yosiyana siyana yazakugonana idagwiritsidwa ntchito m'maphunziro 4 oyambira: Kafukufuku awiri adagwiritsa ntchito a Ndemanga ya miniti ya 3, phunziro limodzi linagwiritsidwa ntchito Filimu yachiwiri ya 20, ndipo phunziro limodzi linagwiritsidwa ntchito zojambulabe. Zatsimikizika bwino kuti Mafilimu amaukweza kwambiri kuposa zithunzi. Chodabwitsa ndichakuti phunziroli Pembedzero limanena kuti maphunziro onse a 4 amagwiritsa ntchito makanema ogonana:

"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."

Kunama zabodza! Zokha Zotsatira za 2 ndi 90 amuna amalemba zambiri, ndipo 47 a amuna aja omwe amawawona zithunzi zokha a akazi amaliseche, osati mafilimu.

  • Kusiyanitsa 1: Maphunziro anayi, ndipo Zithunzi zosiyana siyana za kugonana za 3... koma graph imodzi.
  • Kusiyanitsa 2: Mu grayi ili m'munsiyi muli Nkhani za 136, komabe Nkhani za 90 makamaka amaonetsa maola olaula / sabata mu phunziro lililonse.
  • Kusiyanitsa 3: Kugonana kwachiwerewere ndi 1 - 7 mu grayi pansipa, komabe phunzirolo linati kukula kwake kunali 1 - 9 (zomwe zinanenedwa kuti zagwiritsidwa ntchito 1 za maphunziro a 4)
  • Chigwirizano chosagwiriziridwa: Pembedzero imanena kuti maphunziro onse a 4 amagwiritsa ntchito mafilimu.

Kumbukirani kuti nkhani zoonera zolaula ndizofanana nambala 5 pamwamba, ndi graph pansi pa chiwerengero 1. Onsewo amati Amuna a 136, koma deta imanena mosiyana.

8) Palibe chidziwitso chogwirizanitsa zolaula ndi ma IIEF: Kodi mutu wankhani wanji kuchokera phunziroli? Olembawo akuti panalibe ubale pakati pa zochitika zambiri za erectile ndi zolaula zomwe zimawonedwa sabata. Nkhani zazikulu, koma palibe deta. Zomwe amapereka ndi ziganizo zochepa (pg 11-12) zomwe zimatitsimikizira kuti palibe mgwirizano womwe udapezeka. Palibe deta, palibe graph, palibe zambiri, palibe. Kungonena za anthu osadziwika a 127, 80 omwe alibe nawo, akufotokozedwa mu 3 ndi 4 pamwambapa. Kuchokera pa phunziro:

"Amuna (N = 127) adanena kuti erectile imagwira ntchito bwino (onani Gulu 1). Sikuti kuchuluka konse, kapena kuchuluka kwa erectile, pa International Index of Erectile Functioning sikunali kofanana ndi maola a VSS omwe amawonedwa sabata limodzi. ”

  • Akusowa 1: Girafa kapena tebulo iliyonse imatiwonetsera mgwirizano pakati pa maola owonetsera maola / sabata ndi IIEF.
  • 2 yakusowa: Deta zazikulu. Deta iliyonse.
  • Kusiyana: Amawonekera funsani maphunziro a 127, komabe Amuna a 47 anatenga IIEF.
  • Kusokoneza: Kunena kuti amunawa "adachita bwino erectile", pomwe pafupifupi Chogoli (21.4) amasonyeza wofatsa ED.

Ndilibe chilichonse m'maphunziro a 4 omwe amafanana ndi kafukufuku wa ED, ndipo ndimaphunziro a 80 omwe sapezeka, ndikhululukireni ngati sinditenga mawu a olembawo pakusagwirizana ndi nthawi yogwiritsira ntchito. Pofuna kufotokoza mfundoyi, zomaliza za phunziroli zimayamba ndi zolakwika zingapo:

"Zambiri kuchokera kwa amuna ambiri (N = 280) m'maphunziro ofananawo zidaphatikizidwa kuti ayese lingaliro loti kugwiritsa ntchito VSS yambiri kumakhudzana ndi mavuto a erectile."

Mu chiganizo chimodzi ichi, ndikutha kuzindikira chitsimikizo chosavomerezeka:

  • "N = 280": Ayi, amuna okhawo a 47 anatenga IIEF
  • "pa maphunziro omwewo": Ayi, maphunziro sanali ofanana.
  • "anali ophatikizidwa": Palibe chomwe chikugwirizana ndimaphunziro 4 awa
  • "kuti ayese maganizo": Palibe chidziwitso chomwe chidafotokozedwapo pamalingaliro a olemba.

Phunziro lonse liri ngati izi, ndi nambala, nambala, njira, ndi ziwoneka zosachokera ponseponse, ndipo sichichirikizidwa ndi maphunziro oyambirira.


Tiyeni tiwone bwino zomwe ofufuzawo anachita Funsani kuti afufuze

NUMBER 1: Kugwiritsa ntchito zolaula kwa maola ndi maola ndi maulendo omwe amadzimva atadzuka atayang'ana zolaula mububu

Akatswiriwa amanena kuti apereka Ophunzira a 136 m'magulu atatu pogwiritsa ntchito zolaula pamasabata (pansipa). Kusiyana: Kugwiritsa ntchito zolaula pamlungu kumangotchulidwa pa maphunziro a 90 mu maphunziro a 2.

Girafa ya bar

Amuna adawonetsedwa zolaula mububu, ndi phunziro ankadzinenera iwo adavotera kuti iwo akukangana pogwiritsa ntchito kukula kwa 1 ku 9.

  • Kusiyanitsa 1: 1 yokha ya 4 yopitiliza maphunziro omwe amagwiritsidwa ntchito 1 ku 9 msinkhu. Chimodzi chinagwiritsa ntchito 0 ku 7, imodzi imagwiritsa ntchito 1 ku 7, ndipo phunziro limodzi silinafotokoze kuwonetsera kwa kugonana.
  • Kusiyanitsa 2: Maapulo ndi malalanje: Phunziro limodzi linagwiritsidwabe ntchito zithunzi, limodzi ndi filimu yachiwiri ya 20, awiri amagwiritsa ntchito kanema wa 3.

Gulu la bar limaloleza olemba kuti apewe kupanga ziwembu zowoneka bwino. Chifukwa chake, owerenga sangathe kulingalira za kusiyanasiyana komwe amadzinenera kuti ali ndi zolaula. Ofufuzawa akutanthauza kuti kuyankha funso lokhudza "kukakamiza kugonana" ndi umboni wotsimikizika wa ntchito ya erectile. M'malo mwake, pali mawu am'munsi mu kafukufuku wina akuti ofufuzawo adanyalanyaza zotsatira za mafunso pa "penile erection" chifukwa iwo amaganiza kuti "chilakolako chogonana" chidzasonkhanitsa zomwezo. Komabe, izi sizowoneka ngati lingaliro kwa anyamata omwe ali ndi vuto losokoneza bongo la erectile (omwe amakopeka kwambiri ndi zolaula koma samatha kuyanjana ndi anzawo), ndipo mwina sizingakhale choncho kwa omwe akutenga nawo gawo pano mwina.

Njira ina, yovomerezeka, yotanthauzira kusiyana kwakukondweretsaku pakati pamagulu awiri ogwiritsa ntchito zolaula mwina ndi amuna omwe ali mgulu la '2+ maola sabata' zolakalaka kugwiritsa ntchito zolaula. Chochititsa chidwi, iwo anali ndi chilakolako chochepa chogonana ndi mnzawo komanso chilakolako chofuna kugonana maliseche kusiyana ndi omwe adalowa. Maola 01-2 akuwonera zolaula. (Chithunzi 2 mu phunziro). Izi ndi umboni weniweni wa kulimbikitsa, omwe ndi dera lalikulu (mphotho) kuyambitsa ndi chilakolako pamene akuwonetsedwa (zolaula) cues. Kuwongolera kungakhale chithunzithunzi cha kuledzera.

Posachedwa, maphunziro awiri aku Cambridge University adawonetsa chidwi pakuchita zolaula. Ubongo wa omwe adatenga nawo mbali adadzutsidwa kwambiri chifukwa chakuwonera makanema olaula, ngakhale sanakonde "zina mwazakugonana koposa kuwongolera omwe akutenga nawo mbali. Mwa chitsanzo chochititsa chidwi cha momwe kukhudzidwa kumakhudzira magwiridwe antchito, 60% ya maphunziro aku Cambridge adanenedwa mavuto okhwima / erectile ndi abwenzi, koma osati ndi zolaula. Kuyambira kuphunzira kwa Cambridge:

"Mitu ya CSB idatinso chifukwa chogwiritsa ntchito kwambiri zolaula ... ..adakumana ndi kuchepa kwa libido kapena ntchito ya erectile makamaka mu ubale weniweni ndi akazi (ngakhale sanali ogwirizana ndi zolaula)"

Mwachidule, Wogwiritsa ntchito zolaula amatha kukhala ndi zofuna zowonjezera (zokhumba) komanso amakumana ndi mavuto okhwima ndi wokondedwa. Mwachidule, kudzuka kwake poyankha zolaula si umboni wa "kuyankha kwake kogonana" / ntchito ya erectile.

  • Kuwona zolaula zambiri zidzakuthandizani kusintha?

Chodabwitsa, olemba kafukufuku wapano akusonyeza kuti "kuwonera VSS kutha patsogolo kugwira ntchito kwa erectile. ” Upangiri wawo umakhazikitsidwa pazambiri zodzutsa chilakolako (osati zochuluka za erectile-ntchito). Awa ndi upangiri woyipa kwambiri ngati awa "adadzutsa" anyamatawa, atha kukhala olimbikitsidwa (osuta) zolaula. Kuwona kwawo zolaula sikungatanthauzire magwiridwe awo a erectile panthawi yogonana kwenikweni, komwe kumachepa mwa iwo omwe amapanga zolaula zomwe zimapangitsa ED kuti azitha kuwona zolaula. Kutsika koteroko ndizomwe anthu aku Cambridge adanenanso.

Ndithudi, kuwonera zolaula kungapangitse kusintha kowonongeka pamene owonerera akuyang'ana, koma vuto kwa iwo omwe amaonetsa zolaula zomwe zinapangitsa ED kukhala ndi erectile ntchito ndi abwenzi. Komanso, palibe umboni mu phunziro lino kuti kuwonera zolaula, kapena, monga momwe olemba amanenera, zolaula zosiyanasiyana, kumathandiza bwino erectile ntchito pamodzi. Ngati izi zikanakhala zolondola, ndingaganize kuti anyamata a 47 ayesedwa kuti apange ntchito yotchedwa erectile akanati adziwe mabotcheru abwino omwe amawonetsa zolaula. M'malo mwake, adanenanso za "kuchepa kwa erectile" ngati gulu.

Ndikoyenera kudziwa kuti ofufuza a Cambridge adalankhula ndi onse ogwiritsa ntchito zolaula (CSB) ndi anyamata omwe ali ndi ED pomwe amafufuza za bongo la omwe amakonda zolaula. Kafukufuku waposachedwa adaphonya mbali zonsezi, pomwe akufuna kuti afufuze ED mwa ogwiritsa ntchito zolaula.

NUMBER 2: Kugwiritsa ntchito zolaula kwa maola ndi mlungu ndi masewera pa mafunso omwe ali nawo International Index of Erectile Function (IIEF)

Apa ndi pomwe zinthu zimaipiraipira. Olembawo adanena kuti 127 anyamata anamaliza mafunso olembedwa a IIEF, a Zofufuza za 15 (osati "kafukufuku wazinthu 19" monga momwe olemba amanenera), momwe amuna amapezera thanzi lawo la erectile, chikhumbo ndikukhutira ndi chiwerewere panthawi yakuseweretsa maliseche komanso, makamaka, kugonana. Apanso, palibe mayankho enieni a mbolo omwe adayesedwa kuti atsimikizire zambiri zodzinenera. Kusiyana: Amuna okha a 47 anatenga IIEF. Zindikirani: amalankhulanso pa tsamba 11 kuti amuna a 133 anatenga IIEF. Kodi zimatha?

IIEF maphunziro ochokera ku phunziro lino

  • The Unknown 59 (sic)

Kwa kanthawi tiyeni tiyerekeze kuti tili m'chilengedwe chofananira, ndipo amuna a 127 anatenga IIEF. Olemba ananena zimenezo kokha 59 anali ndi zibwenzi ndi omwe iwo akanakhoza kuziwona zawo panopa Erectile thanzi. Izi zimapangitsa chiwerengero cha maphunziro ophatikizidwa omwe ukhondo wawo wa erectile unkafufuzidwa kwenikweni. Komabe awa ndiwo okhawo omwe angathandize ochita kafukufuku kumvetsa ntchito yamakono erectile poyerekeza ndi kugwiritsira ntchito zolaula. Chifukwa chiyani? Chifukwa, monga olemba amavomerezera, kufufuza ntchito yatsopano ya erectile kumadalira pa kupezeka kwa wokondedwa.

  • Choyamba, anyamata ambiri atsimikiza kuti kuchepa kwa erectile kumakhala kovuta pamene ayesa kugonana ndi mnzake atakhala okha (ndi zolaula) kwakanthawi. Chifukwa chake kuyesa kwa "erectile function" kutengera kukumbukira kwa erectile ntchito ndi othandizana nawo sikungakhale kopindulitsa kwenikweni.
  • Chachiwiri, abambo omwe amapeza zolaula amanena kuti zolaula zomwe zimapangitsa ED zimakhala zovuta kwambiri osagwirizana kugonana (kapena panthawi yakuseweretsa maliseche popanda zolaula, ziwerengero zomwe ofufuzawo sanatenge) - osati zolaula. M'malo mwake, anyamata ena adatcha chodabwitsa ichi "kusowa mphamvu kwachinyengo."

kotero, bwanji si osagwirizana amuna omwe anatenga IIEF a okha nkhani zomwe zikuphatikizidwa mu phunziro ili? Ndipo ndichifukwa chiyani chidziwitso chawo sichinafotokozeredwe bwino kwa owerenga? Ofufuzawo akutiuza kuti panalibe mgwirizano pakati pa nthawi yowonera ndi magwiridwe antchito a erectile pomwe omwe adagwirizana nawo "adaphatikizidwa pakuwunika." Komabe, sitimaphunzira kalikonse pazomwe zanenedwa, kapena momwe amafananira ndi enawo. Amalumikizidwa nthawi zonse kukhala manambala akuluakulu, osapezekanso, ngati 280 kapena 127. Tulukani chilengedwe chonse ndikubwerera kuma shenanigans ambiri.

  • "Kulephera kugwira ntchito pang'ono"

Tiyeni tiwone mawonekedwe a "Ntchito ya erectile" ya IIEF. Mndandanda wapansiwu ukuwonetsa mafunso ndi kujambula. (Onani kuyesa kwathunthu ndi subscale.) Zomwe zingatheke pazomwezi zikuchokera ku 1 mpaka 30. Kwa amuna omwe ali ankadzinenera Kuti mutsirize izi 6-item subscale, mphotho yeniyeni (yochepa) inali yokha 21.4 kuchokera pa zotheka 30. Pafupifupi, adagwa mkati mwa "kufooka pang'ono kwa erectile" gulu.

Kumbukirani kuti zowawa za erectile zomwezo zinali zozizwitsa zomwe zidalankhulidwa ndi amuna akuluakulu a 23, ndipo palibe amene adayang'ana zolaula mosaganizira. Izi zikusonyeza Zolaula za pa intaneti, ngakhale zimangokhala zosavuta, zingakhale zovulaza pa zosankha zachinyamata mosasamala kanthu za (ayi) kulumikizana ndi maola ogwiritsidwa ntchito.

Ndipotu, anyamatawa adali pansi pomwepo Gwiritsani ntchito ma gulu ambirimbiri amuna achikulire. Mu 1997, maphunziro omwe adachitidwa kuti atsimikize kuti IIEF inanena kuti kuchuluka kwa ntchito za erectile 26.9 (ausinkhu wa zaka 58), Ndi 25.8 (ausinkhu wa zaka 55). Mwachidule, amuna achikulire mu 1997 - asanafike pa intaneti zolaula - anali ndi zovuta zathanzi ngakhale azaka zapakati kuposa awa azaka 23.

N'zosatheka kuti? Zingatheke bwanji 47 anthu omwe anatenga IIEF ali ndi chiwerengero chimodzimodzi (21.4) monga 80 osamvetsetseka palibe amene angapeze (21.4)?

Komanso, monga 21.4 pafupifupi Malipiro (kwa ena, indeterminate N), zikutanthauza kuti zotsatira za ophunzira ena zinali zochepa kusiyana ndi 21.4. Ndipotu, SD (kusemphana maganizo) inali yaikulu (9.8), kotero panali zochitika zambiri za erectile. Zikuwoneka kuti ena adagwera m'magulu "osakondera" komanso "ovuta" a erectile. Komabe, sitikudziwa, chifukwa deta sinaperekedwe - zomwe zimandibweretsa ku…

  • Zithunzi zophunzirira

Chifukwa chiyani olemba kafukufuku wapano sanachite zomwe akatswiri ofufuza amachita kafukufuku waposachedwa wamaubongo ogwiritsa ntchito zolaula, "Maonekedwe a Ubongo ndi Kuyanjana Mogwirizana Ogwirizana Ndi Zithunzi Zolaula Ntchito: Ubongo pa Zithunzi,”Ndikukonzekera deta yawo yonse pa graph ngati yomwe idatulukanso pansipa? Izi zimathandiza owerenga kuti awone bwino kuti zolaula zikakwera, imvi imachepa muubongo. Chifukwa chiyani olemba ED awa adabisala zidziwitso zawo pazowerengera zowerengera komanso ma graph osavuta?

Kuhn kuphunzira ndondomeko yobalalika

  • Kugwiritsa Ntchito Sabata?

Olembawo sapereka chithandizo pa lingaliro lawo kuti mgwirizano ndi kugwiritsira ntchito zolaula sabata iliyonse ndikofunikira pakukhazikitsa kukhalapo kwa erectile kupweteka, ngakhale kuti zonse zomwe akudandaula zimakhala pa kusowa kwa mgwirizano ndi ntchito zamagulu. Mu 2011, ofufuza a ku Germany anapeza kuti mavuto okhudzana ndi zolaula amagwirizana osati ndi nthawi yogwiritsidwa ntchito, koma makamaka ndi kuchuluka kwa mapulogalamu ogonana omwe adatsegulidwa panthawi zolaula. Chifukwa chake, kulibe kulumikizana pakati pa zolaula zamasabata sabata iliyonse ndi zovuta za ED (osatinso zolumikizana ndi zotsatira zina zamafunso) sizosadabwitsa, chifukwa zachilendo (kuchuluka kwamakanema, ma tabu otseguka, ndi zina zambiri) zimawoneka ngati zofunika kwambiri kuposa maola.

Kuphatikiza apo, kuchuluka kwa "kugwiritsira ntchito zolaula sabata iliyonse" kudatsimikizika bwanji? Ofufuzawo sanena. Zinali zophweka kuti, "Munagwiritsa ntchito zolaula zingati sabata yatha?" Ngati ndi choncho, pakhoza kukhala ogwiritsa ntchito zolaula omwe sanakhale ndi nthawi yopanga zovuta za erectile mu bin "2+ maola". Ndipo ogwiritsa ntchito nthawi yayitali omwe ali ndi mavuto okhudzana ndi zolaula, omwe anali atangoganiza zosiya zolaula, mwina chifukwa cha zovuta zakugonana, mu bin ya "0 hours", ndikupangitsa kulumikizana kukhala kovuta kwambiri.

Mosasamala momwe wolemba wotsogola amawerengera "kugwiritsa ntchito sabata iliyonse," zofunika kwambiri zikusowabe: kugwiritsa ntchito zolaula kwathunthu ndi zizindikiro za ntchito. Ophunzira sanafunsidwe za zaka zolaula kapena zaka (gawo lotukuka) lomwe adayamba kugwiritsa ntchito. Kuphatikiza apo, ofufuzawo sanayang'anire pazinthu zina zomwe amuna omwe amapezeka pamafamu omwe amapezeka nthawi zambiri amakhala okhudzana ndi magwiridwe antchito: kuchuluka kwa zinthu zoopsa kwambiri, nthawi yayitali osagonana, kugonana zolaula, komanso maliseche pokhapokha ndi zolaula pa intaneti.

Momwe zinthu zilili, ndikupatsidwa manambala osadabwitsa, kusowa kwamalumikizidwe ndikofunikira kwambiri, ndipo kutulutsa kwa olemba zomwe zapangitsa kuti ED isokonezeke.

Chikhalidwe chogonana: Lingaliro loyenera kufufuza

Ofufuzawa molondola ananena kuti:

Zosokoneza zikhoza kukhala zovuta ku mbali zina za VSS [zolaula] zomwe sizikusintha mosavuta ku zochitika zenizeni zogonana. Kuukitsa kugonana kungapangidwe ku zochitika zatsopano, kuphatikizapo zithunzi zina zogonana, mafilimu ena ogonana kapena zithunzi zosagonana. Zingatheke kuti kukhala ndi zibwenzi zambiri zokhudzana ndi kugonana pakati pa VSS kungayambitse kuyankha kwa erectile panthawi yogonana pakati pawo. Mofananamo, anyamata omwe amawona VSS akuyembekezera kuti kugonana pakati pa anthu ogonana kumadzachitika ndi mitu yofanana ndi yomwe amawona mu VSS. Choncho, pamene zoyembekeza zapamwamba sizikwaniritsidwa, kusakanikirana kwa kugonana kosagwirizana sikungapangitse erection.

Pozindikira kuthekera uku, wina amadabwa kuti ndichifukwa chiyani ochita kafukufuku amafunsa maola pafupifupi sabata limodzi ndipo sanafunse ophunzira awo mafunso omwe akadawathandiza kuwunikira kulumikizana komwe kungakhalepo pakati pakuwonera kwawo zolaula komanso zachiwerewere, monga

  • ali ndi zaka zingati anayamba kuyang'ana mavidiyo olaula
  • ndi zaka zingati zomwe adaziwona
  • kaya zolaula zawo zapita patsogolo panthawi yopita ku zolaula zoopsa kwambiri
  • ndi ziŵerengero zotani zokhudzana ndi maliseche zomwe zinachitika ndi popanda zolaula.

Ngati akufuna kupeza zofunikira pazokhudza zolaula zomwe zimapangitsa ED, atha kufunsanso anyamata omwe ali ndi vuto lochepa la erectile kuti azichita maliseche popanda zolaula komanso nawo, ndikuyerekeza zomwe akumana nazo. Amuna omwe ali ndi zolaula zomwe zimapangitsa ED amakhala ndi vuto lalikulu lodziseweretsa maliseche popanda zolaula chifukwa amakakamiza chilakolako chawo chogonana kuti azitha kujambula, voyeurism, zolaula komanso / kapena zachilendo. Zachidziwikire kuti ofufuzawo sanachite izi, chifukwa sikunali kuphunzira komwe kumayang'ana ED.

Akukula chifukwa

Olemekezeka kwambiri a urologists adayankhula kale za nkhani ya zolaula-inachititsa ED, kuphatikizapo orologists, monga Abraham Morgentaler, MD, Harvard urology pulofesa ndi wolemba, ndi Cornell urology pulofesa ndi wolemba Harry Fisch, MD. Anati Morgentaler, "Ndizovuta kudziwa kuti ndi anyamata angati omwe akuvutika ndi zolaula. Koma zikuwonekeratu kuti izi ndizatsopano, ndipo sizachilendo. ” Fisch alemba mosabisa kuti zolaula zimapha kugonana. M'buku lake New Naked, amalowerera pazofunikira: intaneti. "Amapereka mwayi wopezeka mosavuta kuzinthu zabwino zomwe ndimagwiritsa ntchito nthawi zina koma zopatsa thanzi [zogonana] tsiku lililonse."

N'zochititsa chidwi kuti zaka zingapo zapitazi, kafukufuku wambiri adanena kuti ED sanayambe wakhalapo ndi anyamata, ngakhale kuti palibe amene adafunsa za kugwiritsira ntchito zolaula pa intaneti:

  1. Kugonana pazochitika zankhondo: Zoyeseratu zowonongeka ndi zolosera. (2014) ED - 33%
  2. Zovuta zogonana pakati pa anyamata: kufalikira ndi zinthu zogwirizana. (2012) ED - 30%
  3. Kusokonezeka kwa Erectile pakati pa mamembala omwe amagwira ntchito, asilikali a US, 2004-2013. (2014) Chiŵerengero cha pachaka chimakhala choposa kawiri pakati pa 2004 ndi 2013
  4. Kukula ndi makhalidwe a kugonana pakati pa pakati pa kugonana mpaka kumapeto kwa achinyamata. (2014) Zaka zakubadwa za 16-21:
  • Kulephera kwa Erectile - 27%
  • Chilakolako chogonana - 24%
  • Mavuto ndi chiwonetsero - 11%

Kuwonjezera apo, phunziro ili liri ndi lipoti la vuto la munthu yemwe ali ndi zolaula zopangidwa ndi zolaula ndi libido ndi anorgasmia. Iye anali atakula mwa mitundu yosiyanasiyana ya zolaula ndipo anali ndi chilakolako chochepa chogonana. Mwezi wa 8 uyambitsenso kutsogolo kwachibadwa chokhalira komanso kugonana kokondweretsa.

Popeza kuti kugwiritsa ntchito zolaula pa intaneti tsopano kuli ponseponse mwa anyamata, sitiyenera kusiya kugwiritsa ntchito zolaula pa intaneti ngati zomwe zingayambitse achinyamata omwe ali ndi vuto losagwiritsa ntchito intaneti popanda kafukufuku wasayansi wamaphunziro omwe akudandaula nawo. Pochedwa kuganiza kuti olembawo ali olondola poganiza kuti ED yachinyamata yachuluka chifukwa "chodandaula za momwe STD ingakhalire, maubwenzi akuyembekezereka, komanso nkhawa zakukongola kwake kapena kukula kwa mbolo." Izi zikuwoneka kuti zakhala zikuchitika kwanthawi yayitali kuposa zolaula za pa intaneti, ndipo zomwe zakhala zikuchitika pamavuto a achinyamata a ED ndi zaposachedwa.

Chofunika kwambiri, nkhawa izi sizikugwira ntchito kwa anyamata omwe sangathe kuchita maliseche popanda zolaula, popeza sada nkhawa ndi izi ndi dzanja lawo.

Pamene kuli kofunikira kufalitsa kufotokoza konse kwa nkhani ya zolaula zomwe zimapangitsa kugonana kosagwirizana komwe kumachitika pa kufufuza kozama, kusanthula komweku kumabweretsa chigamba cha mbendera zofiira. Achinyamata ogwiritsa ntchito zolaula masiku ano akuyenera kukhala abwinoko.



YBOP MAFUNSO PA KUFUNA ZOCHITA ZINTHU:

Palibe mlembi amachita zogonana kapena dokotala. Komabe, Jim Pfaus ali pa Bungwe Lokonzekera la makolo ndi mlongo makanema a omwe adafalitsa izi.

Wakale wa Nicole Prause Twitter mawu akusonyeza kuti sangakhale wopanda tsankho pofuna kufufuza sayansi:

"Kuphunzira chifukwa chake anthu amasankha kuchita zachiwerewere popanda kumachita zachinyengo."

Mosiyana ndi iye 2015 twitter pamphwando Pemphero silikugwiritsidwanso ntchito ndi UCLA kapena yunivesite ina iliyonse. Sipanakhalenso Pemphero lotchuka zochitika zambiri zolembedwa zozunzidwa ndi kulemekeza monga gawo la "astroturf" yopitiliza kuchititsa anthu kuti aliyense amene samatsutsana ndi ziganizo zake ayenera kuchitidwa chipongwe. Pembedzero yasonkhanitsa mbiri yakale olemba mabuku, odwala, olemba nkhani, ndi ena omwe akuyesera kufotokozera umboni wa ziwawa kuchokera ku ntchito zolaula pa intaneti. Iye akuwoneka kuti ali 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 chaka ndi chaka kwa anthu ogwira ntchito zosangalatsa zachikulire ndipo ndizopadera zokha zotsatsa malonda zomwe zikuwonetseratu zokhazokha zomwe zimagwiritsidwa ntchito kwa anthu ogulitsa ntchito.[1]). Zikuwonekeranso kuti Pemphero lingakhale nalo anapeza zithunzi zolaula monga maphunziro kudzera mu mafakitale ena ogulitsa zolaula, gulu Mgwirizanowu waulere. Maphunziro omwe adapezeka ndi FSC akuti amamugwiritsa ntchito kuphunzira aganyu pa wodetsedwa kwambiri ndi Kusinkhasinkha Kwambiri ” chiwembu (tsopano kufufuzidwa ndi FBI). Kuthekera kwapanganso Zosagwirizana zosagwirizana za zotsatira za maphunziro ake ndi iye njira zophunzirira. Kuti mudziwe zambiri, onani: Kodi Nicole Anagwiritsira Ntchito Pulogalamu Yolimbikitsa Zogulitsa Zojambulajambula?

Potsiriza, wolemba wothandizira Chithunzi cha Nicole akudandaula ndi debunking PIED, atapanga Nkhondo ya zaka 3 pa pepala ili la maphunziro, panthawi imodzimodziyo akuzunza ndi kunyalanyaza anyamata omwe adachiritsidwa ndi zolaula zogonana. Onani: 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 #6Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9.

M'mbuyomu, Prause adanenapo zodabwitsa pazomwe apeza. Adachitanso chimodzimodzi phunziroli ndi tweet yosocheretsa kuti kugwiritsa ntchito zolaula kwambiri kumalumikizidwa ndi "mayankho a labu" amphamvu. Monga tafotokozera kale, palibe milingo yonse yapa labu yomwe idatengedwa pomwe amuna amawonera zolaula.

Mwa njira, muma tweets ake omwe adafalitsidwapo za ED, wolemba wamkulu adati amunawa "alibe vuto la ED kunyumba." Monga tafotokozera, kuchuluka kwa magwiridwe antchito a erectile kudagwera mgulu "losavuta la erectile", zomwe zikutanthauza kuti gawo lalikulu Ndithudi anali ndi erectile kulephera, mwinamwake kunyumba ndi kwakukulu.

Zina mwa ntchito zakale za Prause zidatsutsidwa kwambiri. Ganizirani za kafukufuku wake "Chilakolako chogonana, osati chiwerewere, chimakhudzana ndi mayankho okhudza ubongo ", 2013 (Steele, et al.). Miyezi isanu Steele ndi al. adatulutsidwa, Prause anamasulidwa yekha kwa katswiri wa zamaganizo David Ley, amene mwamsanga anajambulidwa pa izo Psychology Today, Kudzinenera kuti kunatsimikizira kuti zolaula zilibe. Zonena ngati izi sizinathandizidwe ndi kafukufuku weniweni pomwe amatuluka. Anati pulofesa wamkulu wama psychology John A. Johnson:

'Chiwerengero chimodzi chodziŵika chodziŵika bwino sichinena kanthu za kuledzera. Kuwonjezera pamenepo, kupeza kwakukulu ndi zoipa Kugwirizana pakati pa P300 ndi chilakolako chogonana ndi mnzanu (r = -0.33), kusonyeza kuti kukula kwa P300 kumagwirizana ndi m'munsi chilakolako cha kugonana; Izi zikutsutsana mwachindunji kutanthauzira kwa P300 monga mkulu chikhumbo. Palibe kusiyana kwa magulu ena osokoneza bongo. Palibe kusiyana kwa magulu olamulira. Zotsatira zomwe ochita kafukufuku anapeza zokhudzana ndi chiwerengerochi, zomwe sizimanena kanthu ngati anthu omwe amafotokoza mavuto omwe amachititsa kuti aziwona zojambula zogonana kapena alibe ubongo amayankha mofanana ndi cocaine kapena mitundu ina ya mankhwala osokoneza bongo. lofalitsidwa 'Kukhumba kwakukulu', kapena 'kungokhala' chizoloŵezi choledzeretsa? Yankho kwa Steele et al.

Monga momwe ziliri ndi kafukufuku wapanoyu, Prause adanenanso zabodza zomwe apeza pazofalitsa. Kuchokera kwa iye Psychology Today kuyankhulana:

Cholinga cha phunziroli chinali chiyani?

Pembedzero: Kuphunzira kwathu kunayesedwa ngati anthu omwe amafotokoza mavuto amenewa amawoneka ngati ena omwe amalephera kuchoka ku ubongo wawo ku zithunzi zogonana. Zofufuza za mankhwala osokoneza bongo, monga cocaine, zasonyeza njira yogwirizana ya ubongo ku mafano a mankhwala osokoneza bongo, kotero tinaneneratu kuti tiyenera kuona chitsanzo chomwecho mwa anthu omwe amafotokoza zolimbana ndi kugonana ngati kwenikweni, kuledzera.

Kodi izi zikutanthauza kugonana ndi chiwerewere ndi nthano?

Ngati phunziro lathu lafotokozedwa, zotsatirazi zikanakhala zovuta kwambiri pazinthu zogonana zokhudzana ndi kugonana. Chifukwa chomwe zotsatirazi zimakhala zovuta ndizo zikusonyeza kuti ubongo wawo sunayankhe mafano ngati ena omwe amamwa mankhwala osokoneza bongo.

Zomwe tatchulazi kuti ubongo wa omvera sanayankhe ngati ena omwe ali osokoneza bongo suthandizidwa. Ophunzira mu phunziroli anali ndi ma EEG (P300) apamwamba powerenga zithunzi zachiwerewere - zomwe ndi zomwe munthu angayembekezere anthu omwe ali ndi chizolowezi chowonera zithunzi zokhudzana ndi chizolowezi chawo (monga phunziro ili pa cocaine oledzera). Kufotokozera pansi pa Psychology Today kuyankhulana ndi Pemphero, Pulofesa wamkulu wa maganizo a maganizo a John A. Johnson adati:

"Maganizo anga akupitilizabe kunena za Pembedzero kuti ubongo wa omvera ake sunayankhe pazithunzi zachiwerewere monga bongo la omwe amamwa mankhwala osokoneza bongo amalabadira mankhwala awo, atapatsidwa lipoti lokwanira P300 pazithunzi zogonana. Monga oledzera omwe amawonetsa ma P300 spikes akaperekedwa ndi mankhwala omwe amasankha. Kodi angaganize bwanji zosemphana ndi zotsatira zenizeni? ”

Panopa pali zowonongeka zazithunzi za 8 Steele et al., 2013 Onse agwirizane ndi kusanthula kwa YBOP: Zowunikiridwa ndi anzawo a Steele et al., 2013


Njira ina yosokoneza ndikuti maudindo ophunzirira a Lab Lab sakuwonetsa bwino zomwe zapezazi:

Monga tafotokozera ndemanga iyi, liti onse Mafunso okhudzana ndi kugonana (Inventory Inventory (SDI) panalibe mgwirizano waukulu pakati pa maphunziro a SDI ndi zolemba za EEG. Pakadali pano pepala lotsatiridwa ndi anzawo anafotokoza kuti:

"Kuphatikiza apo, mawu omaliza omwe adalembedwa m'bukuli," Zokhudza kumvetsetsa za chiwerewere monga chikhumbo chachikulu, m'malo mokhumudwa, zimakambidwa "303] (p. 1) zikuoneka kuti palibe malo omwe akuwona kuti phunziroli likupeza kuti P300 matalikidwe amatsutsana kwambiri ndi chilakolako chogonana ndi wokondedwa. Monga tafotokozera ku Hilton (2014), kupeza izi "kumatsutsana ndikutanthauzira kwa P300 monga chikhumbo chachikulu" [307]. "

Dzina lolondola kwambiri likanakhala liri "Kuphatikizana kolakwika ndi mafunso a SDI okhudzana ndi kugonana pakati pa amuna kapena akazi okhaokha, komabe palibe mgwirizano ndi SDI yonse. "

Monga tafotokozera ndemanga iyi, mutuwo umabisa zomwe zapezeka. M'malo mwake, "ma hypersexourse" anali ndi malingaliro ochepa poyerekeza ndi zowongolera. Izi sizosadabwitsa ambiri Anthu okonda zolaula amafotokoza mmene akumvera ndi zotengeka. Pembedzero lidalungamitsa mutuwo ponena kuti akuyembekeza "kuyankha kwakukulu", koma sanatchulepo kanthu za "chiyembekezo" chake chodabwitsachi. Palibe chodabwitsa kumeneko chifukwa ogwiritsa ntchito zolaula anali osakhudzidwa kwambiri ndi zolaula za vanila kuposa maphunziro athanzi. Iwo anali otopetsa. Mutu wolondola ukadakhala kuti: "Ophunzira omwe amavutika kugwiritsira ntchito zolaula zawo samasonyeza zochepa zowonongeka pa mafilimu ogonana".

Monga tanena kale pakuwunika kwaposachedwa, Pembedzero silinayese kuyankha kwakugonana, zovuta, kapena kuyambitsa ubongo. M'malo mwake, ogwiritsa ntchito zolaula adapereka nambala yankho pafunso limodzi lokha "zodzutsa chilakolako chogonana". Omwe amakhala maola 2 + sabata iliyonse ogwiritsa ntchito zolaula anali ndi zochuluka pang'ono atawonera zolaula. Izi ndi zomwe munthu angayembekezere. Izi sizimatiuza chilichonse chokhudza kugonana kwawo popanda zolaula kapena kukondana kwawo ndi bwenzi lawo. Ndipo silinena chilichonse chokhudza ntchito ya erectile. Ndizovuta kunena kuti mutuwo uyenera kukhala wotani ngati Pembedzero silinatulutse zomwe zili zofunika (onani Chidziwitso cha anzawo a Dr. Isenberg). Mwinamwake dzina lolondola kwambiri likanakhala liri "Kugwiritsa ntchito zolaula kumapangitsa amuna kukhala otentha".

Kenako, adagwirizana ndi David Ley - wolemba Bodza Lachiwerewere, yemwe alibe mbiri yaukadaulo kapena kafukufuku - kuti apange ndemanga zokayikitsa pankhani yokhudza zolaula: "Emperor Alibe Zovala: Kuwonetsanso chitsanzo cha "Zolaula Zolekerera". ” Ndiko kuwunikaku komwe olemba pano akunena za lingaliro lodabwitsa loti, "Intaneti [si] yowonerera zowonera zolaula." Kutsutsa mwamwambo kuli m'ntchito, koma kutsutsa mwamwayi komweko kumatha kuwonedwa pano: "Emperor Alibe Zovala: Fairytale Yowonongeka Imakhala Ngati Yophunzira. "

Ngakhale kuti Jim Pfaus analipo pompano, tikudabwa ngati olembawo Mankhwala Ogonana ayenera kuganizira ntchito yobwezeretsa ntchitoyi. Mutu wokhudzana ndi kugonana kosagwirizana ndi zolaula ndi kofunika kwambiri kuti usagwirizane ndizokhazikika pamagwirizano okayikitsa pakati pa zotsatira za mafunso, zambiri zomwe zimawoneka zosagwirizana ndi nkhani ya erectile ntchito.

Pembedzero likuwoneka kuti lipindula chifukwa chokana kugonana ndi kuledzera

Pomaliza, ziyenera kudziwika kuti Nicole Prause tsopano akumupatsa iye "katswiri" umboni wotsutsa "chizolowezi chogonana". Kuchokera kwa iye Liberos webusaitiyi:

Zikuwoneka ngati Pemphero likuyesa kugulitsa ntchito zake kuti lipindule ndi ankadzinenera zotsutsana ndi zolaula zogwirizana ndi maphunziro ake awiri a EEG (1, 2), ngakhale kuti mayankho owonetsedwa ndi anzawo amasonyeza kuti maphunziro onsewa amathandiza njira yogwiritsira ntchito mankhwala osokoneza bongo:

  • Pemphero Kuphunzira kwa 2013 EEG anapeza umboni wa zolaula. Kafukufuku wa 2013 adalemba kuwerengera kwamtundu wa EEG (P300) pomwe omvera adakumana ndi zithunzi zolaula. P300 yayikulu imachitika pomwe anthu omwe ali ndi vuto losokoneza bongo awonekera (monga zithunzi) zokhudzana ndi vuto lawo. Kuphatikiza apo, kafukufukuyu adanenanso za zolaula zomwe zimakhudzana ndi chilakolako chochepa chogonana (koma osangokhala chilakolako chogonana, monga momwe munthu angayembekezere pa intaneti). Izi ndizizindikiro zosokoneza bongo, komabe, munyuzipepala, a Prause adati kafukufuku wawo `` wasokoneza '' lingaliro losokoneza bongo.
  • The phunziro lachiwiri la EEG Zikuwoneka kuti zikufanizira maphunziro a 2013 (kuphatikiza owerengeka) kuwerenga kwa EEG ku gulu lowongolera. Ndizowona, kafukufuku wa 2013 analibe gulu lowongolera. Zotsatira za 2015: Monga zikuyembekezeredwa, onse omwe amakonda kugwiritsa ntchito zolaula komanso kuwongolera anali ndi ma spike apamwamba a EEG mukamawona zithunzi zolaula za vanila. Komabe, ma amplitudes owongolera omwe amakhala okwera pang'ono kuposa omwe amakonda zolaula. Mwanjira ina, anthu omwe amakonda kugwiritsa ntchito zolaula amakhala osasangalala ndi zithunzi zolaula. Iwo anali atasokonezeka. The Prause et al. kupeza akugwirizana bwino ndi Kühn & Gallinat (2014), omwe anapeza kuti zolaula zambiri zimagwirizanitsidwa ndi ubongo wosagwiritsidwa ntchito kwambiri kwa ogwiritsa ntchito kwambiri (omwe sanali oledzera) poyera zithunzi zogonana.