NDEMANGA: Poyamba pepala ili la 2018 linkaoneka ngati lothandiza chifukwa linkalimbikitsa kuti kugwiritsa ntchito zolaula kuonjezedwe ngati gawo la kuwunika kwa odwala:
Monga gawo la mbiri ya chiwerewere, zidziwitso zokhudzana ndi kugonana zingakhale zothandiza, pofufuza ED komanso kusankha chisamaliro choyenera. Zizolowezi za kugonana zimaphatikizapo kuchuluka kwa kugonana, kukonzekera, nthawi, zizoloŵezi zowononga, ndi kugwiritsa ntchito zolaula; izi ndi zatsopano zatsopano zosinthidwa.
Komabe, ndime yotsatira imatipatsa zonyansa izi:
Kugwiritsa ntchito zolaula kwafala kwambiri, ndipo asing'anga ayenera kudziwa kuti kumwa kwake kungakhale chifukwa cha lipoti la ED. Kafukufuku wowongoleredwa bwino pa momwe zolaula zimakhudzira ED akusowa, ndipo umboni womwe ulipo ndi wotsutsana. 72,73 Kafukufuku waposachedwapa wasonyeza kuti, m'malo mogwiritsa ntchito zokha, njira yomwe zithunzi zolaula zimagwiritsidwira ntchito imakhudzana ndi kuvutika maganizo ndi kusagwira ntchito bwino pogonana. 74 Zomwe zapezeka zasonyeza kuti kugwiritsa ntchito zolaula mosangalatsa kungapangitse kuti chilakolako chogonana chikhale chosangalatsa, koma kugwiritsa ntchito kwake kwa anthu ovutika maganizo kungathandize kuti chilakolako chogonana chikhale chovuta. 74
Chidule 72 ndi ndemanga yayikulu ya mabuku okhudzana ndi zovuta zogonana zomwe zimayambitsa zolaula - Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala (2016) . Komabe, zikuwoneka kuti olembawo sanawerenge pepalalo. Ngati wina aliyense akanavutika kuwerenga ndemangayo akanapeza kuti:
- Pali Kufufuza kosiyanasiyana komwe kumagwirizanitsa zolaula kumagwiritsa ntchito zovuta zogonana komanso kuchepetsa kugonana (kuphatikizapo maphunziro omwe amuna adachiza mavuto a kugonana pochotsa zolaula), ndizo
- Ndemanga 73 (Landripet & Stulhofer, 2015) sizomwe zimawoneka - monga zidatsutsidwira pakuwunikanso pamwambapa kwa mabukuwa.
- Chidziwitso cha YBOP cha Landripet & Stulhofer, 2015, adawulula kuti "kuyankhulana mwachidule" (osati kuphunzira) kwenikweni kunapeza kulumikizana kwa 3 pakati pa zolaula ndi zovuta zakugonana.
- Ndemanga pa "Kodi Zithunzi Zolaula Zimagwirizanitsa ndi Mavuto Ogonana ndi Zovuta pakati pa Amuna Amuna Amodzi Amuna Kapena Amuna Kapena Amuna Kapena 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 Amuna Kapena Akazi Amodzi?? "Ndi Gert Martin Hald, PhD.
Choyipa kwambiri n'chakuti, olembawo ananyalanyaza zomwe zapezeka mu maphunziro 26 awa kuti atchule zotsatira zazing'ono kwambiri (chithunzi 74 ). Izi zachokera ku kafukufuku wokayikitsa kwambiri kotero kuti zinapangitsa tsamba la YBOP la Mafunso Okayikitsa & Osocheretsa : Mbiri za Kugwiritsa Ntchito Zithunzi Zolaula pa Intaneti ndi Ubwino Wogonana mwa Akuluakulu (2017) . Kafukufukuyu anagawa ogwiritsa ntchito zolaula m'magulu atatu osiyana:
- ogwiritsa ntchito zolaula (75.5%),
- ovutika maganizo omwe sali odzikakamiza (12.7%),
- ogwiritsa ntchito zithunzi zolaula (11.8%).
Zotsatira zazikulu ziwiri:
- "Ogwiritsa ntchito zolaula omwe ali ndi nkhawa kwambiri" adanenanso zakugonana kuposa magulu ena awiriwa.
- "Ogwiritsa ntchito zolaula" adanena kuti sakugonana kwenikweni kuposa magulu awiriwa.
Sikuti ndi chinthu chodabwitsa kwenikweni, koma olemba kafukufuku wa ED omwe alipo pano adagwiritsa ntchito zomwe adapeza "ogwiritsa ntchito zolaula osakakamiza kwambiri" ngati kuti zinali zowunikira, kunyalanyaza maphunziro ena onse 80 omwe adasindikizidwa pakugwiritsa ntchito zolaula ndi ntchito zogonana, komanso kukhutitsidwa ndi kugonana ndi ubale . Ayenera kuti adafufuza m'mabuku kuti apeze chinthu chosankhidwa bwinochi.
Koma chifukwa chenicheni chomwe YBOP idatsutsira ndemanga 74 ndichakuti idachita cholakwika chachikulu: Kafukufukuyu adagwiritsa ntchito ASEX poyesa magwiridwe antchito a kugonana, osati muyezo wa IIEF . ASEX siisiyanitsa pakati pa magwiridwe antchito a kugonana panthawi yodziseweretsa maliseche (nthawi zambiri zolaula pa intaneti) ndi kugonana ndi anthu ogonana nawo, pomwe IIEF ndi ya anthu ogonana nawo okha . Popeza ogwiritsa ntchito zolaula masiku ano omwe amakhala ndi zovuta zogonana nthawi zambiri amakumana nazo akagonana ndi anthu ogonana nawo , kafukufukuyu ndi wopanda ntchito pomvetsetsa zotsatira za zolaula pa ntchito yogonana.
Ambiri mwa anthuwa adayesa ubwino wa kugonana kwawo, chilakolako chawo, ndi chilakolako chawo chogonana akamaonera zolaula - osati akamagonana! Apanso, ambiri alibe vuto lopeza chilakolako chogonana kapena kufika pachimake pa ziwonetsero - kaya chifukwa cha zinthu zatsopano zosatha za zolaula pa intaneti komanso kupezeka kwa zolaula zoopsa kwambiri pa intaneti, kapena chifukwa chakuti ogwiritsa ntchito zolaula ambiri masiku ano aphunzitsa (kuzindikira) ubongo wawo kuti azitha kuona zolaula pogwiritsa ntchito ziwonetsero, osati anthu enieni.
Zowonjezera zomwe zatchulidwa mufukufuku wa 74 zimatsimikiziranso mfundo imeneyi, popeza ogwiritsira ntchito zolaula amakhala makamaka amuna ndipo amapewa kugonana pakati pawo:
Makhalidwe ogonana omwe anthuwa adanenanso akusonyeza kuti kugwiritsa ntchito kwawo zolaula kungaphatikizidwe mu njira yayikulu yogonana mokakamiza yomwe imaphatikizapo kupewa kugonana ndi mnzanu.
Komanso, 38% yokha ya ogwiritsa ntchito zolaula mopitirira muyeso anali ndi zibwenzi. (ZINDIKIRANI: izi sizikutanthauza kuti 38% adagonana ndi mnzawo, chifukwa chizindikiro chofala cha chizolowezi cha zolaula ndi kusankha zolaula m'malo mogonana ndi mnzawo). Mulimonsemo, osachepera 62% ya anthu omwe adakakamizidwa anali okonda zolaula omwe sanagone ndi anthu enieni . Izi zikutanthauza kuti ambiri mwa ogwiritsa ntchito zolaula mopitirira muyeso mu kafukufukuyu anali kuwunika chilakolako chawo ndi chilakolako chawo chogonana pamene akuseweretsa maliseche , osati pamene akugonana ndi mnzawo. Chifukwa chake, kuchuluka kwa zovuta zomwe zingachitike kungayembekezeredwe kukhala kotsika kwambiri kuposa ngati ofufuzawo akanangofunsa ogwiritsa ntchito zolaula omwe angayankhe za kugonana ndi mnzawo.
Kuyeza kugonana pakati pa ogwiritsa ntchito zolaula kumabweretsa chisokonezo chachikulu, ndipo olemba a 74 adalakwitsa kunena kuti zotsatira zawo zimakhala ndi ubale uliwonse ndi maphunziro osagonana omwe amagwiritsa ntchito IIEF. ASEX kuti amagwiritsa ntchito miyeso "maapulo," pomwe IIEF imayesa "malalanje." Omaliza okhawo ndi omwe angawulule zovuta zogonana panthawi yogonana pakati pawo - komwe, ndizomwe zimayambitsa zovuta zachiwerewere makamaka kwa ogwiritsa ntchito zolaula masiku ano.
Phindu ndi othandizira olipidwa: kuletsa kugwirizana pakati pa zolaula ndi ED
Pfizer adathandizira kafukufukuyu kuti afalitse nkhani yake yokhudza matenda amisala, yomwe imanyalanyaza umboni wakuti zolaula pa intaneti mwina ndiye vuto lalikulu la matenda amisala mwa amuna osakwana zaka 40 masiku ano. M'malo mwake, olemba kafukufukuyu akufuna kuti tikhulupirire kuti kugwiritsa ntchito zolaula "kumangoyambitsa mavuto okhudzana ndi kugonana mwa anthu omwe ali ndi nkhawa."
Olemba asanu ndi awiri mwa asanu ndi atatu a pepalali akuwonetsa kuti adalandira ndalama kuchokera kwa Pfizer , wopanga Viagra . Ndipotu, m'modzi mwa olembawo ndi wantchito wanthawi zonse wa Pfizer. Pfizer idathandiziranso kafukufukuyu , komanso idathandizira kulemba nkhani ndi zamankhwala pa pepalali, kotero n'zotheka kuti olembawo sanachite zambiri koma adasonkhanitsa ndalama zawo zofunsira. [Onani "Zovumbulutsa" pansipa.]
Opanga mankhwala owonjezera chilakolako chogonana monga Pfizer sakufuna kuti anthu onse aganizire umboni womwe ukukulirakulira wakuti kugwiritsa ntchito zolaula pa intaneti kumayambitsa vuto la kugonana. Mankhwalawa ankagulitsidwa kwa amuna azaka zopitilira 40 okha, chifukwa ED inali yosowa kwambiri mwa amuna achichepere. Koma tsopano kugwiritsa ntchito kwambiri zolaula pa intaneti kumayambitsa ED mwa amuna achichepere pamitengo yokwera kwambiri . Masiku ano, opanga mankhwala awa akupeza mamiliyoni ambiri kuchokera kugulitsa mankhwala awo kwa amuna omwe angapewe ED popewa zolaula pa intaneti, kapena kuchira pochotsa kugwiritsa ntchito - ngati amvetsetsa chiopsezo chenicheni chogwiritsa ntchito zolaula pa intaneti. Opanga mankhwala sangapange ndalama kuchokera kwa amuna kusiya zolaula pa intaneti.
N'zosadabwitsa kuti wolemba wamkulu wa pepalali, katswiri wa urologist John Mulhall MD, ndiyenso Mkonzi Wamkulu wa The Journal of $exual Medicine . Izi zikusonyeza kuti Pfizer ikhoza kukhala ikukhudza kwambiri kafukufuku wofunikira pa ED, ndikulipira akatswiri pantchitoyi kuti avomereze nkhani yomwe yapangidwa kuti ichepetse kulumikizana pakati pa zolaula pa intaneti ndi thanzi la kugonana.
Zoonadi, magazini ya Journal of $exual Medicine yotseguka ya $ister inafalitsa pepala ili lolakwika komanso lopanda tsankho, Prause & Pfaus , 2015 , lomwe linayesa kutsutsa ED yoyambitsidwa ndi zolaula. Prause & Pfaus adapereka zifukwa zingapo zosachirikizidwa mu kafukufuku wawo komanso pamene ankalankhula ndi atolankhani . Jim Pfaus ali m'gulu la olemba nkhani la The Journal of $exual Medicin e ndipo amagwiritsa ntchito khama lalikulu polimbana ndi lingaliro la zovuta zogonana zomwe zimayambitsa zolaula. Wolemba mnzake Nicole Prause amakonda kwambiri kutsutsa PIED, atamenya nkhondo ya zaka 3 motsutsana ndi pepala ili la maphunziro , pomwe nthawi yomweyo akuzunza ndi kunyoza anyamata omwe achira ku zovuta zogonana zomwe zimayambitsa zolaula. Onani: Gabe Deem #1 , Gabe Deem #2 , Alexander Rhodes #1 , Alexander Rhodes #2 , Alexander Rhodes #3 , Noah Church .).
Ngati Dr. Mulhall, The Journal of $exual Medicine, ndi Pfizer akanasamaladi za thanzi la amuna lokhudza kugonana, akanapereka ndalama, kuchita ndi kufalitsa maphunziro okhudza zotsatira za zolaula pa intaneti pa ED.
Kudalirika
John P. Mulhall , MD, Annamaria Giraldi , MD, PhD, Geoff Hackett , MD, Wayne JG Hellstrom , MD, Emmanuele A. Jannini , MD, Eusebio Rubio-Aurioles , MD, PhD, Landon Trost , MD, Tarek A. Hassan , MD, MSc
DOI: https://doi.org/10.1016/j.jsxm.2018.06.005
Background
Erectile dysfunction (ED) ndichizoloŵezi chomwe chimakhudza amuna a mibadwo yonse; mu 1999, Ndondomeko Yopereka Chithandizo inakhazikitsidwa kuti apereke madokotala okhudzidwa ponena za kuyesa ndi kuyendetsa ED.
cholinga
Kuwonetsa kusinthika kwa kuphunzira ED kuchokera ku 1999, izi zowonjezera potsata chitsanzo cha chisamaliro zimapereka chithandizo cha zaumoyo pogwiritsa ntchito chida chothandizira kuyankhulana kwa odwala, kulingalira kwakukulu, ndi uphungu kwa ED.
Njira
Dongosolo lopachika malire la akatswiri apadziko lonse linasonkhana kuti liwonetsere zosinthidwa ku dongosolo la 1999 la chisamaliro kuchokera kuwonedwe kadziko lonse. Njira yosinthidwayo inakonzedwa kuti ikhale yozikidwa pa umboni, yopitilira deta, ndi kupezeka kwa ogwira ntchito zosiyanasiyana zaumoyo.
Zotsatira
Nkhaniyi ikufotokozera mwachidule zokambirana za msonkhanowo ndipo ikuyang'ana kuyezetsa ED. Utsogoleri wa ED ukufotokozedwa m'nkhani ya Muhall et al (J Sex Med 2018; 15: XXX-XXX).
Results
Njira yowunika kuunika kwa ED imayenera chifukwa ED imaphatikizapo mbali zonse zamaganizo ndi zamagulu. Ndondomeko yowonjezera yosamalilayi inagawanika kukhala zigawo zikuluzikulu ndi zigawo zowonongeka ndipo tsopano zikugwiritsidwa ntchito pokhudzana ndi mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana.
Zotsatira zachipatala
Kuyezetsa odwala kwa ED kumaphatikizapo zinthu zosiyanasiyana, kuphatikizapo mbiri yachipatala, mbiri ya chiwerewere, kuunika kwa thupi, kuyesa maganizo, kuyesa ma laboratory, komanso kuyesedwa kosamalitsa.
Mphamvu & Zolephera
Zosintha izi zimatengera ukatswiri wolemba ndikudziwitsa zambiri kuti athe kupereka chitsogozo chamitundu ingapo pakuwunika kwa ED masiku ano. Ngakhale ndi ochepa omwe amapereka omwe amapereka zowonjezera pazosinthazi, akatswiriwa akuyimira magawo osiyanasiyana omwe amakumana ndi odwala omwe ali ndi ED. Kuphatikiza apo, palibe meta-kusanthula komwe kunachitika kuti zithandizire kuwunika kwa kuwunika kwa ED komwe kwaperekedwa.
Kutsiliza
Kuwunika kwakukulu kwa ED kumapereka mwayi wothandizira odwala pofuna kuthetsa vuto lachipatala, maganizo / maganizo, ndi zochitika zogonana zogwirizana ndi ED, ndi cholinga chachikulu chokhala ndi chithandizo chabwino komanso kuthetsa ED. Ngakhale zina kapena njira zonse zomwe zafotokozedwa muzithunzi zowonjezera zingakhale zofunikira kwa wodwala aliyense, kuunika kuyenera kuchitika nthawi zonse.
Mawu Ofunika: Kulephera Kugonana , Matenda a Shuga , Matenda a Mtima ndi Mitsempha , Kukhumudwa , Kuthamanga kwa Magazi
Kulankhulidwa:
J. Mulhall wakhala/wakhala mlangizi wa Absorption Pharmaceuticals, AMS, Lilly, Meda, Nexmed, Pfizer Inc , ndi Vivus ndipo watenga nawo mbali mu: maphunziro/mayesero asayansi a AMS, Pfizer Inc, ndi Vivus; ena a Alliance for Fertility Preservation and Association of Peyronie's Disease Advocates. A. Giraldi wakhala/wakhala mlankhuli wa Pfizer Inc ndi Eli Lilly. G. Hackett ndi mlankhuli wa Pfizer Inc , Bayer, ndi Besins. WJG Hellstrom wakhala/wakhala mlangizi wolipidwa komanso/kapena wolankhula wa Abbvie, Allergan, Boston Scientific, Coloplast, Endo, Lipocine, Menarini, ndi Pfizer Inc. EA Jannini wakhala/wakhala mlangizi wolipidwa komanso/kapena wolankhula wa Bayer, Ibsa, Menarini, Otsuka, Pfizer Inc , ndi Shionogi. E. Rubio-Aurioles ndi mlangizi wolipidwa wa Pfizer Inc. L. Trost alibe chonena. TA Hassan ndi wantchito wanthawi zonse wa Pfizer Inc.
Ndalama Zothandizira: Kafukufukuyu adathandizidwa ndi Pfizer Inc. Thandizo lolemba nkhani ndi zachipatala linaperekedwa ndi Jill E. Kolesar, PhD, wa Complete Healthcare Communications LLC (West Chester, PA, USA), kampani ya CHC Group, ndipo adathandizidwa ndi Pfizer Inc.
* 2017 Mamembala a Ndondomeko Yosamalira mu Gulu la Akatswiri a ED: Akatswiri a Urology (John P. Mulhall, USA; Landon Trost, USA; Wayne JG Hellstrom, USA); Katswiri wa Endocrinologist (Emmanuele A. Jannini, Italy); Katswiri wa Sexologist ndi Urologist (Geoff Hackett, UK); Dokotala wa Matenda a Maganizo (Annamaria Giraldi, Denmark); Katswiri wa Sexologist (Eusebio Rubio-Aurioles, Mexico).