Zizoloŵezi za kugonana ndi ziwalo zogonana (2016)

Kugonana_kuphunzira.gif

MAFUNSO: Wolemba zapamwamba kwambiri wa ku Ulaya akuchenjeza kuti kugwiritsira ntchito zolaula kumagwirizanitsidwa ndi ED ndipo sitingathe kulowera panthawi yogonana. Mlembi wa pepala ili ndi wodwala matenda a ku France a Robert Porto MD, purezidenti wamakono wa European Federation of Sexology. Pepalali limakhudza zochitika zamankhwala za Dr. Porto ndi amuna a 35 omwe anali atapanga (kapena zosafotokozereka) kuwonongeka kwa erectile ndi / kapena anorgasmia, ndi njira yake yothandizira kuwathandiza. Kotala la odwala ake anali osokoneza bongo, ndipo zomwe zidalembedwazo zidalemba zolaula pa intaneti ngati chomwe chimayambitsa mavutowa. (Kumbukirani kuti kuseweretsa maliseche [zolaula] sizimayambitsa matenda a ED, ndipo akatswiri samanena kuti ndi vuto la ED.)

Nkhani yaikulu ili mu Chifalansa, koma zolembazo ziri mu Chifalansa ndi Chingerezi.

Zithunzi zochokera pamapepala:

tsamba loyambilira: Zopanda phindu komanso zothandiza m'machitidwe ake omwe amachititsa, kudziletsa maliseche ndi mawonekedwe ake amodzi, omwe amadziwika lero ndi zolaula, nthawi zambiri amanyalanyaza pang'onopang'ono kuchipatala chomwe sichikhoza kugwira.

Results: Zotsatira zoyambirira za odwalawa, atalandira chithandizo kuti "asaphunzire" zizolowezi zawo zowononga maliseche komanso zomwe amakonda kuchita zolaula, zimalimbikitsa komanso kulonjeza. Kuchepetsa zizindikilo kunapezeka mwa odwala 19 mwa 35. Zovutazo zidasokonekera ndipo odwalawa adatha kusangalala ndi zochitika zogonana.

Kutsiliza: Kugonana ndi maliseche, omwe nthawi zambiri kumakhala ndi kudalira pa zolaula, kumawoneka kuti zimathandiza kuti anthu azikhala ndi matenda enaake osokoneza bongo. Ndikofunikira kuonetsetsa kuti kukhalapo kwa zizoloŵezizi kulipo kusiyana ndi kuwonetsa matenda ndi kuwonongedwa, kuti muphatikize njira zowononga zizoloŵezi poyendetsa zovuta izi


Kugonana (2016)

R. Porto

48, boulevard Rodocanachi, 13008 Marseille, France

Ipezeka pa intaneti 16 August 2016

Chidule

Chiyambi.

Pambuyo pa nthawi yaitali ya kulekerera, kudziletsa maliseche kunadetsedwa ndi ziwanda ndipo kunasokonezedwa zaka khumi ndi zisanu ndi zitatu ndi khumi ndi zisanu ndi zisanu ndi zitatu, asanayambe kubwezeretsedwa m'zaka za zana la makumi awiri ndipang'ono pomwe ndikuyamikiridwa m'zaka makumi khumi zapitazi chifukwa cha kumasulidwa kwa chiwerewere, kutuluka kwa chikhalidwe cha sayansi, ndi chitukuko zofalitsa ndi intaneti. Zopanda phindu komanso zothandizira pa mawonekedwe omwe nthawi zambiri amachitika, kuseweretsa maliseche mu mawonekedwe ake ovuta komanso oyamba, omwe amagwirizanitsidwa masiku ano ndi zizolowezi zolaula, nthawi zambiri amanyalanyaza pang'onopang'ono kuchipatala chomwe sichikhoza kugwira.

Cholinga.

Cholinga cha nkhaniyi ndikuwunikira kufunika kwa machitidwe odzisokoneza bongo kumayambiriro kwa ziwalo ziwiri za kugonana; choyamba, erectile dysfunction (ED), ndipo kachiwiri, kusalabadira kwa mgwirizano (CA), ndi kulimbikitsa madokotala kuti aziphatikizira mchitidwe wogonana pogonana ndi wodwala.

Njira.

Malinga ndi zosavuta kwenikweni zolembedwa pa nkhaniyi ndi zomwe akudziwa pa zochitika za 35, wolembayo akulongosola njira ya chikhalidwe ichi ndipo akufotokoza njira zothandizira.

Results.

Zotsatira zoyamba za odwalawa, atalandira chithandizo kuti '' unlearn '' zizoloŵezi zawo zolimbana ndi zolaula, zimalimbikitsa ndi kulonjeza. Kuchepetsa zizindikiro kunapezedwa kwa odwala 19 kuchokera ku 35. Mavutowa anagwedezeka ndipo odwalawa ankatha kusangalala ndi kugonana. Iwo akutsatiridwabe pakapita nthawi yaitali, kapena akulimbikitsidwa kuti abwererenso ngati matendawa akubwereranso. Zotsatirazi zikuwonetsa zowonjezereka zothandiza ndipo tsopano ziyenera kutsimikiziridwa ndi maphunziro owonjezereka ochiritsira kuchipatala.

Kukambirana.

Odwala mu chitsanzo chathu sanali kufunafuna chithandizo cha chiwerewere, koma za ED kapena CA. Kuledzera kwa maliseche ndi kalembedwe kake kazomwe sikunatchulidwe pokhapokha ndi odwala awa. Poyamba, popanda zifukwa zina zazikulu zomwe zingayambitse vutoli, vuto la maliseche linawonekera panthawi yofunsidwa ndi phunziroli mozama. Kwa milandu yotsatira, zochitika izi zinatitsogolera kufufuza njira zokhudzana ndi maliseche kuchokera pa kuyesedwa koyambirira.

Kutsiliza.

Kugonana ndi maliseche, omwe nthawi zambiri kumakhala ndi kudalira pa zolaula, kumawoneka kuti zimathandiza kuti anthu azikhala ndi matenda enaake osokoneza bongo. Ndikofunika kuonetsetsa kuti kukhalapo kwa zizoloŵezizi kulipo kusiyana ndi kuchitapo kanthu kuti chidziwitso chichotsedwe, kuti chiphatikize njira zowononga zizoloŵezi zowonongeka.

[Paper]

Palibe chowonadi chotsimikizika mu sayansi, chidziwitso chokha chomwe chilipo panthawi yomwe yapatsidwa. Pr Patrick Gaudray

Mawu akuti Masturbation amachokera ku Manus (dzanja) lachilatini kapena Greek mazea (penis) ndi ku Latin (kusokoneza) (Dally, 1975).

Kuchita maliseche, nthawi zina kumatchedwa mopanda chilungamo ndi onanism kutsata kulakwitsa kopanda kuwona kwa Baibulo kwa Onan kwakhala kwatsutsidwa kwa makhalidwe ndi chipembedzo. M'zaka za zana lachisanu ndi chitatu, kwa zaka makumi angapo, kugwiritsira ntchito zowonongeka kunakhala kosayenera komanso kovulaza makamaka mwachanguTissot (1760).

M'zaka za zana la makumi awiri, ndi kusintha kwa makhalidwe ndi chitukuko kuwona zochitika zapadera, tikuwona kuti ndizoloŵezi kwambiri: 94% amuna (Kinsey et al., 1948), 63% (Nazareth et al. 2003), 73% (Gerressu , 2008); ndi kusiyana malinga ndi Age: Zaka 25-30 za 2 / 3, ½ pa makumi asanu ndi atatu, 1 / 3 makumities (Herbenick et al., 2010). Kuchita kawirikawiri kungaphatikize 40.3% ya amuna (Bajos et al., 2008), ziwerengero zomwe zimapezekanso ku French fufuzani (Brenot, 2011) pamene akuwonjezerapo maphunziro omwe amadzidzudzula kamodzi kamodzi tsiku ndi tsiku (11.1%) ndi iwo omwe amachita zimenezo kamodzi kamodzi pa sabata (31.4%).

Kuchita maliseche monga momwe zimakhalira masiku ano kumakhala kopanda ufulu ndipo kumadziwika kuti kuli ndi ntchito zothandiza pakusintha kwachikhalidwe: kumathandizira kukula kwa kugonana pakati pa amuna kapena akazi okhaokha podzutsa zilakolako zogonana komanso izi kwa amuna ndi akazi onse (Carvalheira ndi Leal, 2013), zitha kuthandiza ndi kugonana kwa awiriwa, itha kukhala njira yolerera, kugwiritsidwa ntchito ngati njira yoperekera anthu osungulumwa komanso opunduka, ndi njira zopewera matenda opatsirana pogonana, zolakwa zakugonana, ndi chigololo pakakhala zilakolako zosiyanasiyana m'banjali… matenda amtima (Rastrelli et al., 2013). Ilinso ndi matenda, mwachitsanzo kuzindikira organic ED (Corona et al., 2010). Imakhalanso ndi ntchito zochiritsira pakuthana kwamankhwala osokoneza bongo (LoPiccolo ndi Lobitz, 1972). Zonsezi ndi zifukwa zowonjezerapo zoganizira za chizolowezi chogonana.

Komanso, kugwiritsira ntchito molakwa kugwiritsa ntchito maliseche, monga momwe zilili pazochitika zonse zogonana, pamene zimagwiritsidwa ntchito chifukwa chosagonana (chigonjetso kapena chitsanzo chogona).

Komabe, kugwiritsa ntchito mwambo kapena mopitirira muyeso kungawononge kuipa kumene sitikuona kokwanira.

Tawonani kuti pankhaniyi, sikumangothamangitsidwa, kumapeto kwake kwa kudzikonda, komwe kumadzivulaza palokha, komabe chikhalidwe chazochitika pazomwe zimakopeka kwambiri ndi amayi.

Mawu enieni a maliseche

Ngakhale kulimbikitsidwa kolembedwa kwa mbolo kapena kuponyera chifuwa, kaya mwazidzidzidzi kapena kuthamanga pa glans (kaya nkhaniyo idulidwa kapena ayi) si njira yokhayo, yomwe imakhala yofala kwambiri. Zizolowezi zina zowonongeka ndizosiyana ndi malingaliro a anthu ndi kupita patsogolo kwa matelojeya: Amachokera pa kuvala pamtsamiro kapena mateti kupita ku zipangizo zosiyanasiyana zogwiritsa ntchito, pogwiritsa ntchito mankhwala opatsa mphamvu, odzimva okha (zomwe zimafuna kusintha kwambiri ndi / kapena kutalika kwa mbolo ) kapena kuponyedwa kwachinyengo (nthawi zina kumafa!).

Kuwonjezera pa izi ndi mbali yapadera ya kukhudzana: dzanja lonse kapena zala ziwiri, kupumula kokha, kupindikiza, kuthamanga, mphamvu ya kupanikizika, kuyenda mofulumira kapena pang'onopang'ono, komanso mobwerezabwereza, nthawi zambiri ndi kuwerenga masomphenya kapena zolaula zolaula. Komanso, phunzirolo likhoza kuyesetsa kukondweretsa zosangalatsa kapena kuchedwa kwachabechabe polekezera.

Zizoloŵezi zodzikongoletsa nthawi zambiri zimaiwalidwa pamene kuyesa kwa odwala akufunsira kugonana kosagwirizana.

Olemba ena amanena kuti anthu ambiri amayamba kugonana monyanyira (Gerressu et al., 2008).

Mwa amuna a 596 omwe ali ndi zibwenzi zogonana ndi amuna omwe ali ndi chilakolako chogonana, a 67% adanena kuti chiwerewere chimakhala chachizolowezi chodziwika ndi zolaula (Carvalheira et al. 2015).

Kulongosola koyambirira komwe kumasonyeza mgwirizano pakati pa kalembedwe ndi chidziwitso chogonana ndi kubwereka kwa abambo nthawi zambiri kubwerera kwa Perelman (1994), amene amachokera ku 75 milandu ya kuchedwa kutayika (RE) yomwe yasonkhanitsidwa zaka zisanu, zimatanthawuza kuti kuthamanga kwapamwamba kambiri (30% ya chitsanzo chake kuchitidwa maliseche kamodzi patsiku) kunkagwirizana kwambiri ndi ER (Perelman, 2004). Posachedwapa Gila Bronner (2014) anatsindika kufunika kwa funsoli pokhudza milandu ya 4.

Tiyeni tizindikire kuti sikumangomaliza kukakamiza koma kumakhala kozoloŵera, kubwereza, kusokoneza penile. Ndipo ndithudi, si funso lokhazikika pafupipafupi pa zomwe zimasokoneza kugonana komwe izi zimasiyanasiyana pa maphunziro. Chikhalidwe chimene timalankhula chimaphatikizapo zizoloŵezi za aliyense payekha, kuphatikizapo nthawi zambiri, ndipo zimadalira mofanana ndi umunthu.

Olemba ena amanena za kugonana monyanyira (Coleman, 2011); izi zimakhudza milandu yomwe cholinga chake ndi kuchepetsa nkhaŵa monga maphunziro omwe sangathe kugona popanda kugonana maliseche kapena iwo amene amachita zimenezi akakhala atapanikizika.

Ena amalankhula zachisangalalo pamene kufunafuna zosangalatsa; Otsatirawa amakhala ndi chilakolako chilichonse chogonana, choncho tikulingalira kuti izi ndi vuto lodziletsa (Barth ndi Kinder, 1987).

Pali zokambirana za kuledzera kwa makhalidwe omwe amatha kusayendetsedwa, kubwerezabwereza, omwe angayambitsidwe ndi zinthu zamkati kapena zakunja, zomwe mutuwo umapeza mwamphamvu kukana ngakhale pamene akudziwa zotsatira zake zoipa, ndi zomwe amadalira.

Kuti tipezeke payekha la chipatala, timapeza chikhalidwe ichi, kudalira izi, kupyolera mu mafunso a odwala omwe akufunsira DE [erectile disysction] kapena malawi osakaniza, ngati wina akuganiza kufunsa. Pomwe palibe zifukwa zina, tikhoza kuyika kuti chigwirizano chikhazikitse chidziwitso cha mavutowa. Ntchito yowonongeka yochita zolaula pazochitikazi zimakhala ndi zovuta zina: kuwonetsa ogwiritsa ntchito kupeŵa chiopsezo cha maubwenzi enieni, chinyengo cha ubale wa anthu, kusowa chifundo komanso makamaka kuchepa kwa ena. Kugwiritsiridwa ntchito mobwerezabwereza kwa zolaula pa intaneti kumachititsa psyche pafupifupi ndipo wogwiritsa ntchito amapanga popanda
zowona "zowopsa" pachibale.

Zowopsa

Poyamba khalidwe ili losalamulirika la kugonana, linatchulidwa chiwalo chogwirizanitsa, kulakwitsa kwa nthano, matenda osokoneza maganizo, chiwonongeko choyambirira (ndi Seedall Butler, 2006; Seedall ndi Butler, 2008). Kawirikawiri zimapezeka mu nkhanizi, makamaka muyeso woyambirira wa chikhalidwe chawo, manyazi, kusakhazikika mumtima, mantha a akazi, kusadziŵa mbiri yawo komanso zilakolako za makolo.

Pathophysiology

Tidzangoganizira za kugwirizana pakati pa kugonana ndi chilakolako chogonana komanso zovuta zokhudzana ndi kugonana kwa amuna awiri: ED ndi zovuta zogonana [zomwe sizingatheke panthawi yogonana]. Zizoloŵezi zina zomwe zimagwiritsa ntchito mchitidwe wogonana zikuwoneka kuti zimayambitsa kuwonetsera kwa ED kapena zochitika zapadera zomwe zimagwiritsidwa ntchito potsata njira ziwiri zomwe zili pamwamba:

• Kugonjetsa kupyolera mwa kubwereza;
• njira yeniyeni, yodosyncratic, njira zodzikongoletsa.

Kuchita maliseche pafupipafupi komwe kumalimbikitsidwa ndi chisangalalo kumapangitsa kuyambitsa mabwalo ena aubongo (dera lamalipiro) (Benedetti, 2014; Porto, 2014). Kuchita zachiwerewere komwe kumapangitsa kuti munthu akhale wosangalatsidwa ndi ubongo, ndipo autoerotism imatha kukhala yayikulu kwambiri motero kumapangitsa kugonana ndi mnzake kukhala kovuta. Maphunzirowa pamapeto pake amakumana ndi mavuto akulu pakupeza erection ndi mnzake (ED) chifukwa amakhala okonzeka kugwiritsa ntchito mbolo (osadikirira "kukhumba kukhumba"), kukondoweza komwe kumafunika pang'onopang'ono kuti kukhale kolimba.

Komanso, gulu lonse lachiwerewere ndi zolaula (zochitika zowonongeka) zimapangitsa kuti ntchitoyi ikhale yofunika, kupanga zokhazokha zokhazikika mosavuta.

Mofananamo, kuonetsetsa kuti kuthamanga kwapadera kumakopeka,
Mwapadera kwa aliyense, amachititsa kuti zovuta zisamayende bwino komanso zimapangitsa kuti anthu azikhala ndi vutoli. Chizoloŵezi chobwerezabwereza pambaliyi chimalimbitsa komanso chimakhala chokhazikika, chisangalalo chimasewera gawo la mphotho, ndipo ndondomeko imayamba kusokonezeka ndi mtundu wa chizoloŵezi chozungulira / matenda mu njira zophunzirira.

Koma mwamwayi ubongo umapangitsa kuti odwala ambiri asadwale.

Support

Maganizo a maganizo

Musanayambe njira iliyonse yothandizira, ndibwino kupereka wodwalayo kusaganizira mozama; renarcissisation ndi mbali ya thandizo lake.

Kuthandiza wodwalayo kuzindikira ndi kugwiritsa ntchito njira zake zotetezera kumawoneka bwino kuposa kuletsedwa kwakukulu. Kugonjetsa kumaphatikizapo kugwiritsira ntchito mphamvu zenizeni za phunzirolo; kuwonetsa kulankhula komwe kuli zithunzi zokha, kuyika mawu pofotokoza malingaliro, kuzindikira chithunzi (sakanatha kuyika?) nkhani yomwe yawululidwa, kuti zitsimikizire kuti zenizeni sizinapangitsenso chithunzicho. Tiyenera kufunafuna ndi kukonzanso maluso a phunziroli kuti tigwiritsenso ntchito ntchito ndi kufotokoza ndi kubwezeretsanso nkhaniyo, kumuthandiza wodwalayo kuti atsegule wina ndi kuchita mawu ake.

Makhalidwe abwino

Kulephera kwa Erectile potengera 'chizolowezi choseweretsa maliseche "

Timasankha ndimitu yamtunduwu yomwe siyimayembekezera chisangalalo chawo kuti ibweretse erection, koma imayipangitsa pamanja ndikufunafuna kutulutsa umuna, kuti erection ikhale chinthu "chopanda pake", chomwe chimatha. Izi nthawi zambiri zimakhala zovuta kwambiri kuti munthu akhale ndi chizolowezi chodziseweretsa maliseche kuyambira ali mwana, zomwe zimapangitsa kuti mutuwo ulimbikitse ngakhale mbolo yofewa posaka zolaula.

Izi zikutsatiranso kuti pa nthawi yomwe banja la erection limatha kapena limangokhala ndi kudzikweza.

Kulamula kuti kuseweretsa maliseche kumangofunika kuti tisalimbikitse mwanjira zonse, ndiye kuti maliseche sakhala chabe ndipo ndi dzanja lokhalo lomwe limayambitsa (kapena ayi!) Izi sizikutanthauza kuletsa kudzikakamiza koma kulola zomwe tazitcha "kuseweretsa maliseche" (Porto, 2014). Wodwala ayenera kukhala wowongoka, mwina mwakufuna kokha kapena ndi malingaliro olakwika, ndikulowetsa dzanja lolimba, lopaka mafuta mobwerezabwereza, motsanzira coitus, kwinaku akuchita zachiwerewere ndi nyini. Ndi pulogalamu yobwereza mwadongosolo kwamasabata angapo zomwe zingayambitse kusayenda.

Kukhalitsa koyambirira kwa mgwirizano wamakono ndi chikhalidwe chogonana

Zozizwitsa zokhazokha, zoposa zaka zambiri zowononga maliseche, zimazoloŵera kuti zikhale zovuta panthawi yolowera.

Iwo sasokonezeka ndi kusiyana kwa zowawa za m'mimba zomwe zimakhudzidwa panthawi yogonana, zomwe sizikwanira (kupanikizika, liwiro ndi mphamvu sizomwezo).

Wina angakhalenso ndi vuto losasangalatsa la maganizo, malingaliro okhudzana ndi kugonana ali osiyana.

Chinthu chofunika kwambiri kuti mudziwe ndi kudziwa momwe nkhaniyi ingakhazikitsire.

Maphunzirowa nthawi zambiri amalankhula za "chisangalalo chochulukirapo kuposa kuseweretsa maliseche kuposa kugonana" (Perelman, 2009).

Kumbali inayi, "nkhawa yakukhala ndimatumbo" pazinthu izi imatha kusokoneza kukhudzika kwa maliseche ndipo imatha kusintha chidwi chawo kuchokera kuzizindikiro zama psycho zomwe nthawi zambiri zimayambitsa kutulutsa kwawo (Apfelbaum, 2000; Perelman, 1994, 2005).

Timasiya zitsanzo za ena ogwiritsa ntchito PDE 5 [mankhwala opititsa patsogolo kugonana] omwe amadzimvera chisoni ngakhale atakhala kuti sanamvere, nthawi isanakwane komanso mkati mwa coitus, chisangalalo chokwanira cham'maganizo chotulutsa umuna… pamene akutenga chiwonetsero chawo chazakugonana pomwe Mphamvu yake ndi mankhwala okhaokha a vaso-congestive omwe sikokwanira nthawi zonse kukhala ndi chikhumbo!

Mwachidule, chizoloŵezi chochulukitsa chilakolako choseweretsa malingaliro ndi zosiyana pakati pa malingaliro ndi zochitika zimalimbikitsa kuyambika kwa erection ndi mavuto okhwima.

Kuweruzidwa kwa odwalawa kumaphatikizapo magawo otsatirawa.

Ndondomeko yamatsutso ya phunziroli iyenera kusintha. Ayenera kuyandikira mochuluka momwe zinthu zingakhalire ndikuyendetsa pakhomo pokhapokha atayambitsidwa.

Ndikofunikira kusiya "kuseweretsa maliseche" ndikuyeseza "kuseweretsa maliseche" kotchulidwa pamwambapa. Kuphatikiza apo, wodwalayo amalimbikitsidwa kuti atsegule chiwonetsero chake pogwiritsa ntchito mulingo wokweza kwambiri kudzera m'malingaliro amalingaliro amalingaliro omwe amapezeka panthawi yakuseweretsa maliseche.
Zonse zogonana ziyenera kutha ndi kutuluka kwina. Kuti relearn, munthu ayenera:

  • kusiya kugonana (mwachitsanzo pamene wokondedwa akufuna);
  • Chifukwa chokakamiza ndi maliseche;
  • kenaka pitani mwamsanga kuti mukangomaliza kukonzekera nthawi zonse muchitike mukazi.

Yesetsani kuyendetsa mlatho mogwirizana ndi mnzake. "Kuyendetsa mlatho" kumaphatikizapo kuphatikiza kukondoweza ndi kusakhudzidwa kosagwira ntchito, mwanjira yoti pokhapokha chizolowezicho chikakwaniritsidwa, kukondoweza kumodzi kumakwanira kuyambitsa. Mwachizoloŵezi, wodwalayo, kapena bwenzi lake labwino, amamugwira mbolo pamanja pamene akuchita mayendedwe onse amkati. Pang'ono ndi pang'ono, wina amasiya kukondoweza koyambirira komanso koyambirira kuti athe kuchita popanda izo kwathunthu.

Zitsanzo zathu

Tinasonkhanitsa milandu ya 35 ya chizoloŵezi chodzisokoneza maliseche (kutanthauza kuti pulogalamu yokhayokha ya mbolo, yomwe nthawi zambiri imayambira, komanso nthawi zambiri), zaka zoposa 41.8, 19 kwa zaka 64. Chizoloŵezichi chimachitika zaka zaunyamata, nthawi zambiri kuchokera kumayambiriro a mlungu uliwonse (1) kapena tsiku ndi tsiku (21), kufikira ma multi-day (7), kawiri tsiku lililonse (2), katatu patsiku (3) ndi kasanu patsiku ( 1).

Nkhani khumi zinali zopanda kukondana, zigawo za 25 zinali ndi matenda osokoneza bongo. Mwa izi, milandu ya 5 inasonyeza zovuta zonse, 8 nayenso ankakonda kwambiri zolaula ndipo 8 inadandaula kuti kuchepa kwakukulu kwa libido. Maphunziro a zachipatala omwe sanagwiritse ntchito mauthenga omwe sanagwiritse ntchito mchitidwe wotsutsana nawo sanapezepo zinthu zina zomwe zingakhale zofunikira zedi, timasankha kudzisokoneza maliseche ndi machitidwe monga zifukwa zazikulu za machiritso, komanso kuthana ndi zovuta zowonongeka komanso zotsatira za kugonana komweko. Kutalika kwa chithandizo chafalikira pakati pa miyezi ya 4 kwa iwo omwe akhala akugwira ntchito mwakhama komanso kwa chaka chimodzi kwa iwo omwe alefuka ndipo amasiya nthawi zambiri. Kusintha kumafuna zaka zitatu kapena zitatu.

Odwala khumi ndi asanu ndi anayi adasokonezedwa ndi chikhalidwe chawo, 3 ikupitirira, 13 yasiya kapena yonyalanyaza.

Kutsiliza

Kumbukirani kuti m'mbuyomu kunali koyenera kulimbana kwa nthawi yaitali kuti atsimikize mbali ya malingaliro pa kugonana ndi momwe zinalili zofunikira kuti alalikire kotero kuti chidziwitso cha maganizo sichidzachotsedwa ku matenda opatsirana pogonana.

Kuyambira pachiyambi, AIUS sanasinthe malingaliro a izi. Tsopano, magulu akuluakulu a sayansi padziko lonse mu chilango chathu adakonzanso zifukwa zokhudzana ndi kugonana zomwe zimawathandiza kuti aziphatikizana nawo.

Ngati chizoloŵezi chodziseweretsa maliseche ndi zachilendo kawirikawiri pamwambo wina wokhala ndi chibwenzi pakati pa akuluakulu omwe ali ndi zibwenzi, amatha kuwerengedwera, zomwe zingatheke muzochitika zina zokhudzana ndi kugonana sikunganyalanyazedwe kawirikawiri. Zomwe zimapangitsa kuti zizoloŵezi zowonongeka zikhale zogwirizana ndi erectile zosagwira ntchito komanso mgwirizano wamagetsi ayenera kuphunziridwa mosamalitsa ndipo sayenera kudziwidwa kuti asatulukidwe, ngakhale kuti njira yathu imafuna kuunika kwa odwala athu.

Chidziwitso cha zofuna

Wolemba amanena kuti alibe chidwi.

Zothandizira

Apfelbaum B. Kuthamangitsidwa kochedwa; matenda osamvetsetseka kwambiri. Mu: Leiblum SR, Rosen RC, olemba. Mfundo ndi machitidwe okhudza kugonana. 2nd ed. New York: Guilford Press; 2000.

Bajos N, et al. La sexité ku France. Paris: La Découverte; 2008.

Barth RJ, Kinder BN. Kusokoneza chilakolako cha kugonana. J SexMarital Ther 1987; 13 (1): 15-23.

Brenot P. Les hommes ndi sexe ndi amour. Paris: Les Arènes; 2011-2012.

Bronner G, Ben-Zion IZ. Matenda osadziwika omwe amachititsa kuti azitha kugonana komanso athandizidwe. J Sex Med 2014; 11: 1798-806.

Butler MH, Seedall RB. Ubale wothandizira kuti ukhale wochira. Gawo 1: chiyanjano cha ubale. Kugonjetsa kugonana 2006; 13 (2-3): 289-315.

Carvalheira A, Otsatira I. Kugonana pakati pa akazi: Zinthu zomwe zimagwirizanitsa ndi kugonana pogwiritsa ntchito chitsanzo cha Chipwitikizi. Mkazi Wachiwiri Wokwatirana Wachibale Wachikwati 2013; 39 (4).

Carvalheira A, Træen B, Stulhofer A. Kugonana ndi kugwiritsira ntchito zolaula pakati pa amuna ndi akazi omwe ali ndi chilakolako chogonana. Mkwatibwi Wachigonjetso Wachigwirizano wa Ukwati: 2015 (41): 6-626.

Coleman E. Impulsive / khalidwe lotayirira la kugonana: kufufuza ndi kulandira. Mu: The Oxford Handbook ya matenda osokoneza maganizo; 2011 [p. 375].

Corona G, Ricca V, et al. Okhazikika, matenda a m'maganizo komanso odwala omwe ali ndi erectile operewera. J Sex Med2010; 7: 182-91.Dally P. Zosangalatsa, 135. George Weidenfeld ndi Nicolson Limited; 1975.

Gerressu M, Mercer CH, Graham CA, Wellings K, Johnson AM. Kukula kwa maliseche ndi zinthu zogwirizana pa British National Probability Survey. Chigwirizano Chogonana 2008; 37 (2): 266-78.

Herbenick D, Reece M, Schick V, Sanders S, Dodje B, FortenberryJ. Mchitidwe wogonana ku United States: zotsatira zochokera kwa amuna ndi akazi a zaka zapakati pa 14-94. J Sex Med 2010; 7 (suppl. 5): 255-65.

Kinsey A, Pomeroy W, Martin C. Chikhalidwe cha kugonana kwa amuna. Philadelphia: Saunders; 1948.LoPiccolo J, Lobitz WC. Udindo wochita maliseche pamtenda wodwalayo. Chida Chogonana Behav 1972; 2 (2): 163-71.

Nazareth I, Boynton P, King M. Mavuto ndi ntchito zogonana pakati pa anthu omwe amapita ku London akuluakulu: Kuphunzira magawo osiyanasiyana. BMJ 2003; 327: 423.

Perelman MA. Kugonana kumasewera. Ganizirani Urol 1994; 6 (11): 68-70.

Perelman MA. Kumvetsetsa ndi kuchiza kuthamangitsidwa kosalekeza: maganizo a a asex. ISSM News; 2009.

Perelman MA. Kuthamangitsidwa kochedwa. Health ReprNNXX; 2004 (1): 3-95. Springer].

Perelman M. Idiosyncratic njira zowonongeka: chinthu chosafunika chosadziŵika bwino pakuthandizira kuthamangitsidwa kosayembekezereka ndi katswiri wa urologist. J Urol 2005; 173: 340 (zomveka 1254).

Porto R. Kugonana ndi malingaliro opatsirana pogonana (Assises Franc¸aisesde Sexologie Marseille); 2014 [Orale olankhulana].

Rastrelli G, Boddi V, Corona G, Mannucci E, Maggi M. Kusokonezeka maganizo kosokoneza bongo: vuto latsopano la mtima kwa amuna omwe ali ndi kugonana kosayenera. J Sex Med2013; 10 (4): 1100-13.

Mbewu ya RB, Butler MH. Ubwenzi wothandizira kuti ukhale wochepetsetsa. Gawo 2: njira zotsatizira zolemba. Kugonana kwaumunthu Wokakamizidwa 2008; 15 (1): 77-96.

Tissot SA. L'onanisme ou dissertation pa matenda amene amachititsa kuti munthu azichita maliseche. Paris: La Difference; 1760.