Chiwerewere chogonana ndi chizolowezi chogonana chingakhalepo.
Mu positi yake yaposachedwa, Dr. Ley akunena kuti akuda nkhawa pang'ono kuti " asayansi, ofufuza ndi akatswiri a zamaganizo akuvomereza kuti chizolowezi chogonana ndi chenicheni. " Akuganiza kuti ndale zikugwira ntchito, koma sapereka chifukwa chomwe ofufuza chizolowezi, omwewo omwe sanaphunzirepo za ubongo wa anthu omwe ali ndi vuto la zolaula, anganene molimba mtima chonchi.
Mwina akatswiri a za ubongo ameneŵa amadalira sayansi osati malingaliro obisika a puritanical. Dr. Ley akupitirizabe kunyalanyaza mfundo zoyambira za thupi zomwe ofufuzawa amakhazikitsa kuti chizolowezi chogonana ndi chenicheni. Makamaka, akunyalanyaza mfundo zoyambira izi:
1) Kugwiritsa ntchito mankhwala osokoneza bongo kumangowonjezera kapena kuchepetsa njira zowonjezera zakuthupi.
Izi zikutanthauza kuti njira zatsopano zoledzera zilipo kale muubongo (kuti tizidya, kukwatirana, kumwa madzi, komanso kugwirizana wina ndi mnzake). Mankhwala osokoneza bongo amangogwiritsa ntchito njira ndi ma circuits awa . Kodi Dr Ley akutanthauza kuti pali dera lina la ubongo lomwe silinadziwike, losapezeka logwiritsira ntchito kugonana kapena zolaula pa intaneti?
2) Kusonkhanitsa zizindikiro ndi zizindikiro zinazake kumasonyeza kusintha kwa matenda. Pamene matenda aperekedwa, zimasonyeza kuti pali zinthu zinazake zolakwika m'thupi ndi m'thupi zomwe zachitika. Kuzindikira matenda kumachokera pa mfundo zosavuta izi. Uwu unali uthenga waukulu wochokera ku ASAM : kusonkhanitsa zizindikiro, zizindikiro, ndi makhalidwe kumayimira kusintha kwa ubongo.
" Zinayi C" ndi njira imodzi yodziwira chizolowezi:
- Kulephera Control ntchito
- Kuponderezedwa kuti mugwiritse ntchito
- Yapitirira gwiritsani ntchito ngakhale zovuta Zotsatira
- Kukonda - zamaganizidwe / zakuthupi
Amuna omwe amadzizindikiritsa okha kuti ndi okonda zolaula amasonyeza zizindikiro zosiya kugwiritsa ntchito zolaula, ndipo amasonyeza zonse zinayi zomwe zimayambitsa chizolowezi.
Sizomveka kunena kuti wogwiritsa ntchito zolaula wokhala ndi zizindikilo, zizolowezi ndi zizolowezi zosokoneza bongo sangasinthe ubongo womwe umapezeka mwa onse omwe ali ndi zizolowezi zamankhwala komanso zomwe zikuwonetsa zizindikilo.
Mfundo yakuti ubongo wa anthu omwe ali ndi vuto la zolaula sunafufuzidwebe ( si zoona kwenikweni ) ndi yopanda phindu, chifukwa madokotala sagwiritsa ntchito ma scan a ubongo kuti adziwe ngati ali ndi vuto la chizolowezi. Kuphatikiza apo, matenda ena a muubongo monga matenda a Alzheimer's ndi Parkinson nthawi zambiri amapezeka popanda kugwiritsa ntchito ma scan a muubongo.
3) Zoledzera zonse zimaphatikizapo kusintha kwakukulu komweko m'njira zomwezo za mitsempha . Kusintha kwakukulu komwe kumapezeka mu zoledzera zonse ndi monga :
a) Kuchepetsa mphamvu ya chilakolako: Kumaphatikizapo kuchepa kwa ma receptors a D2 ndi dopamine. Izi zimawonekera ngati munthu akumva kusangalala kochepa ndi mphotho zachilengedwe, zomwe zimapangitsa kuti munthu wokonda kwambiri chilakolakocho asakhudzidwe kwambiri ndi zosangalatsa , komanso "akumva njala" ya zochita/zinthu zosiyanasiyana zolimbikitsa dopamine.
b) Kuzindikira: Kulimbitsa kufalikira kwa synaptic komwe kumabweretsa kutulutsidwa kwa dopamine kwambiri chifukwa cha kugwiritsa ntchito komanso zizindikiro zokhudzana ndi chizolowezi.
c) Kusaganizira bwino zinthu: Kumakhudza kuchepa kwa zinthu za imvi za frontal cortex ndi kagayidwe kachakudya, komanso kusokonekera kwa zinthu zoyera. Frontal cortex ndiye malo ogwirira ntchito, kulamulira zinthu zomwe zimafuna kukhudzidwa, komanso kuthekera kowoneratu zotsatira zake.
Kusintha kwa ubongo komwe kwatchulidwa pamwambapa kumasonyeza kusintha kwa kusonkhezera kwambiri kwa magawo a mphotho. Kale anthu ankaganiza kuti kusinthaku kumachitika chifukwa cha zotsatirapo zoopsa za mankhwala osokoneza bongo, koma kafukufuku watsopano akuwonetsa kuti kumachitikanso mwa anthu omwe ali ndi vuto la kudya , kutchova juga , komanso, chizolowezi cha intaneti.
Ngati kafukufuku wonse ukupita mbali imodzi , n’kosamveka kufunafuna chifukwa china cha khalidwe linalake. Ichi ndichifukwa chake ASAM (yomwe mamembala ake akuphatikizapo ena mwa ofufuza odziwa bwino za chizolowezi chogonana), imanena motsimikiza kuti pali zizolowezi zogonana.
Funso lodziwikiratu kwa Dr. Ley ndi ili: Ngati munthu wodzitcha yekha wokonda zolaula pa intaneti ali ndi zizindikiro zonse, zizindikiro, ndi makhalidwe ofanana ndi zizolowezi zonse, ndi kusintha kotani kwa ubongo komwe kungayambitse zizindikirozi? ( Mayeso a chizolowezi ndi APA)
- Chonde fotokozani zomwe njira za thupi zimakhudzidwa ngati sizikusintha ubongo.
- Kenaka fotokozani momwe zilili kuti zolaula kapena kugonana ndizopadera ndi lamulo.
Kodi sizandale kunyalanyaza thupi lachilengedwe ndi umboni wa chipatala kuti muthe kuchita chimodzi mwalamulo?
Kugonana kwa kugonana ndi kugonana komwe kulipo?
Dr. Ley: Tanthauzo la chizolowezi chogonana limaphatikizapo zonse ziwiri: kupitirira muyeso pakugonana komanso "kunorexia pakugonana," komwe kumatanthauzidwa kuti "khalidwe lomwe limakakamiza kuchita zogonana." Kodi mungatsutse bwanji kapena kutsutsa matenda omwe amafotokoza kukhalapo kwa chizindikiro ndi kusakhalapo kwake?
Funso ili likuwonetsa kusamvetsetsa zamankhwala osokoneza bongo. Zili ngati kufunsa chifukwa chomwe chidakwa chodyera mopitirira muyeso sichisamaliranso udzu winawake, kapena chifukwa chomwe chidakwa cha cocaine sichisangalalanso ndi kuyenda kwaulesi pakiyi.
Yankho: Kulimbikitsana komanso kukhumudwitsa kumagwira ntchito mu ubongo wa olaula.
Ndikuganiza kuti Dr. Ley akunena za kafukufuku wochitidwa ndi bungwe la Italian Society of Andrology and Sexual Medicine , lomwe linapeza kuti amuna athanzi omwe anali ndi vuto la kugonana anali ndi vuto la kugonana komanso "kulephera kugonana" mwa anyamata athanzi. Monga momwe katswiri wa urologist adanenera, amunawa adavutika ndi ED chifukwa cha zolaula , koma adachira chifukwa chopewa kugwiritsa ntchito zolaula.
Ndikuganiza kuti Ley akunena kuti "kugonana kwambiri" theka la funso lake ndi lakuti amuna akupitirizabe kugwiritsa ntchito zolaula ngakhale kuti zotsatira zake ndi zoipa (monga kugonana kosayenera). Izi ndi zolimbikitsa anthu kuchita zinthu monyanyira.
Kuzindikira kumaphatikizapo kusintha kwa kapangidwe kake komwe chizolowezi, kapena zizindikiro zokhudzana ndi chizolowezi, zimalimbikitsa mayendedwe a mphotho kwambiri kuposa mphotho zina. Ichi ndiye maziko a chilakolako. Kafukufuku waubongo akuwonetsa kuti zizindikiro (kuona chitoliro chosweka) zimatha kukweza dopamine mofanana ndi kumwa mankhwala osokoneza bongo. Ndi anthu ambiri omwe ali ndi zizolowezi zolaula pa intaneti, njira zodziwikiratu zimayambitsa kuthamanga kwakukulu poyankha zizindikiro zolaula kuposa mphotho zina zachilengedwe, kuphatikiza kugonana ndi mnzanu weniweni. Sikuti ndi "hypersexuality" kwenikweni; ndi chizolowezi. Zolaula pa intaneti si kugonana. Ndi zowonera za 2-D komanso zatsopano mwachangu, zomwe sizikugwirizana ndi kugonana kwenikweni ndi mnzanu.
Theka la "anorexia" la equation lingakhale kulephera kusunga mbewa kuti munthu agonane ndi mnzanu weniweni. Izi ndi kufooka kwa chilakolako kuntchito.
Zizolowezi zoledzera zimayambitsa kuchepa kwa mphamvu ya dopamine yoyambira komanso yankho losamveka bwino la dopamine ku mphotho zina zachilengedwe. Ganizirani za kufooka kwa chilakolako ngati yankho losamveka bwino la chisangalalo. Dopamine ndiye amachititsa chisangalalo, komanso kumbuyo kwa chilakolako cha kugonana ndi chilakolako chogonana. (Yankho losamveka bwino la chisangalalo ndi chifukwa chimodzi chomwe zizolowezi zonse zazikulu zimalepheretsa chilakolako chogonana.) Pamene chizolowezi cha zolaula chikupita patsogolo, dopamine yotsika komanso yotsika kwambiri imapangitsa kuti zikhale zovuta kusangalala ndi zenizeni.
Chidule cha nkhaniyi:
Kuzindikira = Kuyankha kwa dopamine kwapamwamba kuposa kwachizolowezi pa zolaula za pa intaneti
Kutaya mtima = Kuyankha kochepa kwambiri kwa dopamine ku mphotho zachilengedwe, kuphatikizapo kugonana
Kuledzera = Kufunafuna dopamine
LIPOTI:
- Onani “N'chifukwa Chiyani Ndimapeza Zithunzi Zosangalatsa Kwambiri Kuposa Wogwirizana Naye?”Kuti mumve zambiri zokhudza kusiyana pakati pa kulimbikitsa anthu kuchita zinthu mosakondera komanso kuchita zinthu mosafunikira.
- Kodi munthu amadziwa bwanji? Mankhwala omwe amagwiritsidwa ntchito kwambiri padziko lonse, Mayiko Akumayiko Onse a Matenda (ICD-11), ali ndi matenda atsopano woyenera kuchita zachiwerewere: "Kugonana Kwachiwerewere. ”(2018)
- Kugonana ndi kugonana / kugonana? Tsambali likulemba Zotsatira za 39 za sayansi (MRI, fMRI, EEG, matenda opatsirana pogonana, mahomoni). Amapereka chithandizo cholimba cha mtundu wa mankhwala osokoneza bongo pamene zofukufuku zawo zimagwirizanitsa zochitika za m'maganizo zomwe zimafotokozedwa mu maphunziro osokoneza bongo.
- Malingaliro enieni a akatswiri okhudzana ndi zolaula / kugonana? Mndandanda uwu uli Ndemanga za 16 zaposachedwa & ndemanga ndi ena mwa apamwamba a sayansi ya sayansi padziko lapansi. Zonse zothandizira mtundu wa mankhwala osokoneza bongo.
- Zizindikiro za kuledzera ndi kuchuluka kwa zinthu zoopsa kwambiri? Kupitilira maphunziro a 30 omwe amafotokoza zomwe zikugwirizana ndi kuchuluka kwa zolaula (kulolerana), chizolowezi choonera zolaula, komanso zisonyezo zosiya (zizindikiro zonse ndi zizindikiro zosokoneza bongo).
- Kulingalira mfundo yosalimbikitsidwa yolankhulidwa yakuti "chilakolako chachikulu cha kugonana" akufotokozera zolaula kapena chizolowezi chogonana: Kafukufuku wa 25 amapusitsa kunena kuti kugonana & zolaula "amangokhala ndi chilakolako chofuna kugonana"
- Zolaula ndi zogonana? Mndandandawu uli ndi maphunziro a 26 omwe akugwirizanitsa ntchito zolaula / zolaula ku mavuto a kugonana ndi kuchepetsa chilakolako chogonana. FZosintha za 5 zilibe mndandanda zovuta, pamene ophunzira adasiya kugwiritsa ntchito zolaula ndikuchiza matenda opatsirana pogonana.
- Zotsatira za zovuta pazoyanjana? Zofufuza pafupifupi 60 zimagwirizanitsa zolaula zimagwiritsa ntchito kugonana kosachepera komanso kukhutira ndi chibwenzi. (Monga momwe ife tikudziwira onse Kafukufuku wokhudza amuna adanena za kugwiritsira ntchito zolaula zambiri zogwirizana osauka kugonana kapena kukondana.)