ziviso
Pano tine asi imwe sangano rinoparadzirwa, uyu achiedza kuramba kuvapo kwezvinetso zvehupombwe zvinokonzeresa. Zviri na Zuva Nezuva Dot Claire Downs uyo unyanzvi hunotsanangurwa se "Mubasa wechitatu-wechizvarwa muChicago chemangwana rekushambadzira, anonyanya kuzivikanwa ne cryptocurrencies uye altcoins."Zvinofadza, hapana chimwe chezviitiko zvichangoburwa kuyedza kubvisa porn-inosimudzira ED iri nevanyori venhau vesaenzi, ndoda vadzidzi vezvidzidzo kana vezvehutano.
Kufanana nedzimwe nyaya dzakadai, Downs anotaura zvidzidzo zviviri zvakafanana (izvo zvisingaiti, chaizvoizvo, kuwana zvinonzi Downs zvinonzi zvavakaita) pavanenge vasina hanya nekuderera kwemasimba uye kliniki uchapupu mumunda.
Ndisati ndataurira zvikamu zvakananga zve The Daily tira chinyorwa, heino zvidzidzo izvo Claire Downs akasarudza kuregeredza. (Ini ndinoti 'akasarudza' nekuti mazhinji ezvidzidzo zvinotevera akataurwa mune izvi 2016 kuongorora mabhuku, iyo Downs yakataura mumunda wayo, asi ichiregererwa nokuti yaida kutsausa mumwe wevanyori vayo 8):
- Zvinonyadzisira nezvinetso zvepabonde? Iri runyora rine mitsva ye 35 inobatanidza zvinonyadzisira zvinoshandiswa / zvinonyadzisira zvepabonde kune zvinetso zvepabonde uye kuderedza kukwezva kune zvepabonde. The kutanga 7 zvidzidzo mune urongwa zvinoratidza causation, sezvo vatori vechikamu vakabvisa kushandiswa kwepabonde uye vakaporesa zvirwere zvepabonde zvisingaperi.
- Zvinonyadzisira zvinokonzerwa nehukama? Pamusoro peongororo makumi manomwe neshanu dzinoshandisa zvinonyadzisira dzinoshandisa kushoma kwepabonde uye kugutsikana kwehukama. Sezvatinoziva zvose zvidzidzo zvine chokuita nevanhurume zvakashuma zvekare kushandiswa kwepabonde kunosanganiswa murombo zvepabonde kana ukama kugutsikana.
- Pamusoro pezvidzidzo zveCNNX zvinowanikwa zvinowirirana nekuwedzera kwekushandisa zvinonyadzisira (kushivirira), kugara kune zvinonyadzisira, uye kunyange kubvisa zviratidzo (zviratidzo zvose nezviratidzo zvinobatanidzwa nekudhakwa). Kugara kune maitiro emazuva ano, kuteverwa nekuwedzera, kunobatanidza nehutano hwepabonde uye kuderedza kunamatira kune vanoita zvepabonde.
- Vamwe 3,000 nyaya dzomunhu-kutanga kupora kubva kune zvinetso zvepabonde zvinokonzerwa nekuona zvinonyadzisira (Kudzosera nhoroondo 1, Kudzosera nhoroondo 2, Kudzokorora Maakaiti 3, Mifananidzo PIED yekudzorera).
- Pamusoro pezvinyorwa zve140 nemavhidhiyo anotsanangura nyanzvi dzakawanda (urology maprofesa, urologists, masayendisiti, masayendisiti, masayendisiti ezvepabonde, MDs) vanobvuma uye vakabudirira kubata zvepabonde-vakakonzera ED uye zvinonyadzisa-zvakaita kuti kurasikirwa kwechido chepabonde kuchive.
- Uyewo zvakakosha: 50 neuroscience-based studies (MRI, fMRI, EEG, neuropsychological, hormonal) inopa rubatsiro rwakasimba rwemhando yezvinodhaka. Urongwa urwu hune 25 yazvino zvinyorwa zvekuongorora & zvinyorwa nedzimwe nyanzvi dzepamusoro dzenyika munyika, dzichitsigira zvinonyadzisira zvinodhaka.
- Chirwere chekuongorora chirwere? Nyika inonyanya kushandiswa kurapwa kwekurapa, The International Classification of Diseases (ICD-11), ine itsva yekuongorora akakodzera kunyadzisira kunetseka: "Kunyanya Kuita Zvepabonde Zvirwere. "
Mumashoko ake ekutanga Downs anoti "takataura kuvanachiremba uye nyanzvi dzehutano hwepabonde nezvekutsvakurudza uku", Asi chinyorwa chinongotora maviri anonzi nyanzvi. Kana iye heath nyanzvi anoona varume vachitambura nezvinetso zvebonde:
- Dr. Nicole Prause, asiri-mudzidzi ane nhoroondo yakakura ye kushingaira kuparidzira kupikisana nekuona zvinonyadzisira-kunokonzerwa neHD nekunyadzisira kunonyatsonyorwa. Nicole Prause anofungidzirwa ne debunking PIED, wakaita a 3-gore yehondo kurwisana nepeji ino, uku ndichishungurudza pamwe nekusunungura majaya akapora kubva kuzvinhu zvinonyadzisira zvepabonde. Ona zvinyorwa: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Noah Church, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9, Alexander Rhodes # 10, Alex Rhodes # 11, Gabe Deem & Alex Rhode pamwechete # 12, Alexander Rhodes # 13, Alexander Rhodes #14, Gabe Deem # 4, Alexander Rhodes #15. Kunyengetera kuri kuedzawo runyararo Gary Wilson kuburikidza nemutemo usingabvumirwi nemutemo kusatendeseka uye kuparadza.
- Dr. Heather Berg, uyo anotsanangurwa semudzidzisi wezvidzidzo zvevanhukadzi paUSC achishanda pabhuku nezveindasitiri yevakuru yemafirimu. ” Bhuku? "Zvinonyadzisira Zvichishanda: Mafirimu Makuru paIn Point of Production, inotsvaga kushanda kwepabonde, kutengesa, uye kushanda kwevashandi"
Chinyorwa ichi chinovimba neese maviri anonyadzisira-ane hushamwari maPhD's, pasina chiremba wezvekurapa ari kuona, ndoda iyeye chaiwo urologist. Zvichida Claire Downs aifanira kunge akashandisa peji ino rine zvinyorwa nemavhidhiyo nepamusoro peongororo ye140 (urology maprofesa, urologists, masayendisiti, masayendisiti, masayendisiti ezvepabonde, MDs) vanobvuma uye vakabudirira kubata zvepabonde-vakakonzera ED uye zvinonyadzisa-zvakaita kuti kurasikirwa kwechido chepabonde kuchive.
Zvimwe zvose izvi zvinosanganisira zvinyorwa kubva kuChipiri cheClaire Downs chakateverwa nemashoko eYBOP.
Anoidza kuti debunk urology purofesa Carlo Foresta, asi inosanganisa zvidzidzo zviviri zvakasiyana zvachose
Mukuedza kwakundikana "kuita debunk" zvakawanikwa zveForesta, Downs inodonongodza ongororo ya2015 Foresta, asi zvese zvaburitswa zvinobva mukuburitswa kwa2011 Foresta uko kusinei nechidzidzo cha2015. Usina hanya.
CLAIRE DOWNS: "Vanotenda mu" denda "rePIED vanowanzo taura rimwe 2015 kudzidza kubva ku International Journal of Adolescent Medicine uye Health. Yakatsvakurudza varume veIndonesia vokuItaly nezvekuona zvinonyadzisira nekuita bonhora. Chidzidzo chacho chakagumisa kuti vakomana-vakatanga kutarisa zvinonyadzisira pazera remakore 28,000 pamusana-vane ruzivo rwegodhi mu libido uye kuderera kwechirongwa kuRL zvepabonde mushure mehupenyu.
Heino hunobata, kunyange zvakadaro: Hahuna. Icho chirevo ndechokuti mawebsite akaita sei the Blaze yakashuma chidzidzo. Chikamu chevatori vechikamu chebabido hachina kumboyerwa - "chidzidzo" chaingova ongororo yemafungiro. "
Downs payakati “Vatendi mu "chirwere" chePIED kazhinji vanotaura imwe 2015 kudzidza, ”Akabatanidza ichi chidzidzo: Adolescents uye webhushu porn: nguva itsva yepabonde (2015). Ichi Foresta kudzidza chakaongorora mhedzisiro yeinternet porn kune vakakwira chikoro chevakuru (zera 18). Sezvineiwo, Dr. Foresta ndiye Mutungamiriri (kana Mutungamiri apfuura) weiyo Italian Sosaiti Yekubereka Pathophysiology. Chikwata chake chinonyanya kufadza kutsvaga ndeche kuti 16% yevaya vanodya zvinonyadzisira kanopfuura kamwe pavhiki vanorondedzera zvisina kufanira zvepabonde chido, kana vachienzaniswa ne0% mune vasiri vashandi (uye 6% kune avo vanodya kudarika kamwe kamwe pavhiki).
Zvisinei, yechipiri link (“Mawebhusayithi akaita the Blaze akataura chidzidzo ichi ”) uye zvinyorwa zvose zvaro zvinongotaura chete kubudiswa kweC2011 kubva kuItaly Society of Andrology uye Sexual Medicine (SIAMS). Maona Kuwanda Kwakawanda Internet Porn Kunogona Kukonzera Ushayi, urology purofesa Carlo Foresta (2011) nokuda kwezvinyorwa zvinyorwa zvakaputira iyo SIAMS press release.
ichi 2014 PDF yehurukuro yepamberi, ine zvimwe zvekucherechedza uye huwandu, kusanganisira kuwedzera kunoshamisa muzana revachiri kuyaruka vanotaura nezvematambudziko epabonde uye kurasikirwa kwe libido. Foresta akataura zvakare nezvechidzidzo chake chiri kuuya, "Kuita zvepabonde nhau uye maitiro matsva ekurara kwepabonde seni 125 varume vaduku, 19-25 makore. ” Zita reItari: "Sessualità mediatica e nuove form di patologia sessuale Campione 125 giovani maschini ”
Nekuda kwekukanganisa kwake kweamateur, zvese zvinotaurwa naDowns nezve "chidzidzo cha2015" hazvina kunaka. Ichi chingori chimwe chezvakakomba zvinoverengeka zvinotyisa uye kusiiwa kwakaitwa naClaire Downs.
Downs anoshandisa ad hominem uye zvinyorwa zvenhema kuti urove a peer-reviewed paper inosanganisira 7 US Navy chiremba vanachiremba
Mundima inotevera Downs resorts yekutaura kwenhema uye ad hominem:
CLAIRE ANODA: “Another bepa, "IIndaneti Zvinonyadzisira Zvinokonzera Kusagadzikana Kwepabonde Here?" Yakataurwa munyaya iyi Herald chinyorwa nyevero nezvechizvarwa chakakurira pane zvinonyadzisira. Pavakaramba vachitsvakurudza, mumwe wevanyori vepepa racho aiva Gary Wilson, muvambi we YourBrainOnPorn.com, izvo zvinoita kuti vezvematongerwo enyika nevechitendero varatidze zvinonyadzisira. ”
Nokuda kwechimwe chikonzero chisingazivikanwi Downs akanganwa kutaura kuti pepa pevanyori ndeye US Navy manomwe vanachiremba, kusanganisira 2 urologists, 2 vezvechirwere chepfungwa, uye MD ine PhD mune neuroscience kubva kuna John Hopkins. Oops.
Downs zvakare yakasiya chokwadi chekuti kuongorora kwedu kwemabhuku kunopa dhata yazvino kuratidza kuzuka kukuru mumatambudziko evechidiki ehutano. Inotarisazve zvidzidzo zvetsinga zvine chekuita nezvekupindwa muropa nezvinonyadzisira uye zvebonde, zvese izvi zvinoita kunge njodzi huru kune vamwe vanoshandisa zvinonyadzisira vepaInternet yanhasi. Vanachiremba vanopa 3 kiriniki mishumo yevarume vakagadzira zvinonyadzisira-zvinokonzeresa kusangana pabonde. Vaviri vevarume vatatu vakaporesa kwavo kusangana pabonde nekubvisa kushandiswa kwepabonde paInternet. Murume wechitatu akaona kushandurwa kudiki sezvo aisakwanisa kurega kushandisa zvinonyadzisira.
Tsumo yekare inoti “Edzai nguva dzose ad hominem paunenge usingakwanise kugadzirisa zvinhu zvacho. ” Kana kuDowns kesi, "Nei uchinetsekana nekuona-kutarisa chinyorwa chemweya?" Ini handitungamire zvematongerwo enyika kana zvechitendero zvinopesana ne porn. Ini handitendi kuti kuna Mwari, sevabereki vangu, uye zvematongerwo enyika zvakasara kuruboshwe zvakasununguka. Chokwadi chinozivikanwa ichi yakataura pamusoro pePeji Redu. Chinhu chiduku chinonyatsozivikanwa ndechokuti baba vangu vainzi Seattle-vakakwidziridzwa vakadzidzisa zvepabonde dzidzo.
Ndatsanangura mumibvunzo yakawanda yenyaya yangu uye kuti ndakaguma sei kusika www.yourbrainonporn mu 2011. (Kuti uone zvakawanda izvi 2016 hurukuro neni neNo B. B. Chechi.) Ndakanga ndisina pfungwa pamusoro pezvinonyadzisira. Kuburikidza ne fluke in search engine categorization, zvakapoteredza 2007 (nguva pfupi mushure mekuuya kwekutsvaga tube porn), varume vachigunun'una pamusoro pekuona zvinonyadzisira-educed erectile kudzvinyirira uye pasi libido kune vokwaro chaivo vakatanga kutumira pamudzimai wangu panzvimbo yakashata yakagadzirwa nekuda kwehurukuro pamusoro pehukama hwepabonde. Mumakore mashomanana anotevera vazhinji vangave varume vane utano hwakanaka pane iyo forum vakapa zvirwere zvavo zvepabonde nekurega kurega zvinonyadzisira. Pakupedzisira takabhururuka pamusoro pechinhu ichi, nokuti varume vazhinji vakawana kuverenga zvakaitika kune vezera ravo zvichibatsira. Nenguva isipi sangano remudzimai wangu raifukisa nevarume vaduku vaitsvaga kuporesa zvinenge zvisingatarisirwi zvehutano hwavo hwekushandisa zvinonyadzisira. Munguva iyi, hatikwanisi kuverenga kangani nguva yatakabvunza vadzidzisi vezvidzidzo zvepabonde kuti tifunge nezvechiitiko ichi. Vakaramba.
Zvinosuruvarisa kuti vazhinji vevarume vanorwara nehupombwe hwekuita zvepabonde vakange vakazviuraya pavakasvika, vachitya kuti vakaputsika nekuda kwehupenyu. Mukutarisana nekuenderera mberi kwekugadziriswa kwematombo nenyanzvi dzinofanirwa kunge dziri kuongorora mamiriro ezvinhu anotambura, taifunga kuti chidikanwi chinoita kuti pave nenzvimbo yepaIndaneti inowanika svesa inobatsira uye nyaya dzevarume vakadzoka kubva pane zvakasiyana-siyana zvekuita zvepabonde zvinokonzera zvepabonde ( kunyanya kunonoka kukonzera, kurasikirwa kwekukwezva kune vechokwadi, uye zvisarudzo zvenguva pfupi kana zvisingatendwi). Www.yourbrainonporn.com akaberekwa. Kana ikashandira chimwe chinhu, ingadai iri utano hwepabonde.
Claire Downs anotaura mapepa maviri akatsoropodzwa asi asingafariri zvidzidzo gumi nemana zvinopesana.
Sezvakataurwa pamusoro apa, Downs akasiyiwa pamusoro Zvidzidzo zve 35 zvinobatanidza zvinonyadzisira zvinoshandiswa pakusangana pabonde / zvepabonde kune zvinetso zvepabonde uye kuderera kunomutsa kune zvekuita zvepabonde. Zvinonyanya kukosha, Downs asiya 7 zvidzidzo zvinoratidza kushandiswa kwepabonde zvichiita zvinetso zvepabonde (yekutanga 7 zvidzidzo mumutsara). Muzvidzidzo zvose zve6 vaduku vane zvirwere zvepabonde zvisingaperi vanobvisa kushandiswa kwepabonde uye vakaporesa matambudziko avo epabonde
Kuregeredza mapepa e6 anoratidza kuti kumiswa kweinternet kushandiswa kunoshandura zvinokonzeresa zvebonde, uye zvimwe 19 zvidzidzo zvinobatanidza internet porn zvinoshandiswa kune zvekuita zvepabonde uye kumutsa kwakadzika, Claire Downs pachinzvimbo akataura mapepa maviri se "anozivikanwa masosi": Kunyengetera & Pfaus, 2015 uye Landripet & Stulhofer, 2015. Chokutanga, kana pepa yakanga iri chidzidzo chaicho. Kunyengetera & Pfaus, 2015 yakabatanidza pamwe chete data kubva pamapepanhau akare akanga asingabatanidzi ne erectile dysfunction. Sezvauchaona, hapana yemashoko kubva pamapepanhau akare e-4 akaswedera pedyo nekufananidza nhamba yezvidzidzo kana zvirevo zvakagadzirwa nepepeti. Landripet & Stulhofer, 2015 yakanga iri hurukuro hurukuro iyo yakasiya humwe hukama hwakakosha hwakapiwa pamusangano. Vose mapepa vakatsoropodzwa mumabhuku ekuongorora-pezera, uye kune imwe nzvimbo. Zvinyorwa zvinotsanangurwa kubva kuAlls chinyorwa:
CLAIRE DOWNS: “Zvirinyore kuwana masosi ane mukurumbira anotsigira nekusimudzira hunhu hwezvinonyadzisira. Semuenzaniso, uyu 2015 kudzidza, inotungamirirwa nevatsvakurudzi pa Sexual Psychophysiology uye Affective Neuroscience Laboratory akawana hukama pakati peDD uye nhamba yevhidhiyo mafirimu varume vanoona. Mune imwe nguva, Dr. Nicole Prause akawana zvekuita zvepabonde zvakasimba kune varume avo vakataura vachiona zvimwe zvinonyadzisira kumba.
Rimwe 2015 cross-sectional online study yevamwe 4,000 varume veEurope, yakabudiswa mu Zvinyorwa zveHIV, haina kuwana chakakomba njodzi chakanangana neED uye porn uye yakatotaura "kunyanya kuita zvepabonde" kune vanoona zvinonyadzisira. "
Mapepa ese ari maviri akakurukurwa kwenguva refu mukudzokororwa kwemabhuku akanyorwa pamwe chete navanachiremba vanomwe veUS Navy neni, izvo zvandichataura pazasi. Ndine zvakawanda zvekutaura nezvemapepa ese ari maviri, saka ndakagadzira zvikamu zvakasiyana zveimwe neimwe. Ngatitorei chinhu chimwe kubva munzira: kana bepa rakaona kuti kushandiswa kwepabonde kwaive kwakabatana ne "hukuru hwepabonde," kunyangwe zvakataurwa naDowns nezvakabva kwaari. Ini ndichatanga nebepa rechipiri nekuti isu takataura naro pakutanga mu kuongorora kwedu mabhuku.
PAPER 1: Kunyengetera & Pfaus, 2015.
Ini ndinopa kurongeka kwakarongeka naRichard Isenberg, MD uye yakanyanya kuwanda lay critique, inoteverwa nezvangu zvirevo uye zvakatorwa kubva mupepa rakanyorwa-rakanyorwa na US Navy vanachiremba:
- Mumagazini imwechete sepepa: Tsamba kumunyori naRichard A. Isenberg MD (2015)
- Zvakanyanya kwazvo lay critique: Hapana Chinowedzera MuDubious Kudzidza: Vechidiki Vechidiki 'ED Kusara Asina Tsanangudzo (2015)
Kutaura: Kupesana nezvakataurwa naDowns (uye zvinotaurwa naPrause & Pfaus), varume vakatarisa zvimwe zvinonyadzisira havana "mhinduro dzakasimba murabhoritari." Hapana chimwe chezvidzidzo zvina zviri pasi pezvakataurwa nebepa kunyange kuongororwa genital kana bvunzo dzebonde murabhor. Zvinotaurwa naPrause & Pfaus mupepa ravo ndezvekuti varume vaitarisa zvimwe zvinonyadzisira vakaratidza kufara kwavo zvishoma zvishoma paanenge achitarisa zvinonyadzisira. Mutsara wakakosha unoti “ndichiona zvinonyadzisira. ” Ndiko kuti, kwete paanoita zvepabonde nemunhu chaiwo.
Arousal ratings uchiona zvinonyadzisira hazvitiudze chinhu nezve kumutsa kana kumisikidza kana kwete Kuona zvinonyadzisira (iyo ndiyo iyo vakawanda vakomana vane zvinonyadzisira zvepabonde zvinokonzera zvinonyadzisira zvinoratidza kusagadzikana kwepabonde basa). Kuyera kwakadaro hakuitiwo chimwe chinhu pamusoro pehupombwe-kunokonzerwa ED, iyo kusakwanisa kukwana zvakakwana pasina kushandisa zvinonyadzisira. Izvo zvakati, ruzivo kubva kuPrause & Pfaus, 2015 inoratidza kuti vangadai vasina kukwanisa kunyatsoongorora zvirevo zvevamiriri vavo (zvimwe pazasi).
Nekuda kwekukakavara ngatifungei kuti varume vanoona zvimwe zvinonyadzisira vakaratidza kukwezva kwavo kwakati kwirei kupfuura varume vaiona zvishoma. Imwe, yakatenderwa, nzira yekududzira uyu mutsauko unomutsa pakati pemapoka maviri ekushandisa-zvinonyadzisira ndeekuti varume vakatarisa porn zvakanyanya vakawana zvishoma zvishoma chido chekushandisa zvinonyadzisira. Izvi zvingangova uchapupu hwe kukurudzira, iyo ndiyo mubairo mukuru weruwa (uropi) kushandiswa uye chido apo paine pachena (zvinonyadzisira) cues. Sensitization (cue-reactivity uye zvishuvo) ihutano hwehutano hwehutano hwehutano huripo.
Akaverengeka achangopfuura Cambridge University huropi zvidzidzo zvakaratidza kukurudzira mukumanikidza vashandisi ve porno. Uropi hwevatori vechikamu hwakasimudzwa mukupindura mavhidhiyo evhidhiyo, kunyangwe hazvo vasina "kufarira" zvimwe zvekuita zvepabonde kupfuura kudzora vatori vechikamu. Mumuenzaniso unoshamisa wekuti kukurudzira kunogona kukanganisa sei kuita bonde, 60% yeCambridge zvidzidzo zvakataurwa arousal / erectile zvinetso nevashandi asi kwete nehupenzi. Kubva pakudzidza kweCambridge:
[Zvinodhakwa zvinodhaka] zvakashuma izvi nekuda kwekushandisa zvakanyanya zvinhu zvinoburitsa bonde… ..vakaona kudzikira kwe libido kana erectile basa kunyanya muhukama hwepanyama nevakadzi (kunyange zvisiri muhukama nezvinhu zvinoburitsa zvepabonde).
Taura zviri nyore, mumwe munhu anonyadzisira anoshandisa zvinonyadzisira anogona kurondedzera akakwirira anozvidzivirira (kuda) asi zvakare ane matambudziko anokwidza / erection nemumwe wako. Zvirokwazvo, kumutswa kwake mukupindura zvinonyadzisira hakusi humbowo hwe "kuita kwake pabonde" kana kushanda kwe erectile nemumwe wako. Ona izvi zvidzidzo zvekuzivisa kukurudzira / kuchiva kana cue-reactivity muvanoshandisa zvinonyadzisira / vanoita zvepabonde: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23, 24.
Ichokwadi chiri shure kweMunyengetero & Pfaus 2015: Ichi chaisave chidzidzo pane varume vane ED. Yakanga isiri kudzidza zvachose. Panzvimbo iyoyo, Prause akataura kuti akaunganidza dhata kubva kumana ake ekutanga zvidzidzo, hapana kana chimwe chakataura nezve erectile dysfunction. Zvinoshungurudza kuti bepa iri raNicole Prause naJim Pfaus vakapfuudza kutarisa-vezera sezvo pasina kana rimwe data mupepa ravo rakafananidza iyo data muzvidzidzo zvina zviri pasi izvo bepa rakati raivepo. Izvo zvinopesana hazvisi zvipuka zvidiki, asi maburi ekuputsika asingakwanise kuvharika. Uye zvakare, iro bepa rakaita zvikumbiro zvakati wandei zvaive zvisiri zvechokwadi kana kusatsigirwa nedata ravo.
Tinotanga nemashoko ekunyengera akaitwa nezvose Nicole Prause uye Jim Pfaus. Vazhinji vanyori venhau nezvechidzidzo ichi vaiti kushandiswa kwepabonde kwakatungamira zviri nani erections, asi hazvisi izvo mapepa akawana. Muhurukuro dzakanyorwa, vose Nicole Prause naJim Pfaus vakareva zvenhema kuti vaive vachitevera erections mubasa racho, uye kuti varume vakashandisa zvinonyadzisira vaifungidzirwa zviri nani. Mu Jim Pfaus TV hurukuro Pfaus anoti:
"Takatarisa kuenderana kwekugona kwavo kumiswa murabhoritari."
"Takawana kuwirirana kwe liner pamwe nehuwandu hwehupombwe hwavakaona kumba, uye latency iyo semuenzaniso yavanowana erection inokurumidza."
In iyi redhiyo inobudisirwa Nicole Prause akati zvirevo zvaive zvichienzaniswa mubazi. Icho chirevo chaiyo kubva muzviratidzwa:
"Vanhu vazhinji pavanotarisa erootica kumba vane mhinduro dzakasimba dzevirabhoritari, kwete kuderedzwa."
Asi iyi pepa haina kutarisa erection inobudirira mubhidhi kana "kukurumidza kwezvakanyorwa." Pepa racho chete vakati kuve ndakabvunza vakomana kuti vaone yavo "yekumutsa" mushure mekuona kwenguva pfupi porn (uye hazvisi pachena kubva pamapepa epasi kuti iri nyore-rondedzero yakabvunzwa kune zvese zvidzidzo). Chero zvazvingaitika, chidimbu kubva mubepa chairo chakabvuma kuti:
"Hapana dhata rekubata nhengo dzesikarudzi dzakabatanidzwa kutsigira ruzivo rwevanhurume."
Mune mamwe mazwi, hapana erections chaiyo yakaedzwa kana kuyerwa murabhu!
Mutsamba yechipiri isina kutsigirwa, mutungamiri anotungamirira Nicole Prause tweeted kakawanda pamusoro pekudzidza, kurega nyika kuziva kuti 280 nyaya dzakabatanidzwa, uye kuti vakanga vasina "matambudziko mumba." Zvisinei, izvo zvidzidzo zvinyorwa zvine zvinyorwa zvevarume zve 234 chete, saka "280" iri munzira.
Yechitatu isingatsigirwi: Tsamba yaDr Isenberg kuMupepeti (yakabatana nepamusoro), iyo yakasimudza zvinetswa zvakawandisa zvichiratidza zvikanganiso zviri muPrause & Pfaus bepa, zvakashamisika kuti zvingaite sei Kunyengetera & Pfaus 2015 kuve akafananidza akasiyana masosi 'ekumutsa mwero kana matatu siyana mhando dzekuita zvepabonde dzakashandiswa muC4 zvidzidzo. Zvidzidzo zviviri zvakashandiswa mufirimu wemaminiti e3, imwe yedzidzo yakashandisa 20-yechipiri firimu, uye imwe dzidzo yakashandiswa ichiri mifananidzo. Zvakanyatsosimbiswa izvo mafirimu anokura zvikuru kupfuura zvifananidzo, saka hapana timu yepamutemo yekutsvagisa yaizounganidza zvidzidzo izvi pamwechete kuti vataure nezvemhinduro dzavo. Zvinotyisa ndezvekuti mupepa ravo Prause & Pfaus vasingataure vanoti zvese zvidzidzo zve4 zvakashandisa mafirimu epabonde:
"VSS yakaiswa mune zvidzidzo iyi yose mafirimu."
Chirevo ichi manyepo, sezvakaratidzwa pachena muPrause chairo chiri pasi pezvidzidzo. Ichi ndicho chikonzero chekutanga nei Prause & Pfaus vasingakwanise kutaura kuti bepa ravo rakaongororwa "kumutsa." Iwe unofanirwa kushandisa kukurudzira kumwe chete kuchidzidzo chimwe nechimwe kuenzanisa zvese zvidzidzo.
Bhuku rechina risina kutsigirwa: Dr. Isenberg akabvunzawo kuti sei Kunyengetera & Pfaus 2015 inogona kuenzanisa nharo dzakasiyana-siyana 'kukwidziridzwa kwepamusoro apo chete 1 ye4 iri pasi padzidzo yakashandiswa a 1 kune 9 chikamu. Mumwe akashandisa 0 kusvika 7 chikero, imwe yakashandisa 1 kusvika 7 chikero, uye kumwe kuongorora hakuna kutaurira kukwezva kwepabonde ratings. Kamwezve Prause & Pfaus zvisinganzwisisike vanoti:
"Varume vakabvunzwa kuratidza huwandu hwe" kukwidza zvepabonde "kubva ku1" kwete zvachose "kune 9" zvikuru. "
Chirevo ichi, zvakare, inhema, sekuratidzira kunoita mapepa ari pasi. Ichi ndicho chikonzero chechipiri nei Prause & Pfaus vasingakwanise kutaura kuti bepa ravo rakaongorora "kumutsa" ratings muvarume. Chidzidzo chinofanira kushandisa chiyero chakaenzana pachidzidzo chimwe nechimwe kuenzanisa mhedzisiro yezvidzidzo. Muchidimbu, iwo ese maPemuse-anogadzirwa misoro pamusoro pekushandisa zvinonyadzisira kugadzirisa zvigadziriso kana kumutsa, kana chero chimwe chinhu, hazvina mvumo.
Kunyengetera & Pfaus 2015 zvakare yaiti havana kuwana hukama pakati pehupenyu hwe erectile uye kuwanda kwehutano kunoonekwa mumwedzi wapera. Sezvo Dr. Isenberg akataura achiti:
“Zvinotonyanya kuvhiringidza kusasiiwa zvachose kwehuwandu hwezvakawanikwa zveiyo erectile function result measure. Hapana mhedzisiro mhedzisiro chero chii chinopihwa. Panzvimbo pezvo vanyori vanokumbira muverengi kuti angotenda chete chirevo chavo chisina kutsigirwa chekuti pakanga pasina kuyanana pakati pemaawa ekuona zvinonyadzisira akaonekwa uye erectile basa. Tichifunga zvirevo zvinopesana zvevanyori zvekuti erectile kushanda nemumwe wako kunogona kuvandudzwa nekuona zvinonyadzisira kusavapo kwehuwandu hwezvinyorwa kwakanyanya. "
MuPrause & Pfaus kupindura Dr. Isenberg critique, vanyori zvakare vakakundikana kupa chero dhata kutsigira yavo "isingabvumirwe chirevo." Sezvo iyi nyanzvi zvinyorwa, iyo Prause & Pfaus mhinduro haina kungonzvenga kunetseka kwakakodzera kwaDkt Isenberg, ine akati wandei itsva kutaura zvisina kunaka uye zvinyorwa zvinyorwa zvisiri pachena. Pakupedzisira, kuongorora kwedu mabhuku akataura pamusoro Kunyengetera & Pfaus 2015:
"Ongororo yedu yaisanganisirawo mapepa maviri a2015 achiti zvinonyadzisira zvepaInternet zvinoshandiswa hazvinei nekukwira kwebonde mumajaya. Nekudaro, zvirevo zvakadaro zvinoita kunge zvisati zvaitika pakuongorora zvakanyanya kwemapepa aya uye nekushoropodzwa kunoenderana. Pepa rekutanga rine mazano anobatsira nezve iro rinogona kuita basa rekuita zvepabonde muvechidiki ED [50]. Nekudaro, chinyorwa ichi chave kushorwa nekuda kwekusiyana kwakasiyana, kusiiwa uye kutadza kwenzira. Semuenzaniso, haina kupa huwandu hwehuwandu hweiyo erectile basa mhedzisiro chiyero zvine chekuita neinternet zvinonyadzisira zvinoshandiswa. Kupfuurirazve, seizvo chiremba wekutsvagurudza akataura mune zvakarongeka kuongororwa kwepepa, vanyori vepepa, "havana kupa muverengi ruzivo rwakakwana pamusoro pehuwandu hwevanhu vakadzidza kana nhamba dzinoongororwa kutsigira mhedzisiro yavo" [51]. Uyezve, vatsvakurudzi vakatsvaga maawa masere ekuona zvinonyadzisira paIndaneti anoshandiswa mumwedzi wapera. Kunyange zvakadaro zvidzidzo paIndaneti zvinodhaka zvinodhaka zvakaona kuti kushandiswa kwemaawa ekuona zvinonyadzisira paIndaneti kunoshandisa ndoga kwakasiyana zvikuru ne "matambudziko muupenyu hwezuva nezuva", zvikamu zveSAST-R (Sexual Addiction Screening Test), uye nhamba paIATsex (chiridzwa iyo inotarisa kukanganisa kuita zvepabonde zvepabonde) [52, 53, 54, 55, 56]. Chirongwa chinopfuura chekuita zvepabonde chinokonzera zvepabonde kukwezva maonero apo uchiona zvinonyadzisira zveInternet (cue reactivity), chibatanidzwa chakasimbiswa chekuita zvinodhaka mumatambudziko ose [52, 53, 54]. Panewo humwe huchapupu hunowedzera kuti nguva yakawanda inoshandiswa paIndaneti-kutamba hazvifanotauri kushandiswa kwehupombwe. "Kunwa doro kunogona kuongororwa zvakanaka kana zvinangwa, migumisiro uye mamiriro ezvinhu emuitiro wehutano zvakare chikamu chekuongorora" [57]. Dzimwe nhatu dzemapoka ekutsvakurudza, achishandisa nzira dzakasiyana-siyana dze "hupombwe" (kunze kwemaawa ekushandiswa), dzakanyatsobatanidza nehutano hwepabonde [15, 30, 31]. Zvakatorwa pamwechete, tsvagiridzo iyi inoratidza kuti pane kungoti "maawa ekushandisa", misiyano yakawanda yakakosha pakuongorora kupindwa muropa nehupombwe / hupombwe, uye zvakare inogona kuve yakakosha pakuongorora zvinokonzeresa zvine chekuita nezvepabonde. "
Kuongorora uku kwakaratidzawo kushaya simba mukubatanidza chete "maawa ekushandisa azvino" kufanotaura zvinokonzeresa zvinokonzeresa zvepabonde. Huwandu hwe porno ikozvino hwaonekwa ndeimwe yemhando dzakasiyana dzakabatanidzwa mukuvandudzwa kwe porn-inosimudzira ED. Izvi zvinogona kusanganisira:
- Kuita zvepabonde kune zvinonyadzisira nekuita bonhora pasina porn
- Kuita zvepabonde nemunhu kune bonde nekuita bonhora kune zvinonyadzisira
- Zvikwereti muhupombwe hwepabonde (apo mumwe anongoraramira pane zvinonyadzisira)
- Mhandara kana kwete
- Maawa ose ekushandisa
- Makore ekushandiswa
- Zera rakatanga kushandisa zvinonyadzisira nechido
- Kuwedzera kune dzimwe mhando dzemhando
- Kuvandudza zvinonyadzisira-induced fetishes (kubva pakuwedzera kusvika kumarudzi matsva ezvinonyadzisira)
- Nhamba yeruzivo pamusangano (kureva mavhidhiyo ekuunganidza, multiple tabs)
- Uropi hunoenderana nehutano hunochinja kana kwete
- Kuvapo kwehupombwe / hutachiona hwepabonde
Nzira iri nani yekutsvakurudza izvi zvinoshamisa, ndeyekubvisa kushandiswa kwemashandisirwo emadhora ekutengesa uye kutarisa mhedzisiro, iyo yakaitwa munyaya dzezvidzidzo umo varume vakabvisa internet kushandiswa kwepabonde nekuporesa. Kutsvakurudza kwakadaro kunoratidza causation panzvimbo yekubatana kwakasununguka kunotanga kushandurwa kunopesana. My site yakanyorwa varume mashomanana zviuru zvakabvisa zvinonyadzisira ndokudzoka kubva pane zvinoratidzira zvepabonde zvisingagoneki.
PAPER 2: Landripet & Štulhofer, 2015.
Landripet & Štulhofer, 2015 yakasarudzwa se "kutaurirana kupfupi" nemagazini yakaburitsa iyo, uye vanyori vaviri vakasarudza imwe data kuti vagovana, vachisiya zvimwe zvine chekuita nedata (zvimwe gare gare). Sezvo na Kunyengetera & Pfaus, iyo nyanzvi yakabudisa tsanangudzo ye Landripet & Štulhofer: Comment on: Zvinonyadzisira Zvinoshandiswa Zvinobatanidza Nezvinetso Zvepabonde uye Zvisingaiti pakati peVaduku Heterosexual Men? naGert Martin Hald, PhD
Kana iri kureva kuti Landripet & Štulhofer, 2015 haina kuwana hukama pakati pekushandisa zvinonyadzisira nezvinetso zvepabonde. Izvo hazvisi chokwadi, sezvakanyorwa mune zvose iyi YBOP inotsanangura uye kubvunzurudzwa kwemabhuku anosanganisira vanachiremba veZNMX veNavy Navy. Uyezve, Landripet & Štulhofer bepa rakasiya matatu akakosha kuwirirana kwavakaunza imwe musangano weEurope (zvimwe pazasi). Ngatitangei neyekutanga yendima nhatu kubva pabepa redu rakatariswa Landripet & Štulhofer, 2015:
Rimwe kapepa rakarondedzera kuwirirana kwepakati pekuona zvinonyadzisira zveIndaneti zvinoshandiswa mugore rekupedzisira uye ED yehuwandu hwevanhu vanoita zvepabonde kubva kuNorway, Portugal neCroatia [6]. Vanyori ava, kusiyana neavo pepa pekare, vanobvuma kupararira kwakawanda kweEED mumarume 40 uye pasi, uye zvechokwadi vakawana ED uye pasi pepabonde chido chekuita zvepabonde zvakanyanya se31% uye 37%, maererano. Kusiyana neizvi, kusatidzira-kubudiswa kweIndaneti kuongororwa kwezvinonyadzisira kwakaitwa mu2004 neimwe yemapepa epepanhau yakabudisa ED Mazana e5.8 chete muvarume 35-39 [58]. Asi, zvichibva pane kuenzanisa, vanyori vanopedzisa kuti zvinonyadzisira zveIndaneti zvinoshandisa hazviiti seicho chikuru chinokonzerwa nevechidiki ED. Izvozvo zvinoratidzika sokuti zvakanyanyisa, sezvo varume vePutukezi vaongororedza vakarondedzera zvikamu zvakaderera zvekusagadzikana kwepabonde kana vachienzaniswa nevaNorway naCroatia, uye chete 40% yePortugal inoshandisa kushandisa zvinonyadzisira zveInternet "kubva pane dzimwe nguva pavhiki kusvika kune imwe zuva", zvichienzaniswa nevaNorway , 57%, uye Croatians, 59%. Iyi pepa yakatsoropodzwa zvakakwana nokuda kwekusakwanisa kushandisa maenzaniso akaenzana anokwanisa kuwirirana nehukama hwakananga uye husina kurongeka pakati pemhando dzakasiyana dzinozivikanwa kana dzinofungidzirwa kuti dzive pabasa [59]. Zvichiitika, mune rimwe pepanhau rakabatana pamusoro pezvinetso zvakashata zvepabonde inosanganisira vazhinji vevadzidzi vanoongorora kubva kuPortugal, Croatia neNorway, varume vacho vakabvunzwa kuti ndezvipi zvezvikonzero zvakawanda zvavakatenda zvakakonzera kukanganisa kwavo kusava nehanya kwepabonde. Pakati pezvimwe zvikonzero, anenge 11% -22% akasarudza "Ndinoshandisa zvinonyadzisira zvakawanda" uye 16% -26% yakasarudza "Ndinonyadzisa kakawanda" [60]
Sevanyori vangu vanyori, ini navanachiremba veNavy, uye ini ndakatsanangura, bepa iri rakawana kuwirirana kwakakosha: Chete 40% yevarume vechiPutukezi vaishandisa zvinonyadzisira "kazhinji," nepo 60% yevaNorway vaishandisa zvinonyadzisira "kazhinji." Varume vechiPutukezi vaive nekusagadzikana pabonde zvakanyanya kupfuura maNorwegi. Nekuremekedza nyaya dzeCroat, Landripet & Štulhofer, 2015 inobvuma kushamwaridzana kwakakosha pakati pekushandisa zvinonyadzisira zvepabonde uye ED, asi kudai kukosha kwemaitiro kwaiva kuduku. Zvisinei, izvi zvinogona kunge zviri kutsausa maererano neMDC iyo nyanzvi yekuongorora masvomhu uye yakanyora zvidzidzo zvakawanda:
Yakaongororwa neimwe nzira (Chi squared),… kushandiswa zvine mwero (vs. zvisingawanzo kushandiswa) kwakawedzera mikana (mukana) wekuve neED neinenge 50% muhuwandu hweCroatia. Izvi zvinonzwika sezvazvinoreva kwandiri, kunyange zvichinakidza kuti kutsvaga kwacho kwakangozivikanwa pakati pevaCroats.
Pamusoro pe, Landripet & Štulhofer 2015 yakasiya matanho matatu anokosha, iyo imwe yevanyori yakaratidzwa imwe musangano weEurope. Akataura kuwirirana kwakakosha pakati pekusagadzikana kwe erectile uye "kufarira mamwe marudzi ezvinonyadzisira":
"Kunyora kuda kune mamwe mavara ezvinonyadzisira zvaisati zvichisanganiswa ne erectile (asi kwete ejaculatory kana zvakashuva-zvine chokuita) kurara kwepabonde kwevarume. "
Zviri kutaura izvozvo Landripet & Štulhofer akasarudza kurega kubatana uku kwakakosha pakati pekusavhiringidza kwe erectile uye zvido zvemavara akasiyana-siyana ehupenzi kubva pamapepa avo. Zvinowanzojairika nevashandi vekuona zvinonyadzisira kuti vawedzere maitiro (kana fetishes) asina kufanana nezvinodiwa zvepabonde zvepakutanga, uye kuti vawane ED kana izvi zvinotarisirwa zvido zvepabonde zvisingaenzani zvepabonde zvechokwadi. Sezvatairatidza pamusoro apa, zvakakosha kutarisa mhando dzakasiyana dzinoshandiswa nehupenzi-kwete maawa chaiwo mumwedzi wapfuura kana kuwanda kwegore rakapera.
Yechipiri inokosha yekuwana yakasara Landripet & Štulhofer 2015 inobatanidzwa nevadzidzi vechikadzi:
"Kuwedzera zvinonyadzisira kunoshandiswa zvishoma asi zvakanyanyobatanidzwa nekuderera kwechido chekuita zvepabonde pamwe chete uye kudarika kwepabonde kwakawanda pakati pevakadzi. "
Kuwirirana kwakakosha pakati pekushandisa zvakanyanya porn uye kudzikira libido uye kwakawanda kusagadzikana pabonde kunoratidzika kunge kwakakosha. Sei usina Landripet & Štulhofer 2015 vanotaura kuti vakawana kuwirirana kwakakura pakati pekushandisa zvinonyadzisira uye kusagadzikana kwepabonde kuvakadzi, pamwe nevashoma muvarume? Uye nei kuwanikwa uku kusati kwataurwa mune chero ye Štulhofer's zvidzidzo zvakawanda inobva kune imwechete data data? Mapoka ake anotaridzika kwazvo kukurumidza kudhinda dhesi iyo inonzi debunks inotora-inonzi ED, asi inononoka zvikuru kudzidzisa vakadzi nezvekusava nehutano hwepabonde hwekushandisa zvinonyadzisira.
Pakupedzisira, muDanish anotsvakurudza zvinonyadzisira Gert Martin Hald zvakarongwa zvakatsoropodza akarondedzera kudiwa kwekuongorora zvimwe zvipembenene (vamiririri, vamiririri) kupfuura kungowanzoita pavhiki mumwedzi yekupedzisira ye12:
“Chidzidzo ichi hachigadzirire mamoderator kana vayananisi vehukama hwakadzidzwa uye haukwanise kuona chinokanganisa. Zvichiwedzera, mukutsvagisa nezvezvinonyadzisira, kutarisisa kunopihwa zvinhu zvinogona kukanganisa kukura kana hutungamiriri hwehukama hwakadzidzwa (kureva., Mamoderator) pamwe nenzira dzinogona kuitika (kureva, varevereri). Zvidzidzo zvenguva yemberi pamusoro pekushandisa zvinonyadzisira uye matambudziko epabonde anogona zvakare kubatsirwa kubva mukuisirwa kwakadaro.
Chinokosha: Zvose zvinorema zvirwere zvinosanganisira zvinhu zvakawanda, izvo zvinofanirwa kunyengerwa kunze kwemashoko makuru kusvika kure zvakakodzera. Landripet & Štulhofer's chirevo chekuti, "Zvinonyadzisira hazviite senge yakakosha njodzi kune chishuwo chevanhurume vadiki, erectile, kana orgasmic matambudziko"Inoenda kure zvakanyanya, sezvo ichiregeredza zvimwe zvese zvingangodaro zvine chekuita nekushandisa zvinonyadzisira izvo zvinogona kunge zvichikonzera matambudziko ekuita zvepabonde muvashandisi, kusanganisira kukwira kwemhando dzakasiyana, dzavakawana, asi dzakasiiwa mu" Kukurukurirana Pfupi. " Ndima 2 & 3 mune yedu hurukuro ye Landripet & Štulhofer, 2015:
Zvakare, zvidzidzo zvekupindira dzaizova dzidziso inonyanya kukosha. Zvisinei, nekuremekedza kugadzirisa zvidzidzo, zvinogona kunge zvakagadziriswa zvakasiyana-siyana zvinoshandiswa kuongororwa kuitira kujekesa zvinhu zvinowanzoisa panjodzi kushanda mumatambudziko evepabonde asina kumboitika. Chokutanga, zvinogona kunge chido chepabonde chakakomba, kunetseka kwepabonde pamwe neshamwari uye erectile zvinetso zvikamu zvezvinonyanya kuitika zveIndaneti zvinonyadzisira, uye kuti matambudziko ose aya anofanira kuunganidzwa pavanotsvaga kuwirirana kunobatsira nemifananidzo yeIndaneti inoshandisa.
Chechipiri, kunyange zvazvo zvisinganzwisisi zvakakonzerwa nekubatana kwezvinhu zvinogona kunyanya kukonzera matambudziko akadaro, kupikira mhando dzakasiyana-siyana kuti dziongorore pamwe chete nehuwandu hwezvinonyadzisira zveInternet zvinosanganisira (1) makore ekuona zvinonyadzisira-kubatsiridzirana nekuona zvinonyadzisira-kusina bonyora; (2) chiyero che ejaculations neshamwari kune ejaculations neIndaneti zvinonyadzisira; (3) kuvepo kweIndaneti kushaya uropi / hupombwe; (4) nhamba yemakore ekushambadzira Indaneti zvinonyadzisira anoshandisa; (5) panguva iyo kushandiswa kwekushandisa zvinonyadzisira zveIndaneti kwakatanga uye kuti yakatanga kusati yasvika pakupera; (6) mamiriro ekuwedzera kweIndaneti zvinonyadzisira anoshandisa; (7) kukura kune dzimwe nzvimbo dzakanyanyisa zveIndaneti zvinonyadzisira, nezvimwe zvakadaro.
A 500% kana kuti kuwedzerwa muWD wechidiki kubvira pa2010 isingagoni kutsanangurwa kure nezvinoitika zviitiko
Zvidzidzo zvinoongorora hutachiona hwechirume kubvira muchikwata che2010 chiitiko chezvakaitika kare zvehutano hwekuita zvepabonde, uye zvinotyisa zvero zvechirwere chitsva: pasi re libido (nokuda kwepabonde repabonde). Zvinyorwa munyaya ino uye mukuongorora kwedu Zvinonyadzisira ZvepaIndaneti Zvinokonzera Zvinetso Zvepabonde Here? Kuongorora neKliniki Reports (2016).
Isati yasvika yekusununguka kwekusununguka kwepabonde (2006), zvidzidzo zvepamusoro-soro uye meta-analysis zvakaratidza kuti erectile kusagadzikana kwehuwandu hwe2-5% muvarume pasi pe40. Erectile kudzvinyirira maitiro mu 10 zvidzidzo zvakabudiswa kubva ku 2010 kubva pa 14% kusvika ku37%, asi mazana ezere low libido (unzenza-zvepabonde) anobva ku16% kusvika ku37%. Zvimwe zvidzidzo zvinosanganisira vechidiki nevarume 25 uye pasi, apo zvimwe zvidzidzo zvinosanganisira varume 40 uye pasi. Chimwe chezviitiko zvinoshamisa zvikuru munguva pfupi yapfuura (2018) inongororo ye ED mukati vanoita zvinonyadzisira. Vaya vari pasi peC30 vakanga vane kaviri yehuwandu hweD ED sevakwegura (avo vanoita zvepabonde vakagadzira vasina kuwana pepa yepamusoro yepaIndaneti pavechiri kuyaruka). Maona Erectile Dysfunction pakati pevarume vakuru vechidiki: A Survey.
Muchidimbu kwave kune 500% -1000% kuwedzera muvechidiki vechidiki ED mumakore ekupedzisira e10. Ndezvipi zvakasiyana-siyana zvakashandurwa mumakore ekupedzisira e15 angakwanisa kuenzanisa nekusimudzirwa kwemazuva ano? Downs inofunga kuti zvimwe zvakasiyana-siyana zvekare zvakabatana nevechidiki vechidiki ED zvinokonzera kuti izvi zvikwire mumatambudziko epabonde:
CLAIRE DOWNS: “Zvinosuruvarisa kuti ED yakajairika, uye hausi mugumisiro wekukwegura. Kunyangwe zera rinowedzera mukana wekuona kusagadzikana, mumwe muvarume vana vari pasi pezera ramakumi mana achaita tsvaka kurapa ED. Chingave chisingaperi kana chenguva pfupi, kusagadzikana kwe erectile kunokonzerwa nezvakawanda zvezvinhu sekushandisa zvinodhaka, mhedzisiro yemushonga, matambudziko epfungwa, uye matambudziko ehukama hwekutaurirana, pamwe nechirwere chemoyo, kurara nekukuvara kwetsinga. ”
Sezvinotsanangurwa mupepa redu, kusvuta, chirwere cheshuga uye chirwere chemwoyo kazhinji inokonzera ED mune varume pasi pe40 (zvinyorwa 16). Zvinotora makore ekusvuta kana chirwere cheshuga chisingaregi kuratidza neuro-vascular kuora zvakanyanya kukonzera kusingaperi ED. Kubva pamapepa edu:
Mutsika, ED yakaratidzwa sechinetso chinotarisana nemakore [2] uye inotsvakurudza kuongororwa kwezvinhu zvinokonzerwa neD ED mune varume vari pasi pe40 kakawanda yakundikana kuziva zvinhu zvinowanzobatanidzwa neDD kune varume vakwegura, zvakadai sekusvuta, kudhakwa, kudhakwa, hupenyu hwehupenyu, chirwere cheshuga, hutachiona hwepfungwa, chirwere chepfungwa, uye hyperlipidemia [16].
Nezve "mishonga, kusvuta, kushandisa doro uye zvinodhaka, " hapana imwe yenhamba yezvinhu izvi zvakakonzera yakawedzera pamusoro pemakore ekupedzisira e15 (kusvuta zvanyatsopera). Kubva kuSouth Navy mapepa:
Zvisinei, hapana chimwe chezvinhu zvakajairika zvinoratidzirwa zvinoratidzirwa kuti chirwere chepfungwa chinenge chichiita sechikwanika kuti chiongorore kukurumidza kuwedzera muhutano hwepabonde hwevechiduku. Semuenzaniso, vamwe vatsvakurudzi vanofungidzira kuti matambudziko ehupombwe ari kuyaruka anofanira kunge ari mugumisiro wemararamiro asina kunaka, akadai sekuwedzeredza, kushandiswa kwezvinodhaka uye kusvuta (zviitiko zvekare zvakabatana ne organic ED). Asi izvi zviito zvehupenyu hazvina kuchinja zvakafanana, kana kuti zvakaderera, mumakore ekupedzisira e20: Kuwedzera kwehuwandu muvarume vekuAmerica vane makore 20-40 kwakawedzera 4% pakati pe1999 ne2008 [19]; mitero yekushandisa zvinodhaka zvisina kukodzera pakati pevagari vomuUnited States vane makore 12 kana vakwegura vave vasina kugadzikana pamusoro pemakore ekupedzisira e15 [20]; uye kuputa kwevanhu vakuru vekuUnited States vakaramba kubva ku25% mu1993 kusvika ku19% mu2011 [21].
Nezve "pfungwa dzepfungwa: kuora mwoyo, kuzvidya mwoyo, kutya, ” hapana chimwe cheizvi chikonzero erectile kusagadzikana, zvinongova zvisinganzwisisiki zvakananga kuD. Muzvokwadi, dzimwe dzidzo dzehupfumi dzakashungurudzika uye dzinonetseka varwere vane yepamusorosoro kuda bonde. Zvimwe zvidzidzo zvinoratidza zviri pachena: kushushikana hakukonzere ED; kuva neED kunowedzera mamakisi pakuedzwa kwekuora mwoyo. Kubva kuUS Navy bepa:
Vamwe vanyori vanopa pfungwa dzepfungwa. Asi, zvakanyanya sei kuti kuzvidya mwoyo uye kuora mwoyo kwenyaya yekukwira kwakasimba kwehutano hwepabonde huchiri kupa hukama hwakaoma pakati pechido chepabonde nekuora mwoyo nekuzvidya mwoyo? Vamwe vakaora mwoyo uye vane hanya nevarwere vanotaura zvido zvishomanana zvepabonde apo vamwe vanodzokorora chido chepabonde [22, 23, 24, 25]. Hakusi chete ukama huri pakati pekuora mwoyo uye ED inogona kunge yakarongeka uye inobatanidza, inogonawo kuva mugumisiro wekusagadzikana kwepabonde, zvikurukuru mumajaya [26].
Sezvatakataura mupepa redu rekupedzisira:
Zviitiko zvekare zvekare zvakatsanangura zvinetso zvepabonde kune varume zvinoita sezvisina kukwana kuverenga nekuda kwekukura kwakasimba mune zvepabonde nekuderera kwepabonde kwevarume pasi pe40.
Chekupedzisira, iyi 2018 yekudzidza nezveurology varwere vari pasi pezera re40 vakaona kuti varwere vane ED havana kusiyana nevarume vasina ED, nokudaro vachibvisa zvataurwa naClaire Downs (Zviitiko ZveErectile Dysfunction Pakati Pevechidiki-Kuwana Kwechokwadi-Chidzidzo cheMweya-Chikamu Chechidzidzo):
Zvose, 229 (75%) uye 78 (25%) varwere vaiva nehutano uye vasina kukodzera Erectile Function (EF); pakati pevarwere vane ED, 90 (29%) yaiva neEEE-EF mazano anoratidza kuti ED. Varwere vane uye vasina ED havana kumbosiyana zvakanyanya maererano nezera remakore, BMI, kuwanda kwehutano hwehutano, hutano hwehutano, kusvuta fodya), kushandiswa kwewaini, uye mapeji episidenti yePSS. Saizvozvowo, hapana kupesana kwakarondedzerwa maererano neserum sex hormone uye huwandu hwepombi pakati pemapoka maviri.
Izvi zvakaratidza kuti majaya ane ED haana kusiyana maererano neshoko rekutanga remakiriniki maitiro kubva kune imwechete-yezera reboka neEF yakajairika, asi inoratidzira chido chepabonde chepamusoro, kuchipatara ichiratidza chikonzero chinowedzera chinokonzerwa nepfungwa cheEED.
Nechimwe chikonzero avo vane ED vaive nechido chepabonde chakaderera (vangadai vakabvunza nezve porn!) Kudzokorora, Claire Downs, sevamwe vanopokana-vakaita kuti ED varambe, vanopokana kuti vechidiki ED inokonzereswa neiyo chaiyo njodzi njodzi dzakanangana ne ED mune varume vanopfuura makumi mana. Izvi zvirevo hazvifananidzi zvinyorwa zvakaongororwa nevezera.
Asati ataura nechivimbo kuti vanoshandisa zvinonyadzisira nhasi havana chekushushikana nacho kubva paInternet kushandisa, vaongorori vachiri kuda kuzvidavirira izvozvi, kukwidza kunokwidziridzwa kweWD wechiduku uye chido chepabonde chepasi, ivo zvidzidzo zvakawanda zvinobatanidza zvinonyadzisira zvinoshandisa dambudziko repabonde, zviuru zvezviitiko zvayo uye mharidzo dzechiremba yevarume kuporesa ED nekubvisa kushanduka kumwe chete: zvinonyadzisira.
Downs angada kufadza nyaya yake mukati The Daily tira maererano.
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