Mwoyo Murefu Zviratidzo Nehutano hweHIV (Sexual Referral Referral): A Chaitative Chart Review ye 115 Muchidimbu Mhosva dzevarume (2015)

Nhoroondo yeBonde uye Mishonga yekurapa

COMMENTS: Chidzidzo chevarume (avhareji zera 41.5) ane hutano hwehupombwe, senge paraphilias uye chisingaperi bonhora kana hupombwe. 27 dzakarongerwa se "vanodzivisa vanoita bonhora," zvichireva kuti vanoita bonhora (kazhinji nekushandisa zvinonyadzisira) rimwe kana anopfuura maawa pazuva kana anopfuura maawa manomwe pavhiki. 71% yevadzvinyiriri vanoona zvepabonde yakashuma matambudziko ekushanda kwepabonde, ne 33% yeruzhinji inopedzisira yakanonoka kuiswa (zvinyorwa pasi apa).

Ndeupi kusagadzikana pabonde kunoitwa 38% yevarume vakasara vanayo? Iwo mamwe maviri sarudzo dzekutanga dzekusangana pabonde kwevanhurume ndeDD uye yakaderera libido. Chidzidzo hachireve, uye vanyori havana hanya nezvikumbiro zvemashoko. Mukutyora mutemo wakajairika, James Cantor akataura pachinyorwa chevadzidzi-vanoshanda (SexNet) kuti haazomboburitsa zvawanikwa.


Batanidzo - J Zvepabonde Imba yeMhuri Ther.

2015 Nov-Dec;41(6):563-80. doi: 10.1080/0092623X.2014.935539.

ngovepo

Kuita zvepabonde kunoramba kuri kuwedzera uye kusinganzwisisiki kunetseka kwevarwere. Pasinei nekusiyana kwezviratidzo zvekurapwa kwevarwere zvinotumidzwa nezvehupombwe, mabhuku akachengetedza nzira dzekurapa dzinofungidzirwa kushandiswa kune zvose zvinoshamisa. Iyi nzira yakaratidza kusabatsiri, pasinei nekushandiswa kwayo kwemakumi emakumi emakore. Dzidzo yemazuva ano yakashandisa nzira dzakawanda dzekuongorora kuwanda kwevanhu, hutano hwepfungwa, uye zvepabonde zvakabatana zvechirwere chinokonzerwa nehutano hwehupombwe hunoendeswa. Tsanangudzo dzinotsigira kuvapo kwemauto, rimwe nerimwe rine masango akasiyana ezvikamu. Paraphilic vanoita zvepabonde vakarondedzera nhamba dzakawanda dzevakaroorana navo, kunyanya kushandiswa kwezvinodhaka, kutanga kune zvepabonde panguva yekare, uye ruzivo sechinhu chinotyisa chekuita zvepabonde. Kudzivisa masturbator kwakarondedzera huwandu hwekuzvidya mwoyo, kunonoka kuenderera mberi, uye kushandiswa kwepabonde senzira yekudzivirira. Mhombwe dzinopedzisira dzakazivisa kusati kwapera ejaculation uye gare gare inotanga kuyaruka. Varwere vakasarudzwa vakanga vasingakwanisi kureva kushandiswa kwezvinodhaka, basa, kana matambudziko emari. Kunyange zvazvo kuwanda, chiitiko ichi zvisinei chinopa chidzidzo chinotsanangurwa umo hutsika huripo hwakabva kune zvinhu zvisingawanzoitiki mune zvekuita zvepabonde. Zvidzidzo zvenguva yemberi zvinogona kushandiswa zvinyorwa zvinyorwa zvisinganzwisisiki, zvakadai seboka rekuongorora, kuongorora kuti zviyero zvakafanana zvakabuda sei kana zvichinyatsoongorora.


Chidimbu Kubva Chidzidzo:

Muchikamu chezasi chinyorwa chinyorwa chakanyatsotarisa nezve erectile dysfunction (ED), pasinei nokuti chetatu chevadzvinyiriri vezvinetso zvepabonde chave chava kutaurira kunonoka kuchinjwa (DE), chiitiko chinowanzonzi kuD ED pamwe chete neshamwari. Chii chisipo kubva bepa iri:

  1. 71% yakataura zvinetso zvepabonde zvinosangana ne33% inozivikanwa kuti yakambomira kunonoka. Ndezvipi zvisingaiti zvepabonde zvinoita 38% zvevarume vakasara vane? Chidzidzo hachitauri, uye iyo vanyori havana hanya zvikumbiro zvemashoko. Zvimwe zviya zviviri zvakakosha zvekusangana kwepabonde kwevarume ndezveDD uye pasi ye libido.
  2. Varume vacho havana kubvunzwa pamusoro pekushanda kwavo erectile pasina porn. Kana vose vanoita zvepabonde vachiita bonhora kune zvinonyadzisira, uye kwete zvepabonde nemumwe wavo, vangave vasati vaona kuti vakanga vaine zvinonyadzisira-vakaita kuti ED.
  3. Vanyori vanotaura Ley et. al., 2014 sekunyengera zvinonyadzisira zvakakonzerwa ED. Izvo hazvina, uye zvakave zvakaparadzwa zvachose pano.

Kudzivisa Masturbator

Kana avo vari mune inodzivirira bonhora subtype (n = 27) vakaenzaniswa nemamwe ese makesi (n = 88), pakanga paine maitiro kune nhengo dzeboka iri kakawanda vachizvipira kuti vaishandisa bonde senzira yekudzivirira (100% vs. 41 %), χ 2 (1, n = 34) = 3.81, p = .051, = = 0.33. Nekuremekedza hutano hwepfungwa uye akasiyana ezvepabonde, iyo inodzivisa bonhora subtype yaive signi - zvakanyanya mukana wekutaura nhoroondo yezvinetso zvekushushikana (74% vs. 23%), χ (1, n = 101) = 20.27, p <.001, φ = 0.45, uye nezvematambudziko ekushanda pabonde (71% vs. 31%), χ (1, n = 88) = 10.63, p = .001, φ = 0.35, nekunonoka kumisikidzwa kuva dambudziko rinonyanya kutaurwa nezvekuita zvepabonde ( 33% vs. 7%), χ 2 (1, n = 88) = 9.09, p = .003, φ = 0.32. Avo vari mune inodzivirira bonhora subtype vaive neyakajairwa kuve shoma pane mamwe ese sampuro kuti vambove mune hukama hwakakomba hwehukama (70% vs. 86%), χ 2
(1, n = 102) = 3.34, p = .068, φ = 0.18. Pakati pevaya vakarondedzera ukama hwepabonde, paiva nemafungiro ekukwirira kwehukama hwakapera (28% vs. 9%) kana kushungurudzwa nekuda kwezvinetso zvavo zvehupombwe (56% vs. 50%), χ 2 (3 , n = 82) = 5.91, p = .052, φ = 0.27.

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Sezvambotaurwa, iyo inodzivirira bonhora subtype yaishandiswa senge kuita mune inopfuura 1 hr pazuva, paavhareji, yekushandisa zvinonyadzisira / bonhora. Sezvakagara zvataurwa, iyi subtype yaive neyakajairwa kune mukana wakakura wekutaura maitiro avo epabonde sekuve chikamu chedziviriro zano. Kunyangwe kushandisa zvisina kufanira zvinodhaka zvakare kuri kwehunhu hwekuzvidzivirira, iyi subtype yaive nemikana mishoma yekumhan'ara zvinhu zvinoshungurudza, pamwe nekuda kwekunge watowana nzira inoshanda yekudzivirira mukushandisa zvinonyadzisira, kunyangwe izvi zvawanikwa zvichipesana nekutsvaga pane izvo zvinonzi zvinodhaka zvehunhu (kusanganisira hupombwe), umo kusangana-pamwe nekusagadzikana kwekushandisa zvinodhaka kwakawanikwa (sezvakataurwa muchidimbu muGrant, Potenza, Weinstein, & Gorelick, 2010). Zvingave zvinobatsira pakutsvagurudza mune ramangwana kuongorora kana varume vari mune iyi subtype vane matambudziko nemamwe maitiro ekuzvidzivirira, akadai sekutamba (kureva., Mavhidhiyo emavhidhiyo) kana mamwe matambudziko eInternet ekushandisa. Izvo zvakakodzera kufungidzira kana mazhinji anonzi maitiro ekuzvibata akapindwa muropa ane chekuita nekuverengera kana kudzivisa uye anogona kupindura nenzira dzakafanana dzekurapa. Iyo ipfungwa yedu yekuti kupindwa muropa kunoenderana nekudzivisa uye kuverengera.

Zvinopindirana nevanhu vangangodaro vari kumusoro mukudzivirira kana kuverengera (semuenzaniso, Beswick, Rothblum, & Mann, 1988; Flett, Stainton, Hewitt, Sherry, & Lay, 2012), avo vanodzivirira bonhora vaive zvakanyanya mukana wekutaura matambudziko ekuzvidya mwoyo. Zvichida zvinoenderana nekushushikana kwakanyanya kuri kuwana kuti vanhu ava vaive nekatsika kekusaita mukana wekuve murudo; pamwe ivo kashoma kuti vanzwe kugadzikana kuita kumeso-kumeso kusangana pabonde uye hukama hukama. Zvinogona zvakare kuve kuti iyo nguva yavari kudyara mukuona zvinonyadzisira vanoshandisa uye bonhora rinogumira iyo nguva yekutsvaga hukama. Kudzivisa vanoita bonhora avo vaive muhukama vaive nemafambiro ekuti vataure humwe hukama hwehukama. Izvi zvinogona kunge zvichikonzerwa nedambudziko ravo kuva rakaoma kuvanda kubva kune wavanofambidzana naye (semuenzaniso, vazhinji vavakaroorana vevasingapombwe mhombwe uye paraphilic hypersexourse vanogona kunge vasingazive nezve zvido kana zviitiko zvemurwere). Zvinogona zvakare kuve kuti ivo vari kuita bonhora nekuda kwematambudziko muhukama hwavo hwakatanga pamberi pematambudziko ehunhu hwepabonde; zvisinei, izvi zvinogona kutaurwa kune ese madiki madiki, sezvo isu tisina kuongorora hunhu muchidzidzo chino. Chekupedzisira, uye pamwe zvakare chakanangana nematambudziko ehukama, ndechekuti vanodzivisa vanoita bonhora vanowanzo taura matambudziko ekushanda pabonde kupfuura mamwe madiki, kunyanya, kunonoka kumera. Izvo zvakakosha kuti uzive kuti hazvizivikanwe kana matambudziko aya akatangira zvinonyadzisira kana matambudziko ekuita bonhora uye nekudaro, anogona kunge aine hukama nekuzvidya moyo uye hukama hwehukama, kana kuti mhedzisiro yekuita bonyora kwenguva refu uye kazhinji kukonzeresa kusagadzikana zvine chekuita nehutano hwepabonde. kushanda. Mhedzisiro yekunonoka kuchinjwa, panzvimbo pekusagadzikana kweiyo erectile sekunyunyuta kwekutanga kunonakidza zvakare mune mamiriro enhau anozivikanwa enhau kuti kuona zvinonyadzisira kwakabatana ne erectile dysfunction. Kunyangwe paine makiriniki emakiriniki uye nemweya unopomerwa midhiya uye ekuzvibatsira masosi anoparadzira kutenda uku (semuenzaniso, Chiremba Oz Show, Ndira 31, 2013; James & O'Shea, Kurume 30, 2014; yourbrainonporn.com), hapana data kutsigira pfungwa yekuti kuona zvinonyadzisira kunokonzera kusagadzikana kwe erectile (Ley, Prause, & Finn, 2014). Nepo zvirevo zvezvinhu izvi zvemidhiya zvingave zvine huchokwadi, dambudziko nderekuti vanopa fungidziro dzinoda kuyedzwa nescienti, izvo zvisati zvaitika. Mhedzisiro kubva kuongororo iyi, kune ruzivo rwedu, yekutanga kuongorora hukama uripo pakati pekuita bonhora / zvinonyadzisira subtype yehupombwe nekuita zvepabonde.