intshayelelo
Lapha sinawo enye inxalenye yesiprogram, lo uzama ukubukhanyela ubukho beengxaki zesondo ezibangelwa ziintlobano zesini. Ngu Inqaku lemihla ngemihla Claire Downs ngubani ubuchule buchazwe njenge "Isisebenzi sesithathu kwisizukulwana kwi-Chicago futures shishini, isekelwe kwi-cryptocurrencies kunye ne-altcoins."Kuyathakazelisa ukuba akukho nanye kwezi ziqwenga zamva nje ezizama ukulungisa i-porn-eyanyanzeliswa ngu-ED ziintatheli zesayensi, singasathethi ke ngabahlohli okanye iingcali zezempilo.
Njengamanye amanqaku anjalo, i-Downs icacisa izifundo ezimbini ezifanayo (ezingazange zifumane oko kuthethwa yi-Downs) ngelixa bewunakunaki ukuphazamiseka kobungqina bobugcisa kunye nekliniki.
Ngaphambi kokuba ndidibane namacandelo athile Daily Dot inqaku, nazi izifundo uClaire Downs akhethe ukuzityeshela. (Ndithi 'ukhethe' kuba uninzi lwezifundo zilandelayo zikhankanyiwe koku Ukuhlaziywa kweencwadi ze-2016, e-Downs ekhankanywe kwisiqwenga sakhe, kodwa engakunakwa ngenxa yokuba wayefuna ukuphazamisa omnye wabalobi bayo be-8):
- Iiduna kunye neengxaki zesondo? Olu luhlu luqulethe iikhompyutheni ze-35 ezidibanisa ukusetyenziswa koononophelo / ukuxhatshazwa koononophelo kwiingxaki zesondo kunye nokwenyuka kwe-sexually stimulus. The Izifundo zokuqala ze-7 kuluhlu lubonisa bangela, njengabathathi-nxaxheba baqhelise ukusetyenziswa koononophelo kunye nokuphulukisa izifo ezingasinikiyo zesondo.
- Imiphumo yeSigxina kwimibutho? Izifundo ezingaphezu kwe-75 zidibanisa ukusetyenziswa kwe-porn ukuya kwisini esincinci kunye nolwaneliseko lobuhlobo. Ngokuba sifuna zonke Izifundo ezibandakanya abesilisa ziye zaxela ukusetyenziswa koononophelo olunxulumene nalo zihlwempu zesini okanye ukwaneliseka kobudlelwano.
- Izifundo ezingaphezu kwe-40 zokubika iziphumo zihambelane nokukhula kwezilwanyana (ukunyamezela), ukuhlala kwimiba yezononophelo, kunye nokukhutshwa kweempawu (zonke iimpawu kunye neempawu ezinxulumene nomlutha). Ukuhlala kwimihla ekhoyo, elandelwa ukunyuka, ihambelana nokuxhatshazwa ngokwesini kunye nokunyusa ukuxhamla kwabalingani bezesondo.
- Amanye amabali e-3,000 wabantu bokuqala Ukubuyisela kwiingxaki zesini zesondo (Ukubuyisela kwakhona ii-akhawunti 1, Ukubuyisela kwakhona ii-akhawunti 2, Ukubuyisela kwakhona iiAkhawunti ze3, Iifutshane zokubuyisela ze-PIED).
- Amanqaku ama-140 kunye namavidiyo acacisa iingcali ezininzi (urology profesors, urologists, psychiatrists, psychologists, sexologists, MDs) abavuma kwaye baphumelele ukuphatha i-porn-induced ED kunye ne-porn-induced loss of sexual desire.
- Kwakhona: Izifundo ze-50 ze-neuroscience (I-MRI, i-FMRI, i-EEG, i-neuropsychological, i-hormonal) ukubonelela ngenkxaso enamandla kumzekelo wokulutha. Olu luhlu luqulethe 25 Ukuphononongwa koncwadi kwangoku kunye neenkcazo ngenye yezinto eziphezulu ze-neuroscientists ehlabathini, ezixhasa umzekelo wokuxhatshazwa koononophelo.
- Ukuxilongwa ngokusemthethweni? Incwadi yokusetyenziswa kwezifo zonyango ngokubanzi, Ulwahlulo lwaMazwe ngamazwe (ICD-11), iqulethe uvavanyo olutsha ezifanele ukuxhatshazwa koonwabo: "Ukuxhatshazwa kwezesondo ngokunyanisekileyo. "
Kwintshayelelo yakhe iDowns ithi “sathetha oogqirha kunye neengcali zezempilo zesondo malunga nale phando", Kodwa inqaku licaphula kuphela ezibizwa ngokuba ziingcali. Akukho ngcali yeheath ibona amadoda enengxaki yesini:
- UDkt. Nicole Prause, umntu ongafundanga onembali ebanzi ye- ukukhankanya ngokukhawuleza ukuxhatshazwa ngoononophala-ED ne-addicted pornography. U-Nicole Prause ukhangeleka nge debunking PIED, emva kokusebenza Imfazwe ye-3 yeminyaka kulephepha lezemfundo, ngelixa ngaxeshanye behlukumeza kwaye bekhulula abafana abachaphazeleka ekuziphatheni okubi ngokwesini. Jonga amaxwebhu: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Icawa kaNowa, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9, Alexander Rhodes # 10, UAlex Rhode # 11, UGabe Deem kunye no-Alex Rhode kunye # 12, Alexander Rhodes # 13, Alexander Rhodes #14, I-Gabe Deem # 4, Alexander Rhodes #15. I prause izama kwakhona cwaka uGary Wilson ngokuphambuka kwegama elingekho mthethweni kunye nokuqhekeka.
- UDkt Heather Berg, ochazwa njengomfundisi-ntsapho kwizifundo zesini e-USC esebenza kwincwadi engemveliso yeefilimu yabantu abadala. ” Incwadi? "I-Porn Work: Ifilimu Yomdala kwiNgongoma yokuvelisa, iphenye ukusebenza koononophelo, ukusabalalisa, kunye nokulungiswa kwabasebenzi"
Inqaku lithembele kwii-PhD's ezinobuntu ezibonisa amanyala, ngaphandle kwengcali yezonyango emehlweni, kungasathethwa ke nge-urologist eyiyo. Mhlawumbi uClaire Downs bekufanele ukuba uyayifunda Eli phepha liqulethe amanqaku kunye namavidiyo ngeengcali ze-140 (urology profesors, urologists, psychiatrists, psychologists, sexologists, MDs) abavuma kwaye baphumelele ukuphatha i-porn-induced ED kunye ne-porn-induced loss of sexual desire.
Eminye yale mpendulo iya kuba neenkcukacha ezivela kwinqaku leClaire Downs elandelwa yi-YBOP.
Uzama ukukhangela uprofesa we-urology uCarlo Foresta, kodwa udibanisa izifundo ezimbini ezihlukeneyo ngokupheleleyo
Kwimizamo engaphumelelanga yoku "debunk" iziphumo ze-Foresta, iDowns ikhankanya uphononongo lwe-Foresta lowama-2015, ukanti zonke izicatshulwa zayo zivela kupapasho lwendaba ngo-2011 lwe-Foresta olungenanto yakwenza nophando luka-2015. Ubudenge.
CLAIRE DOWNS: "Abakholelwa" kubhubhane "lwe-PIED bahlala becaphula enye Ucwaningo lwe-2015 isuka e I-International Journal Yonyango lwezeMpilo kunye neMpilo. Uhlolisise amadoda angama-28,000 aseNtaliyane malunga neentlobo zoononografi kunye nokuziphatha ngokuphinga. Olu pho nonongo luye lwagqiba ukuba abafana-baqala ukubonakalisa i-porn nakwi-14 yobudala ngokwe-average-experienced experience drop down libido kunye nokunciphisa umdla kwi-IRL nabalingani bezesondo emva kobomi.
Nantsi i-catch, nangona kunjalo: Ayenzanga. Esi sigqibo sichazwa njani ngewebhusayithi Blaze uxele isifundo. Amanqanaba e-libido yabathathi-nxaxheba akazange alinganiswe— "isifundo" yayiluvavanyo nje lwezimvo. "
Xa iDowns yathi “Abakholwayo "kwingqungquthela" yePIED badla ngokukhankanya omnye Ucwaningo lwe-2015, ”Udibanise kolu phando: I-Adolescents kunye noonobumba be-intanethi: ixesha elitsha lokwabelana ngesondo (2015). Olu pho nonongo luhlalutye imiphumo ye-intanethi kwizikolo eziphakamileyo (iminyaka eyi-18). Ngelishwa, uGqr Foresta nguMongameli (okanye uMongameli odlulileyo) woMbutho wase-Italiya wePathophysiology yokuzala. Elona qela lakhe linomdla kukufumana ukuba i-16% yalabo abasebenzisa iifosora ezingaphezu kweyodwa ngeveki babonisa umnqweno wesini wesimo esingavumelekanga, xa kuthelekiswa ne-0% kwabangewona abathengi (kunye ne-6% kulabo badla ngaphantsi kwesinye ngeveki).
Nangona kunjalo, ikhonkco yesibini (“Iiwebhusayithi ezifana Blaze uxele isifundo ”) kunye nazo zonke iinkcazo zayo zibhekisela kuphela kwi-2011 yokukhululwa kwiprogram evela kwi-Italian Society ye-Andrology kunye neMicrosoft Medicine (SIAMS). Yabona Ubuninzi be-intanethi bungabangela ukungabi namandla, uprofesa urology uCarlo Foresta (2011) ngamanye amanqaku amaninzi afaka i-SIAMS.
le I-2014 PDF yefundiso ye-Foresta, iqulethe ukujonga okungaphezulu kunye neenkcukacha-manani, kubandakanya ukonyuka okumangalisayo kwipesenti yolutsha oluchaza iingxaki zesini kunye nelahleko ye-libido. U-Foresta ukwakhankanya isifundo sakhe esizayo, "Ukuxhatshazwa kwezesondo kunye neendlela ezintsha zesampula zesifo sezesondo 125 abesilisa abancinane, i-19-25 iminyaka. ” Igama lesiTaliyane: “I-Sessualità mediatica e nuove form di patologia sessuale Campione 125 giovani maskindi "
Ngenxa yempazamo yakhe engahlawulwayo, yonke into ethi yiDowns malunga "nofundo ngo-2015" ayichanekanga. Le yenye yezinto ezingangqinelaniyo kunye nokushiya into eyenziwe nguClaire Downs.
Downs uqesha kwi-hominem kunye neenkcazo zobuxoki zokuqhawula a iphepha eliphononongwa ngontanga elibandakanya oogqirha bezobugqirha be-7 US
Kwimimandla yokubhula e-Downs elandelayo ukuya kwiingxelo zobuxoki kunye kwi-hominem:
IBLAIRE LIYAJONGA: “enye iphepha, "Ngaba iinthombe zoononongo ze-intanethi zibangelwa ukungaxhatshali ngokwesondo?" Kucacisiwe kulo Herald inqaku isilumkiso ngesizukulwana esakhula kwi-pornography. Emva kophando olongezelelweyo, omnye wabalobi bephepha elo nguGary Wilson, umsunguli we YourBrainOnPorn.com, ekhokelela kwimikhankaso yezopolitiko neyenkolo yokulwa iphonografi. ”
Ngenxa yesizathu esingaqhelekanga I-Downs ikhehliwe ukukhankanya ukuba abanye abalobi bephepha ba-Seven US Navy ogqirha, kuquka i-2 urologists, i-2 psychiatrists, kunye ne-MD kunye ne-PhD kwi-neuroscience evela ku-John Hopkins. Oops.
I-Downs ikwashiyile into yokuba uphononongo lwethu loncwadi lubonelela ngedatha yakutshanje ebonisa ukunyuka okukhulu kwiingxaki zolutsha kulutsha. Ikwajonga kwakhona izifundo ze-neurological ezinxulumene nokulutha kwe-porn kunye nemeko yezesondo, zombini ezo zibonakala ngathi zinomngcipheko kwabanye babasebenzisi be-Intanethi banamhlanje. Oogqirha banikezela ngeengxelo ezi-3 zekliniki zamadoda aphuhlise ukungasebenzi kakuhle ngokwesondo. Ababini kula madoda mathathu baphilisa ukungasebenzi kwabo ngokwesondo ngokuphelisa ukusetyenziswa gwenxa kwe-Intanethi. Indoda yesithathu yafumana ukuphucuka okuncinci njengoko yayingakwazi ukuyeka ukusebenzisa iphonografi.
Isaci esidala sithi “Zama njalo kwi-hominem xa ungakwazi ukulungisa into. ” Okanye kwimeko yeDowns, "Kutheni uzikhathaza ngokujonga inqaku elibhaliweyo lesiporho?" Andikhokeli kwimikhankaso yezopolitiko okanye yenkolo ngokuchasene ne-porn. Andikholelwa kubukho bukaThixo, njengabazali bam, kwaye ezopolitiko zam zisekhohlo. Le nyaniso yaziwa ngokubanzi yile kuchazwe kwi-About Us page. Inyaniso eyaziwayo encinci kukuba ubaba wamkhululekileyo wase Seattle ufundisa imfundo yesondo.
Ndacacisile kwintetho edibeneyo yam kwimbali kunye nendlela ndiphelile ngayo ukudala www.yourbrainonporn kwi2011. (Ukufumana oku ngaphezulu Udliwano lwe-2016 kum nguNowa B. Icawa.) Andizange ndibonwe ngombono woononophala. Nge-fluke kwinqanaba le-injini yokusesha, malunga ne-2007 (kungekudala emva kokufika kwe-tube tube ye-porn tube), amadoda akhononda ngokungafunanga i-erectile kunye ne-libido ephantsi kwiqabane lamalungu athile aqala ukuthumela iforam edidekileyo yam inkosikazi eyadala iingxoxo malunga nobuhlobo bezesondo. Kwiminyaka embalwa elandelayo abaninzi abantu abanempilo kwilabuthano baphulukisa iintsholongwane zabo zesondo ngokuyeka i-porn. Ekugqibeleni sagxile malunga nale nto, kuba amadoda amaninzi afumaneka ukufunda amava oontanga. Kungekudala iforamu yam inkosikazi yayiphuphuma ngamaqela amancinane afuna ukuphulukisa imiphumo engalindelekanga ye-intanethi. Ngeli xesha, asikwazi ukubala ukuba zihlandlo ezilihlandlo esizibuza ukuba ngabafundi bezocansi bezemfundo bajonge le ngxaki. Ba ngafuni.
Ngokudabukisayo, abaninzi abantu abanobuhlungu obunobunono bobulili babecala ukuba bazibulale xa befikile, besaba ukuba baphukile ngenxa yobomi. Xa sibhekene nokuqhutyelwa ngamatye ngokuqhubekayo kunye neengcali ezazimele ziphande ngeemeko zabantu abanesifo, sasiziva sisidingo senza i-intanethi ekhoyo eyenza isayensi echaphazelekayo kunye namabali amadoda afunyenwe kwiindawo ezahlukeneyo zokuxhatshazwa ngokwesondo ( ngokukhawuleza ukulibaziseka ukunyuka, ukulahleka kwekhangelelo kumaqabane okwenene, kunye nokuchithwa okungahambiyo okanye okungaqinisekiyo). Www.yourbrainonporn.com wazalwa. Ukuba likhankanya nantoni na, kuya kuba yimpilo yezocansi.
UClaire Downs ukhankanya amaphepha amabini ahlaselekileyo ngelixa ehoxisa izifundo ezili-12 ze-2.
Njengoko kuchazwe ngasentla, i-Downs ilahlekile Izifundo ze-35 ezidibanisa ukusetyenziswa kwezilwanyana / ukuxhatshazwa ngokwesondo kwiingxaki zesini kunye nokunyuka okuphantsi kwizesini. Okubaluleke ngakumbi, i-Downs ukushiya izifundo ze-7 zibonisa ukusetyenziswa koononophelo kubangela iingxaki zesondo (izifundo zokuqala ze-7 kuhlu). Kuzo zonke iziphumo ze-6 izigulane ezincinane ezinezifo ezingapheliyo zesondo ziphelisa ukusetyenziswa koonwabo kunye nokuphilisa iingxaki zabo zesini
Ukungahoyi amaphepha e-6 acebisa ukuba ukuyeka ukusebenzisa i-Intanethi kuguqula ukungasebenzi kakuhle ngokwesondo, kunye nezinye izifundo ze-19 ezidibanisa ukusetyenziswa kwe-intanethi kwi-intanethi ekusebenziseni isondo kunye nokuvuka okuncinci, uClaire Downs endaweni yoko wakhankanya amaphepha ama-2 njengemithombo "ehloniphekileyo": Udumo kunye nePfaus, 2015 kwaye Umhlaba kunye neStulhofer, 2015. Okokuqala, akukho phepha lalifundwa ngokwenene. Udumo kunye nePfaus, 2015 yadibanisa idatha kunye namaphepha amadala awazange abe nantoni na ekusebenzeni kwe-erectile. Njengoko uza kubona, akukho nanye idatha evela kumaxwebhu adala ase-4 eza kufutshane nokulinganisa inani lezifundo okanye amabango ayenziwe ngamaphepha adibeneyo. Umhlaba kunye neStulhofer, 2015 Kwakunxibelelwano olufutshane oluye lwashiya amanxulumano amaninzi afanelekileyo anikwe ingxelo kwingqungquthela. Zomibini iimpepha zigxekwa kwiincwadi zokuhlaziywa koontanga, nakwezinye iindawo. Iingxelo ezifanelekileyo ezivela kwi-Downs icatshulwa:
CLAIRE DOWNS: “Kulula kakhulu ukufumana imithombo eyaziwayo exhasa kwaye ikhuthaze iimpawu ezintle zesini. Umzekelo, lo 2015 isifundo, eqhutywe ngabaphandi I-Psychophysiology yezesondo kunye ne-Affective Neuroscience Laboratory akafumananga ulwalamano phakathi kwe-ED kunye nenani lezesondo zesondo ezibonwa ngabantu. Ngesinye isihlandlo, uDkt. Nicole Prause wathola ukunyuka kwesondo ngokuqinileyo kumadoda abika ukujonga ezinye iinkcografi ekhaya.
Olunye uhlangothi lwe-2015 ukufundiswa kwikhompyutha phantse amadoda angama-4,000 aseYurophu, ashicilelwe kwi Umbhalo Wezobisi Zosondo, akafumananga mngcipheko ubalulekileyo onxulumene ne-ED kunye ne-porn kwaye wakhankanya "ukuphendula okukhulu ngokwesondo" kubabukeli be-porn. "
Omabini la maphepha axoxwa ixesha elide kuphononongo loncwadi olwabhalwa ngokubhaliweyo ngoogqirha baseMelika abasi-7 kunye nam, endiza kuthi ndakuchaza apha ngezantsi. Ndinezinto ezininzi zokuthetha ngawo omabini amaphepha, ke ndenze amacandelo ahlukeneyo kwiphepha ngalinye Masikhuphe into enye endleleni: akukho phepha lifumanisileyo ukuba ukusetyenziswa kwe-porn kunxulunyaniswa "nokuphendula okukhulu ngokwesondo," ngaphandle kwento iDowns exelelwe yona yimithombo yakhe. Ndiza kuqala ngephepha lesibini kuba silithethile kuqala ku ukuphonononga lwethu uncwadi.
IPAPER 1: Udumo kunye nePfaus, 2015.
Ndibonelela ngokugxekwa ngokusesikweni nguRichard Isenberg, MD kunye nokugxeka okubanzi, kulandelwa ngamagqabantshintshi kunye neenkcazo ezivela kwiphepha elabhalwa ngoogqirha baseMelika.
- Kwiphepha elifanayo njengephepha: Incwadi kumhleli nguRichard A. Isenberg MD (2015)
- Kukhulu kakhulu ukubeka ingqalelo: Akukho nto idibanisa kwiSifundo seDubious: Iingxelo zentsha 'I-ED Left engachazwanga (2015)
Ibango: Ngokuchasene nebango likaDowns (kunye noPrause kunye nebango likaPfaus), amadoda abukele iphonografi ayengenazo "iimpendulo ezinamandla kwilebhu." Akukho nasinye kwizifundo ezi-4 ezisisiseko sebango lephepha vavanywa isini okanye iimpendulo zesondo kwilebhu. Oko kwafunwa nguPrause & Pfaus kwiphepha labo kukuba amadoda abebukele iphonografi alinganisa ukonwaba kwawo ngaphezulu ngelixa bebukela iifoto. Ibinzana eliphambili “ngelixa ubukele iphonografi. ” Yiyo i, hayi ngelixa elalana nomntu wangempela.
Ukulinganiswa kwe-Arousal ngelixa ujonga iphonografi akusixeleli nto malunga nokuvuka okanye ulungiso lomntu xa hayi Ukubukela i-porn (apho abantu abaninzi abanomdla obunobunono bobulili obubonisa ukuziphatha kakubi ngokwesini kubonisa umsebenzi wesini ongathintekiyo). Ukulinganisa okunjalo akusixeleli nto malunga ne-porn-eyenziwe ngu-ED, oku kungakwazi ukuvuthwa ngokwaneleyo ngaphandle kokusebenzisa iifostile. Oko kwathiwa, iinkcukacha ezivela kwiPrause & Pfaus, 2015 ityhila ukuba ngekhe bavavanye ngokuchanekileyo amanqaku okuvusa izifundo zabo (ngakumbi ngezantsi).
Ngenxa yengxabano masicinge ukuba amadoda abukela iphonografi alinganise ukuvusa kwabo phezulu kunamadoda ajonge kancinci. Enye, esemthethweni, indlela yokutolika lo mahluko uvusayo phakathi kwala maqela mabini asebenzisa iphonografi kukuba amadoda abukele olona manyala abona lukhulu kancinci unqwenela ukusebenzisa i-porn. Oku kubakho ubungqina bokuba ku khuthazwa, eyona mkhulu umvuzo wesiphaluka (ubuchopho) kusebenze kunye nokukhanga xa uboniswe kwii-pornography. Sensitization (i-reactivity-reactivity kunye neenqweno) yi-inguqu yokuguqula ubuchopho.
Izifundo ezininzi zamva nje zeYunivesithi yaseCambridge zengqondo zibonise uvakalelo kubasebenzisi abangamanyala. Iingqondo zabathathi-nxaxheba zazivuselelekile ekuphenduleni ividiyo, nangona bengakhange "bathande" ezinye zezinto ezithandwayo ngokwesondo ngaphezu kolawulo lwabathathi-nxaxheba. Kumzekelo obalaseleyo wokuba uvakalelo lunokuchaphazela njani ukusebenza ngokwesondo, i-60% yezifundo zeCambridge zixeliwe iingxaki zokuvusa / i-erectile kunye namaqabane kodwa kungekhona ngoononophala. Ukufunda kwiCambridge:
[Amakhoboka eziyobisi] abika ukuba ngenxa yokusetyenziswa gwenxa kwezixhobo ezibonisa gwenxa ngokwesondo… ..babenamava okunciphisa i-libido okanye umsebenzi we-erectile ngokukodwa kubudlelwane bomzimba nabasetyhini (nangona bengekho kubudlelane nezinto ezibonisa ezesondo).
Kulula nje, Umsebenzisi onobugqwetha obuninzi angabonisa ukuphakama okuphakamileyo (izifiso) kodwa naye ufumana iingxaki zokuvusa / ukunyuka kunye neqabane. Ngokuqinisekileyo, ukuvusa kwakhe ukuphendula iphonografi ayingobungqina "bokuphendula ngokwesondo" okanye ukusebenza kwe-erectile kunye neqabane. Jonga ezi zifundo zinika ingxelo yokukhuthaza / ukunqwenela okanye ukusebenza kwakhona kubasebenzisi be-porn / iziyobisi ngokwesondo: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23, 24.
Ukunyaniseka emva kwePrause & Pfaus 2015: Olu yayingelofundo kumadoda ane-ED. Yayingengofundo konke konke. Endaweni yoko, uPrause ubanga ukuba uqokelele idatha kwizifundo zakhe zangaphambili ezine, akukho nanye ejongene nokungasebenzi kakuhle kwe-erectile. Kuyaphazamisa ukuba eli phepha likaNicole Prause noJim Pfaus badlulise uphononongo loontanga njengoko kungekho datha ephepheni labo ehambelana nedatha kwizifundo ezine ezazibhalwe kwiphepha. Umahluko ayizizikhewu zincinci, kodwa yimingxunya evulekileyo engenakuvingcwa. Ukongeza, iphepha lenze amabango aliqela ayebubuxoki okanye angaxhaswanga yidatha yabo.
Siqala ngamabango amanga awenziwe ngabini bobabini UNicole Prause kunye noJim Pfaus. Amanqaku amaninzi entatheli malunga nolu phononongo athi ukusetyenziswa kwe-porn kukhokelele bhetele izilungiso, kodwa akusikho oko iphepha elikufumeneyo. Kwimibuzo edliwano-ndlebe, bobabini uNicole Prause kunye noJim Pfaus bathi bangamanqanaba okulinganisa kwibhuyibhile, kwaye ukuba amadoda asebenzisa i-pornography ayengabonakali kakuhle. Kwi Udliwano lwe-TV yeJim Pfaus UPfaus uthi:
"Sijonge ulungelelwaniso lwamandla abo okufumana ulabhoratri."
"Sifumene ulungelelwaniso lwe-liner kunye nenani le-porn ababeyijonga ekhaya, kwaye i-latency umzekelo abayifumana ngokukhawuleza ngokukhawuleza."
In udliwano-ntanethi UNicole Prause wathi ukulungiswa kwemilinganiselo kwakulinganiswa kwibhulebhu. Iqhosha elichanekileyo ukusuka kumboniso:
"Okukhona abantu bebukela inkanuko ekhaya baneempendulo ezomeleleyo ze-erectile kwilebhu, ezingancitshiswanga."
Nangona eli phepha alizange lihlolisise umgangatho we-erection kwi-lab okanye "isantya sokwenza izinto." Lephepha kuphela zifunyenwe ukuba bacele abafana ukuba balinganise "ukuvusa" kwabo emva kokujonga iifostile (kwaye akucaci nakumaphepha aphantsi ukuba le ngxelo elula ibuzwa kuzo zonke izifundo). Kwimeko nayiphi na into, isicatshulwa kwiphepha ngokwalo savuma ukuba:
"Akukho datha yokuphendula amalungu esini ebandakanyiwe ukuxhasa amava abantu abazixelayo."
Ngamanye amazwi, akukho zikhetho eziye zavavanywa okanye zilinganiswa kwibhabhu!
Kwimibini yesibini engasekelwe, umbhali okhokelayo uNicole Prause tweeted maxesha amaninzi malunga nokufunda, ukuvumela ihlabathi ukuba i-280 izifundo zibandakanyeke, kwaye "azinakho iingxaki ekhaya." Noko ke, ezi zifundo ezine ziqulethwe kuphela kwizifundo zesilisa ze-234, ngoko "i-280" ihamba ngendlela.
Ibango lesithathu elingasekelwanga: Ileta kaGqirha Isenberg eya kuMhleli (edityaniswe ngentla), ephakamise iinkxalabo ezininzi ezibonisa ukungalunganga kwiphepha lePrause nePfaus, wazibuza ukuba kungenzeka njani Udumo kunye nePfaus U-2015 uthelekise amanqanaba ezifundo ezahlukeneyo 'xa zithathu hlukile iintlobo zesistim zezesondo zazisetyenziselwa izifundo ze-4. Izifundo ezimbini ezisetyenziselwa ifilimu yekota ye-3, olunye uphando lusetyenziswe ifilimu ye-20-yesibini, kwaye olunye uphando lusetyenziswa imifanekiso. Kucaciswe kakuhle ukuba Iifilimu zivusa kakhulu kunezithombe, ke akukho qela lophando lisemthethweni liza kudibanisa ezi zifundo kunye ukwenza amabango malunga neempendulo zabo. Into eyothusayo kukuba kwiphepha labo iPrause & Pfaus ngokungathandabuzekiyo bathi zonke izifundo ze-4 zisebenzise iifilimu zesini:
"I-VSS evezwe kwizifundo kwakuzo zonke iifilimu."
Le nkcazo ayiyonyani, njengoko ibonakalisiwe ngokucacileyo kwizifundo zikaPrause. Esi sizathu sokuqala sokuba iPrause kunye nePfaus abanako ukubiza ukuba iphepha labo lihlolwe "ukuvusa." Kuya kufuneka usebenzise inkuthazo efanayo kwisifundo ngasinye ukuthelekisa zonke izifundo.
Ibango lesine elingasekelwe: UDkt. Isenberg ubuze nokuba njani Udumo kunye nePfaus I-2015 inokuthelekisa amanqanaba ahlukeneyo ' kuphela 1 ze-4 zifundo ezisetyenziswayo 1 kwizinga le-9. Omnye wasebenzisa i-0 ukuya kwisikali se-7, enye yasebenzisa i-1 ukuya kwisikali se-7, kwaye isifundo esinye asixelanga ukulinganisa ngokwesondo. Ukuphinda uPrause kunye noPfaus ngokungacacanga bathi:
"Amadoda ayecelwa ukuba abonise izinga labo" ukuvusa isondo "ukusuka kwi-1" kungekhona "kwi-9" kakhulu. "
Le ngxelo, nayo, ibubuxoki, njengoko amaphepha aphambili ebonisa. Esi sizathu sesibini sokuba i-Prause ne-Pfaus bangenako ukubanga ukuba iphepha labo livavanye ukulinganisa "ukuvusa" emadodeni. Isifundo kufuneka sisebenzise isikali sokulinganisa esifanayo kwisifundo ngasinye ukuthelekisa iziphumo zezifundo. Isishwankathelo, zonke iintloko eziveliswa nguPrause malunga nokusetyenziswa kwe-porn ukuphucula ii-erections okanye i-arousal, okanye nayiphi na enye into, ayifanelekanga.
Udumo kunye nePfaus I-2015 nayo yathi ayifumananga ubudlelwane phakathi kwamanqaku asebenzayo erectile kunye nesixa sezononophelo ebonwa ngenyanga yokugqibela. Njengoko uDkt. Isenberg wathi:
“Eyona nto iphazamisayo nangakumbi kukushiywa ngokupheleleyo kweenkcukacha manani zesiphumo somsebenzi we-erectile. Akukho ziphumo zobalo zinikiweyo. Endaweni yokuba ababhali bacele umfundi ukuba akholelwe nje kwingxelo yabo engenabungqina bokuba akukho manyano phakathi kweeyure zoononografi ezijongiweyo kunye nomsebenzi we-erectile. Ngenxa yokuphikisana kwababhali bokuba umsebenzi we-erectile kunye neqabane unokuphuculwa ngokubukela iphonografi ukungabikho kohlalutyo lwamanani kubaluleke kakhulu. ”
Kwi Impendulo kunye nePfaus kwimpendulo kaGqirha Isenberg, ababhali baphinde basilela ukubonelela ngedatha yokuxhasa "ingxelo yabo engenasiqinisekiso." Njengoko maxwebhu ahlalutyo, Impendulo kunye nePfaus impendulo ayiphephi ukukhathazeka okusemthethweni kukaGqirha Isenberg, iqulethe uninzi entsha ukuthetha kakubi kunye neengxelo ezingamanga ezifihlakeleyo. Gqi beleni, ukuphonononga lwethu uncwadi ubeke izimvo Udumo kunye nePfaus 2015:
"Uphononongo lwethu lukwabandakanya amaphepha amabini e-2015 athi ukusetyenziswa gwenxa kwe-Intanethi akuhambelani nokukhula kobunzima kumadoda aselula. Nangona kunjalo, loo mabango abonakala ngathi angaphambi kwexesha xa kuvavanywa la maphepha kunye nokugxekwa ngokusesikweni. Iphepha lokuqala linemibono eluncedo malunga nendima enokubakho kwimeko yezesondo kwi-ED yolutsha [50]. Nangona kunjalo, olu papasho luye lwagxekwa ngenxa yokungafani, ukushiyeka kunye neempazamo zendlela. Umzekelo, ayiboneleli ngeziphumo zezibalo zomsebenzi wesiphumo somlinganiso ngokunxulumene nokusetyenziswa kwamanyala e-Intanethi. Ukuqhubela phambili, njengoko ugqirha wophando watsho kwisikhalazo esisesikweni sephepha, ababhali bephepha, "abanikanga umfundi ulwazi olwaneleyo malunga nabantu abafundileyo okanye uhlalutyo lweenkcukacha-manani ukuthethelela isigqibo sabo" [51]. Ukongeza, abaphandi baphanda iiyure zoononopopasho ze-intanethi zisetyenziswa ngenyanga yokugqibela. Nangona kunjalo izifundo kwi-intanethi yezilwanyana ezigqithisileyo ziye zafumanisa ukuba ukutshintsha kweeyure ze-intanethi zisebenzisa i-yedwa ngokungahambelani "neengxaki zobomi bemihla ngemihla", amanqaku kwi-SAST-R (Uvavanyo lweZilingo zoLwaphulo lweSondo), kwaye amanqaku kwi-IATsex (isixhobo ovavanya umlingo kwi-intanethi ye-intanethi) [52, 53, 54, 55, 56]. I-predictor engcono yinkqubo yokuzibandakanya ngokwesondo ngokuzithoba xa ukhangele i-intanethi ye-pornography (cue reactivity), i-correlate eqinisiweyo yokuziphatha komlingo kuzo zonke izilingo [52, 53, 54]. Kukho ubungqina obuninzi bokuthi ixesha elichithwe kwi-intanethi-yezemidlalo ayiyikuxela ukuziphatha komlutha. "Umlutha unokuhlolwa kuphela xa iinjongo, iziphumo kunye neempawu zengcamango zokuziphatha ziyingxenye yovavanyo" [57]. Amanye amaqela athando oluthathu, esebenzisa iinqununu ezahlukahlukeneyo "zokuxhatshazwa ngokwesini" (ngaphandle kweeyure zokusetyenziswa), ziye zadibanisa kakhulu neengxaki zesini [15, 30, 31]. Ithathiwe kunye, olu phando lucebisa ukuba endaweni yokuba "kusetyenziswe iiyure", izinto ezininzi ezichanekileyo zibaluleke kakhulu kuvavanyo lweziyobisi / iphonografi, kwaye kufanelekile kakhulu ekuvavanyeni ukungasebenzi kakuhle kwezesondo. ”
Olu hlalutyo luye lwabonisa ubuthathaka ekudibaniseni "iiyure zokusetyenziswa kwangoku" ukuqikelela ukuxhatshazwa kwezesondo ezibangelwa i-porn. Inani le-porn elijongwa ngoku yenye yezinto ezininzi ezibandakanyekayo kuphuhliso lwe-ED. Oku kunokubandakanya:
- Ukulinganiswa kwe-masturbation kwi-pornography ngokuxhatshazwa ngaphandle kokugqwetha
- Ukulinganiswa komsebenzi wesondo kunye nomntu ngokubhekisana nokuhlaziya i-pornography
- Iimpompo zesini esahlukanisiweyo (apho umntu uthembela kwi-pornography kuphela)
- Intombi okanye ayikho
- Iyonke iiyure zokusetyenziswa
- Iminyaka yokusetyenziswa
- Ubudala buqalise ukusebenzisa i-pornon ngokuzithandela
- Ukunyuka kwamanani olutsha
- Ukuphuhliswa kwezithintelo zoononopopayi (ukusuka ekuhlaleni kweentlobo zeentlobo zoononophala)
- Inqanaba lentengiso ngeseshoni (oko kukuthi amavidiyo okuhlanganiswa, iithebhu ezininzi)
- Ingqondo ehlobene neziyobisi ishintsha okanye ayikho
- Ubuninzi boxhatshazo / ubumlingo obungcolileyo
Indlela engcono yokuphanda le ngxaki, ukususa intshintsho ye-intanethi kusetyenziso lwezilwanyana kunye nokugcina isigqibo, okwenziweyo kwimiba yecala apho amadoda asusa khona ukusebenzisa i-intanethi ye-intanethi aze aphiliswe. Oluphando luchaza bangela endaweni yokubambisana okungaqhelekanga evulelwe ukutolika okuphikisanayo. Indawo yam liweyo amawaka ambalwa amadoda asusa i-porno kwaye afunyanwa kwiimeko ezingasondelanga zesondo.
IPAPER 2: Umhlaba kunye neŠtulhofer, 2015.
Umhlaba kunye neŠtulhofer, U-2015 wachongwa "njengonxibelelwano olufutshane" ngujenali owayepapashile, kwaye ababhali ababini bakhetha idatha ethile ukuba babelane ngayo, ngelixa beshiya enye idatha efanelekileyo (ngakumbi kamva). Njengokuba kunjalo Udumo kunye nePfaus, eli phephancwadi liye lapapasha i-critic of Umhlaba kunye neŠtulhofer: Ukuphawula ngolu hlobo: Ngaba i-Ethophyrase isebenzisane kunye nobunzima bezocansi kunye neengxaki ezithintekayo phakathi kwaBantu abancinci be-Heterosexual Men? nguGert Martin Hald, PhD
Ngokubhekiselele kwibango Umhlaba kunye neŠtulhofer, I-2015 ayifumananga ubudlelwane phakathi kokusetyenziswa kwezilwanyana kunye neengxaki zesini. Oku akuyinyani, njengoko kuboniswe kuzo zombini le YBOP ihlalutye kwaye ukuhlaziywa kweencwadi ezibandakanya oogqirha bezobugqirha be-7 US. Ngapha koko, iphepha likaLandripet kunye ne-Štulhofer lishiye ulungelelwaniso olubalulekileyo abalunikileyo nkomfa yaseYurophu (ngaphezulu ngezantsi). Masiqale ngesiqendu sokuqala kwemithathu kwiphepha lethu elijongileyo Umhlaba kunye neŠtulhofer, 2015:
Iphepha le sibini lichaze ukulungelelanisa okuncane phakathi kwexesha le-intanethi ye-intanethi esetyenziswayo kunyaka odlulileyo kunye namazinga e-ED kumadoda asebenza ngokwesondo aseNorway, ePortugal naseCroatia [6]. Aba babhali, ngokungafani nala maphepha adlulileyo, bavuma ukuphakama okuphezulu kwe-ED kumadoda e-40 nangaphantsi, kwaye ngokwenene bafumene i-ED kunye ne-low-rate ye-sex desire rates ephakamileyo njenge-31% kunye ne-37%, ngokulandelanayo. Ngokwahlukileyo, uphando lwe-intanethi yangaphambi kokusasazwa kwi-2004 ngenye yabalobi bephepha babika amazinga e-ED kuphela kwe-5.8% kumadoda 35-39 [58]. Sekunjalo, ngokusekelwe kwimizekelo yokubala, abalobi banokugqiba ukuba i-intanethi ye-intanethi isebenzisa ayibonakali ingozi ebalulekileyo ye-ED yolutsha. Okubonakala kubonakale ngokugqithiseleyo, ngenxa yokuba amadoda asePutukezi abahlolisayo babika amaxabiso angaphantsi kweentsebenzo zesini ngokwesilinganiselo namaNorway nakwaseCroatia, kwaye kuphela i-40% yasePortugal ibiza ukusebenzisa i-intanethi ye-intanethi "kwiihlandlo eziliqela ngeveki ukuya kwimihla ngemihla", xa kuthelekiswa namaNorway , I-57%, kunye ne-Croatians, i-59%. Eli phepha liye lagxeka ngokusemthethweni ngenxa yokuhluleka ukusebenzisa amacebo amaninzi anakho ukuhlanganisa ulwalamano oluchanekileyo nolungathandangayo phakathi kwezinto ezikhoyo ezaziwa okanye ezixhomekeke kumsebenzi [59]. Ngokuqinisekileyo, kwiphepha elihambelana nomnqweno oswelekileyo wesini ezibandakanya abaninzi abathathi-nxaxheba abafanayo ukusuka ePortugal, eCroatia naseNorway, amadoda abuzwa ukuba zeziphi izinto ezikholelwa ukuba zinegalelo ekunqongopheni kwabo ngentsingiselo yesondo. Phakathi kwezinye izinto, malunga ne-11% -22% ukhethe "Ndiyisebenzisa kakhulu imifanekiso engamanyala" kunye ne-16% -26% inyulo "Ndiyidlala ngokugqithiseleyo" [60]
Njengababhali bam, oogqirha beNavy, kwaye ndachaza, eli phepha lafumana unxibelelwano olubaluleke kakhulu: Kuphela yi-40% yamadoda amaPhuthukezi asebenzisa iphonografi rhoqo, ngelixa i-60% yabantu baseNorway basebenzisa iphonografi rhoqo. Amadoda amaPhuthukezi ayengasebenzi kakuhle ngokwesondo kunamaNorway. Ngokumalunga nezifundo zaseCroat, Umhlaba kunye neŠtulhofer, I-2015 yavuma ubudlelwane obubalulekileyo phakathi kokusetyenziswa koononophelo oludlulileyo kunye no-ED, kodwa bathi ukuba ubungakanani besayizi buncinane. Nangona kunjalo, eli bango lingakhohliswa ngokwe-MD eli-statistician enezakhono kwaye ibhale izifundo ezininzi:
Uhlalutyo lwendlela eyahlukileyo (i-Chi squared),… ukusetyenziswa okuphakathi (ngokuchasene nokusetyenziswa rhoqo) kwandise ukungangqinelani (amathuba) okuba ne-ED malunga ne-50% kwaba bantu baseCroatia. Oko kuvakala kunentsingiselo kum, nangona kunomdla wokuba ukufunyanwa kuye kwabonwa kuphela phakathi kwamaCroats.
Ukwengeza, Umhlaba kunye neŠtulhofer I-2015 yashiywe imilinganiselo emithathu ebalulekileyo, enye yabalobi abanikezele kuyo nkomfa yaseYurophu. Uxele unxibelelwano olubalulekileyo phakathi kokungasebenzi kakuhle kwe-erectile kunye "nokukhetha iintlobo ezithile zoononografi":
"Ukuxela okukhethiweyo kwimibala ethile yeentlobo zoonografi kwakunxulumene kakhulu ne-erectile (kodwa kungenanto ejaculatory okanye ehlobene nomnqweno) zesini isifo. "
Iyayichaza loo nto Umhlaba kunye neŠtulhofer ukhetha ukushiya ukulungelelanisa okuphawulekayo phakathi kokungasebenzi kwe-erectile kunye nokukhethwa kwimihlobo ethile ye-porn ephuma kumaphepha abo. Kuqhelekile ukuba abasebenzisi boononophala baqhubeke kwiintlobo (okanye zifake) ezingafani neemfuno zabo zesondo zangaphambili, kwaye bafumane ama-ED xa ezi zikhethiweyo zezilwanyana ezingabonakaliyo zihambelana nokuhlangana kwezesondo zangempela. Njengoko sikhankanywe apha ngasentla, kubaluleke kakhulu ukuvavanya iinguqu ezininzi ezinxulumene nokusetyenziswa kwezilwanyana - kungekhona nje iiyure kwinyanga yokugqibela okanye ngokuphindaphindiweyo kunyaka odlulileyo.
Okwesibini ukufumanisa okuphawulekayo okushiyiweyo Umhlaba kunye neŠtulhofer I-2015 yabandakanyekayo abathathi-nxaxheba:
"Ukusetyenziswa koononografi okwandayo kwakuncinane kodwa kunxulumene kakhulu nomnxeba wokunciphisa ubundlobongela obunqamlekileyo kunye nokusetyenziswa kakubi ngokwesondo phakathi kwabafazi. "
Unxibelelwano olubalulekileyo phakathi kokusebenzisa iphonografi kunye nokunciphisa i-libido kunye nokungasebenzi kakuhle ngokwesondo kubonakala kubalulekile. Kutheni ungazange Umhlaba kunye neŠtulhofer Ingxelo ye-2015 yokuba bafumene unxibelelwano olubalulekileyo phakathi kokusetyenziswa kwe-porn kunye nokungasebenzi kakuhle ngokwesondo kwabasetyhini, kunye nabambalwa emadodeni? Kwaye kutheni le nto ingakhange ichazwe nakweyiphi na Štulhofer's ezininzi izifundo evela kule fayile yeedatha efanayo? Amaqela akhe abonakala ngokukhawuleza ukuba ashicilele idatha abayibanga i-debunks-eyabangela i-ED, kodwa iyancipha kakhulu ukuxelela abafazi malunga neengcamango ezingathandekiyo zoxhatshazo.
Ekugqibeleni, umphandi we-pornan waseDanish Izimvo zikaGert Martin Hald ezisemthethweni yavakalisa isidingo sokuvavanya amaninzi amaninzi (abalamlamli, amodareyitha) ngaphezu kwevama ngeliveki kwiinyanga zokugqibela ze-12:
“Olu phononongo aluthethi ngeemodareyitha ezinokubakho okanye abalamli bobudlelwane obufundwayo kwaye alunakho ukumisela imeko. Ngokwandayo, kuphando lwe-ponografi, kuthathelwa ingqalelo izinto ezinokuthi zibe nefuthe kubukhulu okanye ulwalathiso lobudlelwane obufundwayo (okt iimodareyitha) kunye neendlela ezinokuthi zifike ngazo (okt. Izifundo zexesha elizayo malunga nokusetyenziswa kwamanyala iphonografi kunye nobunzima bezesondo nazo zinokuxhamla ekubandakanyeni kugxilwe.
Ngaphantsi: Zonke iimeko ezinzima zonyango zibandakanya izinto ezininzi, okufuneka zihlaziywe ngaphandle kokuba izivakalisi zifikelele. Umhlaba kunye no-Štulhofer's ingxelo yokuba, “Imifanekiso engamanyala ayibonakali njengeyona nto iphambili kumnqweno wamadoda amancinci, i-erectile, okanye ubunzima be-orgasmic"Iya kude kakhulu, kuba iyazityeshela zonke ezinye izinto ezinokubakho ezinxulumene nokusetyenziswa kwe-porn ezinokubangela iingxaki ekusebenzeni ngokwesondo kubasebenzisi, kubandakanya ukunyuka ukuya kwiintlobo ezithile, abazifumeneyo, kodwa bashiywa" kuNxibelelwano olufutshane. " Imihlathi 2 & 3 kwingxoxo yethu Umhlaba kunye neŠtulhofer, 2015:
Kwakhona, uphando lwongenelelo luya kuba luncedo kakhulu. Nangona kunjalo, ngokubhekiselele kwizifundo zokulungelelanisa, mhlawumbi isicwangciso esiyinkimbinkimbi sezinto eziguqukayo kufuneka siphenywe ukuze sikwazi ukucacisa izinto ezisemngciphekweni ekusebenzeni kwiingxaki zesini zobutsha ezingakaze zenzeke. Okokuqala, kungenzeka ukuba umnqweno ophantsi wesondo, ubunzima be-orgasming kunye neengxaki kunye neengxaki ze-erectile ziyingxenye yendlela efanayo ye-intanethi echaphazelekayo, kunye nokuba zonke ezi ngxaki kufuneka zidibaniswe xa uphando malunga nokubambisana kunye ne-intanethi.
Okwesibini, nangona kungaboni kakuhle ukuba yiyiphi into ebangela ukuba ubunzima beengxaki ezinjalo, iziphambathiso ezithembisayo zokuphanda kunye kunye nexesha lokusebenzisa iifoto zoonopopasho ze-intanethi zingabandakanya (i-1) iminyaka yezoonografi-ezixhaswa ngokubhekiselele kwi-pornography-free toast; (2) umlinganiselo we-ejaculations kunye neqabane kunye ne-ejaculations kunye ne-intanethi ye-intanethi; (3) ubukho bentengiso ye-intanethi / ubundlululo; (4) inani leminyaka yokusasaza i-intanethi ye-intanethi. (5) ngaluphi ubudala obuqhelekileyo bokusebenzisa i-intanethi ye-intanethi yaqala nokuba ingaqala ngaphambi kobuntwaba; (6) umendo wokunyusa i-intanethi ye-intanethi; (7) ukunyuka kweentlobo ezigqithisileyo ze-intanethi, kunye njalo.
I-500% okanye ngokunyuselwa kwi-ED yolutsha kuba i-2010 ayikwazi ukucaciswa kude nezinto eziqhelekileyo
Izifundo zihlola ubulili besilisa besuka kwi-2010 ingxelo yamanqanaba omlando weentsholongwane zesondo, kunye namazinga ahlaselayo yesibetho esitsha: i-libido ephantsi (ngenxa yesini esahlukileyo). Ikhutshwe kule nqaku kunye nokuhlaziywa kwethu Ngaba iinthombe zoononopasho ze-intanethi zibangelwa izidakamizwa zesondo? Ukuphononongwa ngeeNgxelo zeKlinikhi (2016).
Ngaphambi kokufika koonwabo be-porn-free (2006), uphando lwee-cross-sectional kunye nokuhlaziywa kwe-meta kuhlawule ngokubaluleka kwamazinga e-erectile ukungasebenzi kwe-2-5% kumadoda phantsi kwe-40. I-Erectile i-dysfunction rates kwiiphando ze-10 ezipapashwe kwi-2010 ukusuka kwi-14% ukuya ku-37%, ngelixa amaxabiso e-libido ephantsi (u-u-sexualality) ukusuka kwi-16% ukuya ku-37%. Ezinye izifundo zibandakanya intsha kunye namadoda 25 nangaphantsi, ngelixa ezinye izifundo zibandakanya amadoda 40 nangaphantsi. Enye yeempawu ezisandul 'ukulandelelanisa (2018) uphando lwe-ED abathathi boonononda. Abo baphantsi kwe-30 babenokuphindwe kabini izinga le-ED njengabadala (abalingani babo bobulili baveliswa ngaphandle kokufikelela kwi-intanethi ephezulu kwi-intanethi ngexesha lokukhula). Yabona I-Erectile Dysfunction Phakathi kwabaThengi beBantu abaBantu abadala: Uphando.
Ngcaciso emfutshane kukho i-500% -1000% yokwanda kwimivuzo ye-ED yolutsha kwiminyaka yokugqibela ye-10. Yiyiphi intshintsho eguqukile kwiminyaka yokugqibela ye-15 engabangela ukuba kuphakanyiswe ukunyuka kweenkwenkwezi? I-Downs ibonisa ukuba iimpawu ezindala ezifanayo ezinxulumene ne-ED yolutsha zibeka ityala lokungena kwiingxaki zesondo:
CLAIRE DOWNS: “Ngelishwa u-ED uqhelekile, kwaye asiyomphumo nje yokwaluphala. Nangona ubudala bonyusa amathuba okufumana ukungasebenzi kakuhle, indoda enye kwamadoda angaphantsi kweminyaka engama-40 iya kuthanda bafune unyango lwe-ED. Nokuba ayipheli okanye yexeshana, ukungasebenzi kakuhle kwe-erectile kubangelwa zizinto ezininzi ezinje ngokusetyenziswa kweziyobisi, iziphumo ebezingalindelekanga zonyango, iingxaki zengqondo, kunye neengxaki zonxibelelwano, kunye nesifo sentliziyo, ukuphazamiseka kokulala kunye nokwenzakala kwemithambo-luvo. ”
Njengoko kuchazwe kwiphepha lethu, ukutshaya, isifo sikashukela nesifo senhliziyo akunakwenzeka ukuba i-ED kumadoda phantsi kwe40 (icitation 16). Kuthatha iminyaka yokutshaya okanye isifo sikashukela esingalawulwayo ukuze kubonakale umonakalo we-neuro-vascular obunzima ngokwaneleyo ukudala i-ED engapheliyo. Kwiphepha lethu:
Ngokwesiko, i-ED ibonwe njengengxaki exhomekeke kwiminyaka [2], kunye nokuphanda iingxaki ze-ED kumadoda angaphantsi kwe-40 baye bahluleka ukufumanisa izinto ezixhomekeke ku-ED kumadoda amadala, njengokubhema, ukusela utywala, ukunyameka, ubomi obusondezayo, isifo sikashukela, isifo soxinzelelo, isifo se-cardiovascular, kunye ne-hyperlipidemia [16].
Ngoko "amayeza, ukutshaya, ukusetyenziswa kotywala kunye neziyobisi, "U akukho namanqanaba ezi zinto ezihambelanayo eziye zanda ngaphezu kweminyaka eyi-15 yokugqibela (ukutshaya kwenene kuye kwehla). Kwiphepha le-US Navy:
Nangona kunjalo, ayikho into edibeneyo yokulungelelanisa i-ED ye-psychogenic ebonakala ilungele ukuphendula ngokukhawuleza kwenyuka kwimiba engxaki yobunini. Ngokomzekelo, abanye abaphandi baphoxisa ukuba ukunyuka kweengxaki zesini zolutsha kufuneka kube ngumphumo wokuphila okungenampilo, njengokunyanyisa, ukusetyenziswa kakubi kweziyobisi kunye nokubhema (izinto ezidlulileyo ezihambelanayo ne-ED). Kanti le miqobo yokuphila ayizange ishintshe ngokuthe ngqo, okanye iyancipha, kwiminyaka yokugqibela ye-20: Amanani amaninzi e-US amadoda aneminyaka elidala i-20-40 yenyuka kuphela i-4% phakathi kwe-1999 ne-2008 [19]; Iirhafu zokusetyenziswa kweziyobisi ezingekho mthethweni phakathi kwabemi base-US abaneminyaka eyi-12 okanye abadala baye bazinzile kwiminyaka yokugqibela ye-15 [20]; kunye namazinga okutshaya abantu abadala base-US benqabile ukusuka kwi-25% kwi-1993 ukuya ku-19% kwi-2011 [21].
Ngoko "imiba yengqondo: ukudakumba, ixhala, uvalo, ” akukho nanye kwezi unobangela i-erectile dysfunction, zivele zibuthathaka kwi-ED. Enyanisweni, ezinye iingxelo zengxelo ezidandathekileyo kunye nezigulane ezixhalabileyo eliphezulu umnqweno wesondo. Olunye uphononongo lubonisa okucacileyo: ukudakumba akubangeli i-ED; ukuba no-ED kwandisa amanqaku kwiimvavanyo zokudakumba. Kwiphepha lomkhosi wamanzi waseMelika:
Abanye abalobi banika iingcebiso zengqondo. Nangona kunjalo, kunokwenzeka njani ukuba uxhalaba kunye nokudandatheka ngenxa yokunyuka ngokukhawuleza ubunzima bezesondo zobutsha kunika ubudlelwane obunzima phakathi kwesifiso sozesondo kunye nokuxinezeleka nokuxhalaba? Ezinye izigulane ezixinezelekileyo nezixhalabisayo zichaza umnqweno omncinci wesondo xa abanye bebika intshiseko yesondo [22, 23, 24, 25]. Ulwalamano oluphakathi kokudandatheka kunye no-ED mhlawumbi luyiyo-bidirectional kwaye isebenza ngokubambisana, kusenokubangelwa yintsebenziswano yesondo, ingakumbi kubafana abaselula [26].
Njengoko besitshilo kwisiphelo sephepha lethu:
Izinto eziqhelekileyo eziye zachaza ubunzima bezesondo kumadoda zibonakala zingenelisekanga kwi-akhawunti ngokunyuka okukhulu kwiinkcaso zesondo kunye nesifiso esincinci sesini kwindoda phantsi kwe-40.
Okokugqibela, olu phononongo lwe-2018 kwizigulana ze-urology ezingaphantsi kweminyaka ye-40 ifumanise ukuba abaguli abane-ED abangahlukanga kumadoda angenayo i-ED, yiyo ke loo nto esenza ibango likaClaire Downs (Izinto zokungasebenzi kwe-Erectile phakathi kwaBafana abaselula-Ukufunyanwa kweeNqobo-UkuFundelwa kweeNkalo zoBomi):
Ngokubanzi, i-229 (75%) kunye ne-78 (25%) izigulane zinomsebenzi oqhelekileyo kunye no-Erectile (EF); phakathi kwezigulane ezine-ED, i-90 (i-29%) ine-IIEF-EF yamanqaku acetyiswayo kwi-ED enkulu. Izigulane ezingenazo ngaphandle kwe-ED azizange zihluke ngokubanzi ngokweminyaka yobudala, i-BMI, ukwanda kweengozi zengqondo, isimo sempilo jikelele, imbali yokutshaya), ukusetyenziswa kotywala kunye nomgangatho we-IPSS. Ngokufanayo, akukho mahluko echazwe ngokwemimiselo ye-sex hormones kunye neprofayili ye-lipid phakathi kwamaqela amabini.
Ezi ziphumo zibonise ukuba abafana abaselula abane-ED abafaniyo ngokwemiqathango yeeklinikhi ezisisiseko ukusuka kwiqela elilinganayo kunye ne-EF eqhelekileyo., kodwa ibonakalisa amanqaku omnqweno wesini esezansi, ukucacisa ngekliniki isizathu esingaba sisisigxina se-psychogenic ye-ED.
Ngesizathu esithile abo abane-ED babenomnqweno ophantsi wesini (bekufanele ukuba babuze malunga ne-porn!) Ukuphinda, uClaire Downs, njengabanye abalahliweyo be-porn abanyanzela i-ED, bathi ama-ED abafana abangelwa zizinto ezifanayo ezinobungozi ezinxulumene I-ED kumadoda ngaphezulu kwe-40. La mabango awahambelani noncwadi olujongwe ngontanga.
Ngaphambi kokuzithemba ngokuzithemba ukuba abathengi be-porn banamhlanje abananto yakuzixakekisa ngokusetyenziswa kwe-Intanethi, abaphandi kusafuneka baphendule ngoku kutshanje, ukuphakama okukhawulezayo kwi-ED yolutsha kunye nesifiso esincinane sesini, i ezininzi izifundo ezidibanisa ukusetyenziswa koonwabo kwiinkinga zesondo, amawaka eengxelo ezizimeleyo kunye iingxelo zonyango yamadoda aphulukisa i-ED ngokuphelisa enye into ehlukileyo: i-porn.
I-Downs inqwenela ukuhlaziywa kwinqaku layo Daily Dot ngokufanelekileyo.
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