Isifundo kumadoda aselula: amaxabiso e-ED e-31%; I-libido ephantsi ye-37%, kodwa, hee, ayinakuba yi-porn (i-critique ye-Landripet kunye ne-Stulhofer, 2015)

QAPHELA 1: Ukugxekwa koontanga kweli phepha - Ukuphawula ngolu hlobo: Ngaba i-Ethophyrase isebenzisane kunye nobunzima bezocansi kunye neengxaki ezithintekayo phakathi kwaBantu abancinci be-Heterosexual Men? nguGert Martin Hald, PhD

QAPHELA 2015: Iphepha leLandripet kunye neStulhofer lishiye ulungelelwaniso olubalulekileyo abalunikileyo nkomfa yaseYurophu (amacatshulwa avela kwi-abstract):

Ukunika ingxelo ukukhethwa kwimibala ethile yeentlobo zoononophala kubunxulumene kakhulu ne-erectile (kodwa kungenanto ejaculatory okanye ehlobene nomnqweno) wesilisa zesini.

Ukwanda ukusetyenziswa koonografi yayincinci kodwa idibene kakhulu kunye nomnxeba wokunciphisa isondo sobunikazi kunye nokusetyenziswa kakubi ngokwesini phakathi kwabasetyhini.

QAPHELA 2016: (Nge-Agasti, 2016): Iphepha eliqwalaselwe ngontanga elibandakanya oogqirha abasi-7 base-US Navy- Ngaba iinthombe zoononopasho ze-intanethi zibangelwa izidakamizwa zesondo? Ukuphononongwa ngeeNgxelo zeKlinikhi (2016) - Uhlalutyo olubanzi lweencwadi kwiingxaki zesini-zesondo ezibangelwa ziintlanzi. Ukuhlaziywa kunika iinkcukacha zakutsha nje ngokubonisa ukunyuka okukhulu kwiingxaki zesini zolutsha. Eli phepha liphinda lihlolisise iinjongo zeengcinga ezinxulumene nokuxhatshazwa koonwabo kunye nesimo sengqondo sesondo. Oogqirha bahlinzeka ngeengxelo ze-3 zecandelo lamadoda aphuhlisa i-porn-induced the dysfunctions. Eli phepha libuye lihlalutye Umhlaba kunye neStulhofer, 2015.

QAPHELA 2019: Njengokuqala kwe2019, Phantse Izifundo ze-110 zonxibelelanisa ukusetyenziswa kwe-porn okanye umlutha we-porn / isondo kwizidibanisi zesondo, ukunciphisa ukusebenza kwengqondo kwisistim sezesondo, kunye nokunciphisa ukoneliseka ngokwesini kunye nolwalamano. Izifundo zokuqala ze-6 kolu luhlu zibonisa ukubabamba njengoko abathathi-nxaxheba bephelisa ukusebenzisa iphonografi kwaye baphilisa ukungasebenzi kakuhle ngokwesondo.

QAPHELA 2019: U-Alexander Štulhofer uqinisekisile i-ajenda yakhe egqithisileyo yokujoyina i-ajenda xa wayejoyina umanyano u-Nicole Prause, uDavid Ley nabanye ekuzameni ukuthulisa YourBrainOnPorn.com. Štulhofer kwaye ezinye iingcali ze-pro-porn "apha www.realyourbrainonporn.com babandakanyeka ulwaphulo-mthetho lokuthengisa ngokungekho mthethweni kunye nokuphambanisa. Štulhofer besele kuthunyelwe kwaye ndiyekile ukubhala ileta. Izenzo zomthetho ziyaqhubeka nokulandelwa.


YBOP ISICWANGCISO

Oku kuhlalutyo Ngaba iifoto zoononophala zisebenzisa ezihambelanayo neengxaki zobundlobongela kunye neengxaki ezithintekayo phakathi kwaBantu abancinci? (Uluhlu olufutshane) ngu-Landripet I, Štulhofer A.

Isiphetho salephepha elifutshane malunga namadoda asePortugal, eCroatia naseNorway athi:

Imifanekiso engamanyala ayibonakali njengeyona nto iphambili kumnqweno wamadoda amancinci, i-erectile, okanye ubunzima be-orgasmic.

Makhe sihlolisise iingxaki ezimbalwa kwesi sigqibo sizithembileyo.

INGXAKI 1: Uphononongo lweengxelo ngamazinga aphezulu kakhulu e-ED kunye nomnqweno wesini ophantsi

Olu phononongo lulula olunamacandelo athelekisa isiseko sedatha esele ikho yafumana amaqondo e-ED aphezulu njenge-31% kunye namaxabiso 'ezantsi kwesifiso sesini' esiphakamileyo njenge-37% kumadoda 18-40. Nangona kunjalo isihloko kunye nokuchaseneyo kungakhankanyi kwezi ziphumo. Endaweni yoko, ababhali basiqinisekisa ukuba "ayisiyiyo iphonografi", nangona isifundo sivuma ubhubhane we-ED kubafana abancinci:

 "Izifundo ezininzi ze-epidemiological kutsha nje zichaze ukwanda okuphezulu kwe-erectile dysfunction (ED) phakathi kwamadoda aselula."

Ziyintoni amaxabiso e-ED kumadoda amancinane kwisifundo esitsha, esekelwe kwi-questionnaire ye-2011 kunye nomnye kwi-2014?

“Kwisifundo 1, 14.2-28.3% abathathi-nxaxheba baxela i-ED ”(2011)

“Kwisifundo 2, 30.8% yamadoda yahlelwa njenge-ED ”(2014)

Qaphela ukunyuka okuqhubekayo kumazinga e-ED nakwi-2011 uphando kunye novavanyo lwe-2014. Emuva kwi 2004, Uphando lukaStulhofer wabonisa ukuba ama-ED amaxabiso kwindoda ye-35-39 yayingu-5.8 kuphela!

Olu pho nonongo lufumene amazinga aphezulu angapheliyo kwi-ED engabonakaliyo kwindoda eselula efunyenweyo kwezinye izifundo ezininzi. Ziziphi ii-ED rates phambi kwe-Intanethi? I-Kinsey (1948) ibike ngaphantsi kwe-3% izinga le-ED yamadoda phantsi kwe-40, kwaye ngaphantsi kwe-1% yamadoda 19 nangaphantsi. I isifundo kuphela se-cross-sectional se-ED kumadoda aseMerika libike inani le-5% ye-ED kumadoda aneminyaka eyi-18-59. Oku kwakusekelwe kwidatha esuka kwi-1992, kwaye enye yesithathu yamadoda yayisetyenziswa phezu 40. Ngokufanayo, a I-2002-meta-analysis Abaphandi baseDutch babika ukuba ngeziphumo ze-6 zahlaziywa, i-5 ifumene amaxabiso e-ED amadoda angaphantsi kwe-40 yayingama-2%. Omnye uchaza iirhafu ze-9%.

Qaphela ukuba kuvavanyo lokuqala, amaxabiso "ezesondo asezantsi" ayothusa 16.3% ukuya 37.4%. Unokuba malunga ne-40% yabaselula abanokubhaliweyo? Amazinga aphezulu anjalo awazange avezwe nje embalwa emfutshane embalwa edluleyo. Ngokomzekelo, kwi-2004, Urologist waseNtaliyane uCarlo Foresta wafumana amazinga angaphantsi-ngokwesini-nqwenela i-1.7% kuma-teen. Nangona kunjalo, amaxabiso aye agijima i-600% kwi-10.3% nge-2012.

Okukwintsusa: Amaxabiso e-ED kumadoda aphantsi kwe-40 anyukile ubuncinci i-600% kule minyaka ingama-20 idlulileyo, kwaye ababhali besifundo bathi i-porn ayisiyiyo unobangela. Luluphi olunye uguquko olutshintshe kakhulu kule minyaka ili-15 ukuya ku-20 idlulileyo?


I-2 INKQUBO: Uvavanyo oluthile oluvakalayo lwamaxesha amaninzi okusetyenziswa kwiinyanga ezidlulileyo ze-12

Ababhali bahlola kuphela uguquko oluthile oluhambelana nokusetyenziswa koononophelo kuzo zonke izifundo: ezizibiweyo ixesha lokusetyenziswa (kungekhona iiyure zokusebenzisa) phezu kwayo iinyanga ze12 zokugqibela. Kukho iingxaki ezininzi kunye nomlinganiselo olinganisiweyo:

  1. Ukuphindaphinda kokusetyenziswa akunakunxulumana neeyure ngeveki, makungabikho ezinye iindidi ezahlukeneyo, ezifanelekileyo, iimpawu zokusetyenziswa
  2. Akusixeleli nto malunga nokusetyenziswa koononophelo ngaphambi kweenyanga ezidlulileyo ze-12
  3. Akusixeleli nto malunga nokusetyenziswa koononophelo ngokugqithiseleyo

Ababhali baphetha ngelithi, kwisifundo sabo esiphambanweni, besetyenziselwa imibuzo, basebenzise ubungqina obuncinane bokuthi amaxesha amaninzi e-porno anquma ukuba yiyiphi insizwa ekuhlakuleleni iimeko zesondo. Esi siphumo asikho into emangalisayo. Enyanisweni, enye yeyona mibuzo eqhelekileyo efunyanwe kwiifom zokubuyisela, "Kutheni ndiye ndakhula PIED xa abahlobo bam bebukela kakhulu (okanye nangaphezulu) iphonografi kunam?"

Endaweni yokusetyenziswa rhoqo, indibaniselwano yantlukwano ibonakala ngathi ibandakanyeka kwi-porn-ye-ED. Oku kubandakanya:

  1. Iyonke iiyure zokusetyenziswa
  2. Iminyaka yokusetyenziswa
  3. Iminyaka yaqala ukusetyenziswa okungapheliyo kwe-porn
  4. Ukunyuka kwamanani olutsha
  5. Ukuphuhliswa kwezithintelo zoononopopayi (ukusuka ekuhlaleni kweentlobo zeentlobo zoononophala)
  6. Ukulinganiswa kwe-masturbation kwi-pornography ngokuxhatshazwa ngaphandle kokugqwetha
  7. Ukulinganiswa komsebenzi wesondo kunye nomntu ngokubhekisana nokuhlaziya i-pornography
  8. Iimpompo zesini esahlukanisiweyo (apho umntu uthembela kwi-pornography kuphela)
  9. Intombi okanye ayikho
  10. Ingqondo ehlobene neziyobisi ishintsha okanye ayikho
  11. Ubukho besiyobisi esibonisa amanyala / i-hypersexourse
  12. Genetics

Zeziphi ezinye iinkalo zokusetyenziswa kwe-intanethi kwi-intanethi ezinokucacisa ngcono ukungaziphathi kakuhle ngokwesondo? Baphandi baseJamani kufunyaniswe ukuba ubukhulu be-arousal kunye nenani lezicelo ezivuliweyo zinxulunyaniswa neengxaki ezinxulumene ne-porn, ngelixa ixesha elichithwe ukubukela lalingekho.

Iziphumo zibonisa ukuba iingxaki ezizixelayo kubomi bemihla ngemihla ezinxulunyaniswa nezinto zesondo ezenziwa kwi-Intanethi zaxelwa kwangaphambili Iimpawu zomtshato zesini esivumayo kwezinto ezingamanyala, ubungqnqa beempawu zengqondo, kunye Inani lezicelo zesondo ezisetyenziswayo xa zikwi-Intanethi ezabelana ngesondo kubomi bemihla ngemihla, ngelixa ixesha elichithwe kwiindawo zesini ze-Intanethi (imizuzu ngemini) alikhange libenegalelo likhulu kwinkcazo yokuhluka kumanqaku e-IATsex. Iimpawu zobuntu bezingadibananga kakhulu nenqaku le-IATsex. [ugxininiso longezwa]

Ukuphinda uphinde, amaJamani afumanisa ukuba ixesha elichithwe ukubukela iphonografi yayi hayi into ebangela ukuba likhoboka lokubonisa amanyala okanye imiphumo emibi yokusebenzisa. Endaweni yoko yayilinani lezicelo (iintlobo), kunye nempendulo yomntu ekusebenziseni i-porn, eyenza umahluko. Oko kukuthi, isidingo sobutsha kunye nokukhuthaza ngakumbi. Ngokufanayo, iiyure zokusetyenziswa kwee-videogamers ze-intanethi kananjalo musa ukuqikelela iingxaki. Endaweni yoko, iinjongo kunye nomnqweno ongapheliyo wokudlala unqabile.

Kufuphi, Iikhrayitheriya zokuchonga iingxaki ngokusetyenziswa kwe-intanethi kufuneka zibanzi kuneeyure / ukuya rhoqo kosetyenziso. Oku kushiya ukuthandabuza ukuba luncedo kunye nezigqibo ze "Unxibelelwano olufutshane" ekuxoxwa ngalo apha. Umphandi wase-Danish ongamanyala Izimvo zikaGert Martin Hald yavakalisa isidingo sokuvavanya amaninzi amaninzi (abalamlamli, amodareyitha) ngaphezu kwevama ngeliveki kwiinyanga zokugqibela ze-12:

Okwesithathu, uphononongo aluthethi kwiimodareyitha ezinokubakho okanye abalamli kubudlelwane bobuhlobo obufundisiweyo kwaye ayikwazi ukubonakalisa ukubakho. Ngokwandayo, kuphando ngemifanekiso engamanyala, kunikwa ingqalelo kwimiba enokuphembelela ubukhulu okanye umkhombandlela wobudlelwane obufundwe (okt, iimodareyitha) kunye neendlela ezinokuthi ngayo zibe nefuthe elinjalo (okt abalamli). Izifundo ezizayo malunga nokusetyenziswa kakubi kwamanyala kunye nobunzima bezesondo zisenokuxhamla ngokubandakanywa kwezi zinto kugxilwe kuzo.

Umgca osezantsi: Zonke iimeko zonyango ezinobunzima zibandakanya izinto ezininzi ekufuneka zikhutshiwe zodwa. Nangeyiphi ndlela, ingxelo yababhali yokuba, "Imifanekiso engamanyala ayibonakali njengeyona nto iphambili kumnqweno wamadoda amancinci, i-erectile, okanye ubunzima be-orgasmic" ayixhasiwe, kuba ihoya zonke ezinye izinto ezinokwenzeka ezinxulumene nokusetyenziswa kwe-porn ezinokubangela iingxaki zomsebenzi wesondo kubasebenzisi. Ngaphambi kokubanga ngokuzithemba ukuba asinayo into yokukhathazeka malunga ne-intanethi ye-porn, omnye usadinga ukuchaza kude kakhulu, ukunyuka okumangalisayo kwe-ED yolutsha kunye nomnqweno wesini ophantsi.


INGXAKI 3: Isifundo sikhuphele ngaphandle iintombi kunye namadoda angazange abelane ngesondo kwiinyanga ezili-12 ezidlulileyo

Aba bantu babini banokuthi baxele i-ED, i-virgins kunye namadoda angabelananga ngesondo, babandakanywa kuphando. Akuqhelekanga kumadoda ane-PIED ukuba athi ahlala eyintombi ngenxa yokuba abanako ukufezekisa ukulungiswa okwaneleyo ukungena. Abantu abaninzi abanamava ngokwesondo bathi abasazami ukulala ngesondo ngenxa ye-PIED.

Ngamanye amagama, olu phando alunakuthatha i-ED entsha kubafana abalala ngesondo phantse kunyaka ophelileyo. Ayizukuthatha ukungasebenzi kakuhle ngokwesondo kwabo bangakhange babelane ngesondo kunyaka ophelileyo, okanye abo basebenzise kuphela i-intanethi kwi-climax, okanye abo bangazintombi kuba bengenako ukuyifumana ngaphandle kwe-porn. Kwaye ngaba la madoda ayenokufakwa (kwaye abuzwe ukuba angakwazi ukwenza i-masturbate ngaphandle kwe-intanethi ye-intanethi), mhlawumbi mhlawumbi ukulungelelaniswa phakathi kwexesha lokusetyenziswa koononophelo kunye ne-ED / umnqweno wesini ophantsi.


INKQUBO 4: Isifundo sifumene ulungelelwaniso ezimbalwa phakathi kwe-ED kunye nokusetyenziswa kwe-porn

I-abstract ayithethi ngolungelelwaniso olubalulekileyo: Kuphela yi-40% yamadoda amaPhuthukezi asebenzisa iphonografi rhoqo, ngelixa i-60% yabantu baseNorway basebenzisa iphonografi rhoqo. Amadoda amaPhuthukezi ayenengxaki yokulala ngesondo kunabantu baseNorway.

Ngenye indawo, abalobi bavuma ubudlelwane obubalulekileyo phakathi kokusetyenziswa koononophelo olugqithiseleyo kunye no-ED, kodwa bathi ibinzana lesiphumo sincinci. 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.

Ababhali bavuthulula oku bakufumanisa kwaye bakuhoyile ekufikeleleni kwizigqibo zabo, kodwa ngaphakathi Izimvo ezisesikweni zikaGert Martin Hald malunga nesifundo athi:

Nangona kunjalo, ekuphandeni koonografi, ukuchazwa "ngobukhulu" kunokuxhomekeke kakhulu kwisimo sesiphumo esifundwe njengobungakanani bobudlelwane obufumanekayo. Ngako oko, ukuba isiphumo siza kuthathwa njengento "engalunganga" (umz., Ukuziphatha kakubi ngokwesini), nokuba ubuncinane beempembelelo ezinokuthi zithwale ukubaluleka kwezenhlalakahle nakwentsingiselo ebalulekileyo [2].

I-Landripet kunye ne-Stulhofer ishiye unxibelelwano lwe-3 belungenisile nkomfa yaseYurophu:

Nangona kunjalo, ukunyuswa koonografi kwandiswe kancinci kodwa kunxulumene kakhulu nomnxeba wokunciphisa ubundlobongela obunqamlekileyo kunye nokusetyenziswa kakubi ngokwesini phakathi kwabasetyhini.

Ukuxela ukhetho lwezinto eziphathekayo zobulili bezocwangco zazidibanisa kakhulu kunye ne-erectile, kodwa ayikho into eyenziwa yintsebenziswano yokuziphatha ngokwesondo.

Iyaxela loo nto Landripet & Stulhofer bakhethe ukushiya unxibelelwano olubaluleke kakhulu phakathi kokungasebenzi kakuhle kwe-erectile kunye nokukhethwa kohlobo oluthile lwe-porn kwiphepha labo. Kuqhelekile ukuba abasebenzisi bezononono baqhubele phambili kwiintlobo ezingahambelani neentlobo zabo zesini zangaphambili, kunye nokufumana ama-ED xa ezi zinto zikhethiweyo zoononophala zingahambelani nokuhlangana okwenene ngokwesondo. Njengoko kubonisiwe ngezantsi, kubaluleke kakhulu ukuvavanya izinto ezahlukeneyo ezinxulumene nokusetyenziswa kwe-porn-hayi iiyure nje kwinyanga ephelileyo, okanye rhoqo rhoqo kule minyaka idlulileyo.


INKQUBO 5: Ukufaka ibango le-600% -1000% yokunyuka kwe-ED kunokuchazwa ngezinye izinto.

Ke ababhali basichaza njani isibetho esikhoyo se-ED kumadoda aphantsi kwe40? Bacebisa ukuba ubhubhane kufuneka luvele kuye ngezinto zakudala ezazikho ngaphambili kwi-intanethi.

"Izifundo ze-Epidemiological zibonisa ukuba indlela yokuphila engenampilo, ukusetyenziswa gwenxa kweziyobisi, uxinzelelo, uxinzelelo, ukusilela kobuhlobo, kunye nengcaciso engeyiyo malunga nobuni bezesondo zezona zinto zingunobangela wokuphazamiseka kwesondo kwabesilisa kunokusebenzisa iphonografi.. "

Ababhali bacaphula nje kwizifundo zangaphambili ezibonisa ukutshaya, ukungabikho kokuzilolonga, kunye nokusetyenziswa kweziyobisi kunokuba zizinto, kuba ezo zizinto ezingokwembali, kodwa esi siphelo kunzima ukusiginya.

Okokuqala, ukutshaya, ukutyeba kakhulu, isifo seswekile kunye nokungabikho kokuzilolonga ayizizo izinto eziphambili kumadoda aselula. Kuthatha iminyaka ukuba ezi zibonakalise njenge-organic ED, ngohlobo lwesifo sentliziyo okanye ukungasebenzi kakuhle kwentliziyo. Ngapha koko, amaqondo okutshaya anciphise kakhulu kule minyaka i-30, kwaye ukusetyenziswa kweziyobisi kunye namazinga okuzivocavoca abambelele ngokugudlileyo kule minyaka idlulileyo. Amanqanaba okutya kakhulu anyuke nge-4% kwiminyaka edlulileyo ye-15.

Kodwa kuthekani ngesimangalo esithi "ulwazi olungelulo olokwabelana ngesondo" kunye "nokusilela kufutshane" ngoku badlala indima enkulu kwi-ED? Kukhutshwe nje umoya, umthambo wokubhala ngobuchule.

Kwaye kutheni ababhali belahla uphando lubonisa ubungqina bokusetyenziswa konxibelelwano lwephonografi kunye nokungasebenzi ngokwesondo? University of Cambridge, umzekelo, uxele ukuba i-60% yezifundo zabo ezibonisa amanyala nge-porn yayineengxaki nge-erections kunye nomnqweno kunye namaqabane okwenyani, kodwa hayi nge-porn. Kule Isifundo secala se2014 Indoda ene-libido ephantsi kunye ne-anorgasmia iphilise ukungahambi kakuhle ngokwesondo ngokuphelisa i-porn kwiinyanga ze-8.

Sibuyele ekubuzeni ukuba "Yeyiphi eyona nto iphambili ephembelela isini etshintshileyo ukusukela ngo-1992?" Makhe ndiqashele: kwi-intanethi.