IMIBUZO: Ekuqalekeni kweli phepha le-2018 libonakala lithembisa njengoko licebisa ukuba ukusetyenziswa kwezithombe ezingamanyala kudibaniswe njengenxalenye yokuhlolwa kwesigulane:
Njengengxenye yomlando wesondo, ulwazi malunga nemikhwa yezocwangciso lunokuba luncedo, kokubili ekuhloleni i-ED kunye nokukhetha unyango olungcono. Imikhwa yokuziphatha ngokwesini ibandakanya ubude bentlobano, ukuqikelela, ukubala ixesha, ukukhwabanisa, kunye nokusetyenziswa koononografi; ezi zizinto ezintsha kumzekelo ohlaziyiweyo.
Nangona kunjalo, isiqendu esilandelayo sinika le nkunkuma:
Ukusetyenziswa koonografi kuye kwaqhelekile, kwaye oogqirha kufuneka baqaphele ukuba ukusetyenziswa kwayo kungabonakalisa inkalo kwingxelo ye-ED. Izifundo ezilawulwa kakuhle kwiimpembelelo zoononografi kwi-ED zikhoyo, kwaye ubungqina obukhoyo buphikisana.72,73 Uphononongo olutshanje lubonise ukuba, kunokuzisebenzisa ngokwaso, imbonakalo apho iifrafikhi isetyenzisiweyo ihambelana nokucinezeleka kunye nokungasebenzi kwezesondo.74 Iziphumo zibonise ukuba ukuzonwabisa kwezonografi kunokuncedisa ukuvuselelwa ngokwesondo, kodwa ukusetyenziswa kwayo kubantu abadandathekileyo kunokubangela inxaxheba ekusebenzisaneni ngokwesondo.74
Citation 72 uphononongo olubanzi loncwadi olujikeleze ukungasebenzi kakuhle kwezesondo- Ngaba iinthombe zoononopasho ze-intanethi zibangelwa izidakamizwa zesondo? Ukuphononongwa ngeeNgxelo zeKlinikhi (2016). Nangona kunjalo, kubonakala ngathi ababhali abalifundanga iphepha. Ukuba kukho umntu okhathazekileyo ngokufunda uphononongo ngebengafumanise ukuba:
- Nazi Izifundo ezininzi ezidibanisa ukusetyenziswa koononophelo kwiingxaki zesini kunye nokunciphisa ukuvuswa kwesondo (kubandakanywa uphando apho amadoda aphelisa iingxaki zesondo ngokuphelisa iifostile), kwaye oko
- Citation 73 (I-Landripet kunye ne-Stulhofer, 2015) ayisiyiyo le nto ibonakala ngathi-njengoko yayigxekwa kuphononongo olungentla loncwadi.
- Isicatshulwa seYBOP seLandripet kunye neStulhofer, 2015, kutyhilwe ukuba olu "nxibelelwano lufutshane" (hayi isifundo) lufumene ulwalamano lwe-3 phakathi kokusetyenziswa kwe-porn kunye neengxaki zesondo.
- Ingxelo kwi "Ngaba iifoto zoononophala zisebenzisa ezihambisana nobunzima bezocansi kunye neengxaki ezithintekayo phakathi kwaBantu abancinci abaHeterosexual Men? "NguGert Martin Hald, PhD.
Okubi nakakhulu, abalobi bengawunakanga iziphumo ezi zifundo ze-26 ukukhankanya umphumo omncinci (icatshulwa 74). Ivela kwiphononongo kangangokuthi iyanceda ukuba yenze iYBOP Izifundo ezithandabuzekayo nezilahlekisayo iphepha: Iiprofayili ze-Cyberpornography Ukusetyenziswa kunye noBomi boBuntu kwiBantu abadala (2017). Olu pho nonongo lubandakanywa ngabasebenzisi bezononti kumaqela ahlukeneyo e-3:
- abasebenzisi boononophelo bokuzonwabisa (75.5%),
- Abasebenzisi abangabonwayo boononophelo abangabinyanzelekanga (12.7%),
- abasebenzisi boononophelo obunyanzelekileyo (11.8%).
Iziphumo ezibini eziphambili:
- "Abasebenzisi boononophala abanganyanzelekanga kakhulu" babika ukuxhatshazwa ngokwesondo kunamanye amaqela amabini.
- "Abasebenzisi bezonyango abanyanzelekileyo" baxela ukoneliseka okuncinci ngokwesondo kunamanye amaqela amabini.
Akunakushukumisa umhlaba, kodwa ababhali be-ED yangoku baxakeke kakhulu "kubasebenzisi abangabonwayo boononophala abangaphantsi kokunyanzeliswa" befumanisa ukuba kukhanyisa, bengayinaki yonke into ezinye izifundo ze-80 ezipapashwe ekusebenziseni ubulili kunye nomsebenzi wesondo, kunye nolwabelana ngesondo kunye nolwalamano. Kufuneka ukuba bafunde le ncwadi ukuze baqambe le nto yothandekayo.
Kodwa isizathu esiyinyaniso sokuba i-YBOP ihlasele i-74 icatshulwa kukuba yenze iphutha elibulalayo: Uvavanyo lusetyenziswa ASEX ukulinganisa umsebenzi wesini, kungekhona umgangatho IIEF. I-ASEX ayihlukanisi phakathi kokusebenza ngokwesondo ngexesha lokuphulula amalungu esini (ngesiqhelo kwi-intanethi) kunye nokwabelana ngesondo, ngelixa i-IIEF kuphela kwizifundo ezabelana ngesondo. Njengabasebenzisi be-porn banamhlanje abahlakulela ukungasebenzi kakuhle ngokwesondo bawafumana ngexesha lokwabelana ngesondo, Olu phando alunantsingiselo ekuqondeni iimpembelelo ze-porn ekusebenzeni ngokwesondo.
Uninzi lwezifundo lwalulinganisa umgangatho we-orgasms, ukuvusa kunye nokunyusa ngelixa i-masturbating to pornography - kungekhona xa ulala ngesondo! Kwakhona, uninzi alunangxaki zokufumana ulungelelwaniso okanye uvuthondaba kwizikrini- nokuba kungenxa yenoveli ye-intanethi engapheliyo kunye nokufumaneka okulungeleyo kwe-intanethi okugqithisileyo, okanye ngenxa yokuba abasebenzisi be-porn abanobunzima banamhlanje baqeqeshile (bakhuthaza) ubuchopho babo kwiscreen ukuvusa, hayi abantu bokwenyani.
Ulwazi olongezelelweyo olunikeziweyo kwisicatshulwa se-74 ngokuqinisekileyo luxhasa le ngcamango, njengokuba abasebenzisi bezonyanzeliso babemele babe ngabesilisa kwaye banqatshelwe ngokwesini esahlukileyo:
Iziphathamandla zesondo ezibikwe ngaba bantu zibonisa ukuba ukusetyenziswa kwezithombe ezingamanyala kungenziwa kwindlela yokubanzi yobundlobongela obunyanzelisayo obandakanya ukuphepha ukusebenzisana ngokwesondo kunye neqabane.
Ngapha koko, yi-38% kuphela yabasebenzisi abanyanzelekileyo be-porn ababenamaqabane. (QAPHELA: oku akuthethi ukuba i-38% yabelana ngesondo neqabane, njengophawu oluqhelekileyo lweziyobisi ezingamanyala ikhetha iphonografi ngokwesini esahlulelanayo). Ngayiphi na imeko, ubuncinci i-62% yezifundo ezinyanzelekileyo yayingamakhoboka eziyobisi ongazange walala nabantu bokwenyani. Oku kuthetha ukuba uninzi lwabasebenzisi abasebenzisayo bezobuqhetseba kulesi sifundo bavavanya ukuvuswa kwabo kunye nokulungiswa kwazo ngelixa i-masturbating to pornography, kungekhona xa ulala nomlingane. Ngaloo ndlela, kulindeleke ukuba izinga lokungasebenzi libe lincinane kunokuba ngaba baphandi babecelwe kuphela abasebenzisi bezitho zongcolileyo abangaphendula ngokuphathelele ukulala ngesondo.
Ukulinganisa ukusebenza ngokwesondo kubasebenzisi abangamanyala bodwa kubangela ukudideka okukhulu, kwaye ababhali besicatshulwa 74 babephutha ekubangeleni iziphumo zabo zithwala naluphi na unxibelelwano kwizifundo zokungasebenzi kakuhle ngokwesondo ezisebenzisa i-IIEF. I-ASEX yokuba basebenzise amanyathelo "ama-apile," ngelixa i-IIEF ilinganisa "iiorenji." Kuphela ngabokugqibela abanokuthi babonakalise ukungasebenzi kakuhle ngokwesondo ngexesha lokwabelana ngesondo-, apho, kwakhona, apho ukungasebenzi kakuhle ngokwesondo kuvela kuqala kubasebenzisi be-porn banamhlanje.
Inzuzo kunye nabacebisi abahlawuliweyo: ukucima ikhonkco phakathi koononophala kunye no-ED
I-Pfizer yaxhaswa ngemali kulolu cwaningo ukupapasha i-ED elandelwayo ngokulandelelanayo, engayiboni ubungqina bokuba i-intanethi ye-intanethi mhlawumbi umphathi we-ED kumadoda angaphantsi kwama-40 namhlanje. Endaweni yoko, ababhali besifundo bafuna ukuba sikholelwe ukuba ukusebenzisa iphonografi "kubangela kuphela iingxaki zesondo kubantu abaxinezelekileyo."
Abasixhenxe kwababhali abasibhozo bephepha bachaze ukuba ufumene imali kwiPfizer, umenzi weViagra. Enyanisweni, omnye wabalobi ngumqeshwa wesikhathi esigcwele wePfizer. Pfizer kwakhona uxhaswa ngemali, kwaye uncedo lokubhala ngoncedo lwemali kunye nolwabasebenzi yephepha, ke kunokwenzeka ukuba ababhali benze kancinci kodwa baqokelela imali yabo yokubonisana. [Jonga "iiNgcaciso" ngezantsi.]
Abenzi beziyobisi zokuphucula isondo njengePfizer abafuni ukuba uluntu ngokubanzi luqwalasele ubungqina obukhulayo bokuba ukusetyenziswa kwe-intanethi kubangela ukungasebenzi kakuhle kwe-erectile. La machiza ayethengiswa kuphela kumadoda ngaphezulu kwe-40, kuba i-ED yayinqabile kumadoda amancinci. Kodwa ngoku ukusetyenziswa gwenxa kwe-intanethi kubangela i-ED kumadoda amancinci kwizinga eliphezulu kakhulu. Namhlanje, aba bavelisi beziyobisi benza izigidi kuthengiso lweziyobisi zabo kumadoda anokuthintela i-ED ngokuphepha i-intanethi, okanye ukubuyisa ngokuphelisa ukusetyenziswa kwayo-ukuba bayawuqonda umngcipheko wokwenyani wokusetyenziswa kwe-intanethi. Abavelisi beziyobisi abanakwenza imali ngamadoda ayeka i-intanethi ye-intanethi.
Kunokuphazamisa ngokukodwa ukuba umbhali ohamba phambili kweli phepha, u-urologist uJohn Mulhall MD, naye Umhleli-kwiNtloko I-Journal ye-Medicine exual Medicine. Oku kuphakamisa ukuba iPfizer inokuthi ithintele ngamandla uphando oluchaphazelekayo kwi-ED, kunye nokuhlawula iingcali endle ukuze zilungele umxholo oye waqulunqa ukunqumla ukuxhamla phakathi kwe-intanethi kunye nempilo ye-erectile.
Ewe, i Ijenali yeedola zangaphandle zeedola Ukufikelela kwi-intanethi ye-intanethi yoshicilelo iphepha elipapashwe kakubi nelilungeleleneyo, Udumo kunye nePfaus, 2015, eyayizama ukulungisa i-ED. Udumo kunye noPfaus benza amabango amaninzi angaxhaswanga kwisifundo sabo kwaye ngelixa ethetha kumaphephandaba. UJim Pfaus usebhodi lokuhlela I-Journal ye-Medicine exual ye-Medicine kwaye uchitha umzamo omkhulu wokuhlaselwa ingcamango yecandelo le-porn-induced inductions of sex. Umbhali-mbhali UNicole Prause ixhomekeke kwi-debunking PIED, sele iqulunqwe Imfazwe ye-3 yeminyaka kulephepha lezemfundo, ngelixa bexhatshaza kwaye beqhayisa abantu abancinci abaye bafunyanwa kwizinto eziphathekayo zesini-zesondo ezibangelwa ucansi. Qaphela: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Icawa kaNowa.).
Ukuba uDkt Mulhall, I-Journal ye-Medicine exual, kunye noPfizer onomdla wokwenene ngempilo yamadoda ye-erectile, baya kuba yinkxaso mali, besenza kwaye bapapashe izifundo kwiziphumo ze-intanethi kwi-ED.
Abstract
John P. Mulhall, MD, Annamaria Giraldi, MD, PhD, Geoff Hackett, MD, Wayne JG Hellstrom, MD, U-Emmanuele A. Jannini, MD, Eusebio Rubio-Aurioles, MD, PhD, Landon Trost, MD, Tarek A. Hassan, MD, MSc
DOI: https://doi.org/10.1016/j.jsxm.2018.06.005
imvelaphi
I-Erectile i-dysfunction (ED) yimeko eqhelekileyo enokuchaphazela amadoda abo bonke ubudala; kwi-1999, iNkqubo yoLondolozo lweMveliso yaphuhliswa ukunika iinkliniki iingcebiso malunga nokuhlolwa kunye nolawulo lwe-ED.
injongo
Ukubonakalisa ukuveliswa kwe-ED ukususela kwi-1999, olu hlaziyo kwinkqubo yokunyamekela inika ababoneleli ngeenkonzo zonyango ngenjongo yokuququzelela ukusebenzisana kwesigulane, ukuvavanya ngokupheleleyo, kunye nokucebisa u-ED.
tindlela
Iphaneli yomnqamlezo yezolawulo zamazwe ngamazwe edibeneyo ukudibanisa ukuhlaziywa kwinkqubo ye-1999 yomzekelo wokunakekelwa kwindlela yokujonga umhlaba jikelele. Imodeli ehlaziyiweyo yenzelwe ukuba yi-proof based-based, iqhutywe ngedatha, kwaye ifumaneke kwiinkalo ezahlukeneyo zabanikezeli bezempilo.
Iziphumo
Eli nqaku lisishwankathela ingxoxo ephumelelayo yintlanganiso yeengcali kwaye igxininise ukuhlolwa kwe-ED. Ulawulo lwe-ED luxutyushwa kwinqaku likaMuhall et al (J Sex Med 2018; 15: XXX-XXX).
iziphumo
Indlela epheleleyo yokuvavanya i-ED iyalungelelaniswa kuba i-ED ingabandakanyeka zombini izinto ezingokwengqondo nezendalo. Inkqubo ehlaziyiweyo yemodeli yoxanduva lokuvavanya yahlula ibe yintloko kunye nezinto ezikhethiweyo kwaye ngoku ijolise ekuhlanganiseni i-pharmacotherapy yokuqala kunye neengcebiso ngokuqwalasela izigulane zesondo zesigulane.
Impembelelo zeKliniki
Uvavanyo lokunyamezela i-ED kufuneka lubandakanye iinkalo ezahlukeneyo, kubandakanywa nembali yonyango, imbali yesondo, uvavanyo lomzimba, ukuvavanya kwengqondo, ukuvavanywa kwebhoratri kunye nokuvavanywa kweso sifundo.
Amandla kunye nokusikelwa umda
Olu hlaziyo lutsala kubungcali bombhali kunye namava okubonelela ngesikhokelo esinezinto ezininzi kuvavanyo lwe-ED kwimeko yanamhlanje. Nangona inani eliqingqiweyo labanikeli banike igalelo kuhlaziyo, ezi ngcali zimele iinkalo ezahlukeneyo ezihlangabezana nezigulana ezine-ED. Ukongeza, akukho meta-uhlalutyo lwenziwe ukuxhasa ngakumbi isikhokelo sovavanyo lwe-ED esibonisiweyo.
isiphelo
Uvavanyo olupheleleyo lwe-ED lunikezela ababoneleli ngononophelo ithuba lokujongana nezokwelapha, iingqondo zengqondo kunye neengqondo, kunye nezo zesini ezichaphazelekayo kunye ne-ED, kunye nenjongo ekugqibeleni yokuphatha ngokufanelekileyo kwaye mhlawumbi isisombululo se-ED. Nangona ezinye iinjongo okanye zonke iindlela ezichazwe kwimodeli ehlaziyiweyo zifunekayo kwisigulane ngasinye, ukuhlolwa kulungelelaniswe kuzo zonke iimeko.
Amagama abalulekileyo:Dysfunction Erectile, Diabetes, I-Cardio-Vascular Disease, ukudakumba, U xinzelelo
Ukwaziswa:
J. Mulhall u / ube ngumcebisi nge-Absorption Pharmaceuticals, AMS, Lilly, Meda, Nexmed, Pfizer Inc, kunye neVivus kwaye uthathe inxaxheba kwi: uphando lwezesayensi / izilingo ze-AMS, iPfizer Inc, kunye neVivus; enye i-Alliance for Preservation Preservation kunye noMbutho wee-Advocates of the Peyronie's. A. Giraldi / isithethi Pfizer Inc kunye no-Eli Lilly. G. Hackett sisithethi kunye nomcebisi ku Pfizer Inc, Bayer, kunye neBhesins. I-WJG Hellstrom / ibingumcebisi ohlawulelweyo kunye / okanye isithethi se-Abbvie, Allergan, Boston Scientific, Coloplast, Endo, Lipocine, Menarini, kunye Pfizer Inc. U-EA Jannini u / ube ngumcebisi ohlawulelwayo kunye / okanye isithethi kuBayer, Ibsa, Menarini, Otsuka, Pfizer Inc, kunye neShiyogigi. E. Rubio-Aurioles ngumcebisi ohlawulwayo Pfizer Inc. UL. Trost akanalo nto yokuvakalisa. UT TA Hassan ngumqeshwa wesikhathi esigcwele wePfizer Inc.
Inkxaso: Olu pho nonongo luxhaswe ngePfizer Inc. Uncedo lokubhala kunye nezokwelapha lusetyenziswe unikezwe nguJill E. Kolesar, PhD, we-Complete Healthcare Communications LLC (eWest Chester, e-PA, eU.SA), inkampani yeCCC, kwaye kuxhaswe ngePfizer Inc.
*I-2017 Inkqubo Yokunyamekela kumalungu ePhaneli le-ED Expert: Urologists (uJohn P. Mulhall, eU.SA; Landon Trost, eU.SA; uWayne JG Hellstrom, eU.SA); I-Endocrinologist (u-Emmanuele A. Jannini, e-Italy); I-Sexologist kunye neUrologist (Geoff Hackett, UK); Isazi sengqondo (Annamaria Giraldi, Denmark); U-Sexologist (u-Eusebio Rubio-Aurioles, eMexico).
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