Ukujonga i-Stimuli yoSondo ehambelanayo neNgcono enkulu yoTyala, engeyi-Erectile Dysfunction: Ingxelo kaRichard A. Isenberg MD

Richard A. Isenberg MD, I-DOI: 10.1002/sm2.71

Inqaku lapapashwa okokuqala kwi-intanethi: 11 JUN 2015

Ekuphononongeni kukaGqr. Umbhalo-ngqangi kaPrause kunye noPfaus, "UkuJonga isiVumelwano sezeSondo esiNxulunyaniswe nokuPhendula okukhulu ngokwesondo, hayi ukungasebenzi kakuhle kwe-Erectile," ndiziva ndinyanzelekile ukuba ndibuze umboniso wababhali bedatha yabo, uhlalutyo, kunye nezigqibo ezikude. Ukufumaneka okukhulu kweevidiyo ezingamanyala kwi-Intanethi kukhokelele kwinkitha yeengxaki zentlalo, zomzimba, ezomntu, kunye neemvakalelo kwizigulana zethu. [1-5]. UGqr. I-Prause kunye ne-Pfaus zichanekile ekugxininiseni ingqalelo yoluntu lwezonyango kwingxaki enye echazwe ngokomzimba: i-pornography-induced erectile dysfunction. Ngelishwa, andiyiboni indlela esi sifundo siqhubela phambili ngayo ukuqonda kwethu le nto.

Inkcazo yababhali malunga nabemi bophononongo yayingaphelelanga. Ababhali bakhankanya izifundo ezine ezipapashiweyo njengomthombo wabemi bophononongo (jonga kwiThebhile 1) [6-9]; nangona kunjalo, ekuvavanyweni kwezo zifundo, ndingafumana kuphela ama-234 kumadoda angama-280 ahlolwe kolu phando. Amadoda angamashumi amane anesithandathu akaziwa. Ababhali ababoneleli ngengxelo yemvelaphi yabantu abafundayo, okanye ukuchazwa kweempawu okanye ukuchongwa komthombo we-subpopulations ekhethiweyo ukuvavanya imilinganiselo yesiphumo. Ngokomzekelo, kwisifundo esinye kuphela [6] babeyizifundo ezivavanyelwe ukungasebenzi kakuhle kwe-erectile ngokusetyenziswa kwe-International Index ye-Erectile Function (IIEF). Iphepha le-Prause le-2013 libika kwiziphumo ze-IEF ezivela kumadoda angama-47, kodwa ababhali bengxelo ekhoyo ngoku malunga neziphumo ze-IEF kumadoda angama-133. Ngaba ezi zifundo zingama-86 ezongezelelweyo azibandakanywanga kuhlalutyo kwisifundo sika-2013, okanye ngaba zivela kwezinye iziko ledatha elingachazwanga? Okunye ukungangqinelani okuninzi kufunyenwe phakathi kombhalo wesandla kunye nemithombo ekhankanyiweyo:

1. Iiyantlukwano ezichongiweyo kumbhalo-ngqangi

IIEF = Isalathiso samazwe ngamazwe se-Erectile Function.

Ukufakwa okubonakalayo kwezi zifundo kuphononongo lwe-2013 Prause [6] kuhlalutyo lokuvusa inkanuko yesini kunye nomnqweno wesini uphakamisa inkxalabo eyongezelelweyo. Nangona olu phando lwenzelwe ukujongana nokuvuswa ngokwesondo kunye nomnqweno kwisimo sebhubhoratri ekuphenduleni ukubonwa kweefilimu zoononografi, amadoda angama-47 kwi-2013 ye-Prause yokufundwayo aboniswe kusekho iifoto kunokuba iifilimu. Kubonakala ngathi akunakwenzeka ukuba ukujongwa kweefoto ezimileyo kuvelisa inqanaba lokuvuseleleka elinokuthelekiswa nevidiyo ecacileyo yephonografi. [10]. Ababhali abaniki sizathu sokufakwa kwedatha kwezi zifundo, okanye nayiphi na i-accounting ebonisa ukuba ezi zifundo zazingabandakanywa kuhlalutyo lwabo lokuvusa isondo kunye nomnqweno. Ngaphezu koko, kucacile kwimibhalo-ngqangi epapashiweyo ukuba ezinye izifundo ezintathu ezibonelela ngezifundo zolu phando [7-9] iividiyo ezisetyenzisiweyo zobude obungahambelaniyo (imizuzwana ye-20 ukuya kwimizuzu emi-3). Ngaphandle kokufana kovuselelo oluvuselela inkanuko, ukuba semthethweni kokuqokelelwa kwedatha kwimithombo eyahlukeneyo kuyathandabuzeka.

Kuyaphazamisa ukuba ababhali ababoneleli ngeenkcukacha-manani ezichazayo malunga nepharamitha ephakathi yesifundo: iiyure zoononografi zibonwa. Ngelixa ababhali baxela ukuba baye badibanisa idatha kwiibhinki ezintathu (akukho nanye, ngaphantsi kweeyure ze-2, ngaphezu kweeyure ze-2), ababoneleli ngezibalo zabemi ezisisiseko ezifana nentsingiselo, ukuphambuka okuqhelekileyo, i-median, okanye uluhlu lweeyure zoononografi. ukubukela kubemi bebonke okanye nakuphi na ukuthotywa kwabantu. Ngaphandle kokuqonda amanani abantu ngokweparameter ebaluleke kakhulu, umfundi akakwazi ukuguqulela iziphumo zophononongo ekunyamekelweni kwezigulane zakhe.

Iparamitha ejongwe iiyure ngokwayo ayichazwanga kakuhle. Asixelelwa ukuba ingxelo yobuqu yeeyure ezibhekiselele kwiveki eyandulelayo, umndilili wonyaka ophelileyo, okanye ishiywe ngokupheleleyo kukutolikwa kwesifundo. Ngaba kukho izifundo ezazingabasebenzisi abatsha be-porn abangazange bafumane ithuba elaneleyo lokuphuhlisa i-erectile okanye eminye imiba yezesondo? Ngaba kukho izifundo ezazingabasebenzisi abanzima ngaphambili ababesandula ukunciphisa okanye baphelise ukubukela kwabo iphonografi? Ukungabikho kwereferensi echazwe kakuhle kwaye ehambelanayo, idatha yokusetyenziswa koonografi ayinakuchazwa.

Ngapha koko, ababhali abaxeli malunga neeparamitha ezifanelekileyo zokujonga ezifana nokusetyenziswa koonografi, iminyaka yobudala, ubukho bokunyuka, kunye nobungakanani bomsebenzi wesondo kunye neqabane elinokuba negalelo ekusebenzeni ngokwesondo kwamadoda. [11,12]. Ukongezelela, ukukhutshwa kwamadoda angama-hypersexual (amadoda ahlala ekhalaza malunga ne-pornography-induced erectile dysfunction) kuphakamisa imibuzo malunga nokufaneleka kunye nokulungelelaniswa kweziphumo zophando lwe-erectile function.

Eyona nto iphazamisayo kukushiyiwa ngokupheleleyo kweziphumo zeenkcukacha-manani kumlinganiselo wesiphumo somsebenzi we-erectile. Uvavanyo lweenkcukacha-manani olusetyenziswe ngababhali alukachongwa, nangona umfundi exelelwa ukuba “zininzi.” Akukho ziphumo zobalo zinikiweyo. Endaweni yoko, ababhali bacela umfundi ukuba akholelwe ngokulula ingxelo yabo engangqinelaniyo yokuba akukho nxulumano phakathi kweeyure zoononografi ezijongwayo kunye nomsebenzi we-erectile. Ngenxa yokuphikisana kwababhali ukuba umsebenzi we-erectile kunye neqabane unokuphuculwa ngokubukela iphonografi (kunye nezifundo zempukane ezikhankanyiweyo kwinkxaso), kunye nokukhuthaza kwabo ukupapasha kwangaphambili kweziphumo zabo kwi-Twitter (https://twitter.com/NicolePrause/status/552862571485605890), ukungabikho kohlalutyo lwamanani kubi kakhulu.

Ababhali banikele ngokucacileyo ixesha elininzi kunye namandla kwiprojekthi yabo yophando. Kuyadabukisa ukuba abazange babonelele umfundi ngolwazi olwaneleyo malunga noluntu olufundwayo okanye uhlalutyo lwamanani ukulungelelanisa isigqibo sabo sokuba iphonografi ayinakwenzeka ukuba ichaphazele kakubi ukusebenza kwe-erectile. Ngelixa kukho inkcazo kwidatha yokuba amadoda angengawo amakhoboka ephonografi abukele iifilim ezimfutshane zephonografi anokuthi anyuse inkanuko yesini kunye nomnqweno, oku ayisiyonto ifunyenwe inoveli.

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