Amazwana: Uphononongo olude oluphonononga amadoda namabhinqa kwisithuba seminyaka emi-2. Iziphumo zibonakalisa amazinga eenkwenkwezi zeengxaki zesini kumadoda aneminyaka eyi-16-21:
- ukwaneliseka ngokwesini (47.9%)
- umnqweno ophantsi (46.2%)
- iingxaki kwi-erectile function (45.3%)
Iphepha liphawula ukuba amadoda ngokwesiko anika ingxelo esezantsi kakhulu yeengxaki zesondo kunabasetyhini, kodwa oku bekungenjalo kulutsha olufikisayo.
“Okumangalisayo kukunqongophala komahluko ngokwesini kumazinga axeliweyo apha; yahluka ngokuphawulekayo kuncwadi lwabantu abadala oluhlala lutyhila amanani aphezulu phakathi kwabasetyhini kunamadoda [12,13].
Ngelixa iingxaki zesini zabasetyhini ziye zaphucuka ngokuhamba kwexesha iingxaki zesini zamadoda azizange:
"Ngokungafaniyo nolutsha olukwishumi elivisayo, sifumene umfanekiso ocacileyo wophuculo ngokuhamba kwexesha kulutsha lwabasetyhini, lubonisa ukuba ukufunda namava kudlale indima ekuphuculeni ubomi babo ngokwesondo."
Okokugqibela, ukungabi kubudlelwane bezesondo yayikuphela kwento enxulumene kakhulu neengxaki zesondo (ukuthatha inxaxheba kolu vavanyo umntu kufuneka abe wabelana ngesondo kwiiveki ezi-4 ezidlulileyo).
“Eyona njongo iphambili ibikukuvavanya izinto eziluncedo ekuchongeni ukuba ngubani onokuthi axele ingxaki yezesondo ngokuhamba kwexesha. Ekuphela kwento eyathi yavela njengengqikelelo eyomeleleyo yayibume bobudlelwane: Ulutsha olufikisayo olwalungekho kubudlelwane bezesondo luphantse lube namathuba aphindwe kathathu okuxela ingxaki ekusebenzeni ngokwesondo xa kuthelekiswa nabo bakubudlelwane bezesondo.
Kumadoda ukuba angatshatanga kunxulumene nokusetyenziswa kwephonografi kwi-intanethi. Ngaba amaxabiso aphezulu eengxaki zesini kubantu abangatshatanga abanxulumene nokusetyenziswa koonografi? Ngaba amaxabiso aphezulu ngaphezu kwayo yonke into enxulumene nokusetyenziswa kwe-porn ye-intanethi (ehlala iqala kakuhle ngaphambi kwesondo sokwenyani)? Kubalulekile ukuqaphela amazinga okungasebenzi kakuhle ngokwesondo ahlala ephezulu kubantu abangakwaziyo ukwabelana ngesondo. Ngamanye amazwi, amazinga ebeya kuba phezulu nangakumbi ukuba ngaba ulutsha olufikisayo olungabandakanyekanga ngokwesondo luqukiwe.
J Adolesc Health. 2016 Jun 16. pii: S1054-139X (16) 30056-8. doi: 10.1016 / j.jadohealth.2016.05.001.
O'Sullivan LF1, Amabali ES2, Brotto LA3, Majerovich JA4, Fletcher J5.
Abstract
INJONGO:
Amazinga okungasebenzi kakuhle ngokwesondo aphezulu phakathi kwabantu abadala, kodwa kuncinci okwaziwayo malunga neengxaki ekusebenzeni ngokwesondo phakathi kolutsha. Sigqibe uvavanyo olubanzi lweengxaki ekusebenzeni ngokwesondo kunye noxinzelelo olunxulumeneyo kwixesha le-2 leminyaka phakathi kolutsha (iminyaka eyi-16-21).
IINDLELA:
Isampulu yabakwishumi elivisayo abangama-405 bagqibe uphando oluhlanu kwi-Intanethi kwiminyaka emi-2. Imilinganiselo yeziphumo eziphambili yayingamanqaku ekliniki anqunyulwe kwi-Index ye-International Index ye-Erectile Function kunye ne-Premature Ejaculation Diagnostic Tool kubantwana abafikisayo abakwishumi elivisayo kunye ne-Female Sexual Function Index kulutsha olusetyhini. Isiphumo sesibini yayingamanqanaba eklinikhi yoxinzelelo.
IINKCUKACHA:
Uninzi lwabaselula abakwishumi elivisayo (i-78.6% yamadoda kunye ne-84.4% yabasetyhini) babika ingxaki yesondo ngexesha lekhosi; Amazinga awahlukanga kakhulu ngokwesini. Iingxaki eziqhelekileyo zamadoda zazinokwaneliseka okuphantsi ngokwesondo (47.9%), umnqweno ophantsi (46.2%), kunye neengxaki kumsebenzi we-erectile (45.3%). Iingxaki eziqhelekileyo zabasetyhini zazingakwazi ukufikelela kwi-orgasm (59.2%), ukwaneliseka okuphantsi (48.3%), kunye nentlungu (46.9%). Iimodeli ezixela kwangaphambili iingxaki ekuhambeni kwexesha zibonise ukungavisisani okwandisiweyo phakathi kwabo bangekho kubudlelwane bezesondo. Amathuba okunika ingxelo ngengxaki yesondo ecinezelayo ehlile ngokuhamba kwexesha kwabasetyhini kodwa hayi abakwishumi elivisayo.
IMISEBENZI:
Iingxaki ekusebenzeni ngokwesondo zivela kwangethuba kubomi bomntu ngokwesondo, zihlala zicinezela, kwaye zibonakala zingaguquguquki ngokuhamba kwexesha. Iinzame ezongezelelweyo zokuchonga izinto eziphambili ezinxulumene nokuqala ziya kunceda ukucacisa iindlela ezinokwenzeka.
IINKCUKACHA:
Ulutsha; Ukungasebenzi kakuhle ngokwesondo kwabasetyhini; Isifundo sexesha elide; Ukungasebenzi kakuhle ngokwesondo kwamadoda; Uxinzelelo lwezesondo; Umsebenzi wesondo; Impilo yezesondo; Iingxaki zesondo; Ubudlelwane bezesondo; Ukuzithemba ngokwesondo
PMID: 27320034
DOI: 10.1016 / j.jadohealth.2016.05.001
ingxoxo
Sinika ingxelo yedatha yokuqala kwiingxaki zethu zokulandelela ulwazi ekusebenzeni ngokwesondo phakathi kwesampulu engenanto yakwenza phakathi ukuya kwabafikisayo. Phantse i-80% yabafikisayo abakwishumi elivisayo abakwishumi elivisayo babika ingxaki yezesondo kwiminyaka eyi-2 yovavanyo, kwaye phantse isiqingatha sezi ngxaki sifikelele kumanqanaba abalulekileyo oxinzelelo lweklinikhi (usebenzisa iimethrikhi zabantu abadala). Njengoko kuxeliwe kuphononongo lwangaphambili olubandakanya udliwano-ndlebe olusemgangathweni [9], ezi ngxaki zinokuba nefuthe elibi kakhulu ekusebenzeni komntu kunye nobudlelwane. Okubangel’ umdla kukunqongophala kokwahluka ngokwesini kumazinga axeliweyo apha; iyahluka ngokuphawulekayo kuncwadi lwabantu abadala oluhlala lubonisa amazinga aphezulu phakathi kwabasetyhini kunamadoda [12,13]. Kusenokwenzeka ukuba iingxaki zamadoda afikisayo zisonjululwa ekuhambeni kwexesha okanye ukuba amabhinqa afikisayo abe nokwanda okubangela lo mahluko kumlinganiselo wabantu abadala. Okucacileyo kukuba ubomi besondo bokuqala kwabaninzi buqala ngokubonakala ngeengxaki ekusebenzeni ngokwesondo ezinokuthi ziqinisekise ukuxilongwa kweklinikhi njengokungasebenzi kakuhle kwikamva.
Ubunzima bokufumana kunye / okanye ukugcina i-erection yaxelwa rhoqo phakathi kwamadoda afikisayo. Ukuzithemba okuphantsi ngokwesondo kuye kwanxulunyaniswa nokuba nengxaki ephezulu kancinane yokuxela ingxaki yesondo kunye nengxaki yesondo ecinezelayo kulutsha olufikisayo. Oku kufunyanisiweyo kungabonakalisa iinzame eziphindaphindiweyo ezingaphumeleliyo zokubandakanyeka kwisenzo sesondo emva kokusela utywala; ukudibanisa ukusela kakhulu kunye nomsebenzi wesondo phakathi kwabafikisayo kubhalwe kakuhle [37]. SEyona nto yayimangalisa yayingamazinga aphezulu okungoneliseki ngokwesondo kunye nomnqweno phakathi kwamadoda afikisayo., nangona zombini iingxaki zokumisa kunye nokungabikho komnqweno zixhaphakile phakathi kwamadoda amadala kwaye zanda ngokuthe ngcembe ngokuhamba kwexesha [13]. Ezi ntlawulo zixhasa uphando olubonisa ukuba iqaqobana elibonakalayo labafana abancinci lithobela into engafunwayo (nangona inganyanzelwanga) isenzo sesondo [38]. Ukuxhasa le ngxoxo kukufumanisa ukuba ukuqinisekiswa kweenkolelo zemveli ezingaphezulu malunga neendima zesondo zamadoda (umzekelo, “Indoda yokwenyani isoloko ikulungele ukwabelana ngesondo”) ichonge ulutsha olukwishumi elivisayo olukwishumi elivisayo emngciphekweni omkhulu weengxaki. Uphando lwexesha elizayo kufuneka luphonononge uqinisekiso lweenkolelo okanye izithethe zentlalo ezinokuthi zibe negalelo kukungasebenzi kakuhle
Abasetyhini abafikisayo bachaze ubunzima bokufikelela kuvuthondaba, kunye nokungabikho / umnqweno omncinci wesondo kunye nokwaneliseka rhoqo. Ezi ngxaki zihambelana nezo zifunyenwe kumazinga aphezulu phakathi kwabasetyhini abadala [12,13,39]. Ukuzithemba okuphakamileyo ngokwesondo kwanxulunyaniswa nomngcipheko ophantsi wengxaki yezesondo, kubandakanywa iingxaki ezicinezelayo, njengokuba kwakunjalo ngokunxibelelana ngezinto azithandayo nangazithandiyo ngokwesondo, kodwa ngomda omncinane kuphela. Ngokungafaniyo nabafana abafikisayo, sifumene umfanekiso ocacileyo wophuculo ngokuhamba kwexesha kwabasetyhini abafikisayo, ecebisa ukuba ukufunda kunye namava kudlale indima ekuphuculeni ubomi babo ngokwesondo. Iimbali zokunyanzeliswa zandisa iingxaki zengxaki ekusebenzeni phakathi kwabasetyhini abafikisayo, njengoko kufunyenwe phakathi kwabasetyhini [21].
Eyona njongo iphambili ibikukuvavanya izinto eziluncedo ekuchongeni ukuba ngubani onokuthi axele ingxaki yezesondo ngokuhamba kwexesha. Ekuphela kwento eyathi yavela njengengqikelelo eyomeleleyo yayibume bobudlelwane: Ulutsha olufikisayo olwalungekho kubudlelwane bokwabelana ngesondo lwaluphantse lwaphinda kathathu ukuba luchaze ingxaki ekusebenzeni ngokwesondo xa luthelekiswa nabo babekubudlelwane bezesondo. Isimo sobudlelwane asizange sichaze iingxelo zeengxaki zesondo ezixinzelelekileyo, nangona kunjalo. Ezi ziphumo zibonisa ukuba abafikisayo bayakuphepha ukunxulumana ngokusondeleyo nabanye xa befumana iingxaki zesini, okanye mhlawumbi, abo bakubudlelwane banamathuba okuxoxa nokuphucula ukusebenza kwabo ngokwesondo ngeendlela ezingenakwenzeka kwabo bangatshatanga. Uphando olongezelelweyo luyafuneka ukuphonononga olu nxulumano ngokubanzi.
Imida yokufunda ibandakanya ukuvavanya iingxaki zesini ngaphakathi kweeveki ze-4 zovavanyo ngalunye, nangona ngokuhambelana nendlela ukungasebenzi kwezesondo kuvavanywa ngayo phakathi kwabantu abadala. Amaxabiso anokuba phezulu ngovavanyo oluthe kratya, olubanzi. Asizange sivavanye isimo sempilo ngokubanzi okanye izifo ezingapheliyo (umzekelo, isifo seswekile), okanye iimeko zobomi babaphenduli bethu (umzekelo, isikolo, usapho, umsebenzi), ezaziwa ngokuchaphazela umngcipheko weengxaki ekusebenzeni ngokwesondo [40] . Isampulu yayilingana ngokufanelekileyo, inciphisa ukwenzeka ngokubanzi kumaqela ahlukeneyo. Ukuthembela kwiingxelo zakho kwazisa iingxaki zokukhumbula umkhethe, kunye nezinto ezinqwenelekayo ekuhlaleni ezihambelana nezifundo usebenzisa iindlela ezinjalo. Amandla ophononongo kube kukusetyenziswa kwemilinganiselo ebanzi, eyamkelwe ngokubanzi yokungasebenzi kakuhle ngokwesondo, okuya kuvumela abanye abaphandi ukuba bathelekise amaxabiso afunyenwe apha kwiisampuli zabantu abadala. Umsebenzi wokuqinisekisa ngokusesikweni usafuneka, nangona kunjalo.
Okokugqibela, uyilo lwelongitudinal luququzelela ezinye zemibono yokuqala ekuqaliseni nasekuqhubeleni phambili kweengxaki ekusebenzeni ngokwesondo njengoko ulutsha lusenza utshintsho lube ngumntu omdala, kodwa aluvumeli izigqibo malunga ne-causality. Ababoneleli ngezempilo kunye neekliniki kufuneka babuze malunga nokusebenza ngokwesondo xa abafikisayo benemiba enxulumene noko kwaye baseke unxibelelwano oluvulelekileyo malunga nemicimbi yezesondo kangangoko. Ulonwabo luyinxalenye ephambili kuphuhliso lwezesondo olusempilweni. Ukukhula ngokwesondo okunempilo kunokukhuthazwa ngeenkqubo zokufunda, unxibelelwano, kunye nesitshixo sokulinga ukuqonda ukuba yintoni eyonwabisayo kubomi bomntu ngokwesondo kunye nobudlelwane bomntu namaqabane, kunye neemeko kunye neemeko ezikhuthaza kakhulu ukudibana okuhle.
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