Iimbono zoonografi (2018), uStephen A. Wilson, MD, MPH

UStephen A. Wilson, MD, MPH

Fam Med. 2018;50(3):238-240.

I-DoI: 10.22454 / FamMed.2018.365688

Abafazi kunye namadoda bahlukile. Kumzamo wokufumana ithuba elilinganayo kunye nonyango kuhlala kukho ukudideka malunga nokulingana ngokufanayo, oku kunokukhokelela kungathathi hlangothi okanye ukuguqula incoko eyakhayo.

Imifanekiso engamanyala akukho nzima ukuyibona- njengoko iNkundla ePhakamileyo yezoBulungisa uPotter Stewart yatsho ngo-1964, “… Ndiyayazi xa ndiyibona” 1,2 —kodwa kunokuba nzima ukuyichaza. Ukusuka kumagama esiGrike porne (ihenyukazi) kwaye graphein (bhala) imifanekiso engamanyala iqale yavela kulwimi lwesiNgesi kwi-1842.3,4 Ixhaphake kakhulu kunobuhle bendalo kwaye kunokujongwa njengokushicilelwa, ukumamela, okanye izinto ezibonakalayo ezinenkcazo ecacileyo okanye umboniso wezitho zesondo okanye umsebenzi ovusa imincili , ngokwabelana ngesondo.

Ingaphakathi lesitya. Xa sifuna ukucoca ikomityi, sicoca ngaphakathi. Ukuba sifuna ukwazi iziqulatho zendebe sijonga ngaphakathi okanye siqwalasele oko kuthululelwa kuyo.

Into engena engqondweni ichaphazela iingcinga, izimo zengqondo kunye nokuziphatha. Kutheni le nto ezinye iinkampani zingabhatala i- $ 5 yezigidi kwi-30-yesibini yokuthengisa ngexesha le-2018 Super Bowl? Iindlela zokujonga umabonwakude ze-5 zihambelana nendlela yokuziphatha echaphazela impilo kunye nesimo sengqondo. Abafikisayo i-12-17 yeminyaka yobudala obugqitha umxholo wesini kumabonwakude basengozini enkulu yokufumana isondo.6 Kumadoda amancinci, ukubukela iphonografi okudlulileyo kwakudityaniswa neendlela zokuziphatha ezijonge ukubhekelwa kwabasetyhini kunye namanqanaba aphakamileyo esini.

Kwi-2013, i-30% yazo zonke i-intanethi zokudluliselwa kwedatha yayiyimifanekiso engamanyala, kwaye iisayithi ze-porn zazineendwendwe ezizodwa kuneNetflix, iAmazon, kunye ne-Twitter zidibene.8 Kwi2015, i-PornHub, iwebhusayithi engamanyala, ine-21.2 yezigidigidi yokundwendwela kunye nedatha ye-75GB yedatha nganye , ngokwaneleyo ukugcwalisa malunga ne-175 yezigidi ze-16GB i-iPhones.9 Lowo ngumxholo omninzi othululelwa kwiikomityi ezininzi. Malunga ne-70% -80% yababukeli kwi-Intanethi ababukeli be-intanethi ngabesilisa.8,9 Amadoda nabafazi babukele imifanekiso engamanyala engafaniyo. Ukhetho lobufanasini ngokwesini esingafaniyo phakathi kwabantu besetyhini luphezulu phakathi kwabafazi (i-21.3% yabasetyhini vs i-1.8% yamadoda), kwaye ukubukela izinto abangazenziyo (okanye abangenakukwenza?) Kubomi benene kuyinto eqhelekileyo phakathi kwamadoda (14% yabasetyhini vs 70% yamadoda) .10

Imifanekiso engamanyala iyakhuthaza, iyanda, okanye iqinisekisa iingcinga ezinje ngala: abafazi zizinto zesondo; wonke umntu uhlala elungele kwaye efuna isondo; abantu basetyhini baxatyisiwe yile nto bayenzayo okanye abanqwenela ukuyenza kubo ngokwesondo; abafazi bayabelana ngesondo; Abafazi yinyikima. Imifanekiso engamanyala kakhulu ibonakalisa amadoda ebonisa amandla abo ngokomzimba kwaye aphantse angabacingeli okanye abanolwazelelelo njengoko kusoloko kuyingenelo okanye kunqweneleka ngaphandle kokungeniswa okanye kuthathelwe ingqalelo kumaqabane abo ababhinqileyo.

NgoJanuwari 2018, uGqr Lawrence G. Nassar wagwetywa iminyaka eyi-40-175 iminyaka eyi-ejele ngenxa yokuxhaphaza amantombazana amancinci njengeminyaka eyi-6 yonke iminyaka ephantsi komzamo wokunikezela kwiimviwo zonyango okanye unyango.11 Nangona evuma ityala lokuxhaphaza amantombazana asixhenxe. ngaphezulu kwe-160 ize ngaphambili ukubalisa ngamabali abo othusayo.11 Esi sigwebo sasisongeza kwiminyaka ye-60 awayesele eyifumene ngoNovemba 2017 kwimifanekiso engamanyala yabantwana.11

Kakhulu kunyaka ophelileyo, kuye kwakho uthotho lwezityholo zokuziphatha gwenxa ngokwesini ngamadoda ngokuchasene nabasetyhini. Ukuziphatha gwenxa ngokwesini, ukusukela kumagama ukuya ekuchukumiseni okungafunekiyo kudlwengulo olunyanzeliswayo, akukho nto intsha. Iingxoxo zethu zentlalo nezesondo kunye nezigulana zisifundise ukuba. Kwenzeka njani ukuba into emide kangaka neyaziwayo ibe ziindaba ezishushu kangaka? Iziganeko ezichaphazela abazizityebi nabanamandla zifumana ingqalelo engaphezulu. Umntu wokuqala owayetyholwa wayengumvelisi webhanyabhanya waseHollywood osisityebi, owayesenza isityebi, esenza umsebenzi oxhasa izizathu "ezilungileyo" nabantu, wathi 'izinto ezilungileyo'. Ngelixa ubungakanani bokuziphatha kwakhe okucaphukisayo kunye nokuziphatha gwenxa ngokwesini kwakuxhaphakile kwaye kubi, ukuba phakathi kwexhoba lakhe babebaninzi abazizityebi, ababalulekileyo, abafazi abamhlophe babonelela ngomqolo oyimfuneko kunye namandla okukhuthaza impendulo engalunganga yoluntu kunye nokubuyela umva.12,13

Amanqanaba athetha ngesondo kunye nokulandelwa kokubukela imifanekiso engamanyala kunye nokuziphatha gwenxa ngokwesondo, ukuphathwa gadalala, kunye nokubetha zizikhumbuzo: amadoda kunye nabasetyhini banokulingana, kodwa ngokuqinisekileyo asifani. Izinto ezimbini ezingafaniyo, nangona kunjalo, zinokugqalwa ngokulinganayo, ziphathwe kwaye zixabiseke. Abantu abangaphezu komntwana omnye banamava mihla le: umntu ngamnye unamandla ahlukeneyo, ubuthathaka, iimfuno, izipho, iindlela zokuzisa usizi kunye novuyo; kodwa zonke zithandwa kwaye zixabiseke ngokulinganayo.

Ubunyani beli xesha, i-ephemeral, umhlaba otyhefuzisiweyo uneempembelelo ezinokubakho kunyango kwimpilo yethu ndawo yokusebenza kunye nezigulana. Kwimpilo yendawo yethu yokusebenzela, logama nje imigangatho isemgangathweni, kwaye amathuba okufikelela kuwo ayalingana, indlela umntu afike kuyo okanye ayibonakalise ngayo ingahluka kakhulu. Rhoqo abantu bahlala bexokisana ngokulandela indlela eya empumelelweni njengentsingiselo yokulandela emanyathelweni afanayo. Abanye bahamba ixesha elide; ezinye zineenyawo ezinkulu; ezinye zinepakethi enkulu yomva; ezinye ziqala ngaphezulu ngaphezulu okanye ngezantsi kwindlela.

Le ndlela inemiceli mngeni eyaneleyo; isini kunye nesini akufuneki zongezwe. Yiba nobubele, ulumke, kwaye umamele. Ngaba uyafuna okanye wamkele ukuba umama okanye intombi yakho iphathwe ngaloo ndlela? Ngaba ungatsho okanye wenze "ezo zinto" nabazali bakho okanye abantwana abakhoyo? Ukuba umntu osebenza naye wasetyhini uza nexhala okanye amava angalunganga, mamela ngaphandle kokuphazamiseka, ukugweba, okanye ukusola.

Kwimpilo yezigulana zethu, kubandakanya imibuzo malunga nephonografi kwimbali yezentlalo okanye yezesondo inokuvelisa ulwazi olunomxholo oluchanekileyo lwe-biopsychosocial. Mhlawumbi ogqirha kufuneka babuze malunga nemifanekiso engamanyala rhoqo, ngakumbi njengenxalenye yokhathalelo lokufikisa, ukuphazamiseka kwemeko yengqondo, kunye nokungasebenzi kakuhle kwe-erectile.

Ngaba iphonografi luhlobo lwemicimbi yezempilo yoluntu? Kuxhaphake kakhulu kunecuba, utywala, iziyobisi, nemipu, zonke izinto ezinemigaqo elawula kubo ukukhuthaza okanye ukukhusela impilo yoluntu kunye nokhuseleko. Umzekelo omnye wokulawula kungafuneka ukuba iiwebhusayithi zephonografi zibe ".xxx" zenze kube lula kubazali okanye nakubani na othambekele ekumiseni i-cyberbarriers. Enye into iya kuba kukonyusa izixhobo zokusebenza zophando malunga neziphumo zephonografi kwiimvakalelo nakwindlela yokuziphatha kunye (nasekuvuseleleni) imfundo yabo utitshala ophambili ngesondo kunye nesini.

Iphonografi iyayichaphazela indlela abantu abancinci abacinga ngayo ngesondo, nendlela amadoda acinga ngayo nokusondela kwabasetyhini.14 Uninzi lwabantu lubusela ngaphandle kotywala. Uninzi lwabantu abatshaya icuba abalufumani umhlaza wemiphunga, kodwa uninzi lwabantu olunomhlaza wemiphunga lutshaye icuba. Nokuba kunjalo, kwiinzame zokuba ngumgcini wabantakwethu, sithatha inyathelo ukunceda ukukhusela kunye nokunyanga iziphumo zokungenelela, kunye nokuzenzakalisa izigqibo ngezi zinto kunye nezinye iindlela zokuziphatha ezichaphazela impilo. Ngenxa yokuba iphonografi isenokungakhi ibutho labantu abahlukumeza ngokwesini ayithethi ukuba ayisiyichaphazeli imiphefumlo, elawula iingcinga, ezilawula izimo zengqondo, ezilawula ukwamkelwa kwezenzo. Yiba yikho ngokobungakanani, inqanaba lokuthulula, okanye izinga lokugcwaliswa, ezinye iikomityi zinokugcwala umxholo wazo kunabanye. Sinokwenza okungakumbi ukuba ngumgcini womzalwana wethu kunye nodade.

Ucaphulo

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    https://doi.org/10.1542/peds.2003-1065-L. 
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