IZIMVO - Iinkcukacha zibonisa ityala le-porn-induced unjaculation. Amava kuphela e-zesini yomyeni ngaphambi kokuba umtshato ahlale ephinga i-pornography-apho wayekwazi khona ukuhlambalaza. Kwakhona wathi ukulala ngesondo kunokuvusa ngaphezu kokukhenkceka kwezononono. Icandelo eliyinhloko lenkcazelo kukuba "ukuqeqeshwa kwakhona" kunye neengqondo zengqondo zahluleka ukuphilisa ukunyuka kwakhe. Xa ezo zongenelelo zingaphumeleli, abaphengululi bacebise ukuba banqatshelwe ngokugqithiseleyo ukugcoba i-pornography. Ekugqibeleni oku kuvinjelwa kwintsebenzo yesini esiphumelelayo kunye nokunyuka komntu kunye nomlingane okokuqala ngqa ebomini bakhe. Ambalwa amacatshulwa:
A ngumntu oneminyaka engama-33 oneminyaka engama-30 ubudala esatshatileyo kunye noqhelwano oluqhelekileyo, oqeqeshiweyo kwimvelaphi yezoqoqosho nezentlalo. Akazange abe noqhagamshelwano ngaphambi kokulalana ngaphambi komtshato. Wayebukela iphonografi aze ahlaziye rhoqo. Ulwazi lwakhe malunga nesondo kunye nobulili belwanele. Ukulandela umtshato wakhe, uMnu A wachaza i-libido njengokwesiqhelo, kodwa kamva wanciphisa ubuncinci kwiinkcaso zakhe. Ngaphandle kokunyakaza kwe-30-45 imizuzu, wayengakaze akwazi ukuhlaziya okanye ukufeza i-orgasm ngexesha lokulala ngesondo nomfazi wakhe.
Yintoni engazange isebenze:
Imishanguzo kaMnu A isingqinisiso; i-clomipramine kunye ne-bupropion zayeka, kwaye i-sertraline yayigcinwa kwisantya se-150 mg ngosuku. Iiseshoni zonyango kunye nale mbhangqwana babanjwe ngeveki kwiinyanga ezimbalwa zokuqala, emva koko bebekwa phakathi kweentsuku zintlanu nangemva kwenyanga. Iziphakamiso ezikhethekileyo kuquka ukugxila kwiintlungu zesini kunye nokugxila kumava esondo kunokusebenzisa ukunyusa ukuxininisa ukukhathazeka komsebenzi kunye nokubukela. Ekubeni iingxaki zithe gqolo nangona kungenelelo, unyango olunzulu lwezesondo lwaqwalaselwa.
Ekugqibeleni baqeshwe ngokupheleleyo ukukhwabanisa (oko kuthetha ukuba waqhubeka ehlambalaza ngoononophelo ngexesha elingentla apha angenelela ngoncedo):
Ukuvinjelwa nayiphi na uhlobo lwesenzo sezesondo kucetyiswa. Ukuqhutyelwa phambili kwindlela yokugxilwa kweengqondo (okokuqala kungezange-zesini kunye nolwasemva kokuzalwa kwesini) zaqaliswa. UMnu A wachaza ukungakwazi ukufumana isantya esifanayo sokuvuselela ngexesha lesini esithandwayo xa kuthelekiswa nento ayenayo ngexesha lokuhlambalaza. Emva kokuvalwa kwendlela yokugcoba i-masturbation, yaxela umnqweno owenyukayo wezesondo kunye nomlingane wakhe.
Emva kwexesha elingachazwanga, ukuthintelwa kwe-masturbation kwi-porn kukhokelela kwimpumelelo:
Okwangoku, uMnu A nomkakhe banquma ukuqhubela phambili ngeNkqubo yokuThuthukiswa koNcedo (i-ART) kwaye babe nemigudu emibili yokutshatyalaliswa kwe-intrauterine. Ngethuba leeseshoni zokufunda, uMnu A wahlulwa okokuqala ngqa, emva koko uye wakwazi ukunyusa ngokukhawuleza ngexesha elininzi lwabantu abasebenzelana ngesondo.
Indian J Psychol Med. I-2014 Jul-Sep; I-36 (3): 329-331.
ikhonkco: 10.4103 / 0253-7176.135393
PMCID: PMC4100426
Abstract
Ukunyanzeliswa yinto engaqhelekanga yeklinikhi enokubangelwa zizinto ezahlukeneyo, zombini eziphilayo kunye nezengqondo. Ukuchaphazeleka kwengqondo kwengqondo kuchaphazeleka kubudlelwane, ekuziphatheni, nakwimeko yengqondo. Sinika imeko yeklinikhi yokuchaphazeleka kwimeko, eyayilawulwa ngokudityaniswa kweendlela eziqwalasele ezi zinto kubandakanya utshintsho kubuchule bokuphulula amalungu esini, ukuphuculwa konxibelelwano lomtshato kunye nomgangatho, kunye nokuncitshiswa koxinzelelo kusetyenziswa iindlela zokuziphatha. Kuyacetyiswa ukuba ubuchwephesha obuqhelekileyo kunyango lwesondo buhlengahlengiswe kwaye benzelwe ukulawula iingxaki ezithile zesigulana ngasinye.
Internet: Ukuncamathela, anorgasmia, zesondo
INTSHAYELELO
Ukuhlanjwa kuchazwa njengokungabikho ngokupheleleyo kwe-ejaculation ngexesha lokwabelana ngesondo, ngaphandle kokukhutshwa kwesiqhelo okanye ukuphuma ebusuku.1] Inokubangelwa kukulimala komgogodla, ukubuyiswa kwe-lymph node dissection, isifo seswekile, isifo esibangelwa yimilo, isifo sokuqaqamba kwamalungu omzimba, okanye izizathu zengqondo.2] Nangona kwenzeka into engaqhelekanga kubemi ngokubanzi, ngaphezulu kwe-12,000 iimeko ezintsha ze-anejaculation zixelwa minyaka le, malunga ne-1.5% inemvelaphi ye-psychogenic apho kungabikho bonakalo lobuqu bezinto eziphilayo kwaye ingxaki ithathwa njengesebenzayo. [3,4Njengokuphazamiseka kwesondo, i-psychogenic anejaculation inokwenziwa ngokubanzi (ngazo zonke iintlobo zokuziphatha ngokwesondo kunye nawo onke amaqabane) okanye imeko.5,6Amadoda aphethwe kukuchaphazeleka kwimeko akakwazi ukuqonda ejaculate ngexesha lokwabelana ngesondo kodwa bahlala bekwazi ukwenza ii-erections eziqhelekileyo, bathomalalise ngexesha lokuphulula amalungu esini okanye banokuphuma ebusuku; inokuthi ibonakaliswe ngakumbi njengeqabane okanye uhlobo lomsebenzi wesondo. Ithiyori ezininzi ziye zazama ukucacisa ukungabikho kwengqondo okubandakanya ukungabikho kolwazi ngomzimba womntu, ukuthintelwa kwengqondo ngenxa yetyala okanye uloyiko lokuphulukana nolawulo, ukungoneliseki ngokwesini (ngenxa yokuziqhelanisa nokuziphatha ngokwesini), uxinzelelo lokusebenza (kugxilwe kakhulu ekukholiseni iqabane , okanye ifuthe elibi (inzondo okanye ubutshaba) kwiqabane; nangona kunjalo, ezi ngcamango zinobungqina obuncinci obunamandla.2,7,8,9,10,11] Unyango oluboniswe lusebenza ngempumelelo kwi-psychogenic anejaculation kubandakanya unyango lwezesondo, ukukhuthaza i-vibrator, kunye ne-electroejaculation. [5,7] Sichaza isigulana kunye ne-animeacacological ye-psychigenic.
REPORT
Umnumzana A yindoda etshatileyo eneminyaka engama-33 eneminyaka emithathu ubudala, nochwephesha kwimvelaphi yezoqoqosho lwaphakathi edolophini. Wadluliselwa kwisebe lezonyango lwengqondo ukusuka kwisebe lokunyanga, apho yena nenkosikazi yakhe babenikezela ngovavanyo lokuzala emva kweenyanga ze-18 zomtshato. Esi sibini saqala savavanywa ngenxa ye-organic factor ye-anejaculation, engabandakanywa. Emva koko bathunyelwa kungenelelo lwengqondo.
Umnumzana A waxelwa ukuba unexhala kunye neempawu ezingathandekiyo. Kwakukho imbali yosapho yokugula ngengqondo kumzala okude, iinkcukacha zakhona bezingafumaneki. Waye wafunyaniswa ukuba une-obsessive-kunyanzelekileyo ukuphazamiseka kwiminyaka ye-16 yeminyaka; Iimpawu zazicinyiwe ngokudityaniswa kwengqondo kunye nokuziphatha kunye nonyango. Ngexesha lokunikezela esibhedlele, wayekwindibaniselwano ye-sertraline (200 mg ekuseni), i-clomipramine (50 mg ngexesha lokulala), kunye ne-kupropion (150 mg ngexesha lokulala).
Umnumzana A ukhulele kusapho olwalulandela izithethe zamaHindu. Amava akhe okuqala ezesondo wayekunye nomhlobo wakhe ekuziphatheni ngokwesini ngexesha lokufikisa kwakhe. Oku kwaqhubeka okwethutyana de bafunyanwa kwaye bohlwaywa ngokuqatha ngabazali bakhe. Akazange abe neentlobano zesini ngaphambi komtshato. Wayebukela iphonografi kwaye ephulula amalungu esini rhoqo. Ulwazi lakhe malunga nokwabelana ngesondo kunye nokwabelana ngesondo kwakwanele. Ukulandela umtshato wakhe, uMnu.A wachaza i-libido yakhe njengesiqhelo, kodwa kamva wanciphisa amabanga akhe kubunzima bokuphuma. Esi sibini sasinokubonisa kwangaphambili ngaphambi kokulalana, kwaye isigulana sikwazile ukufezekisa ulwaneliseko lokungena. Ngaphandle kokunyanzelwa kwemizuzu engama-30-45, wayengazange akwazi ukukhupha okanye ukufezekisa i-orgasm ngexesha lokwabelana ngesondo kunye nomfazi wakhe. Nangona kunjalo, wayenakho ukukhupha i-ejaculate kunye nokufezekisa i-orgasm kwimizuzu embalwa yokuphulula amaphambili. Umfazi wesigulana wakwazi ukufezekisa ii-orgasms ezininzi ngexesha lokwabelana ngesondo. Esi sibini sizame ukwahluka ngokwabelana ngesondo ukuzama ukusombulula ingxaki, ngaphandle kwempumelelo. Iingxaki zesini zikhokelele kulwalamano lomtshato olunengxaki nabo bobabini abalingane abanetyala kunye nokunciphisa ukuzithemba. Kwakukho nosapho olubalulekileyo kunye noxinzelelo kwezentlalo kwesi sibini sokuba nomntwana.
Amayeza kaMnu. A ayengqinisisiwe; I-clomipramine kunye ne-bupropion ziyekisiwe, kwaye i-sertraline yagcinwa kwidosi ye-150 mg ngosuku. Iiseshoni zonyango kunye nesi sibini zazibanjwa qho ngeveki kwiinyanga ezimbalwa zokuqala, emva koko babekwa phakathi kweveki ezimbini kwaye kamva ngenyanga. Iseshoni nganye ihlale malunga nemizuzu engama-45 ukuya kwiyure. Ngexesha leseshoni zokuqala, isiguli kunye nenkosikazi yakhe babonwa ngokwahlukeneyo; kamva, iiseshoni zokudibanisa zabanjwa. Esi sibini sakhuthazeka ukuba sixoxe ngobunzima babo. Ukubandezeleka kwabo kwavunywa. Isizathu kunye neenkolelo zonyango zahlolisiswa; ezi bezihambelana neemodeli ezichazayo ezikhoyo kuluntu lwasekhaya. Kwenziwe iinzame zokudibanisa ezi zinto kunye nemodeli yezempilo ngaphandle kokugxotha okanye ukucela umngeni kwiinkolelo zabo.12] Amanyathelo okuphucula ubudlelwane bomtshato axoxwa njengokuphucula unxibelelwano kunye nokwandiswa komgangatho wexesha elichithwe kunye. Besebenzisa imigaqo-mgaqo ye-PLISSIT yonyango lwezesondo, esi sibini sanikwa imvume yokuxoxa malunga neenkxalabo zabo zesondo, ezazigunyazisiwe njengomcimbi wezempilo osemthethweni. [13] Ukulindela kwabo umsebenzi wesondo kunye neenkxalabo ngokubhekisele kubucoceko kwacaciswa ngokubonelela ngolwazi malunga nokuqhelekileyo ngokwesondo, iphysology, kunye nokwabelana ngesondo. Iingcebiso ezizodwa kubandakanya ukugxila kwiimvakalelo zesondo kunye nokugxila kumava esini kunokusebenzisa i-ejaculation kwasetyenziswa ukunceda ukunciphisa uxinzelelo lomsebenzi kunye nokujonga. Ukusukela iingxaki ziqhubeka ngaphandle kolu ngenelelo, unyango lwesini olunzulu lwaqwalaselwa. Isindululo kulo naluphi na uhlobo lwezesondo sacetyiswa. Ukuqhubela phambili uvavanyo lokuzivocavoca (ekuqaleni kwakungekho buzo kunye nobudala) kwaqaliswa. UMnu A wachaza ukungakwazi ukufumana isantya esifanayo sokuvuselela ngexesha lesini esithandwayo xa kuthelekiswa nento ayenayo ngexesha lokuhlambalaza. Nje ukuba kunyanzelwe umthetho wokuphulula amalungu esini ngokuphathwa gadalala, uxele ngomnqweno owongezelelekileyo wesondo kunye neqabane lakhe. Ukuzivocavoca umzimba ngokuphulula amalungu esini njengokutshintsha izandla, ukutshintsha isantya, uxinzelelo kunye nobuchule kunye nokusebenzisa ioyile okanye iikhondom emva koko kwaqalwa. Ukulandela oku, ukulala ngesondo kwakuvunyelwe; amanyathelo okunciphisa ukubukelwa aye axoxwa kwakhona. Okwangoku, uMnu A nomkakhe banquma ukuqhubela phambili ngeNkqubo yokuThuthukiswa koNcedo (i-ART) kwaye babe nemigudu emibili yokutshatyalaliswa kwe-intrauterine. Ngethuba leeseshoni zokufunda, uMnu A wahlulwa okokuqala ngqa, emva koko uye wakwazi ukunyusa ngokukhawuleza ngexesha elininzi lwabantu abasebenzelana ngesondo.
UKUQALA
Ukuchongwa kwe-anejaculation ye-psychogenic etiology kusekwe ngokwendalo kuhlobo loguquguquko olungasebenziyo.5] Umnumzana A wayenesijungqo esikhethekileyo kwisini sokungena emzimbeni, kodwa angakwazi ukuzikhupha ngokwesiqhelo ngexesha lokuphulula amalungu esondo kwaye ebephume nobusuku. Isizathu esivakalayo esivakalayo sokugweba ukubakho kokungaphumeleli kunyango okanye ngenxa ye-organic ejological, okuhlala kuhleli, kunye neqabane ngalinye kuzo zonke iimeko neemeko.
Abantu abane-psychogenic anejaculation bahlala benendlela yokuziphatha, ubudlelwane, kunye nemeko yengqondo enegalelo kukungasebenzi kwabo. Ezi zichazwe apha ngezantsi kwaye zibonakala ngathi zingumbindi we-anejaculation kwimeko kaMnu.
Izinto zokuziphatha
Izinto zokuziphatha zibandakanya ukukhethwa kunye nokonwabela ngakumbi kwaye nokunwaba kusuka ekuphulula amalungu esini kunakwindlela yokwabelana ngesondo. Umsebenzi wabo wokuphulula amalungu esini usoloko ubandakanya isimbo sokuhambisa gesosyncratic kunye namandla, esiqhutywa ngesantya esiphezulu. Oku akunakuphindwa ngokulula ngexesha lokwabelana ngesondo neqabane labo.5,8] Oku kwabonakala kwityala lika-Mnu. A, kunye nokunyanzelisa ukupheliswa kwe-masturbation elandelwa yimithambo yokuqeqesha amalungu esini ngokunceda ukuguqula le patheni.
Izinto zobudlelwane
Ezinye izinto ezibangela ukungaphumeleli kwi-ejaculatory kubandakanya ukungakwazi ukunxibelelana nokukhetha kwiqabane kunye nokungafani phakathi kobunyani bezesondo kunye neqabane [ngokubhekisa kumtsalane weqabane okanye uhlobo lomzimba, ukujonga ngokwesondo, kunye nezinto ezithile ezenziwa ngokwesondo] Iiphupho ngexesha lokupenda. [5,8] Mnu A uxele ezi zinto zombini zixhalabisayo, ebeziqwalaselwa ngexesha lonyango lwezesondo.
Izinto zengqondo
"I-ejjoratory performance ixhala" licingelwa ukuphazamisa iimvakalelo ezivusayo zesini, okukhokelela kumanqanaba obumnandi besondo kunye nokuvuselela okungakwaneleyo kumjikelo, nangona oko kunganako ukugcina ukumila.8] Kwimeko kaMnu. A, uxinzelelo olunxulumene nokungakwazi ukudiza, uxinzelelo lwasekhaya kunye nosapho lokuzala, kunye nokunye ukuxhalaba emtshatweni kunokuba kuchaphazele ukusebenza kwe-ejaculatory. [14] Ukujongana nale micimbi kusetyenziswa imodeli yokuziphatha yenkcubeko yanceda ekusombululeni ukungasebenzi kakuhle. Sikwabeka ukuba i-ART ngaxeshanye kunye nonyango lwezesondo incede ukunciphisa uxinzelelo kuye lokuba enze kwaye anciphise ixhala ngexesha lesondo.
ISIPHELO
I-Psychogenic anejaculation yimeko yeklinikhi ekunzima ukuyinyanga. Ngelixa imodeli ye-PLISSIT yayisisakhelo esisisiseko esisetyenzisiweyo, unyango lwalungiswa ngokulawula imiba yenyhweba kunye neengxaki ezithile zesigulana ngasinye. Umdibaniso wokunciphisa iyeza, ukutshintsha ubuchule bokuphulula amalungu omzimba, ukusombulula imiba yobudlelwane, ukunciphisa uxinzelelo ngeendlela zokuziphatha eziqondakalayo, kunye nokusetynziswa kocwangco ukunciphisa uxinzelelo olunxulumene nokulalana kuncede isigulana ukuba soyise ubunzima be-ejological. Ukubonelela ngolwazi olusisiseko ngokubhekisele kwisini, ukunciphisa ityala malunga nokusebenza ngokwesondo, ukuphucula ubudlelwane phakathi kwesi sibini kunye nolwalamano olomeleleyo phakathi kwengcali yokunyanga isigulana yayizinto ezibalulekileyo ezanceda ukulungisa le ngxaki. Kukho isidingo sothotho olukhulu lweemeko apho unyango olunje luzama ukuvavanya ukusebenza kwalo, ifuthe, iindleko, kunye nesibonelelo.
Imihlathi
Umthombo weNkxaso: Azikho
Ukugqubana kwemidla: Akukho.
IZALATHISO
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