Ingabe i-porn ingadala ukungasebenzi kahle kwe-erectile?
Kubukezwe ngokwezokwelapha ngu UDkt Juliet McGrattan (MBChB) kanye namazwi nguPaisley Gilmour
14/04/2020
Ukungasebenzi kahle kwe-Erectile (i-ED) noma ukungabi namandla - ukungakwazi ukufeza nokugcina ukwakhiwa - kuyinkinga ejwayelekile emadodeni nakubantu abane-penises yabo bonke ubudala nobulili. Kukholakala ukuthi kuthinta ingxenye yesithathu yabantu ngesikhathi esithile ezimpilweni zabo. Kepha eminyakeni yamuva nje, odokotela nabelaphi babone ukwanda kweziguli namakhasimende ane-ED. Izinsizwa eziningi zibhekene nezinkinga zokwakhiwa kunanini ngaphambili, futhi ochwepheshe bakholelwa ukuthi lokhu kungabangelwa ubuhlobo babo nezithombe zobulili ezingcolile. Lokhu kwaziwa ngokuthi ukungasebenzi kahle kwe-erectile okubangelwa ucansi.
Ukungasebenzi kwe-erectile erenctile (PIED)
Njengoba i-PIED kuyinto entsha entsha, ochwepheshe bezokwelapha nangokwengqondo abazi ngokuqinisekile ukuthi ngabe leyo ixhumene ngqo nenye, futhi kudingeka olunye ucwaningo. Kepha ngokusho kukaDaniel Sher, udokotela wezifo zengqondo futhi ongumeluleki we Phakathi Kliniki Yethu, abakwaziyo ukuthi 'inani lezinsizwa ezilwa ne-PIED lenyuke kakhulu ezikhathini zamuva.' USher uthi i-porn ifinyeleleka kalula kunakuqala, ngenxa ye-inthanethi. Futhi lobo buchwepheshe obuthuthukisiwe bokucabanga ngobuchopho buvumele abacwaningi ukuthi bacabange inqubo ukusetshenziswa kocansi okungaholela ezinkingeni ze-erectile.
Ukubuka i-porn kungaba umkhuba okunzima kakhulu ukuhlukana nawo, futhi njengoba uDkt Becky Spelman, isazi sezengqondo nomqondisi wezempilo we Umtholampilo Wamakhambi Ozimele , kuchaza, ngoba ukwakhiwa kuqala kuhlotshaniswa nokubuka i-porn, kwezinye izimo kuba nzima ukwakhiwa ngaphandle kwayo. 'Kusobala ukuthi lesi kungaba yisimo esibuhlungu kunoma ngubani osemshadweni, noma kunoma ngubani onethemba lokuba kulokho,' usho kanje.
Kuvamile kangakanani ukungasebenzi kwe-erectile dysfunction?
Ucwaningo lwakamuva olwenziwe udokotela online UZava Kutholakale ukuthi amaphesenti angama-35 abesilisa athole ama-ED ngasikhathi sinye, ngamaphesenti angama-28 alabo abaneminyaka engama-20 kuye kwengama-29. Kulabo abake babhekana ne-ED, oyedwa kwabangu-10 uthe bakholelwa ukuthi i-porn iyimbangela.
UDkt Aysha Butt, umqondisi wezokwelapha we Kusuka kuMars, uthi ucwaningo lukhombisa ukuthi aze afike kuma-40% amadoda angaphansi kweminyaka engama-40 angathola i-porn ehlobene ne-ED. Amanani amadoda abhekana ne-ED akhuphuke kakhulu kule minyaka eyi-10 edlule, futhi udaba emadodeni amancane kucatshangelwa ukuthi luhlobene ne-porn kunokuhlobene nezempilo.
Izimbangela zokungasebenzi kahle kwe-erectile
I-dopamine hypothesis
I-Dopamine yikhemikhali ebuchosheni elibhekele imizwa yenjabulo nokwenelisa. USher uyachaza, 'Uma sibuka i-porn, lokhu kubangela ukuqhuma komsebenzi we-dopamine, ikakhulukazi uma kuhlangene wokushaya indlwabu. Ekugcineni, ubuchopho "bugcwala ngokweqile" nge-dopamine. Kudingeka amazinga amakhulu futhi amakhulu okukhuthaza ukubukwa ukuze uthole ukukhahlelwa okufanayo. ' Futhi ngenxa yalokho, abantu bathambekele ekubukeni izithombe ezingcolile zobulili obunzima ukuze bafinyelele ezingeni elifanayo lokwaneliseka.
Indlela ubuchopho obuphendula ngayo kwi-porn ifana kakhulu nendlela ephendula ngayo ukulutha kwezidakamizwa, kanti ucwaningo luye lwathola ukuthi amanye amadoda abe eseyimilutha yezithombe ezingcolile futhi akwazi ukuba lukhuni noma ukushaya indlwabu futhi afike kuvuthondaba ngenkathi ebuka i-porn, kuchaza uDkt Butt. Abakwazi ukuphindaphinda okufanayo nomlingani futhi bathole ukuthi i-libido iyancipha futhi baqala ukuhlangabezana ne-ED lapho bengazibukeli izithombe ezingcolile. Ubuchopho buthuthukisa ukuthanda ukwaneliseka okusheshayo, ngokwesibonelo, ngokubuka i-porn, ukushaya indlwabu kanye nokuvuthwa okungafani nokubambezeleka nokuvuza njengokuya ocansini kwabantu ababili. '
UDkt Earim Chaudry, umqondisi wezokwelapha e Manual likhomba ku Ijenali yeAmerican Medical Association Psychiatry cwaningo lokho kuthola amadoda abenza i-porn bakuthola kunzima ukuvuswa ngesikhathi sangempela socansi lomzimba nomzimba. 'Isizathu esikhulu salokhu bekungaphansi komkhawulo ophakeme wokuvusa ucansi odingekayo noma iqiniso lokuthi i-porn ihlinzeke ngesikhuthazo esiphezulu sezocansi uma kuqhathaniswa nokuhlangana ngokocansi "okujwayelekile", kuchaza uChaudry. Lokhu kuncishiswa kokuvuselelwa kwezocansi empilweni yangempela kungenye yezindlela ze-ED ezinesizathu sokusebenza kwengqondo.
Izinkinga zomzimba nezempilo yengqondo ezibangelwa i-PIED
Kanye nobunzima bokuthola nokugcina ukwakhiwa, ochwepheshe bathi i-PIED ingaba nemiphumela eminingi empilweni yomuntu engokwenyama nengqondo.
Ukuzithemba okuphansi nomzimba omubi womzimba
I-porn futhi ingathuthukisa izethulo zamanga zesithombe somzimba kanye nobudlelwano obuphathelene nocansi obunempilo, kusho uDkt Simran Deo, udokotela ose-inthanethi kwa Zava UK. Lokhu 'kungaholela nasekuzethembeni okuphansi emadodeni, okungaphinda kube nomthelela ekhonweni lokugcina ukwakhiwa lapho ukulingani wakho.'
UChaudry uyanezela, 'Umuntu ojwayelekile akavamile ukuboniswa ezithombeni ezingcolile, eshiya amadoda amaningi ezwa ingcindezi ehlobene nokubukeka. Lokho okubonayo ku-porn kungamadoda anezitho zomzimba ezigcizelele kakhulu, izitho zomzimba zesilisa: i-jawline e-chiselled emangalisayo, i-washboard abs kanye ne-10-intshi penises. Le mizimba ayitholakali kakhulu emvelweni, ngakho iningi lamadoda lizozizwa lingafaneleki uma liqhathaniswa. '
Uthi lapho amadoda eqala ukudweba ukuqhathanisa nalokhu okulindelwe okungenangqondo nemizimba, angaqala ukuzwa izindaba zempilo yengqondo ezinjengokudangala nokukhathazeka ngomfanekiso womzimba.
A 2017 Ucwaningo Kwabesilisa nabesifazane abangama-2,000 XNUMX yi-International Andrology ithole ukuxhumana ngqo phakathi kokubuka i-porn ngokweqile nokungagculiseki ngosayizi wepipi lakho. 'Lokhu kungahlanganiswa nokulindela okungenangqondo kwemizimba yabesifazane, kanye nezenzo zocansi nokusebenza (isib. Ama-orgasms amaningi, ucansi olude njll),' kusho uChaudry.
Ukwehla ukuzwela nokuzihlukanisa ngocansi
Amadoda aphethwe yi-PIED kaningi anciphise ukuzwela ocansini lwempilo yangempela, uyanezela. 'Futhi bangahlukaniswa nocansi njengesipiliyoni esingokomzimba esingabiwa nozakwethu.'
I-PIED nokulutha kwe-porn
Umlutha we-porn uyisihloko esiphikisana kakhulu phakathi kochwepheshe bezokwelapha nangokwengqondo, abaningi bakholelwa ukuthi ayikho into efana nomlutha we-porn.
I-Murray Blackett, Umeluleki wobungqingili, I-College of Sexual and Relationship Therapists (COSRT) onguchwepheshe ezindabeni zamadoda, uthi ulwa negama elithi umlutha nokuthi abanye abelaphi bakhetha igama elithi 'ukuphoqelelwa'.
UDkt Eduard Garcia Cruz, uchwepheshe we-urology kanye ne-andrology ovela ku Ukuzijabulisa Okusempilweni, ikholelwa ukuthi i-ED ayisona isibonakaliso sokulutha kabi kocansi ngaphandle kokuthi kufakwe eqenjini lezinye izindlela zokuziphatha nezimpawu ezifana nesidingo esiphikelelayo sokubuka i-porn, beshiya imisebenzi yabo yansuku zonke nezibopho eceleni, futhi bonakalise ubudlelwane babo ngenxa yokusebenzisa i-porn. Ngokulutha, 'izinga lokuphelelwa yithemba lizogcina libangele ukuthi babe nokuziphatha okungaziphathi kahle kwezocansi,' uyanezela. Kepha uyavumelana noBlackett, ethi abacwaningi ngokujwayelekile bayayenqaba imibono yokuluthwa yizocansi.
Ukuthola usizo lwe-PIED
Khumbula, ukubuka izithombe zobulili ezingcolile ngokulinganisela kungaba ukwengeza okuhle empilweni yakho yezocansi. UChaudry uthi kulapho ukusetshenziswa ngokweqile kuholela ezimeni ezingezona ezeqiniso zocansi nobunzima bokwakha lapho kuba yinkinga.
Bona udokotela wakho
UDeo uthi kufanele ukuvakashela udokotela wakho ukuze uqiniseke ukuthi izimpawu zakho azenzeki ngenxa yesizathu esiyimbangela enkulu. Ezinye izimo zezokwelapha noma imishanguzo ingadala i-ED, noma yenze kube kubi kakhulu. I-ED ingaba futhi uphawu lwezinye izimo zezokwelapha ezifana nomfutho wegazi ophakeme noma i-cholesterol ephezulu.
Yekani ukubuka izithombe zocansi
Uma lonke uphenyo lubuya njengokujwayelekile, kuyalulekwa ukuthi uyeke ukubuka i-porn ndawonye. Olunye ucwaningo luye lwabonisa ukuthi wonke amadoda anezinkinga zocansi abuyele esimweni ngemuva kwezinyanga eziyisishiyagalombili zokuyekiswa kokuvezwa kocansi.
'Zama ukwenza kube nzima ukufinyelela ngokususa okokusebenza ocingweni noma kukhompyutha yakho, noma ngokukubeka ngaphandle kwegumbi lokulala. Ngingancoma impela isikhathi sokuya "kubanda turkey" kwi-porn ukubona ukuthi izinto ziyathuthuka, 'usho kanje.
Zama i-CBT
Noma ngubani ongeke ayeke ukusebenzisa i-porn futhi abheke ukushintsha noma yiziphi izindlela zokuziphatha eziye zonakaliswa, u-Spelman uncoma ukuthi afune ukwelashwa okunje ukwelashwa kokuziphatha kwengqondo (CBT). 'Abanye bazokuthola kulula ukuzikhipha kancane kancane ezintweni ezingcolile zobulili, kuyilapho abanye bengathola ukuthi indlela "ebandayo" isebenza kangcono kubo,' usho kanje.
Yenza izinguquko zendlela yokuphila
Abanye abantu bathola ukuthi bangazithuthukisa izimpawu zabo ngokwenza izinguquko zendlela yokuphila njengokudla ukudla okulinganiselwe okune-fiber eningi, bayeke ukubhema kanye nokunciphisa utshwala (ikakhulukazi ngaphambi kocansi), kusho uDeo.
Ukuzivocavoca njalo kungasiza ekuthuthukiseni ukugeleza kwegazi emzimbeni wakho, kanye nokusiza ekuzethembeni nasekugcineni isisindo esinempilo. Hlela imizuzu engu-30 yokuzivocavoca, kahlanu ngesonto, 'uyanezela.
Khuluma nothile
Ucwaningo olwenziwe ngabakwaZava lukhombisa ukuthi amadoda amaningi awakhulumi ngezinto ezikhathazayo kungaba nomlingani wawo, abangane, noma uchwepheshe wezokwelapha, okungenza izinto zibe zimbi kakhulu. Lokhu yingakho ukwelulekwa kungasiza, ikakhulukazi uma i-ED yakho ibangelwa yingcindezi, ukukhathazeka noma esinye isimo sempilo yengqondo.
Umelaphi wobungqingili uzosiza amadoda ahlangabezana nalezi zinkinga ukuthi aqale ukuqonda ukuvusa kwawo, umphumela wawo ekumisweni, ukuthi angakugcina kanjani ukwakheka nokuthi angakhathazeka kanjani kancane futhi ajabulele okuningi. UBlackett uthi, 'Uma kungancipha kakhulu ukukhathazeka ngokusebenza, khona-ke amadoda amaningi anganamathela emizimbeni yawo, azethembele kakhudlwana emizimbeni yawo futhi kube khona nobulili obumnandi ngokwengeziwe.' Uncoma ukufunda Ubulili Obusha Babantu, kaBernie Zilbergeld, futhi uyikhipha njengesixhobo esihle kakhulu samadoda alwa ne-PIED.
Imithi
UDeo uthi kuya ngezimbangela ze-ED, imithi ebizwa nge-PDE-5 inhibitors ingasebenza. Ezaziwa kakhulu kulezi yiViagra, Sildenafil noma iCialis, kepha kukhona ezinye izinketho ezitholakalayo. 'Imithi ayifanele wonke umuntu, ngakho-ke kufanele ukhulume nodokotela wakho ngezimo zakho kuqala,' usho kanje.
;