UKirby, M. (2021), Amathrendi Urology & Men Health, 12: 6-10.
abstract
Ukufinyelela kwe-intanethi okwandisiwe kuhambisane nenani elikhulile lamadoda asakhula nalawo amadala abuka izithombe zobulili ezingcolile eziku-inthanethi, futhi kunokukhathazeka okukhulayo ngokuthi lokhu kungakuthinta kanjani ukukhula kwabo ngokocansi, umsebenzi wezocansi, impilo yengqondo kanye nobudlelwano obuseduze. Leli phepha libukeza kafushane ubudlelwane bamadoda ne-porn kanye nomthelela ongaba khona ekusebenzeni kocansi.
Kuvame kangakanani ukusetshenziswa kwezithombe zocansi?
Abesilisa babuka izithombe ezingcolile eziku-inthanethi kakhulu kunabesifazane. Ucwaningo lwakamuva lukhombisa ukuthi emazweni athuthukile afana ne-USA ne-Australia, anokufinyelela kwe-inthanethi okungavinjelwe, kufika kuma-76% abesilisa nabesifazane abangu-41% abafinyelela ezithombeni ezingcolile,5, 6 futhi inani lezivakashi eziya ezingosini zobulili ezingcolile liyanda minyaka yonke.7
Ochwepheshe abaningi bezokunakekelwa kwezempilo sebazi ukuthi abesifazane bakhalaza ngokusetshenziswa kocansi komlingani wabo nokuthi ukusetshenziswa kwaso kubangela kanjani ukulindelwa okungenangqondo nobunzima bezocansi.
Ucwaningo olwenziwa online olwenzelwe i-BBC Three series, 'I-Porn Laid Bare', libuze ngaphezulu kwe-1000 18-25 ‐ ubudala e-Great Britain ngobudlelwano babo nezocansi. Amaphesenti abalulekile angama-77% wamadoda avumile ukubuka okuqukethwe okulinganiswe nge-X ngenyanga edlule uma kuqhathaniswa nabesifazane abangama-49%, kanti abesilisa abangama-55% bathi i-porn ibingumthombo wabo omkhulu wokufundisa ngocansi, uma kuqhathaniswa nabesifazane abangama-34%. Abanye abangu-15% wabaphenduli besilisa bacabanga ukuthi babukela i-porn eningi kakhulu, kanti ama-31% azizwa ukuthi ayengumlutha wayo.8
Ucwaningo lwase-Italy olubandakanya abafundi be-1492 ngonyaka wabo wokugcina wesikole samabanga aphezulu luthole ukuthi i-78% yabasebenzisi be-intanethi babuka i-porn futhi kulezi, i-8% yazibuka nsuku zonke, i-59% yakubona njengokuvusa njalo, i-22% yakuchaza njengokujwayelekile, i-10% ifunwa yehlise intshisekelo yezocansi kubantu ongabalingani bangempela, futhi u-9% wabika uhlobo lokulutha.9
Ekuhlolweni oku-inthanethi okuhlukanisiwe kwabantu base-Australia abaneminyaka engu-15-29 kuya kwengu-87 ubudala, i-13% ibike ukuthi yake yabuka izithombe zobulili ezingcolile ngesinye isikhathi, lapho ubudala obuphakathi ekuqaleni babuka iminyaka eyi-16 yamadoda uma kuqhathaniswa neminyaka engu-XNUMX yabesifazane. Iminyaka emincane ekubukweni kokuqala yayihlotshaniswa nobulili besilisa, ubunikazi obungebona obobulili obuhlukile, imfundo ephakeme, iminyaka yamanje yamanje, iminyaka emincane ekuxhumaneni ngokocansi okokuqala, kanye nezinkinga zakamuva zempilo yengqondo. Ukubukwa okuvame kakhulu kwakuhlotshaniswa nobulili besilisa, ubunikazi obungafani nobulili obufanayo, imfundo ephakeme, iminyaka emincane, ukwenza ucansi lwendunu nezinkinga zakamuva zempilo yengqondo.10
Umphumela wokubukwa kocansi emadodeni
Izifundo zezifundo kuze kube manje zigxile kakhulu kwimiphumela emibi engaba khona yokusetshenziswa kocansi, bambalwa ababukeza izinzuzo ezingaba khona. Ngenxa yalokhu, kunezikhala eziningi kusisekelo sobufakazi, futhi indawo inempikiswano.
Ukubuyekezwa okuphelele kwe-2016 kubike ukukhuphuka okukhulu kwamazinga we-erectile dysfunction (ED), ukubambezeleka kwe-ejaculation, ukunciphisa ukwaneliseka ngokocansi kanye nokunciphisa i-libido emadodeni angaphansi kweminyaka engama-40 ubudala ngesikhathi socansi nomlingani, ngezici zendabuko ezake zachaza lobu bunzima obukhona manje abanikeli abenele.11
Ukungasebenzi kahle kwe-Erectile ngokwesiko kubhekwe njengenkinga ehlobene nobudala, futhi abesilisa abangaphansi kweminyaka engama-40 abanazo izinto eziyingozi ezihambisana nalokho, njengokukhuluphala, ukuhlala phansi, isifo sikashukela, umfutho wegazi ophezulu, isifo senhliziyo, i-hyperlipidaemia nokubhema.12 I-Psychogenic ED yisifo esijwayeleke kakhulu kuleli qembu lobudala,13 imvamisa ihlobene nezici ezingokwengqondo ezinjengokudangala, ingcindezi, ukukhathazeka okujwayelekile noma ukukhathazeka ngokusebenza.14 Kodwa-ke, azikho izinto ezijwayelekile ezihambisanayo ezihambisana ne-psychogenic ED ezibonakala zanele ngokwanele ngokwanda okusheshayo nokuphindwe kaningi ezinkingeni zocansi ezibonwa kulezi zinsizwa.11
Ubufakazi obunqwabelene busikisela ukuthi ukusetshenziswa okwandayo kwe-porn online kungahle kube nomthelela emazingeni akhuphukile okungasebenzi kahle kwezocansi.
Ucwaningo luye lwabonisa ukuthi ubungqingili buhambisana kakhulu nokubonakala kwesithukuthezi ngokocansi naku-ED.15 Ngokombono, lokhu kungakhuphula amathuba okusebenzisa i-porn kanye nokwenzeka kwe-ED lapho wenza ucansi nomlingani wakho.
Ukuheha ngokocansi komlingani, ucansi nomlingani ongahlangabezani nokulindelwe, kanye nemizwa yomuntu yokungafaneleki ngokocansi kungadala i-ED. Lokhu kungahle kube nomphumela wemibono engenangqondo yomzimba kanye nokusebenza kwezocansi okukhona kokunye okuqukethwe kocansi.
Ukujula okulibazisekile kungahle kuhlotshaniswe nokusetshenziswa kocansi,7 kungenzeka ukuthi ihlobene nokushaya indlwabu njalo kanye nokwehluka okuphawulekayo phakathi kweqiniso locansi nomlingani kanye nefantasy yezocansi ehlobene nezocansi ngesikhathi sokushaya indlwabu.16
Sekukonke, abesilisa abasebenzisa i-porn bavame ukubika ukwaneliseka okuncane ngempilo yabo yezocansi. Ukusetshenziswa kwezithombe ezingcolile kunganciphisa ukwaneliseka ngokocansi ngenxa yabalingani bangempela bokuphila abangaphili ngokuvumelana nezithombe ezibonwe ku-inthanethi, ukudumazeka uma umlingani engafuni ukuphinda enze izigcawu zocansi, ukudumazeka okubangelwa ukwehluleka ukuthola uhla lwezinto ezintsha zobulili ezibonwayo ku-porn nomlingani wangempela, kanye nezithombe zobulili ezingcolile ezikhethwa ngaphezu kocansi nomlingani wakho.7
Umphumela omubi ongaba khona wokusebenzisa i-porn isikhathi eside kusifiso sobulili kungahle kusuka ekushintsheni kokuphendula kohlelo lokuvuza ebuchosheni kuya kuzenzo zocansi, ezisebenza kakhulu njengomphumela wezinto ezihambisana nocansi kunokuya ocansini kwangempela kwempilo .7, 17, 18 Kodwa-ke, kukhona ukungabi khona kwemininingwane engaguquguquki yokuxhasa i-porn njengesizathu esiyimbangela sokwehla kwesifiso sobulili, kanti okunye kuyaphikisana.7 Lokhu kungachazwa yimvelo eyinkimbinkimbi yesifiso sobulili, ethonywe yizinhlobonhlobo zezinto eziphilayo, ezengqondo, ezocansi, ezobudlelwano namasiko.7, 19
Kodwa-ke, kukhona impikiswano mayelana nalokhu okutholakele, kanye nokubuyekezwa kwakamuva7 kobufakazi obuvela ezifundweni zokubuka ezishicilelwe kusukela nge-2000 buthola okuncane uma kungekho bufakazi bokuthi ukusetshenziswa kwezithombe zobulili ezingcolile kubanga i-ED noma kubambezeleke ukuphuma, yize izifundo ezinde ezilawula okuguquguqukayo okuphazamisayo bezishoda. Ubufakazi obuqine kakhulu obabukhona bobudlelwano phakathi kokusetshenziswa kocansi nokunciphisa ukwaneliseka ngokocansi, yize imiphumela yezifundo ezazizokwenzeka yayingahambelani.7 Olunye ucwaningo lwamuva alutholanga ukuhlangana okungaguquguquki phakathi kokusetshenziswa kocansi ne-ED.20
Kodwa-ke, ubungozi be-ED bubonakala bukhuphuka ngenani lamafilimu ezocansi abukiwe ngonyaka owedlule,15 nokusetshenziswa okuyinkinga kwemisebenzi yezocansi eku-inthanethi (ehlolwe yi-12 ‐ Test Short Internet Addiction Test futhi iboniswe ngemiphumela emibi nezimpawu zokulutha) yayihlotshaniswa nomsebenzi ophansi we-erectile futhi wehlise ukwaneliseka okuphelele kwezocansi.21
Ngocansi lwe-inthanethi, kubonakala sengathi iphrofayili yombukeli ibikezela inhlalakahle yezocansi. Ucwaningo lwabantu abadala abangama-830,22 Oqede izilinganiso zokuzibika eziku-inthanethi zokusebenzisa i-inthanethi online kanye nenhlalakahle yezocansi, kufaka phakathi ukwaneliseka ngokocansi, ukuphoqelelwa, ukugwema kanye nokungasebenzi kahle, uthole amaphrofayli womsebenzisi amathathu ahlukile: ezokungcebeleka (76%); ukucindezelwa okukhulu okungaphoqeleli (13%), nokucindezela (11.8%). Ngenkathi abasebenzisi bezokungcebeleka babika ukwaneliseka okuphezulu kwezocansi nokuncipha kocansi okuphoqelekile, ukugwema nokungasebenzi kahle, labo abanesimo esiphoqayo babika ukwaneliseka okuphansi kwezocansi nokungasebenzi, kanye nokuphoqeleka okuphezulu kwezocansi nokugwema. Abasebenzisi abacindezeleke kakhulu, abangasebenzi kangako babike ukuthi abanelisekanga ngokocansi, banokuphoqeleka okuncane kwezocansi, kanye nokungasebenzi kahle kocansi nokugwema. Ngenkathi abesifazane nemibhangqwana kungenzeka ukuthi babe ngabasebenzisi bezokungcebeleka, abesilisa babesengozini yokuba ngabasebenzisi abaphoqayo, futhi abasebenzisi bodwa babenamathuba amaningi okuthi babe kuphrofayili ecindezeleke kakhulu, engasebenzi kangako.22
Indlela amadoda anelisa ngayo izifiso zawo zocansi nayo ibonakala ithinta ubungozi bokungasebenzi kahle ngokocansi. Ucwaningo lwaseMelika lwango-201623 kuhlolwe izinga lokusetshenziswa kocansi maqondana nokungasebenzi kahle kocansi emadodeni angama-312 aneminyaka engama-20-40, abaphothule ucwaningo olungaziwa lapho bethula umtholampilo we-urology. Ucwaningo lubandakanya umlando wezokwelapha ozibikile, imibuzo yabantu, imibuzo eqinisekisiwe (kufaka phakathi i-15 ‐ question International Index ye-Erectile Function [IIEF-15]) nemibuzo ekhuluma ngokuya ocansini, ukusetshenziswa kwezithombe zobulili ezingcolile nokulangazelela nokuziphatha okungalawuleki. Iminyaka yobudala yabaphenduli yiminyaka engama-31. Imidiya ejwayelekile yokubuka i-porn kwakuyi-intanethi, kungaba kukhompyutha (72%) noma i-smartphone (62%). Ukusetshenziswa kwezithombe zocansi maviki onke kuyahlukahluka, kuthi ama-26% bakusebenzise ngaphansi kwesonto, ama-25% bewasebenzisa ama-1-2 izikhathi, ama-21% bewasebenzisa ama-3-5, ama-5% bewasebenzisa ama-6-10 ama-4 bese ama-11% bewasebenzisa kaningi kune-97 times . Lapho bebuzwa ukuthi bazenelisa kanjani kangcono izifiso zabo zocansi, abesilisa abangama-3% bakhombise ukuya ocansini (noma bengenazo izithombe zocansi), kuyilapho u-15% ekhombisa ukushaya indlwabu ezithombeni ezingcolile. Abaphenduli ababike ukuthanda ukushaya indlwabu ezithombeni ezingcolile kunokuya ocansini babenezibalo ezisezingeni eliphansi kuzo zonke izizinda ze-IIEF-0.05 (p <XNUMX).23
Isizathu esenza la madoda alethwe emtholampilo we-urology singasebenza. Kungenzeka ukuthi labo abathanda ukushaya indlwabu ocansini ngokuya ocansini nomlingani wakho bakwenze lokho ngoba bebenezinkinga esezikhona zezokwelapha noma ezengqondo ezenze kwaba nzima ukuya ocansini nomlingani wakho. Ngempela, kungasiza abesilisa abazama ukubuyisa ukusebenza kocansi ngemuva kokuhlinzwa okhalo noma i-radiotherapy ukusebenzisa izithombe zobulili ezingcolile zokuziphatha ukubasiza, ikakhulukazi uma bengenaye umlingani osekelayo.
Ngobufakazi obuphikisanayo bobudlelwano obuyimbangela phakathi kokusebenzisa i-porn kanye nokungasebenzi kahle kocansi emadodeni, kungenzeka ukuthi amadoda anokukhubazeka ngokocansi maningi amathuba okusebenzisa i-porn, futhi asebenzise i-porn kaningi. Ucwaningo oluningi luyadingeka ukuphenya lokhu.
Ngokuphathelene nomphumela wokusetshenziswa kocansi ezinganeni, ukubuyekezwa kwezifundo ze-19 ezishicilelwe phakathi kwe-2013 ne-2018 zithole ukuhlangana phakathi kokusetshenziswa kwe-inthanethi oku-inthanethi nokuqala kocansi, ukuzibandakanya nabalingani bezikhathi ezithile kanye / noma abaningi, okulingisa izindlela zokuziphatha zocansi eziyingozi, okubandakanya izindima zobulili ezihlanekezelwe, ukungaboni kahle komzimba, ulaka, ukukhathazeka, ukudangala, nokusetshenziswa kocansi okuphoqelela.24 Olunye ucwaningo luye lwabonisa ukuthi ukusetshenziswa okuphoqelekile kwezinto ze-intanethi ezicacisa ngokocansi ngabafana abasebasha kunamathuba amaningi kulabo abanokuzethemba okuphansi, imizwa yokudangala kanye nentshisekelo eyeqile yezocansi.1
Inkinga enkulu ngezithombe zobulili ezingcolile ukwehluka kwayo. Ngenkathi okunye okuqukethwe, okubandakanya abantu abadala abazimisele, abanolwazi oluphelele nabavumayo kungabonakala njengokuzijabulisa okungenabungozi, okuningi okuphathelene nokubandakanya ukuvezwa kokuqukethwe okungafuneki, izinhloso zomzimba ezingenangqondo, izinhloso zokwenza ucansi ezingezona iqiniso, ulaka, udlame, ukudlwengula, okunye ukuziphatha okungavumi, ithokheni ukumelana (umqondo obonakalayo wokuthi abesifazane bathi 'cha' lapho behlose ukuya ocansini),25 ukuphoqelelwa ngokocansi, amandla emandla obulili angafanele, ukunxenxa ezocansi, ukuhlukunyezwa kwezingane kanye nokuntuleka kokuvimbela inzalo noma ukusebenzisa ikhondomu.
Ngombhalo omuhle ngokwengeziwe, kungenzeka ukuthi ukusetshenziswa okuthile kocansi emadodeni amadala kungaba nomthelela omuhle ngokwandisa i-libido nesifiso sokuba nomlingani wempilo yangempela, ukuqeda isithukuthezi socansi, nokwenza ngcono ukwaneliseka ngokocansi ngokunikeza ugqozi locansi lwangempela.7 Ukubuka izithombe zobulili ezingcolile nomlingani wakho kungasiza imibhangqwana ukuthi ihlole izindlela ezintsha zocansi futhi kwenze kube lula ukusho abakuthandayo.
I-porn ethambile nayo itholakele ukukhulula ukucindezeleka kwengqondo. Olunye ucwaningo luthole ukuthi amadoda aphenya izithombe ezithinta imizwa yabantu abashadayo abaxubekile anokwehlisa kakhulu ukwenziwa kabusha kwe-cortisol esivivinyweni sokucindezeleka esalandela kunezilawuli, futhi benze kangcono kakhulu esivivinyweni sezibalo.26
Emadodeni amancane, ukusebenzisa i-porn kungabasiza ukuthi bahlole ubulili babo, bathole ukuthi bathanda ini, futhi kukhulise ukuzethemba kwabo ekwazini ukuthi benzeni nabalingani bempilo yangempela. Ngenkathi kukhona ukukhathazeka maqondana nesimo esingenangqondo sezinye izithombe zocansi, inhlolovo yabaneminyaka engu-18-25 in ubudala eGreat Britain ithole ukuthi cishe ikota yesine yamadoda ibheka ukuthi ucansi lwezocansi alubonakalisi impilo yangempela, futhi cishe isigamu savuma ukuthi okuqukethwe kocansi kwakha izindinganiso zobuhle 'ezingenakwenzeka'.8
Ngokuphambene nalokho, intshisekelo iyanda emfundweni yezinhlobo ezinhle zezithombe zocansi, ezifana 'nezithombe zobulili ezingcolile zabesifazane' kanye 'nezithombe zocansi eziveza ucansi', ezibonisa imvume yezocansi, zigcizelela injabulo yangempela yezocansi yabadlali besifazane, abamele ukwehluka, futhi ukuhlinzeka ngezimo zokusebenza ezilungile kulabo abathintekayo.27
Mayelana nokubanga inzuzo noma ukulimala, ubuntu bomsebenzisi, uhlobo nenani le-porn elisetshenzisiwe, kanye nobudala bomsebenzisi, mhlawumbe kuyisihluthulelo.
Isiphetho
Ukubuka izithombe zobulili ezingcolile kuvamile futhi kuvamile phakathi kwamadoda kusukela esemncane. Amadoda abuka i-porn ngezizathu ezahlukahlukene nokusetshenziswa kocansi kuthinta abantu abahlukile ngezindlela ezihlukile. Ucwaningo oluningi luyadingeka ukuhlinzeka ukuqonda okubanzi ngemiphumela engaba khona yokusetshenziswa kocansi ekusebenzeni kocansi kanye nempilo yengqondo emadodeni ayo yonke iminyaka.
Lapho abesilisa abangaphansi kweminyaka engama-40 bekhona ngokungasebenzi kahle kocansi, kubalulekile ukubuza ngokusetshenziswa kocansi, nokusebenza kwabo ngokocansi nangaphandle kwalo. Okunye ukucatshangelwa kufaka izinto zokuphila, njengokukhuluphala, isifo sikashukela, ukungondleki kahle, ukungazivocavoci umzimba, ukubhema, ukuphuza ngokweqile nokusebenzisa izidakamizwa. Izici zomzimba, njengobufakazi bokushoda kwe-testosterone nokungajwayelekile kwe-penile kufanele kuhlolwe. Hlola izingqinamba zempilo yengqondo, njengezinkinga zobudlelwano, ukuzethemba okuphansi, ingcindezi, ukukhathazeka, ukudangala, kanye nesifo sokucindezeleka esibuhlungu ngemuva.
Ngokuqinisekisayo, ukukhathazeka kokuthi okuqukethwe kwezocansi okungafanele kungayithinta kanjani impilo yezocansi nengqondo yabantu abasha kubonakala ezinhlelweni zikahulumeni zokwethula ikharikhulamu ebanzi yokufunda ngezocansi ezikoleni kusukela ngoSepthemba 2020, ezobandakanya nemfundo yokuthi ungazibona kanjani izindlela i-intanethi engakhuthaza ngayo impilo imibono ngezocansi.28
Njengabazali, singasiza izingane zethu ngokuvimba noma sinciphise ukuvezwa kwazo kokuqukethwe okungafanelekile lapho kungenzeka khona, ngokusebenzisa izilawuli zabazali nokufinyelela okuvinjiwe. Singazama futhi ukubasiza ukuthi bathuthukise amakhono okucabanga abucayi ngezithombe zocansi ngokukhuluma nabo ngalokho abakubona ku-inthanethi futhi sibabandakanye ezingxoxweni ezifanele iminyaka yobudala mayelana nobudlelwano obuphilile, amandla wobulili namandla, imvume, ukuvimbela inzalo kanye nezifo ezithathelwana ngocansi.
Isimemezelo sezintshisekelo
UMike Kirby uthole uxhaso embonini yezemithi ocwaningweni, ukuya emihlanganweni, ukufundisa nokululeka.
|
|
;