Haumanu Taikaha Mo Te Sex

Ko te whāinga taikaha ki te sex he wāhi pea e kiia ana ko te hypersexuality, ko te taumanutia rānei ki te sex. He aro nui ki ngā whakaaro moepuku, ngā hiahia, ngā mahi rānei kaore e taea te whakahaere. Ka puta mai tēnei i te pouri me ngā raruraru mō tō hauora, mahi, whanaungatanga, me ētahi atu wāhanga o tō oranga.

Ka uru pea te whāinga taikaha ki te sex ki ngā momo wheako taikaha noa. Ko ētahi tauira ko te whakahoki i a koe ano, te ohooho moepuku mā te whakamahi rorohiko ki te whakawhiti korero, te maha o ngā hoa moepuku, te whakamahinga o te mahi ā-moepuku, te utu rānei mō te sex. Engari, ki te waiho enei whāinga moepuku hei kaupapa nui, hei kaupapa tonu i roto i tō oranga, he uaua ki te whakahaere, he raruraru ki tō oranga, he kino rānei ki a koe, ki ētahi atu, koinei pea te whāinga taikaha ki te sex.

Ahakoa te ingoa, te ahua rānei o te whāinga, ka taea e te whāinga taikaha ki te sex kaore i te rongoā te whakangaro i tō whakaaro ki a koe ano, ngā whanaungatanga, mahi, hauora me ētahi atu tangata. Engari mā te rongoā me te awhina i a koe ano, ka taea e koe te ako ki te whakahaere i te whāinga taikaha ki te sex.

Ko ētahi tohu pea kei a koe te whāinga taikaha mo te sex e whai ake nei: He maha ngā whakaaro tō muri, ngā hiahia, me ngā whāinga mo te sex e tango ana i te nuinga o tō wā, ā, ka rite ki te kore e taea e koe te whakahaere. Ka whakahihi koe, kāore rānei, ki te mahi i ētahi whāinga mo te sex, ka kitea te whakaheke i te ahotea i muri mai, engari ka pouri rānei koe, ka pouri hoki. Kua ngana koe, engari kāore i angitu, ki te whakaiti, ki te whakahaere rānei i ō whakaaro mo te sex, ngā hiahia, ngā whāinga rānei. Ka whakamahia e koe te whāinga taikaha mo te sex hei rerenga atu i ētahi atu raruraru, pēnei i te noho kotahi, te pouri, te manukanuka, te ahotea rānei. Ka haere tonu koe ki te mahi i ngā whāinga mo te sex ahakoa ka puta mai ngā raruraru nui. Ka taea e ēnei te wāhi pea o te whiwhi, o te hoatu rānei i tetahi atu mate mo te sex, te ngaro o ngā hononga nui, te raruraru i te mahi, ngā take putea, ngā raruraru ture rānei. He uaua ki a koe te hanga me te pupuri i ngā hononga hauora me te pumau. Tono atu kia āwhina mena ka kite koe kua ngaro te mana o tō whāinga mo te sex, ina koa ki te ka puta mai ngā raruraru mōu, mō ētahi atu tangata rānei. Ka kaha ake te whāinga taikaha mo te sex i te wā ka kore e āwhina, na reira kia āwhina ina kite tuatahi koe i tetahi raruraru. I te wā e whakatau ana koe mēnā ka rapu āwhina ngaio, ui atu ki a koe: Ka taea e au te whakahaere i ōku hiahia mo te sex? Kei te pouri ahau i aku whāinga mo te sex? Kei te kino aku whāinga mo te sex ki aku hononga, kei te pā ki taku mahi, kei te puta mai rānei ngā raruraru nui, pēnei i te hopukina? Kei te ngana ahau ki te huna i aku whāinga mo te sex? He uaua te rapu āwhina mō te whāinga taikaha mo te sex, nā te mea he mea tino whaiaro, he mea tūmataiti hoki. Whakamātauria ki te: Whakarite i te whakama, te whakama rānei, ā, aro atu ki ngā painga o te whiwhi i te rongoā. Kia mahara kei te noho kotahi koe—he tokomaha ngā tāngata e whawhai ana ki te whāinga taikaha mo te sex. Kei te whakangungua ngā tohunga hauora hinengaro kia mārama, ā, kaua e whakahe ki ngā tāngata. Engari ehara ngā kaiwhakarato hauora hinengaro katoa i te wheako ki te whakaora i tēnei āhuatanga. Rapua he kaiwhakarato he wheako ki te whakatau me te whakaora i te whāinga taikaha mo te sex. Kia mahara ko te mea e kōrero ana koe ki tetahi kaiwhakarato hauora, ki tetahi kaiwhakarato hauora hinengaro rānei he mea tūmataiti. Engari me whakaatu e ngā kaiwhakarato tētahi ripoata mēnā ka kōrero koe ki a rātou kei te ngana koe ki te whara i a koe, ki tetahi atu rānei. Me whakaatu hoki e rātou mēnā ka hoatu e koe ngā kōrero mō te tukino ira tangata i te tamaiti, te tukino rānei, te whakahawea rānei ki tētahi e ngoikore ana, pēnei i te kaumatua, te tangata whai whakawhāinga rānei. Tono atu ki tetahi kaiwhakarato hauora kia āwhina tonu mēnā: Kei te whakaaro koe pea ka whara koe, ki ētahi atu rānei, nā te whāinga kore mana mo te sex. Kei te whakaaro koe kei te ngaro te mana o tō whāinga mo te sex. Kei te whakaaro koe ki te whakamomori i a koe. I te U.S., waea atu, karere atu rānei ki te 988 ki te toro atu ki te 988 Suicide & Crisis Lifeline, e wātea ana i ngā hāora 24 o te rā, i ngā rā katoa. Kāore rānei e whakamahi i te Lifeline Chat. He kore utu, he tūmataiti ngā ratonga.

Tono atu he awhina ki te kore e taea e koe te whakahaere i ō whāinga taikaha, ā, tērā pea ka nui ake te kino o ngā āhuatanga mōu, ā, mō ētahi atu. Ka kaha ake te kino o te whāinga taikaha i te wā, ki te kore e whakaorahia, na reira, rapu awhina i te wā e kite tuatahi ana koe i te raru. I a koe e whakatau ana mēnā e rapu awhina ngaio ana koe, ui atu ki a koe:

• Ka taea e au te whakahaere i aku ngākau taikaha?
• Kei te pouri ahau i aku whāinga taikaha?
• Kei te kino aku whāinga taikaha i aku whānau, kei te pā ki taku mahi, kei te raruraru nui rānei, pēnei i te hopukina?
• Kei te ngana ahau ki te huna i aku whāinga taikaha? Ka uaua pea te rapu awhina mō te whāinga taikaha, nā te mea he mea tino whaiaro, he mea ngaro. Whakamātauria kia:
• Waiho te whakama, te whakama rānei ā, aro atu ki ngā painga o te whiwhi i te rongoā.
• Mahara ehara koe i te kotahi — he tokomaha ngā tāngata e whawhai ana ki te whāinga taikaha. Kua whakangungua ngā tohunga hauora hinengaro kia mārama, ā, kaua e whakahe ki ngā tāngata. Engari ehara ngā kaiwhakarato hauora hinengaro katoa i te wheako ki te whakaora i tēnei āhuatanga. Rapua tētahi kaiwhakarato he wheako ki te whakatau ā, ki te whakaora i te whāinga taikaha.
• Kia mahara ko ngā mea e kōrerotia ana e koe ki tētahi kaiwhakarato hauora hauora rānei, he mea ngaro. Engari me ripoata ngā kaiwhakarato mena ka kōrero koe ki a rātou kei te hiahia koe ki te whara i a koe, i tētahi atu rānei. Me ripoata hoki rātou mena ka hoatu e koe ngā mōhiohio mō te tukino taikaha i tētahi tamariki, te tukino rānei, te whakahawea rānei ki tētahi e ngoikore ana, pēnei i tētahi kaumatua, i tētahi tangata whai whakawhāinga rānei. Tono atu he awhina ki tētahi kaiwhakarato hauora i te wā tonu mena:
• Kei te whakaaro koe pea ka whara koe i a koe, i ētahi atu rānei, nā te whāinga taikaha kaore e taea te whakahaere.
• Kei te whakaaro koe kei te ngaro te mana o ō whāinga taikaha.
• Kei te whakaaro koe ki te whakamomori i a koe. I te U.S., waea atu, karanga atu rānei ki te 988 ki te toro atu ki te 988 Suicide & Crisis Lifeline, e wātea ana i ngā hāora 24 o te rā, i ngā rā katoa. Waihoki, whakamahia te Lifeline Chat. He kore utu, he mea ngaro ngā ratonga.

Ahakoa ehara i te marama ngā take tino mō te whāinga taikaha ki te sex, ko ētahi pea o ngā take e āhei ana ko:

• Ngā huringa i ngā ara o te roro. I te roanga o te wā, ka āhei pea te whāinga taikaha ki te sex ki te whakaputa i ngā huringa ki ngā ara o te roro, e kiia nei ko ngā kaupapa neural. Ka āhei pea te tupu o tēnei, ā, tērā rānei, i ngā wāhanga o te roro e hono ana ki te whakakā. I te roanga o te wā, ka hiahiatia pea ngā rauemi ā-sex me ngā whakaohooho kaha ake hei whiwhi i te makona, i te whakaora rānei.
• Te kore o te taurite o ngā matū taiao o te roro. Ko ētahi o ngā matū i roto i tō roro, e kiia nei ko ngā neurotransmitter — pēnei i te serotonin, dopamine me te norepinephrine — te āwhina i te whakahaere i tō ngākau. Ki te kore te taurite o ēnei, ka pā pea ki tō hiahia ā-sex me tō whāinga.
• Ngā āhuatanga e pā ana ki te roro. Ko ētahi āhuatanga hauora, pēnei i te mate dementia, ka āhei pea te whakaputa i te kino ki ngā wāhanga o te roro e pā ana ki te whāinga ā-sex. I tua atu, ko te maimoatanga o te mate Parkinson me ētahi rongoā ka āhei pea te whakaputa i te whāinga taikaha ki te sex.

Ko te whāinga taikaha ki te sex e taea ana e ngā tāne me ngā wāhine, ahakoa pea ka nui ake te tūponotanga ki ngā tāne. Ka pā pea ki te tangata katoa, ahakoa te ira tangata. Ko ngā take ka piki ake pea te tūponotanga o te whāinga taikaha ki te sex ko: Tēnā te ngāwari o te whiwhi i ngā kōrero sex. Ko ngā ahuatanga hou o te hangarau me ngā pāpāho pāpori e homai ana ki te iwi te uru ngāwari ki ngā whakaahua me ngā kōrero sex kaha.  Te tūpato. Ko te āhua ngaro me te tūpato o ngā mahi sex taikaha e taea ana e ēnei raruraru te kino ake i te wā. I tua atu, ka piki ake pea te tūponotanga o te whāinga taikaha ki te sex ki ngā tāngata he: Raruraru ki te inu waipiro, ki te whakamahi rākau rānei.  Tetahi atu āhuatanga hauora hinengaro, pēnei i te pouri, te manukanuka, te taikaha ki te petipeti rānei.  Ngā tautohe i roto i te whānau, i ngā mema o te whānau rānei he raruraru pēnei i te taikaha.  He hītori o te tukino tinana, o te tukino sex rānei.

Ko te whāinga taikaha ki te sex e taea te tupu ai ngā raruraru maha e pā ana ki a koe me ētahi atu. Āta kōrero: Whakapaho ki ngā whakaaro o te hara, o te whakama me te iti o te whakaaro ki a koe. Whakawhānau i ētahi atu āhuatanga hauora hinengaro, pēnei i te pouri, te raruraru nui me te awangawanga. Ka whakaaro pea koe ki te whakamomori, ki te ngana rānei ki te whakamomori. Whakahawea, kī rānei ki tō hoa me tō whānau, te whara rānei, te whakangaro rānei i ngā hononga nui. Ngaro tō aro, ki te mahi sex rānei, ki te rapu i te pakiwaitara ipurangi i te wā mahi, te tūpono rānei i tō mahi. He raruraru putea mai i te hoko pakiwaitara, te sex ipurangi, te waea sex, me ngā ratonga sex. Whiwhi i te HIV, te hepatitis, tetahi atu mate whakawhiti ira rānei, te tuku rānei i te mate whakawhiti ira ki tētahi atu. He raruraru ki ngā rongoā me te waiū, pēnei i te whakamahinga o ngā rongoā whakangahau, te inu nui rānei o te waiū. E hopukina ana mō ngā hara sex.

Nō te mea kaore i te mōhiotia te take o te whāinga taikaha ki te sex, kaore i te mārama te huarahi hei ārai i taua mea. Engari, tera pea etahi mea hei āwhina i a koe ki te pupuri i te mana whakahaere i ngā whāinga raruraru:

• Whakahokia atu te āwhina i te wā tata mo ngā raruraru me te whāinga ki te sex. Ko te tautuhi me te whakaora i ngā raruraru i te wā tata pea ka āwhina i te ārai i te whāinga taikaha ki te sex kei te kino haere i te wā. Ko te whiwhi āwhina pea ka ārai hoki i te whakama, ngā raruraru whanaungatanga, me ngā mahi kino kei te kino haere.
• Whakahokia atu te āwhina mō ngā raruraru me te inu waipiro me te whakamahinga rongoā. Ka taea e ēnei te whakaeke i te ngaro o te mana whakahaere e ārai ana i te whakaaro kino me ngā whāinga taikaha ki te sex kaore i te hauora.
• Kaua e tūpono ki ngā āhuatanga tūpono. Kaua e whakatūpono i tō hauora, i te hauora rānei o ētahi atu mā te whakanoho i a koe ki ngā āhuatanga ka whakataetae koe ki te whakauru ki ngā mahi taikaha ki te sex.

Ka taea e koe te ui ki tō kaiwhakarato hauora kia tohutohu koe ki te kaiwhakarato hauora hinengaro he wheako tōna ki te whakatau me te whakaora i te whāinga taangata whakaheke. Ā, rawa atu rānei ka whakatau koe ki te whakapiri atu ki te kaiwhakarato hauora hinengaro tika. Ka uru pea te whakamātau hauora hinengaro ki te kōrero mō:

• Tō hauora tinana me te hinengaro, me tō oranga ngākau whānui.
• Ngā whakaaro taangata, ngā whāinga me ngā hiahia e uaua ana te whakahaere.
• Te whakamahinga o ngā rongoā whakangahau me te waipiro.
• Whānau, whanaungatanga me te oranga hapori.
• Ngā āwangawanga me ngā raruraru i puta mai i tō whāinga taangata.

Me tō whakaaetanga, ka tono pea hoki tō kaiwhakarato hauora hinengaro i ngā korero mai i te whānau me ngā hoa.

He tautohetohe tonu kei roto i ngā tohunga hauora hinengaro mō te tikanga o te whakatau i te whāinga taangata whakaheke. Ehara i te mea ngāwari tonu te whakatau i te wā ka waiho te whāinga taangata hei raruraru.

He tokomaha ngā tohunga hauora hinengaro e whakamahi ana i te Pukapuka Whakatau me te Tatauranga o ngā Mate Hinengaro (DSM-5-TR), i whakaputaina e te Rōpū Hauora Hinengaro o Amerika, hei aratohu mō te whakatau i ngā āhuatanga hauora hinengaro. Kāore i te rārangi te whāinga taangata whakaheke i roto i te DSM-5-TR hei whakatau, engari i etahi wā ka whakatauhia hei wāhanga o tētahi atu āhuatanga hauora hinengaro, pēnei i te raruraru whakahaere hiahia, te taumanutia ranei.

I te tekau mā tahi o te whakatikatika o te Whakatau Whakawhānui o ngā Mate (ICD-11), ka whakatau te Rōpū Hauora o te Ao i te mate whāinga taangata whakaheke hei raruraru whakahaere hiahia.

E whakaaro ana etahi tohunga hauora hinengaro ko ngā whāinga taangata whakaheke he mahi taangata e mau ana ki te mutunga e puta ai ngā raruraru nui me te kino ki te ora. He mea nui ake te rangahau kia puta mai ai ngā aratohu paerewa mō te whakatau. Engari, mō nāianei, ko te whakatau me te maimoatanga e te tohunga hauora hinengaro he tohunga ia ki ngā taumanutia me ngā whāinga taangata whakaheke ka tino pai pea ngā hua.

Ko te rongoā mō te whāinga taikaha ki te sex e whakauru ana i te rongoā kōrero—e kiia ana hoki ko te psychotherapy—rāua ko ngā rongoā me ngā rōpū āwhina-whaiaro. Ko te tino whāinga o te rongoā ko te āwhina i a koe ki te whakahaere i ngā hiahia me te whakaiti i ngā whāinga raruraru, ā, kei te pai tonu te ngākau ki ngā mahi sex hauora me ngā hononga.

Ka whai hua pea ngā tāngata e whai take taikaha ranei, e whai āhuatanga hauora hinengaro kino ranei, kāore rānei e tūkinotia e ētahi atu ki te rongoā e tīmata ana i te noho i te whare hauora. Ahakoa kei roto i te whare hauora, kei waho rānei, ka kaha pea te rongoā i te tīmatanga. Ka āwhina pea te rongoā haere tonu i te wā ki te aukati i ngā hoki mai.

Ka āwhina pea te rongoā kōrero, e kiia ana hoki ko te psychotherapy, ki te ako i a koe ki te whakahaere i tō whāinga taikaha ki te sex. Ko ngā momo rongoā kōrero e whai ake nei:

• Te rongoā whāinga-ā-mahinga (CBT), e āwhina ana i a koe ki te kimi i ngā whakapono me ngā whāinga kino, kore hauora, me te whakakapi i aua mea ki ētahi atu mea whai hua ake. Ka taea hoki e koe te whiwhi pūkenga e āwhina ana i a koe ki te whakahaere i ngā hiahia me te whakatau i ngā āhuatanga rerekē i te wā e hiahiatia ana. Ka ako koe i ngā huarahi hei whakaiti i te tūponotanga o ēnei whāinga, kia iti ake ai te tūponotanga o te uru atu ki ngā rauemi sex.
• Te rongoā whakaae me te whakaute, he momo CBT tēnei e whakanui ana i te whakaae ki ngā whakaaro me ngā hiahia, me te whakaute ki te mahere hei whakahaere i aua mea. Ka taea e koe te ako ki te whiriwhiri i ngā mahi e rite ana ki ō uara nui.
• Te psychotherapy psychodynamic, he rongoā tēnei e aro nui ana ki te mōhio atu ki ngā whakaaro me ngā whāinga ngaro. Ka taea e koe te whakawhanake i ngā whakaaro hou ki te mea e whakaohooho ana i a koe. Ka ako hoki koe i ngā huarahi hei whakatau i ngā tautohetohe.

Ka taea te whakarato i ēnei rongoā hei hui takitahi, rōpū, whānau, rānei tokorua. Ka taea hoki te whakarato i ngā hui i te tangata, i ngā karangatanga ataata rānei.

Ngātahi atu ki te rongoā kōrero, ka āwhina pea etahi rongoā. Ka mahi ēnei rongoā ki ngā matū o te roro e hono ana ki ngā whakaaro me ngā whāinga obsessive. Ka whakaitihia e rātou ngā utu matū e homai ana e ēnei whāinga ina mahi koe ki a rātou. Ka taea hoki e rātou te whakaiti i ngā hiahia sex. Ko tehea rongoā, ko ngā rongoā rānei e pai ana mōu e whakahaeretia ana e tō āhuatanga me ētahi atu āhuatanga hauora hinengaro pea kei a koe.

Ko ngā rongoā e whakamahia ana hei whakaora i te whāinga taikaha ki te sex e tohua ana i te nuinga mō ētahi atu āhuatanga. Ko ētahi tauira:

• Naltrexone. Ko te Naltrexone (Vivitrol) e whakamahia ana i te nuinga ki te whakaora i te tūmanako ki te waipiro me te opiate. Ka aukatitia e ia te wāhanga o tō roro e pai ana ki ētahi whāinga taikaha. Ka āwhina pea ki ngā taikaha whāinga penei i te whāinga taikaha ki te sex, te raruraru petipeti rānei.
• Ngā kaiwhakawātea ngākau. Ko ēnei rongoā e whakamahia ana i te nuinga ki te whakaora i te mate bipolar, engari ka taea e rātou te whakaiti i ngā hiahia taikaha ki te sex.
• Anti-androgens. I roto i ngā tāne, ka whakaitihia e ēnei rongoā ngā pānga o ngā homoni sex e kiia nei ko ngā androgens i roto i te tinana. Nō te mea ka whakaitihia e rātou ngā hiahia sex, ka whakamahia ngā anti-androgens i roto i ngā tāne e kino ana te whāinga taikaha ki te sex ki ētahi atu.

Ka whai hua pea ngā rōpū āwhina-whaiaro me ngā rōpū tautoko mō ngā tāngata e whai whāinga taikaha ana ki te sex, me te whakahaere i ētahi o ngā take e taea ai e ia te whakaputa. He maha ngā rōpū i hangaia i runga i te kaupapa 12-tapa o Alcoholics Anonymous (AA).

Ka taea e ēnei rōpū te āwhina i a koe ki te:

• Ako mō tō mate.
• Kimi i te tautoko me te mārama ki tō āhuatanga.
• Kimi i ētahi atu kōwhiringa rongoā, whāinga whakahaere me ngā rauemi.
• Āwhina ki te aukati i te hoki mai.

Ka taea pea te whakahaere i ēnei rōpū i runga i te ipurangi, i ngā hui kanohi-ki-kanohi o te rohe rānei, i ngā mea e rua rānei. Ki te hiahia koe ki te rōpū āwhina-whaiaro, rapuhia tētahi rōpū e whai ingoa pai ana, ā, e ngākau nui ana koe ki a ia. Kāore ēnei rōpū e whakamīharo ki te katoa. Pātai atu ki tō kaiwhakarato hauora hinengaro kia tūtohu i tētahi rōpū, kāore rānei e pātai atu mō ētahi atu kōwhiringa atu i ngā rōpū tautoko.

Ka taea e koe te tango i ngā kaupae hei tiaki i a koe ano i te wā e whiwhi ana koe i te rongoā ngaio:

• Whai i tō mahere rongoā. Haere ki ngā hui rongoā kua whakaritea, ka tango i ngā rongoā penei i te aratohu. Kia mahara he mahi uaua tēnei, ā, ka taea pea e koe te whakahoki mai i te wā.
• Ako koe. Ako mō te whāinga taikaha ki te sex kia pai ai tō mōhiotanga ki ōna take me tō rongoā.
• Kimihia te mea e whakaohooho ana i a koe. Kimihia ngā āhuatanga, ngā whakaaro me ngā ngākau e taea ai te whakaohooho i ngā hiahia sex kia taea ai e koe te tango i ngā kaupae hei whakahaere i aua mea.
• Aukati i ngā whāinga kino. Whakaritea ngā rohe hei karo i ngā āhuatanga kino. Hei tauira, kia kaua e haere ki ngā karapu takahuri, ki ngā pae inu, ki ētahi atu wāhi pea ka whakamātautauhia ai te rapu i tētahi hoa hou, te mahi rānei i te whāinga sex kino. Kāore rānei e noho atu i te waea atamai me te rorohiko, kāore rānei e tāuta i te pūmanawa e aukati ana i ngā paetukutuku pōrangi. Ko te whakaiti i te tūponotanga o ēnei whāinga, me te whakaiti i te uaua ki te mahi, ka āwhina pea ki te wawahi i te huringa taikaha.
• Kimihia ngā huarahi hauora. Ki te whakamahi koe i te whāinga sex hei huarahi hei whakahaere i ngā ngākau kino, rapuhia ngā huarahi hauora hei whakahaere. Hei tauira, tīmatahia te whakakori tinana, te whakauru rānei ki ngā mahi whakangahau.
• Whakamahia te whakamahinga me te whakahaere i te ahotea. Whakamātauhia ngā tikanga whakaiti ahotea penei i te whakaaroaro, te yoga, te tai chi rānei.

Kaore he uauatanga