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🩺 Ukulawulwa kobuhlungu

Ingabe nawe unesihlungu sebele? Ake sixoxe ngobuhlungu bamabele (Mastalgia)

MBBS
Medically Reviewed by MBBS ✓ Medically Reviewed
📅 Updated: Nov 3, 2026 • ⏱ 9 min read • Inqubomgomo yokuhlela
Ingabe nawe unesihlungu sebele? Ake sixoxe ngobuhlungu bamabele (Mastalgia)
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Sanibonani madoda nabafazi, ikakhulukazi omama nodadewethu abasivakashelayo lapha emtholampilo. Uyazi, kuyenzeka kwesinye isikhathi uvuke ekuseni uzozwa sengathi amabele akho abuhlungu noma asinda, bese uphaphazela ucabanga ukuthi kukhona okungahambi kahle, akunjalo? Phela ukuzwa ubuhlungu bamabele, okuthiwa i-mastalgia ngolimi lwezokwelapha, kuyinto evame kakhulu kwabesifazane abaningi lapha eNingizimu Afrika, kusuka eGauteng kuze kube yaseKwaZulu-Natal. Uma sicabanga ngalokhu, singabona ukuthi kuyethusa ngempela ukuzwa ubuhlungu endaweni ebucayi kangaka emzimbeni wethu, akunjalo? Kodwa ungakhathazeki, thina bodokotela silapha namuhla ukuthi sixoxe ngakho konke ngalolu daba ngokukhululeka nangendlela ezokwenza uzizwe usekhaya. Akesihambe ndawonye siqonde ngqo ezinsukwini zocwaningo lwakho ngale ndaba, futhi siyazi ukuthi ufuna ukwazi kahle ukuthi kungani lokhu kwenzeka nokuthi yini ongayenza.

📌 Imicabango Ebalulekile Okumele Uyikhumbule

  • Ubuhlungu bamabele (mastalgia) buhlukaniseka kabili: obuhambisana nomjikelezo wenyanga kanye nalabo obungahambisani nawo.
  • Ezikhathini eziningi, ubuhlungu bamabele abuveli ngenxa yomdlavuza, kodwa buvame ukuhlobana nezinguquko zamahomoni emzimbeni.
  • Ukwazi ukugqoka isifuba noma ibhodisi (bra) elilingana kahle kungenza umehluko omkhulu ekwehliseni ubuhlungu.
  • Uma uzwa ubuhlungu obuqhubekayo noma ubona izimpawu ezethusayo, kubalulekile ukuya emtholampilo wangakini noma kubdokotela wakho womndeni ngokushesha.

Akesibheke ndawonye ukuthi yiziphi izinhlobo zalezi zinhlungu esivame ukuhlangabezana nazo nsuku zonke, wena uthini ngalokho? Ake ucabange ngomzimba wakho okwamanje, uyakhumbula yini ukuthi lawo mahomoni enza njani ngaphambi kwesikhathi sakho? Phela kuhle kakhulu ukuthi siqale ngokwazi ukuthi zikhona yini izinhlobo ezahlukene zalezi zinhlungu. Pretty surprising, right? Akesingene kujule kulokhu.

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Kunezinhlobo ezimbili ezinkulu zobuhlungu bebele!

Lapho thina sodokotela sihlola isiguli esiza ngobuhlungu bamabele, siqala ngokubuza ukuthi ubuhlungu buza ngezikhathi ezithile zomjikelezo wenyanga noma buvele nje noma nini. Lokhu kusisiza kakhulu ukuthi siqonde ukuthi yini imbangela eyinhloko. Lokhu kuyazwakala, akunjalo? Ake sihlole lezi zinhlobo zombili ngokuningiliziwe.

1. Kuyini ubuhlungu bebele obuhambisana nomjikelezo?

Lolu hlobo lubizwa ngokuthi yi-cyclic breast pain ngesiNgisi. Ngabe uke waphawula ukuthi ngaphambi nje kokuba ube nomjikelezo wakho wenyanga, amabele akho aba buhlungu, avuvukale, futhi azizwe esinda noma ebuhlungu uma uwathinta? Lokhu kuvame kakhulu kubesifazane abancane nakulabo abasemasontweni abo okugcina ngaphambi kokuqala komjikelezo. Njengoba sike sasho ekuqaleni, amahomoni afana ne-estrogen ne-progesterone yiwona alawula le mibono, enza ukuthi izicubu zamabele zigcwele amanzi amancane futhi zibe bucayi kakhulu. Makes sense, right? Kulula ukuqonda ukuthi lokhu kuhlobene ngqo nemvelo yomzimba wethu wesifazane.

2. Buyini ubuhlungu bebele obungajikelezi?

Lolu luhlobo oluhlukile olubizwa nge-non-cyclic breast pain. Lapha, ubuhlungu abuveli ngenxa yomjikelezo wenyanga. Bungavela noma nini, futhi buhlala kwelinye ibele elilodwa noma endaweni ethile eqondile kulelo bele. Lolu hlobo luvame ukuthinta omama abadala abasebancane abasemasontweni okungena esikhathini sokuyeka ukuya esikhathini (menopause), noma kungabangelwa yizinto ezifana nokulimala kwemisipha yesifuba, ukugqoka ibhodisi elingalingani kahle, noma izinkinga ezithile ezithinta amalunga nezicubu ezingaphansi kwebele. Be honest, you've tried wearing tight clothes before, haven't you? Kwesinye isikhathiinto encane enjena ingabangela ubuhlungu obukhulu kakhulu.

Ubuhlungu bebele buvame kangakanani?

Ungase uzibuze ukuthi bangaki abantu abahlukunyezwa yile nkinga. Eqinisweni, cishe ingxenye yabesifazane bonke emhlabeni (noma ngaphezulu kancane) bake bazwa ngobuhlungu bamabele esikhathini esithile sempilo yabo. Akusona isifo esiyivelakancane neze. Kodwa-ke, nakuba kuvamile, abantu abaningi bayesaba kakhulu uma bezwa ubuhlungu, becabanga ngokushesha umdlavuza. Yilapho thina sodokotela singena khona ukuzokuchazela ukuthi akuwona wonke ubuhlungu obusho umdlavuza.

Ziyini izimpawu zobuhlungu bebele?

Zithini izimpawu kanye nendlela obuzwakala ngayo ubuhlungu? Ake sicabange ngalokho okuziswa yisiguli emtholampilo. Izimpawu ezijwayelekile zihlanganisa:

  • Ukuzwa ubuhlungu obudonsayo noma obuhlabayo ebeleni linye noma kwamabili.
  • Amabele azizwa esinda kakhulu futhi eqina ngendlela engajwayelekile.
  • Ukuba bucayi kokuthinta ngisho nakumahembe noma lapho ugona umuntu.
  • Ukuvuvukala okungaba khona ezinsukwini ezandulele umjikelezo wenyanga.

Ubuhlungu bebele obubangelwa umdlavuza buzwakala kanjani?

Lena yiyo kanye imibuzo abantu abaningi abayibuzayo uma befika lapha emtholampilo. Kumele sikhulume ngalokhu ngokusobala nangokucacile. Ezikhathini ezingaphezu kuka-90% noma ngaphezulu, ubuhlungu bamabele abuveli ngenxa yomdlavuza. Umdlavuza webele ngokwawo uvame ukungaziswa ngobuhlungu ekuqaleni; uvame ukuba yiqhubu eliqinile elingabuhlungu. Kodwa-ke, uma ubuhlungu bungahambi, buqhubeka ngendlela eyinqaba, buhambisana nokuphuma kwegazi noma uketshezi olungavamile ebeleni, noma uma ubona ushintsho kwisikhumba sebele (njengokugoqeka okunjengesikhumba sewolintshi), lokho kudinga ukuthi udokotela akuhlole ngokushesha.

Hlobo luni lobuhlungu bebele okufanele sikhathazeke ngalo kakhulu?

Sike sikhulume ngalokhu njalo. Ubuhlungu obudinga ukunakwa kakhulu yibo obungapheli, obuhlala endaweni eyodwa nje kuphela, obuhambisana nokuvela kweqhubu noma isikhumba esibomvu esishisayo, noma obuqala ngokuzumayo ngemva kokushaqeka noma ukulimala okukhulu esifubeni. Uma ubuhlungu buphazamisa ubuthongo bakho noma impilo yakho yansuku zonke ngaphandle kokuhambisana nomjikelezo, kuyisikhathi sokuthi uvakashele umtholampilo wangakini noma udokotela womndeni.

Ingabe kuvamile ukuthi ibele elilodwa kuphela libuhlungu?

Yebo, kuyenzeka. Nakuba ubuhlungu obuhambisana nomjikelezo buvame ukuthinta amabele womabili, ubuhlungu obungajikelezi (non-cyclic) buvame ukuba kwelinye ibele elilodwa kuphela. Uma lokhu kwenzeka, akusho ukuthi kukhona okubi kakhulu okwenzekile ngokushesha, kodwa kudinga ukuthi sikuhlole ngokucophelela ukuze sithole ukuthi yini imbangela yalo elilodwa kuphela elibuhlungu.

Yiziphi izimbangela zobuhlungu bebele?

Ake sibheke izimbangela eziyinhloko esizibona nsuku zonke kulolu hambo lwethu lokwelapha:

  • Ukuguquguquka kwamahomoni: Ikakhulukazi ngesikhathi somjikelezo, ukukhulelwa, noma ukuncelisa.
  • Amabhodisi (bras) angalingani kahle: Uma intambo yebhodisi icindezela kabi noma ingabambe kahle amabele, kungadala ubuhlungu bemisipha.
  • Ukusebenzisa imithi ethile: Eminye imithi yokulawula inzalo noma imithi yomfutho wegazi ingaba nomthelela.
  • Ukudla okunamafutha amaningi noma ikhofi eliningi (caffeine): Abanye abantu bathola ukuthi ukwehlisa ikhofi kuyabasiza.
  • Ukulimala kwemisipha: Ukuzivocavoca ngokweqile noma ukuphakamisa izinto ezinzima kungadala ubuhlungu obubonakala sengathi buvela ebeleni kanti buvela emisipheni yesifuba.
Uhlobo Lobuhlungu Izimbangela Eziyinhloko Okumele Ukwenze
Obuhambisana Nomjikelezo Ukwenyuka nokwehla kwamahomoni ngaphambi komjikelezo Gqoka ibhodisi elinesandla esihle, nciphisa usawoti nekhofi
Obungajikelezi Izinkinga zemisipha, ukulimala, noma izicubu ezithile Vakashela udokotela womndeni ukuze sihlole kahle
Okuhlobene Nebhodisi Ukugqoka ibhodisi elincane kakhulu noma elingenazintambo ezisekelayo Shintsha ibhodisi lakho uthenge elilingana kahle nobukhulu bakho

Ingabe ubuhlungu bebele buwuphawu lomdlavuza webele?

Sike sasho lokhu futhi siphinda sikusho: eziningi zezikhathi, ubuhlungu bebele akuwona umdlavuza. Kodwa abantu abaningi bayazethusa ngokufunda izinto ezingaqinisile ku-inthanethi. Uma unqena noma ukhathazekile, indlela engcono kakhulu ukuthi weze lapha emtholampilo sikuhlole nge-mammogram noma i-ultrasound uma kunesidingo. Yiyo yodwa indlela yokususa ukungabaza ngokuqinisekile.

Ingabe ukucindezeleka nokukhathazeka kungadala ubuhlungu bebele?

Pretty surprising, right? Yebo! Ukucindezeleka kwengqondo nokukhathazeka okukhulu kungaphazamisa amahomoni emzimbeni wakho futhi kwenze imisipha yesifuba iqine kakhulu. Lokhu kungenza ubuhlungu bamabele buzizwe bubuhlungu kakhulu. Uma unomsebenzi omningi noma izinkinga ekhaya, cabanga ukuthatha isikhathi sokuphefumula kahle nokuzola.

Kungani amabele ebuhlungu ngesikhathi sokukhulelwa?

Ngesikhathi sokukhulelwa, umzimba wakho ulungiselela ukondla ingane ezayo. Amahomoni enza ukuthi izicubu zamabele zikhule futhi zibe nezitsha zegazi ezengeziwe. Lokhu kubangela ukuthi amabele abe buhlungu kakhulu, ikakhulukazi ezinyangeni zokuqala zokukhulelwa. Lokhu kujwayelekile kakhulu futhi kuyibika elihle lokuthi umzimba wakho uyasebenza.

Ubani onamathuba amaningi okuthola ubuhlungu bebele?

Ubuhlungu obuhambisana nomjikelezo buvame ukuthinta kakhulu abesifazane abancane abaseminyakeni yobusha noma abasanda kungena eminyakeni yokuzala (kusukela eminyakeni engu-20 kuya kwengu-50). Ngakolunye uhlangothi, ubuhlungu obungajikelezi buvame ukubonakala kakhulu kwabesifazane abadala abasuka eminyakeni engu-40 kuya phezulu.

Yiziphi izinkinga zobuhlungu bebele?

Nakuba ubuhlungu ngokwabo bungabulali,inkinga enkulu ebangelwa yibo ukukhathazeka okukhulu kwengqondo. Abantu abaningi bahlala becabanga ukuthi kukhona okubi kakhulu okwenzekayo, okungaphazamisa ubuthongo babo, umsebenzi wabo, kanye nobuhlobo babo nabanye abantu ngenxa yokwesaba okungapheli.

Ungabubona kanjani ubuhlungu bebele?

Ukwazi ukuhlola nokubona ukuthi ubuhlungu buza nini nokuthi buzwakala kanjani kuyasiza kakhulu. Ukugcina irekhodi noma idayari yezinsuku ozwa ngazo ubuhlungu kuhambisana nomjikelezo wakho wenyanga kuyisikhali esinamandla kakhulu esingasiza udokotela wakho ukuba abone kahle ukuthi kwenzekani.

Ungayiphatha kanjani ubuhlungu bebele?

Kunezindlela eziningi ezinhle zokwehlisa lobu buhlungu ekhaya nasesibhedlela:

  • Gqoka ibhodisi elikhululekile nelisekelayo kahle, ikakhulukazi uma uzivocavoca.
  • Nciphisa ukudla okunamafutha amaningi kanye nezipuzo ezine-caffeine eningi (njengekhofi netiye elinamandla).
  • Sebenzisa amaphilisi okudambisa izinhlungu afana ne-paracetamol uma kunesidingo (ngemva kokubuza udokotela noma usokhemisi).
  • Zama ukwenza izivivucavoca zokuphefumula nokwehlisa ukucindezeleka (stress).

Ingabe ubuhlungu bebele bungavinjelwa?

Yize ungakwazi ukugqashula ngokuphelele kumahomoni emzimbeni wakho, ungazivikela ekubeni bubuhlungu kakhulu ngokugcina ukudla okunempilo, ukuphuza amanzi anele, ukuzivocavoca njalo, nokugqoka amhodisi alingana kahle ncamashi.

Ubuhlungu bebele bungahlala isikhathi esingakanani?

Kwabaningi, ubuhlungu obuhambisana nomjikelezo buvela izinsuku ezimbalwa ngaphambi komjikelezo bese buyaphela uma usuqala. Kodwa kwezinye izimo, bungahlala amasonto ambalwa noma buqhubeke isikhathi eside uma kunezinto ezifana nokucindezeleka noma ukungalingani kwamahomoni okungapheliyo.

✔️ Okumele Ukwenze kanyenalokho Ongakumelanga Ukwenze (Do's and Don'ts)

  • Yenza: Gqoka ibhodisi eliqinile nelisekelayo uma uzivocavoca noma ugijima.
  • Yenza: Gcina irekhodi lezinsuku ozwa ngazo ubuhlungu ukuze ulitshele udokotela wakho.
  • Yenza: Phuza amanzi amaningi futhi udle ukudla okunempilo okubandakanya imifino nezithelo zasekhaya.
  • Ungakwenzi: Ungagqoki amhodisi amancane kakhulu noma angasaseleki kahle.
  • Ungakwenzi: Ungesabi ngokweqile ngaphambi kokuba ubone udokotela wakho.
  • Ungakwenzi: Ungaphuzi ikhofi eliningi kakhulu uma ubona ukuthi liyaba yinkinga ebeleni lakho.

🚨 Isikhathi Sokufuna Usizo Olusheshayo (Red Flags)

Uma uzwa ubuhlungu obukhulu kakhulu obungapheliyo, noma ubona igazi liphuma ebeleni, noma uthola iqhubu eliqinile elingahambi, ungathikamezeki! Thintana nethimba lezimo eziphuthumayo ngokushesha ku-10177 (National Ambulance) noma ku-112 (kusuka kumakhalekhukhwini), noma uqonde ngqo emtholampilo wangakini, udokotela womndeni, noma isibhedlela (Casualty / Emergency Department) ukuze uthole usizo olungcono kakhulu.

  • Ukuphuma kwegazi noma uketshezi olungavamile ebeleni ngaphandle kwesizathu.
  • Ukwakheka kwesilonda noma isikhumba sebele esigoqekile njengesewolintshi.
  • Ubuhlungu obukhulu kakhulu obungakuvumeli ukuba ulale noma uhambe kahle.
  • Ukushisa nokuba bomvu okukhulu ebeleni okuhambisana nomkhuhlane.

💡 Umlayezo Obalulekile Oyowusa Ekhaya

  • Ubuhlungu bamabele buyinto evamile kakhulu futhi ezikhathini eziningi akuwona umdlavuza.
  • Ukuxoxa nodokotela wakho nokuhlolwa ngendlela efanele kuzokunika ukuthula kwengqondo.
  • Izinguquko ezincane empilweni yansuku zonke zingenza umehluko omkhulu ekwehliseni lobu buhlungu.
❓ FAQ

FAQ

Evidence-based clinical answers to common patient questions

Ingabe ubuhlungu bamabele buhlala buwuphawu lomdlavuza webele?

Cha, akunjalo neze. Ezikhathini eziningi kakhulu, ubuhlungu bamabele buhlobana namahomoni, ukucindezeleka, noma amabhodisi angalingani kahle, hhayi umdlavuza.

Ngabe ngingakwazi ukwehlisa ubuhlungu bamabele ekhaya?

Yebo! Ungakwazi ngokugqoka ibhodisi elisekelayo kahle, ukwehlisa ikhofi nosawoti, nokusebenzisa amaphilisi okulula okudambisa izinhlungu ngemva kokubuza udokotela noma usokhemisi.

Kungani ibele lami elilodwa kuphela elibuhlungu?

Lokhu kuvame ukwenzeka kubuhlungu obungajikelezi (non-cyclic), obungabangelwa ukulimala kwemisipha yendawo eyodwa noma izinkinga ezithile zesikhumba noma zezicubu zangaphakathi.

Ngingaya nini kudokotela ngenxa yobuhlungu bebele?

Kufanele uye emtholampilo wangakini uma ubuhlungu buqhubeka isikhathi eside, buphazamisa ubuthongo bakho, noma uma ubona iqhubu noma uketshezi olungavamile.

Ingabe ukukhulelwa kungabangela ubuhlungu bamabele?

Yebo, ngesikhathi sokukhulelwa amahomoni ayenyuka kakhulu ukulungiselela umzimba, okwenza amabele abe bucayi futhi abe buhlungu kakhulu, ikakhulukazi ezinyangeni zokuqala.

📚

PubMed / WHO

✓ Peer-Reviewed Sources
  1. NHS UK: Breast pain overview and self-care advice
  2. World Health Organization: Breast health and general guidance
  3. The Surgical clinics of North America (2022): ElSherif A et al. — Management of Mastalgia [PMID: 36335929]
  4. Journal of breast imaging (2024): Bui AH et al. — An Image-Rich Educational Review of Breast Pain [PMID: 38538078]
  5. BMJ clinical evidence (2007): Bundred NJ et al. — Breast pain [PMID: 19454068]
🔍 Search Keywords: ubuhlungu bamabele • ubuhlungu bebele • mastalgia • izimbangela zobuhlungu bebele • ubuhlungu bebele nomjikelezo • ukwelashwa kobuhlungu bebele • amabele abuhlungu • isihlungu sebele

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