Akni na sɔntin we de mɔna bɔku pan wi. Sɔntɛnde i kin kam lɛk smɔl smɔl pimples ɛn i kin go insay tu-tri dez. Bɔt sɔm kayn akni de we kin tɔn to big big tin dɛn we kin mek wi fil pen ɔnda wi skin ɛn we kin las fɔ sɔm mɔnt. Wan pan dɛn kayn siriɔs akni ya dɛn kɔl am ‘Nodular Acne’. Dis nɔ tan lɛk akni we kin gɛt ɔltɛm, bɔt na sɔntin we nid fɔ pe atɛnshɔn to am smɔl.
Wetin na nodular akni?
Fɔ tɔk am simpul wan, dis na di wɔs we fɔ gɛt akni . Dis na bɔmp dɛn we at ɛn we kin mek yu fil pen ɛn we kin mek dip dip wan ɔnda yu skin. Dɛn tan lɛk rɛd, rayz bɔmp dɛn na di say we dɛn de. Bɔt bɔku tɛm, nɔ wayt ɔ blak ed nɔ de na di midul pan dɛn bɔmp dɛn ya. Tink bɔt am lɛk smɔl ston we stɔp ɔnda yu skin, ɛn na so i kin fil.
Sɔntɛnde, dɛn bɔmp ya kin las fɔ sɔm wiks, sɔm tɛm dɛn kin ivin fɔ sɔm mɔnt. Dɛn kin rili pen bak . di men rizin fכ dis na dat wan kayn baktri we dεn kכl ``Cutibacterium acnes`` (``C. acnes``) we de liv pan wi skin kin trכp insay dεn bכmp dεm ya, we kin mek infεkshכn εn inflameshn. Dis na di rizin we mek dɛn de fil bad bad wan.
Dis sik, we dɛn kɔl nodular acne, fɔ tru tru wan dɔktɔ we de mɛn di skin fɔ trit am . Bikɔs, if dɛn nɔ trit dɛn fayn fayn wan, dɛn bɔmp dɛn ya kin mek yu gɛt skata dɛn we go de sote go ɛn we gɛt siriɔs skata . So, if yu bigin fɔ trit yu kwik kwik wan, dat kin mek yu nɔ gɛt dɛn skata ya.
Aw kɔmɔn tin na nodular akni?
Akni na rili wan pan di tin dɛn we kin apin to pɔsin in skin na di wɔl. Bɔt, nodular akni na wan kayn akni we rili bad ɛn we kin mek pɔsin fil bad. Na lɛk 20% pan di pipul dɛn we gɛt akni kin gɛt dis kayn bad bad akni . Dis min se i nɔ kin apin to ɔlman, bɔt i kin apin to smɔl pipul dɛn.
Wetin mek nodular akni kin apin? Wetin na di tin dɛn we kin mek i apin?
Dis siriɔs akni kin kam di sem we lɛk ɔda kɔmɔn akni. Dat min se i kin apin we di pores dɛn na wi skin kin blok . Dɛn pores ya kin klɔg wit day skin sɛl dɛn, ia fɔlikul dɛn, ɛn sebum (wan ɔyl we wi bɔdi kin mek fɔ mek wi skin wet). Dɔn, di baktri dɛn we dɛn kɔl `C. aknes` we nכmal wan de liv pan di skin de trכp insay dεn pores dεm ya, we de mek infεkshכn, inflameshn, εn pen.
Okay, naw lɛ wi si wetin na di men rizin dɛn we mek di pores dɛn kin klos:
- we yu de mek ɔyl (sebum) pasmak na di bɔdi: Sɔm pipul dɛn bɔdi kin mek mɔ ɔyl bay insɛf, we kin mek di pores dɛn kin lɔk.
- Nɔ klin di skin fayn fayn wan: If yu nɔ pul di dɔti, dɔst, ɛn day sɛl dɛn we kin gɛda ɔl di de, di pores dɛn kin lɔk.
- We yu de swet pasmak:We yu swet, yu skin kin wet. Dis kin mek yu gɛt akni, mɔ we yu wɛr tayt klos we nɔ de tek swet. Pipul dεm we gεt wan kכndyushכn we dεn kכl ``Hyperhidrosis'', we de mek dεn swet pasmak, kin gεt dis kayn nodular akni.
- Jɛnɛtiks: If pɔsin na yu famili dɔn gɛt siriɔs akni, yu go gɛt am mɔ. Dis na tin we pɔsin kin gɛt frɔm in jɛnɛtiks.
- Ɔmon: Dis na tin we rili impɔtant.
- Puberty: As wi de ol, wi ɔmon lɛvɛl de chenj. spεshal wan, di lεvεl dεm fכ di כmon dεm we dεn kכl andr כjen dεm de inkrεs. Dɛn ɔmon dɛn ya kin mek di skin mek mɔ ɔyl, we kin mek di say dɛn we de na di skin nɔ klin kwik kwik wan. Yɔŋ bɔy pikin dɛn gɛt mɔ pan dɛn ɔmon ya, so dɛn kin gɛt akni.
- Fɔ uman dɛn: Nodul akni kin kam bikɔs ɔf di chenj dɛn we di ɔmon dɛn kin chenj we dɛn gɛt bɛlɛ, we dɛn de gɛt mɔnt, ɛn we dɛn de menɔpauz.
- Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn lɛk kɔtikosterɔyd kin mek di nodul akni wɔs.
- Di tin dɛn we dɛn kin yuz fɔ kia fɔ di skin: Sɔm loshan dɛn, krim dɛn, ɛn mek-ap kin mek di say dɛn we de na di skin nɔ klin. If yu yuz dɛn, dat kin mek yu gɛt dɛn bɔmp ɛn pimples ya bak.
- Stress ɛn wɔri: Nɔ sɔprayz, we strɛs de bɔku, wi bɔdi de mek di "stress hormone" we dɛn kɔl ``Cortisol.'' Dis kin mek bak di bɔdi prodyuz mɔ ɔyl (sebum) ɛn mek yu gɛt akni.
"Imajin, wi skin tan laik smol siti. Dat siti get rod (pores). If dis rod dem klos wit doti (dead sel, oil), di moto dem (bakteria) go stik, and problem de kom. Na so akni de."
Wetin na di sayn dɛm fɔ nodular akni?
Yu kin gɛt wan lump yu wan. Ɔ yu kin gɛt sɔm lumps we kin kam togɛda insay wan grup. Bikɔs dɛn kin bigin ɔnda di skin, sɔntɛnde dɔktɔ dɛn kin kɔl dɛn ‘blaynd pimples.’ Di men sayn dɛm wae de sho se yu gɛt dis sik na:
- Akni nodul: Dɛn tin ya kin fil lɛk lumps we yu tɔch am. Dɛn kin de mɔ na di fes, chin, bak, ɔ chɛst.
- Pen ɔ sɛnsitiviti: I kin at bad bad wan we yu tɔch am ɔ prɛs am. Sɔntɛnde, yu kin fil pen ivin we yu jɔs tinap.
- Bɔmp dɛn we rayz: Dɛn wan ya kin tan lɛk rɛd, bɔt sɔntɛnde dɛn kin gɛt di sem kɔlɔ lɛk yu skin.
Yu go dɔn yɛri dɔktɔ dɛn de tɔk bɔt ‘nodular acne’ ɛn ‘cystic acne’ togɛda. Sɔntɛnde dɛn kin kɔl am bak ‘nodulocystic acne’. Sistik akni na wan kayn akni bak we de fכm כnda di skin. Bɔt di sistik akni gɛt difrɛn we smɔl.Blista dɛn we saf ɛn we gɛt wata. Bɔt di nodular acne bumps kin strɔng , i kin fil lɛk lumps, ɛn i kin mek i fil pen mɔ. Sɔm pipul dɛn kin gɛt ɔl tu di kayn sik dɛn di sem tɛm.
Aw dɛn kin no if pɔsin gɛt nodul akni?
Fɔ no dis, yu fɔ rili go to dɔktɔ we de mɛn yu skin . I go chɛk yu skin ɛn aks yu bɔt di sayn dɛn we yu gɛt. I go aks yu kwɛstyɔn dɛn lɛk aw di bɔmp dɛn kin pen ɛn usay dɛn de. Yu go nid fɔ tɛl dɛn bak us mɛrɛsin yu de tek ɛn if ɛnibɔdi na yu famili gɛt histri bɔt akni.
Bɔku tɛm, dɛn kin no dis bay we dɛn de chɛk am na do nɔmɔ. Dɛn nɔ kin nid spɛshal tɛst dɛn.
Aw fɔ trit nodular akni?
Dis na di tin we impɔtant pas ɔl. Nodular acne fɔ rili gɛt tritmɛnt frɔm dɔktɔ we de mɛn di bɔdi . Akni krim dɛn we dɛn kin bay na kɔt nɔ go wok fɔ dis. Nɔ ɛva swɛt, swɛt, ɔ "pop" dɛn bɔmp ya. If yu du dat i go jɔs mek dɛn wɔs ɛn i go mek dɛn gɛt siriɔs skata mɔ ɛn mɔ .
Okay, naw lɛ wi si us kayn tritmɛnt dɔktɔ we de mɛn pipul dɛn we gɛt bɔdi kin advays fɔ dis:
- Di mɛrɛsin dɛn we dɛn kin tek fɔ it:
- Fɔ siriɔs akni, dɛn kin advays yu fɔ tek mɛrɛsin lɛk ``Isotretinoin`` (yu fɔ tɔk bɔt di sayd ɛfɛkt dɛm fɔ dis wit yu dɔktɔ).
- Antibayɔtik lɛk Tetracycline ɛn ɔral kɔntraseptiv kin ɛp fɔ ridyus inflamɛns ɛn mɛn akni.
- di drog ``Spironolactone`` kin ridyus di prodakshכn fכ כmon dεm we de mek akni כ blok dεn akshכn.
- Di tritmɛnt dɛn we dɛn kin gi pɔsin we dɛn kin gi pɔsin:
- dis dεm inklud tin dεm lεk bεnzoyl pεrכksayd, salicylic acid, εn prεskrishכn-strεng rεtinoyd dεm.
- Di dɔktɔ go gi yu dɛn tin ya as krim, jel, ɔ fom fɔ put pan yu skin.
- Kɔtizɔn injɛkshɔn dɛn:
- Fɔ mek yu gɛt bɔku bɔku wata we de mek yu fil pen, ɔ we dɔn de fɔ lɔng tɛm, yu dɔktɔ kin tɛl yu fɔ tek kɔtizɔn shot.
- Di dɔktɔ we de mɛn di bɔdi kin injɛkt wan stɛroyd mɛrɛsin dairekt insay di bɔmp wit fayn nidul. Dis kin mek di inflamɛns nɔ bɔku ɛn i kin ɛp am fɔ wɛl kwik kwik wan.
Mɛmba se, na dɔktɔ nɔmɔ fɔ de kia fɔ dɛn tritmɛnt ya. Nɔ mek di tin wɔs bay we yu de du ɛnitin we yu fil fɔ du.
Yu tink se dɛn kin mek dɛn nɔ gɛt nodul akni?
Sɔntɛm i nɔ go ebul fɔ avɔyd am ɔl, bikɔs i gɛt tin dɛn we de ambɔg di jɛnɛtik ɛn ɔmon. Bɔt if yu du gud tin fɔ klin , dat kin mek yu nɔ gɛt am.
- Kip yu skin klin: Was yu skin fayn fayn wan wit saful klinsin na mɔnin, na nɛt, ɛn afta yu dɔn swet. Nɔ yuz sop dɛn we at fɔ yuz, we kin mek yu skin dray ɛn mek yu gɛt mɔ prɔblɛm.
- Manej strɛs: Tray fɔ ridyus strɛs tru tin dɛn lɛk fɔ du ɛksɛsayz fɔ blo ɛn fɔ tink gud wan.
- Yuz kwaliti kɔsmɛtik: Nɔ yuz mek-ap ɛn loshan we de klos di pores (`comedogenic`). Pik prɔdak dɛm we dɛn rayt ``nɔ-kɔmɛdojɛnik``. Dis min se dɛn nɔ go klos di pores.
- It fayn it: ridyus it dɛn we gɛt shuga ɛn ɔyl, it mɔ vɛjitebul ɛn frut, ɛn drink bɔku wata.
- Chenj pilo ɛn tawɛl ɔltɛm: Dɛn tin ya kin kip baktri dɛm.
Wetin a fɔ ɛkspɛkt if a gɛt nodular akni?
Nɔ fɔgɛt se if dɛn nɔ trit yu, dɛn akni bɔmp ya kin mek yu gɛt siriɔs skata . Bɔrku pipul dɛn kin gɛt fridɔm afta dɛn dɔn trit dɛn frɔm dɔktɔ we de mɛn dɛn skin. Bɔt i kin tek sɔm tɛm fɔ mek dɛn bɔmp dɛn ya wɛl kpatakpata. Sɔntɛm na sɔm mɔnt dɛn.
Dɔn bak, mɛmba se fɔ fɛn di rayt tritmɛnt fɔ yu kin nid fɔ gɛt tritmɛnt ɔ mɛrɛsin dɛn we yu kin yuz togɛda. Bɔku tɛm, yu dɔktɔ go gi yu ɔl tu di mɛrɛsin dɛn we yu kin yuz fɔ yu bɔdi ɛn we yu kin it. If yu de tek mɛrɛsin lɛk Isotretinoin, yu kin nid fɔ tek tu kɔs fɔ mek yu skin klia.
Di impɔtant tin na fɔ peshɛnt wit tritmɛnt. Nɔ ɛkspɛkt fɔ gɛt mɛrɛsin fɔ wan nɛt.
Ustɛm yu fɔ go to dɔktɔ bɔt nodular akni?
If yu ɔ yu pikin gɛt sayn dɛn fɔ nodular akni, go to dɔktɔ we de mɛn yu skin kwik kwik wan. I impɔtant fɔ bigin tritmɛnt kwik kwik wan fɔ mek yu nɔ gɛt siriɔs skata. Yu nɔ go ebul fɔ trit dis kayn akni fɔ yusɛf ɔ wit krim dɛn we yu nɔ de bay. I rili nid fɔ gɛt dɔktɔ advays ɛn tritmɛnt.
Aw yu kin kɔntinyu fɔ gɛt strɔng maynd pan dis kayn tin?
We yu gɛt siriɔs akni, sɔm pipul dɛn kin fil bad, shem, ɛn fil bad fɔ dɛnsɛf . Dis na tin we rili nɔmal. If yu akni de mɔna yu ɔr de afɛkt yu sɛf, tɔk to yu dɔktɔ bɔt am. I kin gi yu advays bɔt aw fɔ gɛt di ɛp we yu nid, sɔntɛm bay we i go sɛn yu to saykotɛrapi ɔ if nid de, i go gi yu mɛrɛsin.
Nodular acne kin afɛkt yu kwaliti layf, kɔnfidɛns pan yusɛf, ɛn yu maynd wɛl bɔdi. Bɔt mɛmba se, fayn tritmɛnt dɛn de fɔ am.
Mɛsej we dɛn kin kɛr go na os
Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt nodular akni. Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:
- Nodular acne na wan kayn akni we kin mek yu gɛt siriɔs, pen, ɛn dip dip .
- I impɔtant fɔ mek yu go to dɔktɔ we de mɛn yu skin kwik kwik wan , if nɔto dat, yu kin gɛt skata fɔ ɔltɛm .
- Nɔ ɛva swɛt ɔ pres pan dɛn bɔmp dɛn ya. Dat go jɔs mek di sik wɔs.
- Yuz di tritmɛnt dɛm (mɛrɛsin dɛm, ɔntmɛnt dɛm) we di dɔktɔ gi yu jɔs lɛk aw dɛn tɛl yu fɔ du, fɔ di lɔng tɛm.
- Kip yu skin klin, ridyus strɛs, ɛn yuz kɔsmɛtik we nɔ de klos di pores.
- If yu de fil bad bɔt dis kayn tin, tɔk to yu dɔktɔ bɔt am bak.
If yu gɛt dis prɔblɛm, nɔ panik. Dɛn kin mɛn am if dɛn trit am di rayt we. Di men tin na fɔ aks fɔ ɛp frɔm di rayt ples ɛn di rayt tɛm.
` Nodular akni, nodular akni, akni, dɛmatɔlɔji, skin sik, ɔmon, akni tritmɛnt
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