Adnexitis: cov tsos mob, kev kho mob thiab ua rau tus kab mob hauv cov poj niam

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Hauv kab lus no, xav txog cov tsos mob tseem ceeb ntawm adnexitis. Qhov no pathology yog dab tsi?

Adnexitis lossis salpingo-oophoritis yog cov txheej txheem pathological ntawm o, uas cuam tshuam nrog ob lub zes qe menyuam thiab cov hlab ntsha hauv plab (uterine appendages). Nyob rau hauv lub sij hawm mob, tus kab mob no yog yus muaj los ntawm qhov mob nyob rau hauv lub plab mog, uas yog heev khaus nyob rau hauv lub sab qhov chaw uas tus mob muaj zog, kub taub hau, intoxication. Tsis tas li ntawd, tej zaum yuav muaj kev ua txhaum ntawm kev coj khaub ncaws.

Nyob rau hauv daim ntawv mob ntev, cov tsos mob ntawm tus kab mob no tsawg dua, tab sis muaj peev xwm rov qab mus rau lub sijhawm. Qhov no pathology ua rau txoj kev loj hlob ntawm adhesions nyob rau hauv lub plab mog plab hnyuv siab raum thiab adhesions nyob rau hauv lub lumen ntawm lub fallopian hlab, uas ho ua rau kom muaj feem ntau ntawm ib tug ectopic cev xeeb tub, thiab infertility. Cov tsos mob thiab kev kho mob ntawm adnexitis yog nthuav tawm hauv qab no.

Kev piav qhia ntawm pathology

Adnexitis hu ua ib-los yog ob sab o ntawm zes qe menyuam thiab cov hlab ntsha, uas yog cov appendages ntawm lub tsev menyuam. Nyob rau hauv cov npe ntawm ntau yam kab mob ntawm cov poj niam cev xeeb tub apparatus, qhov no pathology occupies ib tug ntawm cov loj qhov chaw. Cov kab mob ntawm cov kab mob no tuaj yeem tshwm sim los ntawm cov kab mob xws li streptococci, gonococci, enterococci, staphylococci, fungi, mycobacterium tuberculosis, kab mob, chlamydia, escherichia, thiab lwm yam. Cov koom haum microbial, piv txwv li, E. coli, dhau los ua cov tsos mob tshwm sim ntau heev. adnexitis. Raws li txoj cai, cov kab mob ntawm cov txheej txheem no tiv taus ntau yam tshuaj tua kab mob niaj hnub no.

Tuberculosis bacillus thiab gonococcus feem ntau ua rau ob sab o ntawm lub appendages, thiab E. coli thiab staphylococci ua rau ib sab o. Qhov yuav tsum tau ua ua ntej rau qhov tshwm sim ntawm qhov mob ntawm lub appendages los yog nws rov tshwm sim yog hypothermia, kev tu cev tsis zoo, kev kis kab mob nrog kev sib deev, kev ntxhov siab ntau zaus, kev tiv thaiv tsis muaj zog, kev cog lus.

Cov tsos mob yog dab tsi? Yuav kho adnexitis hauv cov poj niam li cas? Peb yuav muab cov lus teb rau cov lus nug no hauv kab lus.

Mechanism of disease progression

Txoj kev loj hlob ntawm cov txheej txheem pathological pib, raws li txoj cai, nrog kev qhia txog cov kab mob sib kis ntawm cov mucous ntawm cov hlab ntsha hauv cov hlab ntsha nrog kev koom tes maj mam ntawm cov serous thiab cov leeg nqaij. Tsis tas li ntawd, qhov mob pib kis mus rau ib puag ncig cov ntaub so ntswg - qhov chaw epithelium ntawm zes qe menyuam thiab cheeb tsam pelvic. Tom qab ovulation, tus kab mob cuam tshuam rau qhov tawg follicle thiab pib nws txoj kev loj hlob ntawm zes qe menyuam. Nrog xws lipathologies, lub zes qe menyuam thiab tube fallopian yog soldered ua ke thiab tsim ib tug inflammatory conglomerate, thiab ces ib tug tubo-ovarian abscess. Qhov tshwm sim ntawm tus kab mob no yog kev txhim kho ntawm adhesions uas tiv thaiv patency ntawm cov hlab ntsha fallopian. Kev kho cov tsos mob ntawm adnexitis nrog tshuaj tua kab mob yuav tham tom qab.

Kab mob, uas yog ua rau cov txheej txheem inflammatory hauv adnexitis, nkag mus rau hauv cov hlab ntsha hauv ob peb txoj kev:

1. Hematogenous (nrog ntshav).
2. Lymphogenic (nrog rau lymph).
3. Txog (los ntawm caecum lossis sigmoid nyuv dhau ntawm peritoneum).
4. Ascending (los ntawm qhov chaw mos, dhau ntawm lub ncauj tsev menyuam, mus rau hauv tsev menyuam, thiab los ntawm qhov ntawd - cov hlab ntsha thiab zes qe menyuam).

Qhov ua rau cov tsos mob ntawm adnexitis hauv cov poj niam yog qhov txaus siab rau ntau tus.

Txoj hauv kev hematogenous ntawm kev kis kab mob ntawm lub tsev menyuam nrog adnexitis tau pom nyob rau hauv cov xwm txheej ntawm cov kab mob tuberculous ntawm qhov chaw mos, lymphogenous thiab nqis los - hauv cov kab mob ntawm lub qhov quav, nrog rau cov ntawv ntxiv hauv caecum. Rau E. coli, streptococcus thiab staphylococcus, los ntawm kev nkag mus rau hauv cov hlab ntsha, cov kwj dej anatomical yog siv - qhov chaw mos thiab lub ncauj tsev menyuam kwj dej. Chlamydia thiab gonococcus tuaj yeem nkag mus los ntawm cov ntaub so ntswg. Feem ntau muaj kab mob nyob rau hauv lub appendages tib lub sij hawm nyob rau hauv ntau txoj kev. Cov kab mob tuaj yeem ua rau mob ntev, mob thiab subacute.

Ua ntej tham txog kev kho cov tsos mob ntawm adnexitis hauv cov poj niam, xav txog cov txheej txheem tseem ceeb ntawm kev kuaj mob.

YKev kuaj mob ntawm pathology

Qhov laj thawj tseem ceeb rau kev kuaj mob hauv cov kab mob noyog cov ntaub ntawv keeb kwm, piv txwv li, muaj los yog tsis muaj cov cuab yeej hauv plab, rho menyuam, kuaj mob hysteroscopy, kev yug me nyuam nyuaj, nrog rau lwm yam uas tuaj yeem ua rau mob ntawm cov appendages. Cov neeg mob tsis txaus siab thiab cov txiaj ntsig kev tshawb fawb kuj raug coj mus rau hauv tus account. Hauv kev kuaj mob gynecological nrog cov kab mob no, qhov mob hnyav ntxiv hauv tsev menyuam thiab nws cov appendages raug txiav txim siab. Txhawm rau txiav txim siab hom kab mob ua rau tus kab mob adnexitis, xws li kev tshawb fawb xws li kab lis kev cai kab lis kev cai thiab smears los ntawm cov urethra rau muaj kev sib deev kis kab mob, smears los ntawm qhov chaw mos thiab ncauj tsev menyuam.

Ultrasound nrog adnexitis tso cai rau koj txheeb xyuas lwm cov txheej txheem inflammatory tshwm sim hauv cov kab mob ntawm cov kab mob hauv lub cev - hydrosalpinx, pyosalpinx. Laparoscopy yog siv los ua ib txoj kev kuaj mob txhawm rau txheeb xyuas cov kab mob purulent thiab tshuaj xyuas cov hlab ntsha hauv plab nrog rau cov txheej txheem kho intracavitary rau o.

Txhawm rau txiav txim siab seb qhov patency ntawm cov hlab ntsha yog dab tsi, nrog rau qhov ua rau cov tsos mob ntawm adnexitis hauv cov poj niam thiab qhov hnyav ntawm cov kev hloov pauv pathological tshwm sim hauv lawv, nyob rau hauv cov ntaub ntawv mob ntev, "hysterosalpingography" txoj kev yog siv - kev kuaj x-ray nrog kev qhia txog tus neeg sawv cev tshwj xeeb hauv cov ntshav. Nrog rau kev hloov pauv hauv kev coj khaub ncaws, ntau yam kev ntsuas ua haujlwm tau ua los ntsuas kev ua haujlwm ntawm zes qe menyuam: ntsuas qhov ntsuas qhov quav, qhov ncauj qhov ntswg qhov ntswg.

Xav txog cov tsos mob ntawm tus mob adnexitis.

ntse zoo

Tus kab mob no nyob rau hauv daim ntawv mob hnyav pib nrog ib daim duab kho mob tshwj xeeb. Tus neeg mob tus mob yog nrog los ntawm khaus, mob heev nyob rau hauv lub plab mog, uas muaj peev xwm tawg mus rau lub qhov quav thiab sab nraub qaum. Lawv feem ntau qhia tau hais tias o. Qhov kub nce, nrog rau txias txias, mucous los yog purulent tawm, tsis muaj zog, dysuric teeb meem, flatulence tshwm sim. Ntawm palpation, muaj cov cim qhia ntawm peritoneal irritation. Hauv cov ntshav, leukocytosis thiab nce ESR tau pom. Cov tsos mob ntawm adnexitis yog qhov tsis kaj siab heev.

Feem ntau muaj kev txhim kho ntawm ob sab o ntawm lub appendages, uas yog ua ke nrog o ntawm lub cev ntawm lub tsev menyuam. Ib tus kab mob ntawm qhov xwm txheej no tuaj yeem nrog cov xwm txheej xws li algomenorrhea thiab menorrhagia. Nrog kev nce hauv inflammatory - tubo-ovarian abscess. Nyob rau hauv cov ntaub ntawv no, muaj kev pheej hmoo siab ntawm rupture ntawm lub raj nrog ingress ntawm purulent cov ntsiab lus mus rau hauv lub peritoneal kab noj hniav, uas entails txoj kev loj hlob ntawm pelvioperitonitis. Nrog rau qhov mob hnyav heev nyob rau theem mob ntawm adnexitis, kev cuam tshuam ntawm vascular system feem ntau tshwm sim.

Cov tsos mob hnyav ntawm adnexitis nyob rau hauv cov ntaub ntawv tsis yooj yim tuaj yeem tshwm sim rau ib lub lim tiam lossis ntev dua me ntsis, tom qab ntawd qhov mob tshwm sim maj mam poob qis, cov ntshav normalizes, lub cev kub qis. Qhov tshwm sim ntawm xws li cov txheej txheem inflammatory hauv thaj tsam ntawm cov appendages tuaj yeem ua tiav kev kho mob rov qab, raug kho raws sijhawm, lossis kev hloov pauv ntawm cov txheej txheem mus rau theem ntev nrog kev kawm ntev.

theemKev mob tshwm sim ntawm adnexitis

Nrog rau txoj kev loj hlob ntawm daim ntawv no ntawm cov txheej txheem pathological, plaub theem tau sau tseg:

1. Mob endometritis thiab salpingitis yam tsis muaj tsos mob ntawm plab peritoneal irritation.
2. Mob endometritis thiab salpingitis nrog cov tsos mob ntawm khaus ntawm lub plab peritoneum.
3. Tus mob adnexitis, uas yog nrog los ntawm kev tsim cov kab mob inflammatory conglomerate thiab abscess.
4. Rupture ntawm abscess.

Cov kab mob feem ntau mus dhau ob theem:

1. Toxic thaum aerobic flora predominates thiab cov tsos mob ntawm intoxication.
2. Septic, thaum cov kab mob anaerobic koom nrog, cov tsos mob ntawm adnexitis hnyav zuj zus thiab cov txheej txheem ntawm kev txhim kho cov teeb meem pib. Nyob rau theem no ntawm adnexitis, purulent tubo-ovarian tsim yog tsim nrog kev hem thawj ntawm nws perforation.

Raws li twb tau sau tseg lawm, cov tsos mob thiab kev kho mob ntawm adnexitis muaj feem cuam tshuam zoo.

Kev kho mob ntawm pathology

Nyob rau theem mob hnyav ntawm cov kab mob ntawm cov kab mob, cov kab mob pathology raug kho hauv tsev kho mob nrog kev tsim cov kev mob so rau tus neeg mob, teem caij noj zaub mov, ua kua ntau, thiab saib xyuas cov haujlwm ntawm excretory.. Nyob rau hauv mob adnexitis, raws li txoj cai, cov tshuaj tua kab mob uas muaj ntau yam ntawm cov teebmeem raug sau tseg, nrog rau cov tshuaj tua kab mob, tshuaj tiv thaiv, tshuaj desensitizing.

Lub ntsiab lus tseem ceeb ntawm kev kho tus mob adnexitis yog cov tshuaj tua kab mob nrog kev txiav txim siab ntawm tus neeg mob kis mus rau ib qho tshuaj tshwj xeeb. Cov koob tshuaj nyob rau hauv rooj plaub no yuav tsum muab qhov siab tshaj plaws ntawm cov tshuajntawm qhov chaw mob. Hauv kev kho mob ntawm cov kab mob no, cov tshuaj tua kab mob ntawm cov pab pawg hauv qab no tau siv dav:

1. Penicillins (Ampicillin, Oxacillin).
2. Tetracyclines ("Doxycycline", "Tetracycline").
3. Fluoroquinolones ("Ofloxacin" thiab lwm yam).
4. Macrolides (Azithromycin, Erythromycin, Roxithromycin).
5. Aminoglycosides ("Kanamycin", "Gentamicin").
6. Nitroimidazoles ("Metronidazole").

YLincosamides (Clindamycin).

Thaum ua cov tshuaj tua kab mob ntawm tus kab mob, qhov kev nyiam yog muab rau cov tshuaj tua kab mob nrog lub neej ntev ib nrab thiab kev tso tawm, thiab ua rau mob hnyav ntawm cov kab mob, nrog rau thaum muaj kev pheej hmoo ntawm kev tsim cov kab mob septic. qhov tshwm sim, cov tshuaj tua kab mob tuaj yeem raug sau rau hauv ntau qhov sib xyaw ua ke. Metronidazole, uas tau muab tso rau hauv cov hlab ntsha thiab qhov ncauj, muaj cov kab mob bactericidal ntawm cov kab mob anaerobic. Txhawm rau tshem tawm intoxication nrog adnexitis, infusion therapy yog siv los ntawm txoj kev txhaj tshuaj intravenously ntawm kev daws dextran, qabzib, dej ntsev, kev npaj protein, thiab lwm yam, nrog rau tag nrho cov ntim txog li 2.5 litres ib hnub twg.

Ntau siv los kho cov tsos mob ntawm suppository adnexitis.

Raws li ib feem ntawm txoj kev kho mob, Fluomizin suppositories raug sau tseg. Cov khoom xyaw tseem ceeb ntawm cov tshuaj no yog dequalinium chloride. Nws muaj qhov dav dav dav ntawm cov tshuaj tiv thaiv kab mob.

Raws li kev pab, nws yog siv rau adnexitis "Hexicon" nyob rau hauv daim ntawv ntawm tswm ciab. Lub luag haujlwm tseem ceebCov tshuaj hauv qhov kev npaj no yog chlorhexidine bigluconate. Nws cov haujlwm tau tshwm sim nyob rau hauv kev cuam tshuam nrog cov kab mob, protozoa thiab kab mob, tab sis kev ua haujlwm ntawm lactobacilli tsis cuam tshuam.

Rectal suppositories, uas yog siv rau adnexitis, feem ntau muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob. Hauv qab no yog cov neeg nyiam tshaj plaws:

• Movalis.
• Indomethacin suppositories.
• Voltaren.
• tswm ciab nrog belladonna.

Nyob rau hauv cov xwm txheej ntawm purulent cov ntaub ntawv ntawm cov txheej txheem inflammatory, kev kho mob phais ntawm adnexitis yog qhia. Niaj hnub no, hauv kev ua haujlwm gynecology, kev ua haujlwm tsis zoo ntawm kev ua haujlwm tau dav siv, suav nrog kev kho mob ntawm adnexitis. Piv txwv li, laparoscopy, los ntawm kev tsim purulent raug tshem tawm thiab ua kom pom tseeb ntawm qhov mob yog kho nrog tshuaj tua kab mob thiab cov kab mob tua kab mob. Tsis tas li ntawd, ib txoj hauv kev yog siv los tshem tawm cov ntsiab lus ntawm lub saccular tsim thaum punctures ntawm qhov chaw mos fornix, nrog kev tswj hwm hauv zos ntawm cov tshuaj tua kab mob. Nrog rau txoj kev loj hlob ntawm purulent o nyob rau hauv lub appendages thiab cov kev pheej hmoo ntawm kev puas tsuaj rau lub cev nyob sib ze, cov kws tshwj xeeb muaj peev xwm mus ua kom tiav kev phais tshem tawm ntawm lub fallopian tube, zes qe menyuam, los yog cais, nyob ntawm seb ntau npaum li cas cov txheej txheem inflammatory-purulent khiav. Qhov no tshwm sim, raws li txoj cai, thaum lub raum tsis ua haujlwm tshwm sim, kev hem thawj ntawm rupture ntawm abscess, generalization ntawm cov txheej txheem septic, thiab lwm yam.

Tom qab tshem tawm qhov mob tshwm sim ntawm adnexitis, physiotherapy yog muab nrog kev pab los ntawmultrasound, electrophoresis nrog poov tshuaj, magnesium, zinc nyob rau hauv lub plab mog, ntau yam kev co massage thiab biostimulation. Thaum tsis muaj kev ntsuas kho mob, tus kab mob no tuaj yeem hloov mus rau hauv daim ntawv mob ntev ntawm cov kab mob, uas tshwm sim nyob rau hauv daim ntawv ntawm lub sijhawm exacerbations.

Daim ntawv mob ntev ntawm adnexitis

Tus kab mob adnexitis yog suav tias yog, raws li txoj cai, qhov tshwm sim ntawm tus txheej txheem mob tsis kho, thiab ua rau hauv daim ntawv rov qab los ntawm kev cuam tshuam ntawm qee yam tsis zoo, uas tuaj yeem ua rau muaj kev ntxhov siab, mob hnyav, ua haujlwm dhau, STIs., thiab lwm yam. Xav txog cov tsos mob chronic adnexitis.

Nyob rau theem ntawm exacerbation, muaj kev tsis zoo nyob rau hauv kev noj qab haus huv ntawm tus neeg mob, tsis muaj zog, tsos mob los yog mob hnyav nyob rau hauv lub plab mog, kub ntawm 38 degrees, qhov tsos ntawm mucopurulent paug. Tom qab ob peb hnub, cov tsos mob no maj mam txo qis, tom qab ntawd tsuas yog ib qho kev mob me me lossis qhov mob dull ntawm lub plab hauv plab. Cov tsos mob ntawm adnexitis yog qhov tseem ceeb los txheeb xyuas lub sijhawm.

Kwv yees li ib nrab ntawm cov neeg mob uas muaj daim ntawv mob ntev ntawm adnexitis muaj lub sijhawm luv lossis pheej ua txhaum cai ntawm lub voj voog ntawm kev coj khaub ncaws los ntawm hom menorrhagia, algomenorrhea, oligomenorrhea. Kwv yees li ntawm 40% ntawm cov poj niam nyob rau hauv cov ntaub ntawv no muaj kev tsis sib haum xeeb ntawm kev sib deev ua haujlwm nyob rau hauv daim ntawv ntawm kev mob thaum muaj kev sib deev, txo qis los yog tsis muaj libido, thiab lwm yam.

Tsis yog txhua tus paub cov tsos mob thiab kev kho mob ntawm tus kab mob adnexitis.

Nyob rau hauv cov txheej txheem inflammatory nyob rau hauv cheeb tsam ntawm lub appendages, muaj kev ua txhaum ntawm lub luag hauj lwm ntawm lub digestive kabmob, piv txwv li, nyob rau hauv daim ntawv.colitis, nrog rau kev ua haujlwm ntawm cov urinary system, piv txwv li, cystitis, bacteriuria, o ntawm lub raum, thiab lwm yam. Kev nquag rov ua dua ntawm adnexitis tuaj yeem ua rau kev loj hlob ntawm cov hlab ntsha pathologies thiab txo qis hauv tus neeg mob lub peev xwm ua haujlwm, qhov tshwm sim. ntawm kev nyuaj siab thiab cov tsos mob ntawm kev ntxhov siab ntau ntxiv. Cov tsos mob ntawm adnexitis nyob rau hauv cov poj niam nyob rau hauv daim ntawv ntev manifest lawv tus kheej nyob rau hauv ntau txoj kev.

txheej txheem mob tam sim no

Exacerbation ntawm chronic adnexitis tshwm sim, raws li txoj cai, nyob rau hauv ob txoj kev:

1. Kab mob-tshuaj lom - nrog kev nce hauv cov txheej txheem exudative hauv appendages, nce hauv lawv qhov mob, hloov pauv hauv cov ntshav.
2. Neurovegetative - nrog cov tsos mob ntawm kev tsis zoo hauv kev noj qab haus huv, txo qis kev ua haujlwm, lub siab tsis ruaj khov, endocrine thiab vascular ntshawv siab.

Cov teeb meem ntawm adnexitis

Cov kab mob sib kis tsis zoo feem ntau ua rau muaj qhov tshwm sim ntawm cev xeeb tub (kev nchuav menyuam, ectopic cev xeeb tub), nrog rau kev xeeb tub thib ob, uas nyob rau hauv daim ntawv mob ntev ntawm adnexitis tuaj yeem tsis yog qhov tshwm sim ntawm kev hloov pauv hauv cov hlab ntshav.. Cov txheej txheem no feem ntau ua rau muaj kev cuam tshuam ntawm zes qe menyuam nyob rau hauv daim ntawv ntawm kev coj khaub ncaws, thiab lwm yam. Cov ntaub ntawv ntawm infertility no nyuaj heev rau kho.

Nrog rau txoj kev loj hlob ntawm daim ntawv ntev ntawm cov kab mob no, tsim cov infiltrates, tshwm sim ntawm cov txheej txheem sclerotic hauv cov kav dej, nrog rau lawv cov kev cuam tshuam, tau sau tseg. Adhesions kuj tsim nyob ib ncig ntawm zes qe menyuam.tshwm sim. Los ntawm kev tsom mus ntev, tus kab mob tuaj yeem kis mus rau cov kab mob nyob sib ze thiab ua rau muaj kev loj hlob ntawm cov kab mob colitis, pyelonephritis, cholecystitis.

Txoj kev kho mob los tiv thaiv kev mob ntev ntawm cov appendages

Nyob rau theem ntawm exacerbation ntawm daim ntawv mob ntev ntawm adnexitis, raws li txoj cai, cov kev kho mob zoo li no tau ua raws li cov txheej txheem mob hnyav - nyob rau hauv daim ntawv ntawm kev mus pw hauv tsev kho mob, tshuaj tua kab mob, infusion, desensitizing thiab vitamin kho. Tom qab lub sij hawm exacerbation txo qis nrog o ntawm appendages, tus neeg mob yuav raug pom zoo kom ua autohemotherapy, aloe txhaj, physiotherapy txheej txheem - electrophoresis nrog kev siv tshuaj (lidase, potassium, iodine, magnesium, zinc), ultrasound kho thiab vibration massage. Qhov no yog ua raws li kev tswj hwm ntawm chaw kho mob thiab chaw kuaj mob.

Physiotherapy, uas yog siv rau o ntawm appendages, pab txo cov ntaub so ntswg exudation, muaj analgesic thiab absorbable los, thiab txo qhov tsim ntawm adhesions. Tsis tas li ntawd, ozokerite, paraffin therapy, thiab qhov chaw mos irrigation nrog sodium chloride thiab sulfide ntxhia dej yog zoo heev nyob rau hauv o ntawm appendages. Nyob rau theem ntawm kev zam txim, cov neeg mob tau qhia kev kho spa. Peb tau tshuaj xyuas cov tsos mob thiab cov tsos mob ntawm adnexitis.

tiv thaiv kab mob

Cov pab pawg txaus ntshai rau qhov tshwm sim ntawm tus kab mob no suav nrog cov poj niam uas muaj kev sib deev kis kab mob thiab siv cov tshuaj tiv thaiv kab mob hauv lub cev, nrog rau cov uas tau dhau los.kev ua haujlwm ntawm cov kab mob hauv qhov chaw mos thiab kev rho menyuam. Qhov kev hem thawj ntawm cov teeb meem pathological qhia tias yuav tsum tau muaj kev tiv thaiv tshwj xeeb:

1. Kev cais tawm ntawm yam uas tuaj yeem ua rau kev loj hlob ntawm adnexitis thiab nws rov qab - hypothermia, kev ntxhov siab, kis kab mob, thiab lwm yam.
2. Siv cov txheej txheem tiv thaiv kom muaj nuj nqis.
3. Kev kho mob raws sij hawm ntawm cov kab mob inflammatory cuam tshuam rau lub plab pelvic.
4. Systematic taug qab nrog tus kws tshaj lij.

Tsuas yog tag nrho cov lus pom zoo ua raws, cov tsos mob ntawm adnexitis hauv cov poj niam yuav tsis tshwm sim.