Dr Muyanje Able Chilambe

24/09/2025

Pregnancy

Pregnancy is a natural process in which a fertilized egg develops into a baby inside the mother’s womb.

It usually lasts around 40 weeks, measured from the first day of the last menstrual cycle. The process begins when a s***m fertilizes an egg, forming a zygote.

This zygote travels through the fallopian tube to the uterus, where it implants into the uterine lining. Once implantation occurs, the embryo begins to grow and develop into a fetus until birth.

Although pregnancy is usually normal, there are different types, some of which are healthy and others that are abnormal or risky.

1. Normal (Intrauterine) Pregnancy
In this type, the fertilized egg implants correctly inside the uterus, where it receives nourishment and develops into a baby.

This is the expected and safe form of pregnancy that leads to childbirth when managed well.

2. Ectopic Pregnancy
Here the fertilized egg implants outside the uterus, most often in the fallopian tube, but sometimes in the o***y, cervix, or abdominal cavity.

This condition is unsafe because the implanted site cannot support the growing embryo. It is often caused by blocked or damaged fallopian tubes from infections, previous surgery, or smoking.

Ectopic pregnancies carry the risk of severe internal bleeding and damage to reproductive organs, making them a medical emergency.

3. Multiple Pregnancy
This occurs when more than one baby develops in the uterus at the same time.

Examples include twins, triplets, or more. Multiple pregnancies may happen naturally when more than one egg is released and fertilized, or when a single egg splits into identical embryos. They are also common in women who use fertility treatments.

While it can be joyful, multiple pregnancy carries higher risks such as premature birth, low birth weight, and pregnancy complications like preeclampsia or gestational diabetes.

4. Molar Pregnancy (Gestational Trophoblastic Disease)
This is a rare abnormal type of pregnancy where tissue that should form the placenta grows in an unusual and uncontrolled way.

In a complete molar pregnancy, there is no baby at all, only abnormal tissue. In a partial molar pregnancy, there may be an abnormal embryo with extra tissue, but it cannot survive. Molar pregnancies result from genetic mistakes during fertilization.

The risks include miscarriage, persistent tissue growth, and in some cases, development of a cancerous condition known as choriocarcinoma if left untreated.

5. Chemical Pregnancy
This is a very early miscarriage that occurs shortly after implantation, often before the woman realizes she is pregnant. It is usually detected only by sensitive pregnancy hormone tests.

Chemical pregnancies happen because of chromosomal abnormalities in the embryo, hormonal imbalance, or problems with implantation. Although it does not progress to a clinical pregnancy, it may cause emotional distress, especially if it happens repeatedly.

In summary, pregnancy is a complex biological process that can take different forms.

Normal pregnancy supports the growth of a baby to birth, but abnormal types such as ectopic, molar, and chemical pregnancies carry serious health risks. Multiple pregnancy, although natural, requires careful monitoring because of the higher chance of complications. Understanding these types helps in early detection, proper care, and protection of both the mother’s health and future fertility.

15/09/2025

'S TALK ABOUT Phases of

A seizure is a sudden, uncontrolled burst of electrical activity in the brain.

A seizure generally occurs in three main stages: the Tonic phase, the Clonic phase, and the Postictal phase.

Each phase has specific features and clinical signs that help in identifying and understanding what is happening to the patient.

1. Tonic Phase
In this initial phase, the person suddenly loses consciousness.

The muscles of the entire body stiffen, including the limbs and the back, which may cause the body to arch. The stiffening of the chest muscles can produce what is known as an epileptic cry, a forced sound caused by air being pushed out of the lungs.

During this phase, breathing is often impaired, leading to cyanosis, a bluish discoloration of the lips and skin due to lack of oxygen. In some cases, incontinence may occur, meaning the patient may involuntarily pass urine or stool.

This phase usually lasts only a few seconds but appears very dramatic.

2. Clonic Phase
After the stiffening, the seizure progresses into the clonic phase. In this stage, the muscles begin to jerk rhythmically, producing repetitive, jerky movements of the limbs, head, and sometimes the entire body.

The eyes may blink uncontrollably. Because breathing remains irregular, cyanosis may continue. Excessive salivation can lead to frothy saliva around the mouth.

The patient may also bite their tongue accidentally. Incontinence can also persist during this stage. The clonic phase usually lasts longer than the tonic phase, often up to a few minutes.

3. Postictal Phase
Once the jerking movements stop, the body gradually relaxes and becomes limp. The patient enters the postictal state, which is a recovery period. During this phase, the person may be unresponsive, very sleepy, or extremely tired.

Saliva may drool from the mouth, and the person may remain confused for some time. This period of recovery can last from several minutes to hours. It is during this stage that the patient needs reassurance, a safe environment, and monitoring until they are fully alert.

Important Notes

Seizures usually follow this sequence in generalized tonic-clonic seizures. During an episode, it is very important not to restrain the person or put anything in their mouth.

Instead, ensure their safety by removing sharp or dangerous objects from the surroundings. Place them on their side in the recovery position to prevent choking on saliva or vomit. Seek emergency medical help if the seizure lasts more than five minutes, if repeated seizures occur without recovery in between, if the person does not regain consciousness, or if it is the first seizure the person has ever experienced.

15/12/2024

01/11/2024

Test de bishop

01/11/2024

Pelvimetria tipos de pelvis, planos de hodge

01/11/2024

Resumen de la Fisiopatología de la LECHE MATERNA

01/11/2024

Los 4 famosos maniobras de Leopold😎😎

01/11/2024

El mecanismo del parto... Acá tenemos bien resumido 😎

22/10/2024

While you are saying no it's interesting 😞 others are saying this is it🙂😁... Amazing 🤩 world 🌍
It's what you want, not what they want

16/10/2024

Take note 💯💯💯

16/10/2024

MENSTRUAL CYCLE AND OVULATION PERIOD. WHEN TO EASILY GET PREGNANT AND WHEN TO AVOID S€X.

Most ladies don't understand this;
I'll advise you guys to start listening to your body for signs and follow these simple analysis/steps if you want to easily get pregnant.

MENSTRUAL PERIOD: is the time blood flows out of your private area, when you use pad.

MENSTRUAL CYCLE: is the Days it takes to see another blood in the month. If you last saw your period in October 22nd and it started again on November 20th 2020, then you have 29days cycle (count from 22 October to 20 November).
NOTE: It is erroneous to believe its 28days cycle, different women have different cycles ranging from 21-35 days.
HOW TO GET PREGNANT
OVULATION PERIOD: This is time to get pregnant without stress. This is 2 weeks after your period or 2 weeks before the next period.
Here's a simple way to calculate your ovulation (unsafe) period.

1. From the first day you see the blood of your period.
2. Pick up a calendar and count 14 days including the first day of the blood stain.
3. Mark the 14th day with a pen.
4. Mark 3 days before the 14th day, and mark 2 days after the 14th day.
6. You will notice you have 6 days marked.
These 6 days are your ovulation/fertile days also known as unsafe period.
That is if you have s*x on any of these days, then you have 98% chances of being pregnant.
7. Do this every month diligently
EVERY OTHER DAY IS YOUR SAFE PERIOD.
For example:

1. If your period is 11th Nov, 2017,
2. 14 days after the first day of the blood stain will be on 24h of this Nov month (2weeks after) counting from 11th.
3. 14th day is on the 24th November 2017.
4. 3days before the 14th day is 21, 22, 23.
5. 2days after 24th November 2017 is 25 and 26
6. 21-26th November (6days) is when you are ovulating. It is your fertile window and period.
Don't forget that the 6 days is a reminder that s***m stays in the female body for about 6 days. Any s*xual contact in between ovulation period will form something that has ears, eyes, etc.

ALSO..
If you want a baby girl, have
s€x between 3 days before ovulation (21- 23rd).

For a baby boy on the main ovulation day and 3 days after 24th.
MAJOR SIGNS THAT YOUR OVULATION HAS BEGAN...

You don't need a doctor, just relax. After 2 weeks you may feel the following:
1. Headache.
2. High body temperature.
3. Dizziness (feeling of tiredness and sleepiness).
4. Breast tenderness/ size increases just like when you are menstruating.
5. Increased s*x drive.
6. Light cramps or pain on one side of the pelvis.
7. Abdominal bloating.
8. Heightened sense of smell, taste or vision (you eat more).
9. Va**na mucus becomes slippery (if you notice, put it in between fingers...it stretches like thick catarrh or snail mucus...colorless like egg white..
Hopefully you learnt something...!!