1 Primary or essential thrombocytosis â Abnormal cells in the bone marrow cause an increase in platelets, but the reason is unknown. 2  Secondary thrombocytosis â The same condition as primary thrombocytosis, but may be caused by an ongoing condition or disease such as anemia, cancer, inflammation, or infection.
Paraguay Language & Phrases. Language & Phrases in Paraguay. Spanish and Guaran are the national languages in Paraguay. Spanish is understood in most areas and is spoken by three quarters of the population, so to help you get chatting to the Paraguayan locals here are a few useful Spanish phrases... English.
Paraguay has two official languages, both Spanish and Guarani. Spanish is perhaps the more widely spoken of the two, especially in cities, but many people learn Guarani as a second language and this is a source of pride.