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 differs significantly even from other multilingual Latin American nations like neighboring Bolivia, where a majority of the population is indigenous. Languages like Quechua and Aymara are spoken by different groups there, but rarely by people of mixed ancestry or the traditional elite.