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.
Languages in Paraguay. The majority of the population is bilingual, able to speak Spanish and Guarani as well as Jopara. Spanish is a European language while Guarani is a Native American language spoken primarily in Paraguay and also in some parts of Argentina, Brazil and Bolivia. Five million of the population mostly mestizos can speak and understand this indigenous language. As a diglossic nation, it has two official languages.