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Li Fang Fang
Hematology
About me
After graduation, I have been working in the Hematology Department at Kaifeng Central Hospital, engaging in clinical work. I have gained certain clinical experience in common diseases in the field of hematology, and have also assisted other clinical departments in auxiliary treatments.
Proficient in diseases
Specializes in common diseases of hematology, such as leukemia, hemophilia, anemia, lymphoma, thrombocytopenia, tetanus, hypoglycemia, aplastic anemia, neonatal hemorrhage, vitamin deficiencies, and other autoimmune diseases.
Voices
Is acute leukemia contagious?
Acute leukemia is not a contagious disease, so it is not transmissible. Acute leukemia is a malignant tumor disease of the hematopoietic system. The causes of this disease are still not very clear, however, some known inducers include exposure to radiation, contact with chemotherapy drugs, and contact with benzene-containing chemicals. The genetic factors of acute leukemia are also not significant, so children usually do not have a genetic predisposition if their parents suffer from acute leukemia.
The difference between chronic granulocytic leukemia and leukemia
Chronic granulocytic leukemia is no different from leukemia; it's simply a type of leukemia. Leukemia is divided into acute leukemia and chronic leukemia, with chronic leukemia further divided into chronic granulocytic leukemia and chronic lymphocytic leukemia. Currently, chronic granulocytic leukemia can be clinically cured by oral tyrosine kinase inhibitors, unlike other acute leukemias that require hospitalization for intravenous chemotherapy. Patients with chronic granulocytic leukemia need to regularly return to outpatient clinics for follow-ups and medication guidance after taking oral medications. Overall, the prognosis for chronic granulocytic leukemia is relatively good, with a comparatively longer survival period. (Medication should be used under the guidance of a doctor.)
How is hypokalemia tested?
Hypokalemia can be diagnosed by drawing 3-5ml of venous blood for biochemical and electrolyte tests. Patients with hypokalemia may experience weakness or even paralysis, hence it is crucial to actively treat by replenishing potassium. During potassium supplementation, it is also important to clarify the underlying cause of the hypokalemia in order to solve the issue from its root. Otherwise, merely supplementing potassium might result in recurring hypokalemia.
Can leukemia be cured?
Some types of leukemia can be cured. Leukemia is divided into acute leukemia and chronic leukemia. Among acute leukemias, acute promyelocytic leukemia has a better prognosis, and most patients can achieve a cure through chemotherapy. In addition to acute promyelocytic leukemia, the prognosis of MRB and MCEO types of acute leukemia is also relatively good. Patients with low-risk can potentially be cured through chemotherapy. In chronic leukemia, chronic myeloid leukemia currently has oral targeted medications available, such as imatinib, and most patients with this category of disease can also achieve clinical cure through oral chemotherapy medications. (Specific medications should be taken under the guidance of a physician.)
Is donkey-hide gelatin effective for iron deficiency anemia?
Oral consumption of donkey-hide gelatin is ineffective for iron deficiency anemia. Iron deficiency anemia requires iron supplementation treatment, but while donkey-hide gelatin is rich in collagen, it is not rich in iron, thus it is ineffective for treating iron deficiency anemia through oral consumption. For iron deficiency anemia, a diet rich in iron, such as animal liver, lean meats, and blood products, which are rich in iron, should be pursued. Additionally, it is necessary to avoid strong tea, as it contains tannins that can chelate iron and affect its absorption.
Can anemia cause headaches?
Anemia can cause headaches because when anemia occurs, the entire body is in a state of ischemia and hypoxia. The severity of anemia varies, and so does the extent of ischemia and hypoxia in the body. When anemia is severe, the body is in a significantly compromised state of ischemia and hypoxia. Ischemia and hypoxia in the nervous system can manifest as headaches. Additionally, symptoms can include a feeling of heavy-headedness, and even cerebral infarction, which are caused by anemia. After correcting the anemia by transfusing red blood cells, the headaches will alleviate.
Is aplastic anemia contagious?
Aplastic anemia is a bone marrow failure disease and is not infectious; it cannot be transmitted. Aplastic anemia is considered a hematological disorder and should be routinely diagnosed and treated in the department of hematology. It falls under the category of bone marrow failure diseases, and its main clinical manifestations are infection, anemia, and bleeding, with a complete blood count showing a decrease in all blood cells. Patients with aplastic anemia can be divided into acute aplastic anemia and chronic aplastic anemia, and there are some differences in the treatment of the two.
How is acute leukemia treated?
The treatment for acute leukemia is chemotherapy. Chemotherapy can be administered orally or intravenously, and the choice between oral or intravenous chemotherapy depends on the type of acute leukemia. For patients with acute leukemia, if chemotherapy alone can effectively control the disease or achieve a cure, then there is no need for allogeneic hematopoietic stem cell transplantation. However, if chemotherapy alone cannot control the disease, and the patient is considered at high risk and of suitable age, then allogeneic hematopoietic stem cell transplantation should be considered.
How to test for leukemia?
Patients with leukemia should first undergo a routine blood test. Some leukemia patients' routine blood tests may indicate leukemia, such as when white blood cell counts are abnormally high, exceeding 50*10^9/L, and can even reach more than 100*10^9/L, which highly suggests leukemia. At this point, bone marrow biopsy, bone marrow immunotyping, and chromosome tests are needed to further clarify the type of leukemia. In addition, risk stratification in leukemia patients is also necessary through genetic mutations and chromosome analysis.
Can anemia cause tinnitus?
Anemia can lead to tinnitus. The occurrence of tinnitus due to anemia often indicates that the anemia is severe. At this time, transfusion of red blood cells as supportive treatment, and correcting the anemia afterwards, will make the tinnitus disappear. The reason anemia causes tinnitus is that it leads to a state of ischemia and hypoxia in various organs of the body. In the auditory system, this is manifested as tinnitus; in the nervous system, it is also manifested as dizziness, headache, a feeling of heaviness in the head, and even cerebral infarction; in the cardiovascular system, it is manifested as palpitations and panic.