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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.
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Symptoms of Acute Leukemia
The common symptoms of acute leukemia include four main categories: infection, anemia, bleeding, and tumor infiltration. Symptoms of infection manifest as fever, cough, expectoration, chest pain, abdominal pain, diarrhea, frequent urination, urgent urination, painful urination, skin infections, and perianal infections. Anemia is characterized by dizziness, fatigue, poor appetite, and decreased endurance. Symptoms of reduced platelets mainly involve bleeding, which can manifest as bleeding of the skin and mucous membranes, organ bleeding, and even cerebral hemorrhage. Tumor infiltration can manifest as gingival hyperplasia and skin rashes among other swellings.
What are the symptoms of leukemia?
The symptoms of leukemia mainly fall into four categories: infections, anemia, bleeding, and tumor infiltration. Infections occur because the proliferation of leukemia cells leads to a reduction in the patient's own granulocytes, lowering their resistance and possibly leading to various secondary infections such as respiratory, urinary system, and skin mucous membrane infections. Anemia is due to the proliferation of leukemia cells, which restricts normal erythropoiesis in the bone marrow, leading to symptoms in patients such as dizziness, headaches, fatigue, and decreased stamina. Bleeding occurs due to a decrease in platelets, posing a risk of spontaneous bleeding, which can include bleeding of the skin mucous membranes, organs, and even cerebral hemorrhage. Tumor infiltration by leukemia cells may manifest as tumor masses on the skin surface.
Aplastic anemia is a disease.
Aplastic anemia is a bone marrow failure syndrome, which simply means that the bone marrow's function to produce blood cells is impaired, and it cannot produce the blood cells needed by a normal body. Clinically, it manifests as a series of symptoms caused by the reduction of all blood cells. A reduction in white blood cells can lead to infections in various systems, such as fever, cough, sputum, abdominal pain, diarrhea, frequent urination, urgent urination, and pain during urination. A reduction in red blood cells leads to anemia, which can cause symptoms such as dizziness, headache, fatigue, chest tightness, and palpitations. A decrease in platelets can lead to spontaneous bleeding, such as bleeding in the mouth, gums, and nose, and in severe cases, even cerebral hemorrhage.
Is aplastic anemia leukemia?
Aplastic anemia is not leukemia, but there is a very small chance that aplastic anemia can transform into leukemia. Aplastic anemia is a bone marrow failure syndrome, and its clinical presentation often includes pancytopenia. It can be classified into acute aplastic anemia and chronic aplastic anemia. Leukemia often manifests with high white blood cell counts, anemia, and low platelet counts. It is caused by the infiltration of leukemia cells into the bone marrow, leading to the suppression of normal hematopoiesis, and is classified as a malignant hematological tumor. Leukemia can be divided into acute leukemia and chronic leukemia.
What medicine is used to treat aplastic anemia?
Aplastic anemia is divided into acute aplastic anemia and chronic aplastic anemia. Patients with acute aplastic anemia require intensified immunotherapy or allogeneic hematopoietic stem cell transplantation from a sibling match. Intensified immunotherapy involves the simultaneous use of anti-thymocyte globulin (ATG) and cyclosporine. The main treatments for chronic aplastic anemia are immunosuppressive therapy and stimulative hematopoiesis therapy. Immunotherapy primarily involves oral administration of cyclosporine; stimulative hematopoiesis therapy may include oral administration of Chinese patent medicines such as Zao Zeng Xue Pian, and danazol, an anabolic steroid. (Medications should be used under the guidance of a doctor based on the specific circumstances.)
Can aplastic anemia have children?
Acute aplastic anemia, after effective immunotherapy and discontinuation of medication for more than two years, or after hematopoietic stem cell transplantation and discontinuation of medication for more than two years, it is possible to have children. In cases of chronic aplastic anemia, due to long-term oral intake of immunosuppressants and hematopoietic stimulants, having children is not advised. However, if immunosuppressants and hematopoietic drugs are effective and discontinued for more than two years, and blood levels are acceptable, then it is possible to have children.
What to eat for aplastic anemia
Patients with aplastic anemia should eat light, easily digestible foods, and soft diet, avoiding too hard foods, and foods with spines or bones to prevent these foods from scratching the mucous membrane of the digestive tract and causing gastrointestinal bleeding. Additionally, patients with aplastic anemia must also take medications to control the progression of the disease, the related medications mainly include immunosuppressants, such as cyclosporine, as well as hematopoietic stimulants and traditional Chinese medicine formulations. Hematopoietic drugs include androgens, such as danazol and stanozolol, etc., and traditional Chinese medicines include compound alumite pills, rejuvenating blood tablets, etc. (Please use specific medications under the guidance of a doctor, and do not self-medicate.)
Which department should I go to for anemia?
Anemia is classified as a hematological disease and requires further diagnosis and treatment in the department of hematology. In severe cases of anemia, the body can be in a state of ischemia and hypoxia, which can induce the occurrence of acute cardiovascular and cerebrovascular diseases, such as acute angina and cerebral thrombosis. Therefore, patients with acute anemia need to have red blood cell transfusions to support treatment and correct the anemia. If the anemia is not severe, red blood cell transfusion is not necessary, but it is important to complete tests like anemia indicators, bone marrow aspiration, and bone marrow biopsy to further clarify the cause of the anemia and treat it accordingly.
Does aplastic anemia cause fever?
Aplastic anemia itself does not cause fever in patients; however, individuals with aplastic anemia experience a decrease in all blood cells, including white blood cells, red blood cells, and platelets. A significant reduction in white blood cells, such as in a state of neutropenia, can lower a patient's resistance to infections, which makes it easy for secondary infections to occur and thus induce fever. Furthermore, in cases of severe anemia, severe aplastic anemia can also lead to the occurrence of low-grade fever in patients. On the other hand, a reduction in platelets generally does not cause fever. Therefore, when a patient with aplastic anemia has a fever, it is important to determine the cause of the fever.
Can anemia cause tinnitus?
Anemia can cause tinnitus. When anemia is severe, various organs of the body are in a state of ischemia and hypoxia. The nervous system can exhibit symptoms such as dizziness, headaches, and a feeling of heaviness in the head, as well as tinnitus. At this point, infusing red blood cells to correct the anemia can alleviate symptoms like tinnitus. It is also important to actively seek the underlying causes of the anemia. Anemia can be categorized based on the size of red blood cells into microcytic hypochromic anemia, normocytic anemia, and macrocytic anemia. Microcytic hypochromic anemia is commonly seen in chronic disease anemia and iron deficiency anemia, normocytic anemia is commonly found in conditions such as leukemia, multiple myeloma, and acute blood loss anemia, while macrocytic anemia is typical in megaloblastic anemia and myelodysplastic syndromes.