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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
Can people with anemia drink tea?
Anemia has many types, among which patients with iron deficiency anemia need iron supplementation treatments. If choosing oral supplementation or dietary iron supplementation, it's advised not to drink tea. This is because the tannins in tea can chelate with iron, affecting iron absorption. Therefore, it is not recommended for patients with iron deficiency anemia to drink tea while taking dietary iron supplements and oral iron supplements. However, patients receiving intravenous iron supplementation, or those with other types of anemia, can drink tea without any impact.
What department should you go to for leukemia?
Leukemia is a type of malignant blood cancer and should be treated by a hematologist. Common clinical manifestations of leukemia include infections, anemia, and bleeding. Infections occur because leukemia patients have weak immune systems, potentially leading to severe infections. These infections may affect the lungs, urinary system, or intestines. Anemia can cause leukemia patients to appear pale, feel weak, have poor appetite, and have decreased tolerance for activity. Bleeding may manifest as bleeding gums, nasal bleeding, or bleeding from skin and mucous membranes. When such symptoms appear, a routine blood test should be conducted. If the test indicates a possibility of leukemia, further correction by a hematologist is necessary.
How is anemia treated?
Patients with severe anemia require red blood cell transfusion as supportive treatment. If the degree of anemia is not severe, blood transfusion is not necessary. All anemic patients should undergo relevant examinations to determine the cause of the anemia, which can then inform the treatment plan to address the underlying cause. For instance, patients with nutritional anemia need to receive treatment that supplements the materials necessary for blood formation; in cases of anemia caused by malignant hematologic diseases such as leukemia or myeloma, chemotherapy is required to treat the primary disease; for patients with acute hemorrhagic anemia, it is necessary to identify and correct the cause of the blood loss.
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.