{"id":424,"date":"2025-03-15T20:22:21","date_gmt":"2025-03-15T20:22:21","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=424"},"modified":"2026-03-14T23:36:38","modified_gmt":"2026-03-14T23:36:38","slug":"cyklosporyna","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/cyklosporyna\/","title":{"rendered":"Cyklosporyna (CS)"},"content":{"rendered":"<section id=\"rx-csa-monitoring-calculator\" style=\"max-width:960px;margin:0 auto;font:16px\/1.55 Inter,ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',sans-serif;color:#0f172a;\">\n  <div style=\"background:linear-gradient(180deg,#ffffff 0%,#fbfdff 100%);border:1px solid #e2e8f0;border-radius:24px;box-shadow:0 12px 30px rgba(15,23,42,.06);overflow:hidden;\">\n    <div style=\"padding:28px 28px 20px;border-bottom:1px solid #e2e8f0;background:radial-gradient(circle at top right, rgba(15,118,110,.08), transparent 32%), linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);\">\n      <div style=\"display:inline-block;padding:6px 12px;border-radius:999px;background:rgba(15,118,110,.10);color:#0f766e;font-size:12px;font-weight:700;letter-spacing:.02em;text-transform:uppercase;margin-bottom:14px;\">Treatment Monitoring<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">Cyklosporyna \u2014 kwalifikator bezpiecze\u0144stwa monitorowania<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa kontynuacji leczenia cyklosporyn\u0105 w reumatologii. Uwzgl\u0119dnia etap terapii, wyniki bada\u0144, ci\u015bnienie t\u0119tnicze, bia\u0142komocz i czerwone flagi kliniczne.<\/p>\n    <\/div>\n\n    <div style=\"padding:28px;display:grid;gap:20px;\">\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">1. Etap leczenia<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz aktualny etap terapii, aby por\u00f3wna\u0107 cz\u0119sto\u015b\u0107 kontroli z typowym harmonogramem.<\/p>\n\n        <div style=\"display:grid;gap:12px;\">\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"radio\" name=\"rx-csa-phase\" id=\"rx-csa-phase-start\" value=\"start\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Po rozpocz\u0119ciu leczenia \/ po zmianie dawki<\/strong><br><span style=\"color:#475569;font-size:13px;\">Typowo cz\u0119sty monitoring: kreatynina\/eGFR co 2 tygodnie przez 3 miesi\u0105ce; FBC, ALT\/AST, albumina, BP i glikemia co 2 tygodnie do stabilnej dawki przez 6 tygodni, potem co miesi\u0105c przez 3 miesi\u0105ce<\/span><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"radio\" name=\"rx-csa-phase\" id=\"rx-csa-phase-stable\" value=\"stable\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Leczenie stabilne<\/strong><br><span style=\"color:#475569;font-size:13px;\">Typowo badania co 1\u20133 miesi\u0105ce<\/span><\/span>\n          <\/label>\n        <\/div>\n\n        <div style=\"margin-top:16px;\">\n          <label for=\"rx-csa-lastlabs\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ile dni min\u0119\u0142o od ostatnich bada\u0144?<\/label>\n          <input id=\"rx-csa-lastlabs\" type=\"number\" min=\"0\" max=\"365\" step=\"1\" value=\"14\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n        <\/div>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">2. Wyniki bada\u0144<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wpisz najbardziej aktualne wyniki.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <div>\n            <label for=\"rx-csa-wbc\" style=\"display:block;margin:0 0 8px;font-weight:700;\">WBC (\u00d710\u2079\/L)<\/label>\n            <input id=\"rx-csa-wbc\" type=\"number\" min=\"0\" max=\"50\" step=\"0.1\" value=\"5.0\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-neut\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Neutrofile (\u00d710\u2079\/L)<\/label>\n            <input id=\"rx-csa-neut\" type=\"number\" min=\"0\" max=\"30\" step=\"0.1\" value=\"2.5\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-eos\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Eozynofile (\u00d710\u2079\/L)<\/label>\n            <input id=\"rx-csa-eos\" type=\"number\" min=\"0\" max=\"10\" step=\"0.1\" value=\"0.1\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-plt\" style=\"display:block;margin:0 0 8px;font-weight:700;\">P\u0142ytki (\u00d710\u2079\/L)<\/label>\n            <input id=\"rx-csa-plt\" type=\"number\" min=\"0\" max=\"1000\" step=\"1\" value=\"220\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-alb\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Albumina (g\/L)<\/label>\n            <input id=\"rx-csa-alb\" type=\"number\" min=\"0\" max=\"60\" step=\"1\" value=\"40\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-mcv\" style=\"display:block;margin:0 0 8px;font-weight:700;\">MCV (fL)<\/label>\n            <input id=\"rx-csa-mcv\" type=\"number\" min=\"50\" max=\"140\" step=\"1\" value=\"92\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-altast\" style=\"display:block;margin:0 0 8px;font-weight:700;\">ALT \/ AST \u2014 wy\u017csza warto\u015b\u0107 (U\/L)<\/label>\n            <input id=\"rx-csa-altast\" type=\"number\" min=\"0\" max=\"1000\" step=\"1\" value=\"24\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-egfr\" style=\"display:block;margin:0 0 8px;font-weight:700;\">eGFR (ml\/min\/1,73 m\u00b2)<\/label>\n            <input id=\"rx-csa-egfr\" type=\"number\" min=\"0\" max=\"150\" step=\"1\" value=\"90\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-creatchange\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Zmiana kreatyniny wzgl\u0119dem wyj\u015bciowej (%)<\/label>\n            <input id=\"rx-csa-creatchange\" type=\"number\" min=\"-50\" max=\"300\" step=\"1\" value=\"0\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-glucose\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Glukoza (mg\/dL)<\/label>\n            <input id=\"rx-csa-glucose\" type=\"number\" min=\"0\" max=\"600\" step=\"1\" value=\"95\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-sbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie skurczowe (mmHg)<\/label>\n            <input id=\"rx-csa-sbp\" type=\"number\" min=\"50\" max=\"250\" step=\"1\" value=\"125\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-csa-dbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie rozkurczowe (mmHg)<\/label>\n            <input id=\"rx-csa-dbp\" type=\"number\" min=\"30\" max=\"150\" step=\"1\" value=\"78\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div style=\"grid-column:1\/-1;\">\n            <label for=\"rx-csa-protein\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Bia\u0142komocz \/ badanie moczu<\/label>\n            <select id=\"rx-csa-protein\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;background:#fff;\">\n              <option value=\"normal\">Brak bia\u0142komoczu lub wynik niealarmowy<\/option>\n              <option value=\"2plus\">Bia\u0142komocz 2+ lub wi\u0119cej \u2014 pierwszy wynik<\/option>\n              <option value=\"persistent\">Bia\u0142komocz 2+ lub wi\u0119cej utrzymuj\u0105cy si\u0119 w 2 kolejnych pomiarach bez infekcji<\/option>\n            <\/select>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">3. Czerwone flagi kliniczne<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz obecne objawy lub sytuacje kliniczne.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-infection\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Aktywna infekcja \/ gor\u0105czka \/ b\u00f3l gard\u0142a<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-bruising\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>\u0141atwe siniaczenie \/ krwawienia<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-rash\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Wysypka \/ \u015bwi\u0105d \/ owrzodzenia jamy ustnej lub gard\u0142a<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-gi\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nudno\u015bci \/ wymioty \/ biegunka \/ spadek masy cia\u0142a<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-breath\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Duszno\u015b\u0107 \/ kaszel<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-neuro\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Neuropatia \/ dr\u0119twienie \/ mrowienie<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-pregnancy\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ci\u0105\u017ca \/ planowanie ci\u0105\u017cy wymaga om\u00f3wienia<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-csa-brand\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Planowana \/ niedawna zmiana marki<\/strong><br><span style=\"color:#475569;font-size:13px;\">Wymaga wzmo\u017conego monitorowania<\/span><\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n\n      <div style=\"display:flex;flex-wrap:wrap;gap:12px;margin-top:2px;\">\n        <button\n          type=\"button\"\n          id=\"rx-csa-calc-btn\"\n          style=\"appearance:none;border:0;border-radius:16px;padding:14px 18px;background:linear-gradient(180deg,#0f766e 0%,#115e59 100%);color:#fff;font:inherit;font-weight:700;cursor:pointer;box-shadow:0 12px 24px rgba(15,118,110,.22);display:inline-flex;align-items:center;justify-content:center;min-width:180px;\"\n        >Oblicz wynik<\/button>\n\n        <button\n          type=\"button\"\n          id=\"rx-csa-clear-btn\"\n          style=\"appearance:none;border:1px solid #cbd5e1;border-radius:16px;padding:14px 18px;background:#fff;color:#0f172a;font:inherit;font-weight:700;cursor:pointer;display:inline-flex;align-items:center;justify-content:center;\"\n        >Wyczy\u015b\u0107<\/button>\n      <\/div>\n\n      <div id=\"rx-csa-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-csa-result-title\" style=\"margin:0 0 8px;font-size:18px;line-height:1.3;font-weight:800;color:#0f172a;\">Wynik pojawi si\u0119 tutaj<\/p>\n        <p id=\"rx-csa-result-text\" style=\"margin:0 0 8px;\">Uzupe\u0142nij etap leczenia, wyniki i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-csa-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Modu\u0142 bezpiecze\u0144stwa monitorowania cyklosporyny: pokazuje brak oczywistych czerwonych flag, potrzeb\u0119 weryfikacji lub piln\u0105 flag\u0119 bezpiecze\u0144stwa.<\/p>\n      <\/div>\n\n      <div style=\"border:1px solid #e2e8f0;background:linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);border-radius:18px;padding:16px 18px;color:#475569;font-size:14px;\">\n        <strong style=\"color:#0f172a;\">Uwaga:<\/strong> to narz\u0119dzie wspiera monitorowanie bezpiecze\u0144stwa leczenia cyklosporyn\u0105 i nie zast\u0119puje decyzji klinicznej. Szczeg\u00f3lnie wa\u017cne s\u0105 nerki, ci\u015bnienie t\u0119tnicze, morfologia, bia\u0142komocz oraz interakcje i sta\u0142o\u015b\u0107 marki preparatu.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-csa-calc-btn');\n  var clearBtn = document.getElementById('rx-csa-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function readValue(id, min, max, fallback) {\n    var v = parseFloat(document.getElementById(id).value);\n    if (isNaN(v)) v = fallback;\n    if (v < min) v = min;\n    if (v > max) v = max;\n    return v;\n  }\n\n  function expectedDays() {\n    if (document.getElementById('rx-csa-phase-start').checked) return 31;\n    return 92;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var wbc = readValue('rx-csa-wbc', 0, 50, 0);\n    var neut = readValue('rx-csa-neut', 0, 30, 0);\n    var eos = readValue('rx-csa-eos', 0, 10, 0);\n    var plt = readValue('rx-csa-plt', 0, 1000, 0);\n    var alb = readValue('rx-csa-alb', 0, 60, 0);\n    var mcv = readValue('rx-csa-mcv', 50, 140, 0);\n    var altast = readValue('rx-csa-altast', 0, 1000, 0);\n    var egfr = readValue('rx-csa-egfr', 0, 150, 0);\n    var creatChange = readValue('rx-csa-creatchange', -50, 300, 0);\n    var glucose = readValue('rx-csa-glucose', 0, 600, 0);\n    var sbp = readValue('rx-csa-sbp', 50, 250, 0);\n    var dbp = readValue('rx-csa-dbp', 30, 150, 0);\n    var lastLabs = readValue('rx-csa-lastlabs', 0, 365, 0);\n\n    var protein = document.getElementById('rx-csa-protein').value;\n    var infection = document.getElementById('rx-csa-infection').checked;\n    var bruising = document.getElementById('rx-csa-bruising').checked;\n    var rash = document.getElementById('rx-csa-rash').checked;\n    var gi = document.getElementById('rx-csa-gi').checked;\n    var breath = document.getElementById('rx-csa-breath').checked;\n    var neuro = document.getElementById('rx-csa-neuro').checked;\n    var pregnancy = document.getElementById('rx-csa-pregnancy').checked;\n    var brand = document.getElementById('rx-csa-brand').checked;\n\n    var redFlags = [];\n    var yellowFlags = [];\n\n    if (wbc < 3.5) redFlags.push('WBC < 3,5 \u00d710\u2079\/L');\n    if (neut < 1.6) redFlags.push('neutrofile < 1,6 \u00d710\u2079\/L');\n    if (eos > 0.5) redFlags.push('eozynofile > 0,5 \u00d710\u2079\/L');\n    if (plt < 140) redFlags.push('p\u0142ytki < 140 \u00d710\u2079\/L');\n    if (alb < 30) redFlags.push('albumina < 30 g\/L');\n    if (mcv > 105) redFlags.push('MCV > 105 fL');\n    if (altast > 100) redFlags.push('ALT\/AST > 100 U\/L');\n    if (creatChange > 30) redFlags.push('kreatynina wzros\u0142a > 30% wzgl\u0119dem wyj\u015bciowej');\n    if (egfr < 60) redFlags.push('eGFR < 60 ml\/min\/1,73 m\u00b2');\n    if (sbp >= 140 || dbp >= 90) redFlags.push('nadci\u015bnienie \u2265140\/90 mmHg \u2014 je\u015bli niekontrolowane, wymaga pilnej weryfikacji');\n    if (protein === 'persistent') redFlags.push('utrzymuj\u0105cy si\u0119 bia\u0142komocz 2+ lub wi\u0119cej bez infekcji');\n    if (infection) redFlags.push('aktywna infekcja \/ gor\u0105czka \/ b\u00f3l gard\u0142a');\n    if (bruising) redFlags.push('\u0142atwe siniaczenie \/ krwawienia');\n\n    if (protein === '2plus') yellowFlags.push('bia\u0142komocz 2+ lub wi\u0119cej \u2014 wymaga powt\u00f3rzenia i wyja\u015bnienia');\n    if (rash) yellowFlags.push('wysypka \/ \u015bwi\u0105d \/ owrzodzenia jamy ustnej lub gard\u0142a');\n    if (gi) yellowFlags.push('nudno\u015bci \/ wymioty \/ biegunka \/ spadek masy cia\u0142a');\n    if (breath) yellowFlags.push('duszno\u015b\u0107 \/ kaszel');\n    if (neuro) yellowFlags.push('neuropatia \/ dr\u0119twienie \/ mrowienie');\n    if (pregnancy) yellowFlags.push('ci\u0105\u017ca \/ planowanie ci\u0105\u017cy wymaga om\u00f3wienia');\n    if (brand) yellowFlags.push('zmiana marki wymaga wzmo\u017conego monitorowania');\n    if (lastLabs > expectedDays()) yellowFlags.push('badania wykonano p\u00f3\u017aniej ni\u017c typowy interwa\u0142 dla tego etapu leczenia');\n    if (glucose > 180) yellowFlags.push('hiperglikemia wymaga weryfikacji');\n\n    var result = document.getElementById('rx-csa-result');\n    var title = document.getElementById('rx-csa-result-title');\n    var text = document.getElementById('rx-csa-result-text');\n    var note = document.getElementById('rx-csa-result-note');\n\n    result.style.display = 'block';\n\n    if (redFlags.length > 0) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Czerwona flaga bezpiecze\u0144stwa';\n      text.innerHTML = 'Ten modu\u0142 wykry\u0142 istotne nieprawid\u0142owo\u015bci wymagaj\u0105ce pilnej weryfikacji i zwykle odroczenia \/ wstrzymania dalszej decyzji do kontaktu z lekarzem prowadz\u0105cym.';\n      note.innerHTML = 'Wykryte problemy: ' + redFlags.join('; ') + (yellowFlags.length ? '. Dodatkowo: ' + yellowFlags.join('; ') : '') + '.';\n    } else if (yellowFlags.length > 0) {\n      result.style.background = '#fffbeb';\n      result.style.border = '1px solid #fde68a';\n      title.style.color = '#92400e';\n      title.innerHTML = 'Wymaga weryfikacji';\n      text.innerHTML = 'Brak oczywistych czerwonych flag w podanych progach, ale s\u0105 elementy wymagaj\u0105ce kontroli klinicznej lub organizacyjnej przed dalszym planem leczenia.';\n      note.innerHTML = 'Do weryfikacji: ' + yellowFlags.join('; ') + '.';\n    } else {\n      result.style.background = '#f0fdf4';\n      result.style.border = '1px solid #bbf7d0';\n      title.style.color = '#166534';\n      title.innerHTML = 'Brak oczywistych czerwonych flag w tym module';\n      text.innerHTML = 'W podanych danych nie wykryto prog\u00f3w alarmowych u\u017cytych w tym kwalifikatorze.';\n      note.innerHTML = 'Pami\u0119taj o regularnej kontroli nerek, BP, morfologii, glikemii oraz o sta\u0142o\u015bci marki preparatu.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-csa-phase-start').checked = true;\n    document.getElementById('rx-csa-lastlabs').value = 14;\n    document.getElementById('rx-csa-wbc').value = 5.0;\n    document.getElementById('rx-csa-neut').value = 2.5;\n    document.getElementById('rx-csa-eos').value = 0.1;\n    document.getElementById('rx-csa-plt').value = 220;\n    document.getElementById('rx-csa-alb').value = 40;\n    document.getElementById('rx-csa-mcv').value = 92;\n    document.getElementById('rx-csa-altast').value = 24;\n    document.getElementById('rx-csa-egfr').value = 90;\n    document.getElementById('rx-csa-creatchange').value = 0;\n    document.getElementById('rx-csa-glucose').value = 95;\n    document.getElementById('rx-csa-sbp').value = 125;\n    document.getElementById('rx-csa-dbp').value = 78;\n    document.getElementById('rx-csa-protein').value = 'normal';\n    document.getElementById('rx-csa-infection').checked = false;\n    document.getElementById('rx-csa-bruising').checked = false;\n    document.getElementById('rx-csa-rash').checked = false;\n    document.getElementById('rx-csa-gi').checked = false;\n    document.getElementById('rx-csa-breath').checked = false;\n    document.getElementById('rx-csa-neuro').checked = false;\n    document.getElementById('rx-csa-pregnancy').checked = false;\n    document.getElementById('rx-csa-brand').checked = false;\n\n    document.getElementById('rx-csa-result').style.display = 'block';\n    document.getElementById('rx-csa-result').style.background = '#f8fafc';\n    document.getElementById('rx-csa-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-csa-result-title').style.color = '#0f172a';\n    document.getElementById('rx-csa-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-csa-result-text').innerHTML = 'Uzupe\u0142nij etap leczenia, wyniki i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-csa-result-note').innerHTML = 'Modu\u0142 bezpiecze\u0144stwa monitorowania cyklosporyny: pokazuje brak oczywistych czerwonych flag, potrzeb\u0119 weryfikacji lub piln\u0105 flag\u0119 bezpiecze\u0144stwa.';\n  });\n})();\n<\/script>","protected":false},"excerpt":{"rendered":"<p>Monitorowanie leczenia Cyklosporyna \u2014 kwalifikator bezpiecze\u0144stwa monitorowania Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa kontynuacji leczenia cyklosporyn\u0105 w reumatologii. Uwzgl\u0119dnia etap terapii, wyniki bada\u0144, ci\u015bnienie t\u0119tnicze, bia\u0142komocz i czerwone flagi kliniczne. 1. Etap leczenia Wybierz aktualny etap terapii, aby por\u00f3wna\u0107 cz\u0119sto\u015b\u0107 kontroli z typowym harmonogramem. Po rozpocz\u0119ciu leczenia \/ po zmianie dawkiTypowo cz\u0119sty monitoring: kreatynina\/eGFR co 2&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-424","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/424","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/comments?post=424"}],"version-history":[{"count":4,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/424\/revisions"}],"predecessor-version":[{"id":1206,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/424\/revisions\/1206"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/media?parent=424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}