{"id":470,"date":"2025-03-15T20:59:36","date_gmt":"2025-03-15T20:59:36","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=470"},"modified":"2026-03-15T01:02:15","modified_gmt":"2026-03-15T01:02:15","slug":"toksycznosci-glikokortykosteroidow-gks","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/toksycznosci-glikokortykosteroidow-gks\/","title":{"rendered":"Toksyczno\u015b\u0107 glikokortykosteroid\u00f3w (GKS)"},"content":{"rendered":"\n<section id=\"gks-toxicity-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;\">Toksyczno\u015b\u0107 GKS<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">Toksyczno\u015b\u0107 glikokortykosteroid\u00f3w (GKS) \u2014 praktyczny kalkulator przesiewowy<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:78ch;\">Interaktywny modu\u0142 do szybkiej oceny nasilenia toksyczno\u015bci steroidowej. Obejmuje najwa\u017cniejsze domeny: metaboliczn\u0105, sercowo-naczyniow\u0105, kostn\u0105, okulistyczn\u0105, psychiatryczn\u0105, infekcyjn\u0105 i supresj\u0119 osi HPA.<\/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. Ekspozycja na GKS<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Podaj podstawowe dane o aktualnej terapii steroidowej.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <div>\n            <label for=\"gti-dose\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Prednizon r\u00f3wnowa\u017cnik (mg\/dob\u0119)<\/label>\n            <input id=\"gti-dose\" type=\"number\" min=\"0\" max=\"250\" step=\"0.5\" value=\"10\" 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=\"gti-days\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Czas terapii (dni)<\/label>\n            <input id=\"gti-days\" type=\"number\" min=\"0\" max=\"5000\" 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=\"gti-sbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie skurczowe (mmHg)<\/label>\n            <input id=\"gti-sbp\" type=\"number\" min=\"60\" max=\"260\" step=\"1\" value=\"128\" 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=\"gti-dbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie rozkurczowe (mmHg)<\/label>\n            <input id=\"gti-dbp\" type=\"number\" min=\"30\" max=\"160\" 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>\n            <label for=\"gti-glucose\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Glukoza na czczo (mg\/dL)<\/label>\n            <input id=\"gti-glucose\" type=\"number\" min=\"40\" max=\"500\" step=\"1\" value=\"96\" 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=\"gti-hba1c\" style=\"display:block;margin:0 0 8px;font-weight:700;\">HbA1c (%)<\/label>\n            <input id=\"gti-hba1c\" type=\"number\" min=\"3\" max=\"18\" step=\"0.1\" value=\"5.6\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\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;\">2. Domeny toksyczno\u015bci<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz, kt\u00f3re obszary toksyczno\u015bci s\u0105 obecne klinicznie lub wymagaj\u0105 interwencji.<\/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=\"gti-weight\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Przyrost masy cia\u0142a \/ cechy cushingoidalne<\/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=\"gti-bp\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nadci\u015bnienie wymagaj\u0105ce leczenia \/ intensyfikacji<\/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=\"gti-glucose-flag\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nowa cukrzyca \/ pogorszenie kontroli glikemii<\/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=\"gti-lipids\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Dyslipidemia \/ hipertriglicerydemia wymagaj\u0105ca interwencji<\/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=\"gti-bone\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Osteopenia \/ osteoporoza \/ z\u0142amanie niskoenergetyczne<\/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=\"gti-eye\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Za\u0107ma \/ jaskra \/ powik\u0142ania okulistyczne<\/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=\"gti-skin\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>\u015acie\u0144czenie sk\u00f3ry \/ siniaki \/ gojenie ran \/ tr\u0105dzik<\/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=\"gti-muscle\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Miopatia \/ os\u0142abienie mi\u0119\u015bni<\/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=\"gti-mood\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Bezsenno\u015b\u0107 \/ dra\u017cliwo\u015b\u0107 \/ zaburzenia nastroju<\/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=\"gti-infection\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nawracaj\u0105ce infekcje \/ ci\u0119\u017cszy przebieg zaka\u017ce\u0144<\/strong><\/span>\n          <\/label>\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<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz sytuacje wymagaj\u0105ce pilnej weryfikacji klinicznej.<\/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=\"gti-psych-red\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Psychoza \/ mania \/ ci\u0119\u017cka depresja \/ my\u015bli S<\/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=\"gti-eye-red\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nowe pogorszenie widzenia \/ b\u00f3l oka \/ pilny problem okulistyczny<\/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=\"gti-adrenal-red\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Objawy supresji osi HPA \/ odstawienia<\/strong><br><span style=\"color:#475569;font-size:13px;\">os\u0142abienie, hipotensja, nudno\u015bci, omdlenia<\/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=\"checkbox\" id=\"gti-severe-infection\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Aktywna ci\u0119\u017cka infekcja \/ gor\u0105czka \/ hospitalizacja<\/strong><\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n\n      <div style=\"display:flex;flex-wrap:wrap;gap:12px;\">\n        <button\n          type=\"button\"\n          id=\"gti-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=\"gti-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=\"gti-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"gti-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=\"gti-result-text\" style=\"margin:0 0 8px;\">Uzupe\u0142nij dane ekspozycji i domeny toksyczno\u015bci, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <div id=\"gti-score-box\" style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:10px;margin-top:14px;\">\n          <div style=\"padding:14px;border:1px solid #e2e8f0;border-radius:14px;background:#fff;\">\n            <div style=\"font-size:13px;color:#475569;\">Liczba aktywnych domen toksyczno\u015bci<\/div>\n            <div id=\"gti-score\" style=\"font-size:24px;font-weight:800;color:#0f172a;\">\u2014<\/div>\n          <\/div>\n          <div style=\"padding:14px;border:1px solid #e2e8f0;border-radius:14px;background:#fff;\">\n            <div style=\"font-size:13px;color:#475569;\">Ocena praktyczna<\/div>\n            <div id=\"gti-class\" style=\"font-size:24px;font-weight:800;color:#0f172a;\">\u2014<\/div>\n          <\/div>\n        <\/div>\n        <p id=\"gti-result-note\" style=\"margin:14px 0 0;color:#475569;font-size:14px;\">To praktyczny screener domen toksyczno\u015bci steroidowej, a nie pe\u0142na licencjonowana punktacja GTI.<\/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> narz\u0119dzie pomaga szybko wychwyci\u0107 obszary toksyczno\u015bci GKS, kt\u00f3re wymagaj\u0105 kontroli lub interwencji. W praktyce najwi\u0119ksze znaczenie maj\u0105: metabolizm, ci\u015bnienie, ko\u015bci, oczy, psychika, zaka\u017cenia i ryzyko supresji nadnerczy.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('gti-calc-btn');\n  var clearBtn = document.getElementById('gti-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 getChecked(ids) {\n    var count = 0;\n    ids.forEach(function(id) {\n      if (document.getElementById(id).checked) count += 1;\n    });\n    return count;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var dose = readValue('gti-dose', 0, 250, 10);\n    var days = readValue('gti-days', 0, 5000, 90);\n    var sbp = readValue('gti-sbp', 60, 260, 128);\n    var dbp = readValue('gti-dbp', 30, 160, 78);\n    var glucose = readValue('gti-glucose', 40, 500, 96);\n    var hba1c = readValue('gti-hba1c', 3, 18, 5.6);\n\n    var domainIds = [\n      'gti-weight','gti-bp','gti-glucose-flag','gti-lipids','gti-bone',\n      'gti-eye','gti-skin','gti-muscle','gti-mood','gti-infection'\n    ];\n\n    var redIds = ['gti-psych-red','gti-eye-red','gti-adrenal-red','gti-severe-infection'];\n\n    var domainCount = getChecked(domainIds);\n    var redCount = getChecked(redIds);\n\n    if (sbp >= 140 || dbp >= 90) domainCount += 1;\n    if (glucose >= 126 || hba1c >= 6.5) domainCount += 1;\n    if (dose >= 5 && days > 90) domainCount += 1;\n\n    if (sbp >= 180 || dbp >= 110) redCount += 1;\n    if (glucose >= 250) redCount += 1;\n\n    var practicalClass = 'Niska';\n    if (domainCount >= 5) practicalClass = 'Wysoka';\n    else if (domainCount >= 2) practicalClass = 'Umiarkowana';\n\n    var result = document.getElementById('gti-result');\n    var title = document.getElementById('gti-result-title');\n    var text = document.getElementById('gti-result-text');\n    var note = document.getElementById('gti-result-note');\n    var score = document.getElementById('gti-score');\n    var klass = document.getElementById('gti-class');\n\n    score.textContent = domainCount;\n    klass.textContent = practicalClass;\n\n    result.style.display = 'block';\n\n    if (redCount > 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 = 'Wykryto co najmniej jedn\u0105 piln\u0105 czerwon\u0105 flag\u0119 toksyczno\u015bci GKS. Ta sytuacja wymaga szybkiej weryfikacji klinicznej i zwykle przegl\u0105du dalszej ekspozycji na steroid.';\n      note.innerHTML = 'Aktywne domeny toksyczno\u015bci: ' + domainCount + '. Priorytetem s\u0105 czerwone flagi kliniczne i redukcja ryzyka powik\u0142a\u0144.';\n    } else if (domainCount >= 5) {\n      result.style.background = '#fffbeb';\n      result.style.border = '1px solid #fde68a';\n      title.style.color = '#92400e';\n      title.innerHTML = 'Znaczna toksyczno\u015b\u0107 steroidowa';\n      text.innerHTML = 'Aktywnych jest wiele domen toksyczno\u015bci GKS. W praktyce warto rozwa\u017cy\u0107 intensyfikacj\u0119 monitorowania, profilaktyk\u0119 powik\u0142a\u0144 i strategi\u0119 steroid-sparing, je\u015bli klinicznie mo\u017cliwa.';\n      note.innerHTML = 'Liczba aktywnych domen: ' + domainCount + '.';\n    } else if (domainCount >= 2) {\n      result.style.background = '#fffbeb';\n      result.style.border = '1px solid #fde68a';\n      title.style.color = '#92400e';\n      title.innerHTML = 'Umiarkowana toksyczno\u015b\u0107 steroidowa';\n      text.innerHTML = 'Wyst\u0119puj\u0105 aktywne domeny toksyczno\u015bci GKS wymagaj\u0105ce kontroli, edukacji pacjenta i ewentualnej korekty leczenia lub profilaktyki.';\n      note.innerHTML = 'Liczba aktywnych domen: ' + domainCount + '.';\n    } else {\n      result.style.background = '#f0fdf4';\n      result.style.border = '1px solid #bbf7d0';\n      title.style.color = '#166534';\n      title.innerHTML = 'Brak wyra\u017anych sygna\u0142\u00f3w znacznej toksyczno\u015bci';\n      text.innerHTML = 'W tym przesiewie nie wykryto du\u017cego obci\u0105\u017cenia domenami toksyczno\u015bci GKS.';\n      note.innerHTML = 'Pami\u0119taj o okresowej kontroli ci\u015bnienia, glikemii\/HbA1c, masy cia\u0142a, ko\u015bci, oka oraz objaw\u00f3w zaka\u017ce\u0144 i supresji osi HPA.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('gti-dose').value = 10;\n    document.getElementById('gti-days').value = 90;\n    document.getElementById('gti-sbp').value = 128;\n    document.getElementById('gti-dbp').value = 78;\n    document.getElementById('gti-glucose').value = 96;\n    document.getElementById('gti-hba1c').value = 5.6;\n\n    [\n      'gti-weight','gti-bp','gti-glucose-flag','gti-lipids','gti-bone',\n      'gti-eye','gti-skin','gti-muscle','gti-mood','gti-infection',\n      'gti-psych-red','gti-eye-red','gti-adrenal-red','gti-severe-infection'\n    ].forEach(function(id) {\n      document.getElementById(id).checked = false;\n    });\n\n    document.getElementById('gti-result').style.display = 'block';\n    document.getElementById('gti-result').style.background = '#f8fafc';\n    document.getElementById('gti-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('gti-result-title').style.color = '#0f172a';\n    document.getElementById('gti-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('gti-result-text').innerHTML = 'Uzupe\u0142nij dane ekspozycji i domeny toksyczno\u015bci, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('gti-score').textContent = '\u2014';\n    document.getElementById('gti-class').textContent = '\u2014';\n    document.getElementById('gti-result-note').innerHTML = 'To praktyczny screener domen toksyczno\u015bci steroidowej, a nie pe\u0142na licencjonowana punktacja GTI.';\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Toksyczno\u015b\u0107 GKS Toksyczno\u015b\u0107 glikokortykosteroid\u00f3w (GKS) \u2014 praktyczny kalkulator przesiewowy Interaktywny modu\u0142 do szybkiej oceny nasilenia toksyczno\u015bci steroidowej. Obejmuje najwa\u017cniejsze domeny: metaboliczn\u0105, sercowo-naczyniow\u0105, kostn\u0105, okulistyczn\u0105, psychiatryczn\u0105, infekcyjn\u0105 i supresj\u0119 osi HPA. 1. Ekspozycja na GKS Podaj podstawowe dane o aktualnej terapii steroidowej. Prednizon r\u00f3wnowa\u017cnik (mg\/dob\u0119) Czas terapii (dni) Ci\u015bnienie skurczowe (mmHg) Ci\u015bnienie rozkurczowe (mmHg) Glukoza na&#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-470","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/470","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=470"}],"version-history":[{"count":3,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/470\/revisions"}],"predecessor-version":[{"id":1232,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/470\/revisions\/1232"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/media?parent=470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}