{"id":446,"date":"2025-03-15T20:36:41","date_gmt":"2025-03-15T20:36:41","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=446"},"modified":"2026-03-14T23:54:16","modified_gmt":"2026-03-14T23:54:16","slug":"leki-biologiczne-inhibitory-il-1-anakinra","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/pl\/leki-biologiczne-inhibitory-il-1-anakinra\/","title":{"rendered":"Lek biologiczny (inhibitor IL-1: Anakinra)"},"content":{"rendered":"\n<section id=\"rx-anakinra-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;\">Monitorowanie leczenia biologicznego<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">Lek biologiczny (inhibitor IL-1) \u2014 Anakinra<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa rozpocz\u0119cia lub kontynuacji leczenia anakinr\u0105. Uwzgl\u0119dnia screening zaka\u017ce\u0144, neutrofile, szczepienia, leczenie skojarzone 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 terapii<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz, czy oceniasz bezpiecze\u0144stwo przed startem, czy w trakcie leczenia.<\/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-ana-phase\" id=\"rx-ana-phase-start\" value=\"start\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Przed rozpocz\u0119ciem leczenia<\/strong><br><span style=\"color:#475569;font-size:13px;\">Najwa\u017cniejsze: TB, ANC, brak aktywnej infekcji, plan szczepie\u0144<\/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-ana-phase\" id=\"rx-ana-phase-ongoing\" value=\"ongoing\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Kontynuacja leczenia<\/strong><br><span style=\"color:#475569;font-size:13px;\">Najwa\u017cniejsze: infekcje, ANC, \u017cywe szczepionki, ekspozycja na TB, reakcje po podaniu<\/span><\/span>\n          <\/label>\n        <\/div>\n\n        <div style=\"margin-top:16px;\">\n          <label for=\"rx-ana-lastreview\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ile dni min\u0119\u0142o od ostatniej kontroli \/ wizyty?<\/label>\n          <input id=\"rx-ana-lastreview\" type=\"number\" min=\"0\" max=\"365\" step=\"1\" value=\"30\" 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. Screening bezpiecze\u0144stwa<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz status najwa\u017cniejszych element\u00f3w przed leczeniem i w trakcie terapii.<\/p>\n\n        <div style=\"display:grid;gap:14px;\">\n          <div>\n            <label for=\"rx-ana-tb\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Gru\u017alica (TB) \u2014 screening przed leczeniem<\/label>\n            <select id=\"rx-ana-tb\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;background:#fff;\">\n              <option value=\"done-negative\">Wykonano \u2014 brak aktywnej \/ latentnej TB wymagaj\u0105cej odroczenia<\/option>\n              <option value=\"pending\">W trakcie \/ brak pe\u0142nego screeningu<\/option>\n              <option value=\"positive\">Dodatni \/ podejrzenie TB \/ wymaga dalszego post\u0119powania<\/option>\n            <\/select>\n          <\/div>\n\n          <div>\n            <label for=\"rx-ana-vax\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Szczepienia nie\u017cywe i plan immunizacji<\/label>\n            <select id=\"rx-ana-vax\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;background:#fff;\">\n              <option value=\"up-to-date\">Plan szczepie\u0144 jest aktualny \/ om\u00f3wiony<\/option>\n              <option value=\"partial\">Cz\u0119\u015bciowo uzupe\u0142niony \/ wymaga doplanowania<\/option>\n              <option value=\"unknown\">Niezweryfikowany<\/option>\n            <\/select>\n          <\/div>\n\n          <div>\n            <label for=\"rx-ana-anc\" style=\"display:block;margin:0 0 8px;font-weight:700;\">ANC \/ neutrofile (\u00d710\u2079\/L)<\/label>\n            <input id=\"rx-ana-anc\" type=\"number\" min=\"0\" max=\"20\" 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-ana-lastanc\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ile dni min\u0119\u0142o od ostatniego oznaczenia neutrofili?<\/label>\n            <input id=\"rx-ana-lastanc\" type=\"number\" min=\"0\" max=\"365\" step=\"1\" value=\"30\" 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=\"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-ana-livevax\" style=\"margin-top:3px;accent-color:#0f766e;\">\n              <span><strong>Planowana lub podana \u017cywa szczepionka<\/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-ana-tnf\" style=\"margin-top:3px;accent-color:#0f766e;\">\n              <span><strong>R\u00f3wnoleg\u0142y inhibitor TNF<\/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-ana-otherbio\" style=\"margin-top:3px;accent-color:#0f766e;\">\n              <span><strong>R\u00f3wnoleg\u0142y inny biologik \/ lek celowany<\/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-ana-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          <\/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-ana-infection\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Aktywna infekcja \/ gor\u0105czka<\/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-ana-tbexposure\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ekspozycja na TB \/ objawy sugeruj\u0105ce TB<\/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-ana-injreaction\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ci\u0119\u017cka reakcja po wstrzykni\u0119ciu \/ reakcja nadwra\u017cliwo\u015bci<\/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-ana-neutropenia-sx\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nawracaj\u0105ce infekcje \/ podejrzenie neutropenii<\/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-ana-allergy\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Pokrzywka \/ obrz\u0119k \/ duszno\u015b\u0107 po leku<\/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-ana-hep\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ci\u0119\u017ckie objawy og\u00f3lnoustrojowe wymagaj\u0105ce pilnej oceny<\/strong><\/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-ana-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-ana-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-ana-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-ana-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-ana-result-text\" style=\"margin:0 0 8px;\">Uzupe\u0142nij screening, ANC i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-ana-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Modu\u0142 bezpiecze\u0144stwa monitorowania anakinry: 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 anakinr\u0105 i nie zast\u0119puje decyzji klinicznej. W praktyce kluczowe s\u0105 ANC, brak aktywnej infekcji, screening TB i unikanie \u017cywych szczepionek oraz \u0142\u0105czenia z inhibitorami TNF.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-ana-calc-btn');\n  var clearBtn = document.getElementById('rx-ana-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 expectedReviewDays() {\n    if (document.getElementById('rx-ana-phase-start').checked) return 30;\n    return 90;\n  }\n\n  function expectedAncDays() {\n    if (document.getElementById('rx-ana-phase-start').checked) return 31;\n    return 92;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var lastReview = readValue('rx-ana-lastreview', 0, 365, 30);\n    var anc = readValue('rx-ana-anc', 0, 20, 2.5);\n    var lastAnc = readValue('rx-ana-lastanc', 0, 365, 30);\n\n    var tb = document.getElementById('rx-ana-tb').value;\n    var vax = document.getElementById('rx-ana-vax').value;\n\n    var liveVax = document.getElementById('rx-ana-livevax').checked;\n    var tnf = document.getElementById('rx-ana-tnf').checked;\n    var otherBio = document.getElementById('rx-ana-otherbio').checked;\n    var pregnancy = document.getElementById('rx-ana-pregnancy').checked;\n\n    var infection = document.getElementById('rx-ana-infection').checked;\n    var tbExposure = document.getElementById('rx-ana-tbexposure').checked;\n    var injReaction = document.getElementById('rx-ana-injreaction').checked;\n    var neutropeniaSx = document.getElementById('rx-ana-neutropenia-sx').checked;\n    var allergy = document.getElementById('rx-ana-allergy').checked;\n    var hep = document.getElementById('rx-ana-hep').checked;\n\n    var redFlags = [];\n    var yellowFlags = [];\n\n    if (anc < 1.5) redFlags.push('ANC < 1,5 \u00d710\u2079\/L');\n    if (tb === 'positive') redFlags.push('dodatni \/ niezamkni\u0119ty problem TB');\n    if (liveVax) redFlags.push('\u017cywa szczepionka w trakcie leczenia');\n    if (tnf) redFlags.push('r\u00f3wnoleg\u0142y inhibitor TNF');\n    if (otherBio) redFlags.push('r\u00f3wnoleg\u0142y inny biologik \/ lek celowany');\n    if (infection) redFlags.push('aktywna infekcja \/ gor\u0105czka');\n    if (tbExposure) redFlags.push('ekspozycja na TB lub objawy sugeruj\u0105ce TB');\n    if (injReaction) redFlags.push('ci\u0119\u017cka reakcja po wstrzykni\u0119ciu \/ nadwra\u017cliwo\u015b\u0107');\n    if (allergy) redFlags.push('pokrzywka \/ obrz\u0119k \/ duszno\u015b\u0107 po leku');\n\n    if (tb === 'pending') yellowFlags.push('brak pe\u0142nego screeningu TB');\n    if (vax === 'partial') yellowFlags.push('plan szczepie\u0144 wymaga uzupe\u0142nienia');\n    if (vax === 'unknown') yellowFlags.push('status szczepie\u0144 niezweryfikowany');\n    if (neutropeniaSx) yellowFlags.push('nawracaj\u0105ce infekcje \/ podejrzenie neutropenii');\n    if (hep) yellowFlags.push('ci\u0119\u017ckie objawy og\u00f3lnoustrojowe wymagaj\u0105 pilnej oceny');\n    if (pregnancy) yellowFlags.push('ci\u0105\u017ca \/ planowanie ci\u0105\u017cy wymaga om\u00f3wienia');\n    if (lastReview > expectedReviewDays()) yellowFlags.push('kontrola by\u0142a p\u00f3\u017aniej ni\u017c typowy interwa\u0142 dla tego etapu leczenia');\n    if (lastAnc > expectedAncDays()) yellowFlags.push('oznaczenie neutrofili by\u0142o p\u00f3\u017aniej ni\u017c typowy interwa\u0142 dla tego etapu leczenia');\n\n    var result = document.getElementById('rx-ana-result');\n    var title = document.getElementById('rx-ana-result-title');\n    var text = document.getElementById('rx-ana-result-text');\n    var note = document.getElementById('rx-ana-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 rozpocz\u0119cia lub podania kolejnej dawki do czasu 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, organizacyjnej lub dopilnowania monitoringu.';\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 najwa\u017cniejszych sygna\u0142\u00f3w alarmowych u\u017cytych w tym kwalifikatorze.';\n      note.innerHTML = 'Pami\u0119taj o monitorowaniu neutrofili, screeningu TB przed leczeniem i unikaniu \u017cywych szczepionek oraz \u0142\u0105czenia z inhibitorami TNF.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-ana-phase-start').checked = true;\n    document.getElementById('rx-ana-lastreview').value = 30;\n    document.getElementById('rx-ana-tb').value = 'done-negative';\n    document.getElementById('rx-ana-vax').value = 'up-to-date';\n    document.getElementById('rx-ana-anc').value = 2.5;\n    document.getElementById('rx-ana-lastanc').value = 30;\n    document.getElementById('rx-ana-livevax').checked = false;\n    document.getElementById('rx-ana-tnf').checked = false;\n    document.getElementById('rx-ana-otherbio').checked = false;\n    document.getElementById('rx-ana-pregnancy').checked = false;\n    document.getElementById('rx-ana-infection').checked = false;\n    document.getElementById('rx-ana-tbexposure').checked = false;\n    document.getElementById('rx-ana-injreaction').checked = false;\n    document.getElementById('rx-ana-neutropenia-sx').checked = false;\n    document.getElementById('rx-ana-allergy').checked = false;\n    document.getElementById('rx-ana-hep').checked = false;\n\n    document.getElementById('rx-ana-result').style.display = 'block';\n    document.getElementById('rx-ana-result').style.background = '#f8fafc';\n    document.getElementById('rx-ana-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-ana-result-title').style.color = '#0f172a';\n    document.getElementById('rx-ana-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-ana-result-text').innerHTML = 'Uzupe\u0142nij screening, ANC i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-ana-result-note').innerHTML = 'Modu\u0142 bezpiecze\u0144stwa monitorowania anakinry: pokazuje brak oczywistych czerwonych flag, potrzeb\u0119 weryfikacji lub piln\u0105 flag\u0119 bezpiecze\u0144stwa.';\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Monitorowanie leczenia biologicznego Lek biologiczny (inhibitor IL-1) \u2014 Anakinra Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa rozpocz\u0119cia lub kontynuacji leczenia anakinr\u0105. Uwzgl\u0119dnia screening zaka\u017ce\u0144, neutrofile, szczepienia, leczenie skojarzone i czerwone flagi kliniczne. 1. Etap terapii Wybierz, czy oceniasz bezpiecze\u0144stwo przed startem, czy w trakcie leczenia. Przed rozpocz\u0119ciem leczeniaNajwa\u017cniejsze: TB, ANC, brak aktywnej infekcji, plan szczepie\u0144 Kontynuacja leczeniaNajwa\u017cniejsze:&#8230;<\/p>\n","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-446","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/446","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/comments?post=446"}],"version-history":[{"count":3,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/446\/revisions"}],"predecessor-version":[{"id":1212,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/446\/revisions\/1212"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/media?parent=446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}