$matches[3]Array ( [leki/szukaj/([^/]+)/?$] => index.php?pagename=leki&drug_name=$matches[1] [leki/strona/([^/]+)/?$] => index.php?pagename=leki&pagenum=$matches[1] [leki/([^/]+)/?/([^/]+)/?$] => index.php?pagename=leki&id=$matches[2] [sitemap_index\.xml$] => index.php?sitemap=1 [([^/]+?)-sitemap([0-9]+)?\.xml$] => index.php?sitemap=$matches[1]&sitemap_n=$matches[2] [([a-z]+)?-?sitemap\.xsl$] => index.php?yoast-sitemap-xsl=$matches[1] [^wp-json/?$] => index.php?rest_route=/ [^wp-json/(.*)?] => index.php?rest_route=/$matches[1] [^index.php/wp-json/?$] => index.php?rest_route=/ [^index.php/wp-json/(.*)?] => index.php?rest_route=/$matches[1] [^wp-sitemap\.xml$] => index.php?sitemap=index [^wp-sitemap\.xsl$] => index.php?sitemap-stylesheet=sitemap [^wp-sitemap-index\.xsl$] => index.php?sitemap-stylesheet=index [^wp-sitemap-([a-z]+?)-([a-z\d_-]+?)-(\d+?)\.xml$] => index.php?sitemap=$matches[1]&sitemap-subtype=$matches[2]&paged=$matches[3] [^wp-sitemap-([a-z]+?)-(\d+?)\.xml$] => index.php?sitemap=$matches[1]&paged=$matches[2] [nasi-lekarze(?:/([0-9]+))?/?$] => index.php?pagename=nasi-lekarze&pagination=$matches[1] [nasi-lekarze/([^/]+)/([^/]+)(?:/([0-9]+))?/?$] => index.php?pagename=nasi-lekarze&specialty=$matches[2]&city=$matches[1]&pagination=$matches[3] [znajdz-placowke/([^/]+)/?$] => index.php?pagename=znajdz-placowke&type=$matches[1] [znajdz-placowke/([^/]+)/([^/]+)?/?$] => index.php?pagename=znajdz-placowke&type=$matches[1]&city=$matches[2] [kariera/([^/]+)/([^/]+)/([^/]+)/?$] => index.php?pagename=kariera&type=$matches[1]&city=$matches[2]&position=$matches[3] [kariera/([^/]+)/([^/]+)/?$] => index.php?pagename=kariera&type=$matches[1]&city=$matches[2] [lekarz/([a-z-]+)/([0-9]+)/?$] => index.php?lekarzId=$matches[2] [cennik/([^/]+)/([^/]+)/([^/]+)(?:/([^/]+))?/?$] => index.php?pagename=cennik&category=$matches[1]&service=$matches[2]&city=$matches[3]&clinic=$matches[4] [category/(.+?)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?category_name=$matches[1]&feed=$matches[2] [category/(.+?)/(feed|rdf|rss|rss2|atom)/?$] => index.php?category_name=$matches[1]&feed=$matches[2] [category/(.+?)/embed/?$] => index.php?category_name=$matches[1]&embed=true [category/(.+?)/page/?([0-9]{1,})/?$] => index.php?category_name=$matches[1]&paged=$matches[2] [category/(.+?)/?$] => index.php?category_name=$matches[1] [tag/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?tag=$matches[1]&feed=$matches[2] [tag/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?tag=$matches[1]&feed=$matches[2] [tag/([^/]+)/embed/?$] => index.php?tag=$matches[1]&embed=true [tag/([^/]+)/page/?([0-9]{1,})/?$] => index.php?tag=$matches[1]&paged=$matches[2] [tag/([^/]+)/?$] => index.php?tag=$matches[1] [type/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?post_format=$matches[1]&feed=$matches[2] [type/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?post_format=$matches[1]&feed=$matches[2] [type/([^/]+)/embed/?$] => index.php?post_format=$matches[1]&embed=true [type/([^/]+)/page/?([0-9]{1,})/?$] => index.php?post_format=$matches[1]&paged=$matches[2] [type/([^/]+)/?$] => index.php?post_format=$matches[1] [landing/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [landing/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [landing/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [landing/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [landing/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [landing/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [landing/([^/]+)/embed/?$] => index.php?landing=$matches[1]&embed=true [landing/([^/]+)/trackback/?$] => index.php?landing=$matches[1]&tb=1 [landing/([^/]+)/page/?([0-9]{1,})/?$] => index.php?landing=$matches[1]&paged=$matches[2] [landing/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?landing=$matches[1]&cpage=$matches[2] [landing/([^/]+)(?:/([0-9]+))?/?$] => index.php?landing=$matches[1]&page=$matches[2] [landing/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [landing/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [landing/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [landing/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [landing/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [landing/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [lekarze/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [lekarze/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [lekarze/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [lekarze/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [lekarze/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [lekarze/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [lekarze/([^/]+)/embed/?$] => index.php?doctors=$matches[1]&embed=true [lekarze/([^/]+)/trackback/?$] => index.php?doctors=$matches[1]&tb=1 [lekarze/([^/]+)/page/?([0-9]{1,})/?$] => index.php?doctors=$matches[1]&paged=$matches[2] [lekarze/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?doctors=$matches[1]&cpage=$matches[2] [lekarze/([^/]+)(?:/([0-9]+))?/?$] => index.php?doctors=$matches[1]&page=$matches[2] [lekarze/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [lekarze/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [lekarze/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [lekarze/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [lekarze/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [lekarze/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [abonamenty-firmy/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [abonamenty-firmy/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [abonamenty-firmy/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-firmy/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-firmy/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [abonamenty-firmy/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [abonamenty-firmy/([^/]+)/embed/?$] => index.php?subscription_company=$matches[1]&embed=true [abonamenty-firmy/([^/]+)/trackback/?$] => index.php?subscription_company=$matches[1]&tb=1 [abonamenty-firmy/([^/]+)/page/?([0-9]{1,})/?$] => index.php?subscription_company=$matches[1]&paged=$matches[2] [abonamenty-firmy/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?subscription_company=$matches[1]&cpage=$matches[2] [abonamenty-firmy/([^/]+)(?:/([0-9]+))?/?$] => index.php?subscription_company=$matches[1]&page=$matches[2] [abonamenty-firmy/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [abonamenty-firmy/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [abonamenty-firmy/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-firmy/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-firmy/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [abonamenty-firmy/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [abonamenty-indywidualne/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [abonamenty-indywidualne/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [abonamenty-indywidualne/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-indywidualne/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-indywidualne/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [abonamenty-indywidualne/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [abonamenty-indywidualne/([^/]+)/embed/?$] => index.php?subscription=$matches[1]&embed=true [abonamenty-indywidualne/([^/]+)/trackback/?$] => index.php?subscription=$matches[1]&tb=1 [abonamenty-indywidualne/([^/]+)/page/?([0-9]{1,})/?$] => index.php?subscription=$matches[1]&paged=$matches[2] [abonamenty-indywidualne/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?subscription=$matches[1]&cpage=$matches[2] [abonamenty-indywidualne/([^/]+)(?:/([0-9]+))?/?$] => index.php?subscription=$matches[1]&page=$matches[2] [abonamenty-indywidualne/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [abonamenty-indywidualne/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [abonamenty-indywidualne/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-indywidualne/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [abonamenty-indywidualne/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [abonamenty-indywidualne/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [usluga/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [usluga/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [usluga/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [usluga/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [usluga/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [usluga/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [usluga/([^/]+)/embed/?$] => index.php?services=$matches[1]&embed=true [usluga/([^/]+)/trackback/?$] => index.php?services=$matches[1]&tb=1 [usluga/([^/]+)/page/?([0-9]{1,})/?$] => index.php?services=$matches[1]&paged=$matches[2] [usluga/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?services=$matches[1]&cpage=$matches[2] [usluga/([^/]+)(?:/([0-9]+))?/?$] => index.php?services=$matches[1]&page=$matches[2] [usluga/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [usluga/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [usluga/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [usluga/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [usluga/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [usluga/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [placowki/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [placowki/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [placowki/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [placowki/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [placowki/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [placowki/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [placowki/([^/]+)/embed/?$] => index.php?clinics=$matches[1]&embed=true [placowki/([^/]+)/trackback/?$] => index.php?clinics=$matches[1]&tb=1 [placowki/([^/]+)/page/?([0-9]{1,})/?$] => index.php?clinics=$matches[1]&paged=$matches[2] [placowki/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?clinics=$matches[1]&cpage=$matches[2] [placowki/([^/]+)(?:/([0-9]+))?/?$] => index.php?clinics=$matches[1]&page=$matches[2] [placowki/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [placowki/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [placowki/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [placowki/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [placowki/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [placowki/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [cennik/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [cennik/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [cennik/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [cennik/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [cennik/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [cennik/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [cennik/([^/]+)/embed/?$] => index.php?price-list=$matches[1]&embed=true [cennik/([^/]+)/trackback/?$] => index.php?price-list=$matches[1]&tb=1 [cennik/([^/]+)/page/?([0-9]{1,})/?$] => index.php?price-list=$matches[1]&paged=$matches[2] [cennik/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?price-list=$matches[1]&cpage=$matches[2] [cennik/([^/]+)(?:/([0-9]+))?/?$] => index.php?price-list=$matches[1]&page=$matches[2] [cennik/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [cennik/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [cennik/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [cennik/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [cennik/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [cennik/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [clinics-partners/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [clinics-partners/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [clinics-partners/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [clinics-partners/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [clinics-partners/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [clinics-partners/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [clinics-partners/([^/]+)/embed/?$] => index.php?post_type=clinics-partners&name=$matches[1]&embed=true [clinics-partners/([^/]+)/trackback/?$] => index.php?post_type=clinics-partners&name=$matches[1]&tb=1 [clinics-partners/([^/]+)/page/?([0-9]{1,})/?$] => index.php?post_type=clinics-partners&name=$matches[1]&paged=$matches[2] [clinics-partners/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?post_type=clinics-partners&name=$matches[1]&cpage=$matches[2] [clinics-partners/([^/]+)(?:/([0-9]+))?/?$] => index.php?post_type=clinics-partners&name=$matches[1]&page=$matches[2] [clinics-partners/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [clinics-partners/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [clinics-partners/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [clinics-partners/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [clinics-partners/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [clinics-partners/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [banners/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [banners/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [banners/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [banners/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [banners/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [banners/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [banners/([^/]+)/embed/?$] => index.php?banners=$matches[1]&embed=true [banners/([^/]+)/trackback/?$] => index.php?banners=$matches[1]&tb=1 [banners/([^/]+)/page/?([0-9]{1,})/?$] => index.php?banners=$matches[1]&paged=$matches[2] [banners/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?banners=$matches[1]&cpage=$matches[2] [banners/([^/]+)(?:/([0-9]+))?/?$] => index.php?banners=$matches[1]&page=$matches[2] [banners/[^/]+/([^/]+)/?$] => index.php?attachment=$matches[1] [banners/[^/]+/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [banners/[^/]+/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [banners/[^/]+/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [banners/[^/]+/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [banners/[^/]+/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true [jobs/[^/]+/attachment/([^/]+)/?$] => index.php?attachment=$matches[1] [jobs/[^/]+/attachment/([^/]+)/trackback/?$] => index.php?attachment=$matches[1]&tb=1 [jobs/[^/]+/attachment/([^/]+)/feed/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [jobs/[^/]+/attachment/([^/]+)/(feed|rdf|rss|rss2|atom)/?$] => index.php?attachment=$matches[1]&feed=$matches[2] [jobs/[^/]+/attachment/([^/]+)/comment-page-([0-9]{1,})/?$] => index.php?attachment=$matches[1]&cpage=$matches[2] [jobs/[^/]+/attachment/([^/]+)/embed/?$] => index.php?attachment=$matches[1]&embed=true 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TSH (tyreotropina)

Opis badania

Tyreotropina – czyli TSH – to produkowany przez przedni płat przysadki mózgowej hormon, który reguluje wydzielanie przez tarczycę hormonów: T4 (tyroksyny) oraz T3 (trójjodotyroniny). Badanie krwi TSH można wykonać w placówkach enel-med w całej Polsce.

Tyreotropina – hormon tyreotropowy (ang. thyroid stimulating hormone TSH) tyreotropina– to hormon produkowany przez przysadkę mózgową. Jest on niezbędny do prawidłowej pracy tarczycy i produkowania przez nią dwóch kolejnych, bardzo istotnych dla funkcjonowania organizmu hormonów: tyroksyny (T4) oraz trójjodotyroniny (T3). Poziom TSH we krwi to jedno z najczęściej wykonywanych badań hormonalnych.

Badanie TSH – wskazania

Badanie krwi TSH może być wykonane jako profilaktyka u osób bez widocznych objawów chorób tarczycy, np. w ramach badań okresowych, kontrolnych czy u kobiet planujących lub będących w ciąży. Tak naprawdę jednak w przypadku TSH badanie najczęściej zleca się osobom, u których występują objawy sugerujące niedoczynność lub nadczynność tarczycy. Mogą to być:

  • nagły przyrost/spadek masy ciała,
  • nadmierna senność,
  • uczucie zmęczenia,
  • rozdrażnienie,
  • spowolniona akcja serca lub uczucie szybkiego bicia serca,
  • nadmierna potliwość,
  • nietolerancja niskich/wysokich temperatur,
  • suchość skóry,
  • nadmierne pocenie się,
  • drżenia i potliwość dłoni,
  • wypadanie włosów,
  • zaburzenia miesiączkowania,
  • niepłodność.

Badanie TSH – przeciwwskazania

Nie ma żadnych bezwzględnych przeciwwskazań do wykonania badania krwi TSH. Doświadczenie i empatia pracowników oddziałów medycznych enel-med sprawiają, że badanie można bezstresowo przeprowadzić nawet u dzieci czy osób mocno wrażliwych na ukłucie lub nawet sam widok igły. Przy zachowaniu rygorystycznych procedur bezpieczeństwa poziom TSH można oznaczyć także u osób chorych zakaźnie, np. na wirusowe zapalenie wątroby czy u nosicieli wirusa HIV.

Badanie TSH – jak się przygotować?

Badanie TSH jest badaniem wykonywanym z krwi pacjenta – najczęściej pobiera się je w godzinach porannych, a pacjent zgłaszając się do punktu pobrań, nie musi być na czczo, chyba że lekarz zaleci inaczej. Oznaczenie TSH jest podstawowym badaniem osi tarczycowej – jeżeli wynik badania jest nieprawidłowy, to wówczas należy oznaczyć poziom wolnej tyroksyny (fT4) we krwi. Oznaczanie wolnej trójjodotyroniny (fT3) klinicznie jest mniej istotne, wykonuje się je rzadko i w ściśle określonych sytuacjach klinicznych.

Warto pamiętać, że na poziom TSH we krwi może mieć wpływ przyjmowanie niektórych leków, np. estrogenów, propranololu czy fenytoiny. O ich przyjmowaniu należy poinformować lekarza.

TSH – jak przebiega badanie?

Na pobranie krwi w celu oznaczenia TSH należy się zgłosić rano, ale, o ile lekarz nie zaleci inaczej, nie trzeba być na czczo. Gdy nadejdzie kolej pacjenta, zostaje on poproszony do pokoju przez osobę pobierającą krew. Pacjent siada na krześle i odsłania jedno z przedramion, a pracownik punktu pobrań odkaża skórę okolicy zgięcia łokciowego i powyżej zakłada stazę. Następnie delikatnie wkłuwa on przygotowaną wcześniej jednorazową, sterylną igłę w żyłę i przy pomocy próżniowych zestawów pobiera niewielką ilość krwi do badania. Próbka natychmiast zostaje zabezpieczona. Skóra w miejscu wkłucia zostaje ponownie zdezynfekowana, a następnie przykleja się na nią wacik, by sącząca się krew nie pobrudziła ubrania. Miejsce wkłucia należy uciskać przez kilka minut, trzymając rękę wyprostowaną, aby nie zrobił się krwiak.

Punkt pobrań w przychodni można opuścić od razu po pobraniu krwi. Warto mieć przy sobie kanapkę i coś do picia, by móc posilić się po badaniu.

FAQ

  • Jakie są normy TSH?

Jeśli chodzi o TSH, norma wynosi od 0,4do 4 mIU/l i zależy m.in. od płci, wieku oraz metody, którą laboratorium oznacza wynik TSH.

  • Czy prawidłowy wynik TSH jednoznacznie określa, że jest się zdrowym?

Prawidłowe TSH – zwykle oznacza, że tarczyca pracuje prawidłowo natomiast w celu dokładnej oceny funkcji tarczycy mogą być niezbędne dodatkowe oznaczenia.

  • Czy badanie TSH wykonuje się również u dzieci?

Jak najbardziej! Prawidłowy poziom TSH u noworodków pozwala wykluczyć występowanie wrodzonej niedoczynności tarczycy.

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