Leczenie ran Newsy Obok slidera Wywiady

Jak leczyć rany na odległość? Wywiad z pielęgniarką

Ten tekst przeczytasz w 4 min.

Pielęgniarka specjalizująca się w leczeniu ran, mgr Agata Korgól, w rozmowie z Forum Leczenia Ran mówi o tym, w jaki sposób prowadzi zdalną opiekę nad pacjentami z trudno gojącymi się ranami, jakie wiążą się z tym wyzwania oraz jakie perspektywy widzi dla tej formy opieki po zakończeniu pandemii koronawirusa.

Marta Bogucka, ForumLeczeniaRan.pl: Czy pandemia była głównym czynnikiem, przez który zdecydowała się Pani na świadczenie zdalnych konsultacji? Czy już wcześniej korzystała Pani z tej formy opieki nad pacjentami?

mgr Agata Korgól: Jeszcze przed rozpoczęciem pandemii wielokrotnie zgłaszali się do mnie pacjenci, ale również pracownicy ochrony zdrowia, którzy dysponowali jedynie zdjęciami ran i potrzebowali porad w zakresie leczenia. Pandemia bardzo nasiliła ten trend i w tej chwili bardzo dużo osób poszukuje pomocy w tej formie.

Jak wielu pacjentów od momentu wybuchu pandemii zdecydowało się na zdalne konsultacje? Czy dzięki nim może Pani pomagać pacjentom również spoza swojego regionu?

Wielu z pacjentów, u których prowadzę zdalne leczenie, to członkowie grupy facebookowej „Ratunek dla rany niegojącej się” założonej przez panią Elżbietę Szkiler. Jestem moderatorem i redaktorem tej grupy. Często zdarza się, że pacjenci publicznie proszą w grupie o pomoc, po czym rozpoczynam z nimi dalsze konsultacje i leczenie w prywatnej rozmowie. W części przypadków proces leczenia jest dostępny dla wszystkich grupowiczów. Sądzę, że od początku pandemii udzieliłam już ok. 200-250 porad. Dzięki grupie możemy wspierać osoby z całej Polski, zdarzają się czasem nawet pacjenci zza granicy.

Jakie jest nastawienie Pani pacjentów do takiej formy opieki?

Większość pacjentów preferuje kontakt bezpośredni, nie zawsze jest to jednak możliwe. W Polsce jest niestety wiele regionów, gdzie dostęp nawet do podstawowej opieki zdrowotnej jest utrudniony, nie mówiąc już o tak specjalistycznych świadczeniach jak leczenie trudno gojących się ran. W takich przypadkach pacjenci są wdzięczni za każdą formę opieki.

A jakie jest Pani nastawienie?

Osobiście preferuję połączenie wizyt osobistych i konsultacji zdalnych, szczególnie w przypadku pacjentów niemobilnych. Taka hybrydowa forma opieki odpowiada również pacjentom, ponieważ czują się zaopiekowani, pozostają ze mną w stałym kontakcie, a jednocześnie ograniczają koszty, np. dojazdów.

Jakie są dla Pani najtrudniejsze wyzwania związane z prowadzeniem konsultacji online?

Nie każdą ranę da się i nie każdą powinno się prowadzić zdalnie. Szczególnie w przypadku ran, które są rozległe, pokryte martwicą, zachęcam pacjentów do bezpośredniego kontaktu ze specjalistą. Zdarzały się przypadki, w których musiałam odmówić zdalnej opieki.

Dużą trudnością jest ocena stanu rany na podstawie zdjęcia. Często pacjenci czy opiekunowie nie wiedzą, jak prawidłowo je wykonać. Do takiej oceny trzeba też zawsze podchodzić z pewną rezerwą. W taki sposób nie da się określić głębokości przetok i kieszeni, muszę wtedy ufać ocenie opiekuna.

Dużym wyzwaniem jest prowadzenie kompresjoterapii. Nie da się za pośrednictwem komputera czy telefonu nauczyć kogoś prawidłowego bandażowania. Pacjentów wymagających tej formy terapii szczególnie zachęcam do wizyt bezpośrednich.

 

Czy zdalny kontakt z pacjentem również może stanowić wyzwanie?

Tak, komunikacja z pacjentem za pośrednictwem komputera lub telefonu też może sprawiać trudności, zwłaszcza na początku terapii. Muszę uważać na to, by instrukcje, które przesyłam pacjentom, były zrozumiałe, napisane prostym, przejrzystym językiem. Pacjent nie zrozumie porady napisanej profesjonalnym, medycznym żargonem. Muszę też zdawać sobie sprawę, że to, co dla mnie jest oczywiste, dla pacjenta może takie nie być, dlatego każda czynność, która powinna zostać wykonana, musi być jasno i precyzyjnie zapisana. Teraz, kiedy mam już pewne doświadczenie w tej formie opieki, łatwiej mi przewidzieć błędy i problemy, jakie pacjent może napotkać. Wciąż jednak zdarza się, że coś mnie zaskoczy.

A co z Pani pacjentami? Czego oni musieli się nauczyć?

Zależy mi na tym, by moi pacjenci byli dobrze wyedukowani. Uważam, że dzięki temu bardziej sumiennie stosują się do zaleceń i nie szukają alternatywnych metod leczenia. Przekazuję im wiedzę odnośnie leczenia miejscowego – stosowania opatrunków i antyseptyków, o zasadach ich doboru. Edukacja obejmuje również leczenie przyczynowe. Moi pacjenci wiedzą, dlaczego zalecam im konkretny zabieg lub badanie, czemu one służą, jakie mają przynieść efekty.

Dzięki temu po zakończeniu leczenia moi pacjenci dysponują obszerną wiedzą, zawsze jednak podkreślam, że wciąż jest to tylko wycinek profesjonalnej wiedzy. Pacjenci nie powinni sami udzielać rodzinie czy znajomym porad na zasadzie „Mi pomogło, może tobie też pomoże”.

Czy przy zdalnym leczeniu ran częściej zdarzają się komplikacje?

Komplikacje i powikłania mogą się zdarzyć zarówno w opiece klasycznej, jak i zdalnej. Nie zauważyłam, żeby przy tej drugiej formie opieki powikłania były częstsze. Kiedy prowadzi się leczenie na żywo, oczywiście łatwiej jest zauważyć niepokojące objawy. Przy opiece zdalnej bardzo jednak podkreślam, by pacjenci byli uczuleni na wszelkie niepokojące zmiany. Jeśli coś dzieje się z raną, od razu dają mi znać, nie czekają do kolejnej wizyty.

Czy obecnie, kiedy sytuacja pandemiczna nieco się ustabilizowała, pacjenci nadal korzystają u Pani z takiej formy konsultacji? Czy Pani zdaniem taki rodzaj porad pielęgniarskich zostanie z nami również po pandemii?

Zapotrzebowanie na konsultacje on-line się nie zmniejszyło. Myślę, że ta forma leczenia zostanie z nami już na stałe. Problemy z dostępnością do opieki medycznej w niektórych regionach nie są związane jedynie z epidemią. Pacjenci wciąż będą potrzebować naszej pomocy.

Czy Pani zdaniem upowszechnienie opieki zdalnej może mieć pozytywny wpływ na system opieki zdrowotnej?

Upowszechnienie zdalnej opieki jest zdecydowanie zjawiskiem pozytywnym. Oszczędza czas specjalistów, pozwalając im objąć opieką większą liczbę pacjentów. Skraca kolejki do gabinetów, dzięki czemu pacjenci, którzy wymagają bezpośredniego kontaktu z lekarzem, nie muszą czekać. W kontekście opieki prywatnej opieka zdalna znacznie obniża koszty, jakie ponosi pacjent. Opieka zdalna zmniejszy również wykluczenie, dotyczące szczególnie osób z terenów wiejskich, które często nie mają fizycznej możliwości dostać się do specjalisty.

 

mgr Agata Korgól, pielęgniarka, specjalistka w dziedzinie leczenia ran

 

1 564 thoughts on “Jak leczyć rany na odległość? Wywiad z pielęgniarką

  1. Thank you so much for providing individuals with an exceptionally pleasant chance to check tips from this site. It’s always very pleasant and also packed with fun for me and my office mates to search your blog at the very least 3 times in a week to find out the new issues you have got. And indeed, we’re usually happy for the amazing tricks served by you. Certain 4 areas on this page are truly the simplest we have ever had.

  2. I and also my guys ended up checking out the great tactics on your web page and then I got an awful suspicion I never expressed respect to the site owner for those strategies. My young boys are already consequently glad to read all of them and have now in truth been loving these things. Thanks for indeed being simply accommodating as well as for opting for this form of extraordinary information most people are really wanting to know about. My personal honest apologies for not expressing gratitude to earlier.

  3. I needed to compose you the bit of word so as to give thanks the moment again about the incredible pointers you have discussed above. It’s certainly strangely open-handed of people like you to make publicly exactly what most people could possibly have distributed as an ebook to help with making some dough on their own, particularly seeing that you might have tried it if you desired. The basics in addition acted as a good way to recognize that many people have the identical zeal just like my personal own to understand much more around this condition. I am certain there are several more fun periods up front for individuals who examine your site.

  4. I want to express thanks to this writer for rescuing me from such a matter. After scouting throughout the the net and getting tricks which were not powerful, I assumed my life was over. Being alive minus the strategies to the issues you have solved by way of your main blog post is a serious case, as well as ones which might have negatively affected my career if I hadn’t discovered the blog. The know-how and kindness in maneuvering all things was very helpful. I’m not sure what I would’ve done if I hadn’t come upon such a step like this. I am able to at this point relish my future. Thanks for your time very much for the reliable and effective help. I will not hesitate to recommend your web sites to any individual who will need counselling about this matter.

  5. My wife and i were contented when Ervin managed to conclude his preliminary research via the ideas he discovered from your own web pages. It is now and again perplexing to simply choose to be making a gift of things that people may have been selling. So we grasp we now have the website owner to appreciate for that. The entire explanations you made, the easy blog navigation, the friendships you give support to engender – it is many overwhelming, and it’s letting our son in addition to the family recognize that that theme is interesting, and that is incredibly essential. Thanks for all!

  6. I am also writing to let you be aware of of the remarkable experience our girl encountered checking yuor web blog. She realized a good number of pieces, with the inclusion of what it is like to possess a very effective giving spirit to let other people smoothly know precisely some tricky issues. You actually exceeded my expectations. I appreciate you for presenting these invaluable, trustworthy, revealing and also fun tips on that topic to Kate.

  7. I must voice my admiration for your kindness supporting those people who require help with the issue. Your real dedication to passing the message around appeared to be rather functional and has specifically permitted professionals just like me to reach their goals. Your entire warm and friendly recommendations means so much to me and especially to my fellow workers. Thanks a ton; from all of us.

  8. I am commenting to make you understand of the great discovery my daughter found viewing yuor web blog. She discovered some pieces, which include how it is like to possess an incredible helping mindset to get a number of people really easily learn certain impossible topics. You undoubtedly surpassed her desires. I appreciate you for presenting those priceless, healthy, educational and also easy thoughts on that topic to Mary.

  9. I wanted to create you that bit of note just to say thank you again about the nice strategies you’ve contributed on this website. It is really unbelievably open-handed of people like you to convey extensively what some people might have marketed as an e book to end up making some money for themselves, precisely seeing that you could have tried it in case you wanted. The ideas additionally acted to provide a great way to recognize that other people online have a similar fervor like my own to know great deal more in respect of this matter. I’m certain there are thousands of more enjoyable times in the future for many who read your blog.

  10. My spouse and i have been really satisfied Albert could complete his researching because of the precious recommendations he got from your own blog. It is now and again perplexing to simply find yourself giving out thoughts that many some other people could have been selling. And now we take into account we have got the writer to appreciate because of that. Those illustrations you’ve made, the simple website navigation, the relationships your site give support to engender – it is many unbelievable, and it’s facilitating our son in addition to us imagine that this theme is thrilling, which is highly important. Thanks for the whole lot!

  11. I’m writing to make you know what a really good encounter my child developed reading yuor web blog. She realized numerous things, which included what it is like to possess an awesome coaching mood to let many more easily know just exactly specified grueling matters. You truly surpassed readers’ expectations. I appreciate you for providing those valuable, safe, informative and even unique thoughts on that topic to Gloria.

  12. I must show thanks to you just for rescuing me from this particular condition. After checking through the world-wide-web and coming across tips which are not beneficial, I figured my entire life was over. Being alive minus the strategies to the difficulties you have fixed by means of your main article is a crucial case, as well as those which could have negatively damaged my entire career if I hadn’t noticed the blog. Your own talents and kindness in maneuvering a lot of stuff was crucial. I’m not sure what I would’ve done if I hadn’t encountered such a point like this. I am able to at this point look forward to my future. Thanks so much for your expert and amazing help. I won’t hesitate to recommend your web site to anybody who would need direction about this issue.

  13. Thank you so much for providing individuals with an extraordinarily remarkable chance to read in detail from this website. It’s usually so ideal and full of a lot of fun for me and my office mates to search your blog at the very least thrice per week to read the latest issues you have. And of course, I’m so always satisfied with the eye-popping suggestions you give. Certain 4 points on this page are definitely the simplest we’ve had.

  14. I am glad for writing to let you know what a excellent discovery my friend’s princess enjoyed using your web site. She picked up lots of things, with the inclusion of what it’s like to possess an incredible helping mindset to have most people without problems understand several very confusing issues. You truly surpassed our own desires. Thanks for rendering the necessary, safe, informative and in addition cool guidance on the topic to Janet.

  15. I am only writing to let you understand of the impressive experience my friend’s princess encountered going through the blog. She learned so many details, which include how it is like to possess a very effective coaching style to get many more smoothly know just exactly specified multifaceted subject areas. You really exceeded my desires. Thank you for rendering the warm and friendly, dependable, educational not to mention cool thoughts on your topic to Jane.

  16. I happen to be writing to make you understand of the notable encounter my friend’s girl developed viewing your site. She discovered many pieces, most notably what it is like to possess a marvelous coaching spirit to get others quite simply fully understand a number of problematic subject matter. You truly surpassed her expectations. Thanks for coming up with the insightful, trusted, edifying and in addition easy thoughts on the topic to Evelyn.

  17. I just wanted to construct a brief message so as to thank you for the great solutions you are showing at this site. My long internet investigation has at the end been rewarded with wonderful ideas to share with my co-workers. I would admit that most of us site visitors actually are rather blessed to be in a superb place with so many awesome professionals with helpful methods. I feel extremely blessed to have encountered the webpages and look forward to so many more entertaining moments reading here. Thanks a lot once again for everything.

  18. I have to show some thanks to the writer just for rescuing me from this type of scenario. As a result of exploring through the the web and seeing techniques which were not beneficial, I was thinking my entire life was gone. Living minus the approaches to the issues you’ve fixed by means of your entire guide is a critical case, as well as ones which could have negatively affected my entire career if I had not come across your web blog. Your main understanding and kindness in controlling everything was vital. I don’t know what I would have done if I hadn’t come across such a thing like this. It’s possible to at this point look ahead to my future. Thanks a lot very much for your skilled and result oriented help. I will not be reluctant to refer your site to anyone who would need counselling on this area.

  19. I’m also commenting to let you understand of the beneficial experience my wife’s daughter gained checking your webblog. She discovered too many things, with the inclusion of what it is like to possess a very effective giving heart to have many more just learn specific complex issues. You undoubtedly did more than people’s expectations. I appreciate you for supplying such insightful, dependable, educational and also unique thoughts on this topic to Gloria.

  20. I would like to get across my affection for your kindness in support of folks who actually need help on that subject. Your real dedication to passing the solution along appeared to be extremely productive and has without exception permitted people much like me to reach their ambitions. Your amazing useful guideline can mean much a person like me and substantially more to my mates. Regards; from everyone of us.

  21. I not to mention my buddies were actually examining the nice ideas found on the website while unexpectedly developed a terrible suspicion I had not thanked you for them. All of the people became as a consequence warmed to study all of them and already have actually been tapping into these things. We appreciate you really being very considerate and then for making a decision on these kinds of remarkable tips millions of individuals are really needing to understand about. Our honest regret for not expressing gratitude to sooner.

  22. I want to express my thanks to you for bailing me out of such a matter. Just after scouting throughout the online world and coming across advice which are not productive, I believed my life was gone. Being alive minus the strategies to the difficulties you’ve resolved by way of your good website is a crucial case, as well as ones that could have in a negative way damaged my entire career if I had not noticed your website. Your actual know-how and kindness in controlling every item was tremendous. I don’t know what I would have done if I hadn’t encountered such a step like this. I can also at this time look forward to my future. Thank you so much for your skilled and result oriented guide. I will not think twice to propose the blog to any person who needs and wants tips about this subject matter.

  23. Thanks a lot for providing individuals with an extremely breathtaking chance to discover important secrets from this site. It is always so great and as well , stuffed with a great time for me personally and my office fellow workers to search your site at least three times every week to learn the new items you will have. And indeed, I’m actually contented with all the special techniques you give. Some 4 facts in this article are surely the very best we’ve ever had.

  24. I intended to post you the tiny observation so as to say thanks a lot once again considering the striking tricks you’ve contributed above. It has been simply unbelievably generous with people like you to give publicly all that a lot of folks could possibly have supplied as an electronic book to make some money on their own, notably considering that you could possibly have tried it in case you desired. Those pointers also acted to become easy way to realize that most people have similar dreams really like my very own to see more on the subject of this condition. Certainly there are thousands of more enjoyable moments in the future for many who see your website.

  25. I want to express some thanks to the writer for bailing me out of such a circumstance. After browsing through the internet and getting thoughts which were not pleasant, I believed my entire life was gone. Existing devoid of the approaches to the issues you’ve sorted out through your article content is a crucial case, and the ones that might have adversely affected my entire career if I had not encountered the blog. Your own ability and kindness in taking care of all areas was very useful. I am not sure what I would have done if I hadn’t come upon such a step like this. I can now relish my future. Thanks so much for this expert and amazing guide. I won’t hesitate to endorse the website to any individual who would need support on this issue.

  26. I enjoy you because of your own effort on this blog. Kim takes pleasure in working on investigations and it is obvious why. I know all regarding the dynamic medium you present great tips and tricks by means of this web blog and even recommend response from other people on that article while our own daughter has been becoming educated a great deal. Enjoy the rest of the year. You’re the one doing a dazzling job.

  27. I intended to draft you that very small observation to finally thank you very much over again for these striking tricks you have documented above. It has been extremely generous of you to supply without restraint what exactly a lot of folks could have supplied for an e book to generate some money for themselves, precisely considering that you might well have done it in the event you decided. These techniques in addition acted as a good way to be aware that someone else have a similar dreams just as my personal own to see more and more with respect to this problem. I know there are many more pleasurable situations up front for many who read your site.

  28. I not to mention my guys happened to be checking the best guidelines from your web site while the sudden I got a terrible suspicion I had not thanked you for those tips. All the guys had been certainly passionate to learn all of them and have seriously been taking pleasure in them. I appreciate you for indeed being really accommodating and then for deciding on this form of beneficial resources most people are really needing to discover. My personal sincere apologies for not saying thanks to you earlier.

  29. I simply desired to thank you very much once more. I am not sure what I would have carried out without those creative concepts discussed by you about such a subject matter. Certainly was a terrifying issue for me personally, nevertheless understanding your specialised approach you solved the issue forced me to leap with gladness. Now i am grateful for your advice and thus hope you are aware of a great job that you are getting into instructing some other people all through your web page. Probably you have never met all of us.

  30. I’m commenting to let you understand of the exceptional encounter my wife’s princess experienced reading the blog. She figured out some issues, including what it is like to have an ideal teaching spirit to have a number of people effortlessly master a number of complicated things. You undoubtedly did more than our desires. Many thanks for showing these essential, trusted, educational and even fun guidance on the topic to Janet.

  31. I wish to convey my love for your kind-heartedness for individuals who need assistance with this one subject. Your special dedication to getting the message all around had become exceptionally useful and has consistently helped some individuals like me to arrive at their targets. Your amazing warm and friendly facts denotes so much a person like me and much more to my office colleagues. Thanks a lot; from all of us.

  32. I precisely desired to say thanks once again. I’m not certain the things that I might have followed without the type of suggestions provided by you over that topic. It was before a real daunting problem in my opinion, nevertheless being able to see a skilled avenue you processed it made me to leap for happiness. Now i’m thankful for the support and thus sincerely hope you really know what a great job you were accomplishing training some other people through a web site. More than likely you haven’t come across any of us.

  33. My husband and i were absolutely fulfilled that Albert managed to finish off his analysis using the precious recommendations he made out of your blog. It is now and again perplexing to simply be handing out key points other folks have been making money from. So we recognize we now have the writer to thank for that. All of the explanations you’ve made, the simple blog menu, the relationships you will give support to create – it’s got everything exceptional, and it’s assisting our son in addition to the family reason why this content is enjoyable, which is certainly very vital. Thank you for everything!

  34. I wanted to draft you that very small observation to finally give many thanks as before with the fantastic opinions you’ve featured on this page. This is simply remarkably generous of you to grant without restraint what a number of us could have made available for an e book to generate some cash for themselves, mostly since you might have done it in the event you wanted. Those good ideas in addition served to provide a fantastic way to be aware that other people have the same desire the same as my own to know the truth a good deal more when it comes to this problem. I’m certain there are a lot more fun times up front for those who take a look at your site.

  35. I am only writing to let you know what a brilliant discovery my cousin’s daughter experienced studying your blog. She even learned many things, most notably what it is like to have a marvelous teaching heart to get many people very easily grasp a variety of complex things. You really surpassed people’s desires. Thanks for rendering such beneficial, safe, informative and also easy tips on your topic to Janet.

  36. My wife and i were quite happy that Chris managed to do his research because of the precious recommendations he received from your very own blog. It’s not at all simplistic just to possibly be offering concepts men and women could have been making money from. We really consider we’ve got the writer to appreciate for this. All the illustrations you’ve made, the easy blog menu, the relationships you can give support to create – it’s got everything superb, and it’s assisting our son in addition to us imagine that the subject is enjoyable, which is certainly very fundamental. Thanks for the whole thing!

  37. My wife and i have been very joyous Jordan managed to finish off his inquiry using the precious recommendations he gained from your web page. It’s not at all simplistic to just happen to be handing out tips which many people could have been trying to sell. We really fully understand we’ve got the website owner to thank for that. The main explanations you have made, the simple blog navigation, the friendships you will aid to instill – it’s got many incredible, and it’s really letting our son in addition to the family consider that that subject is pleasurable, and that is exceptionally important. Many thanks for all the pieces!

  38. I wanted to post you a very small observation to finally thank you so much the moment again for the awesome views you’ve provided in this case. It was really remarkably generous of people like you to allow freely what exactly a number of people might have advertised for an e-book to generate some bucks for their own end, mostly considering the fact that you could possibly have done it if you considered necessary. These creative ideas also served like a fantastic way to recognize that other individuals have the identical keenness like my own to learn a good deal more pertaining to this problem. I am sure there are millions of more pleasant sessions ahead for individuals that start reading your site.

  39. of course like your website however you need to test the spelling on quite a few of your posts. Many of them are rife with spelling problems and I in finding it very bothersome to tell the reality then again I will definitely come back again.

  40. The odds of a correct score are usually high because of the slim chances of getting the prediction right. The odds are even higher when the scoreline prediction is outrageous or in favour of the weaker side. It will be necessary to summarise the odd range, as we have done in the table below. The table below shows the odd range for bookmakers for the „correct score” prediction markets. Score lines like 0 – 0, 1 – 1, 2 – 0, etc., all fall under the 0 to 4 goals category and so on. Of course, there are best odds bookmakers, namely 1xbet, Pinnacle, and Marathonbet, whose payouts remain stable across all leagues and markets. What you need to be wary of is if the odds are too high. If a betting site, especially a new one, offers odds higher than most of the competition, it could be a sign of a scam. If the profit margin is too low, a relatively new bookie will not survive long term.
    https://www.hongsland.kr/bbs/board.php?bo_table=free&wr_id=36179
    The Milwaukee Bucks’ superstar has missed most of the first three games of the first-round NBA playoff series against the Miami Heat. Though the Bucks were comfortably favored again as of Sunday night on the road despite trailing in the series, 2-1, the line shifted Monday after Antetokounmpo’s playing status changed. Phillies vs. Mets prediction, MLB best bets & odds for Tuesday, 5 30 NBA total bets are also quite popular. In this case, you’re wagering on the combined score of both teams. It’s a wager that requires you to analyze the lineups and how both teams play and use that to predict how many points they’re likely to get throughout the game. Betsperts does all that for you through our NBA over under picks. Want to bet on particular NBA players rather than just the teams? This is where prop bets come into play. Oddsmakers will also set over under totals for player stats in a given contest. A prop bet enables bettors to wager on whether or not a player will score a certain amount of points, get a certain amount of rebounds, etc. 

  41. Pingback: meritking
  42. Pingback: grandpashabet
  43. Aby rozpocząć pracę w kasyna z minimalnym depozytem 3 zł należy wykonać kilka kroków, które same w sobie są standardową procedurą. Prześledźmy pokrótce główne z nich: Zdecydowanie najłatwiejszym sposobem będzie wykorzystanie gier typu jednoręki bandyta. Zazwyczaj kasyna online (ang. 1 euro deposit casino) oferują setki różnych typów automatów – klasyczne, 3-bębnowe, 5-bębnowe, wideo sloty etc. A co najważniejsze gry typu slot oferują możliwość zagrania bardzo niską stawką, zaczynającą się już od 1 grosza na linie.Jak widać, korzyści są ogromne w 1 euro deposit casinos. Podobnie jak w sytuacji, gdy poznajemy szczegółowo warunki pożyczki w banku, w przypadku bonusów kasynowych powinniśmy chcieć dogłębnie zapoznać się z ich regulaminem. Warto dodatkowo sprawdzić, czy trafiliśmy na zaufane kasyno internetowe, sprawdzając kilka istotnych aspektów związanych z 7 euro casino bonus. Opisujemy je poniżej. 
    https://judahxbjp543998.blog2news.com/233905/gra-poker-online-android-łatwe-dosiadanie-sie-do-stołów
    Tak, kasyna internetowe, w których można grać za złotówkę naprawdę istnieją! Aby znaleźć serwis, w którym można grać i przede wszystkim wygrywać za grosze trzeba się trochę naszukać, jednak zdecydowanie warto! W wielu serwisach można wygrać nawet stokrotność wpłaconego depozytu, czyli inwestując jedynie złotówkę, można wygrać nawet 100 złotych! Kasyna online z minimalnymi zakładami oferują mnóstwo przywilejów, ale aby je otrzymać, musisz grać w najlepszych z nich. I tu właśnie przychodzimy z pomocą. Sprawdź naszą listę najlepszych kasyn o niskich wpłatach i zyskaj więcej pieniędzy! Darmowe spiny mogą być częścią bonusu powitalnego, a nawet pakietu powitalnego. Kasyna oferują darmowe spiny, aby dodać gra była bardziej ekscytująca, a gracz miał więcej wsparcia od początku. Otrzymywanie darmowych bonusów od kasyna jest bardzo atrakcyjne, pomaga to nowym i stałym graczom przedłużyć ich czas grania.

  44. Pingback: meritking
  45. Hi, Neat post. There’s a problem with your site in internet explorer, would test this… IE still is the market leader and a huge portion of people will miss your excellent writing due to this problem.

  46. Pingback: meritking giriş
  47. Good day very nice website!! Guy .. Excellent .. Amazing .. I will bookmark your website and take the feeds additionally…I’m happy to seek out a lot of useful information here in the put up, we’d like develop more strategies on this regard, thanks for sharing.

  48. Hey very nice web site!! Man .. Excellent .. Superb .. I will bookmark your blog and take the feeds additionally…I am happy to find so many helpful information here within the publish, we’d like develop more strategies on this regard, thank you for sharing.

  49. I really wanted to jot down a comment to be able to thank you for all the fabulous recommendations you are showing on this website. My prolonged internet look up has at the end been honored with really good know-how to share with my friends and family. I would claim that most of us site visitors actually are rather endowed to exist in a remarkable site with so many special professionals with insightful ideas. I feel truly privileged to have seen your entire web site and look forward to really more amazing moments reading here. Thank you again for a lot of things.

  50. of course like your website however you have to check the spelling on quite
    a few of your posts. Several of them are rife with spelling issues and
    I to find it very bothersome to tell the reality however I’ll surely come
    again again.

  51. I’m not sure where you’re getting your info, but
    great topic. I needs to spend some time learning more or understanding more.
    Thanks for great info I was looking for this info for my mission.

  52. Positively! Finding news portals in the UK can be awesome, but there are tons resources at to cure you espy the unmatched in unison as you. As I mentioned formerly, conducting an online search an eye to https://utopia-beauty.co.uk/wp-content/pgs/why-is-fox-news-app-not-working.html „UK newsflash websites” or „British story portals” is a pronounced starting point. Not no more than will this hand out you a encyclopaedic tip of hearsay websites, but it determination also provide you with a improved pact of the in the air communication prospect in the UK.
    Aeons ago you be enduring a liber veritatis of embryonic rumour portals, it’s critical to evaluate each one to determine which upper-class suits your preferences. As an example, BBC News is known in place of its ambition reporting of information stories, while The Custodian is known representing its in-depth opinion of partisan and group issues. The Unconnected is known for its investigative journalism, while The Times is known for its work and finance coverage. By understanding these differences, you can pick out the news portal that caters to your interests and provides you with the hearsay you want to read.
    Additionally, it’s significance looking at close by scuttlebutt portals because proper to regions within the UK. These portals yield coverage of events and good copy stories that are applicable to the area, which can be firstly helpful if you’re looking to safeguard up with events in your local community. For event, shire communiqu‚ portals in London classify the Evening Pier and the Londonist, while Manchester Evening Scuttlebutt and Liverpool Echo are popular in the North West.
    Overall, there are numberless tidings portals at one’s fingertips in the UK, and it’s high-ranking to do your experimentation to remark the united that suits your needs. At near evaluating the different news programme portals based on their coverage, style, and position statement standpoint, you can decide the individual that provides you with the most apposite and interesting low-down stories. Decorous success rate with your search, and I hope this bumf helps you find the just right dope portal suitable you!

  53. Positively! Find info portals in the UK can be overwhelming, but there are tons resources available to cure you find the perfect identical because you. As I mentioned before, conducting an online search for https://marinamarina.co.uk/articles/age-of-eboni-williams-fox-news-anchor-revealed.html „UK hot item websites” or „British intelligence portals” is a enormous starting point. Not but desire this chuck b surrender you a comprehensive shopping list of news websites, but it will also afford you with a better brainpower of the current news landscape in the UK.
    Aeons ago you obtain a file of future account portals, it’s prominent to value each sole to determine which overwhelm suits your preferences. As an case, BBC News is known benefit of its intention reporting of information stories, while The Keeper is known representing its in-depth criticism of partisan and group issues. The Unconnected is known championing its investigative journalism, while The Times is known in the interest of its business and wealth coverage. During understanding these differences, you can decide the talk portal that caters to your interests and provides you with the rumour you have a yen for to read.
    Additionally, it’s significance considering close by scuttlebutt portals for specific regions within the UK. These portals yield coverage of events and good copy stories that are relevant to the область, which can be exceptionally cooperative if you’re looking to hang on to up with events in your neighbourhood pub community. In search event, local good copy portals in London include the Evening Canon and the Londonist, while Manchester Evening Talk and Liverpool Reproduction are in demand in the North West.
    Blanket, there are many tidings portals at one’s fingertips in the UK, and it’s high-ranking to do your research to remark the one that suits your needs. By evaluating the unalike news portals based on their coverage, style, and article angle, you can judge the song that provides you with the most relevant and interesting low-down stories. Good destiny with your search, and I anticipation this tidings helps you reveal the just right dope portal inasmuch as you!

  54. Pingback: fuck google
  55. Anna Berezina is a honoured framer and lecturer in the reply to of psychology. With a training in clinical unhinged and all-embracing probing experience, Anna has dedicated her career to agreement philanthropist behavior and unbalanced health: https://fakenews.win/wiki/Anna_Berezina_Personal_Trainer_Get_Fit_and_Reach_Your_Fitness_Goals. Middle of her between engagements, she has мейд important contributions to the grassland and has become a respected thought leader.

    Anna’s skill spans different areas of feelings, including cognitive screwball, favourable certifiable, and zealous intelligence. Her voluminous facts in these domains allows her to provide valuable insights and strategies exchange for individuals seeking in the flesh increase and well-being.

    As an originator, Anna has written several leading books that bear garnered widespread notice and praise. Her books offer practical advice and evidence-based approaches to forbear individuals command fulfilling lives and reveal resilient mindsets. Via combining her clinical adroitness with her passion quest of serving others, Anna’s writings procure resonated with readers for everyone the world.

  56. Anna Berezina is a honoured framer and demagogue in the field of psychology. With a family in clinical unhinged and extensive probing circumstance, Anna has dedicated her craft to arrangement sensitive behavior and unbalanced health: https://aprelium.com/forum/profile.php?mode=viewprofile&u=waiterday47. Including her form, she has made relevant contributions to the strength and has fit a respected thought leader.

    Anna’s mastery spans different areas of feelings, including cognitive screwball, unquestionable looney, and passionate intelligence. Her voluminous education in these domains allows her to provide valuable insights and strategies for individuals seeking personal increase and well-being.

    As an inventor, Anna has written disparate controlling books that drink garnered widespread recognition and praise. Her books tender practical par‘nesis and evidence-based approaches to forbear individuals command fulfilling lives and cultivate resilient mindsets. Through combining her clinical expertise with her passion quest of helping others, Anna’s writings procure resonated with readers for everyone the world.

  57. hello!,I really like your writing very much! percentage we communicate extra approximately your post on AOL? I require a specialist in this area to resolve my problem. May be that is you! Having a look ahead to see you.

  58. Pingback: child porn
  59. Write more, thats all I have to say. Literally,
    it seems as though you relied on the video to make your point.

    You clearly know what youre talking about, why waste your
    intelligence on just posting videos to your weblog when you could be giving us something informative to read?

  60. Pingback: porn
  61. hi!,I like your writing very much! share we communicate more about your post on AOL? I need a specialist on this area to solve my problem. May be that’s you! Looking forward to see you.

  62. hey there and thanks on your information – I’ve certainly picked up anything new from proper here. I did then again experience several technical issues using this web site, as I skilled to reload the website many occasions previous to I may get it to load properly. I have been thinking about in case your hosting is OK? Now not that I’m complaining, however slow loading instances times will very frequently impact your placement in google and can harm your quality ranking if ads and ***********|advertising|advertising|advertising and *********** with Adwords. Well I am including this RSS to my e-mail and could look out for a lot extra of your respective intriguing content. Make sure you replace this again very soon..

  63. SightCare ingredients have the ability to promote the communication processes between the eye and the brain. They tend to enhance the production of chemical compounds that help in creating neurotransmitters. By getting these neurotransmitters to perform better, the ingredients solidify the connection between the eyes and the brain.

  64. Hi superb blog! Does running a blog like this take a great deal of work?
    I’ve virtually no expertise in programming but I was hoping to start my own blog soon. Anyhow, if you have any suggestions or tips
    for new blog owners please share. I understand
    this is off topic nevertheless I just wanted to ask.
    Many thanks!

  65. Quietum Plus is a 100% natural supplement designed to address ear ringing and other hearing issues. This formula uses only the best in class and natural ingredients to achieve desired results.

  66. Nervogen Pro is a dietary formula that contains 100% natural ingredients. The powerful blend of ingredients claims to support a healthy nervous system. Each capsule includes herbs and antioxidants that protect the nerve against damage and nourishes the nerves with the required nutrients. Order Your Nervogen Pro™ Now!