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Senin, 27 Mei 2024 | 10:53
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Pengobatan yang tidak selesai

RP
Info Penanya : RP

Dokter tahun 2022 saya didiagnosis Parsial Seizure DD Fasikulasi , dijadwalkan pengobatan 6 bulan akan tetapi saya hanya menjalani pengobatan 4 bulan saja , akhir akhir ini saya sering saat tidur seperti tersentak dan menggigit lidah saya serta kepala belakang sampai atas terasa sakit dan sering linglung. Apakahada kaitannya dengan pengobatan saya yang tidak tuntas ya ?

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Dijawab Oleh
Dijawab Oleh : dr. Giovanni Frans Alvin

Hai, terima kasih telah bertanya di Tanya Dokter Ai Care.

Epilepsi merupakan gangguan sistem saraf pusat otak yang menyebabkan munculnya kejang atau bangkitan, sensasi yang tidak biasa, hingga kehilangan kesadaran. Epilepsi diakibatkan ketidakseimbangan hantaran saraf di otak, yang disebabkan oleh beberapa hal, antara lain:

  • Trauma atau cedera kepala;
  • Adanya riwayat epilepsi di keluarga;
  • Gangguan pembentukan pembuluh darah di otak atau malformasi arteri-vena;
  • Gangguan perkembangan, seperti autisme;
  • Gangguan perkembangan janin selama masa kehamilan.

Kejang akibat epilepsi dibagi menjadi dua, yaitu kejang total dan kejang parsial. Kejang total adalah gangguan kelistrikan otak secara mendadak yang melibatkan kedua sisi otak. Sedangkan, terkait keluhan Anda yaitu kejang parsial, hanya melibatkan satu sisi otak.

Kejang total umumnya menimbulkan gejala, seperti:

  • Penurunan kesadaran atau pingsan;
  • Kaku seluruh tubuh;
  • Mata mendelik ke atas;
  • Pandangan kosong tanpa gerakan apapun dan tidak merespons terhadap panggilan selama beberapa detik;
  • Jatuh tiba-tiba akibat kehilangan kontrol otot tungkai;

Kejang parsial bisa menimbulkan beberapa gejala, seperti:

  • Fasikulasi atau kontraksi otot yang terjadi secara mendadak dan berulang;
  • Kesulitan berbicara;
  • Penurunan konsentrasi atau linglung;
  • Rasa baal atau kesemutan;
  • Pusing atau mual;
  • Gerakan menyentak pada salah satu bagian tubuh pada anggota gerak;
  • Perubahan suasana hati.

Untuk menjawab pertanyaan Anda, terdapat kaitan antara pengobatan yang tidak tuntas dengan keluhan Anda yang sering muncul belakangan ini. Tujuan pengobatan epilepsi ialah mencegah kejang atau bangkitan berulang. Umumnya penderita epilepsi tidak mengalami bangkitan ketika konsumsi obat secara teratur dan pengobatan ini akan dilanjutkan hingga 2 tahun bebas kejang.

Anda perlu kontrol kembali ke dokter supaya dilakukan wawancara medis, pemeriksaan fisik, dan diberikan terapi yang sesuai. Selain itu, Anda perlu mengetahui cara mencegah munculnya bangkitan atau kejang, antara lain:

  • Cukupi kebutuhan istirahat malam yaitu 6-8 jam;
  • Makan makanan bergizi dan cukupi kebutuhan cairan;
  • Hindari konsumsi alkohol dan obat-obatan narkotika;
  • Hindari paparan layar komputer atau handphone terlalu lama;
  • Hindari rangsangan visual, seperti paparan cahaya yang terlalu terang;
  • Belajar untuk mengendalikan emosi dan stres.

Apabila Anda dilaporkan mengalami kejang selama 5 menit atau lebih, kejang berulang sesaat setelah kejang yang pertama, atau pernapasan tidak kunjung normal setelah mengalami kejang, Anda dianjurkan untuk datang ke fasilitas kesehatan terdekat, seperti IGD.

Semoga jawaban ini membantu Anda. Bila mengalami keluhan kesehatan atau ingin bertanya seputar informasi kesehatan, dapat berkonsultasi langsung dengan dokter di Aplikasi Ai Care. Unduh Aplikasi Ai Care di Appstore dan Playstore Anda!

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Diskusi Terbaru

Request history8.1.29PHP Version549msRequest Duration4MBMemory UsageGET discussions/{slug}Route
    • Booting (213ms)time
    • Application (336ms)time
    • 1 x Application (61.17%)
      336ms
      1 x Booting (38.83%)
      213ms
      4 templates were rendered
      • 1x web.v2.discussion.showshow.blade.php#?blade
      • 1x web.v2.partials.article-populararticle-popular.blade.php#?blade
      • 1x web.v2.partials.related-articlerelated-article.blade.php#?blade
      • 1x layouts.v2.web_layoutweb_layout.blade.php#?blade
      uri
      GET discussions/{slug}
      middleware
      web
      controller
      App\Http\Controllers\DiscussionController@show
      namespace
      App\Http\Controllers
      prefix
      where
      as
      web.discussion.show
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      app/Http/Controllers/DiscussionController.php:158-228
      39 statements were executed (4 duplicates)Show only duplicates269ms
      • DiscussionController.php#164aicare_prod_new1.56msselect * from `questions` where `slug` = 'pengobatan-yang-tidak-selesai' and `questions`.`deleted_at` is null limit 1
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        • app/Http/Controllers/DiscussionController.php:164
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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      • DiscussionController.php#178aicare_prod_new1.32msselect * from `questions` where `slug` = 'pengobatan-yang-tidak-selesai' and `questions`.`deleted_at` is null limit 1
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        • app/Http/Controllers/DiscussionController.php:178
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • DiscussionController.php#191aicare_prod_new5.2msselect column_name as `name`, data_type as `type_name`, column_type as `type`, collation_name as `collation`, is_nullable as `nullable`, column_default as `default`, column_comment as `comment`, extra as `extra` from information_schema.columns where table_schema = 'aicare_prod_new' and table_name = 'questions' order by ordinal_position asc
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        • app/Http/Controllers/DiscussionController.php:191
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        • app/Http/Controllers/DiscussionController.php:191
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      • DiscussionController.php#199aicare_prod_new1.75msselect * from `answers` where `answers`.`question_id` = 280 and `answers`.`question_id` is not null and `answers`.`deleted_at` is null
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        • app/Http/Controllers/DiscussionController.php:199
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      • DiscussionController.php#200aicare_prod_new1.35msselect `tags`.*, `answer_tag`.`answer_id` as `pivot_answer_id`, `answer_tag`.`tag_id` as `pivot_tag_id`, `answer_tag`.`created_at` as `pivot_created_at`, `answer_tag`.`updated_at` as `pivot_updated_at` from `tags` inner join `answer_tag` on `tags`.`id` = `answer_tag`.`tag_id` where `answer_tag`.`answer_id` = 296
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        • app/Http/Controllers/DiscussionController.php:200
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      • DiscussionController.php#208aicare_prod_new1.4msselect * from `categories` where `type` = 'healthpedia' and `parent_id` <> 0 and `categories`.`deleted_at` is null
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        • app/Http/Controllers/DiscussionController.php:208
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      • DiscussionController.php#209aicare_prod_new123msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-04-10 17:21:29' and `content_type` = 'article' and `posts`.`deleted_at` is null order by RAND() limit 7
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        • app/Http/Controllers/DiscussionController.php:209
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • DiscussionController.php#210aicare_prod_new1.05msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-04-10 17:21:29' and `content_type` = 'article' and `posts`.`deleted_at` is null order by `id` desc limit 4
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        • app/Http/Controllers/DiscussionController.php:210
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • DiscussionController.php#213aicare_prod_new17.88msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-04-10 17:21:29' and `content_type` = 'article' and exists (select * from `tags` inner join `post_tag` on `tags`.`id` = `post_tag`.`tag_id` where `posts`.`id` = `post_tag`.`post_id` and `tags`.`id` in (43, 2583, 44)) and `posts`.`deleted_at` is null order by RAND() limit 5
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        • ORDER BY RAND() is slow, try to avoid if you can. You can read this or this
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        • app/Http/Controllers/DiscussionController.php:213
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
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        • app/Http/Controllers/DiscussionController.php:224
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • show.blade.php#109aicare_prod_new830μsselect * from `categories` where `categories`.`id` = 14 and `categories`.`deleted_at` is null limit 1
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        • view::web.v2.discussion.show:109
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      • show.blade.php#176aicare_prod_new770μsselect * from `answers` where `answers`.`question_id` = 280 and `answers`.`question_id` is not null and `answers`.`deleted_at` is null order by `id` desc limit 1
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        • view::web.v2.discussion.show:176
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#205aicare_prod_new830μsselect `tags`.*, `answer_tag`.`answer_id` as `pivot_answer_id`, `answer_tag`.`tag_id` as `pivot_tag_id`, `answer_tag`.`created_at` as `pivot_created_at`, `answer_tag`.`updated_at` as `pivot_updated_at` from `tags` inner join `answer_tag` on `tags`.`id` = `answer_tag`.`tag_id` where `answer_tag`.`answer_id` = 296
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        • view::web.v2.discussion.show:205
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#257aicare_prod_new6.01msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 3716 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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      • show.blade.php#257aicare_prod_new5.71msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7087 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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      • show.blade.php#257aicare_prod_new5.65msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 6049 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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      • show.blade.php#257aicare_prod_new5.78msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 8501 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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        • view::web.v2.discussion.show:257
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      • show.blade.php#336aicare_prod_new700μsselect * from `categories` where `categories`.`id` = 9 and `categories`.`deleted_at` is null limit 1
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        • view::web.v2.discussion.show:336
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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      • show.blade.php#366aicare_prod_new760μsselect * from `answers` where `answers`.`question_id` = 340 and `answers`.`question_id` is not null and `answers`.`deleted_at` is null order by `id` desc limit 1
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        • view::web.v2.discussion.show:366
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        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#336aicare_prod_new710μsselect * from `categories` where `categories`.`id` = 25 and `categories`.`deleted_at` is null limit 1
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        • view::web.v2.discussion.show:336
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#366aicare_prod_new690μsselect * from `answers` where `answers`.`question_id` = 339 and `answers`.`question_id` is not null and `answers`.`deleted_at` is null order by `id` desc limit 1
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        • view::web.v2.discussion.show:366
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#11aicare_prod_new670μsselect * from `categories` where `categories`.`id` = 3 and `categories`.`deleted_at` is null limit 1
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        Hints
        • Use SELECT * only if you need all columns from table
        • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
        Backtrace
        • view::web.v2.partials.article-popular:11
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#8aicare_prod_new5.78msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 3714 and `categories`.`deleted_at` is null
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        • 0: 3714
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        Bindings
        • 0: 4140
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • related-article.blade.php#8aicare_prod_new6.27msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 10175 and `categories`.`deleted_at` is null
        Bindings
        • 0: 10175
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        • 0: 10173
        Hints
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        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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      • related-article.blade.php#8aicare_prod_new5.95msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 10168 and `categories`.`deleted_at` is null
        Bindings
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        Hints
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        Backtrace
        • view::web.v2.partials.related-article:8
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        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
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        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        Hints
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        Backtrace
        • view::layouts.v2.web_layout:547
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
        • Use SELECT * only if you need all columns from table
        • The SELECT statement has no WHERE clause and could examine many more rows than intended
        Backtrace
        • view::layouts.v2.web_layout:551
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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          Date ↕MethodURLData
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