Pemeriksaan Agregasi Trombosit

Pemeriksaan Agregasi Trombosit
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Definisi

Pemeriksaan agregasi trombosit adalah pemeriksaan yang dilakukan untuk mengetahui seberapa baik trombosit Anda bisa berkumpul atau beragregasi untuk membentuk bekuan darah. Pemeriksaan ini juga disebut dengan pemeriksaan agregometri trombosit atau tes fungsi trombosit. Pemeriksaan ini hanyalah satu dari seri pemeriksaan yang disebut dengan panel pembekuan darah.

Trombosit sendiri yang juga dikenal sebagai keping darah, adalah sejenis sel darah yang penting untuk proses peradangan, respon sistem imun, pertumbuhan jaringan, dan kontrol perdarahan. Ketika Anda terluka, tubuh akan melepaskan beragam zat kimia, yang mengaktifkan trombosit dan membantu menghentikan perdarahan. 

Trombosit akan menempel pada lapisan dalam pembuluh darah dan berkumpul untuk membentuk bekuan darah yang menghentikan perdarahan. Jaring-jaring protein akan terbentuk di sekitarnya untuk menguatkan bekuan darah tersebut. Tanpa trombosit, Anda dapat mengalami perdarahan yang sulit berhenti atau berat, dan dapat mengancam nyawa.

Pemeriksaan agregasi trombosit membutuhkan sampel darah. Sampel akan diperiksa untuk melihat bagaimana distribusi trombosit pada plasma darah (bagian cair dari darah). Suatu zat kimia kemudian akan ditambahkan ke sampel darah Anda untuk memeriksa seberapa cepat trombosit Anda membentuk bekuan darah. 

 

Indikasi

Dokter dapat merekomendasikan pemeriksaan agregasi trombosit jika Anda mengalami kelainan pendarahan, fungsi trombosit abnormal, atau kadar trombosit rendah. Kondisi tersebut dapat menimbulkan gejala seperti:

  • Perdarahan berlebihan
  • Memar berulang atau berat
  • Pendarahan dari hidung atau gusi
  • Darah haid berlebihan
  • Darah pada urine atau feses

Dokter juga dapat merekomendasikan pemeriskaan ini jika Anda memiliki riwayat keluarga dengan gangguan pendarahan.

 

Kontraindikasi

Pemeriksaan darah adalah prosedur pemeriksaan yang berisiko sangat rendah. Tidak ada kontraindikasi atau kondisi yang membuat seseorang tidak bisa melakukan pemeriksaan ini.

Namun, karena kondisi penyakitnya, beberapa individu bisa memiliki risiko pendarahan yang sedikit lebih tinggi. Jika Anda memiliki gangguan pendarahan, beritahu dokter supaya tim dapat bersiap-siap. Anda juga harus menginformasikan dokter jika Anda pernah merasakan pusing, pingsan, atau mual saat pemeriksaan darah sebelumnya.

 

Persiapan Sebelum Pemeriksaan

Jika tidak ada perintah khusus dari dokter, Anda dapat makan dan minum sebelum menjalani pemeriksaan. Anda dapat menjalani pemeriksaan kapanpun, kecuali dokter memberikan waktu spesifik. Anda sebaiknya tidak berolahraga selama 20 menit sebelum pemeriksaan dimulai.

Beberapa obat-obatan dapat memengaruhi hasil tes. Beritahu dokter mengenai semua obat yang sedang Anda konsumsi, termasuk obat yang dijual bebas dan obat resep. Dokter akan memberitahu Anda jika Anda perlu menghentikan konsumsi obat atau mengganti dosisnya sebelum pemeriksaan dilakukan.

Obat yang dapat memengaruhi pemeriksaan agregasi trombosit meliputi:

  • Obat antiinflamasi nonsteroid (OAINS), termasuk aspirin atau obat yang mengandung aspirin
  • Antihistamin
  • Antibiotik, termasuk penisilin, beberapa obat golongan sefalosporin, dan nitrofurantoin
  • Antidepresan golongan trisiklik
  • Obat antitrombosit termasuk prasugrel, klopidogrel, dipiridamol, dan tiklopidin
  • Teofilin, obat yang digunakan untuk relaksasi otot saluran nafas, biasanya digunakan untuk penanganan asma
  • Obat kolesterol golongan statin

 

Prosedur Pemeriksaan

Pemeriksaan agregasi trombosit membutuhkan sampel darah. Sampel dapat diambil di poliklinik atau di laboratorium.

Sebelum pengambilan sampel, tenaga medis akan mengenakan sarung tangan dan membersihkan area sekitar vena Anda. Darah biasanya akan diambil dari pembuluh vena pada bagian depan lengan di dekat lipat siku. Setelah itu, tenaga kesehatan akan mengikatkan pita elastis pada lengan atas Anda. Hal ini akan membantu darah untuk berkumpul di vena Anda sehingga mempermudah petugas untuk mengambil darah.

Petugas kemudian akan memasukan jarum steril ke dalam vena Anda dan mengambil sampel darah. Anda dapat mengalami nyeri ringan sampai sedang ketika petugas memasukan jarum atau menarik darah Anda. Anda mungkin akan merasakan sensasi tertusuk atau terbakar. Merelaksasikan lengan Anda dapat membantu mengurangi nyeri.

Ketika petugas sudah selesai mengambil darah, petugas akan mengeluarkan jarum dan memberikan tekanan pada lokasi suntikan untuk menghentikan pendarahan. Anda harus tetap menekan area tersebut untuk mencegah memar. Sampel darah Anda kemudian akan dikirim ke laboratorium untuk diperiksa.

 

Nilai Normal & Abnormal

Waktu normal yang dibutuhkan trombosit untuk beragregasi bergantung pada suhu, dan dapat bervariasi antar laboratorium. Dari hasil pemeriksaan, akan diketahui apakah kemampuan trombosit untuk membentuk bekuan atau gumpalan darah normal, kurang berfungsi dengan baik, atau banyak beragregasi.

 

Hasil & Saran (Pemeriksaan Lanjutan)

Rentang nilai normal dapat sedikit bervariasi antar laboratorium yang berbeda. Beberapa laboratorium menggunakan pengukuran yang berbeda. Bicarakan pada dokter mengenai hasil pemeriksaan Anda.

Sementara itu, penurunan agregasi trombosit dapat disebabkan oleh:

  • Penyakit autoimun yang memproduksi antibodi terhadap trombosit
  • Kelainan genetik tertentu yang memengaruhi darah, seperti:
    • Sindrom Bernard-Soulier
    • Penyakit Von Willebrand
    • Tromboastenia Glanzmann
    • Platelet storage pool disease
  • Konsumsi obat yang menghambat agregasi trombosit
  • Kelainan sumsum tulang, seperti beberapa tipe leukemia
  • Uremia, yaitu suatu kondisi yang disebabkan oleh penyakti ginjal berat

Selain pemeriksaan agregasi trombosit, dokter dapat merekomenasikan pemeriksaan darah rutin lainnya. Hal ini dapat meliputi tes bekuan darah lainnya yang melihat protein pada trombosit Anda, waktu yang dibutuhkan untuk membentuk bekuan darah, dan kekuatan bekuan darah.

Anda dapat menjalani pemeriksaan darah lengkap yang melihat jumlah sel darah merah, sel darah putih, dan trombosit atau keping darah. Kadar trombosit yang rendah bisa menunjukkan suatu tanda dari kondisi medis lainnya, seperti kanker atau penyakit ginjal.

 

Konsultasikan ke Dokter yang Tepat

Hubungi dokter jika Anda mengalami pendarahan atau memar berlebihan, atau tanda lainnya dari kelainan darah. Dokter akan menilai gejala Anda dan menentukan kebutuhan terapi.

Jika dokter memutuskan bahwa Anda membutuhkan pemeriksaan agregasi trombosit, pastikan Anda memberitahu dokter mengenai obat yang sedang Anda konsumsi. Hal ini dapat mencegah interaksi yang tidak diinginkan dan kemungkinan pendarahan berlebihan.

Jika hasil yang didapatkan abnormal, Anda mungkin dirujuk ke dokter spesialis penyakit dalam untuk evaluasi dan pengobatan lebih lanjut.

 

Mau tahu informasi seputar hasil pemeriksaan laboratorium, radiologi, dan lainnya? Cek di sini, ya!

 

 

Writer : dr Tea Karina Sudharso
Editor :
  • dr Hanifa Rahma
Last Updated : Rabu, 5 Juli 2023 | 05:07

Christopher P Kellner, M.D. (2021) Platelet aggregation, Reference Range, Interpretation, Collection and Panels. Medscape. Available at: https://emedicine.medscape.com/article/2085904-overview?icd=login_success_email_match_norm#showall (Accessed: May 2, 2023). 

Martel, J. (2019) Platelet aggregation test: Purpose, procedure, and risks, Healthline. Healthline Media. Available at: https://www.healthline.com/health/platelet-aggregation-test (Accessed: May 2, 2023). 

Platelet aggregation test: Purpose, procedure, and results (2021) WebMD. WebMD. Available at: https://www.webmd.com/a-to-z-guides/what-to-know-about-platelet-aggregation-test (Accessed: May 2, 2023). 

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      • 2: article
      Hints
      • Use SELECT * only if you need all columns from table
      • ORDER BY RAND() is slow, try to avoid if you can. You can read this or this
      Backtrace
      • app/Http/Controllers/WebController.php:377
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#391aicare_prod_new8.81msupdate `posts` set `views_count` = 779 where `id` = 7070
      Bindings
      • 0: 779
      • 1: 7070
      Backtrace
      • app/Http/Controllers/WebController.php:391
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • ActivityLogger.php#174aicare_prod_new5.67msinsert into `activity_log` (`log_name`, `properties`, `batch_uuid`, `event`, `subject_id`, `subject_type`, `description`, `updated_at`, `created_at`) values ('default', '[]', null, 'updated', 7070, 'App\\Models\\Admin\\Post', 'updated', '2025-04-11 15:42:04', '2025-04-11 15:42:04')
      Bindings
      • 0: default
      • 1: []
      • 2: 
      • 3: updated
      • 4: 7070
      • 5: App\Models\Admin\Post
      • 6: updated
      • 7: 2025-04-11 15:42:04
      • 8: 2025-04-11 15:42:04
      Backtrace
      • vendor/spatie/laravel-activitylog/src/ActivityLogger.php:174
      • vendor/spatie/laravel-activitylog/src/Traits/LogsActivity.php:88
      • app/Http/Controllers/WebController.php:391
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
    • single-post-healthpedia.blade.php#37aicare_prod_new880μsselect * from `users` where `users`.`id` = 31 limit 1
      Bindings
      • 0: 31
      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.single-post-healthpedia:37
      • 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_new9.74msselect `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` = 5931 and `categories`.`deleted_at` is null
      Bindings
      • 0: 5931
      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#8aicare_prod_new9.7msselect `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` = 8357 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8357
      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#8aicare_prod_new9.73msselect `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` = 1830 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1830
      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#8aicare_prod_new9.64msselect `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` = 8168 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8168
      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#8aicare_prod_new9.8msselect `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` = 1125 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1125
      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#8aicare_prod_new9.9msselect `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` = 7499 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7499
      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#8aicare_prod_new10.15msselect `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` = 10057 and `categories`.`deleted_at` is null
      Bindings
      • 0: 10057
      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_new10.05msselect `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` = 6831 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6831
      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
    • related-article.blade.php#8aicare_prod_new8.56msselect `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` = 6761 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6761
      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
    • related-article.blade.php#8aicare_prod_new8.07msselect `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` = 6890 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6890
      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
    • related-article.blade.php#8aicare_prod_new8.2msselect `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` = 6974 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6974
      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
    • related-article.blade.php#8aicare_prod_new8.13msselect `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` = 6863 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6863
      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
    • web_layout.blade.php#122aicare_prod_new1.07msselect * from `pages` where `slug` = 'about-us' limit 1
      Bindings
      • 0: about-us
      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::layouts.v2.web_layout:122
      • 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
    • web_layout.blade.php#547aicare_prod_new920μsselect * from `faqs` limit 1
      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
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      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
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#551aicare_prod_new1.29msselect * from `term_policies`
      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
    App\Models\Admin\Post
    185Post.php#?
    App\Models\Admin\Category
    23Category.php#?
    App\Models\Admin\Tag
    4Tag.php#?
    App\User
    3User.php#?
    App\Models\TermPolicy
    3TermPolicy.php#?
    App\Models\Admin\Page
    1Page.php#?
    App\Models\Admin\Faq
    1Faq.php#?
        locale
        id
        _token
        wENLMXFTYT0orN5jilJsTeKeakMvDeehI9XJf8BO
        _previous
        array:1 [ "url" => "https://ai-care.atmatech.id/healthpedia-pemeriksaan/pemeriksaan-agregasi-tromb...
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        array:2 [ "old" => [] "new" => [] ]
        path_info
        /healthpedia-pemeriksaan/pemeriksaan-agregasi-trombosit
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
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        request_cookies
        0 of 0
        array:2 [ "XSRF-TOKEN" => "wENLMXFTYT0orN5jilJsTeKeakMvDeehI9XJf8BO" "laravel_session" => "OFjsiiOtIjniy3yrxj6MXJRWheEyT7eT9IXB5xbK" ]
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