Polidaktili

Polidaktili
Credits: Lifebridge Health. Ilustrasi jenis-jenis polidaktili.

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Definisi

Polidaktili adalah kondisi di mana bayi lahir dengan tambahan jumlah jari pada tangan atau kaki. Polidaktili berasal dari bahasa Yunani poly (banyak) dan dactylos (jari). Kondisi ini adalah salah satu kondisi kelainan bawaan yang umum terjadi, di mana kelebihan jari tersebut dapat pada salah satu atau kedua tangan atau kaki. Polidaktili cenderung untuk menurun dalam suatu keluarga.

 

Variasi Polidaktili

Kondisi polidaktili yang muncul dapat bervarasi seperti :

  • Benjolan kecil dari jaringan halus yang tidak mengandung tulang (disebut sebagai nubbin)
  • Terbentuk sebagian jari atau jempol dengan adanya tulang tetapi tidak ada persendian
  • Muncul jari atau jempol yang berfungsi seutuhnya dengan adanya jaringan, tulang dan persendian.

 

Jenis Polidaktili

Berdasarkan munculnya duplikasi jari, polidaktili dibagi menjadi 3 jenis utama, yaitu:

  • Duplikasi jari kelingking (polidaktili ulnar atau postaxial)
    • Merupakan kondisi paling umum dari bentuk polidaktili, di mana jari yang berlebih ada pada jari kelingking. Bagian tangan ini diketahui sebagai sisi ulnar. Ketika tipe ini mempengaruhi bagian jempol kaki disebut sebagai polidaktili fibular.
  • Duplikasi ibu jari (polidaktili radial atau preaxial)
    • Kondisi ini kurang umum terjadi, hanya 1 dari 1.000-10.000 kelahiran. Jari yang berlebih muncul pada bagian luar ibu jari. Bagian tangan ini diketahui sebagai sisi radial. Ketika tipe ini mempengaruhi bagian ibu jari kaki disebut sebagai polidaktili tibial.
  • Polidaktili tengah atau sentral
    • Bentuk polidaktili yang jarang terjadi, di mana jari yang berlebih muncul pada jari tengah, jari manis atau paling sering pada jari telunjuk.

 

Penyebab

Penyebab pasti dari polidaktili adalah genetik, di mana polidaktili dapat diturunkan pada suatu keluarga. Ketika polidaktili diturunkan dari keluarga, dapat disebut sebagai polidaktili familial. Selain itu, polidaktili dapat disebabkan oleh faktor atau sindrom genetik di mana dapat diturunkan dengan kondisi genetik khusus. Beberapa kondisi yang terkait dengan polidaktili seperti:

  • Sindaktili, yaitu kelainan bawaan di mana dua jari atau lebih menempel menjadi satu.
  • Sindrom Jeune (Asphyxiating thoracic dystrophy)
  • Sindrom Down
  • Sindrom Carpenter
  • Sindrom Ellis van Creveld
  • Sindrom Laurence-Moon-Bardet-Biedl
  • Sindrom Rubinstein-Taybi
  • Sindrom Smith-Lemli-Opitz
  • Sindrom Patau atau trisomi 13

 

Faktor Risiko

Beberapa faktor yang dapat meningkatkan risiko seseorang untuk mengalami polidaktili di antaranya:

  • Faktor genetik
  • Adanya keluarga dengan polidaktili
  • Kondisi medis :
    • Anak dari Ibu yang memiliki diabetes
    • Bayi yang lahir dengan berat badan rendah (BBLR)

 

Gejala

Gejala yang nampak dan utama dari polidaktili adalah adanya jari tambahan atau tampak memiliki lebih dari 5 jari pada tangan atau kaki. Jari yang berlebih tersebut sudah bisa nampak sejak lahir. Bergantung pada tipe polidaktili yang dimiliki, jari tambahan tersebut dapat berkembang sepenuhnya dan nampak seperti jari lainnya. Akan tetapi, tambahan jari tersebut biasanya kurang berkembang pada tipe jari yang menempel hanya pada kulit atau jaringan saraf saja.

 

Diagnosa

Polidaktili dapat didiagnosa sejak di dalam kandungan, melalui pemeriksaan ultrasonografi (USG) kandungan ketika Ibu melakukan pemeriksaan rutin dengan dokter kandungan. Pemeriksaan USG dapat menunjukkan adanya polidaktili pada embrio, pada 3 bulan pertama perkembangan janin.

Dokter akan menanyakan mengenai riwayat keluarga Anda terkait adanya polidaktili. Selain itu, dokter mungkin akan menyarankan Anda melakukan pemeriksaan genetik untuk memeriksa adanya ketidaknormalan kromosom yang dapat mengindikasikan adanya gangguan lainnya. Bila hal ini disebabkan oleh kondisi genetik, dokter akan berdiskusi dengan Anda mengenai kemungkinan penanganannya dengan Anda.

Ketika bayi sudah lahir dan diagnosa polidaktili ditegakkan secara visual; bila dokter menduga anak Anda memiliki kondisi genetik lainnya, Anda mungkin akan diminta melakukan pemeriksaan lebih lanjut terhadap kromosom anak Anda. Dokter juga akan menyarankan pemeriksaan foto rontgen untuk melihat kondisi tambahan jari tersebut (apakah menempel pada tulang atau hanya pada kulit atau saraf saja).

 

Tata Laksana

Pengobatan dan terapi dari polidaktili bergantung dari bagaimana dan di mana jari tambahan tersebut terhubung pada tangan atau kaki. Pada kebanyakan kasus, jari tambahan tersebut dapat dihilangkan pada usia 2 tahun. Dengan operasi, hasilnya akan membantu anak untuk menggunakan tangan atau mempermudah kaki anak masuk ke dalam sepatu.

 

Ligasi Jahitan

Bila anak Anda memiliki kelebihan jari pada tangannya, dokter mungkin menyarankan prosedur ligasi jahitan. Prosedur ini dilakukan dengan mengikat kuat dengan benang atau band disekitar jari berlebih sehingga mengehentikan aliran darah ke jari tersebut.

Setelah 1-2 minggu kemudian, jari tersebut akan terlepas dengan sendirinya. Proses ini tidak akan membahayakan bayi atau aliran darah ke jari atau bagian lainnya. Prosedur ini dilakukan bila jari tambahan tersebut tidak memiliki tulang atau jaringan lain yang berkembang dengannya.

 

Eksisi

Prosedur ini juga menghilangkan jari yang berlebih. Dokter akan membius lokal kulit bayi lalu menggunakan alat kauter untuk menghilangkan jari yang berlebih. Bayi tidak akan merasakan apa pun ketika jari berlebih dihilangkan karena sudah dibius.

Memang saat menyuntikkan obat bius akan membuat sedikit tidak nyaman, tetapi bayi Anda tidak akan merasakan nyeri ketika proses eksisi. Prosedur ini dilakukan bila jari berlebih tersebut tidak memiliki tulang dan berhubungan dengan jaringan lainnya.

 

Operasi Polidaktili

Bila bayi memiliki polidaktili pada bagian kaki dan tidak dapat dilakukan prosedur ligasi jahitan atau pun eksisi, mungkin dokter akan menyarankan operasi. Namun dokter tidak merekomendasikan operasi, bila bayi kurang dari 1 tahun.

 

Komplikasi

Beberapa kemungkinan komplikasi pada kondisi polidaktili :

  • Pendarahan
  • Penurunan fungsi tangan atau jari
  • Kulit robek
  • Hallux varus

 

Pencegahan

Anda tidak dapat mencegah kondisi genetik seperti polidaktili dari perkembangan selama kehamilan Anda. Namun Anda dapat mencegah faktor-faktor risikonya. Diskusikan dengan dokter terkait apa yang harus Anda hindari selama Anda hamil seperti:

  • Mengkonsumsi minuman beralkohol
  • Merokok atau menggunakan produk yang mengandung tembakau
  • Penyalahgunaan obat terlarang

 

Kapan Harus ke Dokter?

Informasikan pada dokter bila Anda mengetahui adanya perubahan pada jari kaki atau tangan bayi. Kunjungi dokter Anda bila pada area jari berlebih yang ditelah diangkat menunjukkan beberapa gejala seperti :

  • Pendarahan
  • Perubahan warna
  • Pembengkakan
  • Keluarnya carian
  • Bayi merasa nyeri dan tidak nyaman

 

Mau tahu informasi seputar penyakit lainnya? Cek di sini, ya!

 

 

Writer : dr Kevin Luke
Editor :
  • dr Anita Larasati Priyono
Last Updated : Sabtu, 15 April 2023 | 09:45

Polydactyly. (2022). Retrieved 07 November 2022, from https://www.ncbi.nlm.nih.gov/books/NBK562295/

 Polydactyly. (2021). Retrieved 07 November 2022, from https://medlineplus.gov/ency/article/003176.htm

What does it Mean if you’re Born with More than Five Fingers on a Hand?. (2018). Retrieved 07 November 2022, from https://www.medicalnewstoday.com/articles/321607

What is Polydactyly. (2019). Retrieved 07 November 2022, from https://www.healthline.com/health/polydactyly

Polydactyly (Extra Digits). (2022). Retrieved 07 November 2022, from https://my.clevelandclinic.org/health/diseases/24302-polydactyly-extra-digits

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      • 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_new4.87msinsert into `activity_log` (`log_name`, `properties`, `batch_uuid`, `event`, `subject_id`, `subject_type`, `description`, `updated_at`, `created_at`) values ('default', '[]', null, 'updated', 5539, 'App\\Models\\Admin\\Post', 'updated', '2025-01-12 20:11:35', '2025-01-12 20:11:35')
      Bindings
      • 0: default
      • 1: []
      • 2: 
      • 3: updated
      • 4: 5539
      • 5: App\Models\Admin\Post
      • 6: updated
      • 7: 2025-01-12 20:11:35
      • 8: 2025-01-12 20:11:35
      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_new1msselect * from `users` where `users`.`id` = 43 limit 1
      Bindings
      • 0: 43
      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_new6.97msselect `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` = 8201 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8201
      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_new6.62msselect `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` = 5110 and `categories`.`deleted_at` is null
      Bindings
      • 0: 5110
      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_new6.65msselect `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` = 6892 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6892
      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_new6.3msselect `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` = 1104 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1104
      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_new960μsselect * from `categories` where `categories`.`id` = 5 and `categories`.`deleted_at` is null limit 1
      Bindings
      • 0: 5
      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_new6.94msselect `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` = 4853 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4853
      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_new6.79msselect `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` = 1309 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1309
      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_new6.89msselect `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
    • related-article.blade.php#8aicare_prod_new6.89msselect `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` = 5098 and `categories`.`deleted_at` is null
      Bindings
      • 0: 5098
      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_new6.77msselect `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` = 2986 and `categories`.`deleted_at` is null
      Bindings
      • 0: 2986
      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_new6.77msselect `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` = 4113 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4113
      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_new6.91msselect `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` = 4047 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4047
      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_new6.71msselect `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` = 4231 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4231
      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_new1.02msselect * 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_new940μsselect * 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_new1.11msselect * 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
    43Post.php#?
    App\Models\Admin\Category
    21Category.php#?
    App\User
    3User.php#?
    App\Models\Admin\Tag
    3Tag.php#?
    App\Models\TermPolicy
    3TermPolicy.php#?
    App\Models\Admin\Page
    1Page.php#?
    App\Models\Admin\Faq
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        200
        
        status_text
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        format
        html
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        text/html; charset=UTF-8
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