Sudah Diangkat, Bisakah Batu Empedu Muncul Kembali?

Sudah Diangkat, Bisakah Batu Empedu Muncul Kembali?
Crredit: Freepik. Batu empedu atau yang dikenal dengan istilah kolelitiasis.

Bagikan :


Penyakit batu empedu adalah terbentuknya endapan cairan sisa pencernaan yang terbentuk di dalam kantung empedu. Batu empedu yang berukuran kecil umumnya dapat keluar dengan sendirinya saat buang air besar (BAB). Namun jika batu empedu terus terbentuk dan tidak mendapat penanganan dengan tepat, hal ini dapat menimbulkan peradangan yang menyebabkan kantung empedu perlu diangkat.

 

Penyebab Batu Empedu

Batu empedu atau yang dikenal dengan istilah kolelitiasis adalah kondisi terbentuknya batu di dalam kantung empedu. Pada salah satu bagian hati terdapat kantung empedu yang berfungsi menyimpan cairan empedu. Cairan ini digunakan untuk mencerna makanan terutama lemak.

Selama belum digunakan, cairan empedu akan disimpan dalam kantung empedu. Ketika mulai mencerna makanan, cairan empedu akan dilepaskan ke saluran pencernaan. Apabila terjadi ketidakseimbagan komponen dan gangguan pengeluaran cairan empedu, maka cairan empedu ini akan menjadi batu. Selain itu penumpukan kolesterol dan kelebihan bilirubin juga dapat menyebabkan terbentuknya batu empedu.

Pada kasus ringan, batu empedu tidak membutuhkan penanganan khusus. Dokter dapat memberikan obat-obatan penghancur batu empedu untuk mengeluarkan batu empedu bersama dengan tinja. Namun jika kondisi batu empedu cukup parah dan kantung empedu tidak dapat berfungsi optimal serta menimbulkan rasa sakit, maka dokter dapat menyarankan untuk operasi batu empedu.

 

Apa yang Terjadi Setelah Kantung Empedu Diangkat?

Setelah kantung empedu diangkat, Anda tetap dapat menjalani kehidupan yang normal. Organ hati tetap akan membuat empedu untuk memproses makanan. Namun cairan empedu tersebut tidak akan disimpan sementara di kantung empedu, melainkan terus menetes ke sistem pencernaan Anda.

Usai menjalani operasi pengangkatan kantung empedu, beberapa orang masih memiliki risiko mengalami gejala batu empedu. Kambuhnya batu empedu ini dialami oleh sekitar 24% pasien yang sudah menjalani operasi pengangkatan kantung empedu.

Gejala yang muncul ketika batu empedu kambuh mirip dengan gejala ketika batu empedu muncul pertama kali. Beberapa gejala yang dirasakan antara lain nyeri di sisi kanan atas perut di bawah rusuk, dengan rasa sakit yang dapat berkembang menjadi sangat intens.

Rasa nyeri ini dapat berlangsung 1-5 jam sebelum menghilang. Selain keluhan tersebut, gejala yang dapat muncul antara lain demam, detak jantung berdebar, dan urine berwarna gelap.

Hal ini dapat disebabkan oleh beberapa faktor, antara lain:

  • Faktor genetik. Orang yang memiliki riwayat genetik mengalami masalah empedu cenderung berisiko lebih tinggi mengalami masalah batu empedu.
  • Kelebihan berat badan. Kelebihan berat badan utamanya disebabkan oleh tingginya konsumsi lemak. Banyaknya konsumsi lemak dapat membuat produksi cairan empedu lebih banyak.
  • Tingginya kadar kolesterol. Kolesterol tinggi membuat cairan empedu lebih sulit memecah kelebihan kolesterol sehingga tidak bisa dikeluarkan melalui urine dan mengendap di saluran empedu.

 

Pencegahan Batu Empedu Kambuh

Batu empedu dapat kambuh kembali meskipun Anda sudah melakukan pengangkatan kantung empedu. Untuk mencegah batu empedu kambuh, Anda dianjurkan menerapkan gaya hidup sehat seperti:

  • Menerapkan diet sehat seperti memperbanyak buah-buahan dan sayuran, mengonsumsi gandum utuh dan kacang-kacangan
  • Mengurangi makanan berlemak
  • Mengurangi konsumsi alkohol
  • Menjaga berat badan tetap ideal

Batu empedu yang ditangani dengan tepat umumnya tidak berbahaya dan tidak berkembang. Untuk itu, jika Anda mengalami gejala batu empedu sebaiknya segera periksakan ke dokter agar mendapat penanganan yang sesuai.

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

 

Writer : Ratih AI Care
Editor :
  • dr Nadia Opmalina
Last Updated : Minggu, 16 April 2023 | 19:59

Mayo Clinic. Gallstones. Available from: https://www.mayoclinic.org/diseases-conditions/gallstones/symptoms-causes/syc-20354214

Zakko. S. (2022). Patient education: Gallstones (Beyond the Basics). Available from: https://www.uptodate.com/contents/gallstones-beyond-the-basics

 

NHS. Prevention. Available from: https://www.nhs.uk/conditions/gallstones/prevention/

Request history8.1.29PHP Version860msRequest Duration4MBMemory UsageGET {category}/{slug}Route
  • infolog[17:18:54] LOG.info: Attempting to authenticate with: { "username": "administrator", "url": ...
  • Booting (260ms)time
  • Application (600ms)time
  • 1 x Application (69.73%)
    600ms
    1 x Booting (30.27%)
    260ms
    11 templates were rendered
    • 1x web.v2.single-post-healthpediasingle-post-healthpedia.blade.php#?blade
    • 1x web.v2.partials.single.breadcrumbbreadcrumb.blade.php#?blade
    • 2x web.partials.single-sharesingle-share.blade.php#?blade
    • 1x web.v2.partials.single.editoreditor.blade.php#?blade
    • 1x web.v2.partials.single.tagstags.blade.php#?blade
    • 1x web.v2.partials.single.referensireferensi.blade.php#?blade
    • 1x web.v2.partials.article-populararticle-popular.blade.php#?blade
    • 1x web.v2.partials.related-articlerelated-article.blade.php#?blade
    • 1x web.v2.partials.healthtopichealthtopic.blade.php#?blade
    • 1x layouts.v2.web_layoutweb_layout.blade.php#?blade
    uri
    GET {category}/{slug}
    middleware
    web
    controller
    App\Http\Controllers\WebController@newSinglePost
    namespace
    App\Http\Controllers
    prefix
    where
    as
    web.new.single.post
    file
    app/Http/Controllers/WebController.php:645-806
    32 statements were executed386ms
    • WebController.php#656aicare_prod_new1.18msselect * from `categories` where (`slug` = 'penyakit' or `slug_en` = 'penyakit') and `categories`.`deleted_at` is null limit 1
      Bindings
      • 0: penyakit
      • 1: penyakit
      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
      • app/Http/Controllers/WebController.php:656
      • 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#657aicare_prod_new39.12msselect * from `posts` where (`slug` = 'batu-empedu-kambuh' or `slug_en` = 'batu-empedu-kambuh') and `posts`.`deleted_at` is null limit 1
      Bindings
      • 0: batu-empedu-kambuh
      • 1: batu-empedu-kambuh
      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
      • app/Http/Controllers/WebController.php:657
      • 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#703aicare_prod_new28.22msselect * from `posts` where (`slug` = 'batu-empedu-kambuh' or `slug_en` = 'batu-empedu-kambuh') and `status` = 1 and `publish_date` <= '2025-04-13 17:18:54' and `deleted_at` is null and `posts`.`deleted_at` is null limit 1
      Bindings
      • 0: batu-empedu-kambuh
      • 1: batu-empedu-kambuh
      • 2: 1
      • 3: 2025-04-13 17:18:54
      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
      • app/Http/Controllers/WebController.php:703
      • 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#703aicare_prod_new1.33msselect `users`.*, `post_editor`.`post_id` as `pivot_post_id`, `post_editor`.`user_id` as `pivot_user_id`, `post_editor`.`created_at` as `pivot_created_at`, `post_editor`.`updated_at` as `pivot_updated_at` from `users` inner join `post_editor` on `users`.`id` = `post_editor`.`user_id` where `post_editor`.`post_id` in (5218)
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • 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#703aicare_prod_new1msselect `users`.*, `post_english_editors`.`post_id` as `pivot_post_id`, `post_english_editors`.`user_id` as `pivot_user_id`, `post_english_editors`.`created_at` as `pivot_created_at`, `post_english_editors`.`updated_at` as `pivot_updated_at` from `users` inner join `post_english_editors` on `users`.`id` = `post_english_editors`.`user_id` where `post_english_editors`.`post_id` in (5218)
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • 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#703aicare_prod_new6.23msselect `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` in (5218) and `categories`.`deleted_at` is null
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • 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#703aicare_prod_new810μsselect * from `categories` where `categories`.`id` in (0) and `categories`.`deleted_at` is null
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • 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#724aicare_prod_new16.92msselect `tags`.*, `post_tag`.`post_id` as `pivot_post_id`, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`created_at` as `pivot_created_at`, `post_tag`.`updated_at` as `pivot_updated_at` from `tags` inner join `post_tag` on `tags`.`id` = `post_tag`.`tag_id` where `post_tag`.`post_id` = 5218
      Bindings
      • 0: 5218
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:724
      • 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#1360aicare_prod_new12.84msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 977 and `posts`.`deleted_at` is null
      Bindings
      • 0: 977
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1360
      • app/Http/Controllers/WebController.php:735
      • 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
    • WebController.php#1360aicare_prod_new12.13msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 4604 and `posts`.`deleted_at` is null
      Bindings
      • 0: 4604
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1360
      • app/Http/Controllers/WebController.php:735
      • 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
    • WebController.php#1360aicare_prod_new12.16msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 4817 and `posts`.`deleted_at` is null
      Bindings
      • 0: 4817
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1360
      • app/Http/Controllers/WebController.php:735
      • 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
    • WebController.php#739aicare_prod_new128msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-04-13 17:18:54' and `deleted_at` is null and `content_type` = 'article' and `posts`.`deleted_at` is null order by RAND() limit 7
      Bindings
      • 0: 1
      • 1: 2025-04-13 17:18:54
      • 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:739
      • 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
    • CategoryHealtTopics.php#11aicare_prod_new1.5msselect * from `categories` where (`slug` != 'penyakit-a-z' and `slug` != 'obat-a-z' and `slug` != 'pemeriksaan-a-z' and `parent_id` = '0') and `categories`.`deleted_at` is null order by `order` asc
      Bindings
      • 0: penyakit-a-z
      • 1: obat-a-z
      • 2: pemeriksaan-a-z
      • 3: 0
      Hints
      • Use SELECT * only if you need all columns from table
      • The != operator is not standard. Use the <> operator to test for inequality instead.
      Backtrace
      • app/Repositories/Categories/CategoryHealtTopics.php:11
      • app/Http/Controllers/WebController.php:740
      • 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
    • WebController.php#748aicare_prod_new1.94msselect `healthpedia`.*, `healthpedia_post`.`post_id` as `pivot_post_id`, `healthpedia_post`.`healthpedia_id` as `pivot_healthpedia_id`, `healthpedia_post`.`created_at` as `pivot_created_at`, `healthpedia_post`.`updated_at` as `pivot_updated_at` from `healthpedia` inner join `healthpedia_post` on `healthpedia`.`id` = `healthpedia_post`.`healthpedia_id` where `healthpedia_post`.`post_id` = 5218 and `healthpedia`.`deleted_at` is null
      Bindings
      • 0: 5218
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:748
      • 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#779aicare_prod_new8.27msupdate `posts` set `views_count` = 2693 where `id` = 5218
      Bindings
      • 0: 2693
      • 1: 5218
      Backtrace
      • app/Http/Controllers/WebController.php:779
      • 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_new5.51msinsert into `activity_log` (`log_name`, `properties`, `batch_uuid`, `event`, `subject_id`, `subject_type`, `description`, `updated_at`, `created_at`) values ('default', '[]', null, 'updated', 5218, 'App\\Models\\Admin\\Post', 'updated', '2025-04-13 17:18:54', '2025-04-13 17:18:54')
      Bindings
      • 0: default
      • 1: []
      • 2: 
      • 3: updated
      • 4: 5218
      • 5: App\Models\Admin\Post
      • 6: updated
      • 7: 2025-04-13 17:18:54
      • 8: 2025-04-13 17:18:54
      Backtrace
      • vendor/spatie/laravel-activitylog/src/ActivityLogger.php:174
      • vendor/spatie/laravel-activitylog/src/Traits/LogsActivity.php:88
      • app/Http/Controllers/WebController.php:779
      • 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_new1.31msselect * from `users` where `users`.`id` = 18 limit 1
      Bindings
      • 0: 18
      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_new8.06msselect `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` = 9615 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9615
      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_new9.81msselect `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` = 6297 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6297
      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_new9.08msselect `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` = 4178 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4178
      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_new6.44msselect `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` = 393 and `categories`.`deleted_at` is null
      Bindings
      • 0: 393
      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_new1.46msselect * from `categories` where `categories`.`id` = 6 and `categories`.`deleted_at` is null limit 1
      Bindings
      • 0: 6
      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_new10.01msselect `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` = 1915 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1915
      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_new10.4msselect `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` = 2817 and `categories`.`deleted_at` is null
      Bindings
      • 0: 2817
      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_new12.48msselect `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` = 6486 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6486
      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_new12.18msselect `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` = 9702 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9702
      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_new12.5msselect `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` = 8102 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8102
      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_new6.47msselect `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` = 5152 and `categories`.`deleted_at` is null
      Bindings
      • 0: 5152
      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_new6.37msselect `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` = 5219 and `categories`.`deleted_at` is null
      Bindings
      • 0: 5219
      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_new870μsselect * 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_new720μsselect * 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_new1msselect * 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
    29Post.php#?
    App\Models\Admin\Category
    19Category.php#?
    App\Models\Admin\Tag
    3Tag.php#?
    App\Models\TermPolicy
    3TermPolicy.php#?
    App\User
    2User.php#?
    App\Models\Admin\Page
    1Page.php#?
    App\Models\Admin\Faq
    1Faq.php#?
        locale
        id
        _token
        k7SXpg6gO4AQrI85cSCQ2N4k5fJGvh7VrAl53IUQ
        _previous
        array:1 [ "url" => "https://ai-care.atmatech.id/penyakit/batu-empedu-kambuh" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        path_info
        /penyakit/batu-empedu-kambuh
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
        array:20 [ "cookie" => array:1 [ 0 => "XSRF-TOKEN=eyJpdiI6Ik9HR2dJNm1FNEpuc1VMejFReUF0cGc9PSIsInZhbHVlIjoiWE1wVms1Ri9hYm1uMFlTQzU4WWd6SGtvNHFHR1RlampISnV3NVVtRnhZcDRMZndWK3d0RWtJSytORTZ1ZFVNcE5oSTlIaldZdk1IZXRHTXRuM09WU2lveU9jZW5abVAya2pHMkFPMTNWQ0s4MWg5ZHBPcnRBWTRWdEFpNHhaWHYiLCJtYWMiOiI3OGY0ZWZmNjBlOTU1Yjg2NWY3YzdkMGIyNWZiMTMxMGMyNGEzYTk1OGY3OTA0M2E3MWE2NGRmMzRhMTEwNDlkIiwidGFnIjoiIn0%3D; laravel_session=eyJpdiI6IlR3cVE2bXptZ09yTlJMc2R2eGdQakE9PSIsInZhbHVlIjoiQnV5ZWEwanh1aEp1ODhqdERuNlRZd2wxMEVPNUVmeDdMY2xsRjBmVnFvL05tbm03emEvcE8zWFZXV0NPb2lkc1hvZ0VNUzJFcEltWjEvME5jS0JVTTNDekYrdklrTnNZSEZvcE8zclR4WERtOVFWMm9KNVZDZTZ4alEzSkJnak4iLCJtYWMiOiIyNDkwZDc1NTM5M2MzOGI2YWYwOGU0OWJjYjg3OGM2ZWUwZGFlZjEyNjJiMzkxNDNjYmE1MWNiMzk4N2VkOWZmIiwidGFnIjoiIn0%3DXSRF-TOKEN=eyJpdiI6Ik9HR2dJNm1FNEpuc1VMejFReUF0cGc9PSIsInZhbHVlIjoiWE1wVms1Ri9hYm1uMFlTQzU4WWd6SGtvNHFHR1RlampISnV3NVVtRnhZcDRMZndWK3d0RWtJSytORTZ1ZFVNcE5oSTlIa" ] "accept-encoding" => array:1 [ 0 => "gzip, deflate, br, zstd" ] "sec-fetch-dest" => array:1 [ 0 => "document" ] "sec-fetch-user" => array:1 [ 0 => "?1" ] "sec-fetch-mode" => array:1 [ 0 => "navigate" ] "sec-fetch-site" => array:1 [ 0 => "none" ] "accept" => array:1 [ 0 => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" ] "user-agent" => array:1 [ 0 => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" ] "upgrade-insecure-requests" => array:1 [ 0 => "1" ] "sec-ch-ua-platform" => array:1 [ 0 => ""Windows"" ] "sec-ch-ua-mobile" => array:1 [ 0 => "?0" ] "sec-ch-ua" => array:1 [ 0 => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129"" ] "cache-control" => array:1 [ 0 => "no-cache" ] "pragma" => array:1 [ 0 => "no-cache" ] "x-real-ip" => array:1 [ 0 => "3.147.195.139" ] "x-forwarded-for" => array:1 [ 0 => "3.147.195.139" ] "x-forwarded-proto" => array:1 [ 0 => "https" ] "x-forwarded-scheme" => array:1 [ 0 => "https" ] "host" => array:1 [ 0 => "ai-care.atmatech.id" ] "connection" => array:1 [ 0 => "keep-alive" ] ]
        request_cookies
        0 of 0
        array:2 [ "XSRF-TOKEN" => "k7SXpg6gO4AQrI85cSCQ2N4k5fJGvh7VrAl53IUQ" "laravel_session" => "9RBSma8rjlbfWVvW4wZFzGPonHg1TEapSu9L5ftR" ]
        response_headers
        0 of 0
        array:5 [ "content-type" => array:1 [ 0 => "text/html; charset=UTF-8" ] "cache-control" => array:1 [ 0 => "no-cache, private" ] "date" => array:1 [ 0 => "Sun, 13 Apr 2025 10:18:55 GMT" ] "set-cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6IjhOMjJ4R2hkZm8xNURiYmc3YnpvM1E9PSIsInZhbHVlIjoiSHVuMzZLd0w3LzZ2dlBjRGNhNWsvY0RoZzFKaWtDYmhINUFWNTFQK1pBSHZoL0F4Yzc2SDNaRy81bkx5cjQ2Tk03czNNNHFvcm9JNTFsYzJlU2w3ODdEMDRrZkYzS3ZXWEJtS25CL0xvVWFId3gvR29HMnFqQnBuYnFkUm9EVjUiLCJtYWMiOiJhYmUyN2Y4ZGY4OGQ0MGI5YzY1ZDRhODk5YWQ0MDZkZDhjMjdhYzc4OTQ1MGVmMWQ2ZjU1MGEzZThkZTgwNDkxIiwidGFnIjoiIn0%3D; expires=Sun, 13 Apr 2025 12:18:55 GMT; Max-Age=7200; path=/; secureXSRF-TOKEN=eyJpdiI6IjhOMjJ4R2hkZm8xNURiYmc3YnpvM1E9PSIsInZhbHVlIjoiSHVuMzZLd0w3LzZ2dlBjRGNhNWsvY0RoZzFKaWtDYmhINUFWNTFQK1pBSHZoL0F4Yzc2SDNaRy81bkx5cjQ2Tk03czNNN" 1 => "laravel_session=eyJpdiI6IlFaVnBQQ3ZBWE1EMDFLa3BDRk1HZ0E9PSIsInZhbHVlIjoic09YRmJKUXZ6U1VHcVdvaTVQcGxxbWUwYXZLRHMrTDR1WWZXb0d0TGNEOSsxUllQcTVQSzc4YlpuemE4RmE2Z1lLSjIxelJpSUdMaEFVV1BEMWorZFZLRDRBc2dlczkrUkdSZ1NQVExhMGtrWUQ2V1JhSzI5YTJIR2MvWWw1REoiLCJtYWMiOiJiMzNmYzAzOWRjOWFhYTg3ZTU2Zjg5N2M4OTJkZjUxNjE2NjlmODJhNTI4N2E3ZWU5Y2Y2ODExNzUxMDBiZWM1IiwidGFnIjoiIn0%3D; expires=Sun, 13 Apr 2025 12:18:55 GMT; Max-Age=7200; path=/; httponlylaravel_session=eyJpdiI6IlFaVnBQQ3ZBWE1EMDFLa3BDRk1HZ0E9PSIsInZhbHVlIjoic09YRmJKUXZ6U1VHcVdvaTVQcGxxbWUwYXZLRHMrTDR1WWZXb0d0TGNEOSsxUllQcTVQSzc4YlpuemE4RmE2Z1lL" ] "Set-Cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6IjhOMjJ4R2hkZm8xNURiYmc3YnpvM1E9PSIsInZhbHVlIjoiSHVuMzZLd0w3LzZ2dlBjRGNhNWsvY0RoZzFKaWtDYmhINUFWNTFQK1pBSHZoL0F4Yzc2SDNaRy81bkx5cjQ2Tk03czNNNHFvcm9JNTFsYzJlU2w3ODdEMDRrZkYzS3ZXWEJtS25CL0xvVWFId3gvR29HMnFqQnBuYnFkUm9EVjUiLCJtYWMiOiJhYmUyN2Y4ZGY4OGQ0MGI5YzY1ZDRhODk5YWQ0MDZkZDhjMjdhYzc4OTQ1MGVmMWQ2ZjU1MGEzZThkZTgwNDkxIiwidGFnIjoiIn0%3D; expires=Sun, 13-Apr-2025 12:18:55 GMT; path=/; secureXSRF-TOKEN=eyJpdiI6IjhOMjJ4R2hkZm8xNURiYmc3YnpvM1E9PSIsInZhbHVlIjoiSHVuMzZLd0w3LzZ2dlBjRGNhNWsvY0RoZzFKaWtDYmhINUFWNTFQK1pBSHZoL0F4Yzc2SDNaRy81bkx5cjQ2Tk03czNNN" 1 => "laravel_session=eyJpdiI6IlFaVnBQQ3ZBWE1EMDFLa3BDRk1HZ0E9PSIsInZhbHVlIjoic09YRmJKUXZ6U1VHcVdvaTVQcGxxbWUwYXZLRHMrTDR1WWZXb0d0TGNEOSsxUllQcTVQSzc4YlpuemE4RmE2Z1lLSjIxelJpSUdMaEFVV1BEMWorZFZLRDRBc2dlczkrUkdSZ1NQVExhMGtrWUQ2V1JhSzI5YTJIR2MvWWw1REoiLCJtYWMiOiJiMzNmYzAzOWRjOWFhYTg3ZTU2Zjg5N2M4OTJkZjUxNjE2NjlmODJhNTI4N2E3ZWU5Y2Y2ODExNzUxMDBiZWM1IiwidGFnIjoiIn0%3D; expires=Sun, 13-Apr-2025 12:18:55 GMT; path=/; httponlylaravel_session=eyJpdiI6IlFaVnBQQ3ZBWE1EMDFLa3BDRk1HZ0E9PSIsInZhbHVlIjoic09YRmJKUXZ6U1VHcVdvaTVQcGxxbWUwYXZLRHMrTDR1WWZXb0d0TGNEOSsxUllQcTVQSzc4YlpuemE4RmE2Z1lL" ] ]
        session_attributes
        0 of 0
        array:4 [ "locale" => "id" "_token" => "k7SXpg6gO4AQrI85cSCQ2N4k5fJGvh7VrAl53IUQ" "_previous" => array:1 [ "url" => "https://ai-care.atmatech.id/penyakit/batu-empedu-kambuh" ] "_flash" => array:2 [ "old" => [] "new" => [] ] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-04-13 17:18:55GET/penyakit/batu-empedu-kambuh1113258