• Beranda
  • penyakit
  • Kanker Tulang: Deteksi Dini dan Perkembangan Penyebarannya

Kanker Tulang: Deteksi Dini dan Perkembangan Penyebarannya

Kanker Tulang: Deteksi Dini dan Perkembangan Penyebarannya
Credit: Freepik

Bagikan :


Kanker tulang adalah salah satu penyakit mematikan yang bisa dijumpai di Indonesia dan seluruh dunia. Meskipun bersifat langka, namun bila tidak ditangani dengan tepat dan sejak dini, dapat menyebabkan komplikasi berbahaya dengan cepat hingga kematian. Lalu, adakah cara tepat untuk mendeteksi dini kanker tulang?

 

Apa Itu Kanker Tulang?

Kanker tulang adalah istilah untuk menyebut pertumbuhan sel kanker yang berkembang di tulang. Ketika sel tulang mengalami perubahan materi genetik atau bermutasi, sel-sel tersebut akan terus tumbuh tidak terkendali dan berkembang menjadi jaringan tumor. Kondisi ini dapat merusak jaringan tulang normal. Kanker yang terbentuk di tulang itu sendiri disebut dengan kanker tulang primer. Sel-sel kanker tersebut kemudian bisa merusak tulang dan jaringan sehat di sekitarnya.

Sel kanker juga bisa berawal dari kanker organ tubuh lain yang kemudian menyebar ke jaringan tulang. Kondisi ini disebut sebagai kanker tulang sekunder. Beberapa jenis kanker yang dapat menyebar ke tulang antara lain tumor payudara, kanker prostat, dan kanker paru-paru.

Baca Juga: Mengenal Ewing Sarcoma, Kanker Tulang Ganas yang Rentan Dialami Anak-Anak

 

Bisakah Kanker Tulang Dideteksi Sejak Dini?

Kanker tulang termasuk jenis kanker yang cukup jarang terjadi. Hingga saat ini belum ada metode khusus yang direkomendasikan untuk mendeteksi dini kanker tulang bagi orang-orang yang tidak memiliki faktor risiko terkait penyakit ini. 

Salah satu cara yang bisa dilakukan untuk deteksi tulang adalah dengan mengenali gejala kanker tulang dan melakukan pemeriksaan lebih lanjut bila ditemukan keluhan yang mencurigakan. Beberapa gejala kanker tulang yang perlu diwaspadai antara lain:

  • Nyeri tulang adalah gejala kanker tulang yang paling umum, keluhan ini biasanya tidak hilang setelah beberapa minggu dan bisa ditemukan semakin memburuk
  • Pembengkakan dan peradangan tulang sering menjadi gejala kanker tulang
  • Pada kanker tulang tertentu, bisa ditemukan gejala patah tulang tanpa sebab yang jelas
  • Tulang rapuh, namun biasanya gejala ini muncul pada kanker tulang stadium lanjut

Mengenali gejala kanker tulang dapat meningkatkan peluang untuk deteksi dini kanker tulang. Dokter juga akan melakukan pemeriksaan fisik pada area tubuh yang dikeluhkan. Semakin cepat kanker dideteksi, akan semakin besar peluang keberhasilan pengobatan.

Oleh karena itu, jika Anda memiliki gejala tersebut maka sebaiknya segera periksakan diri Anda ke dokter. Bila dicurigai menderita kanker tulang, dokter bisa merekomendasikan pemeriksaan berikut yang meliputi:

Rontgen tulang

Rontgen tulang adalah salah satu metode pencitraan awal untuk mendeteksi kondisi kanker tulang. Dengan rontgen tulang, dokter dapat melihat gambaran tulang dan memastikan penyebab keluhan yang dialami apakah karena kanker tulang atau masalah lainnya. Pada kanker tulang biasanya akan dilakukan pencitraan dan pemeriksaan lainnya.

CT scan

Prosedur CT scan umumnya dilakukan untuk mendapat gambaran yang lebih detail pada tulang dan jaringan sekitarnya. Prosedur ini juga dilakukan untuk mengetahui penyebaran sel kanker di dalam tubuh. Akan dilihat apakah tumor yang terjadi sudah menyebar ke jaringan lunak di sekitar tulang seperti otot, lemak atau tendon.

Selain itu, CT scan pada area dada juga dapat dilakukan untuk mencari apakah sel kanker sudah menyebar ke organ tubuh lain seperti paru.

MRI

Selain rontgen dan CT scan, pemeriksaan ini juga dilakukan untuk mendeteksi penyebaran sel kanker yang terjadi di dalam tubuh. MRI memberikan gambaran yang lebih detail dibandingkan CT scan.

Biopsi

Biopsi dilakukan dengan mengambil sampel tulang. Pemeriksaan biopsi diperlukan untuk memastikan apakah kelainan pada tulang disebabkan oleh kanker.

Baca Juga: Bisakah Kanker Tulang Dicegah?

 

Kanker tulang adalah jenis kanker yang jarang terjadi. Sebagai langkah deteksi awal, sebaiknya segera periksakan jika Anda mengalami gejala seperti nyeri tulang atau pembengkakan. Penanganan kanker tulang tergantung pada jenis sel kanker yang ditemukan dan stadiumnya. Beberapa penanganan sel kanker yang umum antara lain operasi, kemoterapi dan radiasi. 

Apabila membutuhkan konsultasi, Anda bisa segera memeriksakan diri ke dokter atau menggunakan layanan aplikasi Ai Care. Mau tahu informasi seputar penyakit lainnya? Cek di sini, ya!

 

 

Writer : Ratih AI Care
Editor :
  • dr Hanifa Rahma
Last Updated : Rabu, 3 Mei 2023 | 05:26

American Cancer Society. Early Detection, Diagnosis, and Staging. Available from: https://www.cancer.org/cancer/osteosarcoma/detection-diagnosis-staging.html

NHS Inform. Osteosarcoma. Available from: https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-children/osteosarcoma

Moffit Cancer Center. What Are the First Signs of Osteosarcoma?. Available from: https://moffitt.org/cancers/osteosarcoma/faqs/what-are-the-first-signs-of-osteosarcoma/

Cancer.Net. Bone Cancer. Available from: https://www.cancer.net/cancer-types/bone-cancer-sarcoma-bone/stages-and-grades

Request history8.1.29PHP Version903msRequest Duration6MBMemory UsageGET {category}/{slug}Route
  • warninglog[21:14:58] LOG.warning: str_contains(): Passing null to parameter #1 ($haystack) of type string is d...
  • warninglog[21:14:58] LOG.warning: str_contains(): Passing null to parameter #1 ($haystack) of type string is d...
  • infolog[21:14:58] LOG.info: Attempting to authenticate with: { "username": "administrator", "url": ...
  • errorlog[21:14:58] LOG.error: Error accessing doctor id: 63983202e088e5e18c0511d7 { "exception": "Undefi...
  • Booting (273ms)time
  • Application (630ms)time
  • 1 x Application (69.8%)
    630ms
    1 x Booting (30.2%)
    273ms
    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
    33 statements were executed421ms
    • WebController.php#656aicare_prod_new990μsselect * 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_new60.89msselect * from `posts` where (`slug` = 'deteksi-dini-kanker-tulang' or `slug_en` = 'deteksi-dini-kanker-tulang') and `posts`.`deleted_at` is null limit 1
      Bindings
      • 0: deteksi-dini-kanker-tulang
      • 1: deteksi-dini-kanker-tulang
      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_new33.53msselect * from `posts` where (`slug` = 'deteksi-dini-kanker-tulang' or `slug_en` = 'deteksi-dini-kanker-tulang') and `status` = 1 and `publish_date` <= '2025-04-16 21:14:58' and `deleted_at` is null and `posts`.`deleted_at` is null limit 1
      Bindings
      • 0: deteksi-dini-kanker-tulang
      • 1: deteksi-dini-kanker-tulang
      • 2: 1
      • 3: 2025-04-16 21:14:58
      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_new1.17msselect `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 (7025)
      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_new950μsselect `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 (7025)
      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_new5.91msselect `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` in (7025) 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_new630μsselect * 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_new16.29msselect `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` = 7025
      Bindings
      • 0: 7025
      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_new15.49msselect `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` = 316 and `posts`.`deleted_at` is null
      Bindings
      • 0: 316
      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_new13.99msselect `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` = 1623 and `posts`.`deleted_at` is null
      Bindings
      • 0: 1623
      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_new12.95msselect `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` = 4318 and `posts`.`deleted_at` is null
      Bindings
      • 0: 4318
      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_new12.47msselect `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` = 4558 and `posts`.`deleted_at` is null
      Bindings
      • 0: 4558
      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_new14.58msselect `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` = 7350 and `posts`.`deleted_at` is null
      Bindings
      • 0: 7350
      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_new111msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-04-16 21:14:58' and `deleted_at` is null and `content_type` = 'article' and `posts`.`deleted_at` is null order by RAND() limit 7
      Bindings
      • 0: 1
      • 1: 2025-04-16 21:14:58
      • 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_new820μsselect * 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_new1.53msselect `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` = 7025 and `healthpedia`.`deleted_at` is null
      Bindings
      • 0: 7025
      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_new6.17msupdate `posts` set `views_count` = 571 where `id` = 7025
      Bindings
      • 0: 571
      • 1: 7025
      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_new10.42msinsert into `activity_log` (`log_name`, `properties`, `batch_uuid`, `event`, `subject_id`, `subject_type`, `description`, `updated_at`, `created_at`) values ('default', '[]', null, 'updated', 7025, 'App\\Models\\Admin\\Post', 'updated', '2025-04-16 21:14:58', '2025-04-16 21:14:58')
      Bindings
      • 0: default
      • 1: []
      • 2: 
      • 3: updated
      • 4: 7025
      • 5: App\Models\Admin\Post
      • 6: updated
      • 7: 2025-04-16 21:14:58
      • 8: 2025-04-16 21:14:58
      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_new1.1msselect * 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_new10.67msselect `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` = 4423 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4423
      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_new6.26msselect `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` = 9192 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9192
      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_new10.41msselect `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` = 2808 and `categories`.`deleted_at` is null
      Bindings
      • 0: 2808
      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_new10.51msselect `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` = 9530 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9530
      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_new10.35msselect `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` = 3827 and `categories`.`deleted_at` is null
      Bindings
      • 0: 3827
      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_new10.36msselect `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` = 6503 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6503
      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_new10.32msselect `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` = 3834 and `categories`.`deleted_at` is null
      Bindings
      • 0: 3834
      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_new10.16msselect `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` = 8322 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8322
      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_new7.32msselect `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` = 8312 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8312
      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_new5.91msselect `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` = 8020 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8020
      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_new5.88msselect `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` = 8019 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8019
      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_new800μsselect * 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_new750μsselect * 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_new790μsselect * 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
    84Post.php#?
    App\Models\Admin\Category
    19Category.php#?
    App\Models\Admin\Tag
    5Tag.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
        qWdClm0NYtSrnjxT3Qmxr2TFE03bYa9KNQPt1jX0
        _previous
        array:1 [ "url" => "https://ai-care.atmatech.id/penyakit/deteksi-dini-kanker-tulang" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        path_info
        /penyakit/deteksi-dini-kanker-tulang
        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:19 [ "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 => "3.14.88.3" ] "x-forwarded-for" => array:1 [ 0 => "3.14.88.3" ] "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
        []
        
        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 => "Wed, 16 Apr 2025 14:14:58 GMT" ] "set-cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6IjNGRDlRZS8vbW50akxXaEJhNTA0UUE9PSIsInZhbHVlIjoiSWhvdVV6OXY5eGorR3c3MjZpa0dTU294UlpaQzJFMXlmdWtTYnB2STEvbUFVbjJYajZtRmxtNXBtMHZKZHVCTVlON3NZODFsRWdqNmFrTGN1c25rUTFuZzZUYmJQbytOL2xXKzVOaDA5MTB3QTBuTGRhM1FreUp4a0tLQzc3RjIiLCJtYWMiOiJhYzQyYTllY2NkN2Y4M2M3MTFjZmYzMWMxOGQ2OWI2MzVlYzliMWZiYTgyYmY5NzE5ZWE3ZjZkNzgwYjVlNjc1IiwidGFnIjoiIn0%3D; expires=Wed, 16 Apr 2025 16:14:58 GMT; Max-Age=7200; path=/; secureXSRF-TOKEN=eyJpdiI6IjNGRDlRZS8vbW50akxXaEJhNTA0UUE9PSIsInZhbHVlIjoiSWhvdVV6OXY5eGorR3c3MjZpa0dTU294UlpaQzJFMXlmdWtTYnB2STEvbUFVbjJYajZtRmxtNXBtMHZKZHVCTVlON3NZO" 1 => "laravel_session=eyJpdiI6ImV3eGhqUEV2ZDVUTkRwQmkrZDN6Qmc9PSIsInZhbHVlIjoiSUxpaWUrejQzc3BXVXpCc1pDQloxZ0drczhVa3gwVFFMQmU0QmphYllubFZ5Q0pKMnA1TzRhamtmVzlIU0V3bXlOY1hHNlR2OGZZTmk2NnRlUFJWdkc4cHJYbWt5a1FjdGgzV2FhV0Rab1JWU1BwZ2taTGxkTno4SlBIWmV1ZTIiLCJtYWMiOiI0Yzk5MTU3ZDNjNDYwNzlkMDAzMjFmZmM1OWE4MWRhZmYyOGQ3NTdkYTI4YTZjMTVlMDBiMjBlOGM5YTMwYTNjIiwidGFnIjoiIn0%3D; expires=Wed, 16 Apr 2025 16:14:58 GMT; Max-Age=7200; path=/; httponlylaravel_session=eyJpdiI6ImV3eGhqUEV2ZDVUTkRwQmkrZDN6Qmc9PSIsInZhbHVlIjoiSUxpaWUrejQzc3BXVXpCc1pDQloxZ0drczhVa3gwVFFMQmU0QmphYllubFZ5Q0pKMnA1TzRhamtmVzlIU0V3bXlO" ] "Set-Cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6IjNGRDlRZS8vbW50akxXaEJhNTA0UUE9PSIsInZhbHVlIjoiSWhvdVV6OXY5eGorR3c3MjZpa0dTU294UlpaQzJFMXlmdWtTYnB2STEvbUFVbjJYajZtRmxtNXBtMHZKZHVCTVlON3NZODFsRWdqNmFrTGN1c25rUTFuZzZUYmJQbytOL2xXKzVOaDA5MTB3QTBuTGRhM1FreUp4a0tLQzc3RjIiLCJtYWMiOiJhYzQyYTllY2NkN2Y4M2M3MTFjZmYzMWMxOGQ2OWI2MzVlYzliMWZiYTgyYmY5NzE5ZWE3ZjZkNzgwYjVlNjc1IiwidGFnIjoiIn0%3D; expires=Wed, 16-Apr-2025 16:14:58 GMT; path=/; secureXSRF-TOKEN=eyJpdiI6IjNGRDlRZS8vbW50akxXaEJhNTA0UUE9PSIsInZhbHVlIjoiSWhvdVV6OXY5eGorR3c3MjZpa0dTU294UlpaQzJFMXlmdWtTYnB2STEvbUFVbjJYajZtRmxtNXBtMHZKZHVCTVlON3NZO" 1 => "laravel_session=eyJpdiI6ImV3eGhqUEV2ZDVUTkRwQmkrZDN6Qmc9PSIsInZhbHVlIjoiSUxpaWUrejQzc3BXVXpCc1pDQloxZ0drczhVa3gwVFFMQmU0QmphYllubFZ5Q0pKMnA1TzRhamtmVzlIU0V3bXlOY1hHNlR2OGZZTmk2NnRlUFJWdkc4cHJYbWt5a1FjdGgzV2FhV0Rab1JWU1BwZ2taTGxkTno4SlBIWmV1ZTIiLCJtYWMiOiI0Yzk5MTU3ZDNjNDYwNzlkMDAzMjFmZmM1OWE4MWRhZmYyOGQ3NTdkYTI4YTZjMTVlMDBiMjBlOGM5YTMwYTNjIiwidGFnIjoiIn0%3D; expires=Wed, 16-Apr-2025 16:14:58 GMT; path=/; httponlylaravel_session=eyJpdiI6ImV3eGhqUEV2ZDVUTkRwQmkrZDN6Qmc9PSIsInZhbHVlIjoiSUxpaWUrejQzc3BXVXpCc1pDQloxZ0drczhVa3gwVFFMQmU0QmphYllubFZ5Q0pKMnA1TzRhamtmVzlIU0V3bXlO" ] ]
        session_attributes
        0 of 0
        array:4 [ "locale" => "id" "_token" => "qWdClm0NYtSrnjxT3Qmxr2TFE03bYa9KNQPt1jX0" "_previous" => array:1 [ "url" => "https://ai-care.atmatech.id/penyakit/deteksi-dini-kanker-tulang" ] "_flash" => array:2 [ "old" => [] "new" => [] ] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-04-16 21:14:58GET/penyakit/deteksi-dini-kanker-tulang41133115