To be clear, I'm separating this discussion off from whether the games are enjoyable, or how they happen to bring you pleasure in your gaming style.
Having taken a run at both RED DEAD and MAFIA 2, I think one can argue that they're not so much games as movies where you participate in the narrative and fill in the off-screen (sometimes quite boring) bits. Interestingly, I prefer games like, say BATTLEField bad company 2 or MODERN COMBAT, or particularly UNCHARTED 2, in that they obey the rules of good narrative structure -- that is, leave out the goddam boring bits. You lose a degree of freedom in theory, but do you really gain enough in entertainment or emotion investment to trade off for the pleasure of story clarity and momentum?
All games are hacking about in similar evolutionary space right now, but I'd say the Bioware model -- where one has at least the chance of winding up with different narrative outcomes -- is both what I prefer and what is more, for the lack of a better word "game-y". It's the most intriguing new model.
Sound off down in the usual place.
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I sat down to play the demo for DEAD RISING 2 and found that it was just a lot of cinematic stuff for the first 5 minutes. I really wanted to try it out but I had to sit through the story. Now, it's a cool story, sure, but for a demo?
Oddly, I'm noticing that the enduring model for video games is the one where there's some kind of story that plays out and you finish, and THEN there's balls to the wall sandbox play with your buddies online or whatever. It's why GTAIV appeals to me, and why I think most people keep playing HALO and CALL OF DUTY.
I dunno. The first new game I bought in a long (i.e. years) time was Heavy Rain. It starts with the boring stuff, but it does help build character. After that, I would say it stays pretty tight to a solid narrative structure. And it definitely had an emotional impact on me. As a parent, the early scene where youare trying to find your missingg kid in a crowded mall... I mean, I know it's a game, but my heart was pounding.
But on the whole, I've always been a fan of the multiple endings option. Fallout, anyone?
I definitely agree that the Bioware model is a good one, since I've never been able to push my way through — as of yet, at least — The Force Unleashed, yet I've completed the stories of KOTOR I and II several times. I've also completed Mass Effect I and II, as well as Dragon Age I and II, and I've enjoyed the fact that they had meater characters and stories...except for some aspects of Dragon Age II, since there was little/none in the way of romance plots.
I'd also add Heavy Rain to that list, as it's an awesome game, interesting usage of the controller, and has a nice depth of plot and character. It's also a game that you can play through, a lot, and end up with a different story numerous times.
Uncharted 2 was good, too, and it reminded me, in a good way, of Dragon Lair. It was a smoother Dragon Lair, with better controls and plot, as well as characters, but you knew you were going through a plotted arc with a modest amount of control.
Myself, I enjoy the games where I feel that I'm playing my character, even if it's within the confines of a scripted character; if I can name it, control its actions, gender, et al, then it doesn't bother me that it's within an arc. Sure, Uncharted 2 doesn't allow that, nor does Heavy Rain, but those are exceptions to this personal rule.
It's kind of like playing with the Kenner Death Star Playset, isn't it, except you don't get to be anyone BUT Mark Hamil.
Am playing Mafia 2, myself, but I have to admit, I'm bored with it. It's beautiful and atmospheric, but there's zero free-play to it, unless you want to steal cars and sell them or buy a pink suit.
In the same breath, I don't think Halo or CODx are that great, either. I won't include GTA because however rigid, there are enough mechanical variations to compensate for the lack of actual role-playing.
In that respect, it's hard to beat Fallout (although Bethesda's followon falls short of the originals). I'd much rather create my own character and play within a very loose narrative than re-create a scene from a movie I've already seen 20 times, though. Seems like either people really prefer the latter or there just aren't enough real RPGs out there to give them a choice.
Honestly, I like story in my game. I love story. Especially if it's well-executed story.
If the story's going to take up more than 5-7 hours of my life? It's highly likely I'm not playing the game. I've got too much other stuff to do.
(And I only started playing video games in 2004, so it takes me a lot longer to complete a level than most people. I don't have the eye-hand coordination nor the spatial recognition. Shoot, you should see how often I get lost in Portland, and I LIVE HERE.)
Surely it's massively dependent on the point of the game? No-one wants to see a movie where Indiana Jones walks down a load of dead ends on his way to the centre of the tomb, but for a game to have any feeling of reward for successful exploration there has to be space to get lost in.
It's also a matter of genre. An FPS restricts most of the conversations and character stuff to cutscenes, while an adventure game can be based around conversational choices, and whenever someone pulls a gun its in a non-interactive cutscene.
I could go on all day. Most of the time I do, as I write game reviews focusing on story for most of this year.
Full disclosure: Bioware could probably at this point make "Phone Book: The Reading" and I'd buy and play it.
Also, caveat: My opinion, not to be taken as statement of fact.
It does help that I care almost nothing about "story", that is, traditional plot; what motivates me to buy and play games is the same thing that motivates me to buy and watch TV or movies: the characters, and how they grow and change and interact with others. So the development of Shepard's relationships in ME and ME2, or the interactions with Lilliana and Morrigan in DA:O, or for that matter the choices made by the Vaultdweller in the Fallout games are what drive me to play (and often, replay) these games. I don't play puzzle games, and I rarely play shooters, because while the action is interesting, it involves a skillset (fine-motor dexterity) that I generally don't have. But I'll make exceptions for hybrid shooters like ME2, or the amazing worldbuilding and pseudo-characterization in Half-Life. "Sandbox" games like GTA and Read Dead Redemption and Mafia II just don't have the draw, because there's not enough development and growth for my investment of time.
I want to do all of the side quests in ME2 not because it gets me XP or improves my stats, but because it tells me something about my companions. Something more than "you have now turned this red part of the map to blue." If I want that sort of reward cycle, I'll play Civilization Revolutions (or, better yet, SMAC).
The importance of merging narrative structure with gameplay is something that I've been (unsuccessfully) arguing since I started working in the game industry.
Unfortunately, there's a strong push in the industry right now to do away with narrative altogether (for a good summary of that argument, go here: http://www.rockpapershotgun.com/2010/08/30/games-minus-stories/).
Combine that with the risk-averse, feature-driven nature of most publisher-funded development, the dire quality of most current game stories, the lagging sales performance of big-budget games, and the fact that many studios and investors seem to think that motherfucking Farmville is the future of game development... and, well. I wouldn't hold my breath for stories in games to get any better written, or better integrated with gameplay.
You'll probably see lots of games with Twitter integration, though.
I think the next big thing won't be any of the models presented but something closer to the model in Dwarf Fortress - procedurally generated games that let the player create their own narrative. I mean look at this game story. It's insane yet amazingly fun.
Whenever a game studio can create a game that merges the DF style of simulation with a playable UI and graphics, they will have a hit, especially if it can procedurally generate a narrative so that each playthrough generates a new story.
@Steve Um. I can see where that article is coming from, but I'm pretty sure I disagree; story (and character development) is why I liked Bioshock enough to play it through twice but only played Bioshock II as a rental for less than 4 hours and returned it almost immediately -- Bioshock was an interesting meditation on individualism and freedom wrapped in a moderately good FPS, while BS2 was a moderately good FPS that tacked on a lousy sequel storyline.
Arguably, as long as Bioware (and Bethesda, and Valve, and others) can produce interesting, character-driven story arcs that are integral to the success of their games, there will still be market for good games.
I agree with YOU, however, that it's entirely possible that the market will take the wrong lesson from the current game environment and games will get worse, not better, by excluding character and story (or by continuing to produce absolute crap).
Thanks for giving me an excuse to ramble about video games! I love rambling about video games!
I agree that Uncharted 2 manages to achieve the most successful movie-like feel of any game I've played recently. It's pretty much wall-to-wall action set pieces, with good character-building dialog in between. This goes a long way toward making up for how linear it is. This is a good model to follow for this type of game, but not for every type of game. At the end of it, I felt like I had just watched a really fun movie, but I didn't feel like it was collaborative art. It was definitely something that was presented to me, and I chose to experience it rather than participate in the creation of it.
Compare this with the above-mentioned Mass Effect franchise, which has really struck a great balance between game depth and narrative detail. The world-building here is so meticulous, I feel like the universe already existed, and the game creators and I are working together to create a unique experience in this world. By the end of the game, I felt like I was in complete control, but also like I had experienced exactly what the game's makers intended for me to experience. That is the mark of a great narrative experience, in my opinion.
Now that I think about it, there is almost as much random open world stuff to do in Mass Effect as in medium-sized sandbox game, but all of it is laced with tiny moments that contribute to character development, even if it's just a conversation in an elevator. By the end of each Mass Effect game, I really felt like I KNEW these people. When a game relies on its narrative as a main draw, that is really the ultimate test. Do you know who these people are? Do you care about what happens to them? Even if you don't like them all, do you understand them all?
Let's apply that last test to one of my favorite narrative experiments in all of video game history; Ico. Ico is one of my favorite games for a plethora of reasons, but what immediately struck me was how it built a rock solid emotional connection between the player and the characters, but did it almost completely without context. Not a very long game, not very difficult, and it has almost none of the trappings we have come to expect from video games in general. Not only that, but it's one gigantic escort mission, and escort missions are one of the most reviled video game tropes around. To me, Ico is a beacon of developer confidence backing up a solid design philosophy. Practically a silent film, told purely in visual language, and yet I found it as emotionally exhausting (in a good way) as any of my favorite three hour epic films.
So, yeah, a bit of a ramble. Just scratching the surface of this discussion with three very different games that use three incredibly different approaches to create three types of satisfying narrative. I really love watching the way the language of film has influenced the language of video games, and vice versa.
Mass Effect 2 has been one of my favorite games to play. I loved the game play and the story line. The best part was also how parts of the story changes depending on choices you have made throughout games one and two.
My boyfriend and I played Mass Effect differently from each other and I loved watching the differences in our characters (especially cause mine was female).
When it came to Red Dead Redemption, I liked the game, but stopped playing about midway through. It was something that held my attention too long because there was way too much downtime in the game.
I found Red Dead Redemption's story aspect somewhat frustrating, especially during the boring middle section in Mexico.
You're running around doing missions for opposing forces. Neither side comments on the fact you're doing this. Marston never hesitates. Everyone keeps blackmailing you with the promise of information for the completion of a task, then not delivering.
After the eighth or ninth 'Just do this for me and I'll tell you' fakeout, I was that frustrated that I could care less if this family I've never seen lived or not, and wondered if it wouldn't be just easier to *search* Mexico myself, since I was single-handedly starting a revolution anyway.
I started getting frustrated because I was supposedly being given free reign, but was stuck playing an increasingly stupid character, continually making the same mistakes and expecting different outcomes: Red Derp Redemption.
It could be worse. I kept wanting to smack Alan Wake on the back on the head for being an unredeeming moron, and a terrible writer to boot.
In principle I'd agree with you, as I was never a fan of the sandbox thing. If you have something interesting to show me, or for me to do, don't make me drive ten minutes to get to it. Life's too short, and I already waste enough of it driving in real life.
BUT - here I have to note that one of my three favorite games of all time is Shadow of the Colossus (incidentally, the pseudo-prequel to drave117's favorite Ico), in which you spend a massive amount of time alone, riding your horse through a barren, cursed land. And I wouldn't cut out a minute of it. In fact, I'd cut down on the demon's monologues so there could be more riding. It's beautiful, haunting, and a big part of what the game is (which is a masterpiece).
So I'd argue that you're presenting a false choice. The 'boring offscreen bits' are not a result of the sandbox design itself, but of it being done badly (especially in Mafia II, which is a bad game). Mass Effect 2 is quite a sandbox game in its design (most Western RPGs are), but it feels tight because it's a well-designed sandbox, and also the narrative accounts for it. It's also just well written, which goes a long way.
Uncharted 2 is of course the non plus ultra of linear games, and uses every trick in the book to impress, but games like that tend towards being exhaustingly up-up-up. Uncharted compensates with scripted breaks, but well-done sandbox games have natural down moments built in.
In the end, I'd say it depends on the story you're telling. If Mafia II had been a good game, I'm sure such a decade-spanning story would have benefited from a well thought out sandbox model. We'll see if that works when Rockstar's LA Noire comes out.
PS1 I don't like the GTA games, and consider them to be bad sandboxes. Many gamers would disagree with me. That's because my games (like yours, I think) need to have a point, a conclusion, and theirs don't. Diffrent strokes.
PS2 It's heartening to see such a high level of gaming literacy among the readers (and writer of course) of this fine blog. Bioware, Bethesda, Valve, Fallout, Dwarf Fortress... It wasn't exactly a given, but everyone seems so up to date on their narrative games... which means I've got no cool new titles to recommend.
(Play Planescape: Torment! It's awesome! Everyone, really, go play it! Hey, what's with the guys in white coats? No, leave me alone! I don't want to go to the white room! No! What are you doing with that syrinnnnnngggggg
I'm a second generation gamer(My dad wrote a Doctor Who DOS game in college) so I've tried my hand at just about everything all the way back to floppy-disc and SNES.
And I have to say I agree with you completely. I've watched games' potential grow and the consideration put into it's storytelling wither and die, no matter how many indie companies try to bring it back with old blood sweat and tears. Then Bioware came out, bearing real characterization and choice systems. And they're only getting better at it. Heck, they have coherant fanfiction! One can actually judge whether such fanficion is in-character or not! Most characters in video games are so abused by the desire to shamelessly pander larger demographics that they have no sense of individual voice at all.
John - grab the latest Irrational Interview (Irrational Games' web site). Ken Levine & Brian Michael Bendis discuss building worlds and telling stories in video games.
The key on story in games is to make it invisible yet omnipresent. Not a 5-minute cinematic, but little pieces all adding up. Obvious, maybe, but the trick is doing it well.
I also have to add this link: http://www.escapistmagazine.com/videos/view/extra-credits/1974-Enriching-Lives
Because it's a great look at Bioware in particular and the possible value of video-games as a medium.
I like both sandbox and scripted games. I think it's the big split of video games, like comedy vs. drama, or serial vs. episodic.
The story for RDR really didn’t engage me, but the side elements did. It was the opposite for Mass Effect - the story was great, but the side quests felt grind-y.
I wonder if we're at the point in the medium where video games are finally defining the way they tell stories.
Bioshock as a perfect example. I felt that game in a way that I can’t compare to movies, TV, reading, music. Most of the time when I talk about a great game I had to define it in terms of another media. But Bioshock…man, you just have to experience it.
@Killah Mate: Oh, gods. Don't get me started on Planescape: Torment. Whenever anyone makes a comment about games not being art, I simply point them at this game. More text than a novel, more characters than a play, more questions than the Voight-Kampff test, and an indelible (and impossible to answer) treatise on the nature of humanity and personhood. Given the EXTREME limitations the game was created under (I still can't get over the fact that it's 10 years old), it was a brilliant piece of work that I'm not entirely convinced has been matched (though Dragon Age and Mass Effect come very, very close).
@Clockworkjoe: I am always in awe of someone who can turn a game like DF into a screaming narrative, but arguably this is due to the *player*, not the *game*, and since I generally don't want to have to invent stories whole-cloth unless I'm being paid for it, games like DF don't hold much interest for me. Now, I get the appeal of them, and I'm not saying that people who play and enjoy them are having badwrongfun, but the narrative structure presented in your link is *despite* the technology, not because of it.
I'm of two minds on this. Does the story REALLY matter for a game like Half Life? I don't think so. Serious Sam was just balls to the wall carnage, and it didn't pretend to be anything else. How many games have we seen now where the guy helping you out betrays you in the last act when he gets the glowing orb you've been looking for? I think one is a passive experience, and the other isn't. When I'm holding my sniper rifle, I don't really care who or what I'm killing as long as it's a challenge.
I will make one exception. Keep the cut scenes short, and ideally interactive. Nothing drives me crazier than being forced to sit around watching a cut scene for more than 20 seconds. 20 Seconds MAX
I just love Leverage - the writing, the chemistry, all of it. Great.
@Jamie: Arguably yes, the story *does* matter with the Half-Life series. If there wasn't an interesting story behind the world of Gordon Freeman's adventures (even taking into account that Gordon is the silent everyman that is common to FPS), it would just be another version of Cabela's Big Game Hunter (also an FPS, also released in 1998). The narrative arc that drives Gordon (and us) to escape, then to fight back, and then to heroic sacrifice, makes HL into something more than just another FPS. Gordon is us: not a highly-trained member of Delta Force, not a robotic cyborg, but just some underachieving lab assistant who gets caught in events, and must cope, and succeed, or die. Granted, he's an idealized version of us: genius IQ, graduated from MIT, nearly olympic-level biathlon competitor, but still in theory one of us, with his thick frames and his nametag hanging from his pocket protector.
Please note that I'm not trying to claim that storyless games are somehow inferior or not worth playing, but I do believe that a good story (and good characters) can cause a game to be more than just a game. In the same way, like Neil Gaiman says, that Moby-Dick is assuredly a story about a whale, but it is also *more* than just a story about a whale.
Interesting. While there are many games that fall victim to the movie-with-shooting/driving/shooting-while-driving trap, I found the gameplay and open world of RDR to be amazingly compelling.
I thought that the final act of RDR did a dead amazing job of merging gameplay with story to create an emotional climax unparalleled in my experience with video games. In fact, READ DEAD is a game I would point to as a perfect example of gameplay and narrative working toward a common goal.
I'm not sure if what you object to is the storytelling, or the gameplay. Do you enjoy the cowboy simulation, but find the narrative bits to be obtrusive or do you find the storyline the interesting bit, and feel the game elements fail to keep up? Or does none of it work for you?
@Heronymus I think procedurally generated content will be the future of narratives in video games. DF uses PGC to create an environment but why not missions or stories? I think we will eventually see AAA games programmed with the Campbell Hero of a thousand faces myth structure so that every time you play the game, you go on a different quest.
@Grey Duck
I'm not a parent so the opening didn't have an impact on me, but I understand and respect why it would for you. From a pure gameplay perspective I was wholly disappointed with the game. It looked incredible but the controls failed the game, not to mention the gigantic plot holes in the story. Maybe the update for Sony's Move will fix the controls, but I will pass on replaying the game (I am personally against the influx of motion controls and 3D into gaming). Outside of the main game, the DLC ruined the continuity of the story, if Madison dies at the end of it, how is she in Heavy Rain's main game? (okay, my nerd rage will stop now)
To me Bioware is one of the greatest development houses in recent history (Team ICO also comes to mind), I loved Dragon Age and both Mass Effects. I spent too much time playing ME 1 and am on my 5th run of ME 2 (picking up the new DLC today). Bioware has found a great balance between narrative, great characters and gameplay. The NPCs in their games fell like real people and the small conversations between your team in ME 2 helped deepen the character development. My only complaint about Bioware would be the lack of homosexual relationships in ME 2, especially since they were supported in ME 1 and DA.
If you want to talk about plot driven games, sure.
But I think there's a real danger in thinking about games in terms of how they can be more like traditional narrative, at least from a design perspective. Once you go down that route even with a method that leads to branching plotlines ala Bioware, you're wasting the core of the medium's strength (to a greater or lesser degree), which is direct experince; it's ability to actually interact with the world that makes gaming unique. People need to be crafting experiences, not stories. That doesn't mean that sandboxy games are necessarily the way to go mind, as simply filling in the blank spaces isn't really the point; you still need to be creating something that has intrinsic value, something more than filler. Games like Red Dead and Mafia 2 ultimately have somewhat schizophrenic feel to them, one half of the experience acts completely outside of the other half of the experience, never really connecting with each other on the level of mechanics or narrative, resulting in two separate experiences being mashed together into a dysfunctional blob.
What the goal should be, and it's a bloody hard goal, is making sure that the narrative follows from the action of the player rather than having the player chase the narrative through their actions.
Bioware falls down in this regard never really reaching much further than a pretty decently written choose your own adventure book. Even to the extent that you have choice, you don't really get to make decisions; the fact that there's more than one path to choose between doesn't in anyway make those paths less inflexible or static. And your actions in the gameplay parts has very little bearing on what ends up going on around you; there's still that same schizophrenia with regard to the mechanical and narrative structures of their games; there's no unity or interaction between the component parts of the game.
People have mentioned Shadow of the Colossus and Ico, and those are probably the closest example to something that actually plays to the strength of the genre while still having something interesting to say. The narrative is emergent, but still defined. Heavy Rain comes at it from the other angle, and subordinates gameplay entirely to the narrative. This at least provides a consistent experience, though it can easily be argued that it doesn't fully take of advantage of the medium. In all three cases the consistency of mechanic and narrative provide stories that cannot be replicated in another medium without destroying core of the experiences. If you want to look to strong storytelling *in* games, rather than storytelling *attached* to games with duct tape, it's going to come out of one of those two models, not the Bioware or GTA or Call of Duty style approaches (Though I'm saying this with the same caveat that you started out with; this is not to speak to whether those games are enjoyable or not, or to who).
Can't believe nobody's brought up ALPHA PROTOCOL yet - the scruffy, lovable mutt to MASS EFFECT 2's sleek show dog.
It's an RPG roughly in the Bioware mold, but both shorter and much more fine-grained. You're a spy trying to get to the bottom of a big conspiracy, and although the underlying events are pretty constant, where you are inserted into the events and the choices you make - from how you relate to NPCs up to who you select to live and who you select to die - change the final outcome of those events to a greater degree than any other multiple-ending game to date. Every choice you make affects your game in the short term and the long term.
The end product is less something like MASS EFFECT's square-jawed space opera or DRAGON AGE's Middle Earth reboot, and more like Burn Notice crossed with Run Lola Run.
It didn't review well because it's unpolished (like a rougher MASS EFFECT) and the intro mission seems to be a love-or-hate thing with players, but I can't think of another time in any game I've played where one of the tensest, most thrilling side missions consisted entirely of a conversation at an outdoor café.
@Heronymus "story (and character development) is why I liked Bioshock enough to play it through twice but only played Bioshock II as a rental for less than 4 hours and returned it almost immediately -- Bioshock was an interesting meditation on individualism and freedom wrapped in a moderately good FPS, while BS2 was a moderately good FPS that tacked on a lousy sequel storyline."
You should've stayed with it, Bioshock 2 saves its best stuff for the end, unlike the first one which fizzles in the third act and then ultimately throws its hands up in the air and gives up.
Bioshock 2 is less ambitious, and suffers from not being fresh anymore, but ultimately it does some pretty neat things with its theme. (Which is parenthood, not Sophia Lamb's exercise in collectivism. There's more than one Lamb watching.)
It's also a lot better at the shooting people in the face part.
@Cliff Evans
I was one of the few who really dug Alpha Protol, and bits like those cafe conversations are largely the reason. Obsidian in general are great at turning conversations into set pieces. Planescape: Torment and Knights of the Old Republic 2 also have several confrontations with hostile characters that are largely played out in dialogue.
If only someone would give me a couple of million dollars, I'd run with that concept and build a crime procedural containing some variant of Alpha Protocol's timed conversation system, constructed largely around interrogation scenes...
@SH: I would play that game for days. A videogame that focuses almost entirely on character interaction and conversation? I'd be all over that.
Sadly, while I'd likely buy a copy, I don't know that anyone else would.
@Jamie: "Does the story REALLY matter for a game like Half Life?'
Hell yes! I loved Half Life 2's journey of the Freeman into the City 13 and out again. Thought it was a brilliant and unparalleled adventure/shooter, creating a culture that one could be immersed and still enjoy the shooter aspects.
On the original post, glad that I am not the only one who was utterly bored with Mafia II - which is a shame, it clearly had potential, but I've never done so little shooting in what I thought was a shooter game.
"Arguably yes, the story *does* matter with the Half-Life series."
it's been a few years since i last played any of them, but oddly (though maybe it's me who is odd), i don't remember really anything about the Half Life stories. but i do remember a lot about the gameplay: the weapons, the vehicles, the feel of the motion (much different than Bioshock's, for example), the sets, the enemies, the puzzles, etc.. the Half Life series are awesome FPSs - but the story was completely beside the point, for me.
same with the Bioshocks. the sets and enemies and weapons are all awesome; the music was fantastic; the gameplay brilliant. the stories? i didn't care a bit. don't have to, either, because it doesn't matter: those games run on rails. doesn't matter how i feel about the character or if i feel anything at all - i still have to push him through the rooms in the prescribed order and kill a certain percentage of the enemies while collecting the right number of magic tokens. i stopped gathering and listening to those tape players as soon as i figured out there wasn't anything in them that would help me get past the next mini-boss.
Eolirin and cleek seem to share my frustration. As much as I like the look or feel of a game, when talking about "narrative" I feel choice is key.
It's like a good D&D campaign. A good DM will let you do whatever it is you believe your character should be doing at that time, and weave the story around those actions.
At which point not only do I feel I am in a story, but I feel as though I have a crucial role in it, so I have a responsibility to the story. That experience really gets my attention.
I had hopes that Fable would be such a game, but like many other games, it had elements of a reactive world yet I still felt the cold steel of the rails.
Is it possible in prewritten games? It's as if true AI is required for such a game. I don't know if that's on the horizon.
My visions of such a game inevitably lead me to wonder if that is what real life is - the ultimate reactive narrative game.
And then I think that, if it was, I would have hit the reset button a long time ago. ;)
The "trend away from narrative" as discussed by Steve et al is probably not as rife as anyone thinks. There will always be a place for narrative driven games, because there are always going to be gamers that lack the creativity or inclination to mark a game with their own narrative. By the same token, as popular as [x]Ville Facebook games are, they tend to attract non-core gamers, and there is a distinct distaste for them amongst any gamers that happen to describe themselves as gamers. The market is broadening to include games lacking narrative because games don't necessarily need it (games can be played, not read or watched). But the classic narrative will never leave gaming for the same reason rom-coms are still being made, and Anita Blake novels compete with Neal Stephenson epics for shelf space at Borders.
On another note, Bioware develops sandbox games only if the sand in your box is in fact pre-fabricated castle shaped sand. They do an excellent job of presenting a malleable narrative, and probably have the most even and smoothest seam between game elements and narrative, but the split is there and it's clear to me. The "Choose your own adventure" analogy someone above mentioned is apt. It's also very episodic. Each planet in Mass Effect is a distinct, compartmentalised fragment of the whole. It's telling that the narrative justification for surveying for minerals and artifacts is weak at best and is never told in a dialogue. I felt vaguely cheated when I went through all that in ME1 and didn't get so much as a thankyou. This is the game side of the game, because they needed some motivation to look at the tens of thousands of words of descriptions of minor planets, but it's bland, repetitive and uncompelling.
If you want a proper sandbox that isn't as impenetrable as Dwarf Fortress, try Minecraft. There is no narrative scaffolding, only digging and building like a proper Lego Land. Those of you who like a sense of purpose or direction will flounder in this world, but if you appreciate the ability to express your creativity, you may find it's quite compelling.
I'm with Robert in that I like the style of play in games like Mass Effect 1 and 2 where your choices determine the outcome of not just the story but of how you are perceived by other characters in the game rather than a predetermined set of events by the game creators.
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Penyakit ini umumnya muncul karena penderita mengejan terlalu keras pada saat buang air besar. Dengan mengejan terlalu keras, maka pembuluh darah di sekitar anus dapat melebar dan pecah menimbulkan infeksi dan pembengkakan yang berakhir pada masalah wasir atau ambeien tersebut.
Penyakit ini umumnya muncul karena penderita mengejan terlalu keras pada saat buang air besar. Dengan mengejan terlalu keras, maka pembuluh darah di sekitar anus dapat melebar dan pecah menimbulkan infeksi dan pembengkakan yang berakhir pada masalah wasir atau ambeien tersebut.
Penderita Penyakit kondiloma atau Kutil Kelamin yang telah terinveksi disarankan untuk segera melakukan pengobatan secepat mungkin sebelum Virus HPV penyebab kutil kelamin makin banyak berkembang biak di dalam sel darah makin lama dibiarkan akan memperparah kondisi organ vital karena kutil kelamin akan terus membesar sehingga terlihat seperti jengger ayam untuk penderita yang baru tertular kurang dari satu bulan biasanya akan lebih cepat ditanggulangi obat kutil kelamin Paling ampuh dari De Nature dan terbaik ada hanya di http://obatkutildikemaluan.blogdetik.com/ untuk mendapatkan informasi yang lebih jelas mengenai pengobatan kutil pada kelamin silahkan kontak langsung di nomer 0852 808 77 999 atau 0859 7373 5656 Bagaimana mengobati Ambeien itu sendiri. pengobatan yang terbaik untuk Ambeien adalah dari luar dan dalam sehingga Ambeien benar benar tuntas dan tidak akan kambuh lagi. obat Ambeien terbaik "Ambeclear dari De Nature" AlamiAdalah obat Ambeien herbal yang memang terbaik untuk mengobati Ambeien, dan sudah terdaftar di badan obat dan makanan (BPOM) dengan nomer registrasi POM TR: 133 374 041. terbuat dari bahan alami antara lain terdiri Daung Ungu, Mahkota Dewa dan Kunyit Putih.
Penderita Penyakit kondiloma atau Kutil Kelamin yang telah terinveksi disarankan untuk segera melakukan pengobatan secepat mungkin sebelum Virus HPV penyebab kutil kelamin makin banyak berkembang biak di dalam sel darah makin lama dibiarkan akan memperparah kondisi organ vital karena kutil kelamin akan terus membesar sehingga terlihat seperti jengger ayam untuk penderita yang baru tertular kurang dari satu bulan biasanya akan lebih cepat ditanggulangi obat kutil kelamin Paling ampuh dari De Nature dan terbaik ada hanya di http://obatkutildikemaluan.blogdetik.com/ untuk mendapatkan informasi yang lebih jelas mengenai pengobatan kutil pada kelamin silahkan kontak langsung di nomer 0852 808 77 999 atau 0859 7373 5656 Bagaimana mengobati Ambeien itu sendiri. pengobatan yang terbaik untuk Ambeien adalah dari luar dan dalam sehingga Ambeien benar benar tuntas dan tidak akan kambuh lagi. obat Ambeien terbaik "Ambeclear dari De Nature" AlamiAdalah obat Ambeien herbal yang memang terbaik untuk mengobati Ambeien, dan sudah terdaftar di badan obat dan makanan (BPOM) dengan nomer registrasi POM TR: 133 374 041. terbuat dari bahan alami antara lain terdiri Daung Ungu, Mahkota Dewa dan Kunyit Putih.
cara mengobati kutil kelamin pada wanita tanpa harus menggunakan operasi cukup dengan menggunakan obat khusus kutil kelamin paling manjur dari klinik de nature manjurserta sangat aman untuk ibu hamil
cara mengobati kutil kelamin pada wanita tanpa harus menggunakan operasi cukup dengan menggunakan obat khusus kutil kelamin paling manjur dari klinik de nature manjurserta sangat aman untuk ibu hamil
Penyakit kencing nanah bisa disebabkan oleh beberapa faktor seperti seks bebas, penularan, virus hpv, lingkungan, gaya hidup dan lainnya, Maka dari itu kita harus waspada dengan penyakit kencing nanah ini, karena penyakit kencing nanah sangatlah berbahaya, Namun untuk anda yang menderita penyakit kencing nanah, maka anda tidak perlu khawatir,
Penyakit kencing nanah bisa disebabkan oleh beberapa faktor seperti seks bebas, penularan, virus hpv, lingkungan, gaya hidup dan lainnya, Maka dari itu kita harus waspada dengan penyakit kencing nanah ini, karena penyakit kencing nanah sangatlah berbahaya, Namun untuk anda yang menderita penyakit kencing nanah, maka anda tidak perlu khawatir,
Berhati-hatilah anda yang suka berganti-ganti pasangan seks, karena sangat besar sekali kemungkinannya untuk terkena penyakit kencing nanah atau gonore maupun yang lainnya.
Bagi anda yang sedang mencari obat herbal buat kencing nanah atau gonore, kami sarankan untuk memilih obat herba dari De Nature dengan nama Gang jie dan Gho Siah sebagai pengobatan alternatif tradisional alami untuk kencing nanah atau gonore.
Berhati-hatilah anda yang suka berganti-ganti pasangan seks, karena sangat besar sekali kemungkinannya untuk terkena penyakit kencing nanah atau gonore maupun yang lainnya.
Bagi anda yang sedang mencari obat herbal buat kencing nanah atau gonore, kami sarankan untuk memilih obat herba dari De Nature dengan nama Gang jie dan Gho Siah sebagai pengobatan alternatif tradisional alami untuk kencing nanah atau gonore.
Bukan hanya pengobatan medis saja tapi ada juga pengobatan rumah alami yang dapat digunakan untuk menyingkirkan penyakit kutil kelamin ini. Intinya, karena kutil ini muncul di daerah yang sensitif, maka anda harus mencari pengobatan yang terbaik pada kulit Anda dan jika diperlukan juga dibantu dengan tenaga medis yang professional. Sebab dokter akan menjadi sumber informasi yang baik untuk mengobati penyakit ini.
MANTAB * * * * * * * * * * * * * * * * * * * * * * * * * * *******
MANTAB * * * * * * * * * * * * * * * * * * * * * * * * * * *******
Cara yang sering di lakukan untuk menghilangkan kutil kelamin adalah dengan cara pembedahah atau operasi, cara ini tentu memerlukan dana yang tidak sedikit. metode Pilihan pembedahan yang dapat Anda lakukan
Cara yang sering di lakukan untuk menghilangkan kutil kelamin adalah dengan cara pembedahah atau operasi, cara ini tentu memerlukan dana yang tidak sedikit. metode Pilihan pembedahan yang dapat Anda lakukan
Bismillaahirrohmaanirrokhiim ???????????????????????????????????
Kadang disertai
dengan sakit saat kencing, perih, organ intim terasa panas menyiksa,
gatal,..
Bismillahhirrohmaanirrokhim.... *********************************
Bismillahhirrohmaanirrokhim.... *********************************
Sekitar Vagina Tumbuh Daging, Berbahayakah? Kutil Pada Kepala Penis mirip bunga kol atau jengger ayam, Merupakan Penyakit Yang diakibatkan Oleh Virus.Kutil kelamin, atau disebut juga condyloma acuminata, adalah kutil atau daging berwarna kulit atau keabuan yang tumbuh di sekitar alat kelamin dan
Sekitar Vagina Tumbuh Daging, Berbahayakah? Kutil Pada Kepala Penis mirip bunga kol atau jengger ayam, Merupakan Penyakit Yang diakibatkan Oleh Virus.Kutil kelamin, atau disebut juga condyloma acuminata, adalah kutil atau daging berwarna kulit atau keabuan yang tumbuh di sekitar alat kelamin dan
penyakit yang ditularkan melalui hubungan seks : vaginal, oral dan anal. Juga dapat menular melalui persentuhan kulit dengan daerah yang terinfeksi.
penyakit yang ditularkan melalui hubungan seks : vaginal, oral dan anal. Juga dapat menular melalui persentuhan kulit dengan daerah yang terinfeksi.
Obat Ambeien Resep Dokter Ambeclear dari De Nature Ampuh Tuntaskan Ambeien Sampai Tuntas
Obat Ambeien Resep Dokter Ambeclear dari De Nature Ampuh Tuntaskan Ambeien Sampai Tuntas
Sebelum kita membahas tentang pengobatan ambeien, dalam kesempatan ini
saya ingin menjelaskan sekilas tentang ambeien, agar kita semua bisa
memahami benar apa itu penyakit ambeien
Sebelum kita membahas tentang pengobatan ambeien, dalam kesempatan ini
saya ingin menjelaskan sekilas tentang ambeien, agar kita semua bisa
memahami benar apa itu penyakit ambeien
Bismillahhirrohmaanirrokhim.... ************************************
MANTAB???????????????????????????????
MANTAB???????????????????????????????
manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur
manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur manjur
alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami
alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami alami
Wasir atau dikenal juga dengan ambeien merupakan salah satu jenis penyakit
Wasir atau dikenal juga dengan ambeien merupakan salah satu jenis penyakit
Wasir atau dikenal juga dengan ambeien merupakan salah satu jenis penyakit
Wasir atau dikenal juga dengan ambeien merupakan salah satu jenis penyakit
yang sangat mengganggu. Ambeien atau wasir ini muncul..
yang sangat mengganggu. Ambeien atau wasir ini muncul..
yang sangat mengganggu. Ambeien atau wasir ini muncul..
yang sangat mengganggu. Ambeien atau wasir ini muncul..
yang sangat mengganggu. Ambeien atau wasir ini muncul..
yang sangat mengganggu. Ambeien atau wasir ini muncul..
شركة رش مبيدات بالدمام
شركة مكافحة حشرات بالدمام
شركة مكافحة الصراصير ببقيق
شركة مكافحة الصراصير بعنك
شركة مكافحة الصراصير بالجبيل
شركة مكافحة الصراصير بالقطيف
شركة مكافحة الصراصير بالظهران
شركة مكافحة الصراصير براس تنورة
شركة مكافحة الصراصير بسيهات
شركة مكافحة الصراصير بالخبر
شركة مكافحة الصراصير بالدمام
dapatkan dan buktikan khasiatnya dari obat herbal kutil kelamin yang aman dan ampuh untuk mengobati atau merontokan dengan cepat aman dan nyaman dari penyakit kutil pada kelamin pada pria dan wanita dengan cepat dan aman tanpa efek samping ataupun ketergantungan obat. produk ini merupakan obat herbal ampuh dan manjur yang terbuat dari bahan alami dari alam Indonesia untuk mengatasi penyakit kutil kelamin dengan aman tanpa operasi dari de Nature Indonesia. Penyakit Kutil kelamin adalah salah satu dari dua penyakit menular seksual yang paling sering menular, dan di sebabkan oleh virus. Penyakit satunya lagi adalah herpes genital. Penyakit ini disebabkan oleh virus papiloma manusia sering disingkat sebagai hpv.
Penyakit kutil seperti luka yang muncul ini juga disebut dengan nama kondiloma acuminate. Kutil tumbuh dengan ukuran kecil, tampak seperti daging berwarna di daerah genital dan anal. Dan penelitian menunjukkan bahwa 10-40% wanita yang aktif secara seksual oterinfeksi hpv, meskipun kehadiran HPV ini pada penderita tidak selalu disertai dengan munculnya kutil kelamin.
Jalur Penyebaran Kutil Kelamin
Kutil kelamin menyebar melalui kontak langsung dengan orang yang terinfeksi, seperti melalui vagina , anal, atau oral seks. Sekitar enam puluh persen orang yang melakukan kontak seksual dengan penderita kutil kelamin akan mengalami gejala, dan biasanya itu terjadi dalam waktu tiga bulan semenjak hubungan itu.
Virus papiloma masuk melalui lecet atau luka kecil di area kelamin yang terjadi selama aktivitas seksual. Setelah virus ini masuk, biasanya dibutuhkan sekitar tiga bulan untuk gejala pertama muncul, tetapi bisa juga memakan waktu lebih lama hingga bertahun-tahun.
Dalam kasus yang jarang terjadi, orang dewasa atau anak-anak dapat terinfeksi secara tidak langsung. Misalnya, menggunakan handuk orang yang terinfeksi , atau jika tergesek alat kelamin. Selain itu, bayi dapat terinfeksi melalui persalinan karena vagina ibunya ada kutil kelamin.
Buktikan khasiat obat kutil kelamin kami yang terbuat dari bahan alami asli indonesia tanpa efek samping dan sangat manjur. Penderita penyakit ini tentunya bertanya-tanya, bagaimana caranya untuk menyembuhkan penyakit ini cukup di rumah saja dan tidak perlu repot-repot harus ke dokter. Atau ada beberapa alasan lainya yang menyebabkan seseorang tidak ingin menceritakan penyakitnya ini, dan anda jangan khawatir karena anda tidak sendirian dalam permasalahan ini.
Kutil yang terjadi pada organ kelamin ini adalah penyakit yang disebabkan oleh virus menular bernama APV atau Human Papilloma Virus. Virus ini dapat ditularkan melalui kulit atau kontak kulit. Hal ini berarti bahwa seseorang bisa tertular virus ini HPV melalui hubungan seksual dan meski sudah menggunakan kondom. Biasanya penderita juga tidak menunjukkan tanda sedang mengalami penyakit kutil kelamin, sehingga hal ini juga mungkin orang lain untuk mendapatkan kutil kelamin dari penderita yang tidak memiliki tanda-tanda kutil kelamin tersebut. Misalnya jika pasanganya anda memiliki salah satu
strain HPV yang menyebabkan pertumbuhan kutil kelamin, maka Anda juga bisa mendapatkannya. Keadaan juga bisa menjadi lebih buruk, jika penderita menyebarkan virus tersebut yang sudah berbentuk
kutil.
Dari membaca informasi di atas, seharusnya sudah jelas bahwa sangat mudah seseorang terkena virus ini yang kemudian dapat menyebabkan pertumbuhan kutil pada alat kelamin. Kutil yang tumbuh pada alat kelamin ini juga bukanlah penyakit hina yang membuat anda merasa rendah diri dan malu untuk mengkonsultasikanya, apalagi jika ini masih berupa gejala awal, karena banyak penderita yang mengalami pertumbuhan kutil ini pada beberapa bagian alat kelaminya.
Jadi jika anda bertanya-tanya bagaimana dapat menyembuhkan penyakit ini dari rumah, maka yakinlah saja pengobatan itu ada karena sudah banyak penderita yang menyembuhkan penyakitnya ini dari rumah. Sebenarnya juga ada beberapa alasan kenapa penderita lebih memilih penyembuhan penyakitnya ini dari rumah, yang diantaranya adalah :
1. Malu
Ada sejumlah besar rasa malu yang terkait dengan semua PMS, salah satunya adalah kutil kelamin ini. Untuk alasan inilah mungkin anda ingin menyingkirkan kutil kelamin secepat mungkin tanpa harus memberitahu siapa pun, dan hal ini adalah wajar dan dapat dimengerti.
2. Privasi
Pekerjaan anda mungkin yang berhubungan dengan kantor atau dokter, sehingga ingin menyimpan penyakit ini dari catatan medis Anda.
3. Waktu
Mengobati penyakit ini dari rumah memang lebih efektif rasanya di jaman sekarang. Anda mungkin harus menunggu beberapa minggu untuk janji dokter dan kemudian harus kembali untuk banyak menindaklanjuti perawatan. Tapi jika anda menyembuhkan penyakit kutil Anda ini di rumah, perawatan dapat dilakukan lebih segera.
Cara herbal mengatasi kutil kelamin secara ampuh hubungi 28fe5a8b 081310563770 085846940249. pertumbuhan kutil kelamin lebih sering terjadi dalam kelompok dan dapat terakumulasi menjadi ukuran yang lebih besar pada jaringan genital. Kutil juga sering kembali muncul setelah pengobatan, hal-hal itu tergantung pada faktor-faktor, seperti ukuran dan lokasi tempat pertumbuhan kutil. Untuk menyembuhkan penyakit kutil ini dapat diberlakukan dalam beberapa cara.
Sedangkan penundaan berkepanjangan untuk mengobati penyakit ini dapat menyebabkan kutil semakin berakar dalam, anda juga perlu tahu bahwa setiap kutil itu sangat menular. Gejala yang dialami penderita mungkin terdiri dari beberapa letupan, dan jika penyakit ini tidak di obati untuk waktu yang lama maka ada kemungkinan kutil tersebut tidak merespon pengobatan oral atau topical, maka salah satunya jalan adalah melalui operasi. Maka mengetahui betapa rumitnya pengobatan penyakit ini seharusnya menerbitkan kesimpulan penting pada diri kita untuk mendapatkan perawatan infeksi genital secara dini, karena penyakit ini sangat menular dan mungkin anda dapat menyebarkan infeksi kepada orang lain.
Karena banyak penderita yang malu terlibat dalam pembicaraan tentang penyakit kutil kelamin HPV ini, maka mayoritas penderita kutil kelamin laki-laki dan perempuan biasanya tidak tahu apa jenis perawatan tepat yang dapat digunakan untuk kutil tersebut, khususnya pengobatan yang dapat digunakan secara privasi rumah mereka. Selain itu juga diketahui bahwa apapun jenis pengobatan yang dicoba oleh setiap penderita penyakit ini, belum ada yang benar-benar ampuh untuk menyembuhkan penderita sampai semua virus penyakitnya hilang.
sudah terbukti ampuh obat dari kami untuk merontokan kutil kelamin dengan cara memakai obat herbal dari de Nature Indonesia hubungi 28fe5a8b/081310563770/085846940249. Penyakit Kutil kelamin adalah salah satu dari dua penyakit menular seksual yang paling sering menular, dan disebabkan oleh virus. Penyakit satunya lagi adalah herpes genital. Penyakit ini disebabkan oleh virus papiloma manusia sering disingkat sebagai HPV.
Penyakit kutil seperti luka yang muncul ini juga disebut dengan nama kondiloma acuminate. Kutil tumbuh dengan ukuran kecil, tampak seperti daging berwarna di daerah genital dan anal. Dan penelitian menunjukkan bahwa 10-40% wanita yang aktif secara seksual terinfeksi HPV, meskipun kehadiran HPV ini pada penderita tidak selalu disertai dengan munculnya kutil kelamin.
Jalur Penyebaran Kutil Kelamin
Kutil kelamin menyebar melalui kontak langsung dengan orang yang terinfeksi, seperti melalui vagina, anal, atau oral seks. Sekitar enam puluh persen orang yang melakukan kontak seksual dengan penderita kutil kelamin akan mengalami gejala, dan biasanya itu terjadi dalam waktu tiga bulan semenjak
hubungan intim.
Virus papiloma masuk melalui lecet atau luka kecil di area kelamin yang terjadi selama aktivitas seksual. Setelah virus ini masuk, biasanya dibutuhkan sekitar tiga bulan untuk gejala pertama muncul, tetapi bisa juga memakan waktu lebih lama hingga bertahun-tahun.
Bukltikan khasiatnya obat herbal kutil kelamin de Nature Indonesia untuk pemesanan hubungi 28fe5a8b/081310563770/085846940249. Kutil kelamin laki-laki tentunya penyakit menular seksual yang sangat umum terjadi di kalangan laki-laki saja, khususnya yang aktif secara seksual atau memiliki pasangan seksual yang lebih dari satu. Hal-hal seperti ini yang bisa menjadi resiko peningkatan kesempatan untuk menderita penyakit ini. Kutil kelamin di sebabkan oleh virus yang dikenal sebagai virus papiloma manusia (HPV). Bahkan, HPV bertanggung jawab untuk semua jenis kutil. Penelitian juga membuktikan bahwa HPV terdiri dari lebih 40 jenis. Beberapa sumber bahkan melaporkan lebih dari itu. Anda juga harus tahu virus dapat ditularkan melalui kontak langsung atau tidak langsung. Jadi Anda mungkin Anda mungkin saja tidak tahu darimana penyakit ini berasal sehingga menghinggapi tubuh anda.
Jika penyakit ini terjadi pada laki-laki, biasanya kondisi yang terjadi tidak seperti kondisi lainnya, penderita juga akan mengalami perubahan dalam kehidupan seksnya secara drastis. Kondisi ini kemudian menyebabkan penderita dihadapkan dengan banyak keputusan sulit, dan harus semakin berhati-hati jika mendapatkan mitra seksual baru. Artinya, jika Anda memiliki kontak seksual dengan pasangan yang terinfeksi, kemungkinan besar akan mengembangkan penyakit ini, dan biasanya itu terjadi dalam waktu tiga bulan. Karena itulah maka hal seperti ini yang harus sudah anda pikirkan dari sekarang, karena bisa saja anda mungkin tidak tahu sedang mengidap penyakit ini. Hal ini yang kemudian menyebabkan penyakit ini menyebar luas.
Obat Kencing Nanah
Obat Sipilis
Obat Herbal Kutil Kelamin
Obat Kencing Nanah Manjur
Obat Kencing Nanah Paling Ampuh
Obat Kencing Nanah Pria
Obat Kencing Nanah Wanita
Obat Kencing Nanah Alami
Obat Kencing Nanah Ibu Hamil
Obat Kencing Nanah Di Apotik
Obat Kencing Nanah 3 Hari Sembuh
Penyakit Kencing Nanah
Penyakit Kencing Nanah Pria
Penyakit Kencing Nanah Wanita
Penyakit Kencing Nanah Ibu Hamil
Gejala Penyakit Kencing Nanah
Gejala Penyakit Kencing Nanah Pria
Gejala Penyakit Kencing Nanah Wanita
Gejala Penyakit Kencing Nanah Ibu Hamil
Ciri Ciri Penyakit Kencing Nanah
Ciri Ciri Penyakit Kencing Nanah Pria
Ciri Ciri Penyakit Kencing Nanah Wanita
Ciri Ciri Penyakit Kencing Nanah Ibu Hamil
Tanda Tanda Penyakit Kencing Nanah
Tanda Tanda Penyakit Kencing Nanah Pria
Kutil kelamin adalah penyakit yang sangat umum, dan bisa mempengaruhi lebih dari 5 juta pria, wanita dan anak-anak, seperti setiap tahun yang terjadi di Amerika Serikat. Penyakit ini memang jarang terjadi pada wanita yang sedang hamil, karena banyak penderita wanita yang mengalami penyakit ini setelah melahirkan. Tapi yang sangat disayangkan jika penyakit ini terjadi pada saat wanita sedang hamil tapi dia tidak pernah menyadari hal itu, dengan begitu maka akan ada kemungkinan penyakit akan terus berkembang menjadi lebih parah, satu-satunya jalan terbaik adalah dengan melakukan check up secara rutin, dan mencari penyebab kutil kelamin tersebut. Jual obat herbal kutil kelamin de nature indonesia Izin Ikot DINKES RI No 4420060 V 2 hubungi 28fe5a8b 081310563770 085846940249
Yang menjadi penyebab penyakit ini adalah Virus papiloma manusia (HPV) yang bisa menyerang siapa saja tanpa pandang bulu, termasuk wanita hamil. Dan obat kutil kelamin mungkin sulit untuk di temukan di apotik di daerah anda. Dan sesungguhnya wanita hamil memiliki resiko yang lebih besar jika terkena penyakit ini karena dapat mempengaruhi pertumbuhan janin yang sedang dikandungnya. Segera cari tahu apa ciri kutil kelamin tersebut. Tapi jangan khawatir karena di jaman sekarang ini, pengobatan kutil kelamin sudah dikenal secara meluas, intinya anda harus segera menghubungi dokter terdekat jika sudah terkena penyakit ini.
Salah satu cara yang dilakukan oleh praktisi medis untuk mendiagnosis kutil kelamin adalah dengan pemeriksaan visual langsung. Dan metode ini merupakan salah satu cara medis umum untuk menguji pasien wanita dengan penyebab kutil kelamin, infeksi HPV atau kemungkinan kanker serviks. Khusus untu pemeriksaan serviks dilakukan dengan menggunakan Pap smear test. Tes ini merupakan pemeriksaan menyeluruh dan mendetail dari sel serviks uterus yang dikorek. Jika praktisi medis mendeteksi adanya kelainan pada hasil tes, mereka mengirim pasien untuk pemeriksaan lebih lanjut untuk menentukan penyebab pasti dan sifat dari kelainan.
Pemeriksaan fisik untuk ciri kutil kelamin diagnosis kutil kelamin melibatkan pemeriksaan menyeluruh dari daerah pinggul dan paha. Kutil ini juga dapat berkembang di mulut atau tenggorokan, namun kasus seperti itu jarang. Dengan mata telanjang kita bisa melihat kutil tersebut muncul dan mengangkat berupa benjolan datar pada kulit. Ukuran kutil juga mungkin lebih besar atau kecil yang bertumbuh secara berkelompok atau individual. Terkadang bentuk dari obat kutil kelamin ini adalah menyerupai kembang kol, dan yang paling khas ada titik-titik kutil pada kulit organ kelamin.
Jika ingin dijelaskan lagi maka dapat disebutkan bahwa kutil ini umumnya berbentuk daging berwarna atau sedikit lebih ringan daripada warna kulit pasien. Kutil kelamin sebagian besar menyakitkan selain gatal-gatal, nyeri dan bisa berujung pada pendarahan.Jual obat herbal ampuh untuk kutil kelamin de nature indonesia Izin Ikot DINKES RI No 4420060 V 2 hubungi 28fe5a8b 081310563770 085846940249
Jika penyakit kutil kelamin yang sedang anda derita sudah termasuk sangat parah, maka tindakan selanjutnya yang harus dilakukan adalah mencari obat kutil kelamin. Ada beberapa cara yang dapat dilakukan, diantaranya adalah dengan metode konvensional menggunakan krim oles atau salep kutil kelamin, atau dapat juga penderita beralih ke obat resep dokter ketika mereka menemukan bahwa hasil metode konvensional ini kurang efektif. Khusus untuk pengobatan medis, biasanya metode ekstrem yang digunakan jika penyakit yang dialami penderita sudah semakin parah. Diantara beberapa metode pengobatan ekstrem tersebut adalah menggunakan CO2 atau operasi laser, di mana dokter akan menggunakan laser untuk membakar penyebab kutil kelamin. Metode pengobatan ini juga bisa sangat mahal, memakan waktu, dan menyakitkan atau cukup menakutkan. Metode pengobatan lainya yang adalah cryotherapy. Metode pengobatan ini melibatkan nitrogen cair untuk kutil yang akan membekukan kutil dari kulit. Lalu ada metode pengobatan Loop Electrosurgical Prosedur eksisi (LEEP), yang memanfaatkan alat berbilah berupa pisau yang berbentuk lingkaran. Alat ini dilewatkan sekitar dan di bawah setiap kutil untuk diangkat dari kulit. Tidak berbeda dengan metode pengobatan laser, metode pengobatan ini juga tergolong mahal. Selain itu belum ada jaminan bahwa obat mahal medis ini memang dapat menyembuhkan kutil kelamin secara tuntas, perlu kita ketahui bahwa kutil kelamin adalah penyakit yang sukar disembuhkan karena virus HPV yang menjadi penyebabnya sukar juga dihilangkan. Banyak pengobatan yang ada di jaman sekarang hanya dapat menghilangkan kutil, tapi tidak dengan virus penyebabnya.
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