{"id":64712,"date":"2022-11-03T19:34:41","date_gmt":"2022-11-03T17:34:41","guid":{"rendered":"https:\/\/blog.cofb.cat\/?p=64712"},"modified":"2023-10-09T13:20:06","modified_gmt":"2023-10-09T13:20:06","slug":"indicacions-fitoterapeutiques-en-insuficiencia-venosa-des-de-loficina-de-farmacia","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2022\/11\/03\/indicacions-fitoterapeutiques-en-insuficiencia-venosa-des-de-loficina-de-farmacia\/","title":{"rendered":"Indicacions fitoterap\u00e8utiques en insufici\u00e8ncia venosa des de l’oficina de farm\u00e0cia"},"content":{"rendered":"\n

Recentment, el COFB va celebrar, en format webinar, la confer\u00e8ncia “Fitoter\u00e0pia indicada en insufici\u00e8ncia venosa”<\/strong>, amb el patrocini d’Arkopharma<\/a> . Coordinada i moderada per Josep Allu\u00e9 <\/strong>, <\/span>vocal de Plantes Medicinals del COFB, va comptar amb la participaci\u00f3 de Pedro Villabella<\/strong>, metge especialista en angiologia i cirurgia vascular i director a la Cl\u00ednica El Molin\u00f3n a Gij\u00f3n, i Guillermo Estrada<\/strong>, farmac\u00e8utic comunitari i vocal d\u2019Investigaci\u00f3 i Doc\u00e8ncia del COF de Toledo.<\/p>\n\n\n\n

\"Josep
Josep Allu\u00e9, vocal de plantes medicinals del COFB, va introduir els ponents de la formaci\u00f3 “Fitoter\u00e0pia indicada en insufici\u00e8ncia venosa”.<\/figcaption><\/figure>\n\n\n\n

Els objectius d\u2019aquesta activitat van ser revisar la insufici\u00e8ncia venosa com a patologia cr\u00f2nica<\/strong>, con\u00e8ixer les principals mesures preventives<\/strong>, les solucions en fitoter\u00e0pia<\/strong> que existeixen i els diferents actius naturals indicats, aix\u00ed com plantejar l\u2019abordatge d\u2019aquest tipus de consultes a l’oficina de farm\u00e0cia <\/strong>a trav\u00e9s de casos pr\u00e0ctics.<\/p>\n\n\n\n

Insufici\u00e8ncia venosa cr\u00f2nica i el seu tractament<\/strong><\/h2>\n\n\n\n

En la intervenci\u00f3 que obria la confer\u00e8ncia, el doctor Pedro Villabella<\/strong>, va repassar el funcionament b\u00e0sic del sistema vascular<\/strong>, les funcions del sistema ven\u00f3s i limf\u00e0tic, i el comportament dels fluids per l\u2019arbre vascular. Posteriorment, va explicar els motius de fallada del sistema ven\u00f3s i les seves conseq\u00fc\u00e8ncies<\/strong>, per concloure amb la detecci\u00f3 de la<\/strong> insufici\u00e8ncia venosa cr\u00f2nica (IVC)<\/strong> des de l’oficina de farm\u00e0cia, aix\u00ed com el seu tractament<\/strong>. Villabella va assenyalar que la insufici\u00e8ncia venosa \u00e9s un problema cr\u00f2nic <\/strong>i que “\u00e9s molt molesta, podent fer que disminueixi enormement la qualitat de vida<\/strong>“. Malgrat aix\u00f2, “sempre es pot fer alguna cosa per tractar-les”.<\/p>\n\n\n\n

\"Pedro
Pedro Villabella, metge especialista en angiologia i cirurgia vascular, en un moment de la seva intervenci\u00f3. <\/figcaption><\/figure>\n\n\n\n

En relaci\u00f3 amb aquest tractament va recordar una q\u00fcesti\u00f3 tan b\u00e0sica com “mantenir les cames aixecades durant el descans<\/strong>” i va recomanar mitges compressives<\/strong> que estiguin “ben adaptades al pacient<\/strong> pel que fa a tipus i mides”. Si els pacients tenen isqu\u00e8mia, a m\u00e9s del problema ven\u00f3s, va advertir que “s’ha de ser cur\u00f3s a l’hora de recomanar mitges compressives”. En tot cas, exceptuant isqu\u00e8mies greus, “es pot recomanar una mitja compressiva de compressi\u00f3 normal o lleugera a pr\u00e0cticament tot el m\u00f3n, amb seguretat<\/strong>“. Respecte a l’\u00fas de subst\u00e0ncies venot\u00f2niques<\/strong> va diferenciar els casos amb dolor i edema en funci\u00f3 de l’aparici\u00f3 de prurit<\/strong> (castanyer d’\u00cdndia) o no<\/strong> (extracte de fulla de vinya). En casos m\u00e9s complexos va recomanar el rusc. De qualsevol forma, davant qualsevol dubte de mala evoluci\u00f3<\/strong>, va aconsellar derivar a l’especialista.<\/strong><\/p>\n\n\n\n

Indicacions des de l’oficina de farm\u00e0cia<\/strong><\/h2>\n\n\n\n

En la segona part de la xerrada, el farmac\u00e8utic Guillermo Estrada va comen\u00e7ar la seva exposici\u00f3 recordant que la insufici\u00e8ncia venosa<\/strong> “\u00e9s una patologia prevalent en la poblaci\u00f3 espanyola<\/strong> i es calcula que entre un 10% i un 40% dels adults la pateixen<\/strong>” i va animar a detectar-la preco\u00e7ment des del taulell. “Moltes vegades una simple consulta relacionada amb aspectes est\u00e8tics ens pot alertar i avan\u00e7ar-nos en la detecci\u00f3”. Per facilitar aquesta detecci\u00f3 i indicaci\u00f3 posterior, va basar la seva presentaci\u00f3 en quatre casos pr\u00e0ctics, diferenciats per sexe, edat i s\u00edmptomes<\/strong>. Transversalment, als exemples que va plantejar, Estrada va posar el focus en les possibles indicacions farmac\u00e8utiques<\/strong> i en quins casos s’ha de plantejar la derivaci\u00f3 despr\u00e9s de valorar la situaci\u00f3 del pacient.<\/p>\n\n\n\n

\"Guillermo
Guillermo Estrada, farmac\u00e8utic comunitari i vocal d\u2019Investigaci\u00f3 i Doc\u00e8ncia del COF de Toledo, en un moment de la seva presentaci\u00f3. <\/figcaption><\/figure>\n\n\n\n

Respecte a les indicacions va parlar de mesures posturals, diet\u00e8tiques, exercici f\u00edsic, hidroter\u00e0pia, cura de la pell, ter\u00e0pia compressiva i tractament farmacol\u00f2gic,<\/strong> destinats a “alleujar els s\u00edmptomes i endarrerir l’aparici\u00f3 de complicacions”<\/strong>. Pel que fa als motius de derivaci\u00f3, <\/strong>en primer lloc, va assenyalar que l’edat<\/strong> era un factor a considerar si eren menors de 15 o majors de 75 anys. <\/strong>Detectar varius secund\u00e0ries<\/strong> despr\u00e9s d’un quadre de flebitis, trombosi venosa o traumatisme, o pacients amb diabetis, insufici\u00e8ncies card\u00edaques, hep\u00e0tiques o renals,<\/strong> serien casos a derivar a l’especialista. Tamb\u00e9 l’embar\u00e0s, la pres\u00e8ncia de dolor i \u00falceres<\/strong>, aix\u00ed com la manca de resposta durant m\u00e9s de 2 setmanes al tractament farmac\u00e8utic<\/strong>, serien motiu suficient per recomanar la visita al metge. <\/p>\n\n\n\n

\n
<\/div>\n\n\n\n
<\/div>\n\n\n\n
\n

Amb el patrocini de:<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure> <\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Recentment, el COFB va celebrar, en format webinar, la confer\u00e8ncia “Fitoter\u00e0pia indicada en insufici\u00e8ncia venosa”, amb el patrocini d’Arkopharma . Coordinada i moderada per Josep Allu\u00e9 , vocal de Plantes Medicinals del COFB, va comptar amb la participaci\u00f3 de Pedro Villabella, metge especialista en angiologia i cirurgia vascular i director […]<\/p>\n","protected":false},"author":1,"featured_media":67837,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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