{"id":84632,"date":"2026-04-14T13:10:27","date_gmt":"2026-04-14T13:10:27","guid":{"rendered":"https:\/\/www.cofb.org\/?p=84632"},"modified":"2026-04-17T13:11:22","modified_gmt":"2026-04-17T13:11:22","slug":"farmaceutics-comunitaris-sactualitzen-en-labordatge-del-peu-diabetic-a-loficina-de-farmacia","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2026\/04\/14\/farmaceutics-comunitaris-sactualitzen-en-labordatge-del-peu-diabetic-a-loficina-de-farmacia\/","title":{"rendered":"Farmac\u00e8utics comunitaris s\u2019actualitzen en l\u2019abordatge del peu diab\u00e8tic a l\u2019oficina de farm\u00e0cia"},"content":{"rendered":"\n

El passat 18 de mar\u00e7, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> va organitzar la formaci\u00f3 \u201cAbordatge del peu diab\u00e8tic a l\u2019oficina de farm\u00e0cia\u201d<\/strong>, amb el patrocini de Sandoz<\/a>. La sessi\u00f3, adre\u00e7ada a farmac\u00e8utics comunitaris<\/strong>, va anar a c\u00e0rrec de Judit Lluss\u00e0<\/strong>, metgessa de fam\u00edlia del CAP Sant Roc de Badalona i membre de l\u2019equip territorial de peu diab\u00e8tic, Alexandro Lacadena<\/strong>, farmac\u00e8utic titular i t\u00e8cnic ortoprot\u00e8sic de la Farmacia Ortopedia Lacadena, i de Jara Lacadena<\/strong>, t\u00e8cnica ortoprot\u00e8sica de la Farmacia Ortopedia Lacadena. La sessi\u00f3 va ser coordinada pels vocals del COFB: Llu\u00eds Garc\u00eda L\u00f3pez, vocal d\u2019Ortop\u00e8dia,<\/strong> i Merc\u00e8 Barau, vocal d\u2019Oficina de Farm\u00e0cia.<\/strong><\/p>\n\n\n\n

\"\"<\/a>
D’esquerra a dreta: Jara Lacadena, Judit Lluss\u00e0, Llu\u00eds Garc\u00eda i Alexandro Lacadena. <\/figcaption><\/figure>\n\n\n\n

Els objectius<\/strong> de la formaci\u00f3 van ser capacitar als farmac\u00e8utics per identificar els tipus de diabetis<\/strong> i les seves complicacions associades. Saber com aplicar criteris de detecci\u00f3 preco\u00e7 i derivaci\u00f3<\/strong>, analitzar els h\u00e0bits i pr\u00e0ctiques d’autocura dels pacients<\/strong> i com avaluar l’efic\u00e0cia de les mesures preventives<\/strong> i dels productes d\u2019indicaci\u00f3 farmac\u00e8utica en la reducci\u00f3 del risc de complicacions. I aprendre a dissenyar un protocol d\u2019actuaci\u00f3 farmac\u00e8utica per al seguiment i educaci\u00f3 sanit\u00e0ria de pacients amb diabetis orientat a la prevenci\u00f3 del peu diab\u00e8tic.<\/p>\n\n\n\n

\u201cEn les 3,5 hores que durar\u00e0 aquesta sessi\u00f3 hi haur\u00e0 420 amputacions per diabetis mellitus en el m\u00f3n\u201d<\/strong>, va sentenciar Judit Lluss\u00e0, metgessa de fam\u00edlia del CAP Sant Roc de Badalona, a l\u2019inici de la seva exposici\u00f3. La doctora va compartir la definici\u00f3 de diabetis, segons la International Diabetes Federation (IDF): \u201cUna condici\u00f3 cr\u00f2nica que es produeix quan el p\u00e0ncrees ja no pot fabricar insulina o quan el cos no pot utilitzar-la de manera efica\u00e7\u201d<\/strong>. Aquest fet \u201cprovoca nivells alts de glucosa en sang (hipergluc\u00e8mia), que a llarg termini danya \u00f2rgans i teixits\u201d. Aix\u00ed doncs, la insulina actua com una \u201cclau\u201d que permet que la glucosa entri a les c\u00e8l\u00b7lules i, quan aix\u00f2 falla, la glucosa s\u2019acumula a la sang.<\/p>\n\n\n\n

A continuaci\u00f3, Lluss\u00e0 va classificar la diabetis<\/strong> en quatre categories principals: la tipus 1<\/strong>, originada per la destrucci\u00f3 autoimmune de les c\u00e8l\u00b7lules beta; la tipus 2<\/strong>, originada per una p\u00e8rdua progressiva en la secreci\u00f3 d’insulina; i, d’altra banda, per altres causes espec\u00edfiques<\/strong> (monog\u00e8nica, pancre\u00e0tica, qu\u00edmica); i, finalment, per diabetis gestacional,<\/strong> diagnosticada durant el segon o el tercer trimestre de l’embar\u00e0s.<\/p>\n\n\n\n

\"\"<\/a>
Judit Lluss\u00e0 en un moment de la seva exposici\u00f3. <\/figcaption><\/figure>\n\n\n\n

Pel que fa a la incid\u00e8ncia<\/strong> de la diabetis a escala mundial, la doctora va explicar que l\u2019any 2025 hi havia un total de 589 milions d’adults<\/strong> que viuen amb aquesta malaltia (un de cada nou adults), que la malaltia va ser responsable de 3,4 milions de morts durant l’any 2024<\/strong> i que t\u00e9 un impacte econ\u00f2mic d\u20191 bili\u00f3 de d\u00f2lars<\/strong> de despesa sanit\u00e0ria.<\/p>\n\n\n\n

Per altra banda, aquesta malaltia pot comportar diverses complicacions microvasculars <\/strong>(retinopatia, nefropatia o neuropatia) i macrovasculars<\/strong> (malaltia coron\u00e0ria, cerebrovascular o arterial perif\u00e8rica). Lluss\u00e0 va assenyalar que la combinaci\u00f3<\/strong> de la neuropatia diab\u00e8tica<\/strong> i la malaltia arterial perif\u00e8rica<\/strong> \u00e9s la causa principal del que es coneix com a peu diab\u00e8tic.<\/strong><\/p>\n\n\n\n

Peu diab\u00e8tic: factors de risc i desencadenants<\/strong><\/h2>\n\n\n\n

\u201cLa diabetis no fa soroll, per\u00f2 el peu diab\u00e8tic en paga el preu. Aix\u00ed doncs, la prevenci\u00f3 \u00e9s l\u2019\u00fanica veu que pot avan\u00e7ar-s\u2019hi\u201d<\/strong>, va assegurar. Segons Lluss\u00e0, el peu diab\u00e8tic \u00e9s una s\u00edndrome resultant de la interacci\u00f3 de factors sist\u00e8mics i factors ambientals<\/strong>. Tanmateix, \u00e9s qualsevol lesi\u00f3 del peu resultant de la diabetis o de les seves complicacions i \u00e9s la primera causa d\u2019amputaci\u00f3 en els pa\u00efsos desenvolupats<\/strong>. La doctora va matisar que l\u2019amputaci\u00f3 es desencadena per la suma de factors predisposats, els factors desencadenants i els factors agreujants. \u201cEl 84% de les amputacions no traum\u00e0tiques de membres inferiors en persones amb diabetis mellitus tenen com a antecedent una \u00falcera diab\u00e8tica en el peu\u201d<\/strong>, va indicar. Aix\u00ed doncs, hi ha tres grans reptes<\/strong>: evitar que un peu normal es converteixi en un peu de risc, evitar que en un peu de risc aparegui una \u00falcera i evitar que l\u2019\u00falcera acabi en amputaci\u00f3.<\/strong><\/p>\n\n\n\n

Judit Lluss\u00e0 va recordar la import\u00e0ncia del cribratge sistem\u00e0tic i estandarditzat<\/strong>, ja que \u201cmenys d\u2019un ter\u00e7 dels professionals reconeixen els s\u00edmptomes de la neuropatia perif\u00e8rica i, fins i tot, la discuteixen amb els seus pacients\u201d<\/strong>. Alhora, va incidir en la import\u00e0ncia de la comunicaci\u00f3 i coordinaci\u00f3 entre nivells assistencials<\/strong>, pel fet que \u201cla demora en la derivaci\u00f3 dels pacients des de l\u2019atenci\u00f3 prim\u00e0ria a un segon nivell assistencial \u00e9s un dels factors de risc per a amputaci\u00f3 m\u00e9s importants\u201d<\/strong>. <\/p>\n\n\n\n

Consell farmac\u00e8utic per a l\u2019abordatge del peu diab\u00e8tic<\/strong><\/h2>\n\n\n\n

Seguidament, va intervenir Alexandro Lacadena<\/strong> i Jara Lacadena<\/strong>, tots dos t\u00e8cnics ortoprot\u00e8tics, per parlar de l\u2019abordatge del peu diab\u00e8tic des de la farm\u00e0cia comunit\u00e0ria<\/strong>. Alejandro Lacadena va destacar la import\u00e0ncia de la farm\u00e0cia<\/strong>, com a establiment sanitari m\u00e9s pr\u00f2xim a la ciutadania, per a l\u2019acompanyament de les persones amb peu diab\u00e8tic. \u201cEntre el 25% i el 50% dels pacients amb diabetis presenten risc de peu diab\u00e8tic i nom\u00e9s un ter\u00e7 dels pacients saben com cuidar-se adequadament el peu\u201d<\/strong>, va confirmar. I, a m\u00e9s, va afegir que \u201cEspanya \u00e9s el pa\u00eds d\u2019Europa amb m\u00e9s amputacions per complicacions\u201d.<\/strong><\/p>\n\n\n\n

\"\"<\/a>
Alexandro Lacadena durant la seva presentaci\u00f3. <\/figcaption><\/figure>\n\n\n\n

Aix\u00ed doncs, va remarcar la import\u00e0ncia dels farmac\u00e8utics i farmac\u00e8utiques en la detecci\u00f3 de factors de risc<\/strong> i va compartir algunes mesures de prevenci\u00f3 i educaci\u00f3<\/strong>, que es poden oferir des de la farm\u00e0cia, com una alimentaci\u00f3 equilibrada, tenir una vida activa i evitar l\u2019alcohol i el tabac<\/strong>. Tamb\u00e9 va anomenar alguns consells b\u00e0sics per al consell farmac\u00e8utic<\/strong> en relaci\u00f3 amb la higiene, la inspecci\u00f3 regular o el seguiment i el control.<\/strong><\/p>\n\n\n\n

\"\"<\/a>
Jara Lacadena en un moment de la seva intervenci\u00f3. <\/figcaption><\/figure>\n\n\n\n

Per la seva banda, Jara Lacadena<\/strong> va profunditzar en els diferents productes ortoprot\u00e8tics <\/strong>d\u2019indicaci\u00f3 farmac\u00e8utica, com s\u00f3n: el cal\u00e7at especial, els mitjons, les mitges, la compressi\u00f3 ajustable per al tractament de malalties ven\u00e8ries, el tallaungles, els productes per a la higiene di\u00e0ria o la crema hidratant.<\/p>\n\n\n\n

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

\"\"<\/a><\/figure>\n\n\n\n

<\/p>\n\n\n\n

<\/strong><\/p>\n\n\n\n

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

El passat 18 de mar\u00e7, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar la formaci\u00f3 \u201cAbordatge del peu diab\u00e8tic a l\u2019oficina de farm\u00e0cia\u201d, amb el patrocini de Sandoz. La sessi\u00f3, adre\u00e7ada a farmac\u00e8utics comunitaris, va anar a c\u00e0rrec de Judit Lluss\u00e0, metgessa de fam\u00edlia del CAP Sant Roc de […]<\/p>\n","protected":false},"author":3,"featured_media":84635,"comment_status":"closed","ping_status":"closed","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":"set","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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