{"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\/es\/2022\/11\/03\/indicacions-fitoterapeutiques-en-insuficiencia-venosa-des-de-loficina-de-farmacia\/","title":{"rendered":"Indicaciones fitoterap\u00e9uticas en insuficiencia venosa desde la oficina de farmacia"},"content":{"rendered":"

Recientemente, el COFB celebr\u00f3, en formato webinar, la conferencia "Fitoterapia indicada en insuficiencia venosa"<\/strong>, con el patrocinio deArkopharma<\/a> . Coordinada y moderada por Josep Allu\u00e9 <\/strong>, <\/span>vocal de Plantas Medicinales del COFB, cont\u00f3 con la participaci\u00f3n de Pedro Villabella<\/strong>, m\u00e9dico especialista en angiolog\u00eda y cirug\u00eda vascular y director en la Cl\u00ednica El Molin\u00f3n en Gij\u00f3n, y Guillermo Estrada<\/strong>, farmac\u00e9utico comunitario y vocal de Investigaci\u00f3n y Docencia del COF de Toledo.<\/p>\n\n\n\n

\"Josep
Josep Allu\u00e9, vocal de plantas medicinales del COFB, introdujo a los ponentes de la formaci\u00f3n \u201cFitoterapia indicada en insuficiencia venosa\u201d.<\/figcaption><\/figure>\n\n\n\n

Los objetivos de esta actividad fueron revisar la insuficiencia venosa como patolog\u00eda cr\u00f3nica<\/strong>, conocer las principales medidas preventivas<\/strong>, las soluciones en fitoterapia<\/strong> que existen y los diferentes activos naturales indicados, as\u00ed como plantear elabordaje de este tipo de consultas en la oficina de farmacia <\/strong>a trav\u00e9s de casos pr\u00e1cticos.<\/p>\n\n\n\n

Insuficiencia venosa cr\u00f3nica y su tratamiento<\/strong><\/h2>\n\n\n\n

En la intervenci\u00f3n que abr\u00eda la conferencia, el doctor Pedro Villabella<\/strong>, repas\u00f3 el funcionamiento b\u00e1sico del sistema vascular<\/strong>, las funciones del sistema venoso y linf\u00e1tico, y el comportamiento de los fluidos por el \u00e1rbol vascular. Posteriormente, explic\u00f3 los motivos de fallo del sistema venoso y sus consecuencias<\/strong>, para concluir con la detecci\u00f3n de la<\/strong> insuficiencia venosa cr\u00f3nica (IVC)<\/strong> desde la oficina de farmacia, as\u00ed como su tratamiento<\/strong>. Villabella se\u00f1al\u00f3 que la insuficiencia venosa es un problema cr\u00f3nico <\/strong>y que \u201ces muy molesta, pudiendo hacer que disminuya enormemente la calidad de vida<\/strong>\u201c. Sin embargo, \u201csiempre se puede hacer algo para tratarlas\u201d.<\/p>\n\n\n\n

\"Pedro
Pedro Villabella, m\u00e9dico especialista en angiolog\u00eda y cirug\u00eda vascular, en un momento de su intervenci\u00f3n. <\/figcaption><\/figure>\n\n\n\n

En relaci\u00f3n con este tratamiento record\u00f3 una cuesti\u00f3n tan b\u00e1sica como \u201cmantener las piernas levantadas durante el descanso<\/strong>\u201d y recomend\u00f3 medias compresivas<\/strong> que est\u00e9n \u201cbien adaptadas al paciente<\/strong> en cuanto a tipos y tama\u00f1os\u201d. Si los pacientes tienen isquemia, adem\u00e1s del problema venoso, advirti\u00f3 que "hay que ser cuidadoso a la hora de recomendar medias compresivas". En todo caso, exceptuando isquemias graves, \u201cse puede recomendar una media compresiva de compresi\u00f3n normal o ligera en pr\u00e1cticamente todo el mundo, con seguridad<\/strong>\u201c. Respeto al uso de sustancias venot\u00f3nicas<\/strong> diferenci\u00f3 los casos con dolor y edema en funci\u00f3n de la aparici\u00f3n de prurito<\/strong> (casta\u00f1o de India) o no<\/strong> (extracto de hoja de vid). En casos m\u00e1s complejos recomend\u00f3 la colmena. De cualquier forma, ante cualquier duda de mala evoluci\u00f3n<\/strong>, aconsej\u00f3 derivar al especialista.<\/strong><\/p>\n\n\n\n

Indicaciones desde la oficina de farmacia<\/strong><\/h2>\n\n\n\n

En la segunda parte de la charla, el farmac\u00e9utico Guillermo Estrada empez\u00f3 su exposici\u00f3n recordando que la insuficiencia venosa<\/strong> \u201ces una patolog\u00eda prevalente en la poblaci\u00f3n espa\u00f1ola<\/strong> y se calcula que entre un 10% y un 40% de los adultos la padecen<\/strong>\u201d y anim\u00f3 a detectarla precozmente desde el mostrador. \u201cMuchas veces una simple consulta relacionada con aspectos est\u00e9ticos puede alertarnos y avanzarnos en la detecci\u00f3n\u201d. Para facilitar esta detecci\u00f3n e indicaci\u00f3n posterior, bas\u00f3 su presentaci\u00f3n en cuatro casos pr\u00e1cticos, diferenciados por sexo, edad y s\u00edntomas<\/strong>. Transversalmente, en los ejemplos que plante\u00f3, Estrada puso el foco en las posibles indicaciones farmac\u00e9uticas<\/strong> y en qu\u00e9 casos debe plantearse la derivaci\u00f3n despu\u00e9s de valorar la situaci\u00f3n del paciente.<\/p>\n\n\n\n

\"Guillermo
Guillermo Estrada, farmac\u00e9utico comunitario y vocal de Investigaci\u00f3n y Docencia del COF de Toledo, en un momento de su presentaci\u00f3n. <\/figcaption><\/figure>\n\n\n\n

Respecto a las indicaciones habl\u00f3 de medidas posturales, diet\u00e9ticas, ejercicio f\u00edsico, hidroterapia, cuidado de la piel, terapia compresiva y tratamiento farmacol\u00f3gico,<\/strong> destinados a \u201caliviar los s\u00edntomas y retrasar la aparici\u00f3n de complicaciones\u201d<\/strong>. En cuanto a los motivos de derivaci\u00f3n, <\/strong>en primer lugar, se\u00f1al\u00f3 que eledad<\/strong> era un factor a considerar si eran menores de 15 o mayores de 75 a\u00f1os. <\/strong>Detectar varices secundarias<\/strong> despu\u00e9s de un cuadro de flebitis, trombosis venosa o traumatismo, o pacientes con diabetes, insuficiencias card\u00edacas, hep\u00e1ticas o renales,<\/strong> ser\u00edan casos a derivar al especialista. Tambi\u00e9n elembarazo, la presencia de dolor y \u00falceras<\/strong>, as\u00ed como la falta de respuesta durante m\u00e1s de 2 semanas al tratamiento farmac\u00e9utico<\/strong>, ser\u00edan motivo suficiente para recomendar la visita al m\u00e9dico. <\/p>\n\n\n\n

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

Con el patrocinio de:<\/strong><\/p>\n\n\n\n

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

Recientemente, el COFB celebr\u00f3, en formato webinar, la conferencia \u201cFitoterapia indicada en insuficiencia venosa\u201d, con el patrocinio de Arkopharma. Coordinada y moderada por Josep Allu\u00e9, vocal de Plantas Medicinales del COFB, cont\u00f3 con la participaci\u00f3n de Pedro Villabella, m\u00e9dico especialista en angiolog\u00eda y cirug\u00eda vascular y director [\u2026]<\/p>","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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