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Limite si indicatii ale fitoterapiei in pediatrie, sarcina si alaptare

Dr.Carmen Nonn, Dr. Dalia Faur medic specialist MF, competen apifitoterapie, formator apifitoterapie
Laboratoarele Fares Page Bio Vital 1

INTRODUCERE
GRAVIDITATEA este o stare de normalitate, prin care trece organismul femeii, din momentul conceptiei si pina la momentul nasterii. In decursul sarcinii, gravida se poate confrunta cu o serie de stari patologice, asupra carora trebuie sa se intervina medicamentos. STAREA PATOLOGICA dar si MEDICATIA recomandata , poate avea efect teratogen asupra fatului , sau poate influenta negativ starea de sanatate a gravidei.
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INTRODUCERE
In aceasta situatie, este de preferat sa recomandam gravidei - atunci cind se poate - un TRATAMENT APIFITOTERAPIC, decit unul alopat. Trebuie insa sa tinem cont ca substantele active din plante trec prin bariera feto-placentara si in laptele matern si pot inflenta atat gustul laptelui, cat si fatul, de aceea unele plante trebuie evitate in perioada de sarcina si alaptare. Evidentele din tratatele de fitoterapie, despre efectul produselor fitoterapice asupra sarcinii si in timpul alaptarii, sunt INCOMPLETE si uneori cu rezultate CONTRADICTORII.
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Plante contraindicate in sarcina, alaptare si la sugari


Produse vegetale
Pelin partea aeriana Obligeana -radacina Rostopasca partea aeriana Ienupar fructe Crusinul scoarta Coada soricelului partea aeriana Vasc ramuri cu frunze Levantica flori

Denumirea latina
Artemisia absinthium Acorus Calamus Chelidonium majus Juniperus communis Rhamnus sp Achillea millefolium Viscum album Lavandula officinalis

Substante active CI in sarcina, alaptare


Substante amare Substante amare Alcaloizi, substante amare ulei esential si substante amare derivati antracenici Ulei esential, substante amare alcaloizi ulei esential si substante amare

Aciuni farmacologice CI in sarcina, alaptare


emenagog, abortiv emenogog, stimuleaza contractiile uterine emenagog emenagog emnagog, abortiv emenagog stimuleaza contractiile uterine, emenagog emenagog

Salvie partea aeriana


In seminte Revent radacina Salcie- scoarta

Salvia officinalis
Linum usitatissimum Rheum sp. Salix alba

Ulei esential, substante amare


Substante estrogenice derivati antracenici si substante amare salicin

Stimulent uterin , estrogenic


Stimuleaza contractiile uterine. emenagog, stimulent uterin

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Poate produce sindrom Reye

Plante contraindicate in sarcina, alaptare si la sugari Uleiurile volatile cu cetone: abortive (cind. copii i gravide, epilepsie)
Aeth. Absinthii (35 45 % tuion), aeth. Artemisiae annuae (22 34 % artemisia ceton), aeth. Anethi graveolens (28 41 % carvon), aeth. Carvi (48 58 % carvon), aeth. Cedri atlanticae (20 % atalantone), Uleiuri cu proporii mai mici de cetone: cimbru, rozmarin, salvie, eucalipt

Uleiurile cu lactone - abortive (cind. copii i gravide, epilepsie)


Aeth. Inulae helenii (alantolactona, izoalantolactona) cind. n epilepsie, scleroz multipl neurotoxic; utilizare dermic alergizant).

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Produse vegetale care se pot administra la sugari i copii mici ( 0-3 ani)
Plantago pss.- Ptlagin Sambucus nigra - Soc Lichen islandicus - Lichen de piatr Althea officinalis - Nalb mare Echinaceea spp. - Echinacea Tilia pss. - Tei Primula officinalis (veris) Ciuboica cucului Matricaria chamomilla - Mueel Pulmonaria officinalis - Plmnric Pinus silvestris - Muguri de pin Robinia pseudoacacia - Salcm Thymus serpillus - Cimbrior Thymus vulgaris - Cimbru Viola odorata - Toporai Verbascum tapsus - Lumnric Rosa canina - Mcee

Aciuni farmacologice
demulcent, expectorant demulcent, expectorant demulcent, expectorant, antimicrobian, antiinflamatoare demulcent, expectorant imunostimulatoare, antimicrobian, antiinflamatoare demulcent, expectorant demulcent, expectorant antimicrobian, antiinflamatoare, antispastic demulcent, expectorant expectorant demulcent, expectorant antimicrobian, antiinflamatoare, antispastic antimicrobian, antiinflamatoare, antispastic demulcent, expectorant demulcent, expectorant vitaminizant

Melissa officinalis - Roini


Coriandrum sativum - Coriandru

antimicrobian, antiinflamatoare, antispastic


Antispastic, carminativ

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Fitoterapia la sugari
Extern pentru: Eritem fesier si iritatii ale pielii -Viola tricolor (Trei frati patati) infuzie -Matricaria chamomilla (Musetel) infuzie -Calendula officinalis (galbenele)- unguent, ulei -Hypericum perforatum- ulei obtinut prin macerarea in ulei de migdale Dermatita seboreica -Rp/ urzica frunze 40 g brusture radacina 30g infuzie 4% cu care se spala capul Viola tricolor (Trei frati patati) 30g Dermatita atopica -gel de Aloe -ulei de Hypericum perforatum obtinut prin macerarea in ulei de migdale Intern: gemoterapice: Ribes nigrum 10 pic. diluate in apa 1/zi Ficus carica 10 pic. diluate in apa 1-2/zi

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Fitoterapia la sugari
Intern pentru: Colici abdominale -Melissa officinalis (roini)infuzie -Matricaria chamomilla (musetel) infuzie -Foeniculum vulgare (fenicul) infuzie -Mentha piperita (menta) infuzie -Carum carvi (chimen) infuzie Enterocolita -Geum urbanum (cerentel) -Mentha piperita (menta) infuzie Constipatia - Althea officinalis (nalb mare) -Convolvulus arvensis (volbura) sub forma de sirop -Plantago ovata (psyllium)

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PLANTE SIGURE IN SARCINA si ALAPTARE


Herbal Medicines in Pregnancies and Lactation
MERISOR ECHINACEEA MASLIN GHIMBIR CASTAN SALBATIC GINSENG COREEAN ARMURARIU MENTA ZMEUR GINSENG SIBERIAN SUNATOARE LICHEN DE PIATRA TURMERIC VACCINIUM MACROCARPON ECHINACEA ANGUSTIFOLIA OLEA EUROPAEA ZINGIBER OFFICINALIS AESCULUS HIPPOCASTANUM PANAX GINGSENG SYLIBUM MARIANUM MENTHA PIPERITA RUBUS IDEAUS ELEUTHEROCOCCUS SENTICOSUS HYPERICUM PERFORATUM LICHEN ISLANDICUS CURCUMA LONGA

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PLANTE SIGURE IN SARCINA si ALAPTARE


PDR FOR HERBAL MEDICINES
USTUROI CEAPA TURITA MARE CASTAN SALBATIC PIR BRUSTURE NALBA MARE ANANAS ASPARAGUS OVAZ VARZA SMOCHIN FAG MESTEACAN ALLIUM SATIVUM ALLIUM CEPA AGRIMONIA EUPATORIA AESCULUS HIPPOCASTANUM AGROPYRON REPENS ARCTIUM LAPPA ALTHEA OFFICINALIS ANANAS COMOSUS ASPARAGUS OFFICINALIS AVENA SATIVA BRASICA SPP FICUS CARICA FAGOPYRUM ESCULENTUM BETULA SPECIES
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PLANTE SIGURE IN SARCINA si ALAPTARE


PDR FOR HERBAL MEDICINES
CEAI VERDE CHIMION ALBASTREA CICOARE PORTOCAL LAMAI GRAPEFRUIT COADA CALULUI EUCALIPT CRETUSCA FRAGUTA LIPICIOASA HIBISCUS CAMELIA SINENSIS CARUM CARVI CENTAUREA CYANUS CICHORIUM INTHYBUS CITRUS AURANTIUM CITRUS LIMONUM CITRUS PARADISI EQUISETUM ARVENSE EUCALYPTUS GLOBULUS FILIPENDULA ULMARIA FRAGARIA VESCA GALIUM APARINE HIBISCUS SUBDARIFA
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PLANTE SIGURE IN SARCINA si ALAPTARE


PDR FOR HERBAL MEDICINES
CATINA SALATA VERDE LEMON VERBENA ALGE BRUNE ALGE BRUNE ROINITA MENTA OSUL IEPURELUI ORTOSIPHON DUD PASIFLORA PIN PATLAGINA HIPPOPHAE RHAMNOIDES LACTUCA VIROSA LYPPIA CITRIODORA MACROCYSTIS PYRIFERA CHONDRUS CRYSPUS MELISSA OFFICINALIS MENTHA PIPERITA ONONIS SPINOSA ORTOSIPHON SPICATUM MORUS ALBA/NIGRA PASSIFLORA INCARNATA PINUS SPECIES PLANTAGO SPP
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PLANTE SIGURE IN SARCINA si ALAPTARE


PDR FOR HERBAL MEDICINES
FASOLE TROSCOT PLOP MOLID CIUBOTICA CUCULUI PLAMINARICA MACES STEJAR ZMEUR MUR GHIMPE SOC PHASEOLUS VULGARIS POLYGONUM AVICULARAE POPULUS SPECIES PICEA SPECIES PRIMULA VERIS PULMONARIA OFFICINALIS ROSA CANINA QUERCUS SPP RUBUS IDEUS RUBUS FRUTICOSUS RUSCUS ACULEATUS SAMBUCUS NIGRA

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PLANTE SIGURE IN SARCINA si ALAPTARE


PDR FOR HERBAL MEDICINES

ARMURARIU PAPADIA CIMBRU CIMBRISOR TEI URZICA VALERIANA AFIN VIOREA PORUMB GHIMBIR

SILYBUM MARIANUM TARAXACUM OFFICINALIS THYMUS VULGARIS THYMUS SERPYLLUM TILIA SPECIES URTICA DIOICA VALERIANA OFFICINALIS VACCINIUM MYRTILLUS VIOLA ODORATA ZEA MAYS ZINGIBER OFFICINALIS

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PRODUSE APICOLE SIGURE IN SARCINA si ALAPTARE


MIERE POLEN PASTURA PROPOLIS

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STARI PATOLOGICE MAI FRECVENTE IN SARCINA


1.GRETURI/VARSATURI 2.ACIDITATE GASTRICA 3.METEORISM ABDOMINAL 4.CONSTIPATIA 5.HEMOROIZI 5.INSOMNIE 6.EDEME 7.HTA DE SARCINA 8.VARICE ALE MEMBRELOR INFERIOARE 9.HIPERGLICEMIE 10.INFECTII RESPIRATORII 11.INFECTII URINARE 12.ANEMIE FERIPRIVA 13.HIPOVITAMINOZE/ DEMINERALIZARI

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GRETURI/VARSATURI
MENTHA PIPERITA CICHORIUM INTHYBUS MELISSA OFFICINALIS TARAXACUM OFICINALIS ZINGIBER OFFICINALIS antispastic stim hepatobiliar antianorexigene colecistokinetice sedativ-echil snc stimul hepatobiliar antianorexigen antispastic stim motricit esofagiene/gastrice esteri mentol principii amare

ulei volatil
principii amare

ulei volatil cu alcool/fenol/fenolmetil eteri

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HIPERACIDITATE GASTRICA
ALTHEA OFFICINALS MALVA SILVESTRIS PANSAMENTE TILLIA SPP GASTRICE CHONDRUS CRYSPUS ARGILA ECHILIBRARE SNC VALERIANA OFF SEDATIVE MELISSA OFF MENTHA PIPERITA CITRUS AURANTIUS CICHORIUM INTHYBUS TARAXACUM OFF

poliholozide poliholozide poliholozide carrageenine valepotriati uleiuri volatile acetat mentil acetat linalil principii amare principii amare

ANTISPASTICE

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METEORISM ABDOMINAL
MELISSA OFF ZINGIBER OFF TARAXACUM OFF CICHORIUM INTH MENTHA PIPERITA MELISSA OFF ZINGIBER OFF
aldehide ul.vol alc,fenol principii amare principii amare ul.vol menthol aldehide ul.vol alc,fenol

ANTISPASTICE STOMAHICE STIMULATOARE HEPATOBILIARE STIMULAREA MOTILITATII TUB DIG

STIMULAREA ENZIMELOR DIGESTIVE


ECHILIBRAREA SNCSEDATIVE

ANANAS COMOSUS FICUS CARICA


VALERIANA OFF MELISSA OFF

enzime(papaina, bromelaina,ficina)
valepotriati uleiuri volatile

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CONSTIPATIE

LAXATIVE DE VOLUM

CHONDRUS CRYSPUS TARITE DE GRAU PSYLLIUM MERE,PERE,PRUNE MEL DEPURATUM PRUNE USCATE SMOCHINE USCATE CICHORIUM INTHYBUS

carrageenine fibre insolubile

LAXATIVE OSMOTICE COLERETICE/ COLAGOGE

oze

principii amare

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HEMOROIZI

LAXATIVE OSMOTICE LAXATIVE DE VOLUM ANTIIMFLAMATOARE CAPILAROPROTECT CICATRIZANTE VENO/LIMFOTONE

MIERE CHONDRUS CRISPUS PSYLLIUM AESCULUS HIPPOCASTANUM CITRUS AURANTIUM RUSCUS ACULEATUS PROPOLIS AESCULUS HIPPOCASTANUM

carageen fibre insolubile saponozide flavonoide,vit c flavone, ruscozida esculetozida

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INSOMNIE

LYPPIA CITRIODORA

sedativ

uleiuri volatile valepotriati uleiuri volatile uleiuri volatile

VALERIANA OFFICINALIS MELISSA OFFICINALIS TILIA SPECIES

sedativ sedativ usor sedativ

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EDEME

BETULA SPP
EQUISETUM ARVENSE

diuretica eliminare ac uric diuretica antiedematoasa diuretica eliminare ac uric diuretica elim calculi renali

saponozide triterpenice (betulinol) saponozide (equisetonina) saponozide flavonoide saponozide triterpenice (alfa,beta-onocerina)

URTICA DIOICA
ONONIS SPINOSA

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HIPERTENSIUNEA DE SARCINA

VASODILATATOARE PERIFERICE

MELISSA OFFICINALIS acid rosmarinic MENTHA PIPERITA acid rozmarinic BETULA SPP EQUISETUM ARVENSE URTICA DIOICA ONONIS SPINOSA
LYPPIA CITRIODORA saponozide triterpenice saponozide saponozide saponozide triterpenice ulei volatil valepotriati ulei volatil

DIURETICE

SEDATIVE

VALERIANA OFF MELISSA OFF

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VARICE ALE MEMBRELOR INFERIOARE

AESULUS venotone HIPPOCASTANUM CITRUS AURANTIUM CITRUS LIMONUM CITRUS PARADISI

vasoprotectoare venotone vasoprotectoare venotone vasoprotectoare venotone vasoprotectoare

esculozida
citroflavonoide Vit P citroflavonoide vit P citroflavonoide vit P

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HIPERGLICEMIE DE SARCINA
MORUS ALBA PANAX GINGSENG ALTHEA OFFICINALIS PLANTAGO LANCEOLATA TILIIA SPP AESCULUS HIPPOCASTANUM VACCINIUM MYRTILLUS CAMELLIA SINENSIS RUBUS IDEAUS PANAX SPP ALLIUM CEPA ALLIUM SATIVUM CHONDRUS CRISPUS PINUS PINEA URTICA DIOICA TARAXACUM OFFICINALIS POLYGONUM AVICULARAE
glican(morusan glican(panaxan a,b) poliholozide poliholozide taninuri catehice taninuri catehice si galice taninuri taninuri taninuri ginsenozide aliine aliine arginina triptofan flavone flavone flavone Page 26

INSULINOMIMETICE DIRECTE

INSULINOMIMETICE INDIRECTE

INFECTII RESPIRATORII
ANTIIMFLAMATOARE ANTIPIRETICE ANTIINFECTIOASE ANTITUSIVE EXPECTORANTE MUCOLITICE PROFILAXIE

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INFECTII RESPIRATORII
ANTIIMFLAMATOARE ANTIPIRETICE

PROPOLIS SAMBUCUS NIGRA BETULA SPP CITRUS AURANTIUM OLEA EUROPAEA LICHEN ISLANDICUS THYMUS VULGARIS CITRUS AURANTIUM LAURUS NOBILIS THYMUS SERPYLLUM ALTHEA OFFICINALIS PINUS SPP PLANTAGO SPP PULMONARIA OFFICINALIS PRIMULA VERIS SAMBUCUS NIGRA THYMUS SERPYLLUM TILIA SPP

ANTIBACTERIENE ANTIVIRALE

EXPECTORANTE MUCOLITICE

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PROFILAXIA INFECTIILOR RESPIRATORII


CITRUS LIMONUM CITRUS AURANTIUM ALLIUM CEPA ALLIUM SATIVA PINUS SPP ECHINACEEA SPP ELEUTHEROCOCCUS SENTICOSUS ROSA CANINA HIPPOPAE RHAMNOIDES

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INFECTII URINARE
ANTIINFECTIOASE

OLEA EUROPAEA THYMUS VULGARIS ASPARAGUS OFFICINALIS AGROPYRON REPENS BETULA SPP EQUISETUM ARVENSE ONONIS SPINOSA ORTOSIPHON SPICATUM ALTHEA OFFICINALIS PROPOLIS URTICA DIOICA ZEA MAYS HIBISCUS SUBDARIFA
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ANTIIMFLAMATOARE DIURETICE

HIPOVITAMINOZE, DEMINERALIZARI
MEL DEPURATUM POLEN/PASTURA ROSA CANINA HIPOPAE RHAMNOIDES URTICA DIOICA
VIT B1,B6.VIT C Ca,P,Na.K,Fe,Zn,Mg,Se,Cu,Zn

VIT GR B,C,P,Ac Fol K,NA,P,CA,MG,OLIGOELEMENTE


VITAMINA C,CX B VITAMINA C,A VITAMINA A,C,CX B CA,SI,P,K

PULMONARIA OFFICINALIS CITRUS LIMONUM


POLYGONUM AVICULARE EQUISETUM ARVENSE

SI VIT C
CA,SI,P,VIT C CA,SI,P Page 31

ANEMIE
MACROCYSTIS PIRIFERA SPIRULINA PLATENSIS URTICA DIOICA
5,5g/zi timp de 8 saptamini iod,proteine acid folic acid pantotenic protoporfirine aminoacizi esentiali vitamine C,B,C,P,D,E, acid folic Na,K,Ca,Mg,Fe, oligoelemente

hematopoieza

hematopoieza

POLEN/PASTURA

stimuleaza pofta de mancare hematopoieza

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ALAPTARE
Galactogoge busuiocul, anasonul, feniculul, brusture, chimen, elin, mtasea de porumb, rdcina de ppdie, mrar, schinduf, hamei, lichen de piatr, nalba mare, armurariul, urzica vie, tarhon, verbina, soc, snziene laptele, lintea, morcovii, porumbul, topinamburul, elina, urzicile, varza, arahide, linte, nap, orz Antigalactogoge salvie
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BIBLIOGRAFIE
PDR FOR HERBAL MEDICINES SECOND EDITION,2000 HERBAL MEDICINES IN PREGNANCY AND LATATION-E.MILLS,J-J DUGUOA,D PERRY,2000 ORIENTARI MODERNE IN APITERAPIE,FITOTERAPIE,AROMATERAPIENOTE DE CURS-V.ISTUDOR,2010 FITOTERAPIA AFECTIUNILOR ORALE SI DIGESTIVE,V.ISTUDOR,2011 FITOTERAPIA BOLILOR METABOLICE,V.ISTUDOR, 2008 APITERAPIA, C.MATEESCU,2008 FARMACOGNOZIE,FITOCHIMIE,FITOTERAPIE VOL I,VOL II, V.ISTUDOR, 2001 MEDICINA NATURISTA-FITOTERAPIE,ACUPUNCTURA,HOMEOPATIE, P.CHIRILA.M.CHIRILA,D.CONSTANTIN,M.TAMAS,N.MACOVEI,2008 FITOTERAPIE TRADITIONALA SI MODERNA,O.BOJOR,O.POPESCU,2009

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