Njira zothandizira matenda a shuga a mtundu wa 2 zimayesedwa kuti zithetsedwe kuti zikhazikike m'magazi. Pachifukwachi, njira zitatu zikuluzikulu zimagwiritsidwa ntchito: kutsata chakudya chapadera, masewero olimbitsa thupi komanso kugwiritsa ntchito mankhwala osokoneza bongo.
Kugwiritsiridwa ntchito kwa mankhwala a hypoglycemic kwa mtundu wa shuga 2 kumafuna njira yoyenera. Kusankhidwa kwa mankhwalawa ndi mlingo wawo kumayendetsedwa ndi dokotala yemwe akupezeka, pamene akuyang'ana mkhalidwe wa wodwalayo, shuga la magazi ndi zizindikiro za mkodzo, njira ndi kuopsa kwa matenda, ndi zina zotero.
Tiyenera kumvetsetsa kuti mankhwala omwe ali oyenerera kwa wodwala sangapereke mphamvu kwa wina kapena ngakhale kutsutsana. Choncho, mankhwalawa ayenera kugwiritsidwa ntchito molingana ndi cholinga komanso kuyang'aniridwa ndi katswiri.
Chiwerengero cha mapiritsi ochepetsa shuga
Mankhwala osokoneza bongo amagawidwa m'magawo atatu akuluakulu malingana ndi mankhwala omwe amachititsa kuti thupi likhale labwino.
Sulfonamides
Mankhwala omwe ali ndi mphamvu zambiri, ndiwo:
- kuyambitsa mapangidwe a insulini;
- kuonjezera mphamvu za ziwalo ndi ziphuphu kuti zikhale ndi insulini;
- zomwe zimawathandiza kuwonjezeka kwa chiwerengero cha insulin receptors pa maselo;
- kuchepetsa kapangidwe ka shuga ndi kuwonjezereka bwino.
Kawirikawiri amagwiritsidwa ntchito ndi mbadwo watsopano wa mankhwala a hypoglycemic kuchokera ku gululi motengera zinthu zotsatirazi:
- glibenclamide (Maninil);
- Glylazide (shuga, Glidiab);
- glikvidon (Gljurenorm);
- glimepiride (Amaryl, Glemaz).
Biguanides
Mankhwala osokoneza bongo, zomwe zimagwiritsidwa ntchito pokonzanso minofu ya minofu. Mankhwala awa amakhudza maselo a maselo, amaletsa mapangidwe a shuga ndi kuyamwa kwake m'matumbo. Komabe, zimathandizira kuphulika kwa mankhwala a hypoxia. Mndandanda wa mankhwala otero umaphatikizapo mapiritsi otengera metformin:
- Glucophage;
- Siofor;
- Metogamma.
Zosakaniza za alpha-glucosidase
Kutanthauza, zomwe zimachitika chifukwa cha kuchepa kwa kapangidwe ka shuga m'mimba komanso kulowa mmagazi. Zili zothandiza kwambiri pa chiwerengero chokwanira cha glycemia pambuyo chakudya ndi kudya kozolowereka. Komabe, mankhwalawa amakhala pamodzi ndi mapiritsi ena ochepetsa shuga. Izi zikuphatikizapo mapiritsi:
- pa maziko a acarbose (Glukobay);
- kuchokera ku miglitol (Diastabol).