Amacandelo okunyanga uhlobo lwesifo sikashukela ejoliswe ekuhlawuleleni i-carbohydrates metabolism. Kule ndlela, ezintathu iindlela eziphambili zisetyenzisiweyo: ukunamathela kwisidlo esikhethekileyo, i-regimen yokusetyenziswa kunye nokusetyenziswa kweziyobisi ze-hypoglycemic.
Ukusetyenziswa kwezidakamizwa ze-hypoglycemic kwi-type 2 yeswekile kukufuna indlela enzulu. Ukukhethwa kwala mayeza kunye nemilinganiselo yabo kuthathwa ngumgqirha, kodwa ugxininisa kwimeko yesigulane, iishukela zegazi kunye neempawu zomchamo, inkambo kunye nobukhulu besifo, kunye nezinye iindlela.
Kufuneka kuqondwe ukuba isilwanyana esifanelekileyo kwisigulane singenakho ukunika umphumo omnye okanye sichaswe. Ngoko ke, ezi ziyobisi kufuneka zisetyenziswe ngokungqongqo ngokwemiqathango kwaye phantsi kolawulo lweengcali.
Ulwahlulo lwezibhebhe zokunciphisa ushukela
Izidakamizwa ze-hypoglycemic Oral zihlukaniswe zibe ziintlobo ezi-3 eziphambili ngokuxhomekeka kwindlela yokusetyenziswa kweekhemikhali kunye nendlela yokusebenza kwisigulane somzimba.
Sulfonamides
Amayeza aqhelekileyo aneempembelelo ezininzi, oku:
- kusebenze ukwakheka kwe-insulin;
- ukwandisa uvelwano lwezitho kunye nezicubu kwi-insulin;
- ekhokelela ekunyuseni kwinani le-receulin receptors kwiiseli;
- ukunciphisa ukubunjwa kwe-glucose nokwandisa ukucoca kwayo.
Iyona nto isetyenziswa ngokuqhelekileyo isizukulwana esitsha seziyobisi ze-hypoglycemic ezivela kweli qela ngokusekelwe kwezi zinto zilandelayo:
- glibenclamide (Maninil);
- I-Glylazide (i-Diabeton, i-Glidiab);
- glikvidon (Gljurenorm);
- glimepiride (Amaryl, Glemaz).
Biguanides
Iziyobisi, indlela yokusebenza enxulumene nokuphuculwa kwe-muscle ye-muscle glucose . Ezi ziyobisi zichaphazela ama-receptors yeeseli, ukucima ukubunjwa kwe-glucose kunye nokuxutywa kwayo emathumbu. Nangona kunjalo, banegalelo ekuveleni kwe-hypoxia yeesisu. Uluhlu lwezidakamizwa luquka amacwecwe asekelwe kwi-metformin:
- Glucophage;
- Siofor;
- Metogamma.
Inhibitors ye-alpha-glucosidase
Kuthetha, isenzo esisekelwe ekunciphiseni ukunyuswa kwe-glucose kumathumbu nokungena kwigazi. Ziyasebenza kakhulu kwinqanaba lokunyuka kwe-glycemia emva kokutya nokuzila okuqhelekileyo. Nangona kunjalo, amaxesha amaninzi amachiza ayahlanganiswa namanye amacwecwe e-sugar-reduction. Oku kubandakanya amaphilisi:
- ngesiseko se-acarbose (Glukobay);
- ngokusekelwe kwimiglitol (iDastabol).