Nzira dzekurapa rudzi rwechipiri chirwere cheshuga chinangwa chekubhadhara makabhahydrate metabolism. Nokuda kweizvi, nhatu nzira huru dzinoshandiswa: kuchengetedza kudya kwakakosha, kuronga muviri uye kushandisa hypoglycemic mishonga.
Kushandiswa kwe hypoglycemic mishonga yechikwata chechirwere chechipiri kunoda nzira yakakomba. Kusarudzwa kwemishonga iyi uye kuyerwa kwadzo kunotarisirwa nechiremba achienda, achitarisa mamiriro ekurapa, shuga yeropa uye urinyi zviratidzo, nzira uye kuoma kwechirwere ichi, uye zvimwe zvinotarisirwa.
Inofanira kunzwisiswa kuti mishonga inofanirwa kune mumwe murwere inogona kunge isina kupa zvakakodzera kune imwe kana kunyange kutopikiswa. Nokudaro, mishonga iyi inofanira kushandiswa zvakajeka maererano nechinangwa uye pasi pekutariswa kweyanyanzvi.
Kuenzanisa kwefurafura-kuderedza mahwendefa
Mishonga yemakemikari mishonga inoparadzaniswa ikaita mhando mitatu mikuru zvichienderana nemakemikari uye maitiro ekugadzirisa mumuviri wemurwere.
Sulfonamides
Mishonga inowanikwa yakawanda inobata maitiro akawanda, kureva:
- kushandura kuumbwa kwe insulini;
- kuwedzera kunzwisisika kwezviviri uye masukisi kune insulin;
- zvichiita kuti kuwedzerwa muwandu we insulin receptors pamasero;
- kuderedza glucose kuumbwa uye kuwedzera kukonzera kwayo.
Iyo inowanzoshandiswa ndiyo chizvarwa chitsva che hypoglycemic drugs kubva muboka iri zvichienderana nezvinhu zvinotevera:
- glibenclamide (Maninil);
- Glylazide (Diabeton, Glidiab);
- glikvidon (Gljurenorm);
- glimepiride (Amaryl, Glemaz).
Biguanides
Zvinodhaka, iyo nzira yekuita iyo inobatanidza nekuvandudza kushandiswa kwemisumbu yehutu glucose . Iyi mishonga inobata zvinogamuchirwa zvemasero, kudzivisa kuumbwa kweglucose uye kubata kwayo mumatumbo. Zvisinei, inobatsira pakubuda kweiviri ye hypoxia. Nhamba yemishonga yakadaro inosanganisira mahwendefa anobva metformin:
- Glucophage;
- Siofor;
- Metogamma.
Inhibitors ye alpha-glucosidase
Zvinoreva, chiito chacho chinobva pakuderera kwekuisa glucose mumatumbo uye kupinda kwayo muropa. Dzinonyanya kubudirira pahuwandu hwakawedzera hweglycemia mushure mekudya nekudya kwemazuva ose. Zvisinei, kazhinji mishonga iyi inosanganiswa nemamwe mahwendefa ekuderedza shuga. Izvi zvinosanganisira mahwendefa:
- pachikonzero cheacarbose (Glukobay);
- zvichibva kune miglitol (Diastabol).