Standing Wheelchair

**Standing Wheelchair ni**  igare kandi rikaba rizwi nkintebe kuko ifasha abafite ubumuga mukuba bajya ahantu hatandukanye inafite abamni tekinoroji ifasha, isa n'ikadiri ihagaze, ituma umukoresha w’ibimuga azamura intebe kuva yicaye kugeza aho ihagaze. Intebe yimuga ihagaze ishyigikira umuntu mumwanya uhagaze kandi igafasha imikoranire nabantu nibintu kurwego rwamaso.

## imiterere ni mikoreshereze ya Standing Wheelchair
Mugihe bose bafite imikorere yibanze, hari byinshi bitandukanye kuriyi ntebe cyanga igare ryitwa Standing Wheelchair. Nibikoresho bifasha, intebe zihagaze zakozwe mbere na mbere ukurikije ibyo abakoresha baryo bakeneye. Uburyo bwo guterura bwinjizwamo bushobora gukoreshwa nintoki cyangwa gukoreshwa nibikoresho bya hydraulic bigereranya imbaraga. Ibiziga birashobora kandi gukoreshwa nimbaraga cyangwa intoki. Amavuta akoreshwa mubyuma bikoreshwa mubikorwa kugirango habeho kuringaniza kuramba, imbaraga, guhinduka no kumurika, icyakora hariho ibyuma biremereye kandi byoroshye birahari. Moderi yihariye yubatswe kugirango ikoreshwe buri gihe mugihe izindi zifasha gusa mubikorwa byihariye.  z’ibimuga zihagaze zishobora no kwirukanwa aho zihagaze, icyakora hari impungenge z’ubuvuzi zerekana ko ibyago byinshi byo kuvunika amagufwa mugihe utwaye imodoka kubera amaguru ari umutwaro uremereye. 

## Gusuzuma no kubakoresha
Intebe z’abafite ubumuga zigaragara zikoreshwa n’abantu bafite ubumuga bworoheje kandi bukabije harimo: gukomeretsa uruti rwumugongo, gukomeretsa ubwonko bwubwonko, ubumuga bwubwonko, spina bifida, dystrofi yimitsi, sclerose nyinshi, stroke, syndrome ya rett, syndrome ya polio nibindi byinshi.

Intebe zabafite ubumuga ziri mubyiciro bitandukanye muburyo zihagaze zikoreshwa nabantu bafite paraplegia na quadriplegia, kubera ko uburyo butandukanye bwo guhagarara burahari kugirango bakire ubumuga bworoheje bukabije.

## Inyungu zubuzima
Ubushakashatsi bwinshi bwerekana ibimenyetso byintebe zintebe zihagaze zitanga inyungu zubuzima kurenza bagenzi babo badafite imashini. Zimwe muri izo nyungu zirimo kuzenguruka neza, ubwinshi bwamagufwa, hamwe ningaruka nke zo kwikuramo no guhindura skelete.  Abashakashatsi benshi n’abakoresha bavuga ko inyungu atari umubiri gusa - uburyo bwinshi bwo kugenda butangwa n’ibimuga by’ibimuga bihagaze bituma abakoresha babaho ubuzima bwigenga, bigatuma ubuzima bwo mu mutwe butera imbere ndetse n’ubuzima bwiza.  

Intebe z'ababana n'ubumuga zihagaze bazishyize kubiciro abantu benshi batekerezagako bitageraho kuko kurubu kuzikoresha bihagaza, hamwe na verisiyo zikoreshwa kuva $ 10,000- $ 15,000. Uku kutagerwaho kwatumye ibigo byubwishingizi byinjiza ikoranabuhanga muri gahunda zabo zisanzwe. Mu 2020, Ubwigenge Binyuze mu Kongera Ubuvuzi na Medicaid (ITEM) bwiyambaje Ikigo gishinzwe ubuvuzi na Medicaid (CMS), busaba intebe z’ibimuga zihagaze hamwe n’ibimuga by’ibimuga bifite intebe zashyizwe hejuru zifite imbaraga zishyirwa mu nyungu z’ibikoresho by’ubuvuzi biramba .  Icyo cyifuzo cyatanzwe igice muri Gicurasi 2023, kubera ko CMS yashyizemo intebe y’ibimuga ifite intebe zashyizwe hejuru n’inyungu kandi bakavuga ko mu gihe kiri imbere hazasuzumwa intebe z’ibimuga. 

Kugeza ubu, ubwishingizi bushobora gufasha mu gutera inkunga igice cyintebe, mugihe inkunga ya Medicaid itandukanye bitewe na leta zitandukanye muri Amerika Amasosiyete menshi yubwishingizi, imiryango ishinzwe gusubiza mu buzima busanzwe imyuga, hamwe n’abashinzwe ibibazo by’ubuvuzi bagenda batera inkunga intebe z’ibimuga zihagaze kubera ubuzima bw’igihe kirekire n’ubuzima bwiza buturuka ku guhagarara neza.

### Inyandiko nziza
Inkunga inkunga ya leta itanga mu bwishingizi kubikoresho bihagaze birashoboka, ariko mubisanzwe bisaba gutsindishirizwa mubuvuzi hamwe nibaruwa ikenera ubuvuzi ( ibisobanuro birambuye) byanditswe numuvuzi wumubiri cyangwa inzobere mubuvuzi.

### Inkomoko y'inkunga
Muri Amerika hari uburyo butandukanye bafashamo inkunga aribwo bwo gutera inkunga kugura ibikoresho byubuvuzi biramba (DME) nkintebe zintebe zihagarara:

* Ubwishingizi rusange / inkunga ya leta (ni ukuvuga Medicaid, Waivers, nibindi)
* Ibigo byubwishingizi bwigenga (ni ukuvuga Cross Cross, imiryango ishinzwe ubuzima (HMOs), PPOs, nibindi)
* Indishyi z'abakozi
* Ubwishingizi bw'abafite ubumuga
* Ubwishingizi bw'inshingano (ni ukuvuga imodoka, urugo, n'ibindi)
* Hanze y'umufuka (amafaranga cyangwa ikarita y'inguzanyo)
* Gahunda yo kwishyura ishoboka binyuze kubitanga
* Kugura ishuri ryumwana kugirango akoreshwe kwishuri (nukuvuga guhagarara biri muri gahunda yuburezi bwihariye bwumwana (IEP))
* Kugura kumurimo kugirango ukoreshe mugihe uri kukazi
* Kugura ukoresheje ibitaro bya VA
* Imfashanyo ituruka mumatsinda yaho (ni ukuvuga Rotary clubs, Intare, nibindi)
* Imfashanyo ituruka mumatsinda yubumuga (ni ukuvuga MDA, MS Society, nibindi)

## Amashakiro