Intebe ihagaze y'abafite ubumuga

**Intebe ihagaze y'abafite ubumuga (mu [[Icyongereza]]:Standing wheelchair)** (izwi kandi nk'intebe **ihagaze**, **ikiziga kizunguruka** cyangwa **igihagararo** ) ni 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.

## Ishusho n'imikorere
Mugihe bose bafite imikorere yibanze, hari byinshi bitandukanye mubimuga bihagaze. Nibikoresho bifasha, intebe zintebe zihagaze zakozwe mbere na mbere ukurikije ibyo abakoresha babo 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.  Intebe zimwe z’ibimuga zihagaze zishobora no kwirukanwa aho zihagaze, icyakora hari impungenge z’ubuvuzi zongera ibyago byo kuvunika amagufwa mugihe utwaye kubera amaguru ari munsi yumutwaro uremereye. 

## Gusuzuma no kubakoresha
Intebe z’ibimuga zihagarara 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 zihagaze zikoreshwa nabantu bafite paraplegia na quadriplegia, kubera ko uburyo butandukanye bwo guhagarara burahari kugirango habeho 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 kwaguka kw'imitsi no guhindura skelete.  Abashakashatsi benshi hamwe n’abakoresha bavuga ko inyungu atari umubiri gusa - uburyo bunini bwo kugenda butangwa n’ibimuga by’ibimuga bihagaze bifasha abakoresha kubaho ubuzima bwigenga, bikavamo ubuzima bwiza bwo mu mutwe ndetse n’ubuzima bwiza.  

## Inyandiko n'inkunga muri Amerika
Intebe zimuga zihagaze ziza kubiciro benshi batekereza ko bitagerwaho, hamwe na verisiyo zikoreshwa kuva $ 10,000- $ 15,000. Uku kutagerwaho kwatumye ibigo byubwishingizi byinjiza ikoranabuhanga muri gahunda zabo zisanzwe. Mu mwaka wa 2020, Ubwigenge Binyuze mu Kongera Ubuvuzi n’Ubuvuzi (ITEM) bwiyambaje Ikigo gishinzwe ubuvuzi n’ubuvuzi (CMS), busaba intebe z’ibimuga zihagaze hamwe n’ibimuga by’ibimuga bifite intebe zashyizwe hejuru n’ingufu zishyirwa mu nyungu z’ibikoresho by’ubuvuzi biramba .  Icyo cyifuzo cyatanzwe igice muri Gicurasi 2023, kubera ko CMS yashyizemo intebe y’ibimuga ifite intebe yazamuye ingufu mu nyungu kandi bivugako intebe z’ibimuga zihagaze zizasuzumwa ejo hazaza. 

Kugeza ubu, Medicare irashobora gufasha gutera inkunga igice cyintebe y’ibimuga ihagaze, mugihe inkunga ya Medicaid iratandukanye 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'ubwiza bw'ubuzima buturuka ku guhagarara gusa.

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

## Inkomoko y'inkunga
Muri Reta zunzubumwe za Amerika hariho uburyo butandukanye bwo kugura ibikoresho byubuvuzi biramba (DME) nkibimuga bihagaze:

* Ubwishingizi rusange / inkunga ya leta (ni ukuvuga Medicaid, Waivers, nibindi)
* Ibigo byubwishingizi bwigenga (ni ukuvuga blue 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)

Intara nyinshi zifite amikoro nka PAAT (Kurinda ubuvugizi bufasha mu ikoranabuhanga) hamwe n’imishinga ifasha ikoranabuhanga rya Leta bikaba umutungo w’abaguzi bashaka inkunga cyangwa banyura mu nzira z’ubujurire.

## Reba