DFIT - Care for Feet

1. 21
Materials required for Self-care: “Feet”
1. Bowl or any wide mouth container
2. Stone
3. Oil
4. Dressing cloth
Qualities of stone:
• Adequate size to fit into hand
• Flat rough surface
• No sharp edges
iSj dh Lo;a ns[kÒky ds fy, t#jh lkexzh%
1. Vc@ckYVh ;k d¨Ã Òh p©M+sa eq¡gokyk crZu
2. iRFkj
3. rsy
4. ejge&iV~Vh
iRFkj dh fo'ks"krk;sasa%
 gkFk esa vklkuh ls idM+k tk ldsA
 mldh lrg cjkcj v©j [kqjnjk g¨ A
 d¨Ã rst uqdhyk fdukjk u g¨A

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3. 22
• A simple plantar ulcer due to loss
of sensation over foot.
• You need to take care of your feet
to keep them healthy and prevent
damage
 lqUuiu ds dkj.k iSj ds ryos esa vYlj@ ?kko g¨rk gSA
 vius iSj¨a d¨ LoLFk j[kus v©j uqdlku ls lqjf{kr
j[kus ds fy, /;ku nsus dh t#jr gSA

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5. 23
If you are not able to feel touch and pain in your feet ....
The skin on your feet can become dry and cracked due to
loss of sweat.
There may be injuries without pain.
SELF CARE MEASURE:
1. Inspection
Check your feet every day to see if there is any abnormality.
Look for: • dryness • crack • redness • wounds
;fn vki vius iSj¨a esa Li'kZ v©j nnZ d¨ eglwl ugha dj ldrs gaS r¨ -------
iSj¨a dh Ropk esa ilhus dh deh ls lw[kkiu v©j njkjsa vk tkrh gSa A
iSj¨a esa fcuk nnZ ds pksV yx ldrh gSA
iSj¨a dh Lo;a ns[kÒky ds mik;%
1. fujh{k.k
vius iSj¨a esa vlkekU;rk ns[kus ds fy, gj fnu tk¡p djsa &lw[kkiu] njkjas] ykyh
;k ykfyek] ?kko A

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SELF CARE MEASURE:
2. Soaking
• Keep your feet in clean water and let them
soak for 20 minutes every morning and
evening
• This will bring moisture into the dry skin.
• Skin will become soft.
iSj¨a dh Lo;a ns[kÒky ds mik;%
2. lkQ ikuh esa iSjksa dks fÒx¨,a&(fÒx¨uk)
 gj fnu lqcg v©j 'kke vius iSj¨a d¨ lkQ ikuh esa 20 feuV rd fÒx¨
dj j[ksa A
 ;g lw[kh Ropk esa ueh ykus dk dke djrk gSA
 ,slk djus ls Ropk uje@ eqyk;e g¨ tk;sxh A

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9. 25
SELF CARE MEASURE:
3. Scraping
• After soaking, gently scrape off hard skin with
rough object, like a stone.
• This removes dead hard skin.
Do not use sharp edged stones because it will
lead to wounds.
iSj¨a dh Lo;a ns[kÒky ds mik;%
3. [kqjpuk@ f?kluk@ jxM+uk
 Òhx¨us ds ckn dB¨j Ropk d¨ iRFkj ls /khjs&/khjs [kqjpas ;k f?klsa@ jxMa+sA
 blls e`r dB¨j Ropk gV tk;sxh A
rst uqdhys fdukjs okys iRFkj dk bLrseky u djsa] blls ?kko g¨ ldrk gSaA

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SELF CARE MEASURE:
4. Oiling
• Apply oil on the feet immediately after
scraping.
• This will keep the moisture within the skin
for a longer period.
• Use only neem oil / Mustard oil / Mabua oil.
Do not use cooking oil. It will attract ants /
insects which will cause wounds.
iSj¨a dh Lo;a ns[kÒky ds mik;%
4. rsy dh ekfy'k
 [kqjpus ds rqjUr ckn iSj¨a esa rsy yxk;sa A
 ;g Ropk esa yEcs le; rd ueh j[ksxk A
 flQZ uhe@ ljl¨a ;k egqvk dk rsy bLrseky djsaA
[kkuk cukus okyk rsy bLrseky uk djsa A ;g phfV;ksa@ dhMksa dks vkdf”kZr
djsxk ftlls iSj¨a esa ?kko gks ldrk gS A

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SELF CARE MEASURE:
5. Dressing
If there is a wound dress the wound daily with any available clean cloth.
• Old cloth at home can be used for this purpose.
• Wash it well and dry it in the sun light before using it.
• Wrap the clean cloth around your foot to keep dirt and flies out of the
wound.
Check your wounds every morning and evening
• If the wounds are becoming smaller, look clean and there is no pus
then you should continue with self care.
• If the wounds are getting bigger or if the skin around wounds is very
red and swollen or if there is any pus you must see a health worker or
Doctor.
iSj¨a dh Lo;a ns[kÒky ds mik;%
5. ejge iV~Vh
;fn ?kko gS] r¨ mls fdlh Òh miyC/k lkQ diM+s ls ?kko dk j¨t ejge iV~Vh djsa A
 ?kj ds iqjkus lkQ diM+¨a d¨ bl dke es bLrseky dj ldrs gSa A
 bLrseky djus ls igys mls vPNh rjg lkQ djsa v©j /kwi esa lq[kk;saA
 xanxh v©j efD[k;¨a ls iSj ds ?kko d¨ cpkus ds fy, mlds Åij lkQ diM+k yisVsa A
j¨t lqcg v©j 'kke vius ?kko¨a dh tk¡p djsasaA
 ;fn ?kko N¨Vk g¨rk tk jgk gS] lkQ yx jgk gS v©j ogk¡ d¨Ã eokn ugh gS] r¨ Hkh vki ?kko dh ns[kÒky tkjh j[ksaA
 ;fn ?kko cM+k g¨rk tk jgk gS ;k ?kko ds vkl&ikl dh Ropk yky o lwtu gS ;k mlesa eokn gS r¨ vki rqjUr LokLF;drkZ
;k MkWDVj d¨ fn[kk;sa A

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15. 28
Foot drop - Preventive methods from worsening:
If you are not able to move foot up (Foot drop):
Sit with the leg straight
• Use a towel and loop it around the foot (see picture)
• Pull the foot up
• Hold it in this position
• Count to ten
• Push the cloth loop by foot
• Pull the foot up again
• Do it as often as you can and it will become a habit.
This procedure will maintain normal ankle movement.
iSj esa >wykiu@ywykiu & fcxM+rh fLFfr d¨ j¨dus ds mik;%
;fn vki vius iSj d¨ mij mBkus es l{ke ugh gSaSA ¼iSj esa >wykiu½
iSj d¨ lh/kk djds cSBsa
 r©fy, dk bLrseky djsa v©j mls iSj es Qans dh rjg Qlk ysaA ¼fp= es ns[ksa½
 iSj d¨ mij dh rjQ [khapsa A
 bl fLFkfr d¨ j¨d dj j[ksa A
 10 rd fxurh fxus A
 iSj ls diM+s ds Qans d¨ /kdsysa A
 bl izfdz;k dks rc rd djrs jgsa tc rd fd vknr u cu tk;s A
;g izfdz;k ,M+h dks lkekU; cuk, j[ksxh A

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17. 29
Correction of deformity by surgery
(Re-Constructive Surgery-RCS)
• Many deformities due to leprosy can be
corrected in specialised hospitals.
• Contact your Medical Officer in the
PHC or District Leprosy Officer (DLO)
• Surgery is done free of cost in
recognised hospitals.
Surgical correction of Foot
(Drop foot).
vWkijs'ku ds }kjk fod`fr esa lq/kkj
¼vWkijs'ku ds }kjk iqu% vkdkj esa ykuk& vkj lh ,l½
 vius izkFkfed LokLF; dsUnz ;k ftyk dq"B vf/kdkjh ls lEidZ djsa A
 ekU;rk izkIr vLirky¨a esa dq"B dh fod`fr;ksa dk vWkijs'ku fu%'kqYd
fd;k tkrk gSA

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19. 30
Protective Foot-wear
If you are not able to feel touch and pain in your feet ....
Special footwear is required. Features of this footwear are
• Soft inside (Micro-Cellular Rubber (MCR)
• hard soles
• adjustable soft straps
• back-strap
• no nails
 Check shoes daily to see if there is any damage and
sharp things like small stones in the soft sole.
 Don't wear tight footwear.
lqjf{kr pIiysasa
;fn vki vius iSj¨a esasa Li'kZ v©j nnZ d¨ eglwl ugha dj ldrs gS r¨ ---------
vki d¨ fo'ks"k pIiyksa dh t#jr gSaA bl pIiy dh fo'ks"krk;sa gSa %
 vUnj ls eqyk;e ¼ekbdz¨&lsyqyj jcj & ,e lh vkj½
 dB¨j vk/kkj ¼lksy½
 lqfo/kk ds vuqlkj cka/ks tk ldus okys Qhrs
 iSj d¨ ihNs ls cka/kus ds fy, Qhrk
 fcuk dhy okyh pIiysa
 vius pIiykas dh j¨t tk¡p djsa] fd mlesa dksbZ uqdhyh oLrq tSls&
N¨Vk dadM+] dhy vkfn rks ugh gSA
 rax@dls gq, twrs ugh igusaA

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