) Chronic Productive Cough Typical Frequent Aggravations Of A

) Chronic productive cough Typical Frequent aggravations of a bronchitis Progressing short wind Presence of risk factors Variability of symptoms Can vary in different days Usually peak of infringements within night and the period of early morning Gravity of signs progresses slowly Deterioration is is more often connected and more brightly shown at early stages of illness, against physical activity and during the rest periods. The general accompanying conditions , and skin signs Bronchial illness of a gullet of Artrozo - arthritises Diabetes The case record and lives Family history on an asthma and fevers Noisy breath, rattle, cough, difficulties of breath and a thorax Illnesses of respiratory organs in the childhood, including a bronchitis History of a tobacco smoking and Secondary inhalation of a tobacco smoke, influence of professional factors / , environmental contaminations or a smoke from house devices and Kitchens Restriction of Streams of air at breath In the beginning astable and reversible indicators, become in due course less reversible with process synchronisation It is not enough (to 15 %) reversible, more often constant and progressing Anatomic changes Only air lines of bronchial tubes Air lines of bronchial tubes and lungs Given FEV1 © 80 % with the maximum variations PEF (™ 15 %) Increase PEF ™ 15 % after reception FEV1/FVC <0.