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[Natasha]

Hello, the doctor!
At my son (8 years) vesnoj-in the summer an allergy on grasses (a rye, ovsjannitsa, timofeevka, a birch). From infancy - a pollinosis, in 6 years - a bronchial asthma. Last time (on May, 28th) the child was on remission (dyspneas and tussis was not, we like were treated and already on May, 20th all was OK), accepts tajled, the doctor has listened to rigid respiration and svisty. Has appointed or nominated FVD. FVD it has turned out strange: in an initial status - easy or light;mild prisjaznaki disturbances of ventilation at a level of the central part of the bronchial tree, moderated or moderate - on peripheric. ZHEL it is not lowered. And here with fiz. nargruzkoj - any magic: poslenagruzochnogo a bronchospasm it is not marked or celebrated (previous times it was always marked or celebrated!!!) also it is recorded expressed bronhodiljatatsija with a gain of functional parameters at a level of a peripheric part of a bronchial tree on 83 117 % (!!!). Normalization of initially lowered parameters is marked or celebrated.

QUESTION: how such it is possible or probable, if the child did not accept preparations between researches??? And what is it can mean? All previous FVD in general kept within a picture seasonal BA srednnej gravities. Many thanks for the answer.

[Bolshakova M.A.]

On one research of anything certain to tell or say it is impossible. Probably, on a background of treatment Tajledom positive dynamics or changes is marked or celebrated and there is no reaction to an exercise stress. For revealing more precise laws it is necessary to use daily pikfloumetrom. Probably, it will clear a situation

[Natasha]

Pikfluometrom it is used daily. Morning parameters - 110 130 l/minutes, evening 200 210. NORM or RATE for our age and body height - 260. Whether tell or say, please, normally, what morning parameters are so underestimated? Within day it is used tajledom 3 r in day and berodual through nebulajzer too 3 times a day. Thanks.

[Bolshakova M.A.]

Natasha! According to pikfloumetrii Tajled at you simply does not work. You should strengthen therapy. By the way, what parameters before and after Beroduala? And still, if you more than 3 h once a week are outside of " a green zone " (you know, what is it?) it is an occasion for intensifying therapy