Translate the text from Welsh to English.



 
Yn ogystal â’r brechlyn, mae triniaethau gwrthfeirol newydd wedi helpu i leihau difrifoldeb y clefyd, yn arbennig i’r rheini sydd fwyaf tebygol o’i gael yn wael.  

  

Y gobaith yw y bydd y newidiadau yn cefnogi strategaethau lleihau risg byrddau iechyd a rhoi hwb sylweddol i ofal cyffredinol a gofal brys mewn ysbytai, yn ogystal â llif cleifion drwy driniaethau ysbyty ac, i rai, wrth eu rhyddhau i ofal cymdeithasol.  

  

Gallai hyn gael effaith gadarnhaol ar y sector iechyd a gofal cymdeithasol cyfan, sydd wedi bod dan ‘bwysau eithriadol’ yn yr wythnosau diwethaf yn ôl y Gweinidog Iechyd.


Bydd y newidiadau hyn yn cael eu gwneud i brofion cyn derbyn cleifion i’r ysbyty ar gyfer triniaethau dewisol, derbyniadau ar gyfer gofal heb ei drefnu, profion ar ôl derbyn cleifion i’r ysbyty ar gyfer cleifion asymptomatig a symptomatig, a threfniadau ar gyfer profi ar ôl rhyddhau cleifion.  

  

Caiff y newidiadau profi hyn eu gwneud er mwyn helpu’r byrddau iechyd i gydbwyso risgiau COVID\-19 gyda’r angen i ddarparu gofal iechyd cyffredinol a brys yn ddiogel, yn ogystal â’r effaith y mae trefniadau profi yn eu cael ar ofal cleifion unigol.  

  

Mae’r canllawiau newydd yn seiliedig ar y dystiolaeth wyddonol ac arbenigol orau sydd ar gael ar hyn o bryd o ran iechyd y cyhoedd, ond mae hefyd yn cydnabod pa mor bwysig yw gwneud penderfyniadau’n lleol, gan ddibynnu ar risgiau megis cyfraddau trosglwyddiad nosocomiaidd, cyfraddau trosglwyddo yn y gymuned, neu pa mor agored i niwed yw cleifion.  

  

Bydd profion cyn derbyn cleifion yn parhau, ond bydd y math o brawf a ddefnyddir yn seiliedig ar risg unigol y claf o’r haint.  

  

Bydd y newidiadau i brofion yn golygu y bydd cleifion asymptomatig sy’n cael llawdriniaeth neu gemotherapi yn cael eu profi gan ddefnyddio profion PCR neu Brofion Pwynt Gofal (POCT) 72 awr cyn iddynt gael eu derbyn, a gofynnir iddynt hunanynysu tan eu triniaeth.  

  

I rai cleifion asymptomatig risg isel sy’n cael eu derbyn ar gyfer triniaethau risg isel, efallai y bydd Byrddau Iechyd yn penderfynu bod prawf llif unffordd negatif pan fyddant yn cael eu derbyn, neu ychydig cyn hynny, yn ddigonol.  

  

Gwneir newidiadau hefyd i brofion adeg derbyniadau heb eu trefnu, gyda chleifion sydd â symptomau anadlol yn cael eu profi am amrywiaeth o glefydau (COVID\-19, y ffliw, feirws syncytiol anadlol (RSV) o leiaf) ar un swab PCR neu POCT.  

  

Dylai cleifion heb symptomau anadlol gael eu profi am COVID\-19 yn unig, gan ddefnyddio prawf llif unffordd pan cânt eu derbyn.  

  

Gwneir newidiadau hefyd i brofion asymptomatig. Yn unol â’r newidiadau ar gyfer cyhoedd ac mewn lleoliadau gofal, ar ôl derbyn cleifion, ni cynghorir gwneud profion asymptomatig arferol pellach oni bai y penderfynir ar lefel leol bod angen hynny.  

  

Bydd profion i bobl symptomatic yn parhau, wrth i gleifion sy’n datblygu symptomau gael eu profi gyda phrofion PCR neu POCT ar gyfer COVID\-19, y ffliw, feirws syncytiol anadlol (RSV) neu brawf amlddadansoddol clinigol llawn.  

  

Caiff byrddau iechyd eu hannog i weithio gyda darparwyr cartrefi gofal ar drefniadau profi wrth ryddhau cleifion.  

  

Gellir tybio nad yw cleifion a brofodd yn bositif ar gyfer COVID wrth iddynt, neu ers iddynt gael eu derbyn i’r ysbyty, bellach yn heintus pan:


* Mae’r symptomau wedi’u trin, does dim twymyn, A
* phan bydd 10 diwrnod wedi mynd heibio NEU
* defnyddir protocol profi a benderfynir yn lleol i leihau’r cyfnod hunanynysu o 10 diwrnod ar gyfer cleifion sy’n bodloni’r meini prawf clinigol uchod. Gall y profion hyn fod yn brofion llif unffordd neu’n brofion canfod antigenau cyflym eraill. Dylai cleifion gael dau brawf negatif 24 awr ar wahân, yn ogystal â dangos gwelliant clinigol fel y nodir uchod, cyn rhoi’r gorau i hunanynysu a chael eu rhyddhau.


Dylai cleifion asymptomatig nad ydynt wedi profi’n bositif am COVID yn flaenorol gael eu profi o fewn 24 awr o’r adeg pan y bwriedir eu rhyddhau i gyfleuster gofal. Os na fydd profion llif unffordd ar gael, gellir defnyddio profion PCR/POCT cyflym i brofi ar gyfer COVID\-19\.


Caiff y newidiadau i brofi mewn ysbytai eu gwneud nawr oherwydd, yn ystod cyfnodau pan ceir nifer uchel o achosion o COVID\-19 yn y gymuned, effaith gymharol fach y mae hyn wedi’i chael ar nifer y derbyniadau i’r ysbyty a marwolaethau, ac mae nifer y marwolaethau sy’n gysylltiedig â throsglwyddiad nosocomiaidd hefyd wedi gostwng yn sylweddol.  

  

Mae staff gofal iechyd sy’n gweithio gyda chleifion yn parhau i gael eu cynghori i wneud profion llif unffordd ddwywaith yr wythnos, ond mae’r cyngor hwn yn cael ei adolygu’n rheolaidd.  

  

Dywedodd y Gweinidog Iechyd, Eluned Morgan:



> “Nid yw’r pandemig wedi diflannu, ac rydym yn dal i ddysgu i fyw gyda COVID\-19, ond mae’r sefyllfa bresennol o ran iechyd y cyhoedd yn ein galluogi ni i wneud newidiadau priodol i’r drefn brofi sy’n cefnogi. Byrddau Iechyd i weithredu’r strategaethau atal a rheoli heintiau angenrheidiol a fydd yn cael effaith gadarnhaol ar ofal cyffredinol a gofal brys.  
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> “Rydyn ni’n gwneud y newidiadau hyn ar sail y dystiolaeth wyddonol ac arbenigol orau sydd ar gael ar hyn o bryd o ran iechyd y cyhoedd; newidiadau sy’n caniatáu ar gyfer penderfyniadau lleol i gefnogi’r gofal gorau posibl i gleifion.  
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> “Diolch i’n rhaglen frechu anhygoel, mae’r risg bod y Gwasanaeth Iechyd yn cael ei orlethu bellach wedi gostwng yn sylweddol, a gallwn wneud newidiadau i’r drefn brofi o fewn cyd\-destun mesurau atal a rheoli heintiau eraill.”







Translation:


 
As well as the vaccine, new anti\-viral treatments have helped to reduce the severity of disease, particularly for those who are most likely to be at risk of adverse outcomes.  

  

It is hoped the changes will support health boards’ risk mitigation strategies and provide a significant boost to routine and emergency care in hospital settings, as well as the flow of patients through hospital treatment and, for some, their discharge into social care.  

  

This could have a positive impact on the whole health and social care sector, which the Health Minister said has been under ‘extraordinary pressure’ in recent weeks.  

  

The testing changes will affect pre\-admission testing for elective procedures, admission for unscheduled care, post\-admission testing for asymptomatic and symptomatic patients, and discharge testing arrangements.  

  

The testing changes are being made to support health boards balance the risks from COVID\-19 alongside the need to deliver routine and emergency healthcare safely, as well as the impact that testing regimes have on individual patient’s care.  

  

The new guidance is based on the best scientific, public health and expert evidence available at this time, but also recognises the importance of local decisions to be made, depending on risks such as nosocomial rates, community transmission rates, or vulnerability of patients.  

  

Pre\-admission testing will remain, but the type of test will be based on the patient’s individual risk from infection.  

  

The changes to testing will see asymptomatic patients who are having a surgical procedure or chemotherapy tested using a PCR or Point of Care Test (POCT) 72 hours before admission and asked to self\-isolate until their procedure.  

  

For some asymptomatic low risk patients being admitted for low\-risk procedures, Health Boards may decide a negative LFD on or just before admission may be sufficient.  

  

Testing on unscheduled admission will also see changes, with patients with respiratory symptoms being tested for a range of illnesses (COVID\-19, Influenza, RSV as a minimum) on one PCR or POCT swab.   

  

Patients without respiratory symptoms should be tested for COVID\-19 only, using a LFD on admission.  

  

Asymptomatic testing will also see changes. In line with changes in the general public and in care settings, after patients are admitted, no further routine asymptomatic testing is advised unless a local decision deems it necessary.  

  

Symptomatic testing will continue, with patients who develop symptoms being tested with a PCR or POCT for COVOD\-19, Influenza, RSV or a full multiplex as clinically directed.  

  

Health boards are being encouraged to work with care home providers on discharge testing arrangements.  

  

Patients who have tested positive for COVID on or since admission can assume non\-infectivity when:


* Symptoms have resolved, absence of a fever, PLUS
* 10 days have elapsed OR
* a locally decided testing protocol is used to reduce the isolation period down from 10 days in patients who meet the clinical criteria above. These tests can be LFD or other rapid antigen detection tests. Patients should have two negative tests taken 24 hours apart as well as showing clinical improvement as above, before being moved out of isolation and discharged.


Asymptomatic patients who have not previously tested positive for COVID to be tested within 24 hours of planned discharge to the care facility. Appropriate rapid PCR/POCT for COVID\-19 can be used in the absence of LFD testing.  

  

The changes to testing in hospital settings are being made now as during high community incidence of COVID\-19 there has been a relatively modest impact on hospital admissions and mortality, whilst the extent of nosocomial associated mortality has also significantly reduced.  

  

The advice that all patient facing health care staff should test using LFDs twice weekly is regularly reviewed and continues to be advised.    

  

Health Minister Eluned Morgan said:



> “The pandemic has not gone away and we are still learning to live with COVID\-19, but the current public health situation allows us to make appropriate changes to the testing regime that supports Health Boards to implement the necessary infection prevention and control (IPC) strategies that will have a positive impact on routine and emergency care.  
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> “We are making these changes based on the best scientific, public health and expert evidence available at this time, changes that enable local decisions to support the best possible patient care.  
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> “Thanks to our incredible vaccination programme the risk to the NHS of being overwhelmed is now greatly reduced and we can make changes to the testing regime within the context of other infection prevention and control measures.”