English: The impact of stroke can be considerable, as Dr Dai Lloyd has just explained, not just for the patient, but also for their family, in ways that can be challenging and terrifying, particularly - as has just been said - at this time of the pandemic and lockdown. Many people will experience a range of consequences after having a stroke: the physical challenges of fatigue and paralysis in those cases where mobility is impaired, cognitive changes affecting memory, communication and concentration, and the psychological impact of depression and anxiety. Many recover, but others don't, and, as we know, the impact is dependent on the range of consequences that an individual experiences, and for how long those challenges will remain. Colleagues will also talk about the range of care and support needed for those who have a stroke, and rightly so. But one of the areas of this debate that also causes me concern is the level of support for those who find themselves quite unexpectedly caring for a loved one who's had a stroke, particularly given the current restrictions and the current difficulties of accessing support, including language therapy. It's hard to imagine the sense of shock when a family member has a stroke, the feeling of panic and worry as someone is admitted to hospital and having to face a future life with a potentially different set of expectations. Suddenly being thrust into the role of carer, having to manage the range of consequences that that loved one will experience, plus potentially life-changing implications for the family, financial concerns - all of these affect families of sufferers of strokes. For family members it can be truly daunting, which is why the support offered by groups like Chepstow stroke club in my constituency is so important for supporting families. How many people in Wales are now caring for someone living with the consequences of stroke, and how do we support the needs of those without whom that caring role could not be provided? Are we doing well enough in providing all that we can to those who care for a loved one, and, if not, why not? Whilst I'm very supportive of this debate today to allow us to explore the support and care for those who experience strokes, we should be mindful that it is one of those big public health indicators that ought to concern us. There are a number of factors that contribute to a stroke, as has been cited - high blood pressure is one of them. Often that's linked to lifestyle choices, and we know, during the pandemic at the moment, the importance of people exercising and making sure that they're keeping well. In conclusion, Dirprwy Lywydd, we have to get better at radically responding to this public health challenge. If COVID has taught us anything, it's that we need to take the past 10 months as a wake-up call. Public health has to be a bigger focus in the next Welsh parliamentary term. People's lifestyle choices aren't just freedoms without consequence - we're continuing to suffer the impact of the decisions we take about our own health, and, sadly, for many, a stroke is that consequence. Let's make sure that we give sufferers of stroke and their families the support they need at this time as we, hopefully, come out of the pandemic.
Welsh: Gall effaith strôc fod yn sylweddol, fel y mae Dr Dai Lloyd newydd egluro, nid yn unig i'r claf, ond hefyd i'w teulu, mewn ffyrdd a all fod yn heriol ac yn frawychus, yn enwedig - fel sydd newydd gael ei ddweud - ar yr adeg hon yn y pandemig a'r cyfyngiadau symud. Bydd llawer o bobl yn profi amrywiaeth o ganlyniadau ar ôl cael strôc: heriau corfforol blinder a pharlys yn yr achosion lle ceir amharu ar symudedd, newidiadau gwybyddol sy'n effeithio ar gof, cyfathrebu a chanolbwyntio, ac effaith seicolegol iselder a phryder. Mae llawer yn gwella, ond nid pawb, ac fel y gwyddom, mae'r effaith yn dibynnu ar yr ystod o ganlyniadau y mae unigolyn yn eu profi, ac am ba hyd y bydd yr heriau hynny'n parhau. Bydd cyd-Aelodau hefyd yn siarad am yr ystod o ofal a chymorth sydd eu hangen ar y rhai sy'n cael strôc, a hynny'n gwbl briodol. Ond un o feysydd y ddadl hon sydd hefyd yn peri pryder i mi yw lefel y gefnogaeth i'r rhai sy'n wynebu sefyllfa gwbl annisgwyl o orfod gofalu am rywun annwyl sydd wedi cael strôc, yn enwedig o ystyried y cyfyngiadau presennol a'r anawsterau presennol i gael gafael ar gymorth, gan gynnwys therapi iaith. Mae'n anodd dychmygu'r ymdeimlad o sioc pan fydd aelod o'r teulu'n cael strôc, y teimlad o banig a phryder wrth i rywun fynd i'r ysbyty a gorfod wynebu bywyd yn y dyfodol gyda set o ddisgwyliadau a allai fod yn wahanol. Mae cael eich gwthio'n sydyn i rôl gofalwr, gorfod rheoli'r ystod o ganlyniadau y bydd anwyliaid yn eu profi, ynghyd â goblygiadau a allai newid bywydau'r teulu, pryderon ariannol - mae'r rhain i gyd yn effeithio ar deuluoedd dioddefwyr strôc. I aelodau o'r teulu gall fod yn wirioneddol frawychus, a dyna pam y mae'r gefnogaeth a gynigir gan grwpiau fel clwb strôc Cas-gwent yn fy etholaeth mor bwysig i gefnogi teuluoedd. Faint o bobl yng Nghymru sydd bellach yn gofalu am rywun sy'n byw gyda chanlyniadau strôc, a sut y cefnogwn anghenion y rhai na ellid darparu'r rôl ofalu honno hebddynt? A ydym yn darparu popeth a allwn yn ddigon da i'r rheini sy'n gofalu am rywun annwyl, ac os nad ydym, pam ddim? Er fy mod yn gefnogol iawn i'r ddadl hon heddiw i'n galluogi i archwilio'r cymorth a'r gofal i'r rhai sy'n cael strôc, dylem gofio ei fod yn un o'r dangosyddion iechyd cyhoeddus mawr a ddylai beri pryder i ni. Mae nifer o ffactorau'n cyfrannu at strôc, fel y nodwyd - mae pwysedd gwaed uchel yn un ohonynt. Yn aml, mae hynny'n gysylltiedig â dewisiadau ynghylch ffordd o fyw, ac yn ystod y pandemig ar hyn o bryd, rydym yn gwybod am bwysigrwydd ymarfer corff i bobl a sicrhau eu bod yn cadw'n iach. I gloi, Ddirprwy Lywydd, rhaid inni wella ein hymateb i'r her iechyd cyhoeddus hon yn sylweddol. Os yw COVID wedi dysgu unrhyw beth inni, mae angen inni ddysgu gwersi o'r 10 mis diwethaf. Rhaid i iechyd y cyhoedd fod yn fwy o ffocws yn nhymor seneddol nesaf Cymru. Nid rhyddid heb ganlyniadau yw dewisiadau pobl ynglŷn â'u ffordd o fyw - rydym yn parhau i ddioddef effaith y penderfyniadau a wnawn am ein hiechyd ein hunain, ac yn anffodus, i lawer, strôc yw'r canlyniad hwnnw. Gadewch inni sicrhau ein bod yn darparu'r cymorth angenrheidiol i ddioddefwyr strôc a'u teuluoedd nawr wrth inni ddechrau cefnu ar y pandemig, gobeithio.