English: The National Migraine Centre state that, because migraine in children can involve subtly different symptoms to adult migraine, half of those affected never receive a diagnosis. With migraines in children and young people, stomach pains are more frequent. Studies suggest that around 60 per cent of children aged between seven and 15 experience headaches, but a diagnosis of migraine may be delayed because tummy pain, vomiting, travel sickness, limb pain and episodic dizziness can all confuse the picture. Children may experience migraine without a headache, which is less common in adults. During last month's Migraine Awareness Week, the Migraine Trust launched new research, which found that children often feel left out of their own healthcare and think that their care is poor. The findings also suggest that migraine can limit their ability to take part in education, social activities and other important parts of growing up. Ninety per cent of affected young people report that migraine made it harder to do their school work, whilst 76 per cent of education professionals surveyed felt that their school did not provide information, resources and processes to help these children. It can also be hard for children to understand and explain their pain, and there are fewer treatment options for them than there are for adults. The Migraine Trust report, 'Dismissed for too long: the impact of migraine on children and young people', therefore calls for clearer guidance and training for both health and education professionals on understanding and supporting young people impacted by migraine, and for more resources for the parents and carers of children living with migraine. They suggest that young people themselves need more information about their condition and how to take control of their own care, and that pathways and reviews of local migraine care in the NHS should account for the impact on children and young people. Key findings of the report include that schools don't have the knowledge or policies in place to help children with migraine. A survey of parents and carers with a child living with migraine found that 70 per cent were concerned about the impact of migraine on their child's education. Asked how often their child had to stay home from school because of their migraine, over half - 51 per cent - said at least once a month. And 85 per cent of parents and carers had spoken to their child's school about their migraine, but only 17 per cent were completely satisfied with the support from the school in managing their migraine. A survey of children with migraine found that 90 per cent said that their migraine made it harder to do their school work. However, when asked if they think that their school has the information about migraine to help them manage it at school, 64 per cent said no. When asked if they had ever been taught about migraine at school, 90 per cent said that they hadn't. A survey of 64 education professionals found that three quarters, 76 per cent, felt that their school did not have the information, resources and processes to help children in school with migraine. For example, school policies were often not geared towards helping children manage their migraine triggers and avoid being unnecessarily sent home. This compares to other common long-term conditions, such as asthma, which schools often have plans in place for. Children don't feel that they're getting the healthcare they need. Common symptoms of migraine in children, such as abdominal pain, often look different from adult symptoms and can be missed, which can slow down a diagnosis and may result in a child's symptoms being missed. Of the children and young people responding to their survey, 33 per cent felt that the treatment for their migraine was poor, 30 per cent said it was fair, 23 per cent said it was good, and only 8 per cent said it was very good. None described it as 'excellent'. Seventy two per cent of the children with migraine have said that it made them feel worried. Children, particularly younger children, often need help in explaining their migraine and need to be included in discussions about their treatment. There needs to be better communication, where possible, between health services and schools and colleges. As a case study in the report states, 'I missed a lot of school last year because of my migraines and I couldn't do the things I enjoy such as football and dancing and that made me sad.' The report's recommendations on how problems could be addressed include that local health boards, 'must include children and young people in reviews of local migraine needs and ensure they have services to meet those needs.' and that local health boards, 'must ensure there are strong links between migraine care and mental health services. Mental health must also be a component of the healthcare pathway for children with migraine'. The Welsh Government should explore ways that it could support pharmacists' training on the management of migraine in both adults and children, and work with education partners to ensure that teaching staff have training and information on this issue, so that they can support children and young people effectively. As a 2021 academic review into children and migraine states, 'Migraines negatively influence the quality of life of affected children. Early diagnosis and management decisions are needed to reduce the burden and maximize the treatment outcome.' The Migraine Trust would welcome working with the Welsh Government and health boards on making progress in these areas, and as our motion states, we call on the Welsh Government, 'to work with The Migraine Trust and representative bodies for schools, health services, and parents/carers to (a) strengthen guidance; (b) provide training on how to support and accommodate young people impacted by migraine; and (c) provide resources for the parents/carers of children living with migraine and for the young people themselves on how to take control of their own care.' Migraine in children and young people is common, with a considerable impact upon quality of life, yet it remains undiagnosed and poorly treated. Less than 10 per cent of children with problematic headache will seek medical help for their problem. Migraine can have severe impacts on the life of a child, affecting family relationships, school life and social activities. The pattern of migraines in teenagers starts to change. Migraine affects boys and girls equally until puberty, after which migraine is more common in girls. A late or missed diagnosis can result in poor management of their symptoms, anxiety about future attacks, poor school attendance, inappropriate or ineffective medication use, a loss of confidence and low self-esteem. Severe pain and vomiting that aren't treated effectively can mean that children often have to remain at home during their attacks and are unable to participate in normal daily activities. I move and commend this motion accordingly.
Welsh: Oherwydd bod meigryn mewn plant yn gallu cynnwys symptomau ychydig yn wahanol i feigryn mewn oedolion, mae'r Ganolfan Meigryn Genedlaethol yn dweud nad yw hanner y rhai yr effeithir arnynt byth yn cael diagnosis. Gyda meigryn mewn plant a phobl ifanc, mae poenau stumog yn digwydd yn amlach. Mae astudiaethau'n awgrymu bod tua 60 y cant o blant rhwng saith a 15 oed yn cael cur pen, ond gall diagnosis o feigryn gael ei ohirio oherwydd bod poen bol, chwydu, salwch teithio, poen yn y breichiau a'r coesau a phyliau o bendro oll yn gallu drysu'r darlun. Gall plant ddioddef meigryn heb gur pen, rhywbeth sy'n llai cyffredin mewn oedolion. Yn ystod Wythnos Ymwybyddiaeth Meigryn y mis diwethaf, lansiodd y Migraine Trust ymchwil newydd a ganfu fod plant yn aml yn teimlo eu bod yn cael eu gadael allan o'u gofal iechyd eu hunain ac yn meddwl bod eu gofal yn wael. Mae'r canfyddiadau hefyd yn awgrymu y gall meigryn gyfyngu ar eu gallu i gymryd rhan mewn addysg, gweithgareddau cymdeithasol ac agweddau pwysig eraill ar dyfu i fyny. Mae 90 y cant o bobl ifanc yr effeithiwyd arnynt yn dweud bod meigryn yn ei gwneud hi'n anoddach i wneud eu gwaith ysgol, tra bod 76 y cant o weithwyr addysg proffesiynol a holwyd yn teimlo nad oedd eu hysgol yn darparu gwybodaeth, adnoddau a phrosesau i helpu'r plant hyn. Gall hefyd fod yn anodd i blant ddeall ac egluro eu poen, a cheir llai o opsiynau triniaeth ar eu cyfer nag a geir i oedolion. Mae adroddiad y Migraine Trust, 'Dismissed for too long: the impact of migraine on children and young people', yn galw am arweiniad cliriach a hyfforddiant i weithwyr iechyd ac addysgwyr proffesiynol ar ddeall a chefnogi pobl ifanc y mae meigryn yn effeithio arnynt, ac am fwy o adnoddau i rieni a gofalwyr plant sy'n byw gyda meigryn. Maent yn awgrymu bod angen mwy o wybodaeth am eu cyflwr ar bobl ifanc eu hunain a sut i reoli eu gofal eu hunain, ac y dylai llwybrau ac adolygiadau o ofal meigryn lleol yn y GIG ystyried yr effaith ar blant a phobl ifanc. Mae canfyddiadau allweddol yr adroddiad yn cynnwys nad oes gan ysgolion yr wybodaeth na'r polisïau ar waith i helpu plant sy'n cael meigryn. Canfu arolwg o rieni a gofalwyr sydd â phlentyn sy'n byw gyda meigryn fod 70 y cant yn poeni am effaith meigryn ar addysg eu plentyn. Pan ofynnwyd iddynt pa mor aml y bu'n rhaid i'w plentyn aros adref o'r ysgol oherwydd eu meigryn, dywedodd dros hanner - 51 y cant - o leiaf unwaith y mis. Ac roedd 85 y cant o rieni a gofalwyr wedi siarad ag ysgol eu plentyn am eu meigryn, ond dim ond 17 y cant ohonynt oedd yn gwbl fodlon gyda'r gefnogaeth gan yr ysgol i ymdopi â'u meigryn. Canfu arolwg o blant gyda meigryn fod 90 y cant yn dweud bod eu meigryn yn ei gwneud hi'n anoddach i wneud eu gwaith ysgol. Ond pan ofynnwyd a ydynt yn meddwl bod gan eu hysgol yr wybodaeth am feigryn i allu eu helpu i'w reoli yn yr ysgol, dywedodd 64 y cant nad oedd. Pan ofynnwyd iddynt a oeddent erioed wedi cael eu dysgu am feigryn yn yr ysgol, dywedodd 90 y cant nad oeddent. Yn ôl arolwg o 64 o weithwyr addysg proffesiynol, roedd tri chwarter, 76 y cant, o'r farn nad oedd gan eu hysgol yr wybodaeth, yr adnoddau a'r prosesau i helpu plant yn yr ysgol gyda meigryn. Er enghraifft, yn aml nid oedd polisïau ysgolion wedi'u hanelu at helpu plant i reoli'r pethau a allai sbarduno eu meigryn ac osgoi cael eu hanfon adref yn ddiangen. Mae hyn yn cymharu â chyflyrau hirdymor cyffredin eraill, fel asthma, y mae gan ysgolion yn aml gynlluniau ar waith ar eu cyfer. Nid yw plant yn teimlo eu bod yn cael y gofal iechyd y maent ei angen. Mae symptomau cyffredin meigryn mewn plant, fel poen yn yr abdomen, yn aml yn edrych yn wahanol i symptomau oedolion a gellir eu methu, sy'n gallu arafu diagnosis ac arwain at fethu adnabod symptomau plentyn. O'r plant a'r bobl ifanc a ymatebodd i'w harolwg, roedd 33 y cant yn teimlo bod y driniaeth ar gyfer eu meigryn yn wael, dywedodd 30 y cant ei fod yn weddol, dywedodd 23 y cant ei fod yn dda, a dim ond 8 y cant a ddywedodd ei fod yn dda iawn. Ni ddywedodd unrhyw un ei fod yn 'rhagorol'. Mae 72 y cant o'r plant sy'n cael meigryn wedi dweud ei fod yn gwneud iddynt deimlo'n bryderus. Mae plant, yn enwedig plant iau, yn aml angen help gydag esbonio eu meigryn ac mae angen eu cynnwys mewn trafodaethau ynglŷn â'u triniaeth. Mae angen gwell cyfathrebu, lle bo hynny'n bosibl, rhwng gwasanaethau iechyd ac ysgolion a cholegau. Fel y dywed astudiaeth achos yn yr adroddiad, 'Collais lawer o ysgol y llynedd oherwydd fy meigryn ac ni allwn wneud y pethau rwy'n eu mwynhau fel pêl-droed a dawnsio ac fe wnaeth hynny imi deimlo'n drist.' Un o argymhellion yr adroddiad ynglŷn â sut y gellid mynd i'r afael â phroblemau yw y dylai byrddau iechyd lleol, 'gynnwys plant a phobl ifanc mewn adolygiadau o anghenion meigryn lleol a sicrhau bod ganddynt wasanaethau i ddiwallu'r anghenion hynny.' a dylai byrddau iechyd lleol, 'sicrhau bod cysylltiadau cryf rhwng gofal meigryn a gwasanaethau iechyd meddwl. Rhaid i iechyd meddwl hefyd fod yn elfen o'r llwybr gofal iechyd i blant sy'n cael meigryn'. Dylai Llywodraeth Cymru archwilio ffyrdd y gallai gefnogi hyfforddiant fferyllwyr ar reoli meigryn mewn oedolion a phlant, a gweithio gyda phartneriaid addysg i sicrhau bod staff addysgu yn cael hyfforddiant a gwybodaeth am y cyflwr, fel y gallant gefnogi plant a phobl ifanc yn effeithiol. Fel y mae adolygiad academaidd 2021 i blant a meigryn yn datgan, 'Mae meigryn yn dylanwadu'n negyddol ar ansawdd bywyd y plant yr effeithir arnynt. Mae angen diagnosis cynnar a phenderfyniadau ynglŷn â rheoli'r cyflwr er mwyn lleihau'r baich a gwella canlyniad triniaeth cymaint ag y bo modd.' Byddai'r Migraine Trust yn falch o gydweithio gyda Llywodraeth Cymru a'r byrddau iechyd i wneud cynnydd yn y meysydd hyn, ac fel y dywed ein cynnig, rydym yn galw ar Lywodraeth Cymru, 'i weithio gyda'r Migraine Trust a chyrff cynrychioliadol ar gyfer ysgolion, gwasanaethau iechyd, a rhieni/gofalwyr er mwyn: (a) cryfhau'r canllawiau; (b) darparu hyfforddiant ar sut i gefnogi a darparu ar gyfer pobl ifanc y mae meigryn yn effeithio arnynt; a (c) darparu adnoddau i rieni/gofalwyr plant sy'n byw gyda meigryn ac i'r bobl ifanc eu hunain ar sut i gymryd rheolaeth o'u gofal eu hunain.' Mae meigryn yn gyflwr cyffredin mewn plant a phobl ifanc, ac mae'n effeithio'n sylweddol ar ansawdd bywyd, ond eto ni wneir diagnosis ym mhob achos ac mae ansawdd triniaeth yn wael. Bydd llai na 10 y cant o blant sy'n cael cur pen problemus yn cael cymorth meddygol ar gyfer eu problem. Gall meigryn effeithio'n ddifrifol ar fywyd plentyn, gan effeithio ar ei berthynas ag aelodau o'r teulu, bywyd ysgol a gweithgareddau cymdeithasol. Mae patrwm meigryn mewn pobl ifanc yn eu harddegau yn dechrau newid. Mae meigryn yn effeithio ar fechgyn a merched i'r un graddau nes y glasoed, ac ar ôl hynny mae meigryn yn fwy cyffredin mewn merched. Gall diagnosis hwyr neu fethu cael diagnosis ohono arwain at fethu rheoli eu symptomau'n dda, pryder ynghylch pyliau yn y dyfodol, lefelau presenoldeb gwael yn yr ysgol, defnydd amhriodol neu aneffeithiol o feddyginiaeth, colli hyder a lefelau isel o hunan-barch. Gall poen difrifol a chyfogi na chaiff ei drin yn effeithiol olygu bod plant yn aml yn gorfod aros gartref yn ystod eu pyliau a methu cymryd rhan mewn gweithgareddau dyddiol arferol. Rwy'n cynnig ac yn cymeradwyo'r cynnig hwn yn unol â hynny.