ALD, or adrenoleukodystrophy, is a rare genetic disease. It primarily affects the nervous system and adrenal glands, causing the myelin sheath, the protective layer of nerve fibers, to gradually degenerate. The condition often develops in childhood, but can also occur in adulthood. For many people, hearing the name ALD may be unfamiliar, but its impact is far-reaching. Symptoms of ALD vary from person to person. Children may experience behavioral changes, learning difficulties, vision and hearing problems, etc. Adults may experience difficulty walking, loss of balance, and muscle weakness. These symptoms occur because the degeneration of the myelin sheath affects the transmission of nerve signals, just like the insulation of an electrical wire is damaged so that electricity cannot flow through it normally. Understanding the cause of ALD is crucial to treating and managing the disease. ALD is caused by a mutation in the ABCD1 gene on the X chromosome, which means it primarily affects males, while females are usually carriers. Due to this gene mutation, substances in the body called long-chain fatty acids cannot be broken down properly, causing them to accumulate in the body and cause damage to the nervous system and adrenal glands. Regarding the treatment of ALD, the current focus is on managing symptoms and slowing the progression of the disease. For some patients, stem cell transplantation may be an option, especially in the early stages of the disease. Dietary management is also considered helpful, such as reducing the intake of long-chain fatty acids. Although these methods cannot completely cure ALD, they can help improve quality of life. In the face of ALD, early diagnosis and intervention are crucial. Through genetic testing, it can be determined whether you carry the ABCD1 gene mutation, which can help take early measures. For patients and their families, learning more about ALD and actively cooperating with the doctor's treatment recommendations are undoubtedly an important step in facing this challenge. Although ALD is a complex disease, through scientific management and treatment, patients can still live a relatively active and meaningful life. |
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