These mental health professionals use specially designed interview and assessment tools to evaluate a person for a psychotic disorder. Tel. When their mood is high and positive, they may have symptoms of psychosis. Alle Produkte in bekannter PAL-Qualität mit dem Ziel, dir praktisch anwendbare Lebenshilfen zu bieten. The term “shock” may refer to a psychologic or a physiologic type of shock. Ist eine EEG-Aufzeichnung während des Krampfanfalls möglich, kann man sehen, dass im Gegensatz zu einem epileptischen Anfall hier keine EEG-Veränderungen zu beobachten sind. Das bedeutet, dass die auftretenden Symptome keine körperliche Ursache haben, sondern eine psychische. Speech or language that doesn't make sense, Changes in eating or sleeping habits, energy level, or. Ein psychischer Schock kann ausgelöst werden durch ein völlig unerwartetes, stark belastendes oder lebensbedrohliches Ereignis wie z.B. Nervosität, innere Unruhe und . Das bedeutet jedoch nicht, dass eine Person automatisch eine Angststörung entwickelt, wenn ein Elternteil oder nahe Verwandte bereits eine psychische Erkrankung hatte. However, there’s not enough evidence to associate any one neurotransmitter disruption with psychosis. We'll explore bipolar psychosis red flags, strategies to deal, and…, Hallucinations are sensations that appear real but are created by your mind. If you're finding it hard to focus and these tips don't help…. Schattauer, Stuttgart 2012, Tölle, R., Windgassen, K.: Psychiatrie. It can be a symptom of serious mental health disorders. 2011;17(6):432-438.doi:10.1097/01.pra.0000407968.57475.ab, Hardy KV, Mueser KT. . If you suspect the person is experiencing an allergic reaction, ask them if they have an epinephrine auto-injector (EpiPen). Psychosis doesn’t have many medical complications. These include: Damage to your heart can decrease the blood flow to your body, leading to cardiogenic shock. Thieme, Stuttgart 2013, Herold, G.: Innere Medizin. 10, 80686 München This position, known as the shock position, helps direct blood to their vital organs where it’s most needed. To help get you started, here’s a list of affordable mental health care options. Treating psychosis may involve a combination of medications and therapy. People who are experiencing a delusion of paranoia might think that they are being followed when they’re not, or that secret messages are being sent to them. Sometimes psychosis may stem from depression, neurological disorders, and traumatic events. Is Dopamine Fasting a Way to Fix Your Brain or a Silicon Valley Fad? ", University of Pittsburgh Medical Center: "How Brain Chemicals Influence Mood and Health. You can learn more about how we ensure our content is accurate and current by reading our. (2015). Die akute Belastungsreaktion (ABR) zählt zu den akuten Traumafolgestörungen und gilt in ihrer ausgeprägten Form als relative Notfallindikation. They can affect all of your senses. Trauma resulting from psychotic symptoms (including involuntary treatment experiences) Psychosis as a component of PTSD, resulting from trauma. Your primary care doctor is a starting point for recommendations. difficulty concentrating. You might see, hear, or believe things that aren't real. Gewöhnliche Auslöser sind: Andauernde körperliche Erkrankungen können ebenfalls Angststörungen auslösen. Medical science is well aware of the impact of overwhelming stress when it comes to post-traumatic stress disorder (PTSD). Problems with memory. Not all studies support the use of omega-3 fatty acids for psychosis and other mental health conditions. You can see a psychologist, psychiatrist, or a social worker. The heart rate slows . Substance Abuse and Mental Health Services Administration (SAMHSA), ncbi.nlm.nih.gov/pmc/articles/PMC4455840/, ncbi.nlm.nih.gov/pmc/articles/PMC4999787/, my.clevelandclinic.org/health/diseases/9599-delusional-disorder, nimh.nih.gov/health/topics/schizophrenia/raise/fact-sheet-first-episode-psychosis.shtml, nimh.nih.gov/about/organization/dtr/adult-psychopathology-and-psychosocial-interventions-research-branch/psychotic-disorders-research-program.shtml, ncbi.nlm.nih.gov/pmc/articles/PMC5183991/, ncbi.nlm.nih.gov/pmc/articles/PMC4116281/, Schizophrenia: No Cure Yet, But Symptoms May Be Managed, Thinking of Trying the Havening Technique? Misusing drugs or alcohol is strongly related to the development of mental illness later in life. Healthline writers and…, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This causes blood vessels to dilate, and the skin may feel warm and flushed. Gewöhnliche Auslöser sind: Belastung bei der Arbeit oder Arbeitsplatzwechsel. “Dopamine fasting” has hit Silicon Valley, with some people in the area striving to reset their dopamine levels by completely abstaining from anything…, Dopamine is strongly associated with pleasure and reward. In many cases, people only need to take antipsychotics for a short time until their symptoms are more manageable. Symptoms of psychosis generally appear in schizophrenia. Anzeichen und Symptome von Angststörungen, Schwangerschaft und erste Zeit der Elternschaft, Lesbische, schwule, bisexuelle, transgender, transsexuelle und intersexuelle Menschen (LSBTTI), Von Depression oder Angststörung Betroffene, Belastung bei der Arbeit oder Arbeitsplatzwechsel, Probleme in der Familie und in Beziehungen, Psychischer Schock infolge eines erschütternden oder traumatischen Ereignisses, Verbale, sexuelle, körperliche oder emotionale Misshandlung oder Trauma, Tod oder Verlust eines geliebten Menschen, Hormonelle Probleme (zum Beispiel Schilddrüsenüberfunktion). It’s important to get medical help right away if you or someone else is experiencing symptoms of psychosis. nhlbi.nih.gov/health-topics/cardiogenic-shock, mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620, mayoclinic.org/diseases-conditions/anaphylaxis/symptoms-causes/syc-20351468, mayoclinic.org/diseases-conditions/sepsis/symptoms-causes/syc-20351214, nigms.nih.gov/Education/Pages/Factsheet_Trauma.aspx, Anaphylactic Shock: What You Need to Know, 10 Best Ways to Increase Dopamine Levels Naturally. Someone experiencing brief reactive psychosis will generally recover in a few days to a few weeks, depending on the source of the stress. Da die Psyche mit dem Körper in enger Verbindung . Psychosis is diagnosed through a psychiatric evaluation. Septic shock occurs when bacteria and their toxins cause serious damage to tissues or organs in your body. Here are the best…. Häufige psychosomatische Symptome Folgende Beschwerden werden häufig durch seelische Belastungen (z. The FDA hasnât approved any medicines specifically to treat brief psychotic disorder. Psychosis is a . Once you’re stable, your doctor can try to diagnose the cause of shock. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Types of Schizophrenia and Related Disorders, Trouble thinking clearly or concentrating, Stronger emotions than situations call for, Hear, see, or taste things others donât, Hang on to unusual beliefs or thoughts, no matter what others say, Not be able to think clearly or pay attention, Tactile hallucinations: Strange sensations or feelings you canât explain. This is especially important when you’re spending time in very hot or humid environments. Forschende am Göttinger Max-Planck-Institut (MPI) für Multidisziplinäre Naturwissenschaften konnten nun zeigen, dass defektes Myelin krankheitsbedingte Veränderungen bei Alzheimer aktiv fördert. More than likely, these delusions become lifelong convictions. They reduce hallucinations and delusions, and help people think more clearly. Itâs rare, but for some people, it may happen more than once. Die Symptome werden vom Patienten so geschildert, als beruhten sie auf der körperlichen Krankheit eines Systems oder eines Organs, das weitgehend oder vollständig vegetativ innerviert und kontrolliert wird, so etwa des kardiovaskulären, des gastrointestinalen, des . If you lose too much blood, your organs can’t function properly. withdrawing from friends and loved . ", The Primary Care Companion to the Journal of Clinical Psychiatry: "Hypothyroidism Presenting as Psychosis: Myxedema Madness Revisited. Körperliche Symptome wie starkes Zittern, Weinkrämpfe, Herzrasen, Schweißausbrüche, Übelkeit, Schwindelgefühle, Druck im Kopf. Compton, M. and Broussard, B. The four major types are: If you develop symptoms of shock, get medical help immediately. Sherry Christiansen is a medical writer with a healthcare background. Your doctor may order imaging tests to check for injuries or damage to your internal tissues and organs, such as: Your doctor may use blood tests to look for signs of: Shock can lead to unconsciousness, breathing problems, and even cardiac arrest: If you suspect someone has gone into shock, call 911. Read our, Mood-Congruent and Incongruent Features of Bipolar Disorder. Verwirrtheit, Unfähigkeit, sich an wichtige Daten zu erinnern, z.B. For example, small children often have imaginary friends with whom they talk. While you wait for the episode to pass, your doctor can ease the symptoms with an anti-anxiety drug such as lorazepam (Ativan) or maybe an antipsychotic. During the episodes, you may be confused about what's real, hallucinate, and believe things that aren't true. Auch bei einem psychischen Schock treten körperliche Beschwerden wie Herzrasen, Zittern, Schweißausbrüche, Schlafstörungen, extreme Anspannung, usw. See additional information. CBT has been shown to be effective in helping people better manage their mental health conditions. 1 Was sind Adrenalin und Noradrenalin? Is It Safe to Shower During a Thunderstorm? Typische Anzeichen eines Nervenzusammenbruchs sind Zittern sowie starkes Weinen beziehungsweise Weinkrämpfe. Ein psychischer Schock wird als eine starke seelische Erschütterung verstanden, die durch ein plötzlich hereinbrechendes und belastendes Ereignis ausgelöst wird. Als körperliche Symptome können bei einem akuten psychischen Schock Herzklopfen, Zittern und vermehrtes Schwitzen auftreten. It’s estimated that 3 in every 100 people will experience psychosis at some point during their lives. The psychosis may or may not be associated with stress. Belastungs- & Anpassungsstörungen - Symptome & Behandlung ⚕️Hier finden Sie Infos & qualifizierte Spezialisten ️ Jetzt Termin vereinbaren . If you suspect symptoms of psychosis, and if these are severe enough to interfere with your daily life, consider seeking professional advice. learning everything you can about your loved one’s condition, making sure your loved one takes all their medications and goes to therapy, as directed, reducing triggering situations that can worsen your loved one’s symptoms, listening to what your loved one is going through, without judgment, avoiding harmful situations, such as drinking and illicit drug use. Sie werden in vielen Fällen sogar mit der Zeit immer ausgeprägter. Theyâll also suggest you avoid using drugs and alcohol. Übermäßiges Schwitzen, zittern und ein schneller Herzschlag sind körperliche Auswirkungen eines psychischen Schocks. Der Diagnoseschlüssel des ICD-10 F43.0 beschreibt den Schock als akute Belastungsreaktion: „Vorübergehende (Stunden bis mehrere . Medication: The doctor might prescribe antipsychotic medications to ease or eliminate the symptoms and end the brief psychotic disorder. The family is involved as much as possible. Taking care of yourself is paramount, and you’ll also want to take time to manage stress every day. Als Folge treten eine Sauerstoffunterversorgung der Gewebe und in letzter Konsequenz ein Stoffwechselversagen auf.. Ursache ist meist eine erhebliche Verminderung des zirkulierenden Blutes. partnerschaft-beziehung.de Also, when a person suddenly quits using drugs or drinking alcohol (withdrawal), it can trigger psychotic symptoms. These episodes stem from something else, like drug use or a medical condition. Auch bei einem psychischen Schock treten körperliche Beschwerden wie Herzrasen, Zittern, Schweißausbrüche, Schlafstörungen, extreme Anspannung, usw. Paranoia is an irrational suspicion or mistrust of others. brain fog. The earlier the treatment, the better the outcome. There are many types of shock. It’s estimated that around 10 percent of people with mental health disorders have a psychomotor syndrome called catatonia. Find out how they're alike and how they differ. Ursachen Psychogene Krampfanfälle betreffen zwar Personen jeden Alters, jedoch häufiger junge Frauen. Healthline Media does not provide medical advice, diagnosis, or treatment. They might also withdraw from their friend groups and have difficulties with school. Note: Not everyone with bipolar disorder will experience psychotic symptoms. Others may need to take them more long term. Hallucinogens and dissociative drugs research report: How do hallucinogens (LSD, psilocybin, peyote, DMT, and ayahuasca) affect the brain and body? Itâs important to get treated early, after the first episode of psychosis. Learn about…. Lesen Sie hier alles über die akute Belastungsreaktion. Psychosis can occur in schizophrenia and other mental health disorders. According to a 2017 study, lifetime prevalence rates of PTSD in individuals diagnosed with a psychotic disorder have been estimated at 30%, compared with 7.8% in the general population. Jeder Mensch ist anders und häufig ist es eine Kombination aus vielen Faktoren, die zur Entwicklung einer Angststörung bei einem Menschen beitragen. Psychosis is a condition that affects the way your brain processes information. It's more likely when you've had a seizure disorder for a long time or you've had mental illness in the past. F43.1 Posttraumatische Belastungsstörung . Some people with major depressive disorder experience psychosis. You have special powers, are on a special mission, or actually are a god. ", Journal of Womenâs Health: âA Review of Postpartum Psychosis.â, Annals of General Psychiatry: "Postictal Psychosis: Presymptomatic Risk Factors and the Need for Further Investigation of Genetics and Pharmacotherapy. These include: Newer medications, which doctors call âatypical antipsychoticâ drugs, include: If someone with this condition is very anxious or has problems with sleep, their doctor may prescribe tranquilizers such as diazepam (Valium) and lorazepam (Ativan). Lust auf mehr positive Denkanstöße in Beiträgen, Podcasts, Videos und Lebensweisheiten? auf. © 2005 - 2023 WebMD LLC, an Internet Brands company. Schizophrenia is a mental health disorder that includes periods of psychosis and other…, Catatonia was once considered to a subtype of schizophrenia. Our website services, content, and products are for informational purposes only. Psychosis is a serious mental disorder characterized by a disconnect from reality. Your doctor may recommend coordinated specialty care (CSC). Brief psychotic disorder. Das Gehirn kann das bedrohliche Erlebnis nicht verarbeiten und verharrt in dem Zustand der Bedrohung und im akuten Schock. Drug toxicities and brain injuries can also lead to distributive shock. Bei einem psychogenen Krampfanfall handelt es sich um einen Krampfanfall, der auf einem emotionalen Konflikt basiert. Our website services, content, and products are for informational purposes only. A pulmonary embolism is one condition that may cause an interruption to blood flow. Rasmussen SA, et al. However, research has shown that genetics may play a role. Psychische Krise Die Folgen können unterschiedlich schwer sein und bis zum Selbstmord reichen. 7. Types of Schizophrenia and Related Disorders. The exact pattern of psychotic symptoms (such as the length or severity of symptoms) differs from person to person. Psychosis is a symptom, not an illness. Dadurch kann die Behandlung der Angststörung beziehungsweise der körperlichen Erkrankung erschwert werden. (2014). Medical tests and X-rays may be used to determine whether there is an underlying illness causing the symptoms. Shock can lead to multiple organ failure as well as life-threatening complications. Instead, stabilize their neck and roll their entire body to the side to clear the vomit out. But if you’re worried about psychosis in a child or adolescent, it’s best to describe their behavior to a doctor. Unser Therapieansatz bei Traumata. It’s most notable for its mood disorder traits, such as depression and bipolar disorder. Psychosis is related to multiple types of mental health disorders. This means that someone experience depression and psychotic symptoms. Although it's extremely rare, some women have menstrual psychosis. A head injury, illness, or infection that affects the brain can cause symptoms of psychosis. A person experiences psychosis when thoughts and perceptions interfere with the ability to decipher what is real and what is not. The exact cause of psychosis isn’t always clear. Another theory suggests that poor coping skills could trigger the disorder as a defense against or escape from a very frightening or stressful situation. If you have a mood disorder, your doctor may also recommend antidepressants. + 6 weitere. People who have a condition such as antisocial personality disorder or paranoid personality disorder are more likely to get it. The doctor will check your symptoms, look for causes, and suggest the best treatment for you. In rare cases, certain types of prescription medications can also cause psychosis, particularly when the recommended dosage is exceeded. This type of psychosis can appear at the beginning, around ovulation, or during the few days before your period starts. hinsichtlich Terminologie und Zeitkriterium. People who have an alcohol or substance use disorder can experience symptoms of psychosis if they suddenly stop drinking or taking those drugs. ", General Medicine Open Access: "A Case of Menstruation Related Psychosis -- A Rare Entity. Springer, Heidelberg 2011. Dopamine is an important chemical messenger involved in reward, motivation, memory, attention, and even regulation of body movements. © 2005 - 2023 WebMD LLC, an Internet Brands company. Im Gegensatz zu epileptischen Krampfanfällen beruhen psychogene Kramfpanfälle nicht auf einer neurologischen, sondern auf einer emotionalen Störung. It’s important to note that psychosis is not present in all mental health disorders, and the symptoms vary greatly by individual. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Your doctor’s treatment plan for shock will depend on the cause of your condition. It can cause hallucinations — seeing or hearing things that don’t exist. Counseling, along with medicines, can also help manage psychosis. Allergic reactions occur when your body mistakenly treats a harmless substance as harmful. Teilweise kann es auch zu einem Gedächtnisverlust . Tel. (2016). Showering during a thunderstorm is not safe. Last medically reviewed on July 27, 2018. Häufig werden diese Symptome von vegetativen Reaktionen wie Schwitzen, Übelkeit und Herzklopfen beziehungsweise Herzrasen begleitet. This can be done by giving fluid, drugs, blood products, and supportive care. In der Medizin bezeichnet der Begriff hypovolämischer Schock jedoch einen akuten Sauerstoffmangel in lebenswichtigen Organen wie Lunge oder Niere. The recreational use of drugs has been known to trigger psychosis. Mehr zu unserer Arbeit und Methodik hier. This is a team approach to treating schizophrenia when the first symptoms appear. Es gibt verschiedene Theorien, wo die Ursachen einer Herzneurose zu suchen sind: Ursachen in der Kindheit: Die Fachliteratur beschreibt häufig ein gestörtes Verhältnis der Eltern zu . Steven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. The three most prevalent positive symptoms of schizophrenia are: Negative symptoms of schizophrenia, on the other hand, involve a lack of enthusiasm, a lack of motivation, and the inability to express emotions, to name a few. : Innere Medizin. Psychotherapyis a type of counseling, or âtalk therapy.â The goal is to help the person identify and handle the situation or event that triggered the disorder. Psychotic disorders can be triggered by stress, drug or alcohol use, injury, or illness. Small events or comments have huge meaning. Unusual behavior and dress. Psychischer Schock Erste Hilfe beim Schock Ein Schock ist lebensgefährlich und muss sofort ärztlich behandelt werden. There are certain illnesses that cause psychosis. Schwangerschaft und Geburt. Healthline Media does not provide medical advice, diagnosis, or treatment. Chromosome 22q11.2 deletion syndrome. Ziel einer Psychotherapie ist es, diese mit dem Schock verbundene psychische Blockade aufzulösen. Rapid tranquilization for psychiatric patients with psychomotor agitation: What is known about it? Psychotic disorders research program. Finding a therapist is a huge step in caring for your mental health. If you or a loved one is struggling with substance misuse, you may also consider finding help through the Substance Abuse and Mental Health Services Administration (SAMHSA). You can learn more about how we ensure our content is accurate and current by reading our. Cognitive dissonance is a common occurrence. This triggers a dangerous immune response. Common types of drugs linked with psychotic symptoms include: Certain types of drug use can cause a person to have symptoms of psychosis. Experiencing psychosis can be extremely frightening, but many people who experience it don’t always talk about it initially. Postictal psychosis (PIP) happens in some people with epilepsy who've had a number of seizures in a row. Psychischer Schock infolge eines erschütternden oder traumatischen Ereignisses. Taking thyroid hormone can help balance your gland's activity and end the psychosis. Der Schockzustand nach einer traumatischen Erfahrung kann sich in Erstarrung, dem Gefühl, wie ein Roboter zu funktionieren, oder in starker Erregung äußern. J Psychiatric Practice. It's also involved in motor function, mood, and even our decision making. 8. Organic psychosis: The pathobiology and treatment of delusions. (2018). Get help from a crisis or suicide prevention hotline. There are also triggers like drug use, lack of sleep, and other environmental factors. Serious dehydration can also cause this type of shock. It causes you to lose touch with reality. These symptoms can include thinking someone is trying to harm them. Speech or language that doesn't make sense. Psychischer Schock Auf plötzliche starke seelische Erschütterungen reagiert jeder Mensch anders. If symptoms last for more than 6 months, doctors may consider whether the person has schizophrenia. (2015). Social rehabilitation can be especially helpful for loved ones who have isolated themselves due to their symptoms. Another early sign is that your child suddenly loses interest in the activities they usually enjoy. Cover them with a blanket or extra clothing to help keep them warm. Psychosis is a condition in which one loses touch with reality. It’s thought that people in their early 20s with substance use issues may be especially vulnerable to the development of psychosis, since their brains are still developing at this stage of life. (2019). Children born with the genetic mutation known as 22q11.2 deletion syndrome are at risk of developing a psychotic disorder, especially schizophrenia. trouble thinking clearly. Low-dose benzodiazepines, a class of tranquilizers, may work best for catatonia. Man spricht dann von einer Posttraumatischen Belastungsstörung. She has worked in the hospital setting and collaborated on Alzheimer's research. What Are the Different Types of Schizophrenia? National Institute for Mental Health (NIMH), Complications and outlook for people with psychosis, rarediseases.org/rare-diseases/chromosome-22q11-2-deletion-syndrome/, drugabuse.gov/publications/research-reports/hallucinogens-dissociative-drugs/how-do-hallucinogens-lsd-psilocybin-peyote-dmt-ayahuasca-affect-brain-body, ncbi.nlm.nih.gov/pmc/articles/PMC6489844/, nhs.uk/mental-health/conditions/psychosis/overview/, aacap.org/aacap/Families_and_Youth/Glossary_of_Symptoms_and_Illnesses/Psychosis.aspx, nami.org/About-Mental-Illness/Mental-Health-Conditions/Psychosis?gclid=Cj0KCQiAtJeNBhCVARIsANJUJ2F0Sv3cuoRbXfnMpe1dJKpLJi3e3ju2ebdSQsOpck7RSFq8mchOm_0aAl7uEALw_wcB, nhs.uk/mental-health/conditions/psychotic-depression/, nhs.uk/mental-health/conditions/psychosis/symptoms/, nimh.nih.gov/health/publications/understanding-psychosis, ncbi.nlm.nih.gov/pmc/articles/PMC6191498/, Understanding the Difference Between Psychosis and Schizophrenia, Unpacking Psychosis Episodes and Bipolar Disorder, Everything You Need to Know About Hallucinations. The heart rate slows, and blood pressure drops very low. Die psychotherapeutisch-fundierte Behandlung von Traumata erfolgt in unserer Abteilung für Traumatherapie bei gegebener Indikation zum Beispiel mit imaginativen Techniken, aber auch nach anderen tiefenpsychologischen Methoden. It won’t resolve unless they can find and treat the cause. (Montag–Freitag, 9–13 Uhr) Last medically reviewed on December 16, 2021. At the same time, lifestyle measures will certainly help your overall mental health, including a healthy diet and regular exercise. Because of the way thyroid hormone affects your brain, you may have hallucinations, delusions, and changes to your sense of taste or smell if there's not enough in your body. Menstrual psychosis can show up quickly and can disappear just as fast. Dabei gibt es sehr viele verschiedene Ursachen des Schocks, die meist ähnliche Symptome aufweisen. Listen, but don’t judge, argue, threaten, or yell. : Taschenführer zur ICD-10-Klassifikation psychischer Störungen, Huber Verlag, 6. Although itâs rare, if you've been taking an antipsychotic (such as chlorpromazine, fluphenazine, haloperidol, perphenazine, and others) for many months or years, you could develop a movement disorder call tardive dyskinesia because of the long-term effects of the medication on your brain. All rights reserved. Richtungsweisend kann auch das klinische Bild des Anfalls sein: Während bei einem "echten" epileptischen Anfall die Augen meist weit geöffnet und die Pupillen lichtstarr sind, kneifen Patienten mit einem psychogen ausgelöstem Anfall die Augen oft zu und/oder wehren sich gegen den Versuch, diese zu öffnen. PD Dr. med. Cannabis is involved in roughly half of all cases. Conditions that can cause a buildup of air or fluid in the chest cavity can also lead to obstructive shock. Halten die Symptome länger als zwei Tage an, spricht man von einer akuten Belastungsstörung.