The calculated distance (air line) between Kyzyl-Adyr and Kara Suu is approximately 148 miles respectively 238 kilometers.
By car or train, the actual journey to Kara Suu is certainly longer, as only the direct route (as the crow flies) between Kyzyl-Adyr and Kara Suu has been calculated here.
Air line (approximately)
238 kilometers
128 nautical miles