The calculated distance (air line) between Nizhnyaya Maktama and Izhevsk is approximately 141 miles respectively 226 kilometers.
By car or train, the actual journey to Izhevsk is certainly longer, as only the direct route (as the crow flies) between Nizhnyaya Maktama and Izhevsk has been calculated here.
Air line (approximately)
226 kilometers
122 nautical miles